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Sample records for 52-week treatment period

  1. Etoricoxib in the treatment of osteoarthritis over 52-weeks: a double-blind, active-comparator controlled trial [NCT00242489

    Olaleye Joseph

    2005-12-01

    Full Text Available Abstract Background The aim of this study was to evaluate the long-term efficacy and tolerability of etoricoxib, a COX-2 selective inhibitor, in osteoarthritis (OA patients. Methods A double-blind, randomized, multicenter study was conducted in 617 patients with OA of the knee. The base study was 14 weeks in duration and consisted of 2 parts; in Part I (6 weeks, patients were allocated to once daily oral etoricoxib 5, 10, 30, 60, 90 mg or placebo. In Part II (8 weeks; the placebo, etoricoxib 5 and 10 mg groups were reallocated to etoricoxib 30, 60, or 90 mg qd or diclofenac 50 mg t.i.d. Treatment was continued for consecutive 12 and 26 week extensions. Primary efficacy endpoints were the WOMAC VA 3.0 pain subscale and investigator global assessment of disease status. Safety and tolerability were assessed by collecting adverse events throughout the study. Results Compared with placebo, the etoricoxib groups displayed significant (p Conclusion In this extension study, etoricoxib, at doses ranging from 30 to 90 mg, demonstrated a maintenance of significant clinical efficacy in patients with OA through 52 weeks of treatment. Etoricoxib displayed clinical efficacy similar to diclofenac 150 mg and was generally well tolerated.

  2. Long-Term Treatment Outcome in Adult Male Prisoners With Attention-Deficit/Hyperactivity Disorder: Three-Year Naturalistic Follow-Up of a 52-Week Methylphenidate Trial.

    Ginsberg, Ylva; Långström, Niklas; Larsson, Henrik; Lindefors, Nils

    2015-10-01

    Despite high rates of attention-deficit/hyperactivity disorder (ADHD) among adult lawbreakers, particularly the long-term effects of ADHD pharmacotherapy remain unclear, not the least because of ethical challenges with preventing control subjects in randomized controlled trials from receiving medication over prolonged time. We followed up adult male prisoners with ADHD who completed a 5-week randomized, double-blind, placebo-controlled trial followed by a 47-week open-label extension of osmotic-release oral system methylphenidate in a Swedish high-security prison from 2007 to 2010 (ClinicalTrials.gov: NCT00482313). Twenty-five trial completers were prospectively followed up clinically 1 year (24/25, 96% participated fully or in part) and 3 years (20/25, 80% participation) after trial regarding ADHD symptoms (observer and self-reports), psychosocial functioning, substance misuse, and criminal reoffending. Methylphenidate-related improvements in ADHD symptoms and psychosocial functioning obtained during the 52-week trial were maintained at 1- and 3-year follow-ups. Specifically, after 3 years, 75% (15/20) of the respondents had been released from prison, and 67% of these (10/15) had employment, usually full time. In contrast, nonmedicated respondents at the 3-year follow-up (5/20) reported more ADHD symptoms, functional impairment, and substance misuse compared with currently medicated respondents (15/20). Further, 40% of the respondents self-reported reoffending, indicating a substantially lower relapse rate than expected (70%-80%).In summary, although these observations need validation from new and larger samples, positive effects were maintained after 4 years of methylphenidate treatment. Most study completers were employed and had no relapse in substance misuse or criminality. These results suggest that motivational support and continued medication are important for improved outcome in adult criminal offenders with ADHD. PMID:26284932

  3. Efficacy and safety of treatment with human insulin analogues in daily management of insulin naive patients with type 2 diabetes mellitus: results of multicenter 52-week observational study A1chive

    Marina Vladimirovna Shestakova

    2012-12-01

    Full Text Available Modern insulin analogues allow safe improvement of glycemic control (not accompanied with increase in body mass or rate of severe hypoglycemic events and its efficient maintenance during long period of time. In this paper we present results of multicenter 52-week prospective observational study A1chive (Russian cohort, n=9342, designed to assess safety and efficacy of treatment with human insulin analogues (Levemir®, NovoMix® 30 and NovoRapid® (Novo Nordisk in daily management of insulin naive patients with type 2 diabetes mellitus. Prescription of human insulin analogues resulted in clinically and statistically significant improvement of glycemic control irrespective of initial insulin regimen. Therapy by various regimens (Levemir®, NovoMix® 30 or Levemir® + NovoRapid® under conditions of daily clinical practice leads to marked improvement in glycemic control as measured by HbA1c (-2.9% in 12 month with no evidence for negative influence on tolerability and short-term safety of the treatment. Furthermore, decrease in HbA1c levels was associated with pronounced and stable decrease in fasting and postprandial glucose levels (-5.0 mmol/L and -5.7 mmol/L, respectively. By the end of the follow-up all regimen groups reported improvement of QoL by treatment satisfaction criterion.

  4. Hepatotoxicity in a 52-week randomized trial of short-term versus long-term treatment with buprenorphine/naloxone in HIV-negative injection opioid users in China and Thailand*

    Lucas, Gregory M.; Young, Alicia; Donnell, Deborah; Richardson, Paul; Aramrattana, Apinun; Shao, Yiming; Ruan, Yuhua; Liu, Wei; Fu, Liping; Ma, Jun; Celentano, David D.; Metzger, David; Jackson, J. Brooks; Burns, David

    2014-01-01

    Background Buprenorphine/naloxone (BUP/NX), an effective treatment for opioid dependence, has been implicated in hepatic toxicity. However, as persons taking BUP/NX have multiple hepatic risk factors, comparative data are needed to quantify the risk of hepatoxicity with BUP/NX. Methods We compared rates of alanine aminotransferase (ALT) elevation ≥ grade 3 (ALT ≥ 5.1 times the upper limit of normal) and graded bilirubin elevations in HIV-negative opioid injectors randomized to long-term (52 weeks) or short-term (18 days) medication assisted treatment (LT-MAT and ST-MAT, respectively) with BUP/NX in a multisite trial conducted in China and Thailand. ALT and bilirubin were measured at baseline, 12, 26, 40 and 52 weeks, times temporally remote from BUP/NX exposure in the ST-MAT participants. Results Among1036 subjects with at least one laboratory follow-up measurement, 76 (7%) participants experienced ALT elevation ≥ grade 3. In an intent-to-treat analysis, the risk of ALT events was similar in participants randomized to LT-MAT compared with ST-MAT (adjusted hazard ratio 1.25, 95% confidence interval 0.79 to 1.98). This finding was supported by an as-treated analysis, in which actual exposure to BUP/NX was considered. Hepatitis C seroconversion during follow-up was strongly associated with ALT events. Bilirubin elevations ≥ grade 2 occurred in 2% of subjects, with no significant difference between arms. Conclusions Over 52-week follow-up, the risk of hepatotoxicity was similar in opioid injectors receiving brief and prolonged treatment with BUP/NX. These data suggest that most hepatotoxic events observed during treatment with BUP/NX are due to other factors. PMID:24999060

  5. Long-term (52 weeks) safety and tolerability of umeclidinium in Japanese patients with chronic obstructive pulmonary disease.

    Yamagata, Eiji; Soutome, Toru; Hashimoto, Kenichi; Mihara, Kazuko; Tohda, Yuji

    2016-05-01

    Objective Umeclidinium bromide (UMEC) 62.5 μg is a long-acting muscarinic antagonist (LAMA) that is administered once daily via inhalation for chronic obstructive pulmonary disease (COPD) treatment. The objective of this study was to evaluate the safety and tolerability of long-term treatment with UMEC 125 μg in Japanese patients with COPD. Methods This was a 52 week, multicenter, open-label study to evaluate the safety and tolerability of UMEC 125 μg once daily delivered via a novel dry powder inhaler (nDPI) in Japanese patients with COPD. The primary endpoint was the incidence and severity of all adverse events (AEs) throughout the 52 week treatment period. Clinical trial registration number ClinicalTrials.gov identifier is NCT01702363. Results A total of 153 patients were enrolled in the study. Of these, 131 patients started treatment with UMEC 125 μg, and 111 patients (85%) completed the study. AEs did not differ greatly in incidence over the various time periods (Weeks 0 to 12, 13 to 24, 25 to 36, and 37 to 52 of treatment) and did not increase with continued treatment. The incidence of drug-related AEs associated with the pharmacological effects of LAMAs (including constipation, blurred vision, and thirst) was low. Serious adverse events (SAEs) during the treatment period were reported in 17 patients (13%). SAEs reported in more than one patient were COPD exacerbation and pneumonia (3 patients each, 2%). One SAE of angina pectoris was considered to be drug related. No fatalities were reported during this study. Conclusions No new AEs were identified beyond those attributable to the pharmacological effects of LAMAs. UMEC 125 μg was well tolerated over 52 weeks of treatment in Japanese patients with COPD. PMID:26782971

  6. Treatment for periodic paralysis

    Sansone, [No Value; Meola, G.; Links, T. P.; Panzeri, M.; Rose, M. R.

    2008-01-01

    Background Primary periodic paralyses are rare inherited muscle diseases characterised by episodes of flaccid weakness affecting one or more limbs, lasting several hours to several days, caused by mutations in skeletal muscle channel genes. Objectives The objective of this review was to systematical

  7. The Effects of 52 Weeks of Soccer or Resistance Training on Body Composition and Muscle Function in +65-Year-Old Healthy Males--A Randomized Controlled Trial.

    Thomas Rostgaard Andersen

    Full Text Available The effects of 52 weeks of soccer or resistance training were investigated in untrained elderly men. The subjects aged 68.1±2.1 yrs were randomised into a soccer (SG; n = 9, a resistance (RG; n = 9 and a control group (CG; n = 8. The subjects in SG and RG, respectively, trained 1.7±0.3 and 1.8±0.3 times weekly on average during the intervention period. Muscle function and body composition were determined before and after 16 and 52 weeks of the intervention period. In SG, BMI was reduced by 1.5% and 3.0% (p<0.05 after 16 and 52 weeks, respectively, unchanged in RG and 2% higher (p<0.05 in CG after 52 weeks of the intervention period. In SG, the response to a glucose tolerance test was 16% lower (p<0.05 after 16 wks, but not after 52 wks, compared to before the intervention period, and unchanged in RG and CG. In SG, superoxide dismutase-2 expression was 59% higher (p<0.05 after 52 wks compared to before the intervention period, and unchanged in RG and CG. In RG, upper body lean mass was 3 and 2% higher (p<0.05 after 16 and 52 wks, respectively, compared to before the intervention period, and unchanged in SG and CG. In RG, Akt-2 expression increased by 28% (p<0.01 and follistatin expression decreased by 38% (p<0.05 during the 52-wk intervention period, and was unchanged in SG and CG. Thus, long-term soccer training reduces BMI and improves anti-oxidative capacity, while long-term resistance training impacts muscle protein enzyme expression and increases lean body mass in elderly men. Trial Registration: ClinicalTrials.gov: NCT01530035.

  8. Role of psychological reference points in mergers and acquisitions: 52-week high as a reference price in European takeover activity

    Niinivaara, Timo

    2010-01-01

    This thesis examines the role of a target company’s 52-week high stock price as a psychological reference point in mergers and acquisitions. It builds on a new strand of M&A literature linking mergers and acquisitions to psychological considerations. The first objective of this thesis is to test whether the 52-week high acts a psychological reference point in European mergers and acquisitions. To provide added credibility to my findings and to alleviate any concerns for the results arising fr...

  9. Adding 5-hydroxytryptamine receptor type 3 antagonists may reduce drug-induced nausea in poor insight obsessive-compulsive patients taking off-label doses of selective serotonin reuptake inhibitors: a 52-week follow-up case report

    Martino Matteo

    2010-12-01

    Full Text Available Abstract Poor-insight obsessive-compulsive disorder (PI-OCD is a severe form of OCD where the 'typically obsessive' features of intrusive, 'egodystonic' feelings and thoughts are absent. PI-OCD is difficult to treat, often requiring very high doses of serotonergic drugs as well as antipsychotic augmentation. When this occurs, unpleasant side effects as nausea are common, eventually further reducing compliance to medication and increasing the need for pharmacological alternatives. We present the case of a PI-OCD patient who developed severe nausea after response to off-label doses of the selective serotonin reuptake inhibitor (SSRI, fluoxetine. Drug choices are discussed, providing pharmacodynamic rationales and hypotheses along with reports of rating scale scores, administered within a follow-up period of 52 weeks. A slight reduction of fluoxetine dose, augmentation with mirtazapine and a switch from amisulpride to olanzapine led to resolution of nausea while preserving the anti-OCD therapeutic effect. Mirtazapine and olanzapine have already been suggested for OCD treatment, although a lack of evidence exists about their role in the course of PI-OCD. Both mirtazapine and olanzapine also act as 5-hydroxytryptamine receptor type 3 (5-HT3 blockers, making them preferred choices especially in cases of drug-induced nausea.

  10. DURATION-1: Exenatide Once Weekly Produces Sustained Glycemic Control and Weight Loss Over 52 Weeks

    Buse, John B.; Drucker, Daniel J.; Taylor, Kristin L.; Kim, Terri; Walsh, Brandon; Hu, Hao; Wilhelm, Ken; Trautmann, Michael; Shen, Larry Z.; Porter, Lisa E.; ,

    2010-01-01

    OBJECTIVE In the Diabetes Therapy Utilization: Researching Changes in A1C, Weight and Other Factors Through Intervention with Exenatide Once Weekly (DURATION-1) study, the safety and efficacy of 30 weeks of treatment with the glucagon-like peptide-1 receptor agonist exenatide once weekly (exenatide QW; 2 mg) was compared with exenatide BID in 295 patients with type 2 diabetes. We now report the safety and efficacy of exenatide QW in 1) patients who continued treatment for an additional 22 wee...

  11. A 52-week safety study in cynomolgus macaques for genetically modified rice expressing Cry1Ab/1Ac protein.

    Mao, Jie; Sun, Xing; Cheng, Jian-Hua; Shi, Yong-Jie; Wang, Xin-Zheng; Qin, Jun-Jie; Sang, Zhi-Hong; He, Kun; Xia, Qing

    2016-09-01

    A 52-week feeding study in cynomolgus macaques was carried out to evaluate the safety of Bt rice Huahui 1 (HH1), a transgenic rice line expressing Cry1Ab/1Ac protein. Monkeys were fed a diet with 20% or 60% HH1 rice, 20% or 60% parental rice (Minghui 63, MH63), normal diet, normal diet spiked with purified recombinant Cry1Ab/1Ac fusion protein or bovine serum albumin (BSA) respectively. During the feeding trail, clinical observations were conducted daily, and multiple parameters, including body weight, body temperature, electrocardiogram, hematology, blood biochemistry, serum metabolome and gut microbiome were examined at regular intervals. Upon sacrifice, the organs were weighted, and the macroscopic, microscopic and electron microscopic examinations were performed. The results show no adverse or toxic effects of Bt rice HH1 or Cry1Ab/1Ac fusion protein on monkeys. Therefore, the present 52-week primate feeding study suggests that the transgenic rice containing Cry 1Ab/1Ac is equivalent to its parental rice line MH63. PMID:27338709

  12. Early and Periodic Screening, Diagnosis and Treatment

    U.S. Department of Health & Human Services — The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who...

  13. Safety and efficacy of teduglutide after 52 weeks of treatment in patients with short bowel intestinal failure

    O'Keefe, Stephen J D; Jeppesen, Palle B; Gilroy, Richard; Pertkiewicz, Marek; Allard, Johane P; Messing, Bernard

    2013-01-01

    Although home parenteral nutrition (PN) can save the lives of patients with massive bowel loss that results in short-bowel syndrome and intestinal failure, quality of life is impaired by PN and its complications. We examined the 12-month tolerability and efficacy of teduglutide to reduce PN...

  14. Characteristics and Experiences of Children and Young People with Severe Intellectual Disabilities and Challenging Behaviour Attending 52-Week Residential Special Schools

    Pilling, N.; McGill, P.; Cooper, V.

    2007-01-01

    Background: This study sought to gather information about the characteristics and experiences of children and young people with severe intellectual disabilities and severe challenging behaviour attending 52-week residential special schools. Method: Staff of nine schools completed postal questionnaires on the characteristics and experiences of 156…

  15. Efficacy and safety characteristics of mometasone furoate/formoterol fumarate fixed-dose combination in subjects with moderate to very severe COPD: findings from pooled analysis of two randomized, 52-week placebo-controlled trials

    Tashkin DP

    2012-02-01

    Full Text Available Donald P Tashkin1, Dennis E Doherty2, Edward Kerwin3, Carlos E Matiz-Bueno4, Barbara Knorr5, Tulin Shekar5, Davis Gates5, Heribert Staudinger51David Geffen School of Medicine at UCLA, Los Angeles, CA, 2Division of Pulmonary, Critical Care, and Sleep Medicine, University of Kentucky, Lexington, KY, 3Clinical Research Institute of Southern Oregon, Medford, OR, USA; 4Fundación Salud Bosque, Bogota, Colombia, 5Merck Sharp & Dohme Corp, Whitehouse Station, NJ, USABackground: The clinical efficacy and safety of a mometasone furoate/formoterol fumarate (MF/F fixed-dose combination formulation administered via a metered-dose inhaler was investigated in patients with moderate to very severe chronic obstructive pulmonary disease (COPD.Methods: Two 52-week, multicenter, double-blind, placebo-controlled trials with identical study designs were conducted in current or ex-smokers (aged ≥40 years, and pooled study results are presented herein. Subjects (n = 2251 were randomized to 26 weeks of twice-daily treatment with MF/F 400/10 µg, MF/F 200/10 µg, MF 400 µg, F 10 µg, or placebo. After the 26-week treatment period, placebo subjects completed the trial and 75% of subjects on active treatment entered a 26-week safety extension. Coprimary efficacy variables were mean changes in forced expiratory volume in one second (FEV1, area under the curve from 0 to 12 hours postdose (AUC0–12 h, and morning predose/trough FEV1 from baseline to the week 13 endpoint. Key secondary efficacy variables were St George’s Respiratory Questionnaire scores, symptom-free nights, time-to-first exacerbation, and partly stable COPD at the week 26 endpoint.Results: In the 26-week treatment period, significantly greater increases in FEV1 AUC0–12 h occurred with MF/F 400/10 versus MF 400 and placebo at the week 13 and week 26 endpoints (P ≤ 0.032. These increases were over three-fold greater with MF/F 400/10 than with MF 400. Also, significantly greater increases in morning

  16. Long-term efficacy and safety of oxycodone–naloxone prolonged release in geriatric patients with moderate-to-severe chronic noncancer pain: a 52-week open-label extension phase study

    Guerriero, Fabio; Roberto, Anna; Greco, Maria Teresa; Sgarlata, Carmelo; Rollone, Marco; Corli, Oscar

    2016-01-01

    Background Two-thirds of older people suffer from chronic pain and finding valid treatment options is essential. In this 1-yearlong investigation, we evaluated the efficacy and safety of prolonged-release oxycodone–naloxone (OXN-PR) in patients aged ≥70 (mean 81.7) years. Methods In this open-label prospective study, patients with moderate-to-severe noncancer chronic pain were prescribed OXN-PR for 1 year. The primary endpoint was the proportion of patients who achieved ≥30% reduction in pain intensity after 52 weeks of treatment, without worsening bowel function. The scheduled visits were at baseline (T0), after 4 weeks (T4), and after 52 weeks (T52). Results Fifty patients completed the study. The primary endpoint was achieved in 78% of patients at T4 and 96% at T52 (P<0.0001). Pain intensity, measured on a 0–10 numerical rating scale, decreased from 6.0 at T0 to 2.8 at T4 and to 1.7 at T52 (P<0.0001). Mean daily dose of oxycodone increased from 10 to 14.4 mg (T4) and finally to 17.4 mg (T52). Bowel Function Index from 35.1 to 28.7 at T52. No changes were observed in cognitive functions (Mini-Mental State Examination evaluation), while daily functioning improved (Barthel Index from 53.1 to 61.0, P<0.0001). The Screener and Opioid Assessment for Patients with Pain-Revised score at 52 weeks was 2.6 (standard deviation 1.6), indicating a low risk of aberrant medication-related behavior. In general, OXN-PR was well tolerated. Conclusion This study of the long-term treatment of chronic pain in a geriatric population with OXN-PR shows satisfying analgesic effects achieved with a stable low daily dose, coupled with a good safety profile and, in particular, with a reduction of constipation, often present during opioid therapy. Our findings support the indications of the American Geriatrics Society, suggesting the use of opioids to treat pain in older people not responsive to acetaminophen or nonsteroidal anti-inflammatory drugs. PMID:27143857

  17. Saxagliptin is non-inferior to glipizide in patients with type 2 diabetes mellitus inadequately controlled on metformin alone: a 52-week randomised controlled trial

    Gause-Nilsson, Ingrid; Göke, Burkhard; Gallwitz, Baptist; Eriksson, Johan; Hellqvist, Asa

    2010-01-01

    Abstract Aim: Assess the efficacy and safety of saxagliptin vs. glipizide, as add-on therapy to metformin in patients with type 2 diabetes mellitus and inadequate glycaemic control on metformin alone. Methods and patients: A total of 858 patients (age ?18 years; glycated haemoglobin [HbA1c] >6.5?10.0%; on stable metformin doses ?1500mg/day) were randomised 1:1 to saxagliptin 5mg/day or glipizide up-titrated as needed from 5?20mg/day for 52 weeks. The primary objective wa...

  18. Long-term efficacy and safety of oxycodone–naloxone prolonged release in geriatric patients with moderate-to-severe chronic noncancer pain: a 52-week open-label extension phase study

    Guerriero F

    2016-04-01

    Full Text Available Fabio Guerriero,1,2 Anna Roberto,3 Maria Teresa Greco,4 Carmelo Sgarlata,1 Marco Rollone,2 Oscar Corli3 1Department of Internal Medicine and Medical Therapy, Section of Geriatrics, University of Pavia, 2Department of Geriatrics, Agency for Elderly People of Pavia, Santa Margherita Institute, Pavia, 3Department of Oncology, Pain and Palliative Care Research Unit, IRCCS-Mario Negri Institute for Pharmacological Research, 4Unit of Medical Statistics, Biometry and Epidemiology GA Maccacaro, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy Background: Two-thirds of older people suffer from chronic pain and finding valid treatment options is essential. In this 1-yearlong investigation, we evaluated the efficacy and safety of prolonged-release oxycodone–naloxone (OXN-PR in patients aged ≥70 (mean 81.7 years.Methods: In this open-label prospective study, patients with moderate-to-severe noncancer chronic pain were prescribed OXN-PR for 1 year. The primary endpoint was the proportion of patients who achieved ≥30% reduction in pain intensity after 52 weeks of treatment, without worsening bowel function. The scheduled visits were at baseline (T0, after 4 weeks (T4, and after 52 weeks (T52.Results: Fifty patients completed the study. The primary endpoint was achieved in 78% of patients at T4 and 96% at T52 (P<0.0001. Pain intensity, measured on a 0–10 numerical rating scale, decreased from 6.0 at T0 to 2.8 at T4 and to 1.7 at T52 (P<0.0001. Mean daily dose of oxycodone increased from 10 to 14.4 mg (T4 and finally to 17.4 mg (T52. Bowel Function Index from 35.1 to 28.7 at T52. No changes were observed in cognitive functions (Mini-Mental State Examination evaluation, while daily functioning improved (Barthel Index from 53.1 to 61.0, P<0.0001. The Screener and Opioid Assessment for Patients with Pain-Revised score at 52 weeks was 2.6 (standard deviation 1.6, indicating a low risk of aberrant medication

  19. Periodically operated bioreactors for the treatment of soils and leachates

    Limited contaminant bioavailability at concentrations above the required cleanup level reduces biodegradation rate and renders solid-phase bioremediation more cost effective than complete treatment in a bioslurry reactor. Slurrying followed by solid-phase bioremediation combines the advantages and minimizes the weaknesses of each treatment method when used alone. Periodic aeration during solid-phase bioremediation has the potential to lower treatment costs relative to continuous aeration. A biological treatment system consisting of slurrying followed by periodic aeration in solid-phase sequencing batch reactors (SP-SBRs) was developed and tested in the laboratory using a silty loam contaminated predominantly with the plasticizer bis(2-ethylhexyl)phthalate (BEHP) or (DEHP) and a silty clay loam contaminated with diesel fuel. The first experiment evaluated the effect of water content and mixing time during slurrying on subsequent treatment in continuously aerated solid-phase bioreactors. The second experiment compared treatment of slurried soil in SP-SBRs using three different periodic aeration strategies with continuous aeration

  20. Surgical treatment for thyrotoxic hypokalemic periodic paralysis: case report

    Lin Yi-Chu

    2012-01-01

    Full Text Available Abstract Thyrotoxic hypokalemic periodic paralysis (THPP is a rare, potentially life-threatening endocrine emergency. It is characterized by recurrent muscle weakness and hypokalemia. Because many THPP patients do not have obvious symptoms and signs of hyperthyroidism, misdiagnosis may occur. The published studies revealed that definitive therapy for THPP is control of hyperthyroidism by medical therapy, radioactive iodine or surgery, but the long-term post-operative follow-up result was not observed. We reported two cases of medically refractory THPP with recurrent paralysis of extremities and hypokalemia, and both were combined with thyroid nodules. Both patients were treated with total thyroidectomy; the pathology revealed that one is Graves' disease with thyroid papillary carcinoma, and the other is adenomatous goiter with papillary hyperplasia. No episode of periodic paralysis was noted and laboratory evaluation revealed normal potassium level during the post-operative follow up. Our experience suggests that total thyroidectomy by experienced surgeon is an appropriate and definite treatment for medically refractory THPP, especially in cases combined with thyroid nodules.

  1. Alveolar proteinosis: diagnosis and treatment over a 10-year period.

    du Bois, R M; McAllister, W A; Branthwaite, M A

    1983-01-01

    Ten years' experience of using bronchoalveolar lavage in the treatment of 10 patients with alveolar proteinosis is reported. The diagnosis was often missed. The interval between onset of symptoms and diagnosis varied from six weeks to six years (median 2 years), so that the start of treatment was often delayed. Some patients experienced severe progressive disability before they had treatment. Whole-lung lavage proved to be a safe, repeatable procedure which provided symptomatic, physiological...

  2. Periodization

    Lorenz, Daniel S.; Reiman, Michael P.; Walker, John C.

    2010-01-01

    Background: Clinicians are constantly faced with the challenge of designing training programs for injured and noninjured athletes that maximize healing and optimize performance. Periodization is a concept of systematic progression—that is, resistance training programs that follow predictable patterns of change in training variables. The strength training literature is abundant with studies comparing periodization schemes on uninjured, trained, and untrained athletes. The rehabilitation litera...

  3. Surgical treatment for thyrotoxic hypokalemic periodic paralysis: case report

    Lin Yi-Chu; Wu Che-Wei; Chen Hui-Chun; Chen Hsiu-Ya; Lu I-Cheng; Tsai Cheng-Jing; Kuo Wen-Rei; Chiang Feng-Yu

    2012-01-01

    Abstract Thyrotoxic hypokalemic periodic paralysis (THPP) is a rare, potentially life-threatening endocrine emergency. It is characterized by recurrent muscle weakness and hypokalemia. Because many THPP patients do not have obvious symptoms and signs of hyperthyroidism, misdiagnosis may occur. The published studies revealed that definitive therapy for THPP is control of hyperthyroidism by medical therapy, radioactive iodine or surgery, but the long-term post-operative follow-up result was not...

  4. Familial gastric cancer: guidelines for diagnosis, treatment and periodic surveillance

    Kluijt, Irma; Sijmons, Rolf H; Hoogerbrugge, Nicoline; Plukker, John T.; de Jong, Daphne; van Krieken, J. Han; van Hillegersberg, Richard; Ligtenberg, Marjolijn; Bleiker, Eveline; Cats, Anemieke

    2012-01-01

    Hereditary diffuse gastric cancer (HDGC) is a relatively rare disorder, with a mutated CDH1 gene as the only known cause. Carriers of a germline mutation in CDH1 have a lifetime risk of > 80% of developing diffuse gastric cancer. As periodic gastric surveillance is of limited value in detecting early stages of HDGC, prophylactic gastrectomy is advised for this patient group. Little is known about other types of familial gastric cancer. The Dutch working group on hereditary gastric cancer has ...

  5. Periodicity in cell dynamics in some mathematical models for the treatment of leukemia

    Halanay, A.

    2012-11-01

    A model for the evolution of short-term hematopoietic stem cells and of leukocytes in leucemia under periodic treatment is introduced. It consists of a system of periodic delay differential equations and takes into consideration the asymmetric division. A guiding function is used, together with a theorem of Krasnoselskii, to prove the existence of a strictly positive periodic solution and its stability is investigated.

  6. Fluctuations induced extinction and stochastic resonance effect in a model of tumor growth with periodic treatment

    We investigate a stochastic model of tumor growth derived from the catalytic Michaelis-Menten reaction with positional and environmental fluctuations under subthreshold periodic treatment. Firstly, the influences of environmental fluctuations on the treatable stage are analyzed numerically. Applying the standard theory of stochastic resonance derived from the two-state approach, we derive the signal-to-noise ratio (SNR) analytically, which is used to measure the stochastic resonance phenomenon. It is found that the weak environmental fluctuations could induce the extinction of tumor cells in the subthreshold periodic treatment. The positional stability is better in favor of the treatment of the tumor cells. Besides, the appropriate and feasible treatment intensity and the treatment cycle should be highlighted considered in the treatment of tumor cells.

  7. Fluctuations induced extinction and stochastic resonance effect in a model of tumor growth with periodic treatment

    Li Dongxi, E-mail: lidongxi@mail.nwpu.edu.c [Department of Applied Mathematics, Northwestern Polytechnical University, Xi' an 710072 (China); Xu Wei; Guo, Yongfeng; Xu Yong [Department of Applied Mathematics, Northwestern Polytechnical University, Xi' an 710072 (China)

    2011-01-31

    We investigate a stochastic model of tumor growth derived from the catalytic Michaelis-Menten reaction with positional and environmental fluctuations under subthreshold periodic treatment. Firstly, the influences of environmental fluctuations on the treatable stage are analyzed numerically. Applying the standard theory of stochastic resonance derived from the two-state approach, we derive the signal-to-noise ratio (SNR) analytically, which is used to measure the stochastic resonance phenomenon. It is found that the weak environmental fluctuations could induce the extinction of tumor cells in the subthreshold periodic treatment. The positional stability is better in favor of the treatment of the tumor cells. Besides, the appropriate and feasible treatment intensity and the treatment cycle should be highlighted considered in the treatment of tumor cells.

  8. High-dose-rate interstitial brachytherapy for gynecologic malignancies. Dosimetric changes during treatment period

    The purpose of this study was to overcome cranio-caudal needle displacement in pelvic high-dose-rate interstitial brachytherapy (HDRIB), we have been utilizing a fullystretched elastic tape to thrust the template into the perineum. The purpose of the current study was to evaluate dosimetric changes during the treatment period using this thrusting method, and to explore reproducible planning methods based on the results of the dosimetric changes. Twenty-nine patients with gynecologic malignancies were treated with HDRIB at the Cancer Institute Hospital. Pre-treatment and post-treatment computed tomography (CT) scans were acquired and a virtual plan for post-treatment CT was produced by applying the dwell positions/times of the original plan. For the post-treatment plan, D90 for the clinical target volume (CTV) and D2cc for the rectum and bladder were assessed and compared with that for the original plan. Cranio-caudal needle displacement relative to CTV during treatment period was only 0.7±1.9 mm. The mean D90 values for the CTV in the pre- and post-treatment plans were stable (6.8 Gy vs. 6.8 Gy) and the post-treatment/pre-treatment D90 ratio was 1.00±0.08. The post-/pre-treatment D2cc ratio was 1.14±0.22 and the mean D2cc for the rectum increased for the post-treatment plan (5.4 Gy vs. 6.1 Gy), especially when parametrial infiltration was present. The mean D2cc for the bladder was stable (6.3 Gy vs. 6.6 Gy) and the ratio was 1.06±0.20. Our thrusting method achieved a stable D90 for the CTV, in contrast to previous prostate HDRIB reports displaying reductions of 35-40% for D90 during the treatment period. (author)

  9. Efficacy analysis of 131I in treatment of hyperthyroidism with periodic paralysis

    To evaluate therapeutic effect of 131I in thyrotoxic periodic paralysis (TPP), the serum TT3, TT4, FT3 and FT4 in TPP Patients before and after treatment with 131I were detected. The results showed that the serum potassium was decreased and serum TT3, TT4, FT3 and FT4 in those patients were increased. The cure rates in 8 TPP were 75% and 100% after 6 and 12 months treatment with 131I respectively. 131I treatment was a good therapeutic effect with short course and high cure rate. 131I is the first choice for the treatment of patients with TPP. (authors)

  10. Proliferation enhancement of budding yeast and mammalian cells with periodic oxygen radical treatment

    Mori, Yosuke; Kobayashi, Jun; Murata, Tomiyasu; Hahizume, Hiroshi; Hori, Masaru; Ito, Masafumi

    2015-09-01

    Recently, nonequilibrium atmospheric-pressure plasmas have been intensively studied for biological applications. However, the each effect of species in plasmas to biological tissue has not been clarified yet because various factors exist in the plasmas. Accordingly, we have studied effects of atomic oxygen dose on cell growth such as budding yeast and mouse NIH3T3 fibroblasts of mammalian cells. Both of cells were suspended with PBS, and treated using oxygen radical source. In order to prevent the radicals from reacting with the ambient air, the treatment region was surrounded by a plastic cover and purged with Ar. The proliferative effect of 15 % was observed at the O3Pj dose of around 1 . 0 ×1017 cm-3 in NIH3T3 cells as well as in yeast cells. Moreover, periodic oxygen treatment enhanced the effect in budding yeast cells. The best interval of periodic oxygen radical treatment was around 2 hours, which is almost the same period as that of their cell cycle. With the optimum interval time, we have investigated the effect of the number of the treatments. As the number of treatments increases, the growth rate of budding yeast cells was gradually enhanced and saturated at thrice treatments. This work was partly supported by JSPS KAKENHI Grant Numbers 26286072 and project for promoting Research Center in Meijo University.

  11. Analysis of incidence and treatment of pneumothorax in five-year period in Kragujevac

    Milisavljević Slobodan

    2012-01-01

    Full Text Available Introduction. Pneumothorax is a common clinical problem in thoracic surgery. Leading professional associations have adopted a number of guidelines and recommendations for the treatment of pneumothorax, but their clinical use is often insufficient. This study was aimed at analyzing the incidence of pneumothorax, profile of patients and surgical treatment of pneumothorax at the Clinical Center Kragujevac, in a five-year period. Material an methods. This retrospective, non-interventional study used data collected from the medical records and operative protocol of the Department of Thoracic Surgery, Clinical Centre Kragujevac in a fiveyear period. All data were statistically analyzed. Results. In the observed period, 492 patients with diagnosis of pneumothorax were hospitalized. The majority of patients were treated in 2009 (140, and the fewest in 2005 (68. Four-fifths of patients were male. Primary spontaneous pneumothorax was found in 25% and traumatic pneumothorax in 50%. Most patients were aged 21-30 years (83. The number of cases of secondary spontaneous and traumatic pneumothorax increased with the age of patients and the number of cases of primary and recurrent spontaneous pneumothorax decreased with their age. Drainage as a method of treatment was prevalent in all types of pneumothorax (p < 0.01. Conclusion. The results of study show similarities with other studies regarding both the incidence of certain forms of pneumothorax and the gender-age profile of patients and their treatment, taking into account the observed period and the target population.

  12. Application of pulse-periodical mode for improvement of laser treatment efficiency

    Apollonov, V. V.; O. G. Devoino; A. S. Kalinichenko

    2014-01-01

    The purpose of the paper is to estimate an application of pulse-periodical mode for improvement of laser treatment efficiency. Laser technologies have been widely used in the processes of material treatment with the purpose to provide them the required surface properties and also for high accuracy cutting of sheet materials. Application of complex treatment is of great interest and especially when it is used for worn-out surfaces with formation of a coating by gas-flame laying of powder mixtu...

  13. Effects of mometasone furoate/formoterol fumarate fixed-dose combination formulation on chronic obstructive pulmonary disease (COPD: results from a 52-week Phase III trial in subjects with moderate-to-very severe COPD

    Doherty DE

    2012-02-01

    Full Text Available Dennis E Doherty1, Donald P Tashkin2, Edward Kerwin3, Barbara A Knorr4, Tulin Shekar4, Sibabrata Banerjee4, Heribert Staudinger41Division of Pulmonary, Critical Care, and Sleep Medicine, University of Kentucky, Lexington, KY, 2David Geffen School of Medicine at UCLA, Los Angeles, CA, 3Clinical Research Institute of Southern Oregon, Medford, OR, 4Merck Sharp & Dohme Corp, Whitehouse Station, NJ, USARationale: The purpose of this study was to investigate the clinical efficacy and safety of a fixed-dose combination of mometasone furoate/formoterol fumarate (MF/F administered via a metered-dose inhaler in subjects with moderate-to-very severe chronic obstructive pulmonary disease (COPD.Methods: This multicenter, double-blind, placebo-controlled trial had a 26-week treatment period and a 26-week safety extension. Subjects (n = 1196, at least 40 years old, were current or ex-smokers randomized to twice-daily inhaled MF/F 400/10 µg, MF/F 200/10 µg, MF 400 µg, F 10 µg, or placebo. The trial’s co-primary endpoints were mean changes from baseline, as area under the curve (AUC, in forced expiratory volume (FEV1 over 0–12 hours (AUC0-12 h FEV1 with MF/F versus MF, and in morning (AM pre-dose (trough FEV1 with MF/F versus F after 13 weeks of treatment. Key secondary endpoints were the effects of MF/F on respiratory health status using the Saint George’s Respiratory Questionnaire (SGRQ, symptom-free nights, partly stable COPD at 26 weeks, and time to first COPD exacerbation.Results: The largest improvements in AUC0-12 h FEV1 were observed with MF/F 400/10 µg and MF/F 200/10 µg. Serial spirometry results demonstrated that bronchodilator effects with MF/F occurred rapidly (within 5 minutes, persisted for 12 hours after dosing, and were sustained over the 26-week treatment period. Similar findings were observed for AM pre-dose FEV1, for which effects were further investigated, excluding subjects whose AM FEV1 data were incorrectly collected after 2

  14. Efficacy and safety of a fixed-dose combination of mometasone furoate and formoterol fumarate in subjects with moderate to very severe COPD: results from a 52-week Phase III trial

    Tashkin DP

    2012-02-01

    Full Text Available Donald P Tashkin1, Dennis E Doherty2, Edward Kerwin3, Carlos E Matiz-Bueno4, Barbara Knorr5, Tulin Shekar5, Sibabrata Banerjee5, Heribert Staudinger51David Geffen School of Medicine at UCLA, Los Angeles, CA, 2Division of Pulmonary, Critical Care, and Sleep Medicine, University of Kentucky, Lexington, KY, 3Clinical Research Institute of Southern Oregon, Medford, OR USA; 4Fundación Salud Bosque, Bogota, Colombia; 5Merck Sharp & Dohme Corp, Whitehouse Station, NJ USABackground: A clinical trial of mometasone furoate/formoterol fumarate (MF/F administered via a metered-dose inhaler in subjects with moderate to very severe chronic obstructive pulmonary disease (COPD investigated the efficacy and safety of a fixed-dose combination of MF/F.Methods: This multicenter, double-blind, placebo-controlled trial had a 26-week treatment period and a 26-week safety extension. Subjects (n = 1055; ≥40 years were current or ex-smokers randomized to twice-daily treatment with inhaled MF/F 400/10 µg, MF/F 200/10 µg, MF 400 µg, F 10 µg, or placebo. The coprimary endpoints of the trial were mean changes from baseline in forced expiratory volume in 1 second (FEV1 over 0–12 hours (AUC0–12 FEV1 with MF/F versus MF, and in morning predose FEV1 with MF/F versus F. Key secondary endpoints were quality of life (Saint George’s Respiratory Questionnaire [SGRQ], symptom-free nights, and partly stable COPD at 26 weeks, as well as time to first COPD exacerbation.Results: Significant improvements in FEV1 AUC0–12 occurred at endpoint with MF/F 400/10 and MF/F 200/10 versus MF 400 (P ≤ 0.007. Significant bronchodilation occurred in 5 minutes with MF/F, and serial spirometry demonstrated sustained FEV1 improvements with MF/F over the treatment period. Significant improvements in morning predose FEV1 occurred with both MF/F doses, and these effects were further investigated by excluding results for subjects whose morning FEV1 data were collected >2 days after the last

  15. Combination quetiapine therapy in the long-term treatment of patients with bipolar I disorder

    Calabrese JR

    2005-07-01

    Full Text Available Abstract Objective Determine the long-term effectiveness of quetiapine in combination with standard treatments in preventing relapses for patients with bipolar I disorders Method Twenty-one outpatients with type I bipolar disorder who had inadequate responses to ongoing standard therapies were treated with add-on quetiapine in an open-label study. The quetiapine dose was increased until clinical response occurred. Illness response was assessed using the Clinical Global Impression (CGI scale. Relapse rates before and during quetiapine treatment were compared by calculating incidence risk ratios. Results Quetiapine was added to ongoing standard therapy for 26 to 78 weeks. Thirteen patients received combination therapy for at least 52 weeks. The mean quetiapine dose received was 518 ± 244 mg/day. There were highly significant improvements in overall relapse rate, manic/mixed relapse rate, and depression relapse rate in the period during quetiapine treatment compared with the period before quetiapine was initiated. The calculated relative risk of relapse in the absence of quetiapine treatment was 2.9 overall (95% confidence interval, 1.5~5.6, 3.3 for manic/mixed relapse (95% confidence interval, 1.5~7.1, and 2.4 for depressive relapse (95% confidence interval, 1.3~4.4. The mean Clinical Global Impression scores improved significantly from baseline during 26 weeks of quetiapine treatment in 21 patients (p = 0.002 and remained significantly better during a 52-week treatment period in 13 patients (p = 0.036. Conclusion Long-term treatment with quetiapine combination therapy reduced the probability of manic/mixed and depressive relapses and improved symptoms in patients with bipolar I disorder who had inadequate responses to ongoing standard treatment.

  16. APPLICATION OF PULSE-PERIODICAL MODE FOR IMPROVEMENT OF LASER TREATMENT EFFICIENCY

    V. V. Apollonov

    2014-01-01

    Full Text Available The purpose of the paper is to estimate an application of pulse-periodical mode for improvement of laser treatment efficiency. Laser technologies have been widely used in the processes of material treatment with the purpose to provide them the required surface properties and also for high accuracy cutting of sheet materials. Application of complex treatment is of great interest and especially when it is used for worn-out surfaces with formation of a coating by gas-flame laying of powder mixture of specific composition and subsequent laser fusion.Increase of laser unit capacity is very important task for higher efficiency of laser technology application in mechanical engineering. Nowadays technological processes using lasers with high average power (more than 100 W have been applying only sources that are working in two modes, namely: continuous and pulse- periodical (P-P with pulse repetition rate from some units to several hundred hertz and pulse duration within dozens to hundreds of microseconds and even within milliseconds. On the other hand, in some cases shielding effect of plasma cloud formed during laser alloying, cladding or welding reduces the efficiency of laser treatment up to 50 % depending on plasma composition and laser beam length. High frequency P-P laser systems with high average power working in mode of Q-factor modulation allow to realize principally other mechanism of irradiation interaction with materials that is an ablation. In this case it is possible to provide local energy release both in space and time.The performed analysis has revealed that P-P mode of laser operation for a majority of treatment processes is much better and more efficient from energetic point of view in comparison with the continuous mode. On the basis of the developments it is possible to make a conclusion that there is a possibility to create laser systems working in high frequency P-P mode with high average power above hundreds watt.

  17. Meaning of leprosy for people who have experienced treatment during the sulfonic and multidrug therapy periods

    Karen da Silva Santos

    2015-08-01

    Full Text Available AbstractObjective: to analyze the meanings of leprosy for people treated during the sulfonic and multidrug therapy periods.Method: qualitative nature study based on the Vigotski's historical-cultural approach, which guided the production and analysis of data. It included eight respondents who have had leprosy and were submitted to sulfonic and multidrug therapy treatments. The participants are also members of the Movement for Reintegration of People Affected by Leprosy.Results: the meanings were organized into three meaning cores: spots on the body: something is out of order; leprosy or hanseniasis? and leprosy from the inclusion in the Movement for Reintegration of People Affected by Leprosy.Conclusion: the meanings of leprosy for people submitted to both regimens point to a complex construction thereof, indicating differences and similarities in both treatments. Health professionals may contribute to the change of the meanings, since these are socially constructed and the changes are continuous.

  18. Evaluating the Efficacy of Primary Treatment for Graves’ Disease Complicated by Thyrotoxic Periodic Paralysis

    Rita Yuk-Kwan Chang

    2014-01-01

    Full Text Available Objective. Thyrotoxic periodic paralysis (TPP is a potentially life-threatening complication of Graves’ disease (GD. The present study compared the long-term efficacy of antithyroid drugs (ATD, radioactive iodine (RAI, and surgery in GD/TPP. Methods. Sixteen patients with GD/TPP were followed over a 14-year period. ATD was generally prescribed upfront for 12–18 months before RAI or surgery was considered. Outcomes such as thyrotoxic or TPP relapses were compared between the three modalities. Results. Eight (50.0% patients had ATD alone, 4 (25.0% had RAI, and 4 (25.0% had surgery as primary treatment. Despite being able to withdraw ATD in all 8 patients for 37.5 (22–247 months, all subsequently developed thyrotoxic relapses and 4 (50.0% had ≥1 TPP relapses. Of the four patients who had RAI, two (50% developed thyrotoxic relapse after 12 and 29 months, respectively, and two (50.0% became hypothyroid. The median required RAI dose to render hypothyroidism was 550 (350–700 MBq. Of the 4 patients who underwent surgery, none developed relapses but all became hypothyroid. Conclusion. To minimize future relapses, more definitive primary treatment such as RAI or surgery is preferred over ATD alone. If RAI is chosen over surgery, a higher dose (>550 MBq is recommended.

  19. Obsessive-compulsive disorder in the perinatal period: epidemiology, phenomenology, pathogenesis, and treatment

    Álvaro Frías

    2015-01-01

    Full Text Available The aim of this review is to describe the main theoretical findings and research conclusions about obsessive-compulsive disorder (OCD in the perinatal period. On one hand, epidemiological studies show that the risk of OCD onset and/or exacerbation could increase in this period, particularly in the puerperium. Phenomenologically, in this stage aggressive and contamination obsessions are very common and are related to the fetus or newborn. On the other hand, regarding OCD pathogenesis in this period, there is indirect evidence to suggest the participation of neuroendocrine (e.g. female gonadal steroids and oxytocin and cognitive behavioural variables (e.g. hyper-responsibility, threat overestimation, and mental control. In terms of research, more empirical studies are needed to contrast these specific vulnerability factors. Moreover, no empirically validated psychotherapeutic treatments (controlled trials adapted to this OCD sub-group were found, although some studies highlight the role of cognitive behavioural therapy (CBT as an effective intervention in the context of selective primary prevention.

  20. [Anemia and its treatment with peroral anti-anemia agents in women during the postpartum period].

    Mára, M; Eretová, V; Zivný, J; Kvasnicka, J; Umlaufová, A; Márová, E

    1999-06-01

    The prevalence of anaemia during pregnancy and post partum is according to the literature and many years clinical experience high. In the submitted work we investigated the incidence of sideropenic anaemia in women during the first three months after a spontaneous delivery, changes of clinical and laboratory indicators of anaemia during this period and the possible effect exerted by administration of iron and iron plus folic acid resp. Ninety pregnant women in the 35th to 39th week of pregnancy were at random divided into three equally sized groups and the following were assessed: haemogram, indicators of iron reserves, serum concentrations of folic acid, vitamin B12, erythropoetin and soluble transferrin receptor, liver tests, total protein + electrophoresis, acute stage proteins. In the first group (T) the women were given, starting on the 4th day after delivery 1 tablet of Tardyferon per day for two months. To the second group (F) for an equal period 1 tablet of Tardyferon Fol per day was administered. Women in the control group (K) had no medication. In the investigation women with medium and severe pregnancy anaemia were not included nor women taking during pregnancy or previously iron preparations or those treated in the past by blood transfusion. After spontaneous delivery (women who had Caesarean section or forceps delivery were eliminated from the study) the women were subjected to the same examinations as before delivery. These examinations were made on the fourth day after delivery and then after monthly intervals for a period of three months. At the same time the subjective condition of the mothers was evaluated after delivery, focused on the development of symptoms typical for anaemia and the possible effect of administered treatment. The investigation was completed by 60 women. During treatment no allergic or other serious side-reactions to the administered drugs calling for discontinuation of treatment were recorded. The results of the investigation

  1. Induction of ovarian activity in Bulgarian Murrah buffaloes by hormonal treatment in the early postpartum period

    Stanimir A Yotov; Anatoli S Atanasov; Yordanka Y Ilieva

    2013-01-01

    Objective: To determine the possibilities for induction of ovarian activity in Bulgarian Murrah buffaloes by hormonal treatment in the early postpartum period. Methods: Twenty six clinically healthy animals, weighing 480-520 kg, 3-5 years of age, with normal parturition, without clinical signs of endometritis during the entire experimental period were divided into 2 groups: control (n=10) and experimental (n=16). Primiparous and multiparous buffaloes were proportionally allotted into both groups. By 5, 21, and 28 postpartum days, control animals were intramuscularly treated with 2 mL physiological saline, whereas experimental buffaloes received 500 mg PGF2αby the 5th postpartum day, 100 μg GnRH by the 21st postpartum day and a second prostaglandin dose 7 days later. All buffaloes were submitted to transrectal ultrasound examination on days 5, 21 and 28 after calving. Evaluation of ovarian activity was made on the basis of follicle type and detection of a newly formed corpus luteum. The percentage of animals with small, medium or dominant follicle and corpus luteum after either spontaneous or induced ovulation was determined. Insemination management included introduction of two proven fertile bulls into the herd at the start of the treatment. Pregnancy ultrasound checks were performed on postpartum days 58, 68, 120 and 150. The proportion of buffaloes with clinical signs of spontaneous or induced oestrus until the 35th postpartum day, pregnancy rates by the 35th and 90th postpartum days and service periods 90 days were registered. Results: On the 5th day after calving, small follicles were predominating in the ovaries of buffaloes from both groups. Similar findings were established on the 21st day in the control group, whereas the share of experimental buffaloes with small follicles was significantly (P<0.01) lower. By the 21st day, there were no medium follicles in untreated animals, while in hormonally treated ones they were found out in 25% of cases. The

  2. Influence of winter wheat seed treatment by laser on vegetation period duration and harvest index of grain

    Influence of winter wheat seed stimulation by laser (cv. Radika) on the stages of development, duration of vegetation period and harvest index of grain was investigated. For dates of development stages advancing to heading, between cv. Radika and it's laser treatment weren't noticed significant differences. Noticable differences appear in stages of kernel filling and for duration of vegetation period. Treatments by laser were earlier in maturing from standard for 2-6 days depending of treatment and year. The harvest index of grain at laser treatments was significantly higher and depended from the conditions of year, too

  3. Determination of Rifaximin Treatment Period According to Lactulose Breath Test Values in Nonconstipated Irritable Bowel Syndrome Subjects

    Bae, Suhyun; Lee, Kwang Jae; Kim, Young-Sang; Kim, Kyu-Nam

    2015-01-01

    Small intestinal bacterial overgrowth (SIBO) can partly explain irritable bowel syndrome (IBS), and rifaximin has been observed to improve abdominal symptoms in nonconstipated IBS patients. However, there are few reports on the association of the rifaximin treatment periods with the results of a lactulose breath test (LBT). Therefore, we performed a retrospective review of patient charts to investigate the relation between the rifaximin treatment periods with LBT results in nonconstipated IBS...

  4. The Effectiveness of Life Skills Training on Enhancement of Self-Esteem and Marital Satisfaction among Addicts in Treatment Period

    R Nooripour; A ZadeMohammadi; M Dastras; M Sargolzai

    2014-01-01

    Objective: This study has been done to determine the impact of life skills training on enhancement of self-esteem and marital satisfaction among addicts in treatment period. Method: The research design was semi experimental pretest-posttest with witness group. For each group 12men addicts in treatment period in Qazvin city were selected by available sampling. Rosenberg self-esteem and Enrich marital satisfaction questionnaires were administered among selected samples. Training workshop was co...

  5. Interleukin-1 antagonists in the treatment of autoinflammatory syndromes, including cryopyrin-associated periodic syndrome

    Pierre Quartier

    2011-01-01

    Full Text Available Pierre QuartierUnité d'Immunologie-Hématologie et Rhumatologie pédiatriques, Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, FranceAbstract: Cryopyrin-associated periodic syndrome (CAPS include a group of rare autoinflammatory disorders, the spectrum of which ranges from the mildest form, ie, familial cold autoinflammatory syndrome to more severe phenotypes, ie, Muckle-Wells syndrome, and chronic infantile neurological cutaneous and articular syndrome, also known as neonatal-onset multisystem inflammatory disease. Three interleukin (IL-1 antagonists have been tested in adults and children with CAPS, ie, anakinra, a recombinant homolog of the human IL-1 receptor antagonist; rilonacept, a fusion protein comprising the extracellular domains of IL-1 receptor I and the IL-1 adaptor protein, IL-1RAcP, attached to a human immunoglobulin G molecule; and canakinumab, the anti-IL-1β monoclonal antibody. Following rapid clinical development, rilonacept and canakinumab were approved by both the US Food and Drug Administration and the European Medicines Agency for use in adults and children. This review describes how the study of CAPS has helped us to understand better the way the innate immune system works, the pathogenesis of autoinflammatory syndromes, and the key role of IL-1. It also reviews the effects of IL-1 blockade in CAPS and other disorders, in particular systemic juvenile idiopathic arthritis, adult-onset Still's disease, and gout. Finally, this review covers some issues addressed by very recent and ongoing work regarding treatment indications, from orphan diseases to common disorders, continuous versus intermittent treatment, the pharmacokinetics, pharmacodynamics, and optimal dosages of the different drugs, as well as the need for Phase IV trials, exhaustive registries, and long-term follow-up of several patient cohorts.Keywords: inflammation, interleukin-1, cytokines, treatment

  6. Large-Sample Confidence Intervals for the Treatment Difference in a Two-Period Crossover Trial, Utilizing Prior Information

    Kabaila, Paul; Giri, Khageswor

    2008-01-01

    Consider a two-treatment, two-period crossover trial, with responses that are continuous random variables. We find a large-sample frequentist 1-alpha confidence interval for the treatment difference that utilizes the uncertain prior information that there is no differential carryover effect.

  7. Monitoring noise-resonant effects in cancer growth influenced by spontaneous fluctuations and periodic treatment

    Fiasconaro, Alessandro; Spagnolo, Bernardo; Gudowska-Nowak, Ewa

    2007-01-01

    In the paper we investigate a mathematical model describing the growth of tumor in the presence of immune response of a host organism. The dynamics of tumour and immune cells is based on the generic Michaelis-Menten kinetics describing interaction and competition between the tumour and the immune system. The appropriate phenomenological equation modeling cell-mediated immune surveillance against cancer is of the predator-prey form and within a given choice of parameters exhibits bistability. Under the influence of spontaneous weak fluctuations, the model may be analyzed in terms of a stochastic differential equation bearing the form of an overdamped Langevin-like dynamics in the external quasi-potential represented by a double well. We analyze properties of the system within the range of parameters for which the potential wells are of the same depth and when the additional perturbation describing a periodic treatment is insufficient to overcome the barrier height and to cause cancer extinction. In this case t...

  8. Interleukin-1β inhibitors for the treatment of cryopyrin-associated periodic syndrome

    Eugen Dhimolea

    2011-01-01

    Full Text Available Eugen DhimoleaTufts University School of Medicine, Boston, MA, USAAbstract: Cryopyrin-associated periodic syndrome (CAPS comprises a group of rare, but severe, inherited autoinflammatory disorders associated with aberrant secretion of interleukin (IL-1. These distinct conditions of autoinflammatory origin include Muckle–Wells syndrome, familial cold autoinflammatory syndrome, and neonatal-onset multisystem inflammatory disease (NOMID, which is also referred to as chronic infantile neurologic cutaneous and articular syndrome. Recently, this group of diseases has been associated with mutations in the NLRP3 gene that encodes for the protein cryopyrin, a component of the inflammasome complex that regulates the maturation and secretion of inflammatory cytokine IL-1β. Immune cells from patients with NOMID secrete higher levels of active IL-1β compared with monocytes from healthy subjects. Overproduction of IL-1 is believed to promote aberrant inflammatory response in CAPS patients. Evidence supporting the clinical value of IL-1β in CAPS has been provided from the complete response of patients after treatment with IL-1 blocking agents.Keywords: CAPS, IL-1β, NLRP3, canakinumab, anakinra

  9. Determination of rifaximin treatment period according to lactulose breath test values in nonconstipated irritable bowel syndrome subjects.

    Bae, Suhyun; Lee, Kwang Jae; Kim, Young-Sang; Kim, Kyu-Nam

    2015-06-01

    Small intestinal bacterial overgrowth (SIBO) can partly explain irritable bowel syndrome (IBS), and rifaximin has been observed to improve abdominal symptoms in nonconstipated IBS patients. However, there are few reports on the association of the rifaximin treatment periods with the results of a lactulose breath test (LBT). Therefore, we performed a retrospective review of patient charts to investigate the relation between the rifaximin treatment periods with LBT results in nonconstipated IBS patients. We also evaluated the time to achieve a symptomatic improvement in the IBS patients as compared to the changes in the LBT. We reviewed the charts for patients who showed IBS symptoms with documented positive results for LBT during their initial visit and who had a follow-up LBT after treatment with rifaximin. The LBT values were compared to the subjects' symptom scores. A total of 102 subjects had a follow-up LBT to assess LBT normalization. The subjects were divided into groups according to treatment periods of 4 weeks (n = 36), 8 weeks (n = 43), and 12 weeks (n = 23). The groups with a longer treatment exhibited an increase in the hydrogen gas value at 90 min and its sum during 90 min at the initial LBT. There were significant differences in hydrogen gas value at 90 min and in its sum during 90 min at the initial LBT between the groups treated for 4 and 12 weeks. The most significant treatment response was observed during the first 4 weeks for all treatment groups. Symptomatic improvement occurred earlier than LBT normalization in the treatment period over 4 weeks. The results indicate that different rifaximin treatment periods are needed in accordance with LBT levels to effectively eradicate SIBO. PMID:26028929

  10. Sleep-stage sequencing of sleep-onset REM periods in MSLT predicts treatment response in patients with narcolepsy.

    Drakatos, Panagis; Patel, Kishankumar; Thakrar, Chiraag; Williams, Adrian J; Kent, Brian D; Leschziner, Guy D

    2016-04-01

    Current treatment recommendations for narcolepsy suggest that modafinil should be used as a first-line treatment ahead of conventional stimulants or sodium oxybate. In this study, performed in a tertiary sleep disorders centre, treatment responses were examined following these recommendations, and the ability of sleep-stage sequencing of sleep-onset rapid eye movement periods in the multiple sleep latency test to predict treatment response. Over a 3.5-year period, 255 patients were retrospectively identified in the authors' database as patients diagnosed with narcolepsy, type 1 (with cataplexy) or type 2 (without) using clinical and polysomnographic criteria. Eligible patients were examined in detail, sleep study data were abstracted and sleep-stage sequencing of sleep-onset rapid eye movement periods were analysed. Response to treatment was graded utilizing an internally developed scale. Seventy-five patients were included (39% males). Forty (53%) were diagnosed with type 1 narcolepsy with a mean follow-up of 2.37 ± 1.35 years. Ninety-seven percent of the patients were initially started on modafinil, and overall 59% reported complete response on the last follow-up. Twenty-nine patients (39%) had the sequence of sleep stage 1 or wake to rapid eye movement in all of their sleep-onset rapid eye movement periods, with most of these diagnosed as narcolepsy type 1 (72%). The presence of this specific sleep-stage sequence in all sleep-onset rapid eye movement periods was associated with worse treatment response (P = 0.0023). Sleep-stage sequence analysis of sleep-onset rapid eye movement periods in the multiple sleep latency test may aid the prediction of treatment response in narcoleptics and provide a useful prognostic tool in clinical practice, above and beyond their classification as narcolepsy type 1 or 2. PMID:26541241

  11. ANALYSIS OF RANGE CONDITIONS OF CHILDREN WITH SPEECH DIFFICULTIES WITH SPEECH THERAPY TREATMENT AT PRE-SCHOOL PERIOD

    V. MIRAKOVSKA

    1997-12-01

    Full Text Available An analysis for range of children with speech difficulties in their development with speech therapy treatment is made for a period of 3 years ( 1993-1996 in the Institute for hearing, speech and voice in Skopje. The obtained results from the analysis show that “ for the time the children have to go to school, parent’s interest in their children’s speech is increased. About 90 % of the children ranged with speech therapy treatment, in that period they were at 5-7 years of age, and that shows that a part of the utmost period for development of the speech is missed.Also a great number of children with speech difficulties in their development were not ranged with speech therapy treatment. The reasons for that are the late directing of children, the social and cultural factor, economic condition of the family.

  12. Diarrheal Disease and its Treatment among Brazilian Children: Stagnation and Progress over a Ten-Year Period

    Narayan Sastry; Sarah Burgard

    2002-01-01

    In this paper, the authors examine trends and differentials in diarrhea prevalence and treatment in Brazil between 1986 and 1996. The results indicate that there was a very modest decline in diarrhea prevalence in Brazil over this ten year period. However, treatment with oral rehydration therapy (ORT) increased greatly. The rise in ORT use clearly did not reduce the prevalence of diarrhea. It suggests, however, that the focus on therapeutic care may have occurred at the cost of preventive car...

  13. Period of remission after treatment with UVA-1 in sclerodermic skin diseases.

    Kroft, E.B.M.; Kerkhof, P.C.M. van de; Gerritsen, M.J.P.; Jong, E.M.G.J. de

    2008-01-01

    BACKGROUND: Sclerodermic skin diseases can cause severe morbidity and disability. UVA-1 has shown to be an effective therapy for sclerodermic skin diseases. However, the period of remission in these patients is not clear. In this study, the effect and remission period of UVA-1 phototherapy in variou

  14. Use of antidepressants in the treatment of major depressive disorder in primary care during a period of economic crisis

    Sicras-Mainar A

    2015-12-01

    Full Text Available Antoni Sicras-Mainar,1 Ruth Navarro-Artieda2 1Research Unit, Badalona Serveis Assistencials SA, 2Medical Documentation Unit, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain Objective: To describe antidepressant (AD use in the treatment of major depressive disorder during a period of economic crisis.Patients and methods: This was a retrospective, observational study using population-based databases. Two periods were considered: 1 2008–2009, precrisis, and 2 2012–2013, economic crisis. Certain inclusion/exclusion criteria were taken into account for the study (initiation of AD treatment. Patients were followed up for 12 months. The main measures were use (defined daily doses, epidemiologic measures, strategies used and treatment persistence, referrals, and use of resources. Statistical significance was set at P<0.05.Results: In the precrisis period, 3,662 patients were enrolled, and 5,722 were enrolled in the period of economic crisis. Average age was 58.8 years and 65.4% were women. Comparing the two periods, major depressive disorder prevalence was 5.4% vs 8.1%, P<0.001. During the period of economic crisis, AD use rose by 35.2% and drug expenditures decreased by 38.7%. Defined daily dose per patient per day was 10.0 mg vs 13.5 mg, respectively, P<0.001. At 12-month follow-up, the majority of patients (60.8% discontinued the treatment or continued on the same medication as before, and in 23.3% a change of AD was made.Conclusion: Primary health care professionals are highly involved in the management of the illness; in addition, during the period of economic crisis, patients with major depressive disorder showed higher rates of prevalence of the illness, with increased use of AD drugs. Keywords: consumption, antidepressants, economic crisis

  15. Short and long period optimization of drug doses in the treatment of AIDS

    MARCO A. L. CAETANO

    2002-09-01

    Full Text Available Numerical optimization techniques are useful in solving problems of computing the best inputs for systems described by mathematical models and when the objectives can be stated in a quantitative form. This work concerns the problem of optimizing the drug doses in the treatment of AIDS in terms of achieving a balance between the therapeutic response and the side effects. A mathematical model describing the dynamics of HIV viruses and CD4 cells is used to compute the short term optimal drug doses in the treatments of patients with AIDS by a direct method of optimization using a cost function of Bolza type. The model parameters were fitted to actual published clinical data. In order to simplify the numerical procedures, the control law is expressed as a series and the sub-optimal control is obtained by truncating the higher terms. When the patient reaches a clinically satisfactory state, the LQR - Linear Quadratic Regulator technique is used to determine the long period maintenance doses for the drugs. The doses computed using the LQR technique tend to be smaller than equivalent constant-dose therapy in terms of increase in the counts of CD4+T cells and reduction of the density of free viruses.Técnicas de otimização numérica são úteis na solução de problemas de determinação da melhor entrada para sistemas descritos por modelos matemáticos e cujos objetivos podem ser expressos de uma maneira quantitativa. Este trabalho aborda o problema de otimizar as dosagens dos medicamentos no tratamento da AIDS em termos de um balanço entre a resposta terapêutica e os efeitos colaterais. Um modelo matemático para descrever a dinâmica do vírus HIV e células CD4 é utilizado para calcular a dosagem ótima do medicamento no tratamento a curto prazo de pacientes com AIDS por um método de otimização direta utilizando uma função custo do tipo Bolza. Os parâmetros do modelo foram ajustados com dados reais obtidos da literatura. Com o objetivo de

  16. The Effectiveness of Life Skills Training on Enhancement of Self-Esteem and Marital Satisfaction among Addicts in Treatment Period

    R Nooripour

    2014-11-01

    Full Text Available Objective: This study has been done to determine the impact of life skills training on enhancement of self-esteem and marital satisfaction among addicts in treatment period. Method: The research design was semi experimental pretest-posttest with witness group. For each group 12men addicts in treatment period in Qazvin city were selected by available sampling. Rosenberg self-esteem and Enrich marital satisfaction questionnaires were administered among selected samples. Training workshop was conducted on role playing, questioning and answering which was taught by psychology professors in experimental group. Results: Results showed life skills training improved self-esteem and marital satisfaction of addicts in treatment period. Conclusion: Life skills training have a positive impact on self-esteem and marital satisfaction of individuals especially on addicts in treatment period, also life skills training in the field of smoking prevention enhances individuals’ skills (such as self-esteem, marital satisfaction, etc…. Life skills training empower person to actualize his knowledge, attitudes and values, and enable him to have motivation for healthy behavior which this will have significant impact on his relationship with his wife.

  17. State estimation and optimal long period clinical treatment of HIV seropositive patients

    Juliana M. Grégio

    2009-03-01

    Full Text Available Optimal control theory provides a very interesting quantitative method that can be used to assist the decision making process in several areas of application, such as engineering, biology, economics and sociology. The main idea is to determine the values of the manipulated variables, such as drug doses, so that some cost function is minimized, subject to physical constraints. In this work, the cost function reflects the number of CD4+T cells, viral particles and the drug doses. It is worth noticing that high drug doses are related to more intense side-effects, apart from the impact on the actual cost of the treatment. In a previous paper by the authors, the LQR - Linear Quadratic Regulator approach was proposed for the computation of long period maintenance doses for the drugs, which turns out to be of state feedback form. However, it is not practical to determine all the components of the state vector, due to the fact that infected and uninfected CD4+T cells are not microscopically distinguishable. In order to overcome this difficulty, this work proposes the use of Extended Kalman Filter to estimate the state, even though, because of the nonlinear nature of the involved state equations, the separation principle may not be valid. Extensive simulations were then carried out to investigate numerically if the control strategy consisting of the feedback of estimated states yielded satisfactory clinical results.A teoria de controle ótimo apresenta um método quantitativo muito interessante que pode ajudar no processo de tomada de decisão em algumas áreas de aplicação, tais como engenharia, biologia, economia e sociologia. A principal idéia é determinar os valores das variáveis controladas, tais como doses de medicamentos, onde alguma função-custo é minimizada, sujeito às restrições físicas. Neste trabalho, a função-custo reflete o número de células CD4+T, partículas virais e doses de medicamentos. É fato que altas dosagens de

  18. Orthosurgical treatment of patients in the growth period: at what cost?

    Jonas Capelli Junior

    2012-02-01

    Full Text Available Awaiting growth to end prior to starting orthosurgical treatment is sometimes extremely difficult for patients suffering from severe facial deformities. In cases of substantial skeletal disharmonies surgery may be indicated during active growth phase when the patient is psychosocially, aesthetically and/or functionally compromised. To indicate this therapy, orthodontic criteria, such as mild intramaxillary discrepancy and the possibility of preoperative preparation without major dental repositioning, must be met. A second orthosurgical treatment will probably prove necessary after growth has ended. This treatment should not be considered as routine, but rather as a therapeutic option in carefully selected cases.

  19. Influence of temperature of the short-period heat treatment on mechanical properties of the NiTi alloy

    Jaroslav Čapek

    2014-01-01

    Full Text Available The equiatomic alloy of nickel and titanium, known as nitinol, possesses unique properties such as superelasticity, pseudoplasticity, shape memory, while maintaining good corrosion resistance and sufficient biocompatibility. Therefore it is used for production of various devices including surgery implants. Heat treatment of nickel-rich NiTi alloys can result in precipitation of nickel-rich phases, which strongly influence tensile and fatigue behaviour of the material.In this work we have studied influence of short-period heat treatment on tensile behaviour and fatigue life of the NiTi (50.9 at. % Ni wire intended for fabrication of surgery stents.

  20. Undesirable financial effects of head and neck cancer radiotherapy during the initial treatment period

    Helen Egestad

    2015-01-01

    Full Text Available Background: Healthcare cost and reforms are at the forefront of international debates. One of the current discussion themes in oncology is whether and how patients’ life changes due to costs of cancer care. In Norway, the main part of the treatment costs is supported by general taxpayer revenues. Objectives: The objective of this study was to clarify whether head and neck cancer patients (n=67 in northern Norway experienced financial health-related quality of life (HRQOL deterioration due to costs associated with treatment. Design: HRQOL was examined by the European Organization for Research and Treatment of Cancer (EORTC QLQ-C30 in the beginning and in the end of radiation treatment in patients treated at the University Hospital in Northern Norway. Changes in financial HRQOL were calculated and compared by paired sample T-tests. Multiple regression analyses were used to examine correlations among gender, marital status, age and treatment with or without additional chemotherapy and changes in the HRQOL domain of financial difficulties. Results: The majority of score results at both time points were in the lower range (mean 15–25, indicating limited financial difficulties. We observed no statistically significant differences by gender, marital status and age. Increasing financial difficulties during treatment were reported by male patients and those younger than 65, that is, patients who were younger than retirement age. The largest effect was seen in singles. However, differences were not statistically significant. Conclusions: During the initial phase of the disease trajectory, no significant increase in financial difficulties was found. This is in line with the aims of the Norwegian public healthcare model. However, long-term longitudinal studies should be performed, especially with regard to the trends we observed in single, male and younger patients.

  1. Spectroscopic characterization of bone tissue of experimental animals after glucocorticoid treatment and recovery period

    Mitić, Žarko J.; Najman, Stevo J.; Cakić, Milorad D.; Ajduković, Zorica R.; Ignjatović, Nenad L.; Nikolić, Ružica S.; Nikolić, Goran M.; Stojanović, Sanja T.; Vukelić, Marija Đ.; Trajanović, Miroslav D.

    2014-09-01

    The influence of glucocorticoids on the composition and mineral/organic content of the mandible in tested animals after recovery and healing phase was investigated in this work. The results of FTIR analysis demonstrated that bone tissue composition was changed after glucocorticoid treatment. The increase of calcium, magnesium, phosphorus content and mineral part of bones was statistically significant in recovery phase and in treatment phase that included calcitonin and thymus extract. Some changes also happened in the organic part of the matrix, as indicated by intensity changes for already present IR bands and the appearance of new IR bands in the region 3500-1300 cm-1.

  2. A new treatment for some periodic Schr\\"{o}dinger operators II: the wavefunction

    He, Wei

    2016-01-01

    Following the approach of our previous paper we continue to study the asymptotic solution of periodic Schr\\"{o}dinger operators. Using the eigenvalues obtained earlier the corresponding asymptotic wavefunctions are derived. This gives further evidence in favor of the monodromy relations for the Floquet exponent proposed in the previous paper. In particular, the large energy asymptotic wavefunctions are related to the instanton partition function of N=2 supersymmetric gauge theory with surface operator. A relevant number theoretic dessert is appended.

  3. Open-Label, Long-Term Safety Study of Cevimeline in the Treatment of Postirradiation Xerostomia

    Purpose: To assess the safety of long-term cevimeline treatment of radiation-induced xerostomia in patients with head-and-neck cancer; and to assess the efficacy of cevimeline in these patients. Methods and Materials: A total of 255 adults with head-and-neck cancer who had received more than 40 Gy of radiation 4 months or more before entry and had clinically significant salivary gland dysfunction received cevimeline hydrochloride 45 mg t.i.d. orally for 52 weeks. Adverse events (AEs), their severity, and their relationship to the study medication were assessed by each investigator. The efficacy assessment was based on subjects' global evaluation of oral dryness on a scale of 0 (none) to 3 (severe). Results: Overall, 175 subjects (68.6%) experienced expected treatment-related AEs, most mild to moderate. The most frequent was increased sweating (47.5%), followed by dyspepsia (9.4%), nausea (8.2%), and diarrhea (6.3%). Fifteen subjects (5.9%) experienced Grade 3 treatment-related AEs, of which the most frequent was increased sweating. Eighteen subjects (7.1%) reported at least one serious AE, and 45 subjects (17.6%) discontinued study medication because of an AE. The global efficacy evaluation at the last study visit showed that cevimeline improved dry mouth in most subjects (59.2%). Significant improvement was seen at each study visit in the mean change from baseline of the numeric global evaluation score (p < 0.0001). Conclusions: Cevimeline 45 mg t.i.d. was generally well tolerated over a period of 52 weeks in subjects with xerostomia secondary to radiotherapy for cancer in the head-and-neck region

  4. Comparison of the efficacy of dexmedetomidine and esmolol in the treatment of increased hemodynamic response during the recovery period

    GÜNAY, Hülya; Moğol, Elif Başağan; Kaya, Fatma Nur; Türker, Gürkan; Yavaşcaoğlu, Belgin; Ahun, Filiz; Bebek, Ayşe Neslihan; Yeniaydoğmuş, Tuba

    2012-01-01

    Objectives: Our aim was to compare effectiveness of esmolol and dexmedetomidine in the treatment of increased hemodynamic response during anesthesia recovery period. Materials and methods: 60 ASA I-II patients whom scheduled for elective surgery with endotracheal intubation were randomized before extubation according to their hemodynamic parameters that were increased 20% of their baseline values in order to receive 1mg/kg esmolol (Group Esmolol, n= 30) or 0.5 µg/kg dexmedetomid...

  5. EFFECTS OF UV-C TREATMENT ON KIWIFRUIT QUALITY DURING THE STORAGE PERIOD

    Erdinc BAL

    2010-06-01

    Full Text Available This experiment was conducted at Namik Kemal University, Agriculture Faculty and Department of Horticulture in Turkey and Actinidia deliciosa cv. Hayward was used for this aim. In this study, Kiwifruits were irradiated with different doses of UV-C treatment (50, 75 and 100 cm distance for 5, 10 and 15 min. Later, they were put in polyethylene container with packed polyethylene bags and stored under the conditions of cool air store (at 0-10C, 90-95 % relative humidity for 200 days. During the experiment, quality attributes of kiwifruit was assessed at 40 days intervals and UV-C treatment from 75 cm distance for 10 min was especially found to be more effective than the others.

  6. Our experiences in surgical treatment of thoracic echinococcosis during the period 1977-1986.

    Gashi, M; Beqiri, S B; Guguli, M; Recica, X; Ahmedi, E

    1988-01-01

    Our experience is based on 147 patients with thoracic echinococcosis (TE) who underwent surgery. Of these, 131 (89.1%) patients had pulmonary TE, 3 (2.1%) had extra-pulmonary TE, and 13 (8.8%) had pulmohepatic TE Ninety-nine (67.3%) patients had uncomplicated TE, and 48 (32.7%) had complicated TE. All patients underwent surgery. In 129 (87.8%) patients, we performed cystectomy with capitonage and in 18 (12.2%) cases we performed a lung resection (lobectomy or segmentectomy). Postoperative complications occurred in 2 (1.4%) patients, and recurrence in 2 (1.4%) patients who previously had complicated TE. On admission, there was no evidence of allergic reactions in patients with complicated TE. The average time of postoperative treatment was 13 days. The results of surgical treatment were excellent. The conclusion reached is that a cystectomy with capitonage is the treatment of choice for pulmonary echinococcosis, while lung resection may be necessary if lung tissue has been destroyed by prolonged compression or infection. PMID:3272249

  7. Comparison of clinical features in surgical treatment of lung cancer over two 10-year periods in Shinshu University Hospital

    Lung cancer is one of the most common fatal cancers. We retrospectively evaluated 949 resected cases of lung cancer from January 1985 to December 2004 by comparative analysis of the first (1985-1994) and second 10-year period (1995-2004) with reference to patient age, gender, chief complaint, histological type, tumor differentiation, tumor size, operative method, pathological stage, and survival rate. Surgical treatment for patients older than 75 years of age doubled in the second 10-year period. CT health screenings indicating lung cancer increased. The percentage of well-differentiated adenocarcinoma increased in both males and females. Cases of tumors less than 20 mm, especially those less than 10 mm, increased in the second 10-year period. The ratio of pneumonectomy decreased, and limited resection including partial resection and segmentectomy increased. The number of cases in pathological stage IA increased. The 5-year survival rates in stages IA, IIIA, IV, and overall in the second period were statistically higher than in the first period. An age of 70 years of more, being male, first medical contact other than CT health screening, carotid endarterectomy (CEA) elevation, histological type other than well-differentiated adenocarcinoma, tumor size, lymph node metastasis, and pneumonectomy were all considered factors impacting survival in resected cases of lung cancer. (author)

  8. Dark Period Following UV-C Treatment Enhances Killing of Botrytis cinerea Conidia and Controls Gray Mold of Strawberries.

    Janisiewicz, Wojciech J; Takeda, Fumiomi; Glenn, D Michael; Camp, Mary J; Jurick, Wayne M

    2016-04-01

    Strawberries are available throughout the year either from production in the field or from high and low tunnel culture. Diversity of production conditions results in new challenges in controlling diseases before and after harvest. Fungicides have traditionally been used to control these diseases; however, their limitations necessitate a search for new approaches. We found that UV-C irradiation of Botrytis cinerea, a major pathogen of strawberry, can effectively kill this fungus if a dark period follows the treatment. The inclusion of a 4-h dark period resulted in almost complete kill of B. cinerea conidia on agar media at a dose of 12.36 J/m2. The UV-C dose did not cause a reduction in photosynthesis in strawberry leaves or discoloration of sepals, even after exposing plants repeatedly (twice a week) for 7 weeks. Although irradiation of dry conidia of B. cinerea with this dose resulted in some survival, the conidia were not infective and not able to cause decay even when inoculated onto a highly susceptible mature apple fruit. Irradiation of strawberry pollen at 12.36 J/m2 did not affect pollen germination, tube growth and length in vitro, or germination and tube growth in the style of hand-pollinated emasculated strawberry flowers. No negative effect of the UV-C treatment was observed on fruit yield and quality in high tunnel culture. In the fruit and flower petal inoculation tests, the UV-C treatment was highly effective in reducing fruit decay and petal infection. This UV-C treatment with an exposure time of 60 s may be useful in controlling gray mold in tunnel production of strawberries and may also have the potential for use in intensive field and indoor production of other fruits and vegetables providing that a 4-h dark period follows the irradiation. PMID:26714103

  9. [Asthenic syndrome in clinical course of acute period of brain concussion during complex treatment using nootropic agents].

    Tkachov, A V

    2008-01-01

    The comparative analysis of a complex examination of 108 persons aged from 16 till 60 years in acute period of closed craniocerebral injury (CCCT) has been done. Every participants have been divided into 2 groups depending on a nootrop medication they receive in a complex treatment. A control group consisted of 30 practically healthy people. Objective examination by means of tests was done on the 1-st, 10-th that 30-th day of treatment. Patients of 1-st (37 persons) group received piracetam in complex treatment and patients of the 2-nd group (71 persons) pramistar. Patients of the first group received a base treatment (analgetics, tranquilizers, vitamins of group B, magnesium sulfate, diuretic preparations) as well as piracetam at dosage 0.2, two tablets three times per day. The Patients of the 2-nd group received a base treatment as well as pramistar at dosage 0.6, one tablet 2 times per day. Specially developed multiaspects scales and questionnaires, MRT of the brain and EEG have been used for objectification of patient, complaints. During a complex clinico-neuropsychological examination it was found that all cases of concussion of the brain are accompanied by those or other asthenic disorders. PMID:19145827

  10. Treatment for retinopathy of prematurity in Denmark in a ten-year period (1996-2005): Is the incidence increasing?

    Slidsborg, C.; Olesen, H.B.; Jensen, Peter Koch;

    2008-01-01

    OBJECTIVE. The objective of this study was to analyze the population incidence of retinopathy of prematurity treatment in Denmark in the 10-year period from 1996 to 2005. METHODS. Patient charts of infants treated for retinopathy of prematurity and the national birth registry provide information...... about neonatal parameters. These parameters, along with birth in the latter half of the period (2001-2005), were analyzed as risk factors for retinopathy of prematurity. The national registry for blind and visually impaired children was accessed to obtain information about visual impairment attributable...... to retinopathy of prematurity in both treated and untreated infants. RESULTS. The study population consisted of 5467 Danish preterm infants born in 1996 to 2005, with a gestational age of <32 weeks, who survived for >= 5 postnatal weeks; 2616 were born in 1996 to 2000, and 2851 were born in 2001 to...

  11. Performance of wetland systems in the treatment of sewage generated at an educational institution, after a recession period

    Paulo Fortes Neto

    2011-12-01

    Full Text Available Education institutions are potential generators of large volumes of domestic sewage. Studies of natural systems for effluent treatment have shown good efficiency and low cost compared to traditional systems. This makes them suitable for various segments of society, including educational institutions. A characteristic shared by most educational institutions is that they have the same academic calendars that include a long period of recess when, in many cases, the flow of sewage systems drops to almost zero, causing damage to both macrophytes in sewage bed and their associated microorganisms. This study aimed to evaluate the efficiency of a wetland system in an educational institution, after the recess period. It was observed for 45 days if there were signs of natural recovery, without any intervention. After this period, 15 seedlings of Thypha sp. were planted in the sewage bed, and analyses were performed for 45 additional days. The system efficiency in reducing turbidity, NH3, NO3- and phosphorus was, respectively, 63.0%, 21.7%, 31.1% and 20.3%, and for BOD, COD and thermotolerant coliforms, the average efficiency was 46.0%, 29.7% and 44.0%, respectively. If considered only the period after planting the results improved, with the following results: turbidity = 78.2%, 38.0% = NH3, NO3- = 53.2% = 25.6% phosphorus, BOD = 66, 2% = 36.5% COD and thermotolerant coliform = 60.7%. The results demonstrated the importance of vegetation bed for the efficiency of such treatment system.

  12. Fall in incidence of guinea-worm infection in western Nigeria after periodic treatment of infected persons

    Kale, O. O.

    1982-01-01

    Between 1971 and 1974 a series of drug trials was conducted in 17 rural communities in western Nigeria where guinea-worm is endemic. During these trials and in subsequent years treatment, in the form of chemotherapy and/or dressing of ulcers, was given to all infected persons. A longitudinal study of infection in these villages showed a marked fall in the annual incidence over an 8-year period. The aggregate reduction in incidence in the three sectors surveyed was from 15.5% to 0.5% in sector...

  13. [Complex pathogenetic treatment schemes of vascular dyscirculatory disorders in the remote period after exposure to low dose radiation].

    2013-01-01

    Complex studies including modern methods of investigation of structures and functions of nervous system: electroencephalograsphy (EEG), coherent analysis, neuropsychological study and methods of neuroimaging were performed in 517 participants in liquidation of consequences of the accident (LCA) at the Chernobyl NPP in 1986-1987. Dyscirculatory metabolic encephalopathy was revealed to be the main pathology with the etiological mechanism based on dyscirculatorhypoxic and metabolic disorders. Complexity of the revealed symptoms testified to an early organism aging in remote periods after exposure to low dose radiation. Pathogenetic schemes were developed for treatment of dyscirculatory encephalopathy in liquidators, which include drugs improving blood supply, antiaggregants, antioxidants and metabolites of the brains in various combinations. Taking into consideration that early appearance of vascular dyscirculatory disorders observed in liquidators is the sign of early aging of the organism, geroprotectors were added to treatment schemes. PMID:25507773

  14. Impact of periodic health examination on surgical treatment for uterine fibroids in Beijing: a case-control study

    Yang Ling-Ling

    2010-12-01

    Full Text Available Abstract Background During the past 2 decades, there has been a rapid proliferation of "health examination center (HEC" across China. The effects of their services on public's health have not been systemically investigated. This study aimed to assess the impact of periodic health examination (PHE at HEC on surgical treatment for uterine fibroids in Beijing residents. Methods We identified 224 patients with a primary diagnosis of uterine fibroids who had surgical treatment at four Level-1 general hospitals in Beijing, from June 1, 2009 to October 20, 2009. Controls were women who did not have surgery for uterine fibroids, matched (1:1 ratio for age (within 2 years. A standard questionnaire was used to inquire about whether participants had PHE at HEC during the previous 2 years. Results PHE at HEC within 2 years were associated with surgical treatment for uterine fibroids. Odds ratios was 4.05 (95% CI, 2.61-6.29 P Conclusions Our study showed PHE currently provided at HEC in China were associated with significantly increased use of surgical treatment for uterine fibroids in women. Further studies are needed to assess the effects of PHE on clinical as well as on broad societal outcomes in Chinese in contemporary medical settings.

  15. Apomorphine Penject – Emerging Evidence and Treatment Strategies for Delayed on and off Periods in Parkinson’s disease

    Olivier Rascol

    2014-07-01

    Full Text Available This educational symposium was held during the Joint Congress of European Neurology (EFNS–ENS, which took place from 31st May to 3rd June 2014 in Istanbul, Turkey, and was sponsored by Britannia Pharmaceuticals Limited. The symposium debated the problem of delayed ON and OFF periods in Parkinson’s disease that can occur even in patients optimised on oral medication. Emerging evidence for the rapid and effective resolution of such complications using apomorphine intermittent injection (penject was reviewed with particular reference to the positive results of the recent AM IMPAKT trial in patients with morning akinaesia. The discussions were illustrated with examples of ‘real life’ patient case studies to help determine which patients might be best suited for treatment with apomorphine injection.

  16. The treatment of restless legs syndrome and periodic limb movement disorder. An American Academy of Sleep Medicine Review.

    Hening, W; Allen, R; Earley, C; Kushida, C; Picchietti, D; Silber, M

    1999-11-01

    A task force consisting of six authors reviewed the published literature on the therapy of the restless legs syndrome or periodic limb movements in sleep available in indices through April, 1998. They selected the 45 articles for detailed review which presented original investigations of therapeutic impact on the restless legs syndrome (RLS) or periodic limb movements (PLM) and which met minimal standards. These articles dealt with a range of pharmacological and other treatment modalities, although most dealt with medications and almost half of those concentrated on dopaminergic agents, especially levodopa in various formulations. Almost half of the articles reviewed used controlled methodologies, most commonly cross-over methodologies with randomized allocation of subjects. Multi-center studies with large numbers of subjects and long-term controlled studies were not found. Information was extracted from the articles and study design, clinical definition, evaluative measures, side effects, and outcomes were tabulated in 6 evidence tables and summarized in the accompanying text. This literature was evaluated for the nature of the studies performed and its coverage of potential therapies. The review concludes with comments on possible future directions for therapeutic investigation based on the current state of the literature. PMID:10566916

  17. Planetary populations in the mass-period diagram: A statistical treatment of exoplanet formation and the role of planet traps

    The rapid growth of observed exoplanets has revealed the existence of several distinct planetary populations in the mass-period diagram. Two of the most surprising are (1) the concentration of gas giants around 1 AU and (2) the accumulation of a large number of low-mass planets with tight orbits, also known as super-Earths and hot Neptunes. We have recently shown that protoplanetary disks have multiple planet traps that are characterized by orbital radii in the disks and halt rapid type I planetary migration. By coupling planet traps with the standard core accretion scenario, we showed that one can account for the positions of planets in the mass-period diagram. In this paper, we demonstrate quantitatively that most gas giants formed at planet traps tend to end up around 1 AU, with most of these being contributed by dead zones and ice lines. We also show that a large fraction of super-Earths and hot Neptunes are formed as 'failed' cores of gas giants—this population being constituted by comparable contributions from dead zone and heat transition traps. Our results are based on the evolution of forming planets in an ensemble of disks where we vary only the lifetimes of disks and their mass accretion rates onto the host star. We show that a statistical treatment of the evolution of a large population of planetary cores caught in planet traps accounts for the existence of three distinct exoplanetary populations—the hot Jupiters, the more massive planets around r = 1 AU, and the short-period super-Earths and hot Neptunes. There are very few populations that feed into the large orbital radii characteristic of the imaged Jovian planet, which agrees with recent surveys. Finally, we find that low-mass planets in tight orbits become the dominant planetary population for low-mass stars (M * ≤ 0.7 M ☉).

  18. Comparison of the efficacy of dexmedetomidine and esmolol in the treatment of increased hemodynamic response during the recovery period

    Ayşe Neslihan Bebek

    2012-03-01

    Full Text Available Objectives: Our aim was to compare effectiveness of esmololand dexmedetomidine in the treatment of increasedhemodynamic response during anesthesia recovery period.Materials and methods: 60 ASA I-II patients whomscheduled for elective surgery with endotracheal intubationwere randomized before extubation according to theirhemodynamic parameters that were increased 20% oftheir baseline values in order to receive 1mg/kg esmolol(Group Esmolol, n= 30 or 0.5 μg/kg dexmedetomidine(Group Dexmedetomidine, n= 30. Heart rate (HR, systolicand diastolic blood pressures (SBP,DBP, peripheral oxygensaturation (SpO2, end tidal carbon dioxide (ETCO2values, extubation time, recovery time were recorded. Theduration till having pain requiring analgesic was recordedand cognitive functions were evaluated with short memoryorientation concentration test at 20th and 50th minutes.Results: After drug, HR reductions were significant at allperiods in group Dexmedetomidine (Z2-Z10: p<0.001,Z11:p=0.001, Z12, p=0.006. In group DexmedetomidineSBP value was high at 3rd min after drug (p<0.001, andSBP values were lower in all periods before and after extubation(Z6- Z10: p<0.001, Z11: p=0.02, Z12: p=0.04.In group Dexmedetomidine DBP value was higher at 1stmin after drug (p=0.001, DBP values were lower at 10thmin after drug and before extubation (p= 0.045, p=0.001.The duration of pain requiring analgesic and recoveryperiod were longer in dexmedetomidine group (p<0.001,p<0.001.Conclusions: Although esmolol and dexmedetotimidineattenuated hemodynamic response during recovery period,dexmedetotimidine was more effective in hemodynamicstabilization and the duration of pain requiring analgesicwas longer. Esmolol provided faster recovery time. JClin Exp Invest 2012; 3(1: 53-60

  19. Planetary populations in the mass-period diagram: A statistical treatment of exoplanet formation and the role of planet traps

    Hasegawa, Yasuhiro [Currently EACOA Fellow at Institute of Astronomy and Astrophysics, Academia Sinica (ASIAA), Taipei 10641, Taiwan. (China); Pudritz, Ralph E., E-mail: yasu@asiaa.sinica.edu.tw, E-mail: pudritz@physics.mcmaster.ca [Also at Origins Institute, McMaster University, Hamilton, ON L8S 4M1, Canada. (Canada)

    2013-11-20

    The rapid growth of observed exoplanets has revealed the existence of several distinct planetary populations in the mass-period diagram. Two of the most surprising are (1) the concentration of gas giants around 1 AU and (2) the accumulation of a large number of low-mass planets with tight orbits, also known as super-Earths and hot Neptunes. We have recently shown that protoplanetary disks have multiple planet traps that are characterized by orbital radii in the disks and halt rapid type I planetary migration. By coupling planet traps with the standard core accretion scenario, we showed that one can account for the positions of planets in the mass-period diagram. In this paper, we demonstrate quantitatively that most gas giants formed at planet traps tend to end up around 1 AU, with most of these being contributed by dead zones and ice lines. We also show that a large fraction of super-Earths and hot Neptunes are formed as 'failed' cores of gas giants—this population being constituted by comparable contributions from dead zone and heat transition traps. Our results are based on the evolution of forming planets in an ensemble of disks where we vary only the lifetimes of disks and their mass accretion rates onto the host star. We show that a statistical treatment of the evolution of a large population of planetary cores caught in planet traps accounts for the existence of three distinct exoplanetary populations—the hot Jupiters, the more massive planets around r = 1 AU, and the short-period super-Earths and hot Neptunes. There are very few populations that feed into the large orbital radii characteristic of the imaged Jovian planet, which agrees with recent surveys. Finally, we find that low-mass planets in tight orbits become the dominant planetary population for low-mass stars (M {sub *} ≤ 0.7 M {sub ☉}).

  20. CRYOGENIC TREATMENT FOR CANCER OF THE TONGUE AND ORAL CAVITY (ANALYSIS OF ITS EFFICIENCY ACCORDING TO SURVIVAL RATES IN THE PERIOD 1975–2009)

    T. D. Tabolinovskaya

    2013-01-01

    Case histories of 366 patients with cancer of the oral mucosa, tongue, and oropharynx who had received cryogenic treatment at the N.N. Blokhin Russian Cancer Research Center in the period 1975 to 2009 served as the material for the investigation. Analysis of the longterm results of cryogenic treatment for primary and recurrent cancers and tumors untreated after traditional treatments showed the efficiency of this method in 75.8 and 48.2 % of primary and recurrent cancer patients, respectively...

  1. Secular, Spiritual and religious Existential concerns during final diagnostics and treatment period – The lived experiences of women undergoing ovarian cancer surgery

    Hounsgaard, Lise; Seibæk, L.; Hvidt, N. C.

    2013-01-01

    a woman with ovarian cancer during her first treatment period. Although the women experienced their health to be seriously threatened, they also felt hope, will, and courage. The diagnostic procedures and treatment had comprehensive impact on their lives. However, hope and spirituality were important......Introduction. This paper deals with secular, spiritual, and religious existential concerns during severe illness. Materials and Methods. Qualitative research interviews were made before and after surgery with women who underwent final diagnostics, surgery, and chemotherapy for ovarian cancer...

  2. HEART RATE VARIABILITY IN PATIENTS WITH PREVIOUS Q-WAVE MYOCARDIAL INFARCTION IN DIFFERENT TREATMENT SCHEMES IN EARLY POSTINFARCTION PERIOD

    A. A. Abdullaev

    2016-01-01

    Full Text Available Aim. To evaluate influence of various drug combinations on heart rate variability (HRV in patients with previous Q-wave myocardial infarction (Q-MI in outpatient period of rehabilitation.Material and methods. A total of 316 patients with previous Q-MI were randomized into three groups. Patients of the control group (n=103 received standard therapy (acetylsalicylic acid, enalapril, metoprolol, simvastatin during 2 years after discharge from the hospital. Patients of the first studied group (n=107 were additionally treated with trimetazidine, and patients of the second group (n=106 received combined therapy with ramipril, carvedilol and trimetazidine. HRV parameters (derived from ECG 5-minute recording were registered at the beginning of the study, 6 and 24 months after the beginning of the study.Results. HRV parameters improvement was more significant in the second group compared to the first and to control groups. In the second group LF increased from 223.8±56.2 to 734±90.9 мs2 (p<0.001, in the first group – from 217.8±54.3 to 713±88.1 мs2, and in control group – from 225.4±49.0 to 589±72.0 мs2. HF increase was also more significant in the second group: from 189.5±54.4 to 801±97.5 мs2 (p<0.001 compared to the first and to control groups: from 176.6±47.3 to 579±91.2 мs2 and from 180.9±50.4 to 487±83.4 мs2, respectively. SDNN rose from 27.8±3.2 to 52.4±4.4 ms (p<0.05 in the second group, from 27.4±2.7 to 41.2±3.8 ms in control group, and from 26.7±3.0 to 46.5±4.0 ms in the first group. RRNN increased from 664.5±99.0 to 833±98.7 ms (p<0.05 in the second group, from 676.2±85.3 to 793±87.6 ms in control group, and from 658.1±97.2 to 826±92.8 ms in the first group.Conclusion. Two-year treatment with enalapril and metoprolol as a part of standard therapy improves HRV parameters of Q-MI patients. Addition of trimetazidine to this combination leads to even more significant improvement of HRV parameters in postinfarction

  3. Changes in fecal microbiota and metabolomics in a child with juvenile idiopathic arthritis (JIA) responding to two treatment periods with exclusive enteral nutrition (EEN).

    Berntson, Lillemor; Agback, Peter; Dicksved, Johan

    2016-06-01

    The microbiome and immune system of the digestive tract are highly important in both health and disease. Exclusive enteral nutrition (EEN) is a common anti-inflammatory treatment in children with Crohn's disease in the European countries, and the mechanism is most likely linked to changes in the intestinal microbiome. In the present study, EEN was given in two treatment periods several months apart to a patient with very severe, disabling juvenile idiopathic arthritis (JIA), with a remarkable clinical response as the result. The aim of the present study was to study how the EEN treatment influenced the microbiome and metabolome of this patient. Fecal samples from before, during, and between treatments with EEN were studied. The microbiome was analyzed by sequencing of 16S rRNA amplicons using Illumina MiSeq, and the metabolome was analyzed using nuclear magnetic resonance. The microbiome changed markedly from treatment with EEN, with a strong reduction of the Bacteroidetes phylum. Metabolic profiles showed clear differences before, during, and between treatment with EEN, where butyrate, propionate, and acetate followed a cyclic pattern with the lowest levels at the end of each treatment period. This patient with JIA showed remarkable clinical improvement after EEN treatment, and we found corresponding changes in both the fecal microbiome and the metabolome. Further studies are needed to explore the pathophysiological role of the intestinal canal in children with JIA. PMID:27021336

  4. Rationale and study design of a three-period, 58-week trial of ferric citrate as a phosphate binder in patients with ESRD on dialysis.

    Umanath, Kausik; Sika, Mohammed; Niecestro, Robert; Connelly, Carolyn; Schulman, Gerald; Koury, Mark J; Lewis, Julia B; Dwyer, Jamie P

    2013-01-01

    Chronic kidney disease associated mineral and bone disorders arise as a result of aberrant bone mineral metabolism in patients with advancing levels of renal dysfunction and end-stage renal disease. One of the cornerstones of treatment is the use of phosphate-binding agents. We describe the rationale and study design for a clinical trial to assess the safety and efficacy of ferric citrate as a phosphate binder. This trial is a three-period, international, multicenter, randomized, controlled clinical trial to assess the safety and efficacy of ferric citrate as a phosphate binder, consisting of a 2-week washout period, a 52-week safety assessment period in which subjects are randomized to ferric citrate or active control, and a 4-week efficacy assessment period in which subjects randomized to ferric citrate in the safety assessment period are randomized to ferric citrate or placebo. Eligible subjects include end-stage renal disease patients who have been treated with thrice-weekly hemodialysis or peritoneal dialysis for at least 3 months in dialysis clinics in the United States and Israel. Primary outcome measure will be the effect of ferric citrate vs. placebo on the change in serum phosphorus. Safety assessments will be performed by monitoring adverse events, concomitant medication use, and sequential blood chemistries (including iron parameters, phosphorus, and calcium). This three-period trial will assess the efficacy of ferric citrate as a phosphate binder. If proven safe and efficacious, ferric citrate will likely provide an additional phosphate binder to treat chronic kidney disease associated mineral and bone disorders. PMID:22702490

  5. Surgical treatment of partial atrioventricular septal defect: functional analysis of the mitral valve in the postoperative period

    Josué Viana Castro Neto

    2002-11-01

    Full Text Available OBJECTIVE: To study mitral valve function in the postoperative period after correction of the partial form of atrioventricular septal defect. METHODS: Fifty patients underwent surgical correction of the partial form of atrioventricular septal defect. Their mean age was 11.8 years and 62% of the patients were males. Preoperative echocardiography showed moderate and severe mitral insufficiency in 44% of the patients. The mitral valve cleft was sutured in 45 (90% patients (group II - GII. Echocardiographies were performed in the early postoperative period, and 6 and 12 months after hospital discharge. RESULTS: The patients who had some type of arrhythmia in the postoperative period had ostium primum atrial septal defect of a larger size (2.74 x 2.08 cm. All 5 patients in group I (GI, who did not undergo closure of the cleft, had a competent mitral valve or mild mitral insufficiency in the preoperative period. One of these patients began to have moderate mitral insufficiency in the postoperative period. On the other hand, in GII, 88.8% and 82.2% of the patients had competent mitral valve or mild mitral insufficiency in the early and late postoperative periods, respectively. CONCLUSION: The mitral valve cleft was repaired in 90% of cases. Echocardiography revealed competent mitral valve or mild mitral insufficiency in 88.8% and 82.2% of GII patients in the early and late postoperative periods, respectively.

  6. 经行风疹的中药周期性治疗%Periodical treatment of Chinese herbs for menstrual rubella

    李凌

    2012-01-01

    The mechanism of menstrual rubella formed to be different shapes, characterized by itchy welts and attacked patient recurrently, they frequently came before menstruation and through the menstrual period. The mechanism of menstrual rubella in Chinese theory is heat accumulated in Yangming meridian and fur offended by wind-heat. The treatment for menstrual rubella is periodical treatment according to menstrual cycle. The basic principal is abreacting wind, nourishing Wood and eliminating heat in the premenstrual period, driving wind and removing heat in the menstrual period, nourishing blood and calming wind after menstruation. After the treatment, the chronic urticaria was cured and never attacked the patients before or during menstruation days any more.%经行风疹块,每值临经或行经期间,全身皮肤突起疹块,疹形大小不一,瘙痒异常,甚则融合成片,经净渐退,常反复发作,迁延不愈.若经行风疹为阳明积热于内,风热外侵皮毛;治疗可按月经周期性治疗,经前疏风养血,清热除湿;经期祛风清热;经后主要予以养血熄风治疗为基本治疗原则.

  7. High-Dose Glycine Treatment of Refractory Obsessive-Compulsive Disorder and Body Dysmorphic Disorder in a 5-Year Period

    W. Louis Cleveland

    2009-01-01

    Full Text Available This paper describes an individual who was diagnosed with obsessive-compulsive disorder (OCD and body dysmorphic disorder (BDD at age 17 when education was discontinued. By age 19, he was housebound without social contacts except for parents. Adequate trials of three selective serotonin reuptake inhibitors, two with atypical neuroleptics, were ineffective. Major exacerbations following ear infections involving Group A -hemolytic streptococcus at ages 19 and 20 led to intravenous immune globulin therapy, which was also ineffective. At age 22, another severe exacerbation followed antibiotic treatment for H. pylori. This led to a hypothesis that postulates deficient signal transduction by the N-methyl-D-aspartate receptor (NMDAR. Treatment with glycine, an NMDAR coagonist, over 5 years led to robust reduction of OCD/BDD signs and symptoms except for partial relapses during treatment cessation. Education and social life were resumed and evidence suggests improved cognition. Our findings motivate further study of glycine treatment of OCD and BDD.

  8. Effect of rehabilitation treatment during different period on recovery of patients with spinal cord injury%脊髓损伤患者不同时期介入康复治疗的效果观察

    马春山; 秦四遥

    2001-01-01

    Objective To investigate efficacy of rehabilitation treatment for patients with spinal cord injury(SCI) during different period.Methods 108 patients received rehabiltiation treatment during different period after SCI.Comparision study was performed retrospectively.Results ADL of patients recepting rehabilitation treatment 3 months after SCI was increased significantly.Conclusion Early rehabilitation interventions significantly accelerate functional recovery of patients with SCI.

  9. Beneficial effects of a neurotrophic peptidergic mixture persist for a prolonged period following treatment interruption in a transgenic model of Alzheimer's disease.

    Rockenstein, Edward; Ubhi, Kiren; Pham, Emiley; Michael, Sarah; Doppler, Edith; Novak, Philipp; Inglis, Chandra; Mante, Michael; Adame, Anthony; Alvarez, X Anton; Moessler, Herbert; Masliah, Eliezer

    2011-11-01

    Neurodegenerative disorders such as Alzheimer's disease (AD) are characterized by the loss of neurotrophic factors, and experimental therapeutical approaches to AD have investigated the efficacy of replacing or augmenting neurotrophic factor activity. Cerebrolysin, a peptide mixture with neurotrophic-like effects, has been shown to improve cognition in patients with AD and to reduce synaptic and behavioral deficits in transgenic (tg) mice overexpressing the amyloid precursor protein (APP). However, it is unclear how long-lasting the beneficial effects of Cerebrolysin are and whether or not behavioral and neuropathological alterations will reappear following treatment interruption. The objective of the present study was to investigate the consequences of interrupting Cerebrolysin treatment (washout effect) 3 and 6 months after the completion of a 3-month treatment period in APP tg mice. We demonstrate that, in APP tg mice, Cerebrolysin-induced amelioration of memory deficits in the water maze and reduction of neurodegenerative pathology persist for 3 months after treatment interruption; however, these effects dissipate 6 months following treatment termination. Immunohistochemical analysis demonstrated that the decrease in neocortical and hippocampal amyloid plaque load observed in Cerebrolysin-treated APP tg mice immediately after treatment was no longer apparent at 3 months after treatment interruption, indicating that the beneficial effects of Cerebrolysin at this time point were independent of its effect on amyloid-β deposition. In conclusion, the results demonstrate that the effects of Cerebrolysin persist for a significant period of time following treatment termination and suggest that this prolonged effect may involve the neurotrophic factor-like activity of Cerebrolysin. PMID:21793038

  10. Reduced gastric acid production in burn shock period and its significance in the prevention and treatment of acute gastric mucosal lesions.

    Zhu, Li; Yang, Zhong-Cheng; Li, Ao; Cheng, De-Chang

    2000-02-01

    AIM:To investigate the changes of gastric acid production and its mechanism in shock period of severe burn in rats.METHODS:A rat model with 30% TBSA full thickness burn injury was employed and the gastric acid production,together with gastric mucosal blood flow (GMBF) and energy charge (EC) were measured serially within 48h postburn.RESULTS:The gastric acid production in the acute shock period was markedly inhibited after severe burn injury.At the 3rd h postburn,the gastric juice volume, total acidity and acid output were already significantly decreased (P anti-acid drugs during burn shock period was unreasonable in some respects. Therefore, taking effective measures to improve gastric mucosal blood perfusion as early as possible postburn might be more preferable for the AGML prevention and treatment. PMID:11819529

  11. 围生期出血的治疗和护理%Treatment and care of hemorrhage in the prenatal period

    逯朝霞; 刘宽荣

    2014-01-01

    目的:探讨围生期出血的治疗和护理方法。方法回顾性分析2009年1月-2011年12月我院38例围生期出血患者的临床资料、治疗结果和护理方法。结果38例患者中急症子宫切除术3例,清宫术26例,剖宫产4例,助产分娩5例,6例输注血液制品。均痊愈出院。结论对孕产妇进行围生期全程心理干预和护理,能减少围生期出血的危险。%ObjectiveConclusion the treatment of hemorrhage in the perinatal period and nursing methods. MethodsOn between January 2009 and December 2009,the clinical data of 38 cases of hemorrhage in the perinatal period,the treatment and nursing methods were analyzed.ResultsEmergency hysterectomy 3 cases,26 cases of cesarean section 4 cases,the birth of midwifery in 5 cases. Infusion of 6 cases of blood products. Hospital were recovered.ConclusionTo the entire psychological intervention in the perinatal period and maternal care,can reduce the risk of hemorrhage in the perinatal period.

  12. Comparative evaluation of course and treatment of climacteric period in women living in radionuclide-contaminated territories

    The appearance of heavy forms of climacteric syndrome in territories with density of radioactive contamination up to 15 Ci/km2 is higher than in those living in territories with the level of contamination from 1 to 5 Ci/km2. At treatment of climacteric syndrome during menopause in women living in radionuclide-contaminated territory, preparations containing natural estrogen and gestagens are of higher priority. (Authors)

  13. Homeopathic treatment of elderly patients - a prospective observational study with follow-up over a two year period

    Willich Stefan N

    2010-02-01

    Full Text Available Abstract Background Very little is known about the range of diagnoses, course of treatment and long-term outcome in elderly patients who choose to receive homeopathic medical treatment. We investigated homeopathic practice in an industrialised country under everyday conditions. The aim of the study was to determine the spectrum of diagnoses and treatments, as well as to describe the course of illness over time among older patients who chose to receive homeopathic treatment. Methods In this subgroup analysis of a prospective, multicentre cohort study totally including 3981 patients treated by homeopathic physicians in primary care practices in Germany and Switzerland, data was analysed from all patients > 70 years consulting the physician for the first time. The main outcome measures were: assessment by patient of the severity of complaints (numeric rating scales and quality of life (SF-36 and by the physician of the severity of diagnoses (numeric rating scales at baseline, and after 3, 12, and 24 months. Results A total of 83 patients were included in the subgroup analysis (41% men, mean age 73.2 ± (SD 3.1 years; 59% women, 74.3 ± 3.8 years. 98.6 percent of all diagnoses were chronic with an average duration of 11.5 ± 11.5 years. 82 percent of the patients were taking medication at baseline. The most frequent diagnoses were hypertension (20.5%, 11.1 ± 7.5 years and sleep disturbances (15.7%, 22.1 ± 25.8 years. The severity of complaints decreased significantly between baseline and 24 months in both patients (from 6.3 (95%CI: 5.7-6.8 to 4.6 (4.0-5.1, p Conclusion The severity of disease showed marked and sustained improvements under homeopathic treatment, but this did not lead to an improvement of quality of life. Our findings might indicate that homeopathic medical therapy may play a beneficial role in the long-term care of older adults with chronic diseases and studies on comparative effectiveness are needed to evaluate this hypothesis.

  14. Time trends of cannabis use among treatment-seeking individuals at government de-addiction centers across India over a period of 7 years

    Yatan Pal Singh Balhara

    2016-01-01

    Full Text Available Background: Cannabis continues to be the most commonly used illicit psychoactive substance globally. The National Survey in India conducted in the year 2004 also reported it to be the most commonly used illicit substance in the country. Furthermore, it was reported to be the second most commonly used psychoactive substance by the treatment seekers at de-addiction centers in the country. Objectives: To assess time trends of cannabis use among treatment-seeking individuals at government de-addiction centers across India over a period of 7 years. Materials and Methods: The study utilized data collected through Drug Abuse Monitoring System across India. The data of treatment seekers from de-addiction centers established under the Drug De-addiction Program, Ministry of Health and Family Welfare, Government of India and supported by the Ministry of Social Justice and Empowerment, Government of India (122 in number across the country were analyzed. Results: A total of 107,469 individuals sought treatment from government de-addiction centers over the 7 years (2007–2013 period. With the exception of an aberration for the year 2012, there has been a steady decline in the proportion of treatment seekers who are not current cannabis users. A significantly greater proportion (Chi-square: 586.30, df: 1, P < 0.001 of individuals with current cannabis use alone or along with tobacco (20.4% tend to have a co-morbid psychiatric disorder as compared to treatment seekers with current use of substances other than cannabis (6.1%. Conclusions: It is important to focus on cannabis in clinical service delivery and research in the country.

  15. Mechanism of increasing the thermal effect zone thickness in pulse periodic treatment of a target by an electron beam

    The factors determining the layer thickness growth in the thermal effect zone of a target, made of steel 45, in pulse periodic impact by low-energy high-current electron beam in the mode of initial melting are analyzed on the basis of numerical modeling of temperature fields. Conclusion is made that thickness growth is conditioned by scattering of the energy pulse density from pulse to pulse and by the availability of individual pulses with increase in the energy value. It is shown that change of steel thermophysical properties occurring by irradiation on the account of saturation of target near-surface area by carbon leads to thickness growth only of those layers of thermal effect zone which are formed in the former melt area. The target temperature dependence on the irradiated pulse number is measured and numerically calculated

  16. Consistent treatment of charged systems within periodic boundary conditions: The Projector Augmented-Wave and pseudopotential methods revisited

    Crocombette, Jean-Paul; Bruneval, Fabien; Gonze, Xavier; Dorado, Boris; Torrent, Marc; Jollet, Francois

    2014-03-01

    The ab initio calculation of charged defect properties in solids is not straightforward because of the delicate interplay between the long-range Coulomb interaction and the periodic boundary conditions. We derive the Projector Augmented-Wave (PAW) energy and hamiltonian with a special care on the potentials from Coulomb interaction. By explicitly treating the background compensation charge, we find a new term in the total energy of charged cells and in the potential. We show that this background term is needed to accurately reproduce all-electron calculations of the formation energy of a charged defect. In particular, the previous PAW expressions were spuriously sensitive to the pseudization conditions and this artifact is removed by the background term. This PAW derivation also provides insights into the norm-conserving pseudopotential framework. We propose then an alternative definition for the total energy of charged cells and for the potential within this framework.

  17. Prolonged urinary leakage in the postoperative period of renal hydatic cyst treatment with oral desmopressin: a case report

    Ceylan Cavit

    2012-10-01

    Full Text Available Abstract Introduction Prolonged extravasation after renal and ureter surgeries is a bothersome situation for both the patient and the doctor. It is usually related to the suture line not being watertight. The contact between urine and the edges of the wound also delay healing of the wound. In this situation, the first thing to do is to break the contact between the wound and the urine by inserting an adequate stent. Sometimes, this process is not enough. We approached this problem with a different treatment method for a case involving prolonged drainage. Case presentation A 52-year-old Caucasian woman who presented at our clinic with right flank pain was operated on due to a renal hydatic cyst, and cyst removal was performed. On follow-up, prolonged urinary leakage was observed and a desmopressin treatment was started on the patient. Drainage was greatly reduced after desmopressin was started and there was no drainage on the fifth day. Conclusion Prolonged extravasation is a bothersome situation and there can be many reasons for this. Whenever traditional approaches are not enough, oral desmopressin therapy can be started reliably if there are no contraindications for the patient. Eventually, contact between urine and the suture site will cease and therefore the fever and healing time will be shortened.

  18. Cardiac atrial circadian rhythms in PERIOD2::LUCIFERASE and per1:luc mice: amplitude and phase responses to glucocorticoid signaling and medium treatment.

    Daan R van der Veen

    Full Text Available Circadian rhythms in cardiac function are apparent in e.g., blood pressure, heart rate, and acute adverse cardiac events. A circadian clock in heart tissue has been identified, but entrainment pathways of this clock are still unclear. We cultured tissues of mice carrying bioluminescence reporters of the core clock genes, period 1 or 2 (per1(luc or PER2(LUC and compared in vitro responses of atrium to treatment with medium and a synthetic glucocorticoid (dexamethasone [DEX] to that of the suprachiasmatic nucleus (SCN and liver. We observed that PER2(LUC, but not per1(luc is rhythmic in atrial tissue, while both per1(luc and PER2(LUC exhibit rhythmicity in other cultured tissues. In contrast to the SCN and liver, both per1(luc and PER2(LUC bioluminescence amplitudes were increased in response to DEX treatment, and the PER2(LUC amplitude response was dependent on the time of treatment. Large phase-shift responses to both medium and DEX treatments were observed in the atrium, and phase responses to medium treatment were not attributed to serum content but the treatment procedure itself. The phase-response curves of atrium to both DEX and medium treatments were found to be different to the liver. Moreover, the time of day of the culturing procedure itself influenced the phase of the circadian clock in each of the cultured tissues, but the magnitude of this response was uniquely large in atrial tissue. The current data describe novel entrainment signals for the atrial circadian clock and specifically highlight entrainment by mechanical treatment, an intriguing observation considering the mechanical nature of cardiac tissue.

  19. Cardiac Atrial Circadian Rhythms in PERIOD2::LUCIFERASE and per1:luc Mice: Amplitude and Phase Responses to Glucocorticoid Signaling and Medium Treatment

    Xi, Yang; Li, Lei; Duffield, Giles E.

    2012-01-01

    Circadian rhythms in cardiac function are apparent in e.g., blood pressure, heart rate, and acute adverse cardiac events. A circadian clock in heart tissue has been identified, but entrainment pathways of this clock are still unclear. We cultured tissues of mice carrying bioluminescence reporters of the core clock genes, period 1 or 2 (per1luc or PER2LUC) and compared in vitro responses of atrium to treatment with medium and a synthetic glucocorticoid (dexamethasone [DEX]) to that of the suprachiasmatic nucleus (SCN) and liver. We observed that PER2LUC, but not per1luc is rhythmic in atrial tissue, while both per1luc and PER2LUC exhibit rhythmicity in other cultured tissues. In contrast to the SCN and liver, both per1luc and PER2LUC bioluminescence amplitudes were increased in response to DEX treatment, and the PER2LUC amplitude response was dependent on the time of treatment. Large phase-shift responses to both medium and DEX treatments were observed in the atrium, and phase responses to medium treatment were not attributed to serum content but the treatment procedure itself. The phase-response curves of atrium to both DEX and medium treatments were found to be different to the liver. Moreover, the time of day of the culturing procedure itself influenced the phase of the circadian clock in each of the cultured tissues, but the magnitude of this response was uniquely large in atrial tissue. The current data describe novel entrainment signals for the atrial circadian clock and specifically highlight entrainment by mechanical treatment, an intriguing observation considering the mechanical nature of cardiac tissue. PMID:23110090

  20. Eyelid hygiene as a tool for prevention and treatment of complications due to ocular surface diseases in early post-LASIK period

    V. V. Kurenkov; A. V. Zhemchugova; L. G. Polunina; N. I. Martirosova

    2014-01-01

    Purpose: to analyze the effect of eyelid hygiene and therapy on early post-op period following excimer laser refractive surgery.Methods: 144 patients (288 eyes) aged 18-57 yrs who underwent excimer laser vision correction (LASIK) were followed. All patients were divided into two groups depending on therapy. In treatment group (70 patients/140 eyes), eyelid hygiene was prescribed 7 days before and 7 days again following refractive surgery for 1 or 2 months. In control group (74 patients/148 ey...

  1. Study of platelet-rich plasma injections in the treatment of androgenetic alopecia through an one-year period

    Maria-Angeliki Gkini

    2014-01-01

    Full Text Available Background: Platelet-rich plasma (PRP is defined as an autologous concentration of plasma with a greater count of platelets than that of whole blood. Its action depends on the released growth factors from platelets. It has been investigated and used in numerous fields of medicine. Recently, PRP has received growing attention as a potential therapeutic tool for hair loss. Aims: To evaluate the efficacy and safety of PRP injections in the scalp of patients with androgenetic alopecia. Settings and Design: Prospective cohort study. Materials and Methods: 20 patients, 18 males and 2 females, with androgenetic alopecia were enrolled in the study. PRP was prepared using a single spin method (Regenlab SA. Upon activation, it was injected in the androgen-related areas of scalp. Three treatment sessions were performed with an interval of 21 days and a booster session at 6 months following the onset of therapy. Statistical Analysis: Statistical analysis of the data was performed using the Statistical Package for the Social Sciences (SPSS, version 19.0 (IBM, NY, USA. Results: Hair loss reduced and at 3 months it reached normal levels. Hair density reached a peak at 3 months (170.70 ± 37.81, P < 0.001. At 6 months and at 1 year, it was significantly increased, 156.25 ± 37.75 (P < 0.001 and 153.70 ± 39.92 (P < 0.001 respectively, comparing to baseline. Patients were satisfied with a mean result rating of 7.1 on a scale of 1-10. No remarkable adverse effects were noted. Conclusions: Our data suggest that PRP injections may have a positive therapeutic effect on male and female pattern hair loss without remarkable major side effects. Further studies are needed to confirm its efficacy.

  2. Mortality and loss-to-follow-up during the pre-treatment period in an antiretroviral therapy programme under normal health service conditions in Uganda

    Levin Jonathan

    2009-08-01

    Full Text Available Abstract Background In many HIV programmes in Africa, patients are assessed clinically and prepared for antiretroviral treatment over a period of 4–12 weeks. Mortality rates following initiation of ART are very high largely because patients present late with advanced disease. The rates of mortality and retention during the pre-treatment period are not well understood. We conducted an observational study to determine these rates. Methods HIV-infected subjects presenting at The AIDS Support Clinic in Jinja, SE Uganda, were assessed for antiretroviral therapy (ART. Eligible subjects were given information and counselling in 3 visits done over 4–6 weeks in preparation for treatment. Those who did not complete screening were followed-up at home. Survival analysis was done using poisson regression. Results 4321 HIV-infected subjects were screened of whom 2483 were eligible for ART on clinical or immunological grounds. Of these, 637 (26% did not complete screening and did not start ART. Male sex and low CD4 count were associated independently with not completing screening. At follow-up at a median 351 days, 181 (28% had died, 189 (30% reported that they were on ART with a different provider, 158 (25% were alive but said they were not on ART and 109 (17% were lost to follow-up. Death rates (95% CI per 100 person-years were 34 (22, 55 (n.18 within one month and 37 (29, 48 (n.33 within 3 months. 70/158 (44% subjects seen at follow-up said they had not started ART because they could not afford transport. Conclusion About a quarter of subjects eligible for ART did not complete screening and pre-treatment mortality was very high even though patients in this setting were well informed. For many families, the high cost of transport is a major barrier preventing access to ART.

  3. Brain metastases of solid tumour. Treatment distribution and analysis of survival in the period 1/01/2004 to 31/12/2008

    Objective: To retrospectively analyze the characteristics, treatments and survival analysis in patients with solid tumors with brain metastases (E IV) assisted in Unit Neuro-Oncology over a period of five years. Patients and methods: The records of patients (pts) with diagnosis of brain metastases from solid tumors assisted in Neuro-Oncology Unit, from 1/01/2004 and 31/12/2008. Results: 51 new patients carriers of brain metastases were treated with solid tumors. The median age at diagnosis was 57 years, ranging from 30 to 75. They corresponded to the male 37 and female 14 ratio 2.5 / 1. The majority was presented as metastases 31/51. The location was in the supratentorial region in 27 cases, posterior fossa in 11 and 13 were supra and infratentorial. In only 5 patients cranial MRI was performed in only one case and it changed the therapeutical strategy. In 35 patients he corresponded to the lung primary tumor (CBP), following cancer renal (5/51). Within the CBP, the most common histologic subtypes were to large cells and adenocarcinomas, 11 and 10, respectively. In 32 patients were not found dissemination elsewhere. Surgery + RT was performed in 30 cases, in 11 exclusive RT, exclusive surgery in 4 and 3 patients symptomatic treatment. In 39 cases did not Systemic treatment diagnosis. When a progression was only diagnosed It could make systemic treatment 5 pts. The median survival was 15.4 weeks (1-301 weeks). Conclusions: Lung cancer is the most common source of metastases brain, with a poor survival. The results of other characteristics patients, systemic treatments performed and survival according to the treatments performed will be presented during the congresss

  4. Comparison of different combined treatment processes to address the source water with high concentration of natural organic matter during snowmelt period

    Pengfei Lin; Xiaojian Zhang; Jun Wang; Yani Zeng; Shuming Liu; Chao Chen

    2015-01-01

    The source water in one forest region of the Northeast China had very high natural organic matter (NOM) concentration and heavy color during snowmelt period.The efficiency of five combined treatment processes was compared to address the high concentration of NOM and the mechanisms were also analyzed.Conventional treatment can hardly remove dissolved organic carbon (DOC) in the source water.KMnO4 pre-oxidization could improve the DOC removal to 22.0%.Post activated carbon adsorption improved the DOC removal of conventional treatment to 28.8%.The non-sufficient NOM removal could be attributed to the dominance of large molecular weight organic matters in raw water,which cannot be adsorbed by the micropore upon activated carbon.O3 + activated carbon treatment are another available technology for eliminating the color and UV254 in water.However,its performance of DOC removal was only 36.4%,which could not satisfy the requirement for organic matter.The limited ozone dosage is not sufficient to mineralize the high concentration of NOM.Magnetic ion-exchange resin combined with conventional treatment could remove 96.2% of color,96.0% of UV254 and 87.1% of DOC,enabling effluents to meet the drinking water quality standard.The high removal efficiency could be explained by the negative charge on the surface of NOM which benefits the static adsorption of NOM on the anion exchange resin.The results indicated that magnetic ion-exchange resin combined with conventional treatment is the best available technology to remove high concentration of NOM.

  5. Periodic functions with variable period

    Pryjmak, M. V

    2010-01-01

    The examples of rhythmical signals with variable period are considered. The definition of periodic function with the variable period is given as a model of such signals. The examples of such functions are given and their variable periods are written in the explicit form. The system of trigonometric functions with the variable period is considered and its orthogonality is proved. The generalized system of trigonometric functions with the variable period is also suggested; some conditions of it...

  6. ASME N511-19XX, Standard for periodic in-service testing of nuclear air treatment, heating, ventilating and air conditioning systems

    NONE

    1997-08-01

    A draft version of the Standard is presented in this document. The Standard covers the requirements for periodic in-service testing of nuclear safety-related air treatment, heating, ventilating, and air conditioning systems in nuclear facilities. The Standard provides a basis for the development of test programs and does not include acceptance criteria, except in cases where the results of one test influence the performance of other tests. The Standard covers general inspection and test requirements, reference values, inspection and test requirements, generic tests, acceptance criteria, in-service test requirements, testing following an abnormal incident, corrective action requirements, and quality assurance. Mandatory appendices provide a visual inspection checklist and four test procedures. Non-mandatory appendices provide additional information and guidance on mounting frame pressure leak test procedure, corrective action, challenge gas substitute selection criteria, and test program development. 8 refs., 10 tabs.

  7. Study of toxicity of Samarium-153-EDTMP in the treatment of painful skeletal metastasis. Final report for the period 15 December 1996 - 14 December 1997

    Favourable characteristics of Sm-153 EDTMP make it an effective agent for use in the palliative treatment of metastatic bone pain. It has also been postulated that Sm-153 might have some tumoricidal effect. But until today its mechanism of action in the treatment of skeletal metastasis is not known. This experimental study has been designed to study the cellular and molecular changes occurring in the bone tumour cells (osteosarcoma of femur of wister rats) following irradiation with different doses of Sm-153 EDTMP. Experimental osteosarcorna tumour cells were harvested and treated with Sm-153 EDTMP over different periods of time ranging from 1-24 hours. Electron microscope, fluorescence microscope, MTI assay and 3HTdR release assay studies were conducted to observe for effects of radiation. Sm-153 EDTMP irradiation of bone tumour cells resulted in significant nuclear fragmentation, margination of condensed chromatin, marked pyknosis and increased formation of membrane bounded apoptotic bodies formation. The quantification analysis of fragmented DNA for bone tumour cells induced by Sm-153 EDTMP showed that the DNA fragmentation was enhanced with prolongation of irradiation time. The inhibition rate of proliferation of bone tumour cells as well as DNA fragmentation in bone tumour cells after irradiation with Sm-153 EDTMP increased significantly and progressively with prolongation of irradiation time, reaching levels of 63% and 78% respectively by 24 hours. (author)

  8. Kerathocyst odontogenic tumor: Importance of selection the best treatment modality and a periodical follow-up to prevent from recurrence: A case report and literature review

    Nasim Jafaripozve

    2013-01-01

    Full Text Available The keratocystic odontogenic tumor (KCOT is a relatively common oral and maxillofacial lesion with specific characteristics such us rapid growth, extension into the surrounding tissues and high rates of recurrence. Various treatment modalities have been reported. Due to the very thin and friable lining characteristic of the tumor, enucleation can be difficult undertaken and for this reason it is associated with the highest recurrence rates. A 22-year-old male referred to our clinic due to a slight expansion in the right mandible from 2 years ago. He has a history of occurrence of KCOT in this region that was treated surgically by enucleation and curettage 5 years ago. Cone beam computed tomography showed a multilocular radiolucent lesion that extended from the angle of the mandible to the symphysis. Incisional biopsy showed a KCOT recurrence that surgically treated with resection of the right mandible by continuity preservation. Selection of the best treatment modality and also a periodical lifelong follow-up is very important to reduce the rate of recurrence and morbidity of the patient.

  9. Effect of estradiol, vitamin A, E and selenium treatment with varying sexual rest period on recovery rate in cross-bred cows with chronic endometritis

    Dipyaman Sengupta

    2013-04-01

    Full Text Available Aim:This work was done to study the effect of vitamin A, E and Se with varying sexual rest period in cross-bred cows with chronic endometritis. Materials and Methods: Cross-bred cows (n=396 from different villages of West Bengal with purulent or muco-purulent discharge with a history of infertility and repeat breeding for 3 to 6 months were chosen for the present study. These cows received uterine wash with lugol's iodine, intra-uterine and parenteral antibiotics and de-worming as general treatment. They were then divided into six groups viz. SR12 × EV (n=59, SR12 × Control (n=67, SR21 × EV (n=65, SR21 × Control (n=70, SR24 × EV (n=66, SR24 × Control (n=69 receiving sexual rest of 12 (SR12, 21 (SR21 and 24 (SR24 days with (EV group or without (control estradiol + vitamin A, E and Se. Results: The results indicate that the recovery rate of EV and control group was 76.27 % and 37.31 % respectively (P<0.01 in SR 12, 72.31 % and 47.14 % respectively (P<0.01 in SR 21 and 92.41 % and 63.77 % respectively (P<0.01 in SR 24. SR 24 showed significantly better (P<0.01 recovery rate compared to SR 12 and SR 21. Lowest recovery and conception rate of EV and control group in SR 12 might be due to insufficient time for the recovery of endometrium. Conclusion: The results indicate that parenteral and intra-uterine antibiotics had synergistic effect with estradiol, vitamin A, E and Se treatment in recovery from endometritis, though a minimum time interval is required for complete recovery of the endometrium for best conception rate. [Vet World 2013; 6(2.000: 106-108

  10. Analysis of rehabilitation treatment and nursing of stroke recovery period%中风恢复期的康复治疗及护理分析

    吴凤鸣

    2016-01-01

    目的:分析中风恢复期的康复治疗及护理方法。方法:选取我院在2012年3月~2014年3月收取的中风恢复期患者80例,并对其进行对应的康复治疗和护理。结果:康复治疗后,患者的生活自理能力明显提高,入院时患者生活自理能力评分是(1.3±1.1)分;入院后一个月,评分为(8.8±3.5)分;入院后半年,评分为(13.2±4.1)分。所以治疗的前后差异对比有统计学意义(P<0.05)。结论:对中风恢复期的患者实施对应的康复治疗和护理是必要的,可以加速提升患者的自理能力和生活质量。值得临床推广使用。%Objective To analyze the rehabilitation and nursing of stroke recovery. Methods Choose from March 2012 to March 2014 to collect 80 cases of patients with stroke recovery period, carry on the corresponding rehabilitation treatment and nursing.Results After rehabilitation, self-care ability of patients significantly improved patient admission daily living score was (1.3 ± 1.1) points; one month after admission, a score of (8.8 ± 3.5) points; six months after admission, scoring was (13.2 ± 4.1) points. So the difference before and after treatment was statistically significant comparison (P <0.05).Conclusion The implementation of recovery for stroke patients corresponding rehabilitation treatment and care is necessary, can be accelerated to enhance self-care ability and quality of life of patients. Worthy of clinical use.

  11. Radical hysterectomy in surgical treatment of invasive cervical cancer at the Department of gynecology and obstetrics in Novi Sad in the period 1993-2013.

    Đurđević Srđan

    2015-01-01

    Full Text Available Introduction. During the period from 1993 - 2013, 175 women with invasive cervical cancer underwent radical hysterectomy sec. Wertheim-Meigs at the Department of Gynecology and Obstetrics, Clinical Center of Vojvodina in Novi Sad. Indications for radical hysterectomy comprise histopathologically confirmed invasive cervical cancer in stages I B 1 - II B according to the International Federation of Gynecology and Obstetrics. Material and Methods. Stage of the disease or extent of the disease spread to the adjacent structures was assessed in accordance with the International Federation of Gynecology and Obstetrics staging system from 2009. Exclusion criteria were all other stages of this disease: I A and stages higher than II B, as well as the absence of definite histological confirmation of the cervical cancer (primary endometrial or vaginal cancer which infiltrates the uterine cervix. Prior the operation, the following had to be done: the imaging of pelvis and abdomen, chest X-ray in two directions, electrocardiography, internist and anesthesiological examination. Results. The patients’ age ranged from 24-79 years (x : 46 years, and the operation duration was 120-300 minutes (x : 210 min.. Stage I B 1 was found in 64.6% of operated patients, 14.8% of the patients were in stage I B 2, 9.1% were in stage II A and 11.4 % were in stage II B. Blood loss during the operation ranged from 50-800 ml (on average 300 ml, and the number of removed lymph nodes per operation was 14-75 (x : 32. Intraoperative and postoperative complications developed in 6.8% of and 17.7% of patients, respectively. Recurrence was reported in 22 (12.5% patients, most often in paraaortic lymph nodes (3.4% and parametria (2.8%, while the overall 5-year survival rate was 87% until 2008. Concluision. Wertheim-Meigs radical hysterectomy is a basic surgical technique for the treatment of initial stages of invasive cervical cancer.

  12. Surgical treatment of 137 cases with chronic subdural hematoma at the university clinical center of Kosovo during the period 2008-2012

    Agon Y Mekaj

    2015-01-01

    Full Text Available Background: Chronic subdural hematoma (CSDH is frequent pathology in neurosurgical practice. The aim of this study is to present the first series of patients with CSDH, who got surgically treated in Clinic of Neurosurgery, University Clinical Center of Kosovo. Materials and Methods: This is a retrospective study that included 137 patients with CSDH who had been treated during the period 2008-2012. The data were collected and analyzed from the archives and protocols of the University Clinical Center of Kosovo. Patients were analyzed in many aspects such as age, gender, etiological factors, clinical features, localization, diagnoses, methods of surgical interventions, recurrences and mortality of patients. Results: From 137 patients with CSDH, 106 (77.3% were males and 31 (22.7% females. Average age of patients was 62.85 years. Analyzed according to the decades, the highest number of causes with CSDH was between 70 and 79 years (46%. The head trauma has been responsible for CSDH in 88 patients (64.3%, while the main symptom was headache (92 patients or 67.1%. One burr-hole trepanation with closed drainage system has been used in majority of cases (in 101 patients or 73.7%. The recurrence of CSDH was 6.5%, whereas mortality 2.9%. Conclusion: CSDH is more common in elderly patients. The male-female ratio is 3.4:1. Like other authors we also think that treatment with one burr-hole and drainage is a method of choice, because of its simplicity and safety.

  13. Surgical treatment of 137 cases with chronic subdural hematoma at the university clinical center of Kosovo during the period 2008–2012

    Mekaj, Agon Y.; Morina, Arsim A.; Mekaj, Ymer H.; Manxhuka-Kerliu, Suzana; Miftari, Ermira I.; Duci, Shkelzen B.; Hamza, Astrit R.; Gashi, Musli M.; Xhelaj, Mentor R.; Kelmendi, Fatos M.; Morina, Qamile Sh.

    2015-01-01

    Background: Chronic subdural hematoma (CSDH) is frequent pathology in neurosurgical practice. The aim of this study is to present the first series of patients with CSDH, who got surgically treated in Clinic of Neurosurgery, University Clinical Center of Kosovo. Materials and Methods: This is a retrospective study that included 137 patients with CSDH who had been treated during the period 2008–2012. The data were collected and analyzed from the archives and protocols of the University Clinical Center of Kosovo. Patients were analyzed in many aspects such as age, gender, etiological factors, clinical features, localization, diagnoses, methods of surgical interventions, recurrences and mortality of patients. Results: From 137 patients with CSDH, 106 (77.3%) were males and 31 (22.7%) females. Average age of patients was 62.85 years. Analyzed according to the decades, the highest number of causes with CSDH was between 70 and 79 years (46%). The head trauma has been responsible for CSDH in 88 patients (64.3%), while the main symptom was headache (92 patients or 67.1%). One burr-hole trepanation with closed drainage system has been used in majority of cases (in 101 patients or 73.7%). The recurrence of CSDH was 6.5%, whereas mortality 2.9%. Conclusion: CSDH is more common in elderly patients. The male-female ratio is 3.4:1. Like other authors we also think that treatment with one burr-hole and drainage is a method of choice, because of its simplicity and safety. PMID:25883478

  14. Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy

    Beyer, Rikke; Kongsgaard, Mads; Hougs Kjær, Birgitte;

    2015-01-01

    BACKGROUND: Previous studies have shown that eccentric training has a positive effect on Achilles tendinopathy, but few randomized controlled trials have compared it with other loading-based treatment regimens. PURPOSE: To evaluate the effectiveness of eccentric training (ECC) and heavy slow...... resistance training (HSR) among patients with midportion Achilles tendinopathy. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: A total of 58 patients with chronic (>3 months) midportion Achilles tendinopathy were randomized to ECC or HSR for 12 weeks. Function and symptoms...... tendinopathy and that the latter tends to be associated with greater patient satisfaction after 12 weeks but not after 52 weeks....

  15. Postnatal development and neoplastic disease pattern in NMRI mice after combined treatment with ethylnitrosourea and X-irradiation on different days of the fetal period.

    Wiggenhauser, A; Schmahl, W

    1987-06-01

    Mice were X-irradiated on day 14, 15 or 16 of gestation with 1.0 Gy. This did not result in an increased tumour frequency in the offspring until 12 months. Mice treated with ethylnitrosourea (ENU) (45 mg/kg) on these gestation days developed a significantly increased tumour frequency in the lungs and liver, and in the ovaries after treatment on day 15 of gestation. Additionally this experiment was the first to show that ENU treatment on gestation day 14, 15 or 16 results in haemangiosarcomas of the subcutis at a low incidence (2.0, 2.4, 2.6 per cent). After combined treatment with these two agents in the sequence X+ENU and an interval of 4 h, a significantly increased incidence rate of animals with tumours was observed in the offspring treated on gestation day 14 or 16. Moreover, the treatment on gestation day 16 exhibited the highest tumour frequency per examined animal (5.7) of all treatment groups. This result is due to a relatively uniform increase of all tumor types. Within this pattern, the frequency of liver tumours was most marked. The diagnosed liver tumours were significantly augmented after X+ENU treatment on day 16. In the reverse sequence (ENU+X), the total tumour outcome was not significantly altered compared with the effects of ENU alone. However, detailed analysis also showed a significant augmentation of the liver tumour frequency with treatment on day 15. PMID:3496295

  16. Postnatal development and neoplastic disease pattern in NMRI mice after combined treatment with ethylnitrosourea and X-irradiation on different days of the fetal period

    Wiggenhauser, A.; Schmahl, W.

    1987-06-01

    Mice were X-irradiated on day 14, 15 or 16 of gestation with 1.0 Gy. This did not result in an increased tumour frequency in the offspring until 12 months. Mice treated with ethylnitrosourea (ENU) (45 mg/kg) on these gestation days developed a significantly increased tumour frequency in the lungs and liver, and in the ovaries after treatment on day 15 of gestation. Additionally this experiment was the first to show that ENU treatment on gestation day 14, 15 or 16 results in haemangiosarcomas of the subcutis at a low incidence (2.0, 2.4, 2.6%). After combined treatment with these two agents in the sequence X + ENU and an interval of 4 h, a significantly increased incidence rate of animals with tumours was observed in the offspring treated on gestation day 14 or 16. Moreover, the treatment on gestation day 16 exhibited the highest tumour frequency per examined animal (5.7) of all treatment groups. This result is due to a relatively uniform increase of all tumor types. Within this pattern, the frequency of liver tumours was most marked. The diagnosed liver tumours were significantly augmented after X + ENU treatment on day 16. In the reverse sequence (ENU + X), the total tumour outcome was not significantly altered compared with the effects of ENU alone. However, detailed analysis also showed a significant augmentation of the liver tumour frequency with treatment on day 15.

  17. A comparative study on the adverse effects of two anti-tuberculosis drugs regimen in initial two-month treatment period

    Begum Lutfun Nahar, A.K.M. Mosharrof Hossain, M. Monirul Islam and Dipti Rani Saha

    2006-01-01

    Tuberculosis (TB) is a leading cause of death throughout the world and Bangladesh stands 4th among high burden countries. Treatment of TB hampered with poor patient compliance and intolerance at least partly due to the adverse drug reactions.A prospective longitudinal non-randomized case study was conducted on 64 admitted patients in Chest Disease Hospital and Shahid Shamsuddin Hospital, Sylhet diagnosed as primary (Category I) and resistant or treatment failure (Category II) to compare adve...

  18. Surgical Treatment of 55 Patients with Pressure Ulcers at the Department of Plastic and Reconstructive Surgery Kosovo during the Period 2000–2010: A Retrospective Study

    Shkelzen B. Duci; Hysni M. Arifi; Selmani, Mimoza E.; Mekaj, Agon Y.; Musli M Gashi; Buja, Zejn A; Ismajli, Vildane H.; Kllokoqi, Adem N.; Enver T. Hoxha

    2013-01-01

    Objective. The objective of this study is to determine the incidence of PUs, the distribution of PUs, common injuries contributing to the occurrence of PUs in patients admitted to the Department of Plastic and Reconstructive Surgery Kosovo for surgical interventions of PUs, localization of PUs in body, the topical treatment of pressure ulcers before surgical intervention, the methods of surgical interventions, number of surgical interventions, duration of treatment, complications, and mortali...

  19. Effect of 131I in the treatment of hyperthyroidism at Hospital San Juan de Dios for the period from January 1, 2005 to December 31, 2007

    Radioactive iodine 131 (131I) is used for the treatment of hyperthyroidism at Hospital San Juan de Dios. The most common causes of hyperthyroidism have been Graves disease or diffuse goiter, toxic multinodular goiter and toxic nodular goiter, among others; but, the results are unknown and factors that have influenced the treatment with 131I. The study has included only patients with these causes, and have been administered radioactive iodine 131 as treatment. 180 cases have been treated with radioactive iodine, 75.0% have presented diffuse goiter, 22.2% multinodular goiter and 2.8% nodular goiter, where were been 144 female patients (80%) and 36 male patients (20%). Women have had predominance in the three groups that were analyzed pathologies, according to medical literature, an approximate incidence of 0.4 cases has existed per thousand women to year. A proportional relationship between clinical size of goiter and failure of therapy with 131I has been in diffuse goiter for the handling of hyperthyroidism. Likewise, male sex has been risk factor in the failure of such therapy. Multinodular goiter and nodular goiter have not had difference between the results according to sex and size of goiter. Most hyperthyroid patients with diffuse goiter, nodular and multinodular have received 131I as treatment, and previously this, they have received propylthiouracil; treatment outcome was unaffected. Treatment with 131I in hyperthyroid patients has managed to be effective for reduction in size of the thyroid gland in diffuse goiter, nodular goiter and multinodular

  20. Mortality by treatment in patients ≥80 years of age with gastroesophageal cancer seen in a 20-year period at a single medical center

    Mason, James; Maldonado, Yolanda Munoz; Wong, Lucas

    2015-01-01

    The treatment approach to patients 80 years of age and older with gastroesophageal cancer at Baylor Scott and White in Temple, Texas, has historically favored conservative measures in the form of palliation and observation. To evaluate this trend in practice, the administered treatments and subsequent patient outcomes of this group were retrospectively reviewed. The study group included all patients 80 years of age and older with a diagnosis of gastroesophageal cancer seen at our facility between 1991 and 2010. Of the 117 cases, 49% received none of the available treatment modalities. The median overall survival (OS) of patients who received treatment, however, was significantly longer than the OS of those who did not, regardless of modality. Specifically, surgical intervention offered an almost double median OS compared with no therapy (6.8 vs. 3.9 months, respectively; P = 0.02); chemotherapy, an almost 4-fold OS benefit (14.8 vs. 3.9 months; P = 0.03); and radiation therapy, a >3-fold OS benefit (11.1 vs. 3.5 months; P = 0.04). These results further substantiate chronological age as an inaccurate predictor of treatment benefit, and age alone should not dictate the administration or withholding of available treatment options. PMID:26130872

  1. Change in the direct cost of treatment for children and adolescents with hyperkinetic disorder in Germany over a period of four years

    Rothenberger Aribert

    2009-01-01

    Full Text Available Abstract Background In many developed countries, the treatment of hyperkinetic disorder (or ADHD consumes a considerable amount of resources. The primary aim of this study was to determine change in the direct cost of treatment for children and adolescents with hyperkinetic disorder in Germany over time, and compare the cost with the cost of treatment for two physical disorders: epilepsy and asthma. Methods The German Federal Statistical Office provided data on the direct cost of treating hyperkinetic disorder, epilepsy and asthma in Germany for 2002, 2004, and 2006. The direct costs of treatment incurred by hyperkinetic disorder in these years were compared with those incurred by epilepsy and asthma. Results The total direct cost of treatment for the hyperkinetic disorder was € 177 million in 2002, € 234 million in 2004, and € 341 million in 2006. The largest proportion of the cost was incurred by the age group Conclusion The direct cost of treatment for hyperkinetic disorder in the age group

  2. Thyrotoxic periodic paralysis

    A case of thyrotoxic periodic paralysis is reported in a Hispanic man with an unusual recurrence six weeks after radioactive iodine treatment. Thyrotoxic periodic paralysis has now been well characterized in the literature: it occurs primarily in Orientals with an overwhelming male preponderance and a higher association of specific HLA antigens. Clinical manifestations include onset after high carbohydrate ingestion or heavy exertion, with progressive symmetric weakness leading to flaccid paralysis of the extremities and other muscle groups, lasting several hours. If hypokalemia is present, potassium administration may help abort the attack. Although propranolol can be efficacious in preventing further episodes, the only definitive treatment is establishing a euthyroid state. The pathophysiology is still controversial, but reflects altered potassium and calcium dynamics as well as certain morphologic characteristics within the muscle unit itself

  3. Postnatal development and neoplastic disease pattern in NMRI-mice after combined treatment with ethylnitrosourea and X-irradiation on different days of the fetal period

    Mice were X-irradiated on either day 14, 15, or 16 of gestation with 1,0 Gy. This did not result in an increased tumor frequency in offspring until 12 months. Mice treated parallelly with ENU (45 mg/kg) on the same gestation days developed a significantly increased tumor frequency of the lungs and the liver in all treated groups, and of the ovaries after treatment on day 15 of gestation. This experiment was the first to show that ENU-treatment resulted in hemangiosarcomas of the subcutis at a low incidence. After combined treatment in the sequence X+ENU and an interval of 4 hours, increased tumor frequency was observed only in the offspring treated on gestation day 16. The diagnoses liver tumors and hemangiosarcomas were significantly augmented after X+ENU-treatment on day 15 and 16 and day 14 and 16, respectively. In the reverse sequence (ENU+X) the total tumor outcome was not significantly altered in comparison with the effects of ENU alone. However, detailed analysis also showed a synergistic action on liver tumor frequency on days 15 and 16. (orig./ECB)

  4. Clinical efficacy of recombinant human endostatin combined with FOLFOX4 in the treatment of later period episode patients of colorectal cancer

    Jie Zhang; Juan Wen; Yong-Gang Lu

    2015-01-01

    Objective:To observe the effects of recombinant human endostatin (recombinant human endostatin, Endostar) combined with FOLFOX4 regimen in the treatment of advanced node rectal cancer (colon and as cancer, CRC) of clinical efficacy and adverse reactions.Methods:253 patients with advanced colorectal cancer were randomly divided into observation group and control group, 126 cases in observation group and 127 cases in control group. The control group was treated with FOLFOX4, and the observation group was treated with recombinant human endostatin combined with FOLFOX4 regimen. To compare the short-term efficacy, quality of life and adverse reactions of the two groups.Results:the observation group and the control group total effective rate (ORR) were 60.32% and 43.31%, the difference was statistically significant; group two, disease control rate (DCR) were 81.75% and 70.87%, the difference was statistically significant; the first CRC patients, the observation group and the control group the PR rate was statistically significant; relapse patients, observation group and control group CR, PD, ORR and DCR rate were statistically significant;Conclusion: the use of recombinant human endostatin combined with FOLFOX4 regimen in the treatment of first-episode patients with advanced colorectal cancer, not obvious to improve curative effect; for patients with advanced relapsed, combination therapy is better than pure FOLFOX4 treatment; combination therapy in improving the quality of life and chemotherapy combined treatment had no significant difference; no serious adverse reaction, good safety, and has potential clinical application.

  5. Glycopyrronium bromide for the treatment of chronic obstructive pulmonary disease.

    Riario-Sforza, Gian Galeazzo; Ridolo, Erminia; Riario-Sforza, Edoardo; Incorvaia, Cristoforo

    2015-02-01

    Glycopyrronium bromide is a new long-acting muscarinic antagonist to be used once-daily, which is approved as a bronchodilator for the symptomatic maintenance treatment of adult patients with chronic obstructive pulmonary disease (COPD). In the Glycopyrronium bromide in chronic Obstructive pulmonary disease airWays trials, treatment with inhaled glycopyrronium bromide at 50 μg once daily achieved a significantly better lung function than placebo, as measured by the trough forced expiratory volume in 1 s in patients with moderate-to-severe COPD. The lung function improvement was maintained for up to 52 weeks. Other improved indexes were dyspnea scores, health status, exacerbation rates and time of exercise endurance. Studies comparing the efficacy of glycopyrronium versus tiotropium bromide found substantial equivalence of the two drugs. Glycopyrronium was generally well tolerated. These data add inhaled glycopyrronium bromide to the treatment of patients with moderate to severe COPD as an effective once-daily LAMA. PMID:25547422

  6. Effect of estradiol, vitamin A, E and selenium treatment with varying sexual rest period on recovery rate in cross-bred cows with chronic endometritis

    Dipyaman Sengupta; Pramod R. Nandi

    2013-01-01

    Aim:This work was done to study the effect of vitamin A, E and Se with varying sexual rest period in cross-bred cows with chronic endometritis. Materials and Methods: Cross-bred cows (n=396) from different villages of West Bengal with purulent or muco-purulent discharge with a history of infertility and repeat breeding for 3 to 6 months were chosen for the present study. These cows received uterine wash with lugol's iodine, intra-uterine and parenteral antibiotics and de-worming as general tr...

  7. The science conceptions of chemical textbooks addressed to the high school, in treatment of chemical kinetics during the period from 1929 to 2004

    Maria Eunice Ribeiro Marcondes

    2009-12-01

    Full Text Available This text is a part of the work that was developed based on the chemical kinetic theme and the target was how the scientific knowledge in this subject was used for high school textbooks, identifying the possible ideas about science related to these books. For that, based on the research developed by Níaz (1994 that used categories to represent the philosophical perspectives: the empirical/inductive and the rationalist, verifying which and how the concepts of science was inserted in the 20 Brazilians textbooks, edited in the period from 1929 to 2004.

  8. Impact of progesterone and estradiol treatment before the onset of the breeding period on reproductive performance of Bos indicus beef heifers.

    Sá Filho, M F; Nasser, L F T; Penteado, L; Prestes, R; Marques, M O; Freitas, B G; Monteiro, B M; Ferreira, R M; Gimenes, L U; Baruselli, P S

    2015-09-01

    The present aimed to develop a hormonal therapy based on the insertion of a progesterone (P4) insert (PI) during 10 d plus an estradiol injection (E2) at PI removal before the onset of breeding of beef heifers. In Exp. 1, the plasma P4 profile of prepubertal heifers showed that the insertion of a PI or 24 d previously used P4 insert (UPI) sustained plasma P4 above 1 ng/mL for at least the first 7 d of the treatment. In Exp. 2 there was no positive effect of additional estradiol benzoate (EB) administered at the insertion of UPI on the proportion of heifers with a corpus luteum (CL/Treated) 30 d after UPI removal [UPI + EB = 85.3%(a) (n = 134); EB + UPI + EB = 80.8%(a) (n = 125)]; however, both were greater (P heifer (P/Treated) following artificial insemination (AI) upon estrus detection was achieved when EC was applied [Control = 20.2%(b); UPI = 29.2%(ab); UPI + EB = 26.6%(b); UPI + EC = 36.7%(a)]. In Exp. 4, the treatment prior to the timed AI (TAI) tended to improve pregnancy per TAI [P/AI; Control 43.6% (n = 298) vs. UPI+EC 51.9% (n = 342); P = 0.08], but increased P/Treated [26.5% vs. 43.3%; P heifers. PMID:26169688

  9. Randomized, Double-Blind, Split-Face Study to Compare the Irritation Potential of Two Topical Acne Formulations Over a 21-Day Treatment Period.

    Kircik, Leon H; Bhatt, Varsha; Martin, Gina; Pillai, Radhakrishnan

    2016-02-01

    The use of fixed combinations in acne vulgaris (acne) is very common, however comparative clinical trial data are limited. Cutaneous tolerability can influence patient compliance, and concerns about skin irritation with topical acne treatments have lead to a number of comparative split-face studies. Recently, a new fixed combination product was introduced (clin 1.0%-BP 3.75% gel) that was shown to be effective in reducing both inflammatory and noninflammatory lesions in moderate to severe acne. Here, we assess the tolerability of clin 1.0%-BP 3.75% gel compared with adap 0.1%-BP 2.5% gel in healthy volunteers with no apparent facial redness or dryness over 21-days, using a split-face methodology. Especially over the first two weeks of treatment, clin 1.0%-BP 3.75% gel was more tolerable than adap 0.1%-BP 2.5% gel, with statistically significant differences in cumulative change from baseline starting as early as day 8 (dryness) and day 9 (erythema), and composite index on days 8-12 and 16. Transepidermal water loss was less with clin 1.0%-BP 3.75% gel, although the difference was not statistically significant. J Drugs Dermatol. 2016;15(2):178-182. PMID:26885785

  10. Treatment, therapy results and survival for non-small cell lung cancer in a period of new therapeutic modalities and cytotoxic substances

    During the last years considerable changes have been made in the treatment of non-small cell lung cancer. This retrospective study analyzed besides the common characteristics the treatment, response rates and overall survival of patients with non-small cell lung cancer in a central internistical and oncological outpatient department. 328 patients treated at the haematology-oncology outpatient department were included in this study. Requirements have been patients with histologically or cytologically verified non-small cell lung cancer, diagnosis between 1989 and 2001 and comprehensible courses of disease and treatment. Results: Most of the patients were men (72 %) and only 28 % were women. Median age at diagnosis was 61 years; 8.8 % of the patients were aged under 45 years. Adenocarcinoma (46 %) and squamous cell carcinoma (36 %) were the most frequent histologic types. At time of diagnosis 68 % of the patients have been in an already advanced stage IIIB or IV. Surprisingly the diagnosis resulted for 25 % of the patients by chance, 75 % of the patients were diagnosed due to symptoms. Only 8 % of the patients did not receive a specific therapy (surgery, radiation therapy, chemotherapy) due to their advanced disease. 21 patients were treated in a neoadjuvant setting and for 10 (48 %) surgery with curative intention could be performed. The most frequently given chemotherapy in the first-line palliative therapy were Cis-, Carboplatin/VP 16 (40 %) and Cis-, Carboplatin/Navelbine (27 %). The response rate was poor - six complete responses (2.5 %) and 34 (14.3 %) partial responses. 107 patients received a second-line chemotherapy. The overall median survival of all patients was 13.5 months. The stage at time of diagnosis was the most important prognostic factor. Interestingly enough also a survival benefit for women could be demonstrated (15.5 months vs. 13 months). The common characteristics of the analyzed patients correspond to the typical collective of patients in a

  11. Laser-induced interstitial thermotherapy (LITT) for treatment of uterine leiomyomas: 750 myomas were treated by LITT and the results over a five-year period are analyzed

    Chapman, Roxana

    1997-05-01

    Approximately 750 leiomyomas of 250 symptomatic patients were treated by LITT over a five-year period. Only 12% were lost to follow-up. Most were treated by a combination of the KTP/YAG laser, rarely by one or the other alone, and a few with the diode laser. The fiber optic was inserted 2 cm apart and, depending on the size of the tumor, 480 - 20,000 Joules were required. Most were treated laparoscopically but very large myomas were treated percutaneously under ultrasound control. Symptoms were nearly always relieved and the six failures were found to be due to unrecognized adenomyosis and other associated pathology. Half the patients complaining of infertility became pregnant and, in those whose only pathology had been leiomyomas it approached 90%. Vaginal delivery was not found to be contraindicated. Finally, oestrogen receptors and epidermal growth factor were found to be destroyed. It is concluded that LITT enables leiomyomas of all sizes and locations to be treated by a minimally invasive method with preservation of the uterus.

  12. 小城镇水污染治理设施建设期监管指标体系%Supervision Index System for Water Pollution Treatment Facilities during Construction Period in Small Towns

    方俊华; 陈薇; 邱忠莉

    2012-01-01

    With the increasing concerns of water pollution in small towns,the built rate of water pollution treatment facilities has increased in recent years,but the supervision of the water pollution treatment facilities during the construction period is often absent. Based on the analysis of the current situation and existing problems for the supervision of the water pollution treatment facilities, the paper developed the regulatory index system during the construction process using the empirical method, then determined the index system according to the expert advice, and finally obtained the order of the index weight using the analytic hierarchy process. The results showed that it is indispensable to conduct supervision during the construction period. Meanwhile, the development of the regulatory index system provides a definite supervision object for the water pollution treatment facilities during the construction period. The index weight provides guidance for determination of the key supervision object during the construction period.%随着我国小城镇水污染问题日趋严重,小城镇水污染治理设施的建成率在逐年提高,而对小城镇水污染治理设施建设过程的监管却存在缺失的问题.通过分析水污染治理设施监管现状及存在的问题,首先采用经验法对建设期监管指标体系进行构建,并通过征询专家意见确定指标体系,最后应用层次分析法确定各指标的权重排序.结果表明,对建设期进行监管是必要的,同时,监管指标体系的构建,使得水污染治理设施建设期的监管对象得以明确;指标权重的确定,对于管理者明确建设期的重点监管对象,具有一定的指导作用.

  13. 地榆粉辨证施治Ⅲ期压疮的效果分析%A clinical analysis of treating bedsore duringⅢ period by differential treatment with Diyu Fen

    周琳

    2016-01-01

    Objective: Clinical effects of Diyu Fen on bedsore duringⅢ period were investigated. Methods: 65 cases were randomly divided into two groups; the experimental group received Diyu Fen based on differential treatment; the control group was given conventional treatment. Clinical effcacy, healing time and cost of treatment in groups were compared. Results: In the experimental group, the cured was higher; the healing time was shorter; cost of treatment was lower; there were signiifcantly statistical differences (P<0.05). Conclusion: Treating bedsore duringⅢ period with Diyu Fen showed a good effect, was simple, inexpensive and worthy of promotion.%目的:探讨中药地榆粉辨证施治Ⅲ期压疮的临床疗效。方法:将65例Ⅲ期压疮患者随机分成两组,实验组采用地榆粉辨证施治;对照组采用常规治疗,比较两组在同一时间内的疗效、治愈时间及治疗费用。结果:实验组较对照组的治愈率高,治愈时间短,治疗费用低,两组比较差异有统计学意义(P<0.05)。结论:中药地榆粉辨证施治Ⅲ期压疮疗效好、方法简单、费用低,值得临床推广使用。

  14. Clindamycin Phosphate 1.2%/Tretinoin 0.025% Gel for the Treatment of Acne Vulgaris: Which Patients are Most Likely to Benefit the Most?

    Del Rosso, James Q.

    2015-01-01

    Clindamycin phosphate 1.2%/tretinoin 0.025% gel is a topical combination formulation used once daily for the treatment of acne vulgaris, with approval in the United States for patients >12 years of age. Three 12-week, randomized, vehicle-controlled, pivotal trials included > 1,800 actively treated subjects. In addition, an open-label, 52-week study was also completed with 442 subjects enrolled. The skin tolerability, safety, and efficacy of clindamycin phosphate 1.2%/tretinoin 0.025% gel appl...

  15. C linical observation of allylestrenol drug treatment of recurrent spontaneous abortion during different periods%烯丙雌醇在不同时期用药治疗复发性自然流产的效果观察

    叶飞雪; 田玉华

    2014-01-01

    Objective To analyze the clinical efficacy of allylestrenol treatment of recurrent spontaneous abortion during differ -ent periods .Mte hods Clinal data of 172 patients with recurrent spontaneous abortion were analyzed and the patients were divided into control group ( n =43 ) and the observation group ( n =129 ) according to different dosages .The control group was given ogesterone treatment,and the observation group was divided into three subgroups ( n =43,each)according to different drug treatment periods and received allylestrenol treatment .The drug giving periods of subgroup A , B, and C were after ovulation ,two weeks after conception ,three weeks after conception respectively .Clinical efficacy and term delivery rates of each group were compared .Results The total effective rate of observation subgroup A was higher than that of subgroup C ( P <0.01)and term delivery rates of observation group were higher than that of control group( P <0.01),term delivery rate of observation subgroup A was higher than that of subgroup B ( P <0.05)and C( P <0.01).Conclusion The best periods of allylestrenol treatment of recurrent spontaneous abortion is after ovulation ,which can improve clinical treatment outcomes and the success rate of term delivery .%目的:分析烯丙雌醇在不同时期用药治疗复发性自然流产的临床效果。方法选择172例复发性自然流产患者为研究对象,根据用药不同分为两组。对照组43例给予黄体酮治疗,观察组129例给予烯丙雌醇治疗。观察组又根据用药时间不同分为3组,各43例。观察A组、观察B组及观察 C组用药时间分别为排卵后、受孕后2周及受孕后3周。比较各组治疗效果及足月分娩率。结果观察A组总有效率高于对照组和观察C组( P <0.01);观察组足月分娩率高于对照组( P<0.01),其中观察A组足月分娩率高于观察B组( P <0.05)和观察C组( P <0.01)。结论烯丙雌醇治

  16. Benefit of intravenous antibiotic therapy in patients referred for treatment of neurologic Lyme disease

    Stricker RB

    2011-09-01

    Full Text Available Raphael B Stricker1,3, Allison K DeLong2, Christine L Green1,3, Virginia R Savely1,3, Stanley N Chamallas1,4, Lorraine Johnson1,31International Lyme and Associated Diseases Society, Bethesda, MD, USA; 2Center for Statistical Sciences, Brown University, Providence, RI, USA; 3California Lyme Disease Association, Marysville, CA, USA; 4QMedRx Inc, Maitland, FL, USABackground: We have shown previously that extended intravenous antibiotic therapy is associated with low morbidity and no mortality in patients referred for treatment of neurologic Lyme disease. In this study, we evaluated the benefit of extended intravenous antibiotic therapy in patients with symptoms of neurologic Lyme disease.Methods: Patients with significant neurologic symptoms and positive testing for Borrelia burgdorferi were treated with intravenous antibiotics, and biweekly evaluation of symptom severity was performed using a six-level ordinal scale. Four symptoms were selected a priori as primary outcome measures in the study, ie, fatigue, cognition, myalgias, and arthralgias. Patients were placed into five groups according to time on treatment (1–4, 5–8, 9–12, 13–24, and 25–52 weeks, and changes in the primary symptoms as a function of time on treatment were analyzed using a mixed-effects proportional odds model.Results: Among 158 patients with more than one follow-up visit who were monitored for up to 1 year, there were on average 6.7 visits per person (median 5, range 2–24. The last follow-up day was on average 96 days after enrollment (median 69, range 7–354 days, corresponding to the length of antibiotic therapy. Each primary symptom was significantly improved at one or more time points during the study. For cognition, fatigue, and myalgias, the greatest improvement occurred in patients on the longest courses of treatment (25–52 weeks with odds ratios (OR for improvement of 1.97 (P = 0.02, 2.22 (P < 0.01, and 2.08 (P = 0.01, respectively. In contrast

  17. Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: A randomised clinical trial

    Darnell Ross

    2008-02-01

    Full Text Available Abstract Background Patellofemoral pain syndrome is a highly prevalent musculoskeletal overuse condition that has a significant impact on participation in daily and physical activities. A recent systematic review highlighted the lack of high quality evidence from randomised controlled trials for the conservative management of patellofemoral pain syndrome. Although foot orthoses are a commonly used intervention for patellofemoral pain syndrome, only two pilot studies with short term follow up have been conducted into their clinical efficacy. Methods/design A randomised single-blinded clinical trial will be conducted to investigate the clinical efficacy and cost effectiveness of foot orthoses in the management of patellofemoral pain syndrome. One hundred and seventy-six participants aged 18–40 with anterior or retropatellar knee pain of non-traumatic origin and at least six weeks duration will be recruited from the greater Brisbane area in Queensland, Australia through print, radio and television advertising. Suitable participants will be randomly allocated to receive either foot orthoses, flat insoles, physiotherapy or a combined intervention of foot orthoses and physiotherapy, and will attend six visits with a physiotherapist over a 6 week period. Outcome will be measured at 6, 12 and 52 weeks using primary outcome measures of usual and worst pain visual analogue scale, patient perceived treatment effect, perceived global effect, the Functional Index Questionnaire, and the Anterior Knee Pain Scale. Secondary outcome measures will include the Lower Extremity Functional Scale, McGill Pain Questionnaire, 36-Item Short-Form Health Survey, Hospital Anxiety and Depression Scale, Patient-Specific Functional Scale, Physical Activity Level in the Previous Week, pressure pain threshold and physical measures of step and squat tests. Cost-effectiveness analysis will be based on treatment effectiveness against resource usage recorded in treatment logs and

  18. 3种处理方式对冬枣货架期品质的影响%Effects of Different Treatments on Storage Quality of Dongzao Jujube Fruits during Shelf-life Period

    武杰; 张引成; 李梅玲; 钱金

    2012-01-01

    In order to prolong the shelf life of Dongzao jujube fruits,the effects of three treatments were studied.Through the determination of respiration intensity,firmness,total soluble solids,vitamin C,ethylene release amount and ethanol production,effects of hot-water treatment,1-MCP and nano-package on the storage quality of Dongzao jujube fruits were studied during the shelf-life period.The results showed that all treatments could keep the storage quality of Dongzao jujube in some degree during the shelf-life period.The nano-package revealed the best effect on maintaining firmness,vitamin C content and fruit color,increasing total soluble solid amount,and inhibiting respiration rate,ethylene release amount and ethanol production.Therefore,nano-package could extend the shelf life of Dongzao jujube fruits up to 15 days.%以冬枣为试材,研究3种处理方式对其货架期品质的影响。通过测定冬枣的呼吸强度、硬度、总可溶性固形物、VC、乙烯释放量、乙醇积累等指标,研究热水浸泡、1-MCP熏蒸、纳米袋包装3种处理对冬枣果实的保鲜效果。结果表明:3种处理方法均不同程度保持了枣果货架期品质,其中纳米袋包装保鲜效果最佳,有效维持了冬枣果肉硬度和VC含量,延缓其色泽由绿到红的转变和总可溶性固形物上升,抑制了冬枣的呼吸强度及乙烯和乙醇的产生,货架期15d后,仍具有商品价值。

  19. 高压氧治疗各期糖尿病足间歇性跛行的疗效观察%Hyperbaric Oxygen Treatment of Diabetic Foot Every Period Curative Effect Observation of Intermittent Claudication

    于桂贤

    2015-01-01

    Objective To observe patients with hyperbaric oxygen treatment of diabetic foot every period of intermittent claudication.Methods Select 26 patients with diabetic foot, no burst but plantar skin dark purple 0 grade diabetic foot 7 cases, the foot has burst 19 cases, observation on foot pain. ResultsAfter hyperbaric oxygen therapy group, on foot pain signiifcantly prolong time data to compare the two groups have statistical signiifcance (P< 0.05). Ankle brachial index (ABI) and local skin temperature is improved. Blood glucose significantly lower after treatment. Ulcer healing in 11 cases, remaining signiifcant reduction, 8 cases of ulcer surface can avoid amputation. Resting at night sex signiifcantly reduce pain, show the sleep quality improved.Conclusion Hyperbaric oxygen treatment of diabetic foot every period all can obtain satisfactory curative effect.%目的:观测高压氧治疗各期糖尿病足患者间歇性跛行的疗效。方法选取糖尿病足患者26例,无破溃但足趾皮肤暗紫色的0级糖尿病足7例,足部破溃19例,观察步行引起疼痛的时间。结果经过高压氧治疗组,步行引起疼痛的时间明显延长,两组数据比较有统计学意义,P<0.05。踝肱指数(ABI)及局部皮温有所改善。治疗后血糖下降明显。溃疡面愈合11例,剩余8例溃疡面明显缩小,可以避免截肢。夜间静息性疼痛明显减轻,表现为睡眠质量改善。结论高压氧治疗各期糖尿病足均可获得满意疗效。

  20. Dysmenorrhea: Painful Periods

    ... Management Education & Events Advocacy For Patients About ACOG Dysmenorrhea: Painful Periods Home For Patients Search FAQs Dysmenorrhea: ... Dysmenorrhea: Painful Periods FAQ046, January 2015 PDF Format Dysmenorrhea: Painful Periods Gynecologic Problems What is dysmenorrhea? How ...

  1. Familial Periodic Paralyses

    ... two most common types of periodic paralyses are: Hypokalemic periodic paralysis is characterized by a fall in potassium levels ... chronic muscle weakness later in life. Hyperkalemic periodic paralysis is ... than the hypokalemic form. Muscle spasms are common. Is there any ...

  2. Algebraically periodic translation surfaces

    Calta, Kariane; Smillie, John

    2007-01-01

    Algebraically periodic directions on translation surfaces were introduced by Calta in her study of genus two translation surfaces. We say that a translation surface with three or more algebraically periodic directions is an algebraically periodic surface. We show that for an algebraically periodic surface the slopes of the algebraically periodic directions are given by a number field which we call the periodic direction field. We show that translation surfaces with pseudo-Anosov automorphisms...

  3. Treatment of diabetic polyneuropathy with the neurotrophic peptide ORG 2766.

    Valk, G D; Kappelle, A C; Tjon-A-Tsien, A M; Bravenboer, B; Bakker, K; Michels, R P; Groenhout, C M; Bertelsmann, F W

    1996-03-01

    The efficacy of the neurotrophic peptide ORG 2766 in diabetic patients with polyneuropathy was evaluated in a double-blind, placebo-controlled, multicentre trial. One hundred and twenty four patients were randomised in five groups to receive 0.1, 0.4, 2 or 5 mg ORG 2766 or placebo, once daily, administered subcutaneously 52 weeks. Thermal discrimination thresholds (TDT) and vibration perception thresholds (VPT), motor and sensory nerve conduction velocity, Hoffmann reflex, heart rate variation during deep breathing and heart rate response after standing up, neurological examination score and neuropathic symptom score were determined at baseline and after 17, 34 and 52 weeks of treatment. Of the nerve function indices studied, at week 52 the TDTwarmth of the hand in the ORG 2766 0.1, 0.4 and 5 mg groups and the TDTcold of the foot in the ORG 2766 0.1 and 0.4 mg groups significantly improved compared with placebo. Further significant improvement as compared with placebo was observed in the paraesthesia score at week 34 and week 52 in the ORG 2766 2 mg group. Only at week 34 had both the heartbeat variation during deep breathing and the VPT of the foot in the ORG 2766 0.1 mg group improved significantly, compared with placebo. No further statistically significant differences were observed at time for the other measures. No adverse reactions were observed. The only recorded drug-induced side effect was pain at the injection site. Taking all measures of efficacy into account, the statistically significant results observed did not show consistency within each measure. Therefore, it is concluded that ORG 2766, in contrast to earlier reports, is not effective in treating diabetic polyneuropathy. PMID:8936356

  4. Comparison of Buprenorphine Treatment for Opioid Dependence in Three Settings

    Hillhouse, Maureen; Donovick, Roger; Cunningham-Rathner, Jerry; Charuvastra, Charlie; Torrington, Matthew; Esagoff, Asher E.; Ling, Walter

    2011-01-01

    Although use of buprenorphine in the treatment of opioid dependence is expected to continue to increase, little is known about the optimal setting for providing the medical and psychosocial care required with buprenorphine pharmacotherapy. OBJECTIVE This study compared buprenorphine therapy delivered in three distinct treatment settings: an opioid-treatment program (OTP) offering individual counseling; a group counseling program utilizing the manualized Matrix Model (MMM) of cognitive-behavioral treatment; and a private clinic setting mirroring standard medical management for buprenorphine treatment provided specifically at a psychiatrist’s private practice (PCS). METHOD Participants were inducted on buprenorphine and provided with treatment over a 52-week study duration. All participants were scheduled for weekly treatment visits for the first 6 study weeks, and two sites reduced treatment to monthly visits for dispensing of medication and psychosocial counseling. Outcomes include opioid use, participant retention in treatment, and treatment participation. RESULTS Participants presenting for treatment at the sites differed only by race/ethnicity, and opioid use did not differ by site. Retention differed by treatment site, with the number of participants who stayed in the study until the end of 20 weeks significantly associated with treatment site. The mean number of minutes spent in each individual counseling session also differed by site. Although no difference in opioid use by treatment site was found, results document a significant association between opioid use and buprenorphine dose. DISCUSSION These results show some differences by treatment site, although the similarity and relative ease in which the sites were able to recruit participants for treatment with buprenorphine, and minor implementation problems reported suggests the feasibility of treatment with buprenorphine across various treatment settings. CONCLUSION Similar rates of continued opioid use

  5. Naltrexone/bupropion for the treatment of obesity and obesity with Type 2 diabetes.

    Apovian, Caroline M

    2016-03-01

    Contrave(®) is a combination of naltrexone hydrochloride extended release and bupropion hydrochloride extended release for the treatment of obesity, and is used with lifestyle modification. Its safety and efficacy were assessed in four randomized, double-blind, placebo-controlled, 56-week Phase III clinical trials in 4536 adult subjects: COR-1, COR-II, COR-BMOD and COR-DM. All four studies demonstrated statistically significant and clinically meaningful weight loss following up to 52 weeks of treatment with naltrexone/bupropion compared with placebo. The average weight loss from baseline across the four studies was approximately 11-22 lbs (5-9 kg). Results show the efficacy of Contrave for weight loss, as well as significant improvements in cardiometabolic markers. This review focuses on the four studies, their outcomes and the mechanism of action of Contrave. PMID:26679384

  6. 不同时间骨质疏松性椎体压缩骨折的经皮椎体成形治疗☆%Percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures with different fracture periods

    张其亮; 王峻; 林勇

    2013-01-01

      背景:近年来应用经皮椎体成形治疗老年骨质疏松性椎体压缩骨折的技术正在逐步开展,但其治疗不同骨折时间患者的疗效还存在争议。目的:对比经皮椎体成形治疗不同骨折时间骨质疏松性椎体压缩骨折的临床疗效。方法:回顾性分析随访资料完整的行经皮椎体成形治疗的骨质疏松性椎体压缩骨折病例91例(127节椎体)。按照受伤或疼痛发生到手术时间将病例分为3组:伤后3周内组、伤后3周-6个月组、伤后6个月以上组,比较3组经皮椎体成形治疗后疼痛缓解、日常生活能力恢复及椎体高度恢复情况。结果与结论:①3组治疗后疼痛明显缓解,且随着时间的延长疼痛逐渐减轻(P 伤后3周-6个月组>伤后6个月以上组(P 伤后3周-6个月组>伤后6个月以上组(P <0.01)。治疗前及治疗后3d各组椎体后缘高度差异无显著性意义。表明经皮椎体成形治疗对于伤后6个月以上陈旧性骨折的疗效较差。%BACKGROUND: In recent years, the technique of percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures is gradual y developed, but there is a controversy of the clinical effectiveness of percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures with different fracture periods. OBJECTIVE: To compare the effectiveness of percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures with different fracture periods METHODS: A retrospective study was conducted to review 91 cases receiving percutaneous vertebroplasty on 127 vertebral compression fractures. The patients were divided into three groups according to the time from fracture or pain occurrence to surgery: < 3 weeks group, 3 weeks-6 months group, ≥ 6 months group. The visual analogue scale, the Activity of Daily Living Scale and the height of vertebras were recorded and analyzed in the three

  7. Safety and Efficacy of Nucleic Acid Polymers in Monotherapy and Combined with Immunotherapy in Treatment-Naive Bangladeshi Patients with HBeAg+ Chronic Hepatitis B Infection

    Al-Mahtab, Mamun; Bazinet, Michel; Vaillant, Andrew

    2016-01-01

    Previous in vivo studies have suggested that nucleic acid polymers (NAPs) may reduce circulating levels of HBsAg in the blood by blocking its release from infected hepatocytes and that this effect may have clinical benefit. NAP treatment, was evaluated in two clinical studies in patients with HBeAg positive chronic HBV infection. The REP 101 study examined REP 2055 monotherapy in 8 patients and the REP 102 study examined REP 2139-Ca, in monotherapy in 12 patients, 9 of which transitioned to short term combined treatment with pegylated interferon alpha 2a or thymosin alpha 1. In both studies NAP monotherapy was accompanied by 2–7 log reductions of serum HBsAg, 3–9 log reductions in serum HBV DNA and the appearance of serum anti-HBsAg antibodies (10–1712 mIU / ml). Eight of the 9 patients transitioning to combined treatment with immunotherapy (pegylated interferon or thymosin alpha 1) in the REP 102 study experienced HBsAg loss and all 9 patients experienced substantial increases in serum anti-HBsAg antibody titers before withdrawal of therapy. For 52 weeks after removal of REP 2055 therapy, rebound of serum viremia (HBV DNA > 1000 copies / ml, HBsAg > 1IU / ml) was not observed in 3 / 8 patients. Suppression of serum virema was further maintained for 290 and 231 weeks in 2 of these patients. After withdrawal of all therapy in the 9 patients that transitioned to combination therapy in the REP 102 study, 8 patients achieved HBV DNA Viral rebound occurred over a period of 12 to 123 weeks in 7 patients but was still absent in two patients at 135 and 137 weeks of follow-up. Administration tolerability issues observed with REP 2055 were rare with REP 2139-Ca but REP 2139-Ca therapy was accompanied by hair loss, dysphagia and dysgeusia which were considered related to heavy metal exposure endemic at the trial site. These preliminary studies suggest that NAP can elicit important antiviral responses during treatment which may improve the effect of immunotherapy. NAPs

  8. Preliminary report on use of CO2 laser treatment of traumatic pulpal exposure in dogs: a clinical study

    Wilder-Smith, Petra B. B.; Peavy, George M.; Nielsen, David; Arrastia-Jitosho, Anna-Marie A.; Berns, Michael W.

    1997-05-01

    The objective of this study was to evaluate carbon-dioxide laser surgical treatment of pulpal exposures in canine patients. Seventeen permanent teeth with exposures of less than or equal to 48 h were randomly allocated to receive either (1) localized laser pulp surgery to remove all compromised soft tissues or (2) localized pulp surgery using a large round sterile bur under sterile saline irrigation. Single laser pulses were used at 0.01 s pulse duration, 1.0 s pulse interval, a spot size of 0.004 cm2 and an energy density of 276 J/cm2. Exposures were dressed with CaOH and glass ionomer. Clinical and radiographic evaluations were performed by one blinded clinician 4, 12, 24 and 52 weeks after treatment using standard scales of 0-(-1). Fifteen/seventeen laser-treated teeth assessed over greater than or equal to 1 year post-treatment remained clinically and radiographically healthy.

  9. Rest versus exercise as treatment for patients with low back pain and Modic changes. A randomised controlled clinical trial

    Jensen, Rikke Krüger; Leboeuf-Yde, Charlotte; Wedderkopp, Niels;

    2012-01-01

    pathology, Modic changes might be a diagnostic subgroup that does not benefit from exercise. The objective of this study was to compare the current state-of-the art treatment approach (exercise and staying active) with a new approach (load reduction and daily rest) for people with Modic changes using a......ABSTRACT: BACKGROUND: Clinical experience suggests that many patients with Modic changes have relatively severe and persistent low back pain (LBP), which typically appears to be resistant to treatment. Exercise therapy is the recommended treatment for chronic LBP, however due to their underlying...... or exercise therapy once a week for 10 weeks. Follow-up was at 10 weeks after recruitment and 52 weeks after intervention and the clinical outcome measures were pain, disability, general health and global assessment, supplemented by weekly information on low back problems and sick leave measured by...

  10. Periodic trajectories in TDHF

    A condition for the existence of a periodic TDHF trajectory of period T is derived. It takes a from very similar to the static H.F. equation and shows that associated to a periodic trajectory there is a static single particle hamiltonian which is a complicated functional of the time dependent density matrix. An explicit expansion for this functional is derived. It is shown that many properties of the static H.F. rest point are shared by periodic solutions. (Author)

  11. Painful menstrual periods

    ... you sexually active? Do you use birth control? What type? When was your last menstrual period? Was the flow of your last menstrual period a normal amount for you? Do your periods tend ... with menstruation? What have you done to try to relieve the ...

  12. The Periodic Pyramid

    Hennigan, Jennifer N.; Grubbs, W. Tandy

    2013-01-01

    The chemical elements present in the modern periodic table are arranged in terms of atomic numbers and chemical periodicity. Periodicity arises from quantum mechanical limitations on how many electrons can occupy various shells and subshells of an atom. The shell model of the atom predicts that a maximum of 2, 8, 18, and 32 electrons can occupy…

  13. Potassium-Related Periodic Paralysis

    A Lesani; MH Moradi Nejad

    1995-01-01

    Potassium-related periodic paralysis may be associated with hypo, normo, or hyperkalemic disturbance of the Potassium level. Clinical features, laboratory findings and ECG as well as EMG changes are different in the 3 types of the disease. The treatment demands correction of the Potassium level of the blood serum. The disease is normally transferred as an autosomal dominant trait. In this article we present a 9-year old girl who suffered from hypokalemic paralysis since she was 4 years old.

  14. 40 CFR 264.96 - Compliance period.

    2010-07-01

    ....96 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL FACILITIES Releases From Solid Waste Management Units § 264.96 Compliance period. (a) The Regional Administrator...

  15. The epidemic of smallpox in Guangdong Province and its prevention and treatment in the Republican period%民国时期广东的天花流行与防治

    陈丽楠; 刘玲娣

    2014-01-01

    民国时期,广东几乎每年都有天花疫情发生.为了应对传染病,广东省建立了卫生行政及传染病防治机构,并自制牛痘疫苗;相关机构按周、月、年对疫情进行统计,并定期上报,以了解疫情进展.同时,还成立了传染病医院收容天花患者.港口检疫则将天花列为重点检查对象.为了推广牛痘接种,政府与社会合作,组织大规模的“种痘运动”,以儿童、学生和年轻人作为主要接种对象,并借助媒体积极宣传天花防治知识.%During the Republican period,the smallpox broke out in high frequency almost annually in Guangdong.In response to infectious diseases,the Guangdong government established the Health Administration and institutions for infectious disease's prevention and treatment,and prepared smallpox vaccine by themselves.In order to grasp the situation of the epidenmic,related institutions collected epidemic data weekly,monthly,and annually with the statistics reported regularly.Meanwhile,infectious diseasc hospital was established for smallpox patients.Harbor quarantine put smallpox as a key target of inspection.With the joint effort of the government and social organizations,massive "vaccination campaigns" was organized to promote vaccination,in which children,students and young people were the main subjects for inoculations.Prevention knowledge and anti-epidemic concept towards smallpox have been actively publicized and improved by media.

  16. Periodicity of chaotic solutions

    Berezowski, Marek

    2016-01-01

    The scope of the paper is the analysis of the impact of flow reversal on the dynamics of cascades of reactors. Periodic and chaotic oscillations occur in the analyzed system. There is a dependence between the oscillation period of the state variable of the system without flow reversal and the recurrence period of windows of chaos in the steady-state diagram of the system with flow reversal.

  17. Crystallography without periodicity

    A condition of physics stability, applied to materials with sharp Bragg peaks, leads to rules for a unified approach to their classification that make no use of periodicity, applying equally well to either periodic or quasiperiodic materials. Three-dimensional geometric intuition is the primary analytical tool for extracting the classification from the rules. Recognizing that periodicity is not required to formulate crystallography removes the need for an algebraic formalization of that intuition in a higher dimensional superspace, where the material can be embedded in a periodic supercrystal. Selected examples illustrate the simplicity of the resulting description of ordinary crystals, quasicrystals, modulated crystals, intergrowth crystals, or modulated quasicrystals. (Author) 9 refs

  18. 温度变化和1-MCP处理对青椒贮藏品质的影响%Effects of Temperature Variation and 1-MCP Treatment on Quality of Green Pepper during Storage Period

    侯田莹; 王福东; 寇文丽; 王博华; 郑淑芳

    2012-01-01

    以丰田新秀青椒为试材,模拟贮运过程中温度的变化,研究其对青椒品质的影响以及1-MCP处理在此过程中的保鲜效果.结果表明,贮运环境温度的变化容易导致青椒果实呼吸作用增强,失重率增加,可溶性固形物、可滴定酸、VC等营养成分消耗过快,硬度下降,造成衰败和腐烂;1-MCP处理可以显著抑制青椒由于温度变化而产生的代谢增强,从而较好地保持其可溶性固形物、可滴定酸、VC等营养成分,减少质量损失和腐败的发生,延缓果实的成熟和转红.10℃恒温结合1-MCP处理贮藏35d的青椒商品率可达90%以上;模拟青椒贮运条件,采用1μL/L浓度的1-MCP熏蒸24h,在10℃贮藏6d后,取出,盖上保温被在室温25℃条件下放置24h,再重新放入10℃冷库中贮藏28d时,青椒果实的商品率可达70%以上.%The green peppers of cultivar ' Fengtianxinxiu' were used as material to investigate the effect of temperature variation and dealing with 1 -MCP on quality of green pepper during storage period. The results showed that, temperature variation promoted the increase of respiration rate, weight loss rate, the consumption of some nutrition, such as soluble solids, titratable acidity, VC and so on, and the reduce of hardness, and might cause decay. However, 1-MCP treatment could significantly inhibit the increase of metabolism resulted from temperature, variation, and the nutrition was well maintained, reduced weight loss and delay, thereby, the maturity process from green peppers to red ones were delayed. The commodity rate of green pepper treated with 1-MCP at 10 ℃ storage temperature for 35 d was above 90%. The green peppers dealing with 1 |xL/L concentration of 1-MCP for 24 h, were taken out from the cold store after 6 days storage at 10 ℃ and then coated with polyurethane insulation for 24 h at room temperature (25 ℃), afterwards given back into the 10 ℃ cold store once again for 28 days storage , after

  19. Historically defined autobiographical periods

    Brown, Norman R.; Hansen, Tia G. B.; Lee, Peter J.;

    2012-01-01

    The chapter reviews a research programme that has demonstrated the existence of historically defined autobiographical periods and identified the conditions that bring them about. Data from four samples of World War II-generation adults show that historically defined autobiographical periods endure...

  20. The Living Periodic Table

    Nahlik, Mary Schrodt

    2005-01-01

    To help make the abstract world of chemistry more concrete eighth-grade students, the author has them create a living periodic table that can be displayed in the classroom or hallway. This display includes information about the elements arranged in the traditional periodic table format, but also includes visual real-world representations of the…

  1. Second Period Access Report

    Maisondieu, Christophe; Giebhardt, Jochen; Tetu, Amelie; Johnstone, Cameron; Healy, Mark

    The work described in this publication has received support from the European Community - Research Infrastructure Action under the FP7 “Capacities” Specific Programme through grant agreement number 262552, MaRINET. Project Periodic Report. 2nd Period: October 2012 – March 2014 inclusive....

  2. On some periodicity effects

    Sorokin, Sergey V.

    2015-01-01

    . In each case, special attention is paid to eigenfrequencies and eigenmodes of a single periodicity cell with appropriate boundary conditions. The influence of the amount of periodicity cells in a finite compound structure on its eigenfrequency spectrum is analyzed. Several features common for the......The talk is concerned with the modelling of wave propagation in and vibration of periodic elastic structures. Although analysis of wave-guide properties of infinite periodic structures is a well establish research subject, some issues have not yet been fully addressed in the literature. The aim of...... the talk is to illustrate these issues in simple examples and to discuss possible applications and generalisations. First, the eigenfrequency spectra of finite periodic structures are compared with the location of stop-bands for their infinite counterparts for a hierarchy of four mathematical models...

  3. Painful periods (dysmenorrhea) (image)

    Primary dysmenorrhea is a normal cramping of the lower abdomen caused by hormone-induced uterine contractions before the period. Secondary dysmenorrhea may be caused by abnormal conditions such as ...

  4. Setting the Periodic Table.

    Saturnelli, Annette

    1985-01-01

    Examines problems resulting from different forms of the periodic table, indicating that New York State schools use a form reflecting the International Union of Pure and Applied Chemistry's 1984 recommendations. Other formats used and reasons for standardization are discussed. (DH)

  5. The Periodic Table CD.

    Banks, Alton J.; Holmes, Jon L.

    1995-01-01

    Describes the characteristics of the digitized version of The Periodic Table Videodisc. Provides details about the organization of information and access to the data via Macintosh and Windows computers. (DDR)

  6. Establishing contract periods

    The lead time for executing the Adjustable Fixed-Commitment (AFC) contract and exceptions which may be considered are discussed. The initial delivery period is also discussed. Delays, deferrals, and schedule adjustment charges are finally considered

  7. Periodic solutions of periodically harvested lotka-volterra systems

    Hausrath, Alan R.; Manasevich, Raul F.

    2012-01-01

    We study a Lotka-Volterra system with periodic harvesting, find sufficient conditions for the existence of periodic solutions with the same period, and, under certain conditions, count the number of such periodic solutions.

  8. Combination treatment with methotrexate, cyclosporine, and intraarticular betamethasone compared with methotrexate and intraarticular betamethasone in early active rheumatoid arthritis

    Hetland, Merete Lund; Stengaard-Pedersen, Kristian; Junker, Peter;

    2006-01-01

    OBJECTIVE: To investigate whether disease control can be achieved in early active rheumatoid arthritis (RA) by treatment with methotrexate and intraarticular betamethasone, and whether the addition of cyclosporine to the regimen has any additional effect. METHODS: Patients (n = 160) were randomized...... to receive methotrexate 7.5 mg/week plus cyclosporine 2.5 mg/kg of body weight/day (combination therapy) or methotrexate plus placebo-cyclosporine (monotherapy). At weeks 0, 2, 4, 6, and 8 and every 4 weeks thereafter, betamethasone was injected into swollen joints (maximum 4 joints or 4 ml per visit......). Beginning at week 8, if synovitis was present, the methotrexate dosage was increased stepwise up to 20 mg/week, with a subsequent stepwise increase in the cyclosporine or placebo-cyclosporine dosage up to 4 mg/kg. RESULTS: At 52 weeks, 20% improvement according to the American College of Rheumatology...

  9. Combination treatment with metrotrexate, cyclosporine, and intraarticular betamethasone compared with methotrexate and intraarticular betamethasone in early active rheumatoid arthritis

    Hetland, Merete; Stengaard-Pedersen, Kristian; Junker, Peter;

    2006-01-01

    OBJECTIVE: To investigate whether disease control can be achieved in early active rheumatoid arthritis (RA) by treatment with methotrexate and intraarticular betamethasone, and whether the addition of cyclosporine to the regimen has any additional effect. METHODS: Patients (n = 160) were randomized...... to receive methotrexate 7.5 mg/week plus cyclosporine 2.5 mg/kg of body weight/day (combination therapy) or methotrexate plus placebo-cyclosporine (monotherapy). At weeks 0, 2, 4, 6, and 8 and every 4 weeks thereafter, betamethasone was injected into swollen joints (maximum 4 joints or 4 ml per visit......). Beginning at week 8, if synovitis was present, the methotrexate dosage was increased stepwise up to 20 mg/week, with a subsequent stepwise increase in the cyclosporine or placebo-cyclosporine dosage up to 4 mg/kg. RESULTS: At 52 weeks, 20% improvement according to the American College of Rheumatology...

  10. Periodic safety analyses

    The IAEA Safety Guide 50-SG-S8 devoted to 'Safety Aspects of Foundations of Nuclear Power Plants' indicates that operator of a NPP should establish a program for inspection of safe operation during construction, start-up and service life of the plant for obtaining data needed for estimating the life time of structures and components. At the same time the program should ensure that the safety margins are appropriate. Periodic safety analysis are an important part of the safety inspection program. Periodic safety reports is a method for testing the whole system or a part of the safety system following the precise criteria. Periodic safety analyses are not meant for qualification of the plant components. Separate analyses are devoted to: start-up, qualification of components and materials, and aging. All these analyses are described in this presentation. The last chapter describes the experience obtained for PWR-900 and PWR-1300 units from 1986-1989

  11. Periodic table of elements

    Following a recommendation by the International Union for Pure and Applied Chemistry (IUPAC), the groups of the periodic table shall be numbered from 1 to 18, instead of I to VIII as before. The recommendations has been approved of by the Committee on Nomenclature of the American Chemical Society. The new system abandons the distinction between main groups (a) and auxiliary groups (b), which in the past frequently has been the reason for misunderstandings between European and American chemists, due to different handling. The publishing house VCH Verlagsgesellschaft recently produced a new periodic table that shows the old and the new numbering system together at a glance, so that chemists will have time to get familiar with the new system. In addition the new periodic table represents an extensive data compilation arranged by elements. The front page lists the chemical properties of elements, the back page their physical properties. (orig./EF)

  12. Periodically kicked turbulence

    Lohse

    2000-10-01

    Periodically kicked turbulence is theoretically analyzed within a mean-field theory. For large enough kicking strength A and kicking frequency f the Reynolds number grows exponentially and then runs into some saturation. The saturation level Re(sat) can be calculated analytically; different regimes can be observed. For large enough Re we find Re(sat) approximately Af, but intermittency can modify this scaling law. We suggest an experimental realization of periodically kicked turbulence to study the different regimes we theoretically predict and thus to better understand the effect of forcing on fully developed turbulence. PMID:11089041

  13. Periodic Chandrasekhar recursions

    Aknouche, Abdelhakim; Hamdi, Fayçal

    2007-01-01

    This paper extends the Chandrasekhar-type recursions due to Morf, Sidhu, and Kailath "Some new algorithms for recursive estimation in constant, linear, discrete-time systems, IEEE Trans. Autom. Control 19 (1974) 315-323" to the case of periodic time-varying state-space models. We show that the S-lagged increments of the one-step prediction error covariance satisfy certain recursions from which we derive some algorithms for linear least squares estimation for periodic state-space models. The p...

  14. Complications of the surgical treatment early and tardy of supracondylar fractures of the humerus in children: a retrospective study of 111 patients treated at the Hospital Nacional de Ninos Carlos Saenz Herrera in the period January 2010 to January 2011

    Supracondylar fractures of the humerus up much of the emergency consultation of any pediatric orthopedic service, of them, Gartland III fractures are usually treated by closed reduction and percutaneous fixation with nails smooth. Often treatment has been delayed by factors such as the unavailability of an orthopedic specialist or local anesthesia or an operating room. At other times, the patient has come belatedly to consult. This retrospective study has analyzed whether a delay greater than 12 hours in the surgical treatment of supracondylar fractures of the humerus in children is associated with an increased risk of perioperative complications. Of 111 children who have been treated surgical in national children's hospital, underwent 59 surgeries before 12 hours from the trauma and 52 underwent surgery after 12 hours of trauma. The groups have developed without significant differences in terms of iatrogenic neurological injury, tract infection of the nails, vascular complications and compartment syndrome. Surgical time and hospital stay neither have had differences. In 2 cases of the tardy treatment group has been necessary to perform a opened reduction. As for the bad union, 9 cases (8%) have been of elbow varus radiological and clinical, of these 5 cases (4.5%) have occurred in the tardy treatment group and 4 cases (3,5) in the group early treatment. Findings of similar studies are confirmed in which the rate of perioperative complications is significantly unchanged if the surgical treatment is carried out before 12 hours or after 12 hours after the trauma. (author)

  15. Higher charge periodic monopoles

    Maldonado, Rafael

    2013-01-01

    We consider singly periodic solutions to the SU(2) Bogomolny equations and use the Nahm transform to generate a class of monopoles of charge k>2, thereby extending known results for lower charge chains. Some simple scattering processes are presented and a comparison made with geodesic motion of monopoles in $\\mathbb{R}^3$.

  16. Ayurveda during Abbasid's period.

    Husain, S A; Subhaktha, P K

    2000-01-01

    This is a historical paper which deals with a brief account of Abbasid's period. In this article the existence of Ayurveda in Arab countries, arrival of Ayurvedic physicians to Baghdad, their eminence, authenticity and literary additions in medical field has been studied and presented. PMID:12578013

  17. Periodic paralysis complicating malaria.

    Senanayake, N; Wimalawansa, S J

    1981-01-01

    Episodic muscular weakness, commonly associated with alterations of serum potassium, is the cardinal feature of periodic paralysis. The combination of transient hyperkalaemia and rigors occurring during febrile episodes of malaria is suggested as the underlying cause which precipitated the muscular paralysis. Three patients with malaria who developed a similar paralysis during the paroxysms of fever are described to illustrate this.

  18. A Modern Periodic Table.

    Herrenden-Harker, B. D.

    1997-01-01

    Presents a modern Periodic Table based on the electron distribution in the outermost shell and the order of filling of the sublevels within the shells. Enables a student to read off directly the electronic configuration of the element and the order in which filling occurs. (JRH)

  19. Periodic Table of Students.

    Johnson, Mike

    1998-01-01

    Presents an exercise in which an eighth-grade science teacher decorated the classroom with a periodic table of students. Student photographs were arranged according to similarities into vertical columns. Students were each assigned an atomic number according to their placement in the table. The table is then used to teach students about…

  20. Almost periodic Schroedinger operators

    These lectures are devoted to recent developments in the theory of almost-periodic Schroedinger Operators. We specially describe the algebraic point of view, with applications to gap-labelling theorems. Particular models are also presented which exhibit various spectral properties. (orig.)

  1. Scheduling: Seven Period Day

    Williamson, Ronald

    2010-01-01

    Driven by stable or declining financial resources many school districts are considering the costs and benefits of a seven-period day. While there is limited evidence that any particular scheduling model has a greater impact on student learning than any other, it is clear that the school schedule is a tool that can significantly impact teacher…

  2. SU-E-J-17: Intra-Fractional Prostate Movement Correction During Treatment Delivery Period for Prostate Cancer Using the Intra-Fractional Orthogonal KV-MV Image Pairs

    Zhang, J; Azawi, S; Cho-Lim, J; Wei, R; Williams, R; Frank, E [VA Long Beach Healthcare System, Long Beach, CA (United States)

    2015-06-15

    Purpose: To evaluate the intra-fractional prostate movement range during the beam delivery and implement new IGRT method to correct the prostate movement during the hypofractionated prostate treatment delivery. Methods: To evaluate the prostate internal motion range during the beam delivery, 11 conventional treatments were utilized. Two-arc RapidArc plans were used for the treatment delivery. Orthogonal KV imaging is performed in the middle of the treatment to correct intra-fractional prostate movement. However, it takes gantry-mounted on-board imaging system relative long time to finish the orthogonal KV imaging because of gantry rotation. To avoid gantry movement and accelerate the IGRT processing time, orthogonal KV-MV image pair is tested using the OBI daily QA Cube phantom. Results: The average prostate movement between two orthogonal KV image pairs was 0.38cm (0.20cm ∼ 0.85cm). And the interval time between them was 6.71 min (4.64min ∼ 9.22 min). 2-arc beam delivery time is within 3 minutes for conventional RapidArc treatment delivery. Hypofractionated treatment or SBRT need 4 partial arc and possible non-coplanar technology, which need much longer beam delivery time. Therefore prostate movement might be larger. New orthogonal KV-MV image pair is a new method to correct the prostate movement in the middle of the beam delivery if real time tracking method is not available. Orthogonal KV-MV image pair doesn’t need gantry rotation. Images were acquired quickly which minimized possible new prostate movement. Therefore orthogonal KV-MV image pair is feasible for IGRT. Conclusion: Hypofractionated prostate treatment with less PTV margin always needs longer beam delivery time. Therefore prostate movement correction during the treatment delivery is critical. Orthogonal KV-MV imaging pair is efficient and accurate to correct the prostate movement during treatment beam delivery. Due to limited fraction number and high dose per fraction, the MV imaging dose is

  3. SU-E-J-17: Intra-Fractional Prostate Movement Correction During Treatment Delivery Period for Prostate Cancer Using the Intra-Fractional Orthogonal KV-MV Image Pairs

    Purpose: To evaluate the intra-fractional prostate movement range during the beam delivery and implement new IGRT method to correct the prostate movement during the hypofractionated prostate treatment delivery. Methods: To evaluate the prostate internal motion range during the beam delivery, 11 conventional treatments were utilized. Two-arc RapidArc plans were used for the treatment delivery. Orthogonal KV imaging is performed in the middle of the treatment to correct intra-fractional prostate movement. However, it takes gantry-mounted on-board imaging system relative long time to finish the orthogonal KV imaging because of gantry rotation. To avoid gantry movement and accelerate the IGRT processing time, orthogonal KV-MV image pair is tested using the OBI daily QA Cube phantom. Results: The average prostate movement between two orthogonal KV image pairs was 0.38cm (0.20cm ∼ 0.85cm). And the interval time between them was 6.71 min (4.64min ∼ 9.22 min). 2-arc beam delivery time is within 3 minutes for conventional RapidArc treatment delivery. Hypofractionated treatment or SBRT need 4 partial arc and possible non-coplanar technology, which need much longer beam delivery time. Therefore prostate movement might be larger. New orthogonal KV-MV image pair is a new method to correct the prostate movement in the middle of the beam delivery if real time tracking method is not available. Orthogonal KV-MV image pair doesn’t need gantry rotation. Images were acquired quickly which minimized possible new prostate movement. Therefore orthogonal KV-MV image pair is feasible for IGRT. Conclusion: Hypofractionated prostate treatment with less PTV margin always needs longer beam delivery time. Therefore prostate movement correction during the treatment delivery is critical. Orthogonal KV-MV imaging pair is efficient and accurate to correct the prostate movement during treatment beam delivery. Due to limited fraction number and high dose per fraction, the MV imaging dose is

  4. Cells anticipate periodic events

    Nakagaki, Toshiyuki

    2009-03-01

    We show that an amoeboid organism can anticipate the timing of periodic events. The plasmodium of the true slime mold Physarum polycephalum moves rapidly under favourable conditions, but stops moving when transferred to less-favourable conditions. Plasmodia exposed to unfavourable conditions, presented in three consecutive pulses at constant intervals, reduced their locomotive speed in response to each episode. When subsequently subjected to favourable conditions, the plasmodia spontaneously reduced their locomotive speed at the time point when the next unfavourable episode would have occurred. This implied anticipation of impending environmental change. After this behaviour had been evoked several times, the locomotion of the plasmodia returned to normal; however, the anticipatory response could subsequently be induced by a single unfavourable pulse, implying recall of the memorized periodicity. We explored the mechanisms underlying these behaviours from a dynamical systems perspective. Our results hint at the cellular origins of primitive intelligence and imply that simple dynamics might be sufficient to explain its emergence.

  5. Notes on Periodic Solitons

    Bakas, Ioannis

    2002-01-01

    We consider static solutions of the sine-Gordon theory defined on a cylinder, which can be either periodic or quasi-periodic in space. They are described by the different modes of a simple pendulum moving in an inverted effective potential and correspond to its libration or rotation. We review the decomposition of the solutions into an oscillatory sum of alternating kinks and anti-kinks or into a monotonic train of kinks, respectively, using properties of elliptic functions. The two sectors are naturally related to each other by a modular transformation, whereas the underlying spectral curve of the model can be used to express the energy of the static configurations in terms of contour integrals \\`a la Seiberg-Witten in either case. The stability properties are also examined by means of supersymmetric quantum mechanics, where we find that the unstable configurations are associated to singular superpotentials, thus allowing for negative modes in the spectrum of small fluctuations.

  6. Hypokalemic periodic paralysis

    Abbas, Haider; Kothari, Nikhil; Bogra, Jaishri

    2012-01-01

    Hypokalemic periodic paralysis is a rare genetic disorder characterized by recurrent attacks of skeletal muscle weakness with associated hypokalemia which is precipitated by stress, cold, carbohydrate load, infection, glucose infusion, hypothermia, metabolic alkalosis, anesthesia, and steroids. We encountered one such incidence of prolonged recovery after general anesthesia, which on further evaluation revealed a case of hypokalemic paralysis. The key to successful management of such a patien...

  7. Scattering of periodic solitons

    Cova, R.J. [Carleton University, School of Mathematics and Statistics, 1125 Colonel by Drive, Ottawa, Ontario K1S 5B6 (Canada); Zakrzewski, W.J. [University of Durham, Dept. of Mathematical Sciences, Durham DH1 3LE (United Kingdom)]. e-mail: rcova@math.carleton.ca

    2004-07-01

    Through numerical simulations we study N-soliton scattering (N = 3, 4) in the (2 + 1)-dimensional CP{sup 1} model with periodic boundary conditions. Solitons colliding from symmetrical configurations scatter at {pi}/ N, as observed in the usual model with standard boundary conditions. When the initial configurations are not symmetric the angles differ from {pi}/ N. We describe our observed patterns based on a properly formulated geodesic approximation. (Author) 11 refs., 10 figs.

  8. 不同时期脑卒中后抑郁的心理分析治疗及护理对策%Psychoanalysis treatment on post-stroke depression in different periods and the nursing strategies

    邓华; 段勇

    2013-01-01

    Objective To study the psychoanalysis treatment on post-stroke depression in different periodsand the nursing strategies. Methods36 cases of patients with post-stroke depression were treated and nursed with the method of psychoanalysis, and prescribed with appropriate antidepressant treatment. To compare the changes of pre and post treatment with the scores of Hamilton Depression Rating Scale (HAMD). Results23 cases were cured (63.89%), 11 cases were getting better (30.56%), and 2 cases were ineffective (5.55%). The total effective rate is 94.44%. ConclusionThe method of proper psychoanalysis treatment and nursing, accompanying with appropriate antidepressant treatment , can notably relieve the depressive symptoms and improve the patients’ activities of daily living.%目的:探讨不同时期脑卒中后抑郁的心理分析治疗及护理对策方法。方法对36例脑卒中后抑郁的病人进行心理分析治疗和护理,并且适当给予抗抑郁药物治疗,治疗前后用汉密尔顿抑郁量表(HAMD)评分对比变化。结果治愈23例(63.89%),好转11例(30.56%),无效2例(5.55%),总有效率94.44%。结论对脑卒中后抑郁的病人进行正确的心理分析治疗及护理,并适当抗抑郁药物治疗,能明显改善患者的抑郁症状,提高患者日常生活活动能力。

  9. Tolvaptan and its potential in the treatment of hyponatremia

    Y Howard Lien

    2008-10-01

    Full Text Available Megan B Dixon, Y Howard LienDepartment of Medicine, University of Arizona, Arizona Kidney Disease and Hypertension Center, Tucson, Arizona, USAAbstract: Tolvaptan is a selective arginine vasopressin (AVP V2 receptor blocker used to induce free water diuresis in the treatment of euvolemic or hypervolemic hyponatremia. Currently the orally active medication is in the final stages prior to approval by the FDA for outpatient therapy. It appears to be safe and effective at promoting aquaresis and raising serum sodium levels in both short- and long-term studies. Tolvaptan is also effective for treatment of congestive heart failure (CHF exacerbation, but whether there are long standing beneficial effects on CHF is still controversial. Prolonged use of tolvaptan leads to increased endogenous levels of AVP and perhaps over-stimulation of V1A receptors. Theoretically this activation could lead to increased afterload and cardiac myocyte fibrosis, causing progression of CHF. However, after 52 weeks of tolvaptan therapy there was no worsening of left ventricular dilatation. In addition, tolvaptan is metabolized by the CYP3A4 system; thus physicians should be aware of the potential for increased interactions with other medications. Tolvaptan is a breakthrough in the therapy of hyponatremia as it directly combats elevated AVP levels associated with the syndrome of inappropriate secretion of antidiuretic hormone, congestive heart failure, and cirrhosis of the liver.Keywords: hyponatremia, arginine vasopressin, vasopressin receptors, syndrome of inappropriate antidiuretic hormone, congestive heart failure, liver cirrhosis

  10. Periodic Mesoporous Organosilica Nanorice

    Mohanty Paritosh

    2008-01-01

    Full Text Available Abstract A periodic mesoporous organosilica (PMO with nanorice morphology was successfully synthesized by a template assisted sol–gel method using a chain-type precursor. The PMO is composed of D and T sites in the ratio 1:2. The obtained mesoporous nanorice has a surface area of 753 m2 g−1, one-dimensional channels, and a narrow pore size distribution centered at 4.3 nm. The nanorice particles have a length of ca. 600 nm and width of ca. 200 nm.

  11. Polysheroidal periodic functions

    Separation of variables in the Helmholtz N-dimensional (N≥4) equation in polyspheroidal coordinate systems leads to the necessity of solving equations going over into equations for polyspheroidal periodic functions used for solving the two-centre problem in quantum mechanics, the three-body problem with Coulomb interaction, etc. For these functions the expansions are derived in terms of the Jacobi polynomials and Bessel functions. Their basic properties, asymptotics are considered. The algorithm of their computer calculations is developed. The results of numerical calculations are given

  12. Scattering of periodic solitons

    Cova, R J

    2003-01-01

    With the help of numerical simulations we study N-soliton scattering (N=3,4) in the (2+1)-dimensional CP^1 model with periodic boundary conditions. When the solitons are scattered from symmetrical configurations the scattering angles observed agree with the earlier \\pi/N predictions based on the model on R_2 with standard boundary conditions. When the boundary conditions are not symmetric the angles are different from \\pi/N. We present an explanation of our observed patterns based on a properly formulated geodesic approximation.

  13. RESULTS OF TREATMENT OF ACUTE ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE: DATA OF A RETROSPECTIVE, SINGLE-CENTER STUDY (IN-HOSPITAL PERIOD

    D. B. Nemick

    2015-12-01

    Full Text Available Myocardial infarction significantly contributes to mortality rates in patients with chronic obstructive pulmonary disease (COPD. The influence of COPD on the course of acute ST-segment elevation myocardial infarction (STEMI is controversial.Aim. To evaluate characteristics of coronary artery lesions and cardiovascular complications in STEMI patients with and without COPD depending on a reperfusion treatment method during in-hospital stay.Material and methods. A total of 1112 cases of STEMI treatment within the first 6 hours of the symptoms onset were analyzed. All of these patients have undergone reperfusion treatment: primary percutaneous coronary intervention (PPCI or pharmacoinvasive strategy (PIS methods. All the patients were divided into two groups: patients without COPD (952 persons; 83.2% and those with COPD (160 patients; 16.8%. COPD impact on in-hospital course of STEMI was assessed.Results. The presence of COPD had no influence on STEMI in-hospital mortality. Mortality rates in patients with COPD (12 subjects; 7.5% and without COPD (83 subjects; 8.7% did not differ significantly (p=0.2. The study has demonstrated the significant influence of COPD on the patients’ baseline characteristics and treatment results, which can have an impact on long-term prognosis. According to our data COPD presence was associated with more severe coronary artery lesions in both PPCI and PIS subgroups (p<0.001. This has determined more frequent transmural myocardial damage in STEMI patients with COPD regardless of reperfusion strategy and time factor (79% in patients with COPD and 50% in those without one, p<0.001. The incidence of hemorrhagic complications also didn’t depend on COPD presence and remained low in all groups.Conclusion. At COPD presence STEMI was associated with more severe coronary artery lesions and increased frequency of transmural myocardial damage and residual stenosis after thrombolytic therapy. COPD did not lead to the

  14. 中老年慢性骨病患者围手术期心理治疗的应用进展%The application and progress of psychological treatment for elderly patients with chronic osteopathia in perioperative period

    何明; 仲霄鹏; 朱锦宇; 朱庆生

    2012-01-01

    The operation can have significant impact on patients' mental states. Patients with degenerative bone and joint diseases tend to exhibit symptoms such as anxiety, depression, fear, insomnia and so on before the operation. At the same time, patients' personality traits may also cause mental problems that affect preoperative preparation and postoperative recovery. Previous literature has failed to provide consistent findings regarding this issue, which may be due to the differences in terms of the specific sampling, measures, and patients. Depression and anxiety can be influenced by the type of bone disease, social support, level of education, and prior surgical treatment. In order to understand patients' mental states, we need to apply measures derived from psychology, which complies with the majority of current studies on this topic. Other scholars also examined the mechanisms through which psychological problems developed. This study reviewed previous literature applying psychology to the surgical treatment of bone diseases. We discussed methods that may relieve patients' anxiety and depression, including medical and non-medical treatment. We found that medical treatment and non-medical treatment can be applied simultaneously, which can lead to better postoperative rehabilitation and recovery.%@@ 手术作为一种应激事件严重地影响着患者的精神状态.长期饱受骨病(如髋、膝退行性骨关节病或脊柱疾病)的中老年患者在面临手术时会出现不同程度的抑郁、焦虑、恐惧、失眠等症状.同时患者的人格特征以及慢性疾病对患者心理的影响,使得患者术前的心理问题更为突出,进而影响到术前准备和术后康复.本文就心理学在骨病外科治疗中的研究和应用做一综述.

  15. [THE ROLE OF MOTHER'S MILK AND BREAST FEEDING. MEDICAL PROBLEMS DURING THE LACTATION PERIOD LACTOBACILUS FERMENTUM--A NEW APPROACH TOWARDS THE PREVENTION AND THE TREATMENT OF ACUTE AND SUBACUTE MASTITIS].

    Popova, B; Mitev, D; Nikolov, A

    2016-01-01

    Breast feeding provides a lot of short and long-term benefits for the mother and the baby. It prevents the baby of gastrointestinal, urinary and respiratory infections, atopical conditions and assures long-term protection of cardiovascular and metabolic diseases. The breast feeding decreases the risk for the mother of ovary and breast carcinoma and creates a positive emotional bond between the mother and the baby Mother's milk is a species specific; its content is relatively stable regardless of mother's age race, way and place of living. Mother's milk is not sterile. There is a 10 year international trial held in Spanish and Finnish universities. It has identified and count all microorganisms in mother's milk (more than 700) and proved that their content and quantity varies according the age of the baby. Mother's milk is a source of lactobacillus for baby's intestines and most of them have probiotic potential. Lactobacillus fermentum Lc40 (hereditum) is isolated from mother's milk. It has a good viability in gastrointestinal system, high level of adhesion to intestinal epithelium cells, produces glutation--strong antioxidant, good antibacterial activity to entero-pathogens and potential of increasing the immunologic response. Clinical trials reveal that Lactobacillus fermentum plays important role to microflora balance of mother's milk in mastitis during lactation. Many trials estimating the efficiency of lactobacillus fermentum in prevention and treatment of acute and subacute mastitis have been carried out. The results of them open a new door in front of us in the treatment of these conditions--treatment with probiotics instead of antibiotics. PMID:27514147

  16. Varenicline in prevention of relapse to smoking: effect of quit pattern on response to extended treatment

    Hajek, Peter; Tønnesen, Philip; Arteaga, Carmen; Russ, Cristina; Tonstad, Serena

    2009-01-01

    achieve abstinence only later in the original course of treatment are more likely to benefit from having the course extended. METHODS: A total of 1208 patients abstinent for at least the last week of 12 weeks' treatment with varenicline were randomized to 3 months continued varenicline or placebo. Overall...... characteristics. RESULTS: With increasing delay in initial quitting, 12-month success rates declined. Participants who had their last cigarette at week 11 of open-label treatment had quit rates at 52 weeks of 5.7% compared with 54.9% in those who last smoked in week 1 [odds ratio (OR) 20.3 (6.3, 65.9); P < 0.......0001]. Patients who failed to initiate abstinence in the first week benefited more from extended treatment than patients continuously abstinent from week 1 [OR 1.7 (1.2, 2.4); P = 0.0015 versus OR 1.1 (0.8, 1.5); P = 0.6995, respectively; with the interaction of the quit pattern with treatment effect reaching...

  17. Periods and Superstring Amplitudes

    Stieberger, S

    2016-01-01

    Scattering amplitudes which describe the interaction of physical states play an important role in determining physical observables. In string theory the physical states are given by vibrations of open and closed strings and their interactions are described (at the leading order in perturbation theory) by a world-sheet given by the topology of a disk or sphere, respectively. Formally, for scattering of N strings this leads to N-3-dimensional iterated real integrals along the compactified real axis or N-3-dimensional complex sphere integrals, respectively. As a consequence the physical observables are described by periods on M_{0,N} - the moduli space of Riemann spheres of N ordered marked points. The mathematical structure of these string amplitudes share many recent advances in arithmetic algebraic geometry and number theory like multiple zeta values, single-valued multiple zeta values, Drinfeld, Deligne associators, Hopf algebra and Lie algebra structures related to Grothendiecks Galois theory. We review the...

  18. Transition from non-periodic to periodic explosions.

    Cartes, Carlos; Descalzi, Orazio

    2015-12-13

    We show the existence of periodic exploding dissipative solitons. These non-chaotic explosions appear when higher-order nonlinear and dispersive effects are added to the complex cubic-quintic Ginzburg-Landau equation modelling soliton transmission lines. This counterintuitive phenomenon is the result of period-halving bifurcations leading to order (periodic explosions), followed by period-doubling bifurcations (or intermittency) leading to chaos (non-periodic explosions). PMID:26527807

  19. Periodic and limit-periodic discrete Schr\\"odinger operators

    Krueger, Helge

    2011-01-01

    The theory of discrete periodic and limit-periodic Schr\\"odinger operators is developed. In particular, the Floquet--Bloch decomposition is discussed. Furthermore, it is shown that an arbitrarily small potential can add a gap for even periods. In dimension two, it is shown that for coprime periods small potential terms don't add gaps thus proving a Bethe--Sommerfeld type statement. Furthermore limit-periodic potentials whose spectrum is an interval are constructed.

  20. A 4-day critical period in corticosteroids treatment for traumatic optic neuropathy%皮质类固醇治疗外伤性视神经病变的四天关键时期

    Soon Lek Yap; Angeline Diong Ching Nga; Nadir Ah Mohamed AH; Visvaraj'a Subrayan

    2008-01-01

    目的:评估静脉注射甲基强的松龙(IVMP)对外伤性视神经病变患者的疗效.方法:回顾性分析2000-01至2007-06我院收治的16例外伤性视神经病变(TON)患者的临床资料.1g甲基强的松龙分3d静脉应用,然后口服泼尼松龙11d,并逐渐减量.记录从损伤开始到治疗开始的时间.视力变化是本研究结果的主要功能评价指标.在入院时,治疗后1,2,3d;1wk和1mo时,分别记录最佳矫正视力(BCVA).结果:共有16例患者纳入本研究,平均年龄为30岁,其中男性14例、女性2例.引起TON的主要原因有摩托车事故(占69%),打架斗殴(占19%)和体育运动(占12%).所有患者都表现有相对传入性瞳孔障碍.在损伤后4d内开始静脉注射甲基强的松龙,采用Snellen视力表检查视力,绝大部分(56%)患者视力提高超过3行或大于等于0.5(6/12).在损伤后5d以上才开始用类固醇治疗,视力则没有任何进步.结论:治疗TON,静脉注射中等到大剂量甲基强的松龙仍将起到重要作用.静脉注射甲基强的松龙治疗TON可能存在伤后4d的关键时期,超过了这个时期,该治疗可能就毫无效果.但还需要有更多的研究来为我们提供有明显统计学意义的数据.%·AIM: To evaluate the outcome of intravenous methyl-prednisolone ( IVMP) in patients with traumatic optic neuropathy (TON).·METHODS: Clinical data of 16 patients with TON who were admitted to our hospital from January 2000 to June 2006 were retrospectively analyzed. 1g of IVMP in divided doses for 3 days followed by a reducing dose of oral prednisolone for 11 days were given. Timing between the onset of injury and the initiation of treatment was noted.A change in visual acuity is the primary functional outcome measure of this study. Best corrected visual acuity (BCVA) was recorded at admission, on day 1, day 2, day 3, 1 week and 1 month after treatment.·RESULTS; Sixteen patients were included in this study with a mean age of 30. Fourteen of

  1. On solving periodic Riccati equations

    Varga, Andreas

    2008-01-01

    Numerically reliable algorithms to compute the periodic non-negative definite stabilizing solutions of the periodic differential Riccati equation (PRDE) and discrete-time periodic Riccati equation (DPRE) are proposed. For the numerical solution of PRDEs, a new multiple shooting-type algorithm is developed to compute the periodic solutions in an arbitrary number of time moments within one period by employing suitable discretizations of the continuous-time problems. In contrast to single shooti...

  2. 妊娠期输尿管结石并发顽固性肾绞痛的微创治疗%Minimally invasive treatment of ureteral calculi with period of refractory renal colic during pregnancy

    卢文武; 张建育; 刘榕臻; 李毅宁; 王明镑; 洪传芳

    2014-01-01

    Objective To evaluate the safety and efifcacy of treatment of refractory renal colic due to ureteric calculi during pregnancy. Methods In our hospital in September 2009 to June 2014, clinical data of 18 pregnant women with refractory renal colic due to ureteric calculi in my hospital were collected and retrospectively analyzed.13 cases received intra-ureteral double-J cannula alone. 5 cases received intra-ureteral double-J cannula after ureteroscopic pneumatic lithotripsy. Results Renal colic was relieved in 18 cases after operation. All the pregnant women had normal delivery and gave birth to healthy babies. Conclusion For pregnant women with refractory renal colic due to ureteric calculi, intra-ureteral cannula alone and intra-ureteral double-J cannula after ureteroscopic pneumatic lithotripsy treatment are safe and effective.%目的:探讨妊娠期输尿管结石并发顽固性肾绞痛的微创治疗的安全性及疗效。方法对我院2009年9月~2014年6月,共18例妊娠期输尿管结石并发顽固性肾绞痛的患者,进行回顾性分析。13例患者采用输尿管置管术,5例患者采用输尿管镜气压弹道碎石+输尿管置管术治疗。结果18例患者肾绞痛都得到有效缓解,均顺利生产,婴儿健康。结论对妊娠期输尿管结石并发顽固性肾绞痛患者采用输尿管置管术、输尿管镜气压弹道碎石+输尿管置管术等微创外科治疗技术,是安全有效的。

  3. El tratamiento mediático del dopaje en el periodo de transición democrática = Media treatment of doping during the democratic transition period

    Noemí García Arjona

    2013-04-01

    Full Text Available La actualidad deportiva no deja de mostrarnos el enorme impacto mediático del dopaje, y la importancia de cómo el deportista objeto de sospecha aparece expuesto, ya sea para alabarlo o para juzgarlo. Sin embargo, esta relación ya tiene sus precedentes en la historia reciente, siendo el periodo del tardofranquismo y la transición democrática clave para la sociedad y para el deporte en el contexto español, y que tomamos como referencia. A través de la prensa especializada (Marca, Mundo Deportivo, As, se va a analizar el papel histórico que los medios deportivos en España han desempeñado con relación al atleta sospechoso de dopaje: unas veces bajo la “ley del silencio”, otras bajo una aparente ingenuidad, y en ocasiones comprensivos con las vicisitudes del deportista.----------------------------------------------------------------------------Current sport situation continues to show the enormous media impact of doping, and the importance of how the athlete under suspicion appears exposed, either to praise or to judge. However, this relationship has its precedents in recent history, having as reference the period of the last years of Franco’s regime and early times of democratic transition, due to its importance for the society as well as for sport in the Spanish context. Through the specialized press (Marca, Mundo Deportivo, As, we will analyze the historical role played sports media in Spain related to the athlete suspected of doping: sometimes under the “law of silence”, sometimes under an apparent naivety, and in other cases, comprehensive to the difficulties of the athlete.

  4. The B-VITAGE trial: A randomized trial of homocysteine lowering treatment of depression in later life

    van Bockxmeer Frank

    2010-01-01

    Full Text Available Abstract Background Depression is a leading cause of disability worldwide and depressive symptoms are common in later life. Observational evidence suggests that depression is more prevalent among people with high plasma homocysteine (tHcy, but the results of randomized trials to date have been unable to show that lowering tHcy through the supplementation of vitamins B6, B12 and folate benefits depressive symptoms. We designed the B-VITAGE trial to determine whether adjunctive treatment with vitamins B6, B12 and folate increases the efficacy of standard antidepressant treatment. Methods/Design The B-VITAGE trial is a 12-month randomized, double-blind, placebo-controlled trial of daily citalopram (20 to 40 mg plus B12(0.4 mg, B6 (25 mg and folic acid (2 mg or citalopram (20 to 40 mg plus placebo for the treatment of depression in later life. The trial aims to recruit over 300 older adults with major depression (DSM-IV and has been powered to detect the impact of an intervention associated with moderate effect size. Depressive symptoms will be rated with the Montgomery-Åsberg Depression Rating Scale (MADRS. The trial has two main outcomes of interest: a reduction of 50% or more in the MADRS total score between baseline and week 12 and the remission of the depressive episode at weeks 12, 26 and 52 according to DSM-IV criteria. We hypothesize that subjects randomly allocated to the vitamin arm of the study will be more likely to show a clinically significant improvement and achieve and maintain remission of symptoms at 12, 26 and 52 weeks. Secondary outcomes of interest include compliance with treatment, reduction in the severity of depressive symptoms, switching to different antidepressants, the use of non-pharmacological antidepressant treatments, response to treatment according to MTHFRC677T genotype, and changes in cognitive function over 52 weeks. Conclusions The results of this trial will clarify whether the systematic use of B

  5. Influence of advancing age on clinical presentation, treatment efficacy and safety, and long-term outcome of pre-excitation syndromes: a retrospective cohort study of 961 patients included over a 25-year period

    Brembilla-Perrot, Béatrice; Olivier, Arnaud; Sellal, Jean-Marc; Manenti, Vladimir; Brembilla, Alice; Villemin, Thibaut; Admant, Philippe; Beurrier, Daniel; Bozec, Erwan; Girerd, Nicolas

    2016-01-01

    Objectives There are very little data on pre-excitation syndrome (PS) in the elderly. We investigated the influence of advancing age on clinical presentation, treatment and long-term outcome of PS. Setting Single-centre retrospective study of patient files. Participants In all, 961 patients (72 patients ≥60 years (mean 68.5±6), 889 patients <60 years (mean 30.5±14)) referred for overt pre-excitation and indication for electrophysiological study (EPS) were followed for 5.3±5 years. Usual care included 24 h Holter monitoring, echocardiography and EPS. Patients underwent accessory pathway (AP) ablation if necessary. Primary and secondary outcome measures Occurrence of atrial fibrillation (AF) or procedure-induced adverse event. Results Electrophysiological data and recourse to AP ablation (43% vs 48.5%, p=0.375) did not significantly differ between the groups. Older patients more often had symptomatic forms (81% vs 63%, p=0.003), history of spontaneous AF (8% vs 3%, p=0.01) or adverse presentation (poorly tolerated arrhythmias: 18% vs 7%, p=0.0009). In multivariable analysis, patients ≥60 years had a significantly higher risk of history of AF (OR=4.2, 2.1 to 8.3, p=0.001) and poorly tolerated arrhythmias (OR=3.8, 1.8 to 8.1, p=0.001). Age ≥60 years was associated with an increased major AP ablation complication risk (10% vs 1.9%, p=0.006). During follow-up, occurrence of AF (13.9% vs 3.6%, p<0.001) and incidence of poorly tolerated tachycardia (4.2% vs 0.6%, p=0.001) were more frequent in patients ≥60 years, although frequency of ablation failure or recurrence was similar (20% vs 15.5%, p=0.52). In multivariable analysis, patients ≥60 years had a significantly higher risk of AF (OR=2.9, 1.2 to 6.8, p≤0.01). Conclusions In this retrospective monocentre study, patients ≥60 years referred for PS work up appeared at higher risk of AF and adverse presentation, both prior and after the work up. These results suggest that, in elderly

  6. The redoubtable ecological periodic table

    Ecological periodic tables are repositories of reliable information on quantitative, predictably recurring (periodic) habitat–community patterns and their uncertainty, scaling and transferability. Their reliability derives from their grounding in sound ecological principle...

  7. A new characterization of periodic oscillations in periodic difference equations

    Al-Salman, Ahmad [Department of Mathematics and Statistics, Sultan Qaboos University, P.O. Box 36, PC 123, Al-Khod (Oman); AlSharawi, Ziyad, E-mail: alsha1zm@alsharawi.info [Department of Mathematics and Statistics, Sultan Qaboos University, P.O. Box 36, PC 123, Al-Khod (Oman)

    2011-11-15

    Highlights: > A characterization of periodic solutions of periodic difference equations is given. > The periods are classified as multiples and non-multiples of the phase-period. > Non-multiples of the phase-period depend on the intersections between the maps. > A refinement of Sharkovsky's theorem for periodic difference equations is given. - Abstract: In this paper, we characterize periodic solutions of p-periodic difference equations. We classify the periods into multiples of p and nonmultiples of p. We show that the elements of the set of multiples of p follow the well-known Sharkovsky's ordering multiplied by p. On the other hand, we show that the elements of the set {Gamma}{sub p} of nonmultiples of p are independent in their existence. Moreover, we show the existence of a p-periodic difference equation with infinite {Gamma}{sub p}-set in which the maps are defined on a compact domain and agree exactly on a countable set. Based on the proposed classification, we give a refinement of Sharkovsky's theorem for periodic difference equations.

  8. 两种术式治疗婴幼儿期舌系带过短的效果比较%Comparison of the Effects of Two Surgical Treatments on Short Lingual Frenulum in Infantile Period

    于在湖; 胡青芳; 杜衍晓

    2014-01-01

    目的:在临床上比较舌系带剪断术和舌系带矫正术治疗舌系带过短患儿的效果。方法选择的研究对象为在2007年2月-2014年2月期间,该院收治的200例舌系带过短的患儿,将这200例患儿随机分为给予舌系带矫正术治疗的对照组和给予舌系带剪断术实验组,每组100例,然后将对照组患儿与实验组患儿术后出血、感染以及发音等情况进行比较。结果实验组患儿在术后出现出血、感染发生率明显低于对照组患儿,组间差异有统计学意义(P0.05)。结论两种手术均可应用于舌系带过短的治疗,应用舌系带剪断术治疗舌系带过短的患儿,在术后出血、感染以及肿胀等方面的发生率上低于舌系带矫正术,但在患儿发音的改善上弱于上舌系带矫正术。%Objective To compare the clinical effect of treating children with too short tongue tie with tongue tie cut surgery and surgical correction of lingual frenum. Methods 200 children with too short lingual frenulum admitted in our hospital from February 2007 to February 2014 were selected as the subjects and randomly divided into two groups, the control group was treated by surgi-cal correction of lingual frenum, and the experimental group was treated by tongue tie cut surgery. Both groups had 100 children. And then the children in the control group and the experimental group were compared by postoperative bleeding, infection, and pronunciation and so on. Results The incidence of postoperative bleeding and infection of the experimental group was significantly lower than that of the control group, the difference between the groups was statistically significant (P0.05). Conclusion Both surgeries can be applied to the treatment of short tongue tie. Compared with surgical correc-tion of lingual frenum, children treated by tongue tie cut surgery have lower incidence of postoperative bleeding, infection and swelling, but weaker improvement of

  9. Periods and elementary real numbers

    Yoshinaga, Masahiko

    2008-01-01

    The periods, introduced by Kontsevich and Zagier, form a class of complex numbers which contains all algebraic numbers and several transcendental quantities. Little has been known about qualitative properties of periods. In this paper, we compare the periods with hierarchy of real numbers induced from computational complexities. In particular we prove that periods can be effectively approximated by elementary rational Cauchy sequences. As an application, we exhibit a computable real number wh...

  10. Periodic paralysis: clinical evaluation in 20 patients

    Célia Harumi Tengan; Acary S. Bulle de Oliveira; Alberto Alain Gabbai

    1994-01-01

    Twenty patients with periodic paralysis were evaluated and the aspects studied included epidemiological data, clinical manifestations, ancillary tests, treatment and evolution. Sixteen patients had the hypokalemic form (5 familiar, 5 sporadic, 5 thyrotoxic and 1 secondary). No patient with the normokalemic form was detected. Predominance of men was found (14 patients), especially in the cases with hyperthyroidism (5 patients). No thyrotoxic patient was of oriental origin. Only 4 patients had ...

  11. Clinical Profile in Hypokalemic Periodic Paralysis Cases

    Agrawal, Amit

    2014-01-01

    The present article was aimed to study demographic and clinical pattern, periodicity and precipitating events for hypokalemic paralysis and to assess the response to treatment both during acute attacks and as prophylaxis in comparison with available literature. Forty patients with hypokalemic paralysis were admitted in Narayana Medical College and Hospital during the last two years, in all the medical units and neurology wards. Patients were assessed clinically, with symptomatology and precip...

  12. Randomized trials of dichlorphenamide in the periodic paralyses. Working Group on Periodic Paralysis.

    Tawil, R; McDermott, M P; Brown, R; Shapiro, B C; Ptacek, L J; McManis, P G; Dalakas, M C; Spector, S A; Mendell, J R; Hahn, A F; Griggs, R C

    2000-01-01

    Although the carbonic anhydrase inhibitors have been used in the treatment of the primary periodic paralyses (PPs), their efficacy has not been demonstrated in double-blind, placebo-controlled trials. Therefore, we tested the efficacy of dichlorphenamide (DCP; Daranide), a potent carbonic anhydrase inhibitor, in the treatment of episodic weakness in the primary PPs. We performed two multicenter, randomized, double-blind, placebo-controlled crossover trials, one involving 42 subjects with hypokalemic periodic paralysis (HypoPP) and the other involving 31 subjects with potassium-sensitive periodic paralysis (PSPP). In each trial, two 8-week treatment periods were separated by an active washout period of at least 9 weeks. The primary outcome variable in the HypoPP trial was the occurrence of an intolerable increase in attack severity or frequency (end point). The primary outcome variable in the PSPP trial was the number of attacks per week. In the HypoPP trial, there were 13 subjects who exhibited a preference (in terms of the end point) for either DCP or placebo, and 11 of these preferred DCP. In the PSPP trial, DCP significantly reduced attack rates relative to placebo. DCP also significantly reduced attack rates relative to placebo in the HypoPP subjects. We conclude that DCP is effective in the prevention of episodic weakness in both HypoPP and PSPP. PMID:10632100

  13. Clinical effect of trichosanthes arctium lappa decoction combined with external application of mirabilite in the treatment of acute mastitis stagnation period%瓜蒌牛蒡汤加减联合芒硝外敷治疗急性乳腺炎郁滞期的临床观察

    李幸运

    2014-01-01

    目的:探讨瓜蒌牛蒡汤加减联合芒硝外敷治疗急性乳腺炎郁滞期的临床效果,进一步指导临床。方法选取2012年1月~2014年1月在本院门诊治疗的急性乳腺炎郁滞期患者60例,按照随机对照的原则,将患者分为观察组和对照组,每组各30例,观察组30例患者给予瓜蒌牛蒡汤加减联合芒硝外敷治疗,对照组30例患者给予单纯的硫酸镁湿热敷治疗,观察对比两组的临床治疗效果以及治疗时间。结果观察组治疗总有效率明显优于对照组,差异具有统计学意义(P<0.05),观察组的治疗时间明显少于对照组,差异具有统计学意义(P<0.05)。结论瓜蒌牛蒡汤加减联合芒硝外敷治疗急性乳腺炎郁滞期临床疗效显著,降低了脓肿的形成,有效的减轻患者的痛苦,保证母乳喂养率。%Objective To discuss the clinical effect of trichosanthes arctium lappa decoction combined with external application of mirabilite in the treatment of acute mastitis stagnation period for further clinical guide. Methods Choosing 60 patients with acute mastitis stagnation period from January 2012 to January 2014 in our hospital, outpatient treatment of patients, according to the principle of randomized controlled, the patients were divided into observation group and control group, 30 cases in each group, the observation group of 30 cases were treated with trichosanthes arctium lappa decoction combined with external application of mirabilite treatment, 30 cases in the control group were treated with magnesium sulfate wet compress simple treatment, the clinical therapeutic effect of two groups were compared and the treatment time. Results In observation group, the total efficiency of treatment was better than the control group, the difference was significant, with statistical significance(P<0.05), the treatment time of observation group was less than that of control group, the difference was significant, with

  14. Periodic waves in nonlinear metamaterials

    Periodic waves are presented in this Letter. With symbolic computation, equations for monochromatic waves are studied, and analytic periodic waves are obtained. Factors affecting properties of periodic waves are analyzed. Nonlinear metamaterials, with the continuous distribution of the dielectric permittivity obtained, are different from the ones with the discrete distribution. -- Highlights: ► Equations for the monochromatic waves in transverse magnetic polarization have been studied. ► Analytic periodic waves for the equations have been obtained. ► Periodic waves are theoretically presented and studied in the nonlinear metamaterials.

  15. Randomised controlled trial of counseling sessions, antidepressant medication, and combined treatment for major depression in primary care setting

    The study was made to determine whether counseling sessions using Egan's model combined with antidepressant medication is more effective than either treatment alone in the management of major depression in primary care. Patient aged 18 years and above with major depression on the research diagnostic criteria - a score of 13 or more on the 17 items. Hamilton rating scale for depression and a minimum duration of 4 weeks. Counseling sessions based on Egan's Model by research family physician or antidepressant medication or combination of both was performed. Hamilton rating scale for depression, Beck depression inventory, clinical interview schedule, and modified social adjustment schedule were used and assessed at 6 , 12 and 52 weeks. Patients in all groups showed a clear improvement after 12 weeks. The combination of counseling sessions and antidepressant medication is more effective than either treatment alone. Counseling sessions used by a trained family physician is an effective treatment for depressive disorders in primary care. The combination of this treatment with antidepressant medication is more effective than either treatment alone. (author)

  16. Nonparametric Inference for Periodic Sequences

    Sun, Ying

    2012-02-01

    This article proposes a nonparametric method for estimating the period and values of a periodic sequence when the data are evenly spaced in time. The period is estimated by a "leave-out-one-cycle" version of cross-validation (CV) and complements the periodogram, a widely used tool for period estimation. The CV method is computationally simple and implicitly penalizes multiples of the smallest period, leading to a "virtually" consistent estimator of integer periods. This estimator is investigated both theoretically and by simulation.We also propose a nonparametric test of the null hypothesis that the data have constantmean against the alternative that the sequence of means is periodic. Finally, our methodology is demonstrated on three well-known time series: the sunspots and lynx trapping data, and the El Niño series of sea surface temperatures. © 2012 American Statistical Association and the American Society for Quality.

  17. Positive periodic solutions of delayed periodic Lotka-Volterra systems

    Lin Wei [Laboratory of Nonlinear Mathematics Science, Institute of Mathematics, Fudan University, Shanghai 200433 (China)]. E-mail: weilin@fudan.edu.cn; Chen Tianping [Laboratory of Nonlinear Mathematics Science, Institute of Mathematics, Fudan University, Shanghai 200433 (China)]. E-mail: tchen@fudan.edu.cn

    2005-01-17

    In this Letter, for a general class of delayed periodic Lotka-Volterra systems, we prove some new results on the existence of positive periodic solutions by Schauder's fixed point theorem. The global asymptotical stability of positive periodic solutions is discussed further, and conditions for exponential convergence are given. The conditions we obtained are weaker than the previously known ones and can be easily reduced to several special cases.

  18. Positive periodic solutions of delayed periodic Lotka-Volterra systems

    Lin, Wei; Chen, Tianping

    2005-01-01

    In this Letter, for a general class of delayed periodic Lotka-Volterra systems, we prove some new results on the existence of positive periodic solutions by Schauder's fixed point theorem. The global asymptotical stability of positive periodic solutions is discussed further, and conditions for exponential convergence are given. The conditions we obtained are weaker than the previously known ones and can be easily reduced to several special cases.

  19. Fractional-period excitations in continuum periodic systems

    We investigate the generation of fractional-period states in continuum periodic systems. As an example, we consider a Bose-Einstein condensate confined in an optical-lattice potential. We show that when the potential is turned on nonadiabatically, the system explores a number of transient states whose periodicity is a fraction of that of the lattice. We illustrate the origin of fractional-period states analytically by treating them as resonant states of a parametrically forced Duffing oscillator and discuss their transient nature and potential observability

  20. Dynamics of Coulombic and gravitational periodic systems

    Kumar, Pankaj; Miller, Bruce N.

    2016-04-01

    We study the dynamics and the phase-space structures of Coulombic and self-gravitating versions of the classical one-dimensional three-body system with periodic boundary conditions. We demonstrate that such a three-body system may be reduced isomorphically to a spatially periodic system of a single particle experiencing a two-dimensional potential on a rhombic plane. For the case of both Coulombic and gravitational versions, exact expressions of the Hamiltonian have been derived in rhombic coordinates. We simulate the phase-space evolution through an event-driven algorithm that utilizes analytic solutions to the equations of motion. The simulation results show that the motion exhibits chaotic, quasiperiodic, and periodic behaviors in segmented regions of the phase space. While there is no evidence of global chaos in either the Coulombic or the gravitational system, the former exhibits a transition from a completely nonchaotic phase space at low energies to a mixed behavior. Gradual yet striking transitions from mild to intense chaos are indicated with changing energy, a behavior that differentiates the spatially periodic systems studied in this Rapid Communication from the well-understood free-boundary versions of the three-body problem. Our treatment of the three-body systems opens avenues for analysis of the dynamical properties exhibited by spatially periodic versions of various classes of systems studied in plasma and gravitational physics as well as in cosmology.

  1. Three cases of thyrotoxic periodic paralysis due to painless thyroiditis

    Debmalya Sanyal; Moutusi Raychaudhuri; Shakya Bhattacharjee

    2013-01-01

    We present three cases of thyrotoxic periodic paralysis (TPP) due to painless thyroiditis presenting as acute quadriparesis. All responded to potassium supplementation and propranolol. TPP may be due to thyrotoxicosis of any etiology, commonly Grave's disease. The absence of clinical signs of thyrotoxicosis can delay diagnosis and treatment. Thyroid function tests should be a routine evaluation in all cases of hypokalemic periodic paralysis.

  2. Periodic paralysis: clinical evaluation in 20 patients

    Célia Harumi Tengan

    1994-12-01

    Full Text Available Twenty patients with periodic paralysis were evaluated and the aspects studied included epidemiological data, clinical manifestations, ancillary tests, treatment and evolution. Sixteen patients had the hypokalemic form (5 familiar, 5 sporadic, 5 thyrotoxic and 1 secondary. No patient with the normokalemic form was detected. Predominance of men was found (14 patients, especially in the cases with hyperthyroidism (5 patients. No thyrotoxic patient was of oriental origin. Only 4 patients had the hyperkalemic form (3 familiar, 1 sporadic. Attacks of paralysis began during the first decade in the hyperkalemic form and up to the third decade in the hypokalemic. In both forms the attacks occurred preferentially in the morning with rest after exercise being the most important precipitating factor. Seventy five percent of the hyperkalemic patients referred brief attacks (<12 hours. Longer attacks were referred by 43% of the hypokalemic patients. The majority of the attacks manifested with a generalized weakness mainly in legs, and its frequency was variable. Creatinokinase was evaluated in 10 patients and 8 of them had levels that varied from 1,1 to 5 times normal. Electromyography was done in 6 patients and myotonic phenomenon was the only abnormality detected in 2 patients. Carbonic anhydrase inhibitors, especially acetazolamide, were used for prophylactic treatment in 9 pacients with good results in all. Although periodic paralysis may be considered a benign disease we found respiratory distress in 5 patients, permanent myopathy in 1, electrocardiographic abnormalities during crises in 4; death during paralysis occurred in 2. Therefore correct diagnosis and immediate treatment are crucial. This study shows that hyperthyroidism is an important cause of periodic paralysis in our country, even in non oriental patients. Hence endocrine investigation is mandatory since this kind of periodic paralysis will only be abated after return to the euthyroid state.

  3. Repelling periodic points of given periods of rational functions

    CHANG; Jianming; FANG; Mingliang

    2006-01-01

    Let R(z) be a rational function of degree d ≥ 2. Then R(z) has at least one repelling periodic point of given period k ≥ 2, unless k = 4 and d=2, or k= 3 and d ≤ 3, or k=2 and d≤8. Examples show that all exceptional cases occur.

  4. Photolysis of Periodate and Periodic Acid in Aqueous Solution

    Sehested, Knud; Kläning, U. K.

    1978-01-01

    The photochemistry of periodate and periodic acid in aqueous solution was studied (i) by quantum yield measurements at low light intensity (ii) by flash photolysis, and (iii) by photolysis of glassy samples at 77 K. The photochemical studies were supplemented with pulse radiolysis studies of...

  5. From Periodic Properties to a Periodic Table Arrangement

    Besalú, Emili

    2013-01-01

    A periodic table is constructed from the consideration of periodic properties and the application of the principal components analysis technique. This procedure is useful for objects classification and data reduction and has been used in the field of chemistry for many applications, such as lanthanides, molecules, or conformers classification.…

  6. Scaling limits of periodic monopoles

    Maldonado, Rafael

    2015-01-01

    The purpose of this note is to explore the structure of singly periodic monopoles for different values of the size to period ratio. The transition between a chain of small monopoles and the approximately two dimensional chain of large monopoles takes us through a region with an unintuitive dependence on the periodic direction. The focus is mainly on the smooth SU(2) monopole of charge 2.

  7. Scaling limits of periodic monopoles

    Maldonado, Rafael

    2014-01-01

    The purpose of this note is to explore the structure of singly periodic monopoles for different values of the size to period ratio. The transition between a chain of small monopoles and the approximately two dimensional chain of large monopoles takes us through a region with an unintuitive dependence on the periodic direction. The focus is mainly on the smooth SU(2) monopole of charge 2.

  8. Ap stars with variable periods

    Mikulášek, Zdeněk; Krtička, Jiří; Janík, Jan; Zejda, Miloslav; Henry, Gegory W.; Paunzen, Ernst; Žižňovský, Jozef; Zverko, Juraj

    2013-01-01

    The majority of magnetic chemically peculiar (mCP) stars exhibit periodic light, magnetic, radio, and spectroscopic variations that can be adequately modelled as a rigidly-rotating main-sequence star with persistent surface structures. Nevertheless, there is a small sample of diverse mCP stars whose rotation periods vary on timescales of decades while the shapes of their phase curves remain unchanged. Alternating period increases and decreases have been suspected in the hot CP stars CU Vir an...

  9. Holonomic systems for period mappings

    Chen, Jingyue, E-mail: jychen@brandeis.edu [Department of Mathematics, Brandeis University, Waltham, MA 02454 (United States); Huang, An, E-mail: anhuang@math.harvard.edu [Department of Mathematics, Harvard University, Cambridge, MA 02138 (United States); Lian, Bong H., E-mail: lian@brandeis.edu [Department of Mathematics, Brandeis University, Waltham, MA 02454 (United States)

    2015-09-15

    Period mappings were introduced in the sixties [4] to study variation of complex structures of families of algebraic varieties. The theory of tautological systems was introduced recently [7,8] to understand period integrals of algebraic manifolds. In this paper, we give an explicit construction of a tautological system for each component of a period mapping. We also show that the D-module associated with the tautological system gives rise to many interesting vanishing conditions for period integrals at certain special points of the parameter space.

  10. Clinical Observation of Low-dosage and Long-period Xeloda in Treatment of Advanced Triple Negative Breast Cancer%低剂量长周期希罗达治疗复发晚期三阴性乳腺癌的临床研究

    容景瑜; 张少贤; 黄景彬; 林清; 陈雁秋

    2015-01-01

    目的:观察低剂量长周期希罗达治疗复发晚期三阴性乳腺癌的有效性和安全性。方法将60例经含希罗达联合化疗8个周期后疾病达缓解或稳定的复发晚期三阴性乳腺癌患者随机分为两组,治疗组继续接受低剂量长周期希罗达维持治疗,期间进展或不能耐受毒副反应者停止化疗,对照组予以观察随诊。结果低剂量长周期希罗达维持治疗复发晚期三阴性乳腺癌有效率为73.3%,中位无进展生存期为413.7天,半数患者生存期为466.3天,化疗有效维持时间为209.3天;1年生存率70.0%,2年生存率46.6%;患者生存质量提高,肿瘤指标下降,与对照组比较,有显著性差异。主要毒副反应为手足综合征(36.67%),多为Ⅰ-Ⅱ度,其次为消化道反应(26.67%)及白细胞下降(23.3%),患者可耐受。结论低剂量长周期希罗达治疗复发晚期三阴性乳腺癌,患者的耐受性好,不良反应程度低,治疗有效,为治疗复发性三阴性乳腺癌的有效、低毒的可选方案。%Objective To observe the therapeutic effects, toxicity and side effects of low-dosage and long-period xeloda in the treatment of advanced triple negative breast cancer. Methods Sixty patients with advanced triple negative breast cancer were divided into two groups after treatment of 8 cycles’combination regimen including xeloda. 30 patients in control group then got no xeloda but follow-up clinic, and another 30 in treatment group were still treated by low-dosage and long-period xeloda. Results In the treatment group, the short-term therapeutic effect rate was 73.3%, the median progression-free sur-vival (PFS) was 413.7 days. The median survival time was 466.3 days, the effective chemotherapy-maintained time was 209.3 days, with 1-year survival of 70.0%, 2-year survival of 46.6%. The life quality of patients was improved and the level of tumor marker was decreased with

  11. Dyes Waste Treatments

    Siew-Teng Ong

    2011-02-01

    Full Text Available Dyes waste represent one of the problematic groups of pollutants because their presence can be easily identified by the human eye and they are not easily biodegradable. This literature review paper highlights and provides an overview of dyes waste treatments for 3 years period, from 2008–2010. The noteworthy treatment processes for dyes waste include biological treatment, catalytic oxidation, filtration, sorption process and combination treatments.

  12. Periodic and aperiodic synchronization in skilled action

    Fred Cummins

    2011-12-01

    Full Text Available Synchronized action is considered as a manifestation of shared skill. Most synchronized behaviors in humans and other animals are based on periodic repetition. Aperiodic synchronization of complex action is found in the experimental task of synchronous speaking, in which naive subjects read a common text in lock step. The demonstration of synchronized behavior without a periodic basis is presented as a challenge for theoretical understanding. A unified treatment of periodic and aperiodic synchronization is suggested by replacing the sequential processing model of cognitivist approaches with the more local notion of a task-specific sensorimotor coordination. On this view, skilled action is the imposition of constraints on the co-variation of movement and sensory flux such that the boundary conditions that define the skill are met. This non-cognitivist approach originates in the work of John Dewey. It allows a unification of the treatment of sensorimotor synchronization in simple rhythmic behavior and in complex skilled behavior and it suggests that skill sharing is a uniquely human trait of considerable import.

  13. Quasi-periodicity in relative quasi-periodic tori

    Fassò, Francesco; García-Naranjo, Luis C.; Giacobbe, Andrea

    2015-10-01

    At variance from the cases of relative equilibria and relative periodic orbits of dynamical systems with symmetry, the dynamics in relative quasi-periodic tori (namely, subsets of the phase space that project to an invariant torus of the reduced system on which the flow is quasi-periodic) is not yet completely understood. Even in the simplest situation of a free action of a compact and abelian connected group, the dynamics in a relative quasi-periodic torus is not necessarily quasi-periodic. It is known that quasi-periodicity of the unreduced dynamics is related to the reducibility of the reconstruction equation, and sufficient conditions for it are virtually known only in a perturbation context. We provide a different, though equivalent, approach to this subject, based on the hypothesis of the existence of commuting, group-invariant lifts of a set of generators of the reduced torus. Under this hypothesis, which is shown to be equivalent to the reducibility of the reconstruction equation, we give a complete description of the structure of the relative quasi-periodic torus, which is a principal torus bundle whose fibers are tori of a dimension which exceeds that of the reduced torus by at most the rank of the group. The construction can always be done in such a way that these tori have minimal dimension and carry ergodic flow.

  14. Clinical utility of dronabinol in the treatment of weight loss associated with HIV and AIDS

    Badowski, Melissa E; Perez, Sarah E

    2016-01-01

    Since the beginning of the HIV/AIDS epidemic, weight loss has been a common complaint for patients. The use of various definitions defining HIV wasting syndrome has made it difficult to determine its actual prevalence. Despite the use of highly active antiretroviral therapy, it is estimated that the prevalence of HIV wasting syndrome is between 14% and 38%. HIV wasting syndrome may stem from conditions affecting chewing, swallowing, or gastrointestinal motility, neurologic disease affecting food intake or the perception of hunger or ability to eat, psychiatric illness, food insecurity generated from psychosocial or economic concerns, or anorexia due to medications, malabsorption, infections, or tumors. Treatment of HIV wasting syndrome may be managed with appetite stimulants (megestrol acetate or dronabinol), anabolic agents (testosterone, testosterone analogs, or recombinant human growth hormone), or, rarely, cytokine production modulators (thalidomide). The goal of this review is to provide an in-depth evaluation based on existing clinical trials on the clinical utility of dronabinol in the treatment of weight loss associated with HIV/AIDS. Although total body weight gain varies with dronabinol use (–2.0 to 3.2 kg), dronabinol is a well-tolerated option to promote appetite stimulation. Further studies are needed with standardized definitions of HIV-associated weight loss and clinical outcomes, robust sample sizes, safety and efficacy data on chronic use of dronabinol beyond 52 weeks, and associated virologic and immunologic outcomes. PMID:26929669

  15. Beyond the periodic orbit theory

    Cvitanovic, Predrag; Hansen, Kim; Rolf, Juri; Vattay, Gabor

    1997-01-01

    The global constraints on chaotic dynamics induced by the analyticity of smooth flows are used to dispense with individual periodic orbits and derive infinite families of exact sum rules for several simple dynamical systems. The associated Fredholm determinants are of particularly simple polynomial form. The theory developed suggests an alternative to the conventional periodic orbit theory approach to determining eigenspectra of transfer operators.

  16. Superconductivity and the periodic table

    Compiled data on superconducting transition temperature Tc for pure metals (including amorphous and high-pressure phases) from the first, second, and third long periods of the Periodic Table and for their analogous compounds show that a significant regularity exists in the relative values of Tc

  17. Periodicities in gamma ray bursts

    Gamma ray burst models based on magnetic neutron stars face a problem of account for the scarcity of observed periods. Both this scarcity and the typical period found when any is detected are explained if the neutron stars are accreting in binary systems

  18. Obesity and exercise in adoloscent period

    Eda Mendeş

    2011-10-01

    Full Text Available Adolescence period is a special period during which fastest growth and development occur in humans and which includes transition from childhood to adulthood. World Health Organization (WHO define 10-19 age-group individuals as adolescence and 15- 24 age-group individuals as youthood. That today’s community lacks knowledge of workout, inadequate awareness of the benefits of workout to human health and acceptance of the continuity of sedentary life gives rise to the incidence of lots of chronic diseases such as high-blood pressure, cardio-pulmonary diseases, obesity and diabetes.In recent years, childhood and adolescence obesity has become an important health problem as a result of the decline in physical activities. In this context, workout along with balanced diet is one of the precautions that can be suggested in terms of the prevention of obesity. The purpose of this study (compilation is to provide information on keeping human health by means of an awareness of workout in adolescence period which is the most important stage preceding adulthood; to summarize the issue in relation to the written documents existing in the relevant literature, and to make suggestions about healthy future generations through workout in adolescence period.In conclusion, successful results regarding the treatment of obesity in adolescence can be achieved through aerobics along with low-calorie diet.

  19. Transition Period and Immunosuppression: Critical Period of Dairy Cattle Reproduction

    K. Simenew; M. Wondu

    2013-01-01

    This seminar study is prepared on the objectives of: revising important aspects of transition period of dairy cattle and highlighting some potential areas of research and challenges for the future. It has sufficiently been discussed that improved understanding of this frontier of the biology, immunology, nutrition and management of cows during the transition period will provide the largest gains in productivity and profitability of dairy farms. In the manuscript under each specific topic, tra...

  20. Optical Periodicity Analysis of 3C 446 using Period04

    Fei Guo; Hao Jing Zhang

    2014-09-01

    All the data of the blazar 3C446 at 8, 4.8, 14 and 22 GHz, presented in publications from 1977 to 2006, have been compiled to generate light curves. The light curves show violent activity of 3C446. Using Period04 analysis method, we have found that there is a period of 7.2 yr, which is consistent with the results that we found using wavelet analysis method. We get the instability region as = 123.83.

  1. Thyrotoxic Hypokalemic Periodic Paralysis: A Case Report

    Murat Atmaca

    2012-12-01

    Full Text Available Thyrotoxic hypokalemic periodic paralysis is a rare complication of thyrotoxicosis. This clinic condition is often encountered in Asian populations and male gender while thyrotoxicosis is frequently seen in women. The escape of potassium into cell is the mechanism responsible for this disease and its etiology is not completely known. Thyroid hormones, carbohydrate rich diet, alcohol consumption and excessive exercise are regarded as the precipitating factors. This clinical picture is generally difficult to define at first attack. Here, we report a forty-two-year-old male patient with Basedow-Graves disease who was diagnosed as having thyrotoxic hypokalemic periodic paralysis during the first paralytic attack. His symptoms improved after potassium replacement and treatment with beta-blocker and antithyroid drugs. The permanent cure was achieved with radioactive iodine ablation therapy. Turk Jem 2012; 16: 69-71

  2. Entanglement Entropy of Periodic Sublattices

    He, Temple; Vandoren, Stefan

    2016-01-01

    We study the entanglement entropy (EE) of Gaussian systems on a lattice with periodic boundary conditions, both in the vacuum and at nonzero temperatures. By restricting the reduced subsystem to periodic sublattices, we can compute the entanglement spectrum and EE exactly. We illustrate this for a free (1+1)-dimensional massive scalar field at a fixed temperature. Consistent with previous literature, we demonstrate that for a sufficiently large periodic sublattice the EE grows extensively, even in the vacuum. Furthermore, the analytic expression for the EE allows us probe its behavior both in the massless limit and in the continuum limit at any temperature.

  3. The Periodic Table in Croatia

    Raos, N.

    2011-12-01

    Full Text Available The Croatian (Yugoslav Academy of Sciences and Arts was the first academy to elect D. I. Mendeleev as its honorary member (1882, whereas the periodic table of the elements has been taught regularly at the Zagreb University since 1888. The early interest of Croatian chemists in the periodic table should be attributed primarily to their pan-Slavic attitude, particularly as proof that Slavic people were able to produce "their own Newtons" (M. V. Lomonosov and D. I. Mendeleev. Such enthusiastic views, however, did not help in analyzing the contribution of Mendeleev and other scientists to the discovery and development of the periodic table of the elements.

  4. Effect of Simo decoction,Clostridium butyricnm powder in treatment of neonatal asphyxia during perinatal period after feeding intolerance%四磨汤与酪酸梭菌活菌散治疗新生儿围生期窒息后喂养不耐受的观察

    卓文娟

    2012-01-01

    [目的]观察四磨汤、酪酸梭菌活菌散治疗新生儿围生期窒息后喂养不耐受的情况. [方法]选择本院有围生期窒息后喂养不耐受的新生儿68例为实验对象,并随机分为对照组(n=36)和治疗组(n=32),羊水有胎粪污染者,两组均予洗胃,洗胃后禁食6h才开奶,对照组予枯草杆菌二联活菌颗粒治疗,治疗组予四磨汤、酪酸梭菌活菌散治疗.每天记录呕吐的次数、呕吐量、进食的奶量、大便次数、腹胀消失的日龄、恢复出生体重的日龄等. [结果]实验组呕吐次数减少、呕吐及腹胀消失时间提前、达50 kCal/(kg·d)日龄,恢复出生体重的日龄均提前,差异有统计学意义(P<0.05).[结论]四磨汤、酪酸梭菌活菌散治疗新生儿围生期窒息后喂养不耐受,能促进胃肠功能成熟,提高喂养的耐受性,而且安全.%[Objective] To observe the effect of Simo decoction,the condition of intolerant infants under Clostridium butyricum powder in treatment of neonatal asphyxia during perinatal period after feeding. [Methods] 68 infants selected as cases and were randomly divided into the control group (n=36) and treatment group (n = 32) cases with amniotic fluid meconium pollution in two groups were treated with gastric lav-age,after gastric lavage they could not open the milk until fasting for 6 hours. The control group received the treatment of Combined Bacillus Subtilis and Enterococcus Faecium Granules with Multivitamines,Live,and the treatment group was treated with the Simo decoction,Clostridium bulyricutn powder treatment,daily record of vomiting,amount of milk,stool frequency,abdominal distention disappeared days of age,the days of birth weight,such as age of recovery. [Results] The experimental group reduced frequency of vomiting ,and vomiting, abdominal distension disappeared ahead of time,up to 50 kCal/Ckg·) days in advance, to restore the birth weight of the days in advance,with statistically significant (P<0. 05

  5. Thyrotoxic periodic paralysis: a short clinical review

    Rashmi Aggarwal

    2015-06-01

    Full Text Available Thyrotoxic Periodic Paralysis (TPP is a potentially lethal manifestation of hyperthyroidism which is characterized by hypokalemia and muscular weakness. It mainly affects Asian men in the age group of 20 to 40 years. Immediate supplementation with oral or intravenous potassium will help to not only abort the acute attack of paralysis but will also prevent serious and life threatening cardiac arrhythmias. Non selective beta blockers like propranolol can also be used to ameliorate and prevent subsequent paralytic attack. Acetazolamide has no role in the treatment of TPP. [Int J Res Med Sci 2015; 3(3.000: 539-542

  6. Modular forms and period polynomials

    Pasol, Vicentiu

    2012-01-01

    We study the space of period polynomials associated with modular forms for finite index subgroups of the modular group. For the full modular group, this space is endowed with a pairing, corresponding to the Petersson inner product on modular forms via a formula of Haberland, and with an action of Hecke operators, defined algebraically by Zagier. We extend Haberland's formula to arbitrary modular forms for finite index subgroups of the modular group, and we show that it conceals two stronger formulas. We extend the action of Hecke operators to \\Gamma_0(N) and \\Gamma_1(N), and we prove algebraically that the pairing on period polynomials appearing in Haberland's formula is Hecke equivariant. Two indefinite theta series identities follow from this proof. We give two ways of determining the extra relations satisfied by the even and odd parts of period polynomials associated with cusp forms, which are independent of the period relations.

  7. Periodicities in Aerosol Optical Depths

    Ramachandran, S; Verma, Amit; Panigrahi, Prasanta K

    2011-01-01

    We investigate the temporal and spatial variability in aerosol optical depth (AOD) over different geographic locations in India due to their important role in the earth-atmosphere radiation budget. The use of continuous wavelet transform pinpoints the spatio-temporal non-stationarity of the periodic variations in the AOD depending on local factors. The optimal time-frequency localization ability of Morlet wavelet accurately isolates the periodic features in the different frequency domains, to study the variations in the dominant periods due to local effects. The origin of the effects on the periodic modulations is then related to physical phenomena of regional nature, which throws considerable light on the observed variations in aerosol optical depths. We also find the phase relationship between different locations and to identify the possible correlations between different geographic locations and related environmental variations.

  8. Periodicities in photospheric magnetic flux

    2006-01-01

    Magnetic field plays an important role in solar structure and activity. In principle, the determination of magnetic flux would provide the best general-purpose index of solar activity. Currently, the periodicity studies corresponding to photospheric magnetic flux (PMF) are very few possibly due to the absence of a uniform flux sequence. In this paper, by using 383 NSO/Kitt Peak magnetic synoptic charts we reconstruct a flux sequence from February 1975 to August 2003 and perform a relatively systemic periodicity analysis with two methods of the Scargle periodogram and the Morlet wavelet transform. As a result, four periods are found at around 1050, 500, 300 and 160 days. We analyze these periods' temporal variabilities in detail and discuss their respective origins briefly.

  9. AKTIVITAS PADA SKELET KRANIOFASIAL SELAMA PERIODE PERTUMBUHAN

    Magdalena Lesmana

    2015-07-01

    Full Text Available The human skull is a complicated structure made up from 20 constituent bones and it is thus not surprising that the pattern of growth is complicated. The fully grown skull is not simple a larger version of the infant form. The adult skull differs not only in size but also in shape, indicating that theremust be a process of differential growth. The differential growth process must be a different activity seen in the craniofacial skelet, during the growing period and it may be divided into four components. Knowledge of craniofacial growth provides a background to the understanding of the treatment planning process and to undertake suitable interceptive treatment, to hinder the stomatognathic function problems in the future.

  10. The Periodic Table in Croatia

    Raos, N.

    2011-01-01

    The Croatian (Yugoslav) Academy of Sciences and Arts was the first academy to elect D. I. Mendeleev as its honorary member (1882), whereas the periodic table of the elements has been taught regularly at the Zagreb University since 1888. The early interest of Croatian chemists in the periodic table should be attributed primarily to their pan-Slavic attitude, particularly as proof that Slavic people were able to produce "their own Newtons" (M. V. Lomonosov and D. I. Mendeleev). Such enthusiasti...

  11. Prime numbers: periodicity, chaos, noise

    Bershadskii, A.

    2011-01-01

    Logarithmic gaps have been used in order to find a periodic component of the sequence of prime numbers, hidden by a random noise (stochastic or chaotic). The recovered period for the sequence of the first 10000 prime numbers is equal to 8\\pm1 (subject to the prime number theorem). For small and moderate values of the prime numbers (first 2000 prime numbers) this result has been directly checked using the twin prime killing method.

  12. Cohort postponement and period measures

    Joshua R. Goldstein; Thomas Cassidy

    2010-01-01

    We introduce a new class of models in which demographic behavior such as fertility is postponed by differing amounts depending only on cohort membership. We show how this model fits into a general framework of period and cohort postponement that includes the existing models in the literature, notably those of Bongaarts and Feeney and Kohler and Philipov. The cohort-based model shows the effects of cohort shifts on period fertility measures and provides an accompanying tempo-adjusted measure o...

  13. The study protocol of the Norwegian randomized controlled trial of electroconvulsive therapy in treatment resistant depression in bipolar disorder

    Oedegaard Ketil J

    2010-02-01

    Full Text Available Abstract Background The treatment of depressive phases of bipolar disorder is challenging. The effects of the commonly used antidepressants in bipolar depression are questionable. Electroconvulsive therapy is generally considered to be the most effective treatment even if there are no randomized controlled trials of electroconvulsive therapy in bipolar depression. The safety of electroconvulsive therapy is well documented, but there are some controversies as to the cognitive side effects. The aim of this study is to compare the effects and side effects of electroconvulsive therapy to pharmacological treatment in treatment resistant bipolar depression. Cognitive changes and quality of life during the treatment will be assessed. Methods/Design A prospective, randomised controlled, multi-centre six- week acute treatment trial with seven clinical assessments. Follow up visit at 26 weeks or until remission (max 52 weeks. A neuropsychological test battery designed to be sensitive to changes in cognitive function will be used. Setting: Nine study centres across Norway, all acute psychiatric departments. Sample: n = 132 patients, aged 18 and over, who fulfil criteria for treatment resistant depression in bipolar disorder, Montgomery Åsberg Depression Rating Scale Score of at least 25 at baseline. Intervention: Intervention group: 3 sessions per week for up to 6 weeks, total up to 18 sessions. Control group: algorithm-based pharmacological treatment as usual. Discussion This study is the first randomized controlled trial that aims to investigate whether electroconvulsive therapy is better than pharmacological treatment as usual in treatment resistant bipolar depression. Possible long lasting cognitive side effects will be evaluated. The study is investigator initiated, without support from industry. Trial registration NCT00664976

  14. Rotational periodicities in Saturn's magnetosphere

    Complete text of publication follows. A central question for Saturn's magnetospheric dynamics is the origin of periodicities close to the presumed rotational period of Saturn (∼10.8 h). Periodic oscillations are observed in the magnetic field, particles, Saturn kilometric radiation (SKR) and more. We discuss the possibility that all periodicities are likely to have one common cause: periodic plasmoid release from the night side sector. The rapid magnetic field reconfigurations following the plasmoid release energize charged particles and create the large scale 'injections' that are clearly seen in energetic neutral atom (ENA) images observed by the INCA camera on board Cassini. We further show that the magnetic field oscillations and SKR can be explained by the currents driven by the injected and energized plasma pressure distribution drifting around Saturn. The evolution of these pressure-driven currents is consistent with the evolution of the SKR. To quantify the magnetic field oscillations we estimate the distribution and strength of the plasma pressure from Cassini/MIMI and CAPS observations of hot and cold plasma. An important constraint is the how the magnetospheric dynamics respond to variations in solar wind dynamic pressure (SWP). In order to quantify this constraint we use SWP measurements from when Cassini is in the solar wind as well as model propagated solar wind properties to investigate how periodicities vary as a function of SWP. We further speculate that the ultimate cause of the periodic plasmoid releases is an effect of the inherent stability of the cold plasma without the need of a longitudinal 'anomaly' tied to the planet's core or ionosphere.

  15. Drought periods during XXth century

    The drought problem always exists somewhere in the world so that the economy of some nation or nations is always being adversely influenced by this factor. Although drought is a natural component of the climate in arid and semi-arid areas, it can occur in areas, which normally receive adequate precipitation. Available hydro meteorological data indicate droughts have occurred through the last century in Bulgaria and they a part of the climatic cycle on the Balkan Peninsula. The precipitation distribution is one of the basic characteristics of the drought occurrence in a given region. However, the distributions of additional meteorological elements should be also taken into account in order to describe the degree of the climate dryness. For example, the distribution of air temperature is an especially important characteristic for drought classifications. The last years in Bulgaria were drier and warmer than the normals for the period of so-called 'current climate' (1961-1990). Precipitation was approximately 80-85 % less than the normals. Statistical methods were used in order to analyze the long-term variations of precipitation, air temperature. The long-term series of data were smoothed by averages and they were also approximated by means of a polynomial. These methods eliminate the random and short periodical fluctuations of the time series. The Spearman coefficient (r) and the Kendall coefficient (rl) were used in order to investigate the existence of eventual trends. Some quantitative criteria were also used for a comparison of the drought frequency and intensity between different regions and years. As a result of the conducted analysis, the investigated period can be divided to separate sub-periods with duration of 10-15 years. These years are characterized with different moisture conditions. Three periods can be determined during the 20 th century, which are characterized by longer and severe droughts, namely 1902-1913, 1942-1953 and 1982-1994. The drought

  16. Positive performance and health effects of a football training program over 12 weeks can be maintained over a 1-year period with reduced training frequency

    Randers, Morten Bredsgaard; Nielsen, Jens Jung; Krustrup, Birgitte Rejkjær;

    2010-01-01

    We examined whether improvements in the performance and health profile of an intensive 12-week football intervention could be maintained with a reduced training frequency. Seventeen healthy untrained males completed the study. Ten subjects trained 2.4 times/week for 12 weeks and another 52 weeks ...

  17. Periodic sedimentation of three particles in periodic boundary conditions

    Solutions of the equations of Stokesian dynamics for point particles are found for periodic boundary conditions with three particles per unit cell of a simple cubic lattice. Two particles per cell move with equal velocity, but three particles per cell usually lead to irregular motion. Special situations are of interest, where initially the distance vector of one pair is parallel to one of the horizontal axes of the cubic lattice and the members of this pair are at equal distance to the third particle. By symmetry the configuration keeps this character during the motion, and numerically the motion is found to be periodic. In our numerical work we have studied mostly the case where the initial triangle is horizontal and equilateral. We have shown that the periodic motion is neutrally stable for sizes of the initial triangle less than the critical size. Such stable solutions of the equations of Stokesian dynamics are of relevance to the theory of sedimentation. In these solutions the particles move coherently in a complicated fashion with the same mean sedimentation velocity and a periodic internal motion of the three-particle cluster. If initially the particles are sufficiently widely separated, but the motion is still stable, the mean sedimentation velocity is less than that of a single particle. In this case the solution describes a situation of hindered settling. If the initial triangle is too large, with the side length larger than the critical size, the two base particles team up with partners in neighboring cells, and we get separate motion of a base pair and a single particle with different mean vertical velocities and with periodic motions superimposed. The columns of horizontal pairs pass the columns of apex particles. The corresponding solutions are unstable. (author)

  18. Ap stars with variable periods

    Mikulášek, Zdeněk; Janík, Jan; Zejda, Miloslav; Henry, Gegory W; Paunzen, Ernst; Žižňovský, Jozef; Zverko, Juraj

    2013-01-01

    The majority of magnetic chemically peculiar (mCP) stars exhibit periodic light, magnetic, radio, and spectroscopic variations that can be adequately modelled as a rigidly-rotating main-sequence star with persistent surface structures. Nevertheless, there is a small sample of diverse mCP stars whose rotation periods vary on timescales of decades while the shapes of their phase curves remain unchanged. Alternating period increases and decreases have been suspected in the hot CP stars CU Vir and V901 Ori, while rotation in the moderately cool star BS Cir has been decelerating. These examples bring new insight into this theoretically unpredicted phenomenon. We discuss possible causes of such behaviour and propose that dynamic interactions between a thin, outer, magnetically-confined envelope braked by the stellar wind, and an inner faster-rotating stellar body are able to explain the observed rotational variability

  19. On composites with periodic structure

    Nemat-Nasser, S.; Iwakuma, T.; Hejazi, M.

    1982-01-01

    The overall moduli of a composite with an isotropic elastic matrix containing periodically distributed (anisotropic) inclusions or voids, can be expressed in terms of several infinite series which only depend on the geometry of the inclusions or voids, and hence can be computed once and for all for given geometries. For solids with periodic structures these infinite series play exactly the same role as does Eshelby's tensor for a single inclusion or void in an unbounded elastic medium. For spherical and circular-cylindrical geometries, the required infinite series are calculated and the results are tabulated. These are then used to estimate the overall elastic moduli when either the overall strains or the overall stresses are prescribed, obtaining the same results. These results are compared with other estimates and with experimental data. It is found that the model of composites with periodic structure yields estimates in excellent agreement with the experimental observations.

  20. Periodicity, the Canon and Sport

    Thomas F. Scanlon

    2015-10-01

    Full Text Available The topic according to this title is admittedly a broad one, embracing two very general concepts of time and of the cultural valuation of artistic products. Both phenomena are, in the present view, largely constructed by their contemporary cultures, and given authority to a great extent from the prestige of the past. The antiquity of tradition brings with it a certain cachet. Even though there may be peripheral debates in any given society which question the specifics of periodization or canonicity, individuals generally accept the consensus designation of a sequence of historical periods and they accept a list of highly valued artistic works as canonical or authoritative. We will first examine some of the processes of periodization and of canon-formation, after which we will discuss some specific examples of how these processes have worked in the sport of two ancient cultures, namely Greece and Mesoamerica.

  1. One-year treatment with mometasone furoate in chronic obstructive pulmonary disease

    Abbate Eduardo H

    2008-11-01

    Full Text Available Abstract Many patients with chronic obstructive pulmonary disease (COPD are treated with twice daily (BID inhaled corticosteroids (ICS. This study evaluated whether daily PM mometasone furoate administered via a dry powder inhaler (MF-DPI was equally effective compared to twice daily dosing. In a 52-week, randomized, double-blind, placebo-controlled study, 911 subjects with moderate-to-severe COPD managed without ICS received MF-DPI 800 μg QD PM, MF-DPI 400 μg BID, or placebo. The change from baseline in postbronchodilator forced expiratory volume in 1 second (FEV1, total COPD symptom scores, and health status as well as the percentage of subjects with a COPD exacerbation were assessed. Adverse events were recorded. Mometasone furoate administered via a dry powder inhaler 800 μg QD PM and 400 μg BID significantly increased postbronchodilator FEV1 from baseline (50 mL and 53 mL, respectively, versus a 19 mL decrease for placebo; P P = 0.043. Subjects receiving MF-DPI 400 μg BID reported a statistically significant (19% reduction in COPD symptom scores compared with placebo (P P ≤ 0.031. MF-DPI treatment was well tolerated. Once-daily MF-DPI improved lung function and health status in subjects with moderate-to-severe COPD and was comparable to BID MF-DPI.

  2. Safety and Efficacy of Paliperidone Extended-Release in Acute and Maintenance Treatment of Schizophrenia

    Spina, Edoardo; Crupi, Rosalia

    2011-01-01

    Paliperidone, the major active metabolite of risperidone, is a second-generation antipsychotic that has been developed as an extended-release (ER) tablet formulation that minimizes peak-trough fluctuations in plasma concentrations, allowing once-daily administration and constant drug delivery. Paliperidone ER has demonstrated efficacy in the reduction of acute schizophrenia symptoms in 6-week, placebo-controlled, double-blind trials and clinical benefits were maintained in the longer-term according to extension studies of up to 52 weeks in duration. Compared with quetiapine, paliperidone ER was associated with a more rapid symptom improvement. In addition, it was more effective than placebo in the prevention of symptom recurrence. Paliperidone ER is generally well tolerated with a predictable adverse event profile. Like risperidone, it is associated with a dose-dependent risk of extrapyramidal symptoms and prolactin elevation. Short- and longer-term studies have indicated a low liability for paliperidone ER to cause metabolic (ie, weight gain, hyperglycaemia and lipid dysregulation) or cardiovascular adverse effects. Available safety data from elderly patients appear to be promising. Due to negligible hepatic biotransformation, paliperidone ER is unlikely to be involved in clinically significant metabolic drug-drug interactions. Additional active comparator trials evaluating efficacy, tolerability and cost-effectiveness are required to better define the role of paliperidone ER in the treatment of schizophrenia in relation to other currently available second-generation antipsychotics, particularly risperidone. PMID:23861636

  3. A Study on the Treatment of Gynecological Disease during the Post-menstruation Period through the Method of Regulating Menstru-ation Cycle Advocated by National TCM Master XIA Guicheng%国医大师夏桂成教授调周法经后期证治探析

    钱菁; 卢苏

    2016-01-01

    ABSTRAT:To treat the gynecological disease,national TCM master Xia Guicheng advocates the method of regulating menstru-ation cycle.He believes that kidney yin and essence are developing during the post-menstruation period which is of vital impor-tance to menstruation.The main methods of treatment of gynecological disease are nourishing yin and blood accompanied by reinforcing yang,and taking peaceful mind into value for its benefit for the production of kidney yin and tranquilizing mind.Ac-cording to the yin-yang waxing and waning circular motion cycle theory,post-menstruation period was divided into early,mid-dle,and terminal stages.On the basis of this stage-classification type,He put forward a body of methodologies for diagnosis and treatment:nourishing yin and blood and allowing patients to maintain calm minds during the early stage,nourishing yin to reinforcing yang and reinforcing yin from yang in the middle stage and regulating yin and yang at the terminal stage.%国医大师夏桂成教授倡导调周法治疗妇科疾病,认为经后期是肾阴天癸滋长的时期,对奠定月经物质基础至关重要。其治疗以滋阴养血,佐以助阳为主,并强调静能生水、宁心安神。根据阴阳消长转化圆运动周期理论,将经后期再分为初、中、末3个时期,提出了经后初期血中养阴、以静为主;经后中期滋阴助阳,静中有动;经后末期阴阳并调,动静结合的诊疗方法。

  4. Profit optimization during crisis periods

    Sorin BRICIU

    2013-06-01

    Full Text Available This article highlights the authors’ attempt to identify a simple and effective calculation method for profit optimization in crisis periods. This method was identified based on the analysis of a representative sample of professionals working in both state-owned and private bakery companies in Romania. The article also presents methodological case studies for three bakery products aimed to highlight the changes in results according to changes of variables in the current business environment. The results obtained are presented and analysed by the authors. The article ends with the authors’ conclusions on the benefits of the Direct-Costing Method and profit optimisation in crisis periods.

  5. Periodic Monopoles from Spectral Curves

    Maldonado, R.

    2012-01-01

    We consider $\\text{SU}(2)$ Bogomolny equations on $\\mathbb{R}^2\\times\\hat{S}^1$ and use the spectral curve defined by the holonomy in the periodic direction to approximate the fields in the limit of large size to period ratio. Symmetries of the Nahm transform allow a study of the effective two dimensional dynamics, which is compared with known results on the full moduli space. The techniques are applied to systems of higher charge and higher rank gauge group, allowing a direct comparison to o...

  6. Availability of periodically tested systems

    There is at the present time a need in accurate models to asess the availability of periodically tested stand-by systems. This paper shows how to improve the well known 'saw-tooth curve' model in order to take into account various reliability parameters. A model is developed to assess the pointwise and the mean availabilities of periodically tested stand-by systems. Exact and approxination formulae are given. In addition, the model developed herein leads to optimize the test interval in order to minimize the mean unavailability. A safety diesel in a nuclear power plant is given as an example

  7. Periodic orbits in arithmetical chaos

    Length spectra of periodic orbits are investigated for some chaotic dynamical systems whose quantum energy spectra show unexpected statistical properties and for which the notion of arithmetical chaos has been introduced recently. These systems are defined as the unconstrained motions of particles on two dimensional surfaces of constant negative curvature whose fundamental groups are given by number theoretical statements (arithmetic Fuchsian groups). It is shown that the mean multiplicity of lengths l of periodic orbits grows asymptotically like c x el/2/l, l → ∞. Moreover, the constant c (depending on the arithmetic group) is determined. (orig.)

  8. Periodic growth of bacterial colonies

    Yamazaki, Yoshihiro; Ikeda, Takemasa; Shimada, Hirotoshi; Hiramatsu, Fumiko; Kobayashi, Naoki; Wakita, Jun-ichi; Itoh, Hiroto; Kurosu, Sayuri; Nakatsuchi, Michio; Matsuyama, Tohey; Matsushita, Mitsugu

    2005-06-01

    The formation of concentric ring colonies by bacterial species Bacillus subtilis and Proteus mirabilis has been investigated experimentally, focusing our attention on the dependence of local cell density upon the bacterial motility. It has been confirmed that these concentric ring colonies reflect the periodic change of the bacterial motility between motile cell state and immotile cell state. We conclude that this periodic change is macroscopically determined neither by biological factors (i.e., biological clock) nor by chemical factors (chemotaxis as inhibitor). And our experimental results strongly suggest that the essential factor for the change of the bacterial motility during concentric ring formation is the local cell density.

  9. Possible Rivaroxaban Failure during the Postpartum Period.

    Rudd, Kelly M; Winans, Amanda R McFee; Panneerselvam, Narmadha

    2015-11-01

    Rivaroxaban, a factor Xa inhibitor, is a direct-acting oral anticoagulant (DOAC) indicated for the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE), and for reducing the risk of DVT and PE recurrence. To our knowledge, no data are presently available to guide DOAC dosing in the postpartum period when pharmacokinetic and pharmacodynamic changes induced by pregnancy have an impact on drug clearance and increase hypercoagulability for a period of 6-8 weeks after delivery. We describe the case of a 35-year-old postpartum woman who presented to the emergency department with a diagnosis of a new multiple segmental PE 5 days after starting rivaroxaban therapy for a diagnosis of DVT. No precipitating cause, including noncompliance, was identified as a source of thrombosis embolization or extension. The patient was admitted, a heparin infusion was started for the management of PE, and rivaroxaban was discontinued. She was transitioned to enoxaparin 1 mg/kg (90 mg) subcutaneously every 12 hours the next day, bridged to warfarin, and discharged home on the overlapping regimen with close follow-up by the pharmacist-managed outpatient Anticoagulation Management Service. To our knowledge, this is the first case report of potential failure associated with rivaroxaban therapy in the postpartum period, possibly due to pharmacokinetic alterations seen in the postpartum period contributing to decreased drug exposure, yielding reduced anticoagulant efficacy. Clinicians should carefully weigh the risks and benefits of DOAC therapy in postpartum patients or other special populations requiring anticoagulation therapy. This report also highlights the need for further research identifying the impact of pharmacokinetic changes induced by special populations and the need to develop monitoring assays for such clinical situations. PMID:26598101

  10. Long-period creep behaviour

    With a view to dimensioning and reliable determination of the service life of high-temperature components the following subjects are discussed: Creep data as criteria for materials selection; weld behaviour under creep stress; influence of the test atmosphere; influence of production process and initial structure; studies on creep behaviour extrapolation procedure; estimation of permissible operating periods. (orig./IHOE)

  11. 76 FR 52915 - Periodic Reporting

    2011-08-24

    ... informal rulemaking on proposed changes in certain analytical methods used in periodic reporting. The... Service filed a petition pursuant to 39 CFR 3050.11 requesting that the Commission initiate an informal... distribution activities would make it easier to distinguish shape-related work from mixed-shape work at...

  12. Shanghai's Fashion During Republic Period

    卞向阳

    2004-01-01

    The goal of this research is to describe and analyze Shanghai's fashion during Republic Period. Shanghai's fashion during Republic Period plays a special role in fashion history of China and Shanghai history. In the paper, three aspects including the fashion centre of China as well as Far East, men's fashion and women's fashion in Shanghai are discussed. The style, textiles, color, decoration and combination of clothing are described. Many costumes from the Clothing Museum at Donghua University and private collections as well as some historical writings, photographs and publications are elucidated and corroborated to give a more detailed description about Shanghai's fashion during that period.Here are some tentative conclusions. Firstly, Shanghai had always been the fashion center in China even Far East during Republic Period. Modeng was the main reflection of Shanghai fashion. Secondly, the traditional clothing exerted less influence and was less widely used, some kinds and combinations were out of fashion gradually. The fashion was described to be highly stylized, exquisite and concise. Thirdly, the influence of Western Style was further greater. The fashion in Shanghai was almost synchronous with fashion of Paris. Some western clothing was directly used in daily life and the elements of Western Style had an increasingly wide utilization. Fourthly, the New Chinese Style whose representatives were Qipao and Zhongshan Zhuang appeared and popularized in Shanghai. The fashion of Qipao changed frequently. Finally, the fashion in Shanghai called Shanghai Style could be summarized fashionable, exquisite, rapidly changeable, which is harmonious of both ancient and modern, Chinese and foreign.

  13. 76 FR 297 - Periodic Reporting

    2011-01-04

    ... INFORMATION: Regulatory History, 75 FR 58449 (Sept. 24, 2010). On December 20, 2010, the Postal Service filed... ] estimated. The Postal Service proposes to rely primarily on data from the manual density table to estimate... 39 CFR Part 3050 Periodic Reporting AGENCY: Postal Regulatory Commission. ACTION: Notice of...

  14. Genius of the periodic table

    'Isn't it the work of a genius!' exclaimed Academician V.I. Spitsyn, USSR, a member of the Scientific Advisory Committee when talking to an Agency audience in January. His listeners shared his enthusiasm. Academician Spitsyn was referring to the first formulation a hundred years ago by Professor Dmitry I. Mendeleyev of the Periodic Law of Elements. (author)

  15. PERIODIC COMPLEMENTARY BINARY SEQUENCE PAIRS

    XuChengqian; ZhaoXiaoqun

    2002-01-01

    A new set of binary sequences-Periodic Complementary Binary Sequence Pair (PCSP)is proposed .A new class of block design-Difference Family Pair (DFP)is also proposed .The relationship between PCSP and DFP,the properties and exising conditions of PCSP and the recursive constructions for PCSP are given.

  16. PERIODIC COMPLEMENTARY BINARY SEQUENCE PAIRS

    Xu Chengqian; Zhao Xiaoqun

    2002-01-01

    A new set of binary sequences-Periodic Complementary Binary Sequence Pair (PCSP) is proposed. A new class of block design-Difference Family Pair (DFP) is also proposed.The relationship between PCSP and DFP, the properties and existing conditions of PCSP and the recursive constructions for PCSP are given.

  17. Model selection in periodic autoregressions

    Ph.H.B.F. Franses (Philip Hans); R. Paap (Richard)

    1994-01-01

    textabstractThis paper focuses on the issue of period autoagressive time series models (PAR) selection in practice. One aspect of model selection is the choice for the appropriate PAR order. This can be of interest for the valuation of economic models. Further, the appropriate PAR order is important

  18. Pairs of dual periodic frames

    Christensen, Ole; Goh, Say Song

    2012-01-01

    needed. The purpose of the present paper is to provide constructions of dual pairs of frames in the setting of the Hilbert space of periodic functions L2(0,2π). The frames constructed are given explicitly as trigonometric polynomials, which allows for an efficient calculation of the coefficients in the...

  19. Portfolio Selection and Insurance Period

    Aoba, Nobuko

    2001-01-01

    This paper examines market risks, portfolio selection and period of insurance in a life insurance market. Date from many countries indicate that over ninety percent of bankruptcies of life insurers are due of failures in financial risk management. Financial risk management is therefore central. ...

  20. Three cases of thyrotoxic periodic paralysis due to painless thyroiditis

    Debmalya Sanyal

    2013-01-01

    Full Text Available We present three cases of thyrotoxic periodic paralysis (TPP due to painless thyroiditis presenting as acute quadriparesis. All responded to potassium supplementation and propranolol. TPP may be due to thyrotoxicosis of any etiology, commonly Grave′s disease. The absence of clinical signs of thyrotoxicosis can delay diagnosis and treatment. Thyroid function tests should be a routine evaluation in all cases of hypokalemic periodic paralysis.

  1. Clinical Practice Guidelines for postoperative period of thoracic surgery.

    Frank Carlos Alvarez Li; Daniel Olivera Fajardo; Félix Molina Díaz

    2009-01-01

    Clinical Practice Guidelines for postoperative period of thoracic surgery. It is the period between the suture of the surgical wound and the total rehabilitation of the patient, which usually occurs in the Intensive Care Unit. This document includes a review and update of the main aspects such as classification, postoperative treatment, stressing the actions to face any complication. It includes assessment guidelines focused on the most important aspects to be accomplished.

  2. Transition Period and Immunosuppression: Critical Period of Dairy Cattle Reproduction

    K. Simenew

    2013-04-01

    Full Text Available This seminar study is prepared on the objectives of: revising important aspects of transition period of dairy cattle and highlighting some potential areas of research and challenges for the future. It has sufficiently been discussed that improved understanding of this frontier of the biology, immunology, nutrition and management of cows during the transition period will provide the largest gains in productivity and profitability of dairy farms. In the manuscript under each specific topic, transition cow program and reproductive performance, immunosuppressant effect of transition period, early predictors of disorders and major abnormalities are discussed in an informative way. Future potential areas of research and possible challenges are also indicated briefly. Finally, it is concluded that despite decades of research in the area of transition cow health and management the high incidence of health disorders around calving continues to negatively affect milk production and reproductive performance; and as recommendation, implementing a transition nutrition program with the help of nutritionists can help dairy herd avoid most of the costly problems and molecular level research studies should get due attention to further understand the situation and devise proper intervention techniques.

  3. 重型颅脑损伤行亚低温治疗早期肠内营养的护理研究%Study of nursing methods of enteral nutrition during earlier period subhypothermic treatment of patients with severe head injury

    李志华; 孙建; 张建芳

    2009-01-01

    Objective To study the nursing methods of enteral nutrition during earlier period treatment of patients with severe head injury. Methods 72 patients were divided into EN and PN groups randomly. Two groups had accepted treatment of subhypethermic afte 24 hours they were injuried. In the same time, EN group pa-tients were accepted enterul nutrition and PN group patients were accepted parenterul nutrition. Results (1) There no significant deviation of nutritional state between the patients of two groups after they accepted treatment of nutritional support. (2) Enteral nutrition can prevent the occurrence of stress ulcer and cut down the merbitity of phlebitis. (3) The blood sugar level of patients of group EN was stable and there was no disadvantage of hepatic function. But there were high morbilities of disadvantage of hepatic function and high blood Sugar level in the pa-tients group PN. Conclusions There are more advantages such as security, utility, low price, low complications and so on. Enteral nutrition can substitute for parenteral nutrition.%目的 探讨重型颅脑损伤亚低温期间早期肠内营养的护理方法.方法 将72例重型颅脑损伤的患者随机分成EN、PN两组,均在伤后12 h内行亚低温治疗,同时行肠内营养及肠外营养.结果 ①两组病人营养支持前后的营养状况无明显改变(P>0.05);②与肠外营养相比,肠内营养可有效预防应激性溃疡的发生,大大降低静脉炎的发生;③肠内营养组血糖水平较稳定,且对肝功能无损害.而肠外营养组有明显的肝功能损害且易产生高葡萄糖血症.结论 重型颅脑损伤亚低温治疗期间早期行肠内营养具有安全有效、费用低、并发症少等优点,可替代肠外营养.

  4. Geopulsation, Volcanism and Astronomical Periods

    Yang Xuexiang; Chen Dianyou; Yang Xiaoying; Yang Shuchen

    2000-01-01

    Volcanism is mainly controlled by the intermittent release of energy in the earth. As far as the differential rotation of the earth's inner core is concerned, the Galactic Year may change the gravitational constant G, the solar radiative quantity and the moving speed of the solar system and affect the exchange of angular momentum between core and mantle as well as the energy exchange between crust and mantle. As a result, this leads to eruptions of superplumes and magma, and controls the energy flow from core - mantle boundary (CMB) to crust. When the earth' s speed decreases, it will release a huge amount of energy. They are the reason of the correspondence of the volcanic cycles one by one with the astronomical periods one by one. According to the astronomical periods, volcanic eruptions may possibly be predicted in the future.

  5. Periodizing Globalization: Histories of Globalization

    Nederveen Pieterse Jan

    2012-01-01

    The article outlines the analytics and criteria that inform periodizing globalization. It criticizes presentist and Eurocentric views on globalization, the contemporary view, the modernity view (1800 plus) or the capitalism view (1500 plus). It discusses approaches to world history and how globalization fits in. Understandings of globalization, such as multicentric and centrist perspectives, and units of analysis affect how timelines of globalization are established. Taking into account globa...

  6. The Periodic Table in Flatland

    Negadi, T.; Kibler, M.

    1995-01-01

    The $D$-dimensional Coulomb system serves as a starting point for generating generalized atomic shells. These shells are ordered according to a generalized Madelung rule in $D$ dimensions. This rule together with an {\\it Aufbau Prinzip} is applied to produce a $D$-dimensional periodic table. A model is developed to rationalize the ordering of the shells predicted by the generalized Madelung rule. This model is based on the introduction of an Hamiltonian, invariant under the $q$-deformed algeb...

  7. Social Research On Renaissance Period

    张蕾蕾

    2009-01-01

    The historical period known as the Renaissance spans the fifteenth and siXteenth centuries. ‘Renaissance'means‘re-birth'in French and during this time Europe left behind the mindset of the Midge Ages and created the beginnings of the modern world.This thesis mainly rotates on the background,the main features and significance of Renaissance,especially focuses on the discovery of man and the humanism and the detailed unfolding of the society on several aspect in Renaissance.

  8. Nested long period grating interferometers

    Murphy, Richard P.; James, Stephen W.; Tatam, Ralph P.

    2007-01-01

    The concept of nested fibre optic long period grating (LPG) based interferometers is introduced. A number of in-series, identical LPGs may be used to form a set of nested, multiplexed Mach-Zehnder interferometers that may demodulated and demultiplexed by virtue of a Fourier analysis of the optical spectrum. The concept is demonstrated by the use of three LPGs to form a nested set of interferometers.

  9. Clinical Genetic Testing of Periodic Fever Syndromes

    Annalisa Marcuzzi

    2013-01-01

    Full Text Available Periodic fever syndromes (PFSs are a wide group of autoinflammatory diseases. Due to some clinical overlap between different PFSs, differential diagnosis can be a difficult challenge. Nowadays, there are no universally agreed recommendations for most PFSs, and near half of patients may remain without a genetic diagnosis even after performing multiple-gene analyses. Molecular analysis of periodic fevers’ causative genes can improve patient quality of life by providing early and accurate diagnosis and allowing the administration of appropriate treatment. In this paper we focus our discussion on effective usefulness of genetic diagnosis of PFSs. The aim of this paper is to establish how much can the diagnostic system improve, in order to increase the success of PFS diagnosis. The mayor expectation in the near future will be addressed to the so-called next generation sequencing approach. Although the application of bioinformatics to high-throughput genetic analysis could allow the identification of complex genotypes, the complexity of this definition will hardly result in a clear contribution for the physician. In our opinion, however, to obtain the best from this new development a rule should always be kept well in mind: use genetics only to answer specific clinical questions.

  10. Endometrial safety of ultra-low-dose estradiol vaginal tablets

    Simon, James; Nachtigall, Lila; Ulrich, Lian G; Eugster-Hausmann, Michaela; Gut, Robert

    2010-01-01

    To evaluate the endometrial hyperplasia and carcinoma rate after 52-week treatment with ultra-low-dose 10-microgram 17ß-estradiol vaginal tablets in postmenopausal women with vaginal atrophy.......To evaluate the endometrial hyperplasia and carcinoma rate after 52-week treatment with ultra-low-dose 10-microgram 17ß-estradiol vaginal tablets in postmenopausal women with vaginal atrophy....

  11. Endometrial safety of ultra-low-dose estradiol vaginal tablets

    Simon, James; Nachtigall, Lila; Ulrich, Lian G; Eugster-Hausmann, Michaela; Gut, Robert

    2010-01-01

    To evaluate the endometrial hyperplasia and carcinoma rate after 52-week treatment with ultra-low-dose 10-microgram 17β-estradiol vaginal tablets in postmenopausal women with vaginal atrophy.......To evaluate the endometrial hyperplasia and carcinoma rate after 52-week treatment with ultra-low-dose 10-microgram 17β-estradiol vaginal tablets in postmenopausal women with vaginal atrophy....

  12. Secondary Sjogren's syndrome presenting with hypokalemic periodic paralysis

    Dormohammadi Toosi, Taraneh; Naderi, Neda; Movassaghi, Shafieh; Seradj, Mehran Heydari; Khalvat, Ali; Shahbazi, Fatemeh

    2014-01-01

    Renal tubular acidosis (RTA) may develop in a large population of patients with Sjogren's syndrome (SS), but most of the subjects are asymptomatic. Here, we report a patient with known rheumatoid arthritis and symptoms of xerostomia, xerophthalmia and periodic paralysis. SS should be considered as a cause of RTA. The treatment of the underlying disorder may ameliorate the symptoms.

  13. Secondary Sjogren's syndrome presenting with hypokalemic periodic paralysis.

    Dormohammadi Toosi, Taraneh; Naderi, Neda; Movassaghi, Shafieh; Seradj, Mehran Heydari; Khalvat, Ali; Shahbazi, Fatemeh

    2014-11-01

    Renal tubular acidosis (RTA) may develop in a large population of patients with Sjogren's syndrome (SS), but most of the subjects are asymptomatic. Here, we report a patient with known rheumatoid arthritis and symptoms of xerostomia, xerophthalmia and periodic paralysis. SS should be considered as a cause of RTA. The treatment of the underlying disorder may ameliorate the symptoms. PMID:25988057

  14. Psychiatric disorders in chronic periodic haemodialysis

    Paraskevi Theofilou

    2010-10-01

    Full Text Available The progress in Medical and Nursing Science has contributed significantly to the lengthening of life expectancy regarding several categories of ill people with chronic diseases. However, when the quality of life depends on the periodic correction of biological parameters, as with people with chronic renal failure, this situation affects both the patient and the environment. The aim of the present study is the evaluation of psychiatric disorders which are presented in haemodialysis patients as well as the influence of these disorders on their quality of life. Material and method: Review of relative bibliography was made in electronic basis of Medline (1980‐2009 using as key words haemodialysis, chronic renal failure, quality of life, psychiatric disorders. Complementary bibliography was found through other electronic search engines. Results: The chronic character and the frequency of renal failure, the possible dysfunction in the movement as well as the necessary long treatment cause problems, which extend the disease beyond the medical area offering socioeconomic dimensions, which complicate the associated psychiatric disorders. Conclusions: These patients suffer from the disease as well as from the treatment and at the same time they are faced with the number of the accompanying and interrelated problems, which come up in their everyday living and prescribe restrictively their way of life.

  15. A Periodic Lotka-Volterra System

    Tsvetkov, D.

    1996-01-01

    In this paper periodic time-dependent Lotka-Volterra systems are considered. It is shown that such a system has positive periodic solutions. It is done without constructive conditions over the period and the parameters.

  16. Double-blind evaluation of clonazepam on periodic leg movements in sleep.

    Peled, R.; Lavie, P.

    1987-01-01

    Treatment with clonazepam was studied in a group of 20 patients suffering from periodic movements in sleep, in a double-blind parallel group design. Eleven complained of excessive daytime sleepiness, and nine complained of insomnia. Ten patients received clonazepam, and 10 received placebo, over a period of 1 month. Clonazepam (0.5-2 mg per night) proved to be an effective treatment of periodic movements in sleep. Polysomnographic recordings demonstrated a significant decrease in the number o...

  17. Controlling Subclinical Mastitis by Antibiotic Application during Dry Period of Dairy Cow

    Imas Sri Nurhayati; E Martindah

    2015-01-01

    Prevention of mastitis is essential, as one of the efforts to control disease in dairy cow. Dry period has implications to understand the mastitis and its control strategies. The udder is very susceptible to be infected both at the beginning and towards the end of dry period. This is linked to physiological changes in udder. Treatment with antibiotics during the dry period can reduce new infection about 82% and has several advantages. The success rate of subclinical mastitis treatment is much...

  18. Incontinence Treatment: Newer Treatment Options

    ... Bowel Incontinence Signs & Symptoms Symptoms of Incontinence Diarrhea Treatment Lifestyle Changes Dietary Tips Medication Bowel Management Biofeedback Surgical Treatments Newer Treatment Options Tips on Finding a Doctor ...

  19. Quasi Periodic Oscillations in Blazars

    Alok C. Gupta

    2014-09-01

    Here we report our recent discoveries of Quasi-Periodic Oscillations (QPOs) in blazars time series data in X-ray and optical electromagnetic bands. Any such detection can give important clues of the location and nature of the processes of emission mechanism. In the case of radio-quiet AGN, the detected QPOs are very likely to be associated with the accretion disk. But in the case of blazars, it may be associated with jets in the high and outburst states, and in the low-state, it is probably associated with the accretion disk. In this brief review, I summarize the recent QPO detections in blazars. There is one strong evidence of QPO detection in XMM–Newton time series data of narrow line Seyfert 1 galaxy RE J1034+396 about which we will also discuss briefly.

  20. The periodically oscillating plasma sphere

    A new method of operating an inertial electrostatic confinement (IEC) device is proposed, and its performance is evaluated. The scheme involved an oscillating thermal cloud of ions immersed in a bath of electrons that form a harmonic oscillator potential. The scheme is called the periodically oscillating plasma sphere, and it appears to solve many of the problems that may limit other IEC systems to low gain. A set of self-similar solutions to the ion fluid equations is presented, and plasma performance is evaluated. Results indicate that performance enhancement of gridded IEC systems such as the Los Alamos intense neutron source device is possible as well as high-performance operation for low-loss systems such as the Penning trap experiment. Finally, a conceptual idea for a massively modular Penning trap reactor is also presented

  1. The periodic table in Flatland

    The D-dimensional Coulomb system serves as a starting point for generating generalized atomic shells. These shells are ordered according to a generalized Madelung rule in D dimensions. This rule together with an Aujbau Prinzip is applied to produce a D-dimensional periodic table. A model is developed to rationalize the ordering of the shells predicted by the generalized Madelung rule. This model is based on the introduction of a Hamiltonian, invariant under the q-deformed algebra Uq(so(D)), that breaks down the SO(D + 1) dynamical symmetry of the hydrogen atom in D dimensions. The D = 2 case (Flatland) is investigated in some detail. It is shown that the neutral atoms and the (moderately) positive ions correspond to the values q = 0.8 and q = 1, respectively, of the deformation parameter q. 55 refs

  2. The periodic table in Flatland

    The D-dimensional Coulomb system serves as a starting point for generating generalized atomic shells. These shells are ordered according to a generalized Madelung rule in D dimensions. This rule together with an Aufbau Prinzip is applied to produce a D-dimensional periodic table. A model is developed to rationalize the ordering of the shells predicted by the generalized Madelung rule. This model is based on the introduction of an Hamiltonian, invariant under the q-deformed algebra Uq (so(D)), that breaks down the SO (D + 1) dynamical symmetry of the hydrogen atom in D dimensions. The D = 2 case (Flatland) is investigated with some details. It is shown that the neutral atoms and the (moderately) positive ions correspond to the values q = 0.8 and q = 1, respectively, of the deformation parameter q. (authors). 55 refs

  3. Impact of dietary plane of energy during the dry period on lipoprotein parameters in the transition period in dairy cattle.

    Newman, A; Mann, S; Nydam, D V; Overton, T R; Behling-Kelly, E

    2016-02-01

    The high energy demands of dairy cows during the transition period from late gestation into early lactation can place them at an increased risk for the development of metabolic and infectious diseases. Modification of the dry period diet has been investigated as a preventive means to minimize the detrimental aspects of metabolic shifts during the transition period. Studies investigating the impact of dry period diet on lipid parameters during the transition period have largely focused on markers of lipolysis and ketogenesis. Total cholesterol declines during the periparturient period and increases in early lactation. The impact total energy in the dry period diet has on the ability of the cow to maintain total serum cholesterol, as well as its natural high-density lipoprotein-rich status, during this metabolically challenging window is not clear. The impact of lipoproteins on inflammation and immune function may have a clinical impact on the cow's ability to ward off production-related diseases. In this study, we hypothesized that the provision of adequate, but not excessive, total metabolizable energy, would better allow the cow to maintain total cholesterol and a higher relative proportion of HDL throughout the transition period. Cows were allocated to one of three dry period dietary treatment groups following a randomized block design. Total serum triglycerides, cholesterol and lipoprotein fractions were measured on a weekly basis from approximately 7 weeks pre-calving to 6 weeks post-calving. The cows on the high energy diet maintained total serum cholesterol as compared to the cows provided a lower energy diet, but there was no significant increase in the LDL fraction of lipoproteins between diet treatment groups. PMID:25958934

  4. Periods of ZZ Ceti variables

    White dwarf pulsators (ZZ Ceti variables) osub solar acccur in the extension of the radial pulsation envelope ionization instability strip to the observed luminosities of 3 x 10-3L sub solar according to van Horn. Investigations were underway to see if the driving mechanisms of hydrogen and helium ionization can cause radial pulsations as they do for the Cepheids, the RR Lyrae variables, and the delta Scuti variables. Masses used in this study are 0.60 and 0.75 M sub solar for T/sub e/ between 10,000 K and 14,000 K, the observed range in T/sub e/. Helium rich surface compositions like Y = 0.78,, Z = 0.02 as well as Y = 0.28, Z = 0.02 were used in spite of observations showing only hydrogen lines in the spectrum. The deep layers are pure carbon, and several transition compositions are included. The models show radial pulsation instabilities for many overtone modes at periods between about 0.3 and 3 seconds. The driving mechanism is mostly helium ionization at 40,000 and 150,000 K. The blue edge at about 14,000 K is probably due to the driving region becoming too shallow, and the red edge at 10,000 K is due to so much convection in the pulsation deriving region that no radiative luminosity is available for modulation by the γ and kappa effects. It is speculated that the very long observed periods (100 to 1000 sec) of ZZ Ceti variables are not due to nonradial pulsations, but are possibly aliases due to data undersampling. 4 references

  5. A novel intervention for medical waiting periods in IVF and early pregnancy

    Ockhuijsen, H.D.L.

    2014-01-01

    Patients who make use of healthcare services have to deal with all kind of waiting periods like waiting for the results of a biopsy or waiting for the results of a fertility treatment. Waiting periods can cause high levels of distress because the outcomes of these waiting periods are often unpredictable, uncontrollable and difficult to cope with. Aim of this thesis was to investigate a Positive Reappraisal Coping Intervention (PRCI) for waiting periods within two different populations. The PR...

  6. Critical Period of Weed Control in Aerobic Rice

    M. P. Anwar

    2012-01-01

    Full Text Available Critical period of weed control is the foundation of integrated weed management and, hence, can be considered the first step to design weed control strategy. To determine critical period of weed control of aerobic rice, field trials were conducted during 2010/2011 at Universiti Putra Malaysia. A quantitative series of treatments comprising two components, (a increasing duration of weed interference and (b increasing length of weed-free period, were imposed. Critical period was determined through Logistic and Gompertz equations. Critical period varied between seasons; in main season, it started earlier and lasted longer, as compared to off-season. The onset of the critical period was found relatively stable between seasons, while the end was more variable. Critical period was determined as 7–49 days after seeding in off-season and 7–53 days in main season to achieve 95% of weed-free yield, and 23–40 days in off-season and 21–43 days in main season to achieve 90% of weed-free yield. Since 5% yield loss level is not practical from economic view point, a 10% yield loss may be considered excellent from economic view point. Therefore, aerobic rice should be kept weed-free during 21–43 days for better yield and higher economic return.

  7. 46 CFR 9.8 - Broken periods.

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Broken periods. 9.8 Section 9.8 Shipping COAST GUARD... § 9.8 Broken periods. In computing extra compensation where the services rendered are in broken periods and less than 2 hours intervene between such broken periods the time served should be...

  8. Periodic and Almost Periodic Solutions of Functional Difference Equations with Finite Delay

    Yihong Song

    2007-01-01

    For periodic and almost periodic functional difference equations with finite delay, the existence of periodic and almost periodic solutions is obtained by using stability properties of a bounded solution.

  9. Treatment of onychomycosis: An update

    Shirwaikar A

    2008-01-01

    Full Text Available Fungal infections of skin are one of the most common infections in human beings. The areas which are likely to get infected include the scalp, the hands and the feet. Dermatophytes, yeasts and moulds are the three major fungi responsible for skin infections. Earlier oral antifungal agents were used for treatment of fungal infection in finger and toe nails. The disadvantages of oral antifungal agents are toxicity and longer treatment period. Now medicated nail lacquers have been developed for the treatment of fungal infections i.e. onychomycosis, which has less toxicity and shorter treatment period.

  10. Periodical plane puzzles with numbers

    Rezende, Jorge

    2011-01-01

    Consider a periodical (in two independent directions) tiling of the plane with polygons (faces). In this article we shall only give examples using squares, regular hexagons, equilateral triangles and parallelograms ("unions" of two equilateral triangles). We shall call some "multiple" of the fundamental region "the board". We naturally identify pairs of corresponding edges of the the board. Figures 9 and 19-29, in this article, show different boards. The "border" of the board is represented by a yellow thick line, unless part of it or all of it is the edge of a face. The board is tiled by a finite number of polygons. Construct polygonal plates in the same number, shape and size as the polygons of the board. Adjacent to each side of each plate draw a number, or two numbers, like it is shown in Figures 1 and 18-29. Figure 1 shows the obvious possibility of having plates with simple drawings, coloured drawings, etc. Now the game is to put the plates over the board polygons in such a way that the numbers near eac...

  11. Detection of superimposed periodic signals using wavelets

    Otazu, X.; Ribo, M.; Peracaula, M.; Paredes, J. M.; Nunez, J.

    2002-01-01

    In this paper we present a wavelet based algorithm that is able to detect superimposed periodic signals in data with low signal-noise ratio. In this context, the results given by classical period determination methods highly depend on the intrinsic characteristics of each periodic signal, like amplitude or profile. It is then difficult to detect the different periods present in the data set. The results given by the wavelet based method for period determination we present here are independent...

  12. Thyrotoxic Hypokalemic Periodic Paralysis: A Case Report

    Tuna, Mazhar Muslum; Aycicek Dogan, Bercem; Nasiroglu Imga, Narin; Karakilic, Ersen; Karadeniz, Mine; Tutuncu, Yasemin; Isik, Serhat; Berker, Dilek; Guler, Serdar

    2014-01-01

    AbstractHypokalemic periodic paralysis is a rare disorder characterized by reversible attacks of muscle weakness accompanied by episodic hypokalemia. The most common causes of hypokalemic periodic paralysis (HPP) are familial periodic paralysis, thyrotoxic periodic paralysis (TPP) and sporadic periodic paralysis, respectively. There are generally some precipitating factors such as stress, vigorous exercise and high carbohydrate food consumption which all ease the occurrence of attacks. The du...

  13. Aperiodic and semi-periodic perfect maps

    Mitchell, Chris

    1995-01-01

    Paterson [1] has recently shown that the trivial necessary conditions are sufficient for the existence of a (binary) perfect map. These periodic structures can be transformed very simply into corresponding aperiodic and semi-periodic perfect maps. However, aperiodic and semi-periodic perfect maps can exist for parameter sets for which the corresponding periodic perfect maps cannot. In this paper it is shown, by construction, that (binary) aperiodic and semi-periodic perfect maps exist for all...

  14. 26 CFR 54.9801-3 - Limitations on preexisting condition exclusion period.

    2010-04-01

    ... provides coverage for the treatment of diabetes, generally not subject to any lifetime dollar limit... directly attributed to diabetes). D receives treatment for these conditions during the 6-month period... health insurance coverage, whether or not any medical advice, diagnosis, care, or treatment...

  15. [Treatment of bronchiectasias].

    Purokivi, Minna; Koskela, Heikki; Kaarteenaho, Riitta

    2014-01-01

    Typical symptoms of bronchiectasis include cough, sliminess of the airways and recurrent respiratory infections which lead to lung injury and impaired quality of life when untreated. High-resolution computer tomography is the most important examination to detect bronchiectasias. Cornerstones of the treatment are elucidation of the etiology of the disease, taking care of vaccinations, management of physical fitness, treating sliminess, and careful treatment of periods of exacerbation with antibiotics according to bacterial growth and susceptibility testing determined from sputum. Hypertonic saline inhalation can be used to potentiate the treatment of sliminess and achieve a positive effect on the quality of life. PMID:24822326

  16. Controlling Subclinical Mastitis by Antibiotic Application during Dry Period of Dairy Cow

    Imas Sri Nurhayati

    2015-06-01

    Full Text Available Prevention of mastitis is essential, as one of the efforts to control disease in dairy cow. Dry period has implications to understand the mastitis and its control strategies. The udder is very susceptible to be infected both at the beginning and towards the end of dry period. This is linked to physiological changes in udder. Treatment with antibiotics during the dry period can reduce new infection about 82% and has several advantages. The success rate of subclinical mastitis treatment is much higher (80-90% compared to the treatment during lactation (30-40%; the doses of antibiotic can be higher and safer, due to its retention time in udder becomes longer; the risk of antibiotic contamination in milk can be avoided because the udder is not milked. Antibiotic application during dry period is the best way to treat subclinical and chronic mastitis. Treatment during dry period is a specific mastitis control for intramammary infection to avoid economic losses.

  17. Chromium propionate supplementation during the peripartum period interacts with starch source fed postpartum: Production responses during the immediate postpartum and carryover periods.

    Rockwell, R J; Allen, M S

    2016-06-01

    Forty-eight multiparous cows were used in a randomized complete block design experiment with a 2×2 factorial arrangement of treatments to determine the interaction between chromium propionate (CrPr) supplementation and sources of corn varying in ruminal starch fermentability on production responses during the postpartum (PP) and carryover periods. During the peripartum period (28d before expected parturition until 28d PP), diets were top-dressed (20g/d) with either CrPr (KemTRACE Chromium Propionate, Kemin Industries, Des Moines, IA; 8mg of Cr/cow per day) or control (Con; ground corn). At parturition, cows were randomly assigned to corn treatment within CrPr and Con treatments: dry corn (DC) or high-moisture corn (HMC). Treatment combinations (CrPr/DC, CrPr/HMC, Con/DC, and Con/HMC) were fed from parturition until 28d PP (treatment period). Cows were fed a common diet to evaluate potential carryover effects of the treatment diets from 29 to 84d PP (carryover period). The CrPr and corn treatments interacted over time to affect yield of 3.5% fat-corrected milk (FCM) during both the treatment and carryover periods. The CrPr/HMC treatment combination tended to increase FCM compared with Con/DC and Con/HMC by 28d PP (57.4 vs. 48.6 and 48.5kg/d, respectively) and increased FCM compared with Con/DC by 42d PP (59.2 vs. 44.8kg/d). The CrPr tended to increase milk yield (55.4 vs. 51.9kg/d) regardless of corn source during the carryover period after treatment ceased. Daily and cumulative DMI were not affected by treatment during the PP period, but CrPr and corn treatments interacted over time to affect daily DMI during the carryover period; DMI was generally higher for CrPr/HMC, lower for Con/DC, and intermediate for CrPr/DC and Con/HMC from 29 to 84d PP. Supplementation of CrPr throughout the peripartum period interacted with starch source in PP diets over time to affect production responses that were sustained after treatment application ceased. PMID:26995130

  18. Effects of synaptophysin on plasticity of visual cortex neurons after rich environment and reverse suture treatment in critical period%丰富环境及反转缝合治疗后突触素对关键期内视皮质神经元可塑性的影响

    蔺静静; 刘向玲; 王圆月; 宋子宣; 李靳; 张锐

    2015-01-01

    Objective To investigate the expression of synaptophysin (SYP) and its effects on plasticity of neurous in the visual cortex of monocularly deprived rats before and after reverse suture combined with enriched environment treatment in the critical period.Methods Thirty-six 14-day-old rats were randomly divided into six groups,6 cases in each group,in which normal control group I (NCI group) and normal control group Ⅱ (NCII group) were the normal control group,the right eyelid of rats in monocular deprivation group Ⅰ (MDI group),monocular deprivation group Ⅱ (MDII group),reverse suture group (RS group) and RS + enriched environment group (RS + EE group) were sutured,the eyelid of 28-day-old rats in RS group and RS + EE group were opened,then the other side eyelid were sutured.The rats in RS group were bred in the normal environment,and RS + EE group bred in EE.The pattern visual evoked potential of 28-day-old rats in NCI group and MDI group,42-day-old rats in NCII group,MDII group,RS group and RS + EE group were measured,and the expression of SYP protein in the visual cortex of the different groups were detected by immunohistochemistry staining and HE staining.Results The pattern visual evoked potential showed that the stability of P100 wave in the deprived eye was poor,the latency was increased,and the amplitude was decreased.The HE staining showed that the visual cortex neurons of rats in each group unchanged.The immunohistochemical staining showed that:The density of positive neurons of SYP in the visual cortex of RS group was significantly higher than those in MDII group,RS + EE group was higher than MDII group and RS group,MDII group was lower than NCI group,MDII group and RS group were lower than MDII group and RS + EE group; The quantitative analysis showed that,except for NCII group and RS + EE group,there were statistical differences in density of positive neurons between each other two groups (all P < 0.05).Conclusion SYP affect the plasticity of

  19. Reliability analysis of structures under periodic proof tests in service

    Yang, J.-N.

    1976-01-01

    A reliability analysis of structures subjected to random service loads and periodic proof tests treats gust loads and maneuver loads as random processes. Crack initiation, crack propagation, and strength degradation are treated as the fatigue process. The time to fatigue crack initiation and ultimate strength are random variables. Residual strength decreases during crack propagation, so that failure rate increases with time. When a structure fails under periodic proof testing, a new structure is built and proof-tested. The probability of structural failure in service is derived from treatment of all the random variables, strength degradations, service loads, proof tests, and the renewal of failed structures. Some numerical examples are worked out.

  20. Renal tubular acidosis complicated with hypokalemic periodic paralysis.

    Chang, Y C; Huang, C C; Chiou, Y Y; Yu, C Y

    1995-07-01

    Three Chinese girls with hypokalemic periodic paralysis secondary to different types of renal tubular acidosis are presented. One girl has primary distal renal tubular acidosis complicated with nephrocalcinosis. Another has primary Sjögren syndrome with distal renal tubular acidosis, which occurs rarely with hypokalemic periodic paralysis in children. The third has an isolated proximal renal tubular acidosis complicated with multiple organ abnormalities, unilateral carotid artery stenosis, respiratory failure, and consciousness disturbance. The diagnostic evaluation and emergent and prophylactic treatment for these three types of renal tubular acidosis are discussed. PMID:7575850

  1. Baseline study of methane emission from open digesting tanks of palm oil mill effluent treatment.

    Yacob, Shahrakbah; Hassan, Mohd Ali; Shirai, Yoshihito; Wakisaka, Minato; Subash, Sunderaj

    2005-06-01

    Anthropogenic release of greenhouse gases, especially CO2 and CH4 has been recognized as one of the main causes of global warming. Several measures under the Kyoto Protocol 1997 have been drawn up to reduce the greenhouse gases emission. One of the measures is Clean Development Mechanisms (CDM) that was created to enable developed countries to cooperate with developing countries in emission reduction activities. In Malaysia, palm oil industry particularly from palm oil mill effluent (POME) anaerobic treatment has been identified as an important source of CH4. However, there is no study to quantify the actual CH4 emission from the commercial scale wastewater treatment facility. Hence, this paper shall address the CH4 emission from the open digesting tanks in Felda Serting Hilir Palm Oil Mill. CH4 emission pattern was recorded for 52 weeks from 3600 m3 open digesting tanks. The findings indicated that the CH4 content was between 13.5% and 49.0% which was lower than the value of 65% reported earlier. The biogas flow rate ranged between 0.8l min(-1)m(-2) and 9.8l min(-1)m(-2). Total CH4 emission per open digesting tank was 518.9 kgday(-1). Relationships between CH4 emission and total carbon removal and POME discharged were also discussed. Fluctuation of biogas production was observed throughout the studies as a result of seasonal oil palm cropping, mill activities, variation of POME quality and quantity discharged from the mill. Thus only through long-term field measurement CH4 emission can be accurately estimated. PMID:15894045

  2. Periodic Poisson Solver for Particle Tracking

    Dohlus, M

    2015-01-01

    A method is described to solve the Poisson problem for a three dimensional source distribution that is periodic into one direction. Perpendicular to the direction of periodicity a free space (or open) boundary is realized. In beam physics, this approach allows to calculate the space charge field of a continualized charged particle distribution with periodic pattern. The method is based on a particle mesh approach with equidistant grid and fast convolution with a Green's function. The periodic approach uses only one period of the source distribution, but a periodic extension of the Green's function. The approach is numerically efficient and allows the investigation of periodic- and pseudo-periodic structures with period lengths that are small compared to the source dimensions, for instance of laser modulated beams or of the evolution of micro bunch structures. Applications for laser modulated beams are given.

  3. Crystallography beyond periodic Crystal perfection

    Full text: The discovery of the quasi-crystals [D. Schechtman et. Al., Phys.] Rev. Lett. [53, 1951-1953 (1984)] made very narrow definition of the crystalline state based on the periodicity of a local arrangement of atoms. Since the definition of this State has been a matter of much controversy [G.R. Desiraju, Nature 423, 485 (2003); S. van Smaalen, IUCR Aperiodic Commission Reports. August 7, 2002; International Union of Crystallography. Report of the Executive Committee for 1991; ACTA Cryst. A48, 922-946 (1992)]. We will make a presentation of the current time of the crystallography in this regard from the conceptual point of view. We show the use of the formalism of algorithmic complexity or Kolmogorov [M. Li and P. Vitanyi, An Introduction to Kolmogorov Complexity and Its Applications (Springer Verlag, Heidelberg, 1993), W.H. Zurek, Phys.] Rev. 40, 4731 (1989); Nature 341, 119-124 (1989)] provides a different perspective on the nature of the Crystallographic order. Infinite crystals can be considered solid with zero algorithmic complexities by atom. Show statistical analysis of inorganic compounds [J.L.C. Daams et al., Atlas of Crystal Structure Types for Intermetallic Phases (ASM International, Ohio, 1991), Fachinformationszentrum/NIST Inorganic Crystal Structure Database, Karlsruhe (2003) icsd.fkf.mpg.de] demonstrating that the minimization of complexity is a trend in the crystalline arrangement. We will then compare the degree of disorder of some typical solids according to their algorithmic complexity. Finally, space diffraction will be studied from this same perspective and will be discussed that zero algorithmic complexities by point in space of diffraction does not necessarily imply the same thing for the Atomic arrangement. The discrete portion of the diffraction pattern is a fingerprint of the underlying order but not the actual existence of long-range order. Experimental results will be showcased [E. Estévez-Rams et al., Physical Review B, 63 (2001

  4. Psychological Treatment

    ... needs. Psychological treatments used to treat IBS include psychotherapy (dynamic and cognitive-behavioral therapy ), relaxation therapy , hypnotherapy , and biofeedback therapy . Psychological treatments can also be combined. Review of well-designed treatment studies of IBS supports ...

  5. The Galois coaction on $\\phi^4$ periods

    Panzer, Erik

    2016-01-01

    We report on calculations of Feynman periods of primitive log-divergent $\\phi^4$ graphs up to eleven loops. The structure of $\\phi^4$ periods is described by a series of conjectures. In particular, we discuss the possibility that $\\phi^4$ periods are a comodule under the Galois coaction. Finally, we compare the results with the periods of primitive log-divergent non-$\\phi^4$ graphs up to eight loops and find remarkable differences to $\\phi^4$ periods. Explicit results for all periods we could compute are provided in ancillary files.

  6. Influences of different control periods and coexistence with weed in eucalyptus

    Eduardo Kneipp Londero

    2012-09-01

    Full Text Available This work studied the periods of control and coexistence of weeds with eucalyptus culture. The experiment was led in Candiota, RS, in the period from January to December, 2006. The treatments consisted of different control times and coexistence of the culture, these periods were divided in two groups; one was to determine the Period Previous to the Interference (PPI and the other to define the Total Period of Prevention of the Interference (TPFI. In the two groups the tested periods were: 00, 28, 56, 84, 112, 140, 168, 210, 252, 294 and 336 days. The young trees of eucalyptus were susceptible to weed, presenting a period previous to the interference of 56 days. In order to guarantee its largest production, the total period of prevention of the interference was 140 days and the period previous to the interference was of 56 days.

  7. Color Changes of Package Silage In Period of Aerobic Stability

    F. Toruk; F. Koc; E. Gonulol

    2010-01-01

    In this study, changes on color of the silage surface, chemical and microbiological parameters in six days period of aerobic stability of package silage were investigated. For this purpose, the effect of the silage additive materials and treatments dose also were examined. Treatments were determined as Control (C), Silo-king firm dose (FD), Silo-King double dose (D2), Sim-Silage firm dose (SF), and Sim-Silage double dose (S2).Maize was ensiled using a package silage machine. The package silag...

  8. US Forest Service Periodical Cicada Broods

    US Forest Service, Department of Agriculture — A map service on the www depicting periodical cicada distribution and expected year of emergence by cicada brood and county. The periodical cicada emerges in...

  9. Genetics Home Reference: hypokalemic periodic paralysis

    ... paralysis Patient Support and Advocacy Resources (2 links) Muscular Dystrophy Association Resource list from the University of Kansas Medical Center GeneReviews (1 link) Hypokalemic Periodic Paralysis Genetic Testing Registry (3 links) Hypokalemic periodic paralysis Hypokalemic ...

  10. Periodic solutions of nonlinear vibrating beams

    J. Berkovits

    2003-01-01

    Full Text Available The aim of this paper is to prove new existence and multiplicity results for periodic semilinear beam equation with a nonlinear time-independent perturbation in case the period is not prescribed. Since the spectrum of the linear part varies with the period, the solvability of the equation depends crucially on the period which can be chosen as a free parameter. Since the period of the external forcing is generally unknown a priori, we consider the following natural problem. For a given time-independent nonlinearity, find periods T for which the equation is solvable for any T-periodic forcing. We will also deal with the existence of multiple solutions when the nonlinearity interacts with the spectrum of the linear part. We show that under certain conditions multiple solutions do exist for any small forcing term with suitable period T. The results are obtained via generalized Leray-Schauder degree and reductions to invariant subspaces.

  11. Financial Innovation in Multi-Period Economies

    Enrique Kawamura

    2003-01-01

    I present an attempt to construct multi-period, finite horizon extensions to the well -known two- period financial innovations literature. I first extend the definition of competitive equilibrium with innovations. It is shown that, with a dominating house

  12. Periodic Poisson model for beam dynamics simulation

    Dohlus, M.; Henning, Ch.

    2016-03-01

    A method is described to solve the Poisson problem for a three dimensional source distribution that is periodic into one direction. Perpendicular to the direction of periodicity a free space (or open) boundary condition is realized. In beam physics, this approach allows us to calculate the space charge field of a continualized charged particle distribution with periodic pattern. The method is based on a particle-mesh approach with equidistant grid and fast convolution with a Green's function. The periodic approach uses only one period of the source distribution, but a periodic extension of the Green's function. The approach is numerically efficient and allows the investigation of periodic- and pseudoperiodic structures with period lengths that are small compared to the source dimensions, for instance of laser modulated beams or of the evolution of micro bunch structures. Applications for laser modulated beams are given.

  13. Second-order Green's function perturbation theory for periodic systems

    Rusakov, Alexander A

    2015-01-01

    Despite recent advances, systematic quantitative treatment of the electron correlation problem in extended systems remains a formidable task. Systematically improvable Green's function methods capable of quantitatively describing weak and at least qualitatively strong correlations appear promising candidates for computational treatment of periodic systems. We present a periodic implementation of temperature-dependent self-consistent 2nd-order Green's function method (GF2), where the self-energy is evaluated in the basis of atomic orbitals. Evaluating the real-space self-energy in atomic orbitals and solving the Dyson equation in $\\mathbf{k}$-space are the key components of a computationally feasible algorithm. We apply this technique to the 1D hydrogen lattice - a prototypical crystalline system with a realistic Hamiltonian. By analyzing the behavior of the spectral functions, natural occupations, and self-energies, we claim that GF2 is able to recover metallic, band insulating, and at least qualitatively Mot...

  14. The Middle Islamic and Crusader Periods

    Walmsley, Alan George

    2008-01-01

    The book chapter presents a critical review of the archaeology of Jordan in the middle Islamic periods (8th - 17th centuries CE), presenting a new evaluation of settlement and culture in the period, and assesses the errors of past appraoches.......The book chapter presents a critical review of the archaeology of Jordan in the middle Islamic periods (8th - 17th centuries CE), presenting a new evaluation of settlement and culture in the period, and assesses the errors of past appraoches....

  15. 围手术期口服西地那非治疗成人先天性心脏病重度肺动脉高压%Treatment of severe pulmonary arterial hypertension with oral sildenafil in patients with congenital heart disease during perioperative period

    刘洋; 陆方林; 蒋庚西; 李白翎; 李莉; 陈金强; 徐志云

    2014-01-01

    Objective To study the effects of oral sildenafil for the treatment of severe pulmonary arterial hypertension (PAH) in patients with congenital heart disease during perioperative period .Methods From August 2010 to August 2013, 42 patients (mean age of 31.2 ±16.1 years old) with congenital heart disease and severe PAH confirmed by base line assessment of cardiac cathe -terization, and with mean pulmonary artery pressure (MPAP)≥45mmHg, were chosen for the study.Of all the cases, 22 were atrial septal defect(ASD)cases, 12 were ventricular septal defect(VSD)cases and 8 were patent ductus arteriossus(PDA)cases.Oral silde-nafil at a dosage of 0.5mg/kg, 3 times a day, was administered to all the patients , 2 to 3 weeks before surgery .Then, changes in the hemodynamic parameters were observed and compared before and after medication .All the patients resumed medication , after circulato-ry stability was achieved.Then, 19 patients were placed Swan -Ganz catheter following anesthesia .Changes in mean pulmonary artery pressure (MPAP), mean artery pressure (MAP), MPAP/MAP, cardiac index (CI), pulmonary vascular resistance index (PVRI) and systemic vascular resistance index (SVRI) were observed and compared 0.5 h, 1h, 4h and 24h after medication following anesthe-sia.Results For the 42 patients, who received medication for (17.51 ±7.29) days before surgery , color cardiac ultrasonography indi-cated that systolic pulmonary artery pressure (SPAP) was (80.13 ±15.41)mmHg, which was significantly lower than that before medi-cation [(87.71 ±14.68)mmHg], with statistical significance(P <0.05).In the 19 patients who received floating catheter, MPAP and PVRI decreased significantly, 0.5 h, 1 h, 4 h and 24 h after medication, also with statistical significance(P <0.05).MAP was lower 0.5h after medication, when it was compared with that before medication , also with statistical significance(P <0.05).No statis-tical significance could be noted in SVRI and CI , when they were

  16. The Cervical Cerclage Treatment of Cervical Insufficiency during Different Pregnancy Periods and the Impact on Pregnant Outcomes%不同孕期和不同治疗时机行宫颈环扎术治疗宫颈机能不全患者的效果及妊娠结局研究

    王虹

    2016-01-01

    目的:探讨不同孕期和不同治疗时机行宫颈环扎术治疗宫颈机能不全患者的效果及妊娠结局。方法回顾性分析2010年3月至2014年10月安塞县人民医院收治的119例宫颈机能不全患者的临床资料,其中孕14~16周66例为妊娠早期组,孕17~28周53例为妊娠中期组;又根据入院后待择期行宫颈环扎术治疗78例为非紧急组,入院后行紧急手术治疗41例为紧急组。比较不同孕期、不同治疗时机行宫颈环扎术对妊娠结果的影响。结果妊娠早期组患者手术干预后足月生产率显著高于妊娠中期组[83.3%(55/66)比20.8%(11/53)],晚期流产率和宫内感染率显著低于妊娠中期组[10.0%(6/66)比68.0%(36/53),7.6%(5/66)比64.2%(34/53)],差异有统计学意义(P<0.05)。非紧急组手术干预治疗后足月生产率显著高于紧急组[71.8%(56/78)比24.4%(10/41)],晚期流产率和宫内感染率显著低于紧急组[20.5%(16/78)比63.4%(26/41),18.0%(14/78)比(61.0%(25/41)],差异有统计学意义(P <0.05)。妊娠早期组住院时间短于妊娠晚期组[(7.3±1.4) d 比(11.2±3.5) d],差异有统计学意义(P<0.05)。结论宫颈机能不全患者,应于妊娠14~16周择期行宫颈环扎术治疗;对于孕前宫颈机能不全诊断不明患者,伴早产史或晚期流产史的高危孕妇,在孕中期通过B型超声发现宫颈机能不全,应行紧急宫颈环扎治疗术,术后加强监测,预防感染,从而降低宫内感染率及晚期流产率;提高胎儿足月生产机会,最终达到改善妊娠结局的目的。%Objective To analyze the cervical cerclage treatment of cervical insufficiency during differ-ent pregnancy periods and the impact on pregnant outcomes.Methods One hundred and nineteen patients who had received cervical cerclage for cervical incompetence in

  17. Local Extrema of Periodic Function's Wavelet Transform

    FAN Qi-bin; SONG Xiao-yan

    2005-01-01

    The theory of detecting ridges in the modulus of the continuous wavelet transform is presented as well as reconstructing signal by using information on ridges. To periodic signal we suppose Morlet wavelet as basic wavelet, and research the local extreme point and extrema of the wavelet transform on periodic function for the collection of signal's instantaneous amplitude and period.

  18. 77 FR 73452 - Grace Period Study

    2012-12-10

    ... Patent and Trademark Office Grace Period Study ACTION: Proposed collection; comment request. SUMMARY: The...Collection@uspto.gov . Include ``0651- 00xx Grace Period Study comment'' in the subject line of the message... are not fully understood. Few studies in the past ten years have dealt with the grace period, and...

  19. 32 CFR 37.1325 - Periodic audit.

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Periodic audit. 37.1325 Section 37.1325 National... TECHNOLOGY INVESTMENT AGREEMENTS Definitions of Terms Used in This Part § 37.1325 Periodic audit. An audit of... awards. Appendix C to this part describes what such an audit may cover. A periodic audit of a...

  20. 21 CFR 573.240 - Calcium periodate.

    2010-04-01

    ... with calcium hydroxide or calcium oxide to form a substance consisting of not less than 60 percent by... 21 Food and Drugs 6 2010-04-01 2010-04-01 false Calcium periodate. 573.240 Section 573.240 Food... Additive Listing § 573.240 Calcium periodate. The food additive calcium periodate may be safely used...

  1. 49 CFR 236.588 - Periodic test.

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Periodic test. 236.588 Section 236.588..., Train Control and Cab Signal Systems Inspection and Tests; Locomotive § 236.588 Periodic test. Except as provided in § 236.586, periodic test of the automatic train stop, train control, or cab signal...

  2. 27 CFR 70.244 - Payroll period.

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Payroll period. 70.244... Excise and Special (Occupational) Tax Limitations § 70.244 Payroll period. For purpose of determining the... established calendar period regularly used by the employer or other person levied upon for payroll or...

  3. A rare case of thyrotoxic periodic paralysis precipitated by hydrocortisone

    Chakrabarti, Subrata

    2015-01-01

    Thyrotoxic periodic paralysis (TPP) is a rare, but serious condition characterized by acute paralytic attacks and hypokalemia in association with thyrotoxicosis. Although carbohydrate rich meals, strenuous exercise, alcohol, emotional stress are known precipitants of TPP, steroid treatment has rarely been reported to induce TPP. We report a case in which a patient with previously untreated Grave's disease developed TPP following administration of Intravenous hydrocortisone for control of seve...

  4. [Thyrotoxic hypokalemic periodic paralysis: report of one case].

    Frantchez, Victoria; Valiño, José; Carracelas, Analía; Dufrechou, Carlos

    2010-11-01

    Thyrotoxic hypokalemic periodic paralysis is characterized by attacks of generalized weakness associated to hypokalemia in patients with hyperthyroidism. We report a 25-year-old man with a history of spontaneously relapsing episodes of muscular weakness, who consulted for a rapidly evolving upper and lower limb paresis. Hypokalemia associated to a primary hyperthyroidism was detected. Treatment with antithyroid Drugs and potassium supplementation reverted symptoms and the episodes of acute muscular weakness did not reappear. PMID:21279257

  5. [Popular knowledge about medicaments in 19th century periodicals].

    Arabas, Iwona

    2004-01-01

    Polish periodicals published since the beginning of 19th century contained household knowledge which was of great importance to peasants. In the second half of 19th century the number of articles related to prevention, treatment as well as life hygiene (including nutrition guidance) enlarged significantly. The term "household medicine box# was very often used in periodicals as titles of both: sections dedicated to hygiene or medicine as well as for articles describing medicaments intended to be kept in the boxes. Articles referenced law regulations stated in "law for pharmacists and pharmacies# from 1844. The availability of medical handbooks widened with the end of the century and this fact may have caused the changes in profiles of numerous medical sections in popular periodicals. However the changes did not affect publications related to contents of medical boxes. PMID:17152882

  6. Suicide during Perinatal Period: Epidemiology, Risk Factors, and Clinical Correlates.

    Orsolini, Laura; Valchera, Alessandro; Vecchiotti, Roberta; Tomasetti, Carmine; Iasevoli, Felice; Fornaro, Michele; De Berardis, Domenico; Perna, Giampaolo; Pompili, Maurizio; Bellantuono, Cesario

    2016-01-01

    Perinatal period may pose a great challenge for the clinical management and treatment of psychiatric disorders in women. In fact, several mental illnesses can arise during pregnancy and/or following childbirth. Suicide has been considered a relatively rare event during the perinatal period. However, in some mental disorders (i.e., postpartum depression, bipolar disorder, postpartum psychosis, etc.) have been reported a higher risk of suicidal ideation, suicide attempt, or suicide. Therefore, a complete screening of mothers' mental health should also take into account thoughts of suicide and thoughts about harming infants as well. Clinicians should carefully monitor and early identify related clinical manifestations, potential risk factors, and alarm symptoms related to suicide. The present paper aims at providing a focused review about epidemiological data, risk factors, and an overview about the main clinical correlates associated with the suicidal behavior during the pregnancy and postpartum period. Practical recommendations have been provided as well. PMID:27570512

  7. Almost Periodic Time Scales and Almost Periodic Functions on Time Scales

    Yongkun Li; Bing Li

    2015-01-01

    We propose some new concepts of almost periodic time scales and almost periodic functions on time scales and give some basic properties of these new types of almost periodic time scales and almost periodic functions on time scales. We also give some comments on a recent paper by Wang and Agarwal (2014) concerning a new almost periodic time scale.

  8. Periodic fever, aphthous stomatitis, pharyngitis, and adenitis (PFAPA) syndrome.

    Ali, Nora S; Sartori-Valinotti, Julio C; Bruce, Alison J

    2016-01-01

    Periodic fever, aphthous stomatitis, pharyngitis, and adenitis (PFAPA) syndrome, the most common periodic disorder of childhood, presents with the cardinal symptoms of periodic fever, aphthous stomatitis, pharyngitis, and adenitis typically before age 5. This review presents the recent literature on PFAPA and summarizes key findings in the pathogenesis, evaluation, and treatment of the disease. Theories surrounding the pathogenesis of PFAPA include a faulty innate immunologic response in conjunction with dysregulated T-cell activation. A potential genetic link is also under consideration. Mediterranean fever (MEFV) gene variants have been implicated and appear to modify disease severity. In individuals with the heterozygous variant, PFAPA episodes are milder and shorter in duration. Diagnostic criteria include the traditional clinical signs, in addition to the following biomarkers: elevated C-reactive protein in the absence of elevated procalcitonin, vitamin D, CD64, mean corpuscular volume, and other nonspecific inflammatory mediators in the absence of an infectious explanation for fever. Treatment of PFAPA includes tonsillectomy, a single dose of corticosteroids, and, most recently, interleukin 1 blockers such as anakinra, rilonacept, and canakinumab. Tonsillectomy remains the only permanent treatment modality. PMID:27343963

  9. Long-term efficacy and safety of ramosetron in the treatment of diarrhea-predominant irritable bowel syndrome

    Chiba T

    2013-07-01

    Full Text Available Toshimi Chiba, Kazunari Yamamoto, Shoko Sato, Kazuyuki Suzuki Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Morioka, Iwate, Japan Abstract: Irritable bowel syndrome (IBS is a functional disease with persisting gastrointestinal symptoms that has been classified into four subtypes. Serotonin (5-hydroxytryptamine [5-HT] plays important physiological roles in the contraction and relaxation of smooth muscle. Intraluminal distension of the intestine is known to stimulate the release of endogenous 5-HT from enterochromaffin cells, activating 5-HT3 receptors located on primary afferent neurons and leading to increases in intestinal secretions and peristaltic activity. Ramosetron, a potent and selective 5-HT3-receptor antagonist, has been in development for use in patients suffering from diarrhea-predominant IBS. In a double-blind, placebo-controlled, parallel-group study of 418 patients with diarrhea-predominant IBS-D, once-daily 5 µg and 10 µg doses of ramosetron increased the monthly responder rates of IBS symptoms compared to placebo. In a 12-week randomized controlled trial of 539 patients, a positive response to treatment was reported by 47% of a once-daily 5 µg dose of ramosetron-treated individuals compared to 27% of patients receiving placebo (P<0.001. Furthermore, the responder rate was increased in the oral administration of 5 µg of ramosetron for at least 28 weeks (up to 52 weeks, and long-term efficacy for overall improvement of IBS symptoms was also demonstrated. The rate was further increased subsequently. Adverse events were reported by 7% in ramosetron treatment. No serious adverse events, eg, severe constipation or ischemic colitis, were reported for long-term treatment with ramosetron. In conclusion, further studies to evaluate the long-term efficacy and safety of ramosetron are warranted in the form of randomized controlled trials. Keywords: long

  10. Vilazodone for the treatment of major depressive disorder: an evidence-based review of its place in therapy

    Hellerstein DJ

    2015-04-01

    Full Text Available David J Hellerstein,1,2 Joseph Flaxer11Department of Psychiatry, Columbia University, 2New York State Psychiatric Institute, New York, NY, USAIntroduction: It has clearly been demonstrated that depressive disorders constitute a major worldwide public health problem, with massive economic and quality-of-life consequences. Existing pharmacological treatments have limited efficacy, with only about a third of patients achieving remission on any one medication. Delayed onset of action and variable tolerability contribute to this limited efficacy. Vilazodone, introduced in the US in 2011, has been described as the first member of the serotonin partial agonist-reuptake inhibitor (SPARI class of medications, combining serotonin-reuptake inhibition with 5-HT1A partial agonism. This agent could potentially have benefits for subgroups of depressed patients, including depressed patients with comorbid anxiety and patients with anxiety disorders, and might have fewer sexual side effects than selective serotonin-reuptake inhibitors (SSRIs.Aims: We reviewed existing clinical trials that assess the benefits of vilazodone for treatment of major depression.Evidence review: In clinical trials, including two Phase III studies and two Phase IV studies, vilazodone has been shown to have efficacy greater than placebo on the Montgomery–Åsberg Depression Rating Scale, comparable efficacy to citalopram, and continued benefit after 52 weeks of treatment. The safety profile for vilazodone is comparable to other SSRI medications, and tolerability also appears generally comparable to other SSRI medications.Place in therapy: Vilazodone, which has been described as the first-of-class SPARI medication, may potentially have benefits for subgroups of patients, particularly those depressed individuals with coexisting anxiety symptoms or anxiety disorders. However, convincing evidence for these benefits has as yet not been published.Keywords: vilazodone, antidepressant

  11. Counterexamples to mean square almost periodicity of the solutions of some SDEs with almost periodic coefficients

    Omar Mellah

    2013-04-01

    Full Text Available We show that, contrarily to what is claimed in some papers, the nontrivial solutions of some stochastic differential equations with almost periodic coefficients are never mean square almost periodic (but they can be almost periodic in distribution.

  12. A highly specific test for periodicity

    We present a method that allows to distinguish between nearly periodic and strictly periodic time series. To this purpose, we employ a conservative criterion for periodicity, namely, that the time series can be interpolated by a periodic function whose local extrema are also present in the time series. Our method is intended for the analysis of time series generated by deterministic time-continuous dynamical systems, where it can help telling periodic dynamics from chaotic or transient ones. We empirically investigate our method's performance and compare it to an approach based on marker events (or Poincaré sections). We demonstrate that our method is capable of detecting small deviations from periodicity and outperforms the marker-event-based approach in typical situations. Our method requires no adjustment of parameters to the individual time series, yields the period length with a precision that exceeds the sampling rate, and its runtime grows asymptotically linear with the length of the time series

  13. A highly specific test for periodicity

    Ansmann, Gerrit, E-mail: gansmann@uni-bonn.de [Department of Epileptology, University of Bonn, Sigmund-Freud-Straße 25, 53105 Bonn (Germany); Helmholtz Institute for Radiation and Nuclear Physics, University of Bonn, Nussallee 14–16, 53115 Bonn (Germany); Interdisciplinary Center for Complex Systems, University of Bonn, Brühler Straße 7, 53175 Bonn (Germany)

    2015-11-15

    We present a method that allows to distinguish between nearly periodic and strictly periodic time series. To this purpose, we employ a conservative criterion for periodicity, namely, that the time series can be interpolated by a periodic function whose local extrema are also present in the time series. Our method is intended for the analysis of time series generated by deterministic time-continuous dynamical systems, where it can help telling periodic dynamics from chaotic or transient ones. We empirically investigate our method's performance and compare it to an approach based on marker events (or Poincaré sections). We demonstrate that our method is capable of detecting small deviations from periodicity and outperforms the marker-event-based approach in typical situations. Our method requires no adjustment of parameters to the individual time series, yields the period length with a precision that exceeds the sampling rate, and its runtime grows asymptotically linear with the length of the time series.

  14. Cartilage Repair and Subchondral Bone Migration Using 3D Printing Osteochondral Composites: A One-Year-Period Study in Rabbit Trochlea

    Weijie Zhang

    2014-01-01

    Full Text Available Increasing evidences show that subchondral bone may play a significant role in the repair or progression of cartilage damage in situ. However, the exact change of subchondral bone during osteochondral repair is still poorly understood. In this paper, biphasic osteochondral composite scaffolds were fabricated by 3D printing technology using PEG hydrogel and β-TCP ceramic and then implanted in rabbit trochlea within a critical size defect model. Animals were euthanized at 1, 2, 4, 8, 16, 24, and 52 weeks after implantation. Histological results showed that hyaline-like cartilage formed along with white smooth surface and invisible margin at 24 weeks postoperatively, typical tidemark formation at 52 weeks. The repaired subchondral bone formed from 16 to 52 weeks in a “flow like” manner from surrounding bone to the defect center gradually. Statistical analysis illustrated that both subchondral bone volume and migration area percentage were highly correlated with the gross appearance Wayne score of repaired cartilage. Therefore, subchondral bone migration is related to cartilage repair for critical size osteochondral defects. Furthermore, the subchondral bone remodeling proceeds in a “flow like” manner and repaired cartilage with tidemark implies that the biphasic PEG/β-TCP composites fabricated by 3D printing provides a feasible strategy for osteochondral tissue engineering application.

  15. 20 CFR 404.321 - When a period of disability begins and ends.

    2010-04-01

    ... period described in § 404.1592a, the last month for which you received benefits. (d) When drug addiction... the number of entitlement periods you may have had based on disability where drug addiction or... are months in which treatment for your drug addiction or alcoholism is not available, months...

  16. Gabor systems on discrete periodic sets

    2009-01-01

    Due to its good potential for digital signal processing, discrete Gabor analysis has interested some mathematicians. This paper addresses Gabor systems on discrete periodic sets, which can model signals to appear periodically but intermittently. Complete Gabor systems and Gabor frames on discrete periodic sets are characterized; a sufficient and necessary condition on what periodic sets admit complete Gabor systems is obtained; this condition is also proved to be sufficient and necessary for the existence of sets E such that the Gabor systems generated by χE are tight frames on these periodic sets; our proof is constructive, and all tight frames of the above form with a special frame bound can be obtained by our method; periodic sets admitting Gabor Riesz bases are characterized; some examples are also provided to illustrate the general theory.

  17. Stroke Treatments

    ... T. Quiz 5 Things to Know About Stroke Stroke Treatments A stroke occurs when a vessel in ... Busting Clots to Save Lives Hemorrhagic Stroke Treatment Stroke Prevention The good news is that 80 percent ...

  18. Alternative Treatments

    ... Find your chapter: search by state Home > Alzheimer's Disease > Treatments > Alternative Treatments Overview What Is Dementia? What Is Alzheimer's? Younger/Early Onset Facts and Figures Know the 10 Signs Stages Inside the Brain: ...

  19. Discovery of periodic patterns in spatiotemporal sequences

    Cao, H.; Mamoulis, N; Cheung, DW

    2007-01-01

    In many applications that track and analyze spatiotemporal data, movements obey periodic patterns; the objects follow the same routes (approximately) over regular time intervals. For example, people wake up at the same time and follow more or less the same route to their work everyday. The discovery of hidden periodic patterns in spatiotemporal data could unveil important information to the data analyst. Existing approaches for discovering periodic patterns focus on symbol sequences. However,...

  20. Topological Chaos in Spatially Periodic Mixers

    Finn, Matthew D.; Thiffeault, Jean-Luc; Gouillart, Emmanuelle

    2005-01-01

    Topologically chaotic fluid advection is examined in two-dimensional flows with either or both directions spatially periodic. Topological chaos is created by driving flow with moving stirrers whose trajectories are chosen to form various braids. For spatially periodic flows, in addition to the usual stirrer-exchange braiding motions, there are additional topologically-nontrivial motions corresponding to stirrers traversing the periodic directions. This leads to a study of the braid group on t...

  1. Periodic boundary conditions on the pseudosphere

    Sausset, François; Tarjus, Gilles

    2007-01-01

    30 pages, minor corrections, accepted to J. Phys. A International audience We provide a framework to build periodic boundary conditions on the pseudosphere (or hyperbolic plane), the infinite two-dimensional Riemannian space of constant negative curvature. Starting from the common case of periodic boundary conditions in the Euclidean plane, we introduce all the needed mathematical notions and sketch a classification of periodic boundary conditions on the hyperbolic plane. We stress the ...

  2. The periodic table of elementary particles

    Chung, Ding-Yu

    2000-01-01

    All leptons, quarks, and gauge bosons can be placed in the periodic table of elementary particles. The periodic table is derived from dualities of string theory and a Kaluza-Klein substructure for the six extra spatial dimensions. As a molecule is the composite of atoms with chemical bonds, a hadron is the composite of elementary particles with hadronic bonds. The masses of elementary particles and hadrons can be calculated using the periodic table with only four known constants: the number o...

  3. Casimir electromotive force in periodic configurations

    Fateev, Evgeny G.

    2016-01-01

    The possibility in principle of the existence of Casimir electromotive force (EMF) is shown for nonparallel nanosized metal plates arranged in the form of a periodic structure. It is found that EMF does not appear in strictly periodic structures with parallel plates. However, when the strict periodicity is disturbed in nonparallel plates, EMF is generated, and its value is equal to the number of pairs of plates in a configuration. Moreover, there are some effective parameters of the configura...

  4. Do triatomic molecules echo atomic periodicity?

    Hefferlin, R., E-mail: hefferln@southern.edu; Barrow, J. [Southern Adventist University, PO Box 370, Collegedale, Tennessee 37315 (United States)

    2015-03-30

    Demonstrations of periodicity among triatomic-molecular spectroscopic constants underscore the role of the periodic law as a foundation of chemistry. The objective of this work is to prepare for another test using vibration frequencies ν{sub 1} of free, ground-state, main-group triatomic molecules. Using data from four data bases and from computation, we have collected ν{sub 1} data for molecules formed from second period atoms.

  5. Competition and critical periods in spring sugar beet cultivation

    Mansilla Martínez José

    2015-12-01

    Full Text Available High yields with low costs require that sugar beets be kept free of weeds, during critical periods, using labor or chemical treatments. Since the critical periods for this crop in Castilla - La Mancha (Spain are unknown, the first goal of this study was to determine the effect of early and late competition on yield. The second goal was to determine the critical periods, while taking into consideration the semiarid climatic conditions of this region. Two irrigation farms located in the province of Albacete are dedicated to sugar beet cultivation. These two farms were chosen to carry out the tests March (140,000-150,000 seeds ∙ ha-1 and harvested in October. Two simultaneous and complementary experiments were carried out in each year and farm. Two scenarios were considered with eight different treatments each. In the first one (With Weeds Until - WWU, plots were infested by weeds up to a certain date. In the second one (Free of Weeds Until - FWU, plots were kept free of weeds up to a certain date. For each test, a randomised experimental blocked field was designed and there were four repetitions, each of them containing eight elemental plots (12 m2. Each plot was weeded by hand or weeds were left to grow till a definite date.The results indicated that a 1% loss of yield was reached in the early competition after 14 days, while a loss of 5% was reached after a period of 41 days after it was infested. The results also indicated that in late competition, if a crop is kept clean for 124 days and it is infested afterwards, a 1% loss is reached. However, the loss increases to 5% if the plot is kept clean for 111 days. For a 1% loss the critical period is 110 days and 70 days for a 5% loss.

  6. Treatment of nasal hemangiomas.

    Simic, R; Vlahovic, A; Subarevic, V

    2009-10-01

    Hemangiomas are the most common soft tissue tumors of infancy. Almost 60% of these tumors develop in the head and neck region. Nasal hemangiomas, distort human physiognomy and leave long lasting psychological sequelae. Conservative approach (intralesional corticosteroids, laser) may accelerate involution. Proponents of an early surgery suggest that aesthetic improvement during a critical period in child development can be achieved. Fourteen patients with nasal hemangioma were treated during 5-year period (2003-2007) with intralesional corticosteroids, lenticular excision, open rhinoplasty excision, and circular excision with "purse string suture". The first line of treatment for large nasal hemangiomas is intralesional corticosteroids. Excision is indicated for small hemangiomas, while subtotal excision is preferable for large nasal hemangiomas. Circular excision and "purse string suture" is appropriate for prominent hemangiomas with predominant deep component. In our opinion surgery with maximal care for nasal architecture is the treatment option for nasal hemangioma. PMID:19656579

  7. Periodic boundary conditions on the pseudosphere

    Sausset, F; Tarjus, G [Laboratoire de Physique Theorique de la Matiere Condensee, Universite Pierre et Marie Curie, Paris 6, UMR CNRS 7600, 4 place Jussieu, 75252 Paris Cedex 05 (France)

    2007-10-26

    We provide a framework for building periodic boundary conditions on the pseudosphere (or hyperbolic plane), the infinite two-dimensional Riemannian space of constant negative curvature. Starting from the common case of periodic boundary conditions in the Euclidean plane, we introduce all the required mathematical notions and sketch a classification of periodic boundary conditions on the hyperbolic plane. We stress the possible applications in statistical mechanics for studying the bulk behavior of physical systems, and illustrate how to implement such periodic boundary conditions in two examples, the dynamics of particles on the pseudosphere and the study of classical spins on hyperbolic lattices.

  8. [Hypokalemic periodic paralysis. A case report].

    Areta-Higuera, J D; Algaba-Montes, M; Oviedo-García, A Á

    2014-01-01

    Periodic paralysis is a rare disorder that causes episodes of severe muscle weakness that can be confused with other diseases, including epilepsy or myasthenia gravis. Hyperkalemic and hypokalemic paralysis are included within these diseases, the latter being divided into periodic paralysis (familial, thyrotoxic or sporadic) and non-periodic paralysis. In this regard, we present a case of familial hypokalemic periodic paralysis in an eighteen year-old female who was diagnosed with epilepsy in childhood, as well as a subclinical hypothyroidism (for which she received replacement therapy) months ago. The diagnosis was made by the anamnesis and the confirmation of hypokalemia. PMID:24360869

  9. Measuring Stellar Rotation Periods with Kepler

    Nielsen, M. B.; Gizon, L.; Schunker, H.;

    2012-01-01

    We measure rotation periods for 12151 stars in the Kepler field, based on photometric variability caused by stellar activity. Our analysis returns stable rotation periods over at least six out of eight quarters of Kepler data. This large sample of stars enables us to study rotation periods as a...... function of spectral type. We find good agreement with previous studies and v sin i measurements for F, G, and K stars. Combining rotation periods, (B-V) color, and gyrochronology relations, we find that cool stars in our sample are predominantly younger than ˜ 1 Gyr....

  10. Casimir electromotive force in periodic configurations

    Fateev, Evgeny G

    2016-01-01

    The possibility in principle of the existence of Casimir electromotive force (EMF) is shown for nonparallel nanosized metal plates arranged in the form of a periodic structure. It is found that EMF does not appear in strictly periodic structures with parallel plates. However, when the strict periodicity is disturbed in nonparallel plates, EMF is generated, and its value is equal to the number of pairs of plates in a configuration. Moreover, there are some effective parameters of the configuration (angles between plates, plate lengths and length to length ratios), at which the EMF generation per unit of the length of the periodic structure is maximal.

  11. Bifurcations of Periodic Orbits and Uniform Approximations

    Schomerus, H; Schomerus, Henning; Sieber, Martin

    1997-01-01

    We derive uniform approximations for contributions to Gutzwiller's periodic-orbit sum for the spectral density which are valid close to bifurcations of periodic orbits in systems with mixed phase space. There, orbits lie close together and give collective contributions, while the individual contributions of Gutzwiller's type would diverge at the bifurcation. New results for the tangent, the period doubling and the period tripling bifurcation are given. They are obtained by going beyond the local approximation and including higher order terms in the normal form of the action. The uniform approximations obtained are tested on the kicked top and are found to be in excellent agreement with exact quantum results.

  12. Exact analysis of bi-periodic structures

    Cai, C W; Chan, H C

    2002-01-01

    By using the U-transformation method, it is possible to uncouple linear simultaneous equations, either algebraic or differential, with cyclic periodicity. This book presents a procedure for applying the U-transformation technique twice to uncouple the two sets of unknown variables in a doubly periodic structure to achieve an analytical exact solution. Explicit exact solutions for the static and dynamic analyses for certain engineering structures with doubly periodic properties - such as a continuous truss with any number of spans, cable network and grillwork on supports with periodicity, and g

  13. Oral health: orthodontic treatment.

    Martonffy, Andrea Ildiko

    2015-01-01

    Improper tooth alignment due to crowding, malocclusion, and missing teeth can cause difficulties with eating and speech, and premature wear. It is estimated that more than 20% of children would benefit from orthodontic treatment to correct these conditions, many of which will persist into adulthood if not corrected. Orthodontic care is gaining popularity among adults for similar concerns, as well as for correction of cosmetic issues. The psychological effects of malocclusion should not be ignored. The American Association of Orthodontists recommends that all children undergo evaluation at the first recognition of an orthodontic condition and no later than age 7 years. Some children will need early treatment to help eliminate developing conditions and improve the foundations of the bite, which can ease later treatment in adolescence. For others, treatment in adolescence without early treatment is recommended. Standard cemented braces or clear, removable aligners may be used, depending on the patient's corrective needs. Average treatment time is approximately 2 years; this may be shortened by the use of accelerative techniques. Routine preventive dental care should be continued during the treatment period. PMID:25594451

  14. In Sample of L’Illustration Magazine, Militarism in World War II Period Periodical Advertising

    BOYRAZ, Burak

    2015-01-01

    World War II (1939-1945) which is one of the most bloody and deathful wars of history is also the period militarism was involved in daily life most intensively. In this study named; In Sample of L’Illustration Magazine, Militarism in World War II Period Periodical Advertising, said characteristics of militarism has been, within the scope of a literature review, scrutinized over periodicals and periodical advertising. Accordingly, in the first section of the study where L’Illustration, one of ...

  15. Treatment Effects

    Heckman, James J.; Lopes, Hedibert F.; Piatek, Rémi

    2014-01-01

    This paper contributes to the emerging Bayesian literature on treatment effects. It derives treatment parameters in the framework of a potential outcomes model with a treatment choice equation, where the correlation between the unobservable components of the model is driven by a low-dimensional v......This paper contributes to the emerging Bayesian literature on treatment effects. It derives treatment parameters in the framework of a potential outcomes model with a treatment choice equation, where the correlation between the unobservable components of the model is driven by a low...... observe the same person in both the treated and untreated states, but it also turns out to be straightforward to implement. Formulae are provided to compute mean treatment effects as well as their distributional versions. A Monte Carlo simulation study is carried out to illustrate how the methodology can...

  16. 28 CFR 524.75 - Periodic review.

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Periodic review. 524.75 Section 524.75... TRANSFER CLASSIFICATION OF INMATES Central Inmate Monitoring (CIM) System § 524.75 Periodic review. The Warden shall ensure that the status of an inmate's CIM assignment is considered at each program...

  17. How Sensitively Timed Are Sensitive Periods?

    Zener, Rita Schaefer

    2003-01-01

    Reviews Maria Montessori's view of sensitive periods and examines the kinds of help needed from adults: an open mind, specific help from a prepared learning environment, and challenges presented at the right time. Stresses the universality of sensitive periods and their connection to brain development. Focuses on the unconscious nature and…

  18. Studying the Nazi Period: Some Considerations.

    Molnar, Alex; And Others

    1984-01-01

    Students should be taught how to make well-reasoned and analytic judgments about the Nazis. The process of arriving at judgments about the Nazi period should be characterized by a factual knowledge of the Nazi era within a general historical knowledge of the period, sympathy, and an open mind. (RM)

  19. Undulating periodization models for strength training & conditioning

    A. Jiménez

    2009-01-01

    Full Text Available Periodized strength training refers to varying the training program at regular time intervals in an attempt to bring about optimal resistance gains. The main aim of this paper was to present a short review of the diferent aspects of training periodization and its effects with performance. as well as the differential effect of alternate periodization models on other populations, and specially the need for further research regarding the effectiveness of the undulating model as compared with the linear model. A focussed literature review reveals that most studies that examined strength training periodization utilized young males as their subject population, and the research has mainly focused on differences between periodized and non-periodized programs. Furthermore, the periodization training programs are designed and developed according to two different models: the linear model and the non-linear model. The Linear Model is characterized by high initial training volume and low and intensity. The Non-Linear Model enables variation in intensity and volume within each 7-10 day cycle by rotating different protocols to train various components of the neuromuscular system. The results showed at the scientific literature encourage researchers and exercise professionals to include non-linear (undulating periodization models during resistance training.

  20. 20 CFR 655.205 - Recruitment period.

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Recruitment period. 655.205 Section 655.205... Agricultural Employment § 655.205 Recruitment period. (a) If the OFLC Administrator determines that the... carry out the assurances contained in § 655.203 with respect to the recruitment of U.S. workers....

  1. Periodicity of Rauzy scheme and substitutional systems

    Kanel-Belov, Alexei

    2011-01-01

    In the paper the notion of {\\em Rauzy scheme} is introduced. From Rauzy graph Rauzy Scheme can be obtaining by uniting sequence of vertices of ingoing and outgoing degree 1 by arches. This notion is a tool to describe Rauzy graph behavior. For morphic superword we prove periodicity of Rauzy schemes. This is generalization of fact that quadratic irrationals have periodic chain fractions.

  2. Multi-periodic nanostructures for photon control

    Kluge, Christian; Adam, Jost; Barié, Nicole; Jakobs, Peter-Jürgen; Guttmann, Markus; Gerken, Martina

    We propose multi-periodic nanostructures yielded by superposition of multiple binary gratings for wide control over photon emission in thin-film devices. We present wavelength- and angle-resolved photoluminescence measurements of multi-periodically nanostructured organic light-emitting layers. Th...

  3. Almost periodic Hamiltonians: an algebraic approach

    We develop, by analogy with the study of periodic potential, an algebraic theory for almost periodic hamiltonians, leading to a generalized Bloch theorem. This gives rise to results concerning the spectral measures of these operators in terms of those of the corresponding Bloch hamiltonians

  4. The periodic table of elementary particles

    It is shown that a periodic classification of elementary particles (eps) may be done with the basic properties of eps: viz. mass, spin and parity. Further application of spacing rule and GMO mass formulae show repetitions at very regular intervals. It is found that properties of eps are periodic function of rest mass. (author). 17 refs., 6 tabs

  5. Online Periodic Table: A Cautionary Note

    Izci, Kemal; Barrow, Lloyd H.; Thornhill, Erica

    2013-01-01

    The purpose of this study was (a) to evaluate ten online periodic table sources for their accuracy and (b) to compare the types of information and links provided to users. Limited studies have been reported on online periodic table (Diener and Moore 2011; Slocum and Moore in "J Chem Educ" 86(10):1167, 2009). Chemistry students'…

  6. 24 CFR 886.332 - Rehabilitation period.

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Rehabilitation period. 886.332... Assistance Program for the Disposition of HUD-Owned Projects § 886.332 Rehabilitation period. (a) Immediate start of rehabilitation after sales closing. After the execution of the Agreement and the sales...

  7. 42 CFR 441.58 - Periodicity schedule.

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Periodicity schedule. 441.58 Section 441.58 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED... schedule. The agency must implement a periodicity schedule for screening services that— (a)...

  8. Periodicity of d-cluster-tilted algebras

    Dugas, Alex

    2010-01-01

    It is well-known that any maximal Cohen-Macaulay module over a hypersurface has a periodic free resolution of period 2. Auslander, Reiten and Buchweitz have used this periodicity to explain the existence of periodic projective resolutions over certain finite-dimensional algebras which arise as stable endomorphism rings of Cohen-Macaulay modules. These algebras are in fact periodic, meaning that they have periodic projective resolutions as bimodules and thus periodic Hochschild cohomology as well. The goal of this article is to generalize this construction of periodic algebras to the context of Iyama's higher AR-theory. We start by considering projective resolutions of functors on a maximal (d-1)-orthogonal subcategory C of an exact Frobenius category B. If C is fixed by the d-th syzygy functor of B, then we show that this d-th syzygy functor induces the (2+d)-th syzygy on the category of finitely presented functors on the stable category of C. If C has finite type, i.e., if C = add(T) for a d-cluster tilting ...

  9. The dispersion of period spacing for DAVstars

    Chen, Y. H.

    2016-05-01

    Three groups of DAV star models are evolved with time-dependent element diffusion by WDEC. The core compositions of these models are directly from white dwarf models evolved by MESA, which are results of thermonuclear burning. Based on these DAV star models, we try to study the dispersion of period spacing. The thickness of hydrogen atmosphere can seriously affect the deviation degree of minimal period spacings. The minimal period spacings dominate the dispersion of period spacing. The thinner the hydrogen atmosphere, basically, the more dispersive the period spacing. Standard deviations are used to analyse the dispersion of period spacing. Studying the dispersion of period spacing on a DAV star KUV03442+0719 preliminarily, we suggest that log(MH/M*) is from -8.5 to -5.5. In addition, modes partly trapped in C/O core are found based on those DAV star models. The identified modes and average period spacings indicate that KUV03442+0719 may be the first star to `observe' modes partly trapped in C/O core.

  10. BIVARIATE REAL-VALUED ORTHOGONAL PERIODIC WAVELETS

    Qiang Li; Xuezhang Liang

    2005-01-01

    In this paper, we construct a kind of bivariate real-valued orthogonal periodic wavelets. The corresponding decomposition and reconstruction algorithms involve only 8 terms respectively which are very simple in practical computation. Moreover, the relation between periodic wavelets and Fourier series is also discussed.

  11. Lightcurve and period determination for 582 Olympia

    Higgins, David; Menke, John; Pozzoli, Valentino; Sheridan, Edwin; Dymock, Roger

    2004-03-01

    Minor planet 582 Olympia was observed over a period of 40 days from 9 February to 20 March 2003. More than 3000 data points from 42 sessions were obtained by 5 observers. The lightcurve obtained shows a rotational (synodic) period of 72.0 ± 0.5 hrs with amplitude of 0.20 ± 0.05 mag.

  12. 10 CFR 603.1295 - Periodic audit.

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Periodic audit. 603.1295 Section 603.1295 Energy... Used in this Part § 603.1295 Periodic audit. An audit of a participant, performed at an agreed-upon... Federal awards in compliance with the terms of those awards. Appendix A to this part describes what...

  13. 46 CFR 403.115 - Accounting period.

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Accounting period. 403.115 Section 403.115 Shipping COAST GUARD (GREAT LAKES PILOTAGE), DEPARTMENT OF HOMELAND SECURITY GREAT LAKES PILOTAGE UNIFORM ACCOUNTING SYSTEM General § 403.115 Accounting period. Each Association subject to this part shall...

  14. 18 CFR 367.5 - Accounting period.

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Accounting period. 367.5 Section 367.5 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION... Instructions § 367.5 Accounting period. Each service company must keep its books on a monthly basis so that...

  15. 75 FR 47717 - Content of Periodicals Mail

    2010-08-09

    ... Periodicals Mail'' published by the Federal Register on July 20, 2010 (75 FR 41989-41991) is revised to... March 27, 1995, the Postal Service published a final rule in the Federal Register (60 FR 10021-10029... Part 111 Content of Periodicals Mail AGENCY: Postal Service\\TM\\ ACTION: Final rule; revised....

  16. Automatically identifying periodic social events from Twitter

    Kunneman, F.A.; Bosch, A.P.J. van den

    2015-01-01

    Many events referred to on Twitter are of a periodic nature, characterized by roughly constant time intervals in between occurrences. Examples are annual music festivals, weekly television programs, and the full moon cycle. We propose a system that can automatically identify periodic events from Twi

  17. 24 CFR 221.775 - Option period.

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Option period. 221.775 Section 221.775 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... § 221.775 Option period. The mortgagee may exercise its option to assign within one year following...

  18. Hiss emissions during quiet and disturbed periods

    D K Singh; R P Singh

    2002-10-01

    The characteristic features of VLF hiss emissions during quiet and disturbed conditions observed at ground stations and on-board satellites are summarized. The increased intensity of the hiss emissions during magnetic storm period is explained by considering the enhanced flux of energetic electrons during magnetic storm period. The generation and propagation mechanism of VLF hiss are also briefly discussed.

  19. Numerical bifurcation of Hamiltonian relative periodic orbits

    Wulff, Claudia; Schilder, Frank

    2009-01-01

    Relative periodic orbits (RPOs) are ubiquitous in symmetric Hamiltonian systems and occur, for example, in celestial mechanics, molecular dynamics, and the motion of rigid bodies. RPOs are solutions which are periodic orbits of the symmetry-reduced system. In this paper we analyze certain symmetry...

  20. Monotone periodic orbits for torus homeomorphisms

    Parwani, Kamlesh

    2005-01-01

    Let f be a homeomorphism of the torus isotopic to the identity and suppose that there exists a periodic orbit with a non-zero rotation vector (p/q,r/q), then f has a topologically monotone periodic orbit with the same rotation vector.

  1. Nonlinear quasimodes near elliptic periodic geodesics

    Albin, Pierre; Marzuola, Jeremy L; Thomann, Laurent

    2011-01-01

    We consider the nonlinear Schr\\"odinger equation on a compact manifold near an elliptic periodic geodesic. Using a geometric optics construction, we construct quasimodes to a nonlinear stationary problem which are highly localized near the periodic geodesic. We show the nonlinear Schr\\"odinger evolution of such a quasimode remains localized near the geodesic, at least for short times.

  2. Locally periodic homogenization of reflected diffusion

    Aboubakary Diakhaby

    2006-01-01

    Full Text Available We study the homogenization of reflected SDEs with locally periodic coefficients and highly oscillating drift. Our method is entirely probabilistic, and builds upon earlier works of Tanaka, Benchérif-Madani and Pardoux, and Bensoussan et al We extend, to Tanaka's theorem locally periodic case.

  3. 12 CFR 1.7 - Securities held in satisfaction of debts previously contracted; holding period; disposal...

    2010-01-01

    ... pursuant to paragraph (a) of this section in accordance with Generally Accepted Accounting Principles. (d... previously contracted; holding period; disposal; accounting treatment; non-speculative purpose. 1.7 Section 1...; accounting treatment; non-speculative purpose. (a) Securities held in satisfaction of debts...

  4. Sensitivity analysis of periodic matrix population models.

    Caswell, Hal; Shyu, Esther

    2012-12-01

    Periodic matrix models are frequently used to describe cyclic temporal variation (seasonal or interannual) and to account for the operation of multiple processes (e.g., demography and dispersal) within a single projection interval. In either case, the models take the form of periodic matrix products. The perturbation analysis of periodic models must trace the effects of parameter changes, at each phase of the cycle, on output variables that are calculated over the entire cycle. Here, we apply matrix calculus to obtain the sensitivity and elasticity of scalar-, vector-, or matrix-valued output variables. We apply the method to linear models for periodic environments (including seasonal harvest models), to vec-permutation models in which individuals are classified by multiple criteria, and to nonlinear models including both immediate and delayed density dependence. The results can be used to evaluate management strategies and to study selection gradients in periodic environments. PMID:23316494

  5. Period meter output during startup transients

    The time response of a period meter whose input signal comes from an ionization chamber may be calculated using a Ferranti Mercury digital computer programme. Details of the programme are given. The type of period meter considered is the one for which the input time constant is determined by the input capacity and the logarithmic element. The input excitation is a terminated ramp of reactivity. Other reactivity inputs may be treated. In particular the step change of reactivity may be used as the input excitation. Allowance is taken of the power dependent time constant associated with the logarithmic element and of the differentiating and integrating time constants in the period meter. The programme may be used by period meter designers to assess the performance of their instruments and may also be used by those carrying out safety and operations studies on reactors which use this type of period meter. An example of the use of the programme is given. (author)

  6. Periodicity of the earth's magnetic reversals

    Stothers, R. B.

    1986-01-01

    Results are presented from an attempt to perform a relatively comprehensive analysis of the evidence for a periodicity, with harmonics, of the observed regular reversals of the earth's magnetic field. The database considered covers 296 reversals over the past 165 Myr. Histograms with bins 1 Myr apart reveal only 30 Myr reversal patterns. The reversal dates are fitted to a linear periodic function and a spectrum is computed for the residuals at the adopted dates. The possible presence of multiple periodicities is evaluated and over various time intervals. The analysis shows that a recently observed 15 Myr periodicity is probably a harmonic of the 29.5-30.5 Myr period. The calculations do not confirm an inherent magnetic reversal property of the earth. The reversals may arise from tectonic events or from impacts from extraterrestrial objects.

  7. Clinical Efficacy Observation of the Treatment for Patients with Vulvovagi-nal Candidiasis during Pregnancy Period by Using Honghefujie Lotion%红核妇洁洗液治疗妊娠合并外阴阴道假丝酵母菌病的临床疗效探讨

    蔡婷婷; 沈娟娟

    2015-01-01

    目的:探讨红核妇洁洗液治疗妊娠合并外阴阴道假丝酵母菌病的临床疗效和安全性评价,探讨临床价值。方法整群选择2011年6月—2014年6该院收治的妊娠合并外阴阴道假丝酵母菌病患者150例,随机分为研究组和对照组各75例,研究组应用红核妇洁洗液,对照组应用碘化钾及过氧化氢混合溶液进行治疗。疗程结束后对比两组的疗效。结果红核妇洁洗液组治疗总有效率达94.0%,对照组总有效率为66.0%,两组比较差异有统计学意义。结论妊娠合并外阴阴道假丝酵母菌病的治疗,应用红核妇洁洗液效果显著,治愈率高,使用安全、方便、疗程短,值得临床医师推广应用。%Objective To evaluate the efficacy and safety of Honghefujie lotion for the treatment of vulvovaginal candidiasis during pregnancy. Methods 150 cases of patients from 2011 June to 2014 June with vulvovaginal candidiasis in pregnancy, were divided into study group and control group with 75 cases in each group randomly, the research group used honghefujie lotion, treatment control group application of potassium iodide and hydrogen peroxide mixture solution. Compared the efficacy of the two groups be-fore and after treatment. Results The total effective rate of Honghefujie lotion treatment group reached 94%,and the control group’ s total effective rate was 66%, the difference between two groups was significant. Conclusion The combined treatment of vulvo-vaginal candidiasis in pregnancy,application of honghefujie lotion remarkable effect, high cure rate, safe and convenient use, short course of treatment, and is worthy of popularization and application of clinicians.

  8. A Bayesian test for periodic signals in red noise

    Vaughan, S.

    2010-02-01

    Many astrophysical sources, especially compact accreting sources, show strong, random brightness fluctuations with broad power spectra in addition to periodic or quasi-periodic oscillations (QPOs) that have narrower spectra. The random nature of the dominant source of variance greatly complicates the process of searching for possible weak periodic signals. We have addressed this problem using the tools of Bayesian statistics; in particular, using Markov Chain Monte Carlo techniques to approximate the posterior distribution of model parameters, and posterior predictive model checking to assess model fits and search for periodogram outliers that may represent periodic signals. The methods developed are applied to two example data sets, both long XMM-Newton observations of highly variable Seyfert 1 galaxies: RE J1034 + 396 and Mrk 766. In both cases, a bend (or break) in the power spectrum is evident. In the case of RE J1034 + 396, the previously reported QPO is found but with somewhat weaker statistical significance than reported in previous analyses. The difference is due partly to the improved continuum modelling, better treatment of nuisance parameters and partly to different data selection methods.

  9. Compensating for Quasi-periodic Motion in Robotic Radiosurgery

    Ernst, Floris

    2012-01-01

    Compensating for Quasi-periodic Motion in Robotic Radiosurgery outlines the techniques needed to accurately track and compensate for respiratory and pulsatory motion during robotic radiosurgery. The algorithms presented within the book aid in the treatment of tumors that move during respiration. In Chapters 1 and 2,  the book introduces the concept of stereotactic body radiation therapy, motion compensation strategies and the clinical state-of-the-art. In Chapters 3 through 5, the author describes and evaluates new methods for motion prediction, for correlating external motion to internal organ motion, and for the evaluation of these algorithms’ output based on an unprecedented amount of real clinical data. Finally, Chapter 6 provides a brief introduction into currently investigated, open questions and further fields of research. Compensating for Quasi-periodic Motion in Robotic Radiosurgery targets researchers working in the related fields of surgical oncology, artificial intelligence, robotics and more. ...

  10. Enhanced light trapping in periodically truncated cone silicon nanowire structure

    Kai, Qiu; Yuhua, Zuo; Tianwei, Zhou; Zhi, Liu; Jun, Zheng; Chuanbo, Li; Buwen, Cheng

    2015-10-01

    Light trapping plays an important role in improving the conversion efficiency of thin-film solar cells. The good wideband light trapping is achieved using our periodically truncated cone Si nanowire (NW) structures, and their inherent mechanism is analyzed and simulated by FDTD solution software. Ordered cylinder Si NW structure with initial size of 80 nm and length of 200 nm is grown by pattern transfer and selective epitaxial growth. Truncated cone Si NW array is then obtained by thermal oxidation treatment. Its mean reflection in the range of 300-900 nm is lowered to be 5% using 140 nm long truncated cone Si NW structure, compared with that of 20% using cylinder counterparts. It indicates that periodically truncated Si cone structures trap the light efficiently to enhance the light harvesting in a wide spectral range and have the potential application in highly efficient NW solar cells. Project supported by the National Natural Science Foundation of China (Nos. 51072194, 61021003, 61036001, 61376057).

  11. Periodicity of extinction: A 1988 update

    Sepkowski, J. John, Jr.

    1988-01-01

    The hypothesis that events of mass extinction recur periodically at approximately 26 my intervals is an empirical claim based on analysis of data from the fossil record. The hypothesis has become closely linked with catastrophism because several events in the periodic series are associated with evidence of extraterrestrial impacts, and terrestrial forcing mechanisms with long, periodic recurrences are not easily conceived. Astronomical mechanisms that have been hypothesized include undetected solar companions and solar oscillation about the galactic plane, which induce comet showers and result in impacts on Earth at regular intervals. Because these mechanisms are speculative, they have been the subject of considerable controversy, as has the hypothesis of periodicity of extinction. In response to criticisms and uncertainties, a data base was developed on times of extinction of marine animal genera. A time series is given and analyzed with 49 sample points for the per-genus extinction rate from the Late Permian to the Recent. An unexpected pattern in the data is the uniformity of magnitude of many of the periodic extinction events. Observations suggest that the sequence of extinction events might be the result of two sets of mechanisms: a periodic forcing that normally induces only moderate amounts of extinction, and independent incidents or catastrophes that, when coincident with the periodic forcing, amplify its signal and produce major-mass extinctions.

  12. Radial and nonradial periods of Delta Scuti

    Five periods have been discussed by Smith (1981) for the prototype variable star delta Scuti. The main one, at 0.193772 day, has long been identified as the radial fundamental mode. The others have not been clearly understood, but the second radial overtone is probably the correct identification for the 0.116366 day period. The other three at 0.186891, 0.189435, and 0.211157 day seem to be nonradial modes because of their long periods. The first of these seems to have l = 2 and m = -2 as observed by Smith. Table 1 gives these observed periods. Based on the Fitch (1981) nonradial pulsation constants, the 4.48 hour (.187 day) period seems to be a p1 mode, but as we shall see, we find that this identification is not very certain. The goal of this paper is to use our nonradial nonadiabatic computing program to predict periods in this range for a model matching the observed parameters of delta Scuti and to identify all five periods

  13. Reliability, return periods, and risk under nonstationarity

    Read, Laura K.; Vogel, Richard M.

    2015-08-01

    Water resources design has widely used the average return period as a concept to inform management and communication of the risk of experiencing an exceedance event within a planning horizon. Even though nonstationarity is often apparent, in practice hydrologic design often mistakenly assumes that the probability of exceedance, p, is constant from year to year which leads to an average return period To equal to 1/p; this expression is far more complex under nonstationarity. Even for stationary processes, the common application of an average return period is problematic: it does not account for planning horizon, is an average value that may not be representative of the time to the next flood, and is generally not applied in other areas of water planning. We combine existing theoretical and empirical results from the literature to provide the first general, comprehensive description of the probabilistic behavior of the return period and reliability under nonstationarity. We show that under nonstationarity, the underlying distribution of the return period exhibits a more complex shape than the exponential distribution under stationary conditions. Using a nonstationary lognormal model, we document the increased complexity and challenges associated with planning for future flood events over a planning horizon. We compare application of the average return period with the more common concept of reliability and recommend replacing the average return period with reliability as a more practical way to communicate event likelihood in both stationary and nonstationary contexts.

  14. Optimal glucose management in the perioperative period.

    Evans, Charity H; Lee, Jane; Ruhlman, Melissa K

    2015-04-01

    Hyperglycemia is a common finding in surgical patients during the perioperative period. Factors contributing to poor glycemic control include counterregulatory hormones, hepatic insulin resistance, decreased insulin-stimulated glucose uptake, use of dextrose-containing intravenous fluids, and enteral and parenteral nutrition. Hyperglycemia in the perioperative period is associated with increased morbidity, decreased survival, and increased resource utilization. Optimal glucose management in the perioperative period contributes to reduced morbidity and mortality. To readily identify hyperglycemia, blood glucose monitoring should be instituted for all hospitalized patients. PMID:25814110

  15. Quantification of rats' behavior during reinforcement periods

    Gunn, Kenneth P.

    1983-01-01

    What is treated as a single unit of reinforcement often involves what could be called a reinforcement period during which two or more acts of ingestion may occur, and each of these may have associated with it a series of responses, some reflexive, some learned, that lead up to ingestion. Food-tray presentation to a pigeon is an example of such a “reinforcement period.” In order to quantify this behavior, a continuous-reinforcement schedule was used as the reinforcement period and was chained ...

  16. Periodicity in Age-Resolved Populations

    Esipov, Sergei

    We discuss the interplay between the non-linear diffusion and age-resolved population dynamics. Depending on the age properties of collective migration the system may exhibit continuous joint expansion of all ages or continuous expansion with age segregation. Between these two obvious limiting regimes there is an interesting window of periodic expansion, which has been previously used by us in modeling bacterial colonies of Proteus mirabilis. In order to test whether the age-dependent collective migration leads to periodicity in other systems we performed a Fourier analysis of historical data on ethnic expansions and found multiple co-existing periods of activity.

  17. Turkish Foreign Policy during Adnan Menderes Period

    Dagci, Gül Tuba; Diyarbakirlioglu, Kaan

    2013-01-01

    Adnan Menderes is a unique personality who has an important role within Turkish political life.DemocraticParty founded in 1946 by Menderes and his three friends has taken the power from People's Republican Party in 22 May 1950. Hence they have ended the single party period and opened the multi-party period in political life. This study examines the Turkish foreign policy of Menderes period between 1950-1960 as a whole. And it concludes that the most important motives of the Turkish foreign po...

  18. On the periods of generalized Fibonacci recurrences

    Brent, Richard P.

    We give a simple condition for a linear recurrence (mod 2^w) of degree r to have the maximal possible period 2^(w-1).(2^r-1). It follows that the period is maximal in the cases of interest for pseudo-random number generation, i.e. for 3-term linear recurrences defined by trinomials which are primitive (mod 2) and of degree r > 2. We consider the enumeration of certain exceptional polynomials which do not give maximal period, and list all such polynomials of degree less than 15.

  19. New Realization of Periodic Cycled Separation

    Toftegard, Bjarne; Clausen, Charlotte H.; Jørgensen, Sten B.; Abildskov, Jens

    2016-01-01

    A new realization of periodic cycled gas/liquid separation is presented. Separation factors and column efficiencies are compared for a column stripping ammonia from water with air, using three different sets of internals: conventional sieve trays, Sulzer BX gauze packings, and periodically cycled...... drained sequentially rather than simultaneously, such that the vapor flow is not interrupted during the liquid drainage. For different ratios of counter-current vapor/liquid flow rates, column efficiencies for periodically cycled columns are shown experimentally to be two times greater than those for...

  20. Attractors of the periodically forced Rayleigh system

    Petre Bazavan

    2011-07-01

    Full Text Available The autonomous second order nonlinear ordinary differential equation(ODE introduced in 1883 by Lord Rayleigh, is the equation whichappears to be the closest to the ODE of the harmonic oscillator withdumping.In this paper we present a numerical study of the periodic andchaotic attractors in the dynamical system associated with the generalized Rayleigh equation. Transition between periodic and quasiperiodic motion is also studied. Numerical results describe the system dynamics changes (in particular bifurcations, when the forcing frequency is varied and thus, periodic, quasiperiodic or chaotic behaviour regions are predicted.

  1. Paclitaxel/carboplatin with or without sorafenib in the first-line treatment of patients with stage III/IV epithelial ovarian cancer: a randomized phase II study of the Sarah Cannon Research Institute

    This trial compared the efficacy and toxicity of standard first-line treatment with paclitaxel/carboplatin versus paclitaxel/carboplatin plus sorafenib in patients with advanced ovarian carcinoma. Patients with stage 3 or 4 epithelial ovarian cancer with residual measurable disease or elevated CA-125 levels after maximal surgical cytoreduction were randomized (1:1) to receive treatment with paclitaxel (175 mg/m2, 3 h infusion, day 1) and carboplatin (AUC 6.0, IV, day 1) with or without sorafenib 400 mg orally twice daily (PO BID). Patients were reevaluated for response after completing 6 weeks of treatment (two cycles); responding or stable patients received six cycles of paclitaxel/carboplatin. Patients receiving the sorafenib-containing regimen continued sorafenib (400 PO BID) for a total of 52 weeks. Eighty-five patients were randomized and received treatment.Efficacy was similar for patients receiving paclitaxel/carboplatin/sorafenib versus paclitaxel/carboplatin: overall response rates 69% versus 74%; median progression-free survival 15.4 versus 16.3 months; 2 year survival 76% versus 81%. The addition of sorafenib added substantially to the toxicity of the regimen; rash, hand–foot syndrome, mucositis, and hypertension were significantly more common in patients treated with sorafenib. The addition of sorafenib to standard paclitaxel/carboplatin did not improve efficacy and substantially increased toxicity in the first-line treatment of advanced epithelial ovarian cancer. Based on evidence from this study and other completed trials, sorafenib is unlikely to have a role in the treatment of ovarian cancer

  2. Periodic orbits in non-integrable hamiltoniam systems with two degrees of freedom

    We present extensive numerical data concerning the periodics orbits of a non integrable two degrees of freedom hamiltoniam system. These periodics orbits form a one-parameter family and the data are displayed in a plot of energy x period. These orbits exhibit several kinds of bifurcations not predicted in the generic study by K.R. Meyer (Trans. Am. Math. Soc., 1970) due to the existence of symmetries in the hamiltonian. Using a perturbative treatment in the neighbourhood of the periodic trajectories, we analytically compute the effect of these symmetries in the bifurcations. These results are in perfect agreement with those obtained numerically. (author)

  3. The effect of noise on beta-cell burst period

    Pedersen, Morten Gram; Sørensen, Mads Peter

    2006-01-01

    on numerical simulations. We show here how the application of two recent methods allows an analytic treatment of the stochastic effects on the location of the saddle-node and homoclinic bifurcations, which determine the burst period. Thus, the stochastic system can be analyzed similarly to the...... isolated and coupled cells has been suggested to be due to stochastic fluctuations of the plasma membrane ions channels, which are supposed to have a stronger effect on single cells than on cells situated in clusters (the channel sharing hypothesis). This effect of noise has previously been studied based...

  4. Periodic boundary conditions for dislocation dynamics simulations in three dimensions

    Bulatov, V V; Rhee, M; Cai, W

    2000-11-20

    This article presents an implementation of periodic boundary conditions (PBC) for Dislocation Dynamics (DD) simulations in three dimensions (3D). We discuss fundamental aspects of PBC development, including preservation of translational invariance and line connectivity, the choice of initial configurations compatible with PBC and a consistent treatment of image stress. On the practical side, our approach reduces to manageable proportions the computational burden of updating the long-range elastic interactions among dislocation segments. The timing data confirms feasibility and practicality of PBC for large-scale DD simulations in 3D.

  5. Estimates on the minimal period for periodic solutions of nonlinear second order Hamiltonian systems

    In this paper, we prove a sharper estimate on the minimal period for periodic solutions of autonomous second order Hamiltonian systems under precisely Rabinowitz' superquadratic condition. (author). 20 refs, 1 fig

  6. Spectral properties of almost-periodic Hamiltonians

    We give a description of some spectral properties of almost-periodic hamiltonians. We put the stress on some particular points of the proofs of the existence of absolutely continuous or pure point spectrum

  7. Transversally periodic solitary gravity-capillary waves.

    Milewski, Paul A; Wang, Zhan

    2014-01-01

    When both gravity and surface tension effects are present, surface solitary water waves are known to exist in both two- and three-dimensional infinitely deep fluids. We describe here solutions bridging these two cases: travelling waves which are localized in the propagation direction and periodic in the transverse direction. These transversally periodic gravity-capillary solitary waves are found to be of either elevation or depression type, tend to plane waves below a critical transverse period and tend to solitary lumps as the transverse period tends to infinity. The waves are found numerically in a Hamiltonian system for water waves simplified by a cubic truncation of the Dirichlet-to-Neumann operator. This approximation has been proved to be very accurate for both two- and three-dimensional computations of fully localized gravity-capillary solitary waves. The stability properties of these waves are then investigated via the time evolution of perturbed wave profiles. PMID:24399922

  8. UNVEILING THE PHENOMENON OF DOUBLE PERIODIC VARIABLES

    R. E. Mennickent

    2009-01-01

    Full Text Available In this paper we give a brief report of our recent research on Double Periodic Variables (DPVs, including the discovery of DPVs in the Galaxy and some insights on the nature of their long-cycle variability.

  9. Neutron transport with periodic boundary conditions

    Angelescu, N.; Marinescu, N.; Protopopescu, V.

    1976-01-01

    The initial value problem for monoenergetic neutron transport in homogeneous nonmultiplying, nonabsorbing medium with isotropic scattering and periodic boundary conditions. One completely determines the structure of the spectrum of the transport operator both in plane and parallelepipedic geometries.

  10. Extracting periodic driving signal from chaotic noise

    MU Jing; TAO Chao; DU Gonghuan

    2003-01-01

    After periodic signals pass through some nonlinear systems, they are usually transformed into noise-like and wide-band chaotic signals. The discrete spectrums of the original periodic signals are often covered by the chaotic spectrums. Recovering the periodic driving signals from the chaotic signals is important not only in theory but also in practical applications. Based on the modeling theory of nonlinear dynamic system, a "polynomial-simple harmonic drive" non-autonomous equation (P-S equation) to approximate the original system is proposed and the approximation error between P-S equation and the original system is obtained. By changing the drive frequency, we obtain the curve of the approximation error vs. drive frequency. Based on the relation between this curve and the spectrums of the original periodic signals, the spectrum of the original driving signal is extracted and the original signal is recovered.

  11. The Detection of Hidden Periodicities in EEG

    YOU Rong-yi

    2007-01-01

    Abstract.A novel method for detecting the hidden periodicities in EEG is proposed.By using a width-varying window in the time domain, the structure function of EEG time series is defined. It is found that the minima of the structure function, within a finite window width, can be found regularly, which indicate that there are some certain periodicities associated with EEG time series. Based on the structure function, a further quadratic structure function of EEG time series is defined. By quadratic structure function, it can be seen that the periodicities of EEG become more obvious, moreover, the period of EEG can be determined accurately. These results will be meaningful for studying the neuron activity inside the human brain.

  12. Global bioevents and the question of periodicity

    Sepkoski, J. John

    The hypothesis of periodicity in extinction is an empirical claim that extinction events, while variable in magnitude, are regular in timing and therefore are serially dependent upon some single, ultimate cause with clocklike behavior. This hypothesis is controversal, in part because of questions regarding the identity and timing of certain extinction events and because of speculations concerning possible catastrophic extraterrestrial forcing mechanisms. New data on extinctions of marine animal genera are presented that display a high degree of periodicity in the Mesozoic and Cenozoic as well as a suggestion of nonstationary periodicity in the late Paleozoic. However, no periodicity is evident among the as yet poorly documented extinction events of the early and middle Paleozoic.

  13. Broiler adaptation to post-hatching period

    Maiorka Alex

    2006-01-01

    Full Text Available In the latest years more attention has been given to mechanisms for bird adaptation at post-hatching period by management of environmental conditions and formulations of diets offered during this period when digestive, immune, and thermo-regulating systems suffer slight changes. In post-hatching period, digestive system is anatomically complete, but its functionality is still immature in relation to adult birds. The chick immunity depends on maternal antibodies transferred to egg just before laying. In addition, variations within thermal comfort zone might affect initial development of chick. For example, high temperatures may induce hyperthermia with dehydration, while low temperatures may lead to hypothermia responsible by pulmonary hypertension syndrome. In conclusion, productivity might be enhanced when good conditions are offered to chicks during the period from last embryo development to first days after hatching.

  14. Toward an Organic Chemist's Periodic Table.

    Hall, H. K., Jr.

    1980-01-01

    An analogy between electron transfer reactions of the elements and those of organic molecules is offered. Examples of organic electron transfer reactions are presented. The rationale of constructing an organic chemists' periodic table is also discussed. (HM)

  15. Theodore William Richards and the Periodic Table

    Conant, James B.

    1970-01-01

    Discusses the contribution of Theodore Richards to the accurate determination of atomic weights of copper and other elements; his major contribution was to the building of the definitive periodic table of the elements. (BR)

  16. A new pattern of the periodic table

    Brajendra Nath Tripathi

    1962-07-01

    Full Text Available A new pattern of the Periodic Table is described which incorporates all the points for which various models of two or three dimensional tables have been proposed from time to time.

  17. Ecological periodic tables: In principle and practice

    The chemical periodic table, the Linnaean system of classification and the Hertzsprung-Russell diagram are iconic information organizing structure in chemistry, biology and astronomy, respectively, because they are simple, exceptionally useful and they foster the expansion of sci...

  18. Voltage Sensors in Hypokalemic Periodic Paralysis

    J Gordon Millichap

    2009-06-01

    Full Text Available Researchers at the National Hospital, Queen Square, London, UK, conducted automated DNA sequencing of the S4 regions of CACNA1S and SCN4A in 83 patients with hypokalemic periodic paralysis (HypoPP.

  19. Coping with Common Period Problems (For Teens)

    ... and your period — is excessive exercising , usually distance running, ballet, or gymnastics, combined with a poor diet. For exercise to be excessive, it means more than just playing soccer a few times a week or working out ...

  20. Periodic words connected with the Fibonacci words

    G. M. Barabash

    2016-06-01

    Full Text Available In this paper we introduce two families of periodic words (FLP-words of type 1 and FLP-words of type 2 that are connected with the Fibonacci words and investigated their properties.

  1. Subcortical cytoskeleton periodicity throughout the nervous system.

    D'Este, Elisa; Kamin, Dirk; Velte, Caroline; Göttfert, Fabian; Simons, Mikael; Hell, Stefan W

    2016-01-01

    Superresolution fluorescence microscopy recently revealed a ~190 nm periodic cytoskeleton lattice consisting of actin, spectrin, and other proteins underneath the membrane of cultured hippocampal neurons. Whether the periodic cytoskeleton lattice is a structural feature of all neurons and how it is modified when axons are ensheathed by myelin forming glial cells is not known. Here, STED nanoscopy is used to demonstrate that this structure is a commonplace of virtually all neuron types in vitro. To check how the subcortical meshwork is modified during myelination, we studied sciatic nerve fibers from adult mice. Periodicity of both actin and spectrin was uncovered at the internodes, indicating no substantial differences between unmyelinated and myelinated axons. Remarkably, the actin/spectrin pattern was also detected in glial cells such as cultured oligodendrocyte precursor cells. Altogether our work shows that the periodic subcortical cytoskeletal meshwork is a fundamental characteristic of cells in the nervous system and is not a distinctive feature of neurons, as previously thought. PMID:26947559

  2. Electrons and photons in periodic structures

    Pedersen, Jesper Goor

    This thesis concerns various theoretical proposals for engineering dispersion relations of photons and electrons for particular applications. The common concept is the use of a periodic modulation to induce new phenomena on length scales comparable with the periodicity of the modulation. In...... applications both in terms of spontaneous emission control and for slow light propagation. We first consider antidot lattices, periodic modulations of the potential of an electron gas. We demonstrate that such structures may serve as an interesting platform for quantum information processing. In particular, we...... semiconductor, paving the way for graphene transistors. Photonic band gaps can be engineered using structures with a periodic modulations of the refractive index, commonly referred to as photonic crystal. We discuss the application of photonic crystals to slow light phenomena, where advantage is taken of the...

  3. Stability of Periodic Locomotion in Potential Flow

    Jing, Fangxu

    2013-01-01

    Most aquatic vertebrates swim by lateral flapping of their bodies and caudal fins. While much effort has been devoted to understanding the flapping kinematics and its influence on the swimming efficiency, little is known about the stability (or lack of) of periodic swimming. In this paper, we examine the stability of periodic locomotion due to sideways flapping in unbounded potential flow. It is believed that stability limits maneuverability and body designs/flapping motions that are adapted for stable swimming are not suitable for high maneuverability and vice versa. Here, we consider a simplified model where the swimmer is a planar elliptic body undergoing prescribed periodic heaving and pitching. We show that periodic locomotion can be achieved due to the resulting hydrodynamic forces, and its value depends on several parameters including the aspect ratio of the body, the amplitudes and phases of the prescribed flapping. We obtain closed-form solutions for the locomotion and efficiency for small flapping a...

  4. DOREMI - Interim Progress Report (Period 2)

    Rial, Michela; Benvenuti, Chiara; Vozzi, Federico; Parodi, Oberdan; Fortunati, Luigi; Palumbo, Filippo

    2015-01-01

    The DOREMI Scientific and Technological objectives of this period is: 1.2 . Development of preliminary version for the WSN environment, smart environment for context awareness and gamified environment (MS4, M18)

  5. Positive periodic solutions of periodic neutral Lotka-Volterra system with state dependent delays

    Li, Yongkun

    2007-06-01

    By using a fixed point theorem of strict-set-contraction, some new criteria are established for the existence of positive periodic solutions of the following periodic neutral Lotka-Volterra system with state dependent delays where (i,j=1,2,...,n) are [omega]-periodic functions and (i=1,2,...,n) are [omega]-periodic functions with respect to their first arguments, respectively.

  6. Inflation and the Trade Credit Period

    Moshe Ben-Horim; Haim Levy

    1982-01-01

    Management of accounts receivable and trade credit policy should often be adjusted to reflect changing interest rates due to changing inflation. Firms can respond to inflation by either increasing the discount for cash payments or by shortening the credit period. This paper investigates the policy of shortening the credit period in response to changing inflation rates. We first assume that inflation is fully anticipated, and later we extend the analysis to incorporate inflation risk.

  7. Periodicity and Immortality in Reversible Computing

    Kari, Jarkko; Ollinger, Nicolas

    2008-01-01

    Additional material available on the web at http://www.lif.univ-mrs.fr/~nollinge/rec/gnirut/ We investigate the decidability of the periodicity and the immortality problems in three models of reversible computation: reversible counter machines, reversible Turing machines and reversible one-dimensional cellular automata. Immortality and periodicity are properties that describe the behavior of the model starting from arbitrary initial configurations: immortality is the property of having at ...

  8. Ground states for nonuniform periodic Ising chains

    Martínez-Garcilazo, J. P.; Ramírez, C.

    2014-01-01

    We give a generalization of Morita's works on ground states of Ising chains, for chains with a periodic structure with different spins, and distant neighbor interactions. The main assumption is translational invariance. The length of the irreducible blocks is a multiple of the period of the chain. In the case of parity invariance, it restricts the length in general only in the diatomic case. There are degenerated states and under certain circumstances there could be nonregular ground states. ...

  9. Discrete periodic geodesics in a surface

    Linnér, Anders; Renka, Robert

    2005-01-01

    An alternative to the traditional curve-straightening flow on periodic curves in surfaces is introduced. The implementation of this flow produces periodic geodesics in minutes rather than hours. The flow is also simpler to initiate since its use of a penalty method permits initial curves that are not necessarily in the surface. Compact and noncompact examples are provided as well as examples with trivial and nontrivial free homotopy classes. The explicit curve-straightening flow on circles in...

  10. Periodic Exponential Shear of Complex Fluids

    Kalelkar, Chirag; McKinley, Gareth

    2012-01-01

    We define a class of flows with exponential kinematics termed Periodic Exponential Shear (PES) flow which involve periodic exponential stretching of fluid elements along with their rotation. We exhibit analytical and numerical results for PES flow by using the Oldroyd-B model for viscoelastic fluids. We calculate the growth in the shear and the normal stresses analytically as well as demonstrate that repeated application of the flow leads to stable oscillatory shear and normal stresses. We de...

  11. Land Prices During Periods of Rapid Change

    Schurle, Bryan; Featherstone, Allen; Wilson, Christine; Crossan, Dylan

    2013-01-01

    Accurate information on land values is a consequential concern when prices are changing rapidly. This study compares USDA data and sales data from 1971-2011. While the land prices from these series move in similar patterns, there are periods of substantial differences. These periods show a pattern where differences are larger when prices are changing rapidly, and where USDA prices lag sales data prices. The spread in prices in sales data is also examined. While the standard deviation of price...

  12. Periodic EEG complexes in infectious mononucleosis encephalitis.

    Greenberg, D A; Weinkle, D J; Aminoff, M. J.

    1982-01-01

    The presence of periodic EEG complexes in patients with an acute viral encephalitis is generally held to suggest that infection is due to herpes simplex. We now report a patient with clinical and laboratory findings of infectious mononucleosis, and neurologic involvement manifested by lymphocyte meningitis, coma, seizures, aphasia, hemiparesis and hemianopsia. Serial EEGs showed periodic, predominantly left-sided slow wave complexes occurring every 4 to 5 seconds, which disappeared with clini...

  13. Filtering Characteristics of Doubly Sinusoidal Periodic Media

    Dong, Tian-Lin; Chen, Ping

    2006-03-01

    Dispersion and filtering characteristics of doubly sinusoidal periodic (DSP) medium is investigated. Based on its feature different from singly sinusoidal periodic medium, a novel dual-band filter model is realized and measured. The results show that even a single unit cell of DSP medium can provide rather good filtering performance. And the filter is of perfect compatibility with regular waveguide and substrate integrated waveguide technology.

  14. Periodic Table for Floquet Topological Insulators

    Roy, Rahul; Harper, Fenner

    2016-01-01

    Dynamical phases with novel topological properties are known to arise in driven systems of free fermions. In this paper, we obtain a `periodic table' to describe the phases of such time-dependent systems, generalizing the periodic table for static topological insulators. Using K-theory, we systematically classify Floquet topological insulators from the ten Altland-Zirnbauer symmetry classes across all dimensions. We find that the static classification scheme described by a group $G$ becomes $...

  15. IUPAC Periodic Table of the Isotopes

    Holden, N.E.; Coplen, T.B.; Böhlke, J.K.; Wieser, M.E.; Singleton, G.; Walczyk, T.; Yoneda, S.; Mahaffy, P.G.; Tarbox, L.V.

    2011-01-01

    For almost 150 years, the Periodic Table of the Elements has served as a guide to the world of elements by highlighting similarities and differences in atomic structure and chemical properties. To introduce students, teachers, and society to the existence and importance of isotopes of the chemical elements, an IUPAC Periodic Table of the Isotopes (IPTI) has been prepared and can be found as a supplement to this issue.

  16. Thyrotoxic Periodic Paralysis: A Case Report

    Morović-Vergles, Jadranka; Ostrički, Branko; Galešić, Krešimir; Škoro, Mirko; Zelenika, Dijana

    2002-01-01

    A case of thyrotoxic periodic paralysis in a 24-year-old male with hyperthyroidism is presented. Clinical manifestations included progressive symmetrical weakness that led to flaccid paralysis due to hypokalemia with concurrent thyrotoxicosis. Intravenous administration of potassium chloride resulted in complete regression of the symptoms of muscle weakness and paralysis. Hypokalemic periodic paralysis is an uncommon complication of thyrotoxicosis, which primarily occurs in Orientals, with a ...

  17. How periodic orbit bifurcations drive multiphoton ionization

    Huang, S.; Chandre, C; Uzer, T.

    2006-01-01

    The multiphoton ionization of hydrogen by a strong bichromatic microwave field is a complex process prototypical for atomic control research. Periodic orbit analysis captures this complexity: Through the stability of periodic orbits we can match qualitatively the variation of experimental ionization rates with a control parameter, the relative phase between the two modes of the field. Moreover, an empirical formula reproduces quantum simulations to a high degree of accuracy. This quantitative...

  18. Family of almost periodic Schroedinger operators

    Bellisard et al., introduced a one-dimensional, almost-periodic, discrete Schroedinger operator which is defined by a parameter lambda. We allow this parameter to become complex and develop a geometric formalism to control the operator. The support of the spectrum of this operator is the Julia set of the mapping x2 - lambda → x. We prove that the almost-periodicity holds over wide regions of the complex lambda-plane, even though Hermiticity fails. 14 references

  19. Energy minimization, periodic sets and spherical designs

    Coulangeon, Renaud

    2010-01-01

    We study energy minimization for pair potentials among periodic sets in Euclidean spaces. We derive some sufficient conditions under which a point lattice locally minimizes the energy associated to a large class of potential functions. This allows in particular to prove a local version of Cohn and Kumar's conjecture that $\\mathsf{A}_2$, $\\mathsf{D}_4$, $\\mathsf{E}_8$ and the Leech lattice are globally universally optimal, regarding energy minimization, and among periodic sets of fixed point density.

  20. Depression in Pregnancy and Postpartum Period

    Sood, Mamta; Sood, A. K.

    2003-01-01

    This prospective study was carried out in a service hospital, with the aim to study the prevalence and incidence of depression in pregnancy and postpartum period. Eighty Four consecutive patients attending the antenatal outpatient in the Obstetrics & Gynaecology department in their last trimester of pregnancy were recruited for the study. They were assessed on Beck Depression Inventory thrice viz. during third trimester of pregnancy, within 3 days of delivery (early postpartum period) & withi...

  1. Quantum cohomology and the periodic Toda lattice

    We describe a relation between the periodic one-dimensional Toda lattice and the quantum cohomology of the periodic flag manifold (an infinite-dimensional Kaehler manifold). This generalizes a result of Givental and Kim relating the open Toda lattice and the quantum cohomology of the finite-dimensional flag manifold. We derive a simple and explicit ''differential operator formula'' for the necessary quantum products, which applies both to the finite-dimensional and to the infinite-dimensional situations. (orig.)

  2. 15. 7-min periodicity in OJ287

    Valtaoja, E.; Lehto, H.; Teerikorpi, P.; Korhonen, T.; Valtonen, M.; Teraesranta, H.; Salonen, E.; Urpo, S.; Tiuri, M.; Piirola, V.; Saslaw, W.C.

    1985-03-14

    The BL Lac-type object OJ287, with a redshift z = 0.306 and a luminosity exceeding 10/sup 47/ erg s/sup -1/ at maximum light, is among the brightest and most violently variable objects of its class. Rapid variations, with timescales of a few hours or less, have been reported over a wide range of wavelengths and also in polarization, imposing strong constraints on the size and dynamics of the source. The detection of periodic variations in OJ287, or in any other compact extragalactic source, would be even more important, as these could be related to rotation or orbital motion in the source. So far the only searches sensitive to periodic variations shorter than 1 h are the photometric observations of Visvanathan and Elliot, Frohlich et al. and Kiplinger, in which a 40-min period in OJ287 was respectively found, confirmed and not detected. Here the detection of a 15.7-min periodic flux variation in OJ287 in April 1981 at 37 GHz is reported. The source has been subsequently monitored for 265 h at 22 and 37 GHz, as well as in optical photometry, and the same period has been seen in simultaneous observations. The peak-peak amplitude of the variation is 1-10% of the total intensity. Other periods may also exist. 17 references, 3 figures.

  3. Periodic Table Target: A Game that Introduces the Biological Significance of Chemical Element Periodicity

    Sevcik, Richard S.; McGinty, Ragan L.; Schultz, Linda D.; Alexander, Susan V.

    2008-01-01

    Periodic Table Target, a game for middle school or high school students, familiarizes students with the form of the periodic table and the biological significance of different elements. The Periodic Table Target game board is constructed as a class project, and the game is played to reinforce the content. Students are assigned several elements…

  4. Adding 5-hydroxytryptamine receptor type 3 antagonists may reduce drug-induced nausea in poor insight obsessive-compulsive patients taking off-label doses of selective serotonin reuptake inhibitors: a 52-week follow-up case report

    Martino Matteo; Fornaro Michele

    2010-01-01

    Abstract Poor-insight obsessive-compulsive disorder (PI-OCD) is a severe form of OCD where the 'typically obsessive' features of intrusive, 'egodystonic' feelings and thoughts are absent. PI-OCD is difficult to treat, often requiring very high doses of serotonergic drugs as well as antipsychotic augmentation. When this occurs, unpleasant side effects as nausea are common, eventually further reducing compliance to medication and increasing the need for pharmacological alternatives. We present ...

  5. Color Changes of Package Silage In Period of Aerobic Stability

    F. Toruk

    2010-01-01

    Full Text Available In this study, changes on color of the silage surface, chemical and microbiological parameters in six days period of aerobic stability of package silage were investigated. For this purpose, the effect of the silage additive materials and treatments dose also were examined. Treatments were determined as Control (C, Silo-king firm dose (FD, Silo-King double dose (D2, Sim-Silage firm dose (SF, and Sim-Silage double dose (S2.Maize was ensiled using a package silage machine. The package silages opened after three months storage was analyzed for colors during aerobic exposure. In this research, yellowness (yı* indicates were also measured to show the effect of fermentation process on the silage color properties. As the result of experiment, it was found that aerobic stability have significant effects on color of the silage surface (all parameters statistically (p<0.05. The lowest color alteration (ΔE was estimated as 8.96 in S2 treatment. The color alteration also was increased 96 h when increased at pH and temperature. The highest CO2 values were found at firm dose treatments.

  6. Treatment of Onychomycosis: An Update

    Thomas T; Shirwaikar A; Lobo R; Prabhu K

    2008-01-01

    Fungal infections of skin are one of the most common infections in human beings. The areas which are likely to get infected include the scalp, the hands and the feet. Dermatophytes, yeasts and moulds are the three major fungi responsible for skin infections. Earlier oral antifungal agents were used for treatment of fungal infection in finger and toe nails. The disadvantages of oral antifungal agents are toxicity and longer treatment period. Now medicated nail lacquers have been developed for ...

  7. Oral phenoxymethylpenicillin treatment during pregnancy

    Czeizel, A.E.; Rockenbauer, M.; Olsen, Jørn; Sørensen, Henrik Toft

    2000-01-01

    The objective of the study was to examine the human teratogenic potential of oral penicillin V: phenoxymethylpenicillin treatment during pregnancy in the large population-based dataset of the Hungarian Case-Control Surveillance of Congenital Abnormalities, 1980–1996. The dataset included 22......, i.e. in the critical period for most major congenital abnormalities in case-matched control pairs. Thus, treatment with oral phenoxymethylpenicillin during pregnancy presents very little if any teratogenic risk to the fetus....

  8. The Discrete Beverton-Holt Model with Periodic Harvesting in a Periodically Fluctuating Environment

    Ziyad AlSharawi

    2010-01-01

    Full Text Available We investigate the effect of constant and periodic harvesting on the Beverton-Holt model in a periodically fluctuating environment. We show that in a periodically fluctuating environment, periodic harvesting gives a better maximum sustainable yield compared to constant harvesting. However, if one can also fix the environment, then constant harvesting in a constant environment can be a better option, especially for sufficiently large initial populations. Also, we investigate the combinatorial structure of the periodic sequence of carrying capacities and its effect on the maximum sustainable yield. Finally, we leave some questions worth further investigations.

  9. Charged particle periodicity in the Saturnian magnetosphere

    The low energy charged particles (LECP) experiments on the Voyager 1 and 2 spacecraft performed measurements of electrons (approx.22 keV to approx.20 MeV) and ions (approx.28 keV to approx.150 MeV) during the Saturn encounters in 1980 and 1981. Count rate ratios of two of the low energy electron (22 to 35 keV and 183 to 500 keV) and ion (43 to 80 keV and 137 to 215 keV) channels exhibit an approximation 10 hour periodicity in the outer Saturnian magnetosphere beyond the orbit of Titan. Electron ratios vary from approx.50 to approx.300; ion ratios vary from approx.3 to approx.20. Similar but less pronounced periodicities are observed for higher and lower energy electron and ion spectral indices. Three complete cycles were observed during the Voyager 2 outbound portion of the encounter from which were determined an electron ratio period of 10/sup h/21/sup m/ +- 48/sup m/ and an ion ratio period of 9/sup h/49/sup m/ +- 59/sup m/. Using Saturn Kilometric Radiation (SKR) and Saturn Electrostatic Discharge (SED) periods, extrapolation backward from Voyager 2 to Voyager 1 suggests that the periodicities are Saturnian rather than Jovian in nature, and that they persist in phase for time intervals at least as long as 287 days. Ratio minima, or spectral hardenings, occur in the same hemisphere as do auroral brightenings, SKR activity, and spoke enhanement. We interpret the observations as prima facie evidence of an asymmetry in the Saturian magnetic field and the root cause of the observed SKR periodicity

  10. Sewage Treatment

    1976-01-01

    A million gallon-a-day sewage treatment plant in Huntington Beach, CA converts solid sewage to activated carbon which then treats incoming waste water. The plant is scaled up 100 times from a mobile unit NASA installed a year ago; another 100-fold scale-up will be required if technique is employed for widespread urban sewage treatment. This unique sewage-plant employed a serendipitous outgrowth of a need to manufacture activated carbon for rocket engine insulation. The process already exceeds new Environmental Protection Agency Standards Capital costs by 25% compared with conventional secondary treatment plants.

  11. The period-age relation for cepheids

    The list of 119 cepheid-members of 55 clusters and associations of the Magellanic Clouds, the Galaxy, and M31 is given. The period-age relation is found from the data on 64 cepheids in 29 clusters for which the age determinations are available, the ages of extragalactic clusters were determined mainly from their integral colours. The U-B colours are found to be of much better age parameters than the B-V ones. The composite period-age relation agrees well with the theoretical one. The observed dispersion of the period-age relation leads to an estimate of the age dispersion about 1x107 years in the associations. Some peculiarities of the cepheids with the shortest periods amongst others in the same clusters are probably explained if they are overtone pulsators. The period-age relation may be used for an investigation of the recent history of star formation in the galaxies. This relation allows to determine the age gradient across the spiral arm in M31 which is in agreement with the density wave theory predictions. The distribution of cepheids in our Galaxy and neighbouring galaxies is consistent with the conception of star formation lasting for some dozen million years in cells with a dimension of some hundreds of parsecs

  12. [Hypokalemic periodic paralysis provoked by "Ambene"].

    Wessel, K; Schumm, F; Peiffer, J; Schlote, W

    1985-12-01

    The case of a 42-year-old man is reported, who on four occasions developed a hypokalaemic periodic paralysis after an intramuscular injection of "Ambene". The detailed examination of this patient shows, that it is the primary, autosomal dominant inherited form of hypokalaemic periodic paralysis, and not the secondary form, which is caused by a renal or gastrointestinal loss of potassium. Clinical and electrophysiological, as well as histopathological and electron microscopic findings are presented, showing the typical vacuolar myopathy with submicroscopic tubular structures. In the literature there is evidence for an increased sensitivity of the muscle membrane to insulin with an increased potassium-shift inside the cell in hypokalaemic periodic paralysis. "Ambene" is a combination, which contains amongst other substances dexamethasone and the local anaesthetic drug lidocain. In the present case the paresis was possibly caused by a combined effect of dexamethasone with a consequent hyperglycaemia and lidocain with a change in the excitability of the muscle membrane. The pathophysiological mechanism of hypokalaemic periodic paralysis is discussed in terms of the release by the combination of these two drugs. It has not previously been reported that "Ambene" can provoke a hypokalaemic periodic paralysis. This is a severe side effect because of the resulting cardiac and respiratory problems. PMID:2936967

  13. On the Sensitivity of Period Searches

    Schwarzenberg-Czerny, A.

    2012-04-01

    Astronomical time series are special in that time sampling in them is uneven yet often with periodic gaps due to daytime, moon and seasons. There is therefore a need for special-purpose time-series analysis (TSA) methods. The emergence of massive CCD photometric surveys from the ground and space raises the question of an automatic period search in >> 105 light curves. We caution that already at the planning stage it is important to account for the effects of time sampling and analysis methods on the sensitivity of detections. We present a transparent scheme for the classification of period-search methods. We employ tools for evaluating the performance of those methods, according to the type of light curves investigated. In particular we consider sinusoidal and non-sinusoidal oscillations as well as eclipse or transit light curves. From these considerations we draw recommendations for the optimum analysis of astronomical time series. We present briefly the capability of an automatic period-search package Tatry. Finally we discuss the role of Monte Carlo simulations in the analysis of detection sensitivity. As an example, we demonstrate a practical method to account for the bandwidth (multi-trial) penalty in the statistical evaluation of detected periods.

  14. Dipole interactions in doubly-periodic domains

    Tsang, Alan Cheng Hou

    2013-01-01

    We consider the interactions of finite dipoles in a doubly-periodic domain. A finite dipole is a pair of equal and opposite strength point vortices separated by a finite distance. The dynamics of multiple finite dipoles in an unbounded inviscid uid was first proposed by Tchieu, Kanso & Newton in [1] as a model that captures the "far- field" hydrodynamic interactions in fish schools. In this paper, we formulate the equations of motion governing the dynamics of finite-dipoles in a doubly-periodic domain. We show that a single dipole in a doubly-periodic domain exhibits periodic and aperiodic behavior, in contrast to a single dipole in an unbounded domain. In the case of two dipoles in doubly-periodic domain, we identify a number of interesting trajectories including collision, collision avoidance, and passive synchronization of the dipoles. We then examine two types of dipole lattices: rectangular and diamond. We verify that these lattices are in a state of relative equilibrium and show that the rectangular...

  15. Sleep complaints in periodic paralyses: a web survey.

    Buzzi, G; Mostacci, B; Sancisi, E; Cirignotta, F

    2001-01-01

    Neuronal potassium conductance has been shown to influence the sleep-wake cycle and REM sleep homeostasis. The periodic paralyses (PP) are characterized by episodes of muscular weakness associated with changes in serum potassium levels and, therefore, with possible alterations in extracellular neuronal potassium conductance. We submitted a sleep questionnaire to the members of Periodic Paralysis International Listserv, an on-line support and information group for subjects with PP. Three control groups were made up of patients with untreated depression, patients with depression under treatment and healthy subjects. Both subjects with PP and those with untreated depression had a higher frequency of self-reported insufficient sleep quality and a higher number of nocturnal awakenings than patients with depression under treatment and healthy controls. PP subjects had more self-reported daytime sleepiness, sleep-related hallucinations and nightmares/abnormal dreams than the other three groups. Patients affected by PP may have disrupted sleep architecture and homeostasis. In particular, we suggest that the stereotypical abnormal dreams reported by several patients may reflect oneiric elaboration of nocturnal episodes of flaccid paralysis, while the increased frequency of sleep-related hallucinations may be due to enhanced REM sleep expression associated with alterations of neuronal potassium conductance. PMID:11769870

  16. [Treatment of intestinal failure in adults. II. Pharmacological treatment options

    Kristinsson, J.O.; Dijkstra, G.; Wanten, G.J.A.

    2007-01-01

    For patients with severe intestinal failure caused by short-bowel syndrome, pharmacological treatment options are available that can reduce the period in which parenteral nutrition is required. Appropriate agents include acid inhibitors, bile-salt binders, inhibitors of motility and secretion, antib

  17. Electrostatics of solvated systems in periodic boundary conditions

    Andreussi, Oliviero; Marzari, Nicola

    2014-12-01

    Continuum solvation methods can provide an accurate and inexpensive embedding of quantum simulations in liquid or complex dielectric environments. Notwithstanding a long history and manifold applications to isolated systems in open boundary conditions, their extension to materials simulations, typically entailing periodic boundary conditions, is very recent, and special care is needed to address correctly the electrostatic terms. We discuss here how periodic boundary corrections developed for systems in vacuum should be modified to take into account solvent effects, using as a general framework the self-consistent continuum solvation model developed within plane-wave density-functional theory [O. Andreussi et al., J. Chem. Phys. 136, 064102 (2012), 10.1063/1.3676407]. A comprehensive discussion of real- and reciprocal-space corrective approaches is presented, together with an assessment of their ability to remove electrostatic interactions between periodic replicas. Numerical results for zero- and two-dimensional charged systems highlight the effectiveness of the different suggestions, and underline the importance of a proper treatment of electrostatic interactions in first-principles studies of charged systems in solution.

  18. Periodic paralysis: An unusual presentation of drug-induced hyperkalemia

    Poonam Agrawal

    2014-01-01

    Full Text Available Hyperkalemia is a life-threatening electrolyte abnormality. The most common cause of hyperkalemia includes renal disease and ingestion of medications. Drug-induced hyperkalemia may develop in patients with underlying renal impairment, disturbed cellular uptake of potassium load, excessive ingestion or infusion of potassium-containing substances. We report a case of "drug-induced severe hyperkalemia" presenting as periodic paralysis. A 67-year-old diabetic and hypertensive woman presented to emergency department with the complaint of intermittent episode of inability to walk for the past 5 days. Each episode lasted for 15-20 minutes and was associated with breathlessness and restlessness. There was no family history of periodic paralysis and drug history revealed that the patient was onolmesartan 20 mg per day (for past 2 years, perindopril 4 mg per day (for past 16 months, and torsemide 10 mg/day. On examination patient was found to be conscious, alert, and afebrile. Vitals were normal. Examination of cardiovascular and respiratory system did not reveal any significant finding. Blood report of the patient showed serum K+ level 8.6 mmol/l. All other investigations were within normal limits. A diagnosis of drug-induced hyperkalemia was made. Patient responded well to the symptomatic treatment. To the best of the author′s knowledge, this is the first case report of drug-induced hyperkalemia presenting as periodic paralysis.

  19. Wastewater Treatment.

    Zoltek, J., Jr.; Melear, E. L.

    1978-01-01

    Presents the 1978 literature review of wastewater treatment. This review covers: (1) process application; (2) coagulation and solids separation; (3) adsorption; (4) ion exchange; (5) membrane processes; and (6) oxidation processes. A list of 123 references is also presented. (HM)

  20. Policy Uncertainty, Investment and Commitment Periods

    NONE

    2007-07-01

    Today's investment decisions in key sectors such as energy, forestry or transport have significant impacts on the levels of greenhouse gas (GHG) emissions over the coming decades. Given the economic and environmental long-term implications of capital investment and retirement, a climate mitigation regime should aim to encourage capital investment in climate-friendly technologies. Many factors affect technology choice and the timing of investment, including investor expectations about future prices and policies. Recent international discussions have focused on the importance of providing more certainty about future climate policy stringency. The design of commitment periods can play a role in creating this environment. This paper assesses how the length of commitment periods influences policy uncertainty and investment decisions. In particular, the paper analyses the relationship between commitment period length and near term investment decisions in climate friendly technology.

  1. Effective propagation in a perturbed periodic structure

    In a recent paper [D. Torrent, A. Hakansson, F. Cervera, and J. Sanchez-Dehesa, Phys. Rev. Lett. 96, 204302 (2006)] inspected the effective parameters of a cluster containing an ensemble of scatterers with a periodic or a weakly disordered arrangement. A small amount of disorder is shown to have a small influence on the characteristics of the acoustic wave propagation with respect to the periodic case. In this Brief Report, we inspect further the effect of a deviation in the scatterer distribution from the periodic distribution. The quasicrystalline approximation is shown to be an efficient tool to quantify this effect. An analytical formula for the effective wave number is obtained in one-dimensional acoustic medium and is compared with the Berryman result in the low-frequency limit. Direct numerical calculations show a good agreement with the analytical predictions

  2. Periodic and Chaotic Flapping of Insectile Wings

    Huang, Yangyang

    2015-01-01

    Insects use flight muscles attached at the base of the wings to produce impressive wing flapping frequencies. The maximum power output of these flight muscles is insufficient to maintain such wing oscillations unless there is good elastic storage of energy in the insect flight system. Here, we explore the intrinsic self-oscillatory behavior of an insectile wing model, consisting of two rigid wings connected at their base by an elastic torsional spring. We study the wings behavior as a function of the total energy and spring stiffness. Three types of behavior are identified: end-over-end rotation, chaotic motion, and periodic flapping. Interestingly, the region of periodic flapping decreases as energy increases but is favored as stiffness increases. These findings are consistent with the fact that insect wings and flight muscles are stiff. They further imply that, by adjusting their muscle stiffness to the desired energy level, insects can maintain periodic flapping mechanically for a range of operating condit...

  3. Superconducting insertion devices with switchable period length

    Superconducting insertion devices (IDs) are very attractive for synchrotron light sources since they offer the possibility to enhance the tuning range and functionality significantly by period length switching. Period length switching can be realized by employing two or more individually powerable subsets of superconducting coils and reverse the current in a part of the winding. So far, the first demonstration mock-up coil allowing period length tripling was fabricated and tested successfully (A. Grau et al., accepted for publication in IEEE Transactions on Applied Superconductivity). Here, we report on the feasibility of a superconducting switch implemented as proposed by A. Madur et al., Proc. of the 10th International Conference on Synchrotron Radiation Instrumentation 2009, Melbourne, Australia.

  4. Superconducting insertion devices with switchable period length

    Holubek, Tomas; Baumbach, Tilo; Casalbuoni, Sara; Gerstl, Stefan; Grau, Andreas; Hagelstein, Michael; Saez de Jauregui, David [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany); Boffo, Cristian; Walter, Wolfgang [Babcock Noell GmbH, Wuerzburg (Germany)

    2011-07-01

    Superconducting insertion devices (IDs) are very attractive for synchrotron light sources since they offer the possibility to enhance the tuning range and functionality significantly by period length switching. Period length switching can be realized by employing two or more individually powerable subsets of superconducting coils and reverse the current in a part of the winding. So far, the first demonstration mock-up coil allowing period length tripling was fabricated and tested successfully (A. Grau et al., accepted for publication in IEEE Transactions on Applied Superconductivity). Here, we report on the feasibility of a superconducting switch implemented as proposed by A. Madur et al., Proc. of the 10th International Conference on Synchrotron Radiation Instrumentation 2009, Melbourne, Australia.

  5. Local electrostatic moments and periodic boundary conditions

    Schultz, P.A. [Sandia National Laboratories, Albuquerque, New Mexico 87185 (United States)

    1999-07-01

    Electronic structure calculations frequently invoke the supercell approximation and solve for electrostatic potentials within periodic boundary conditions. For systems that are electronically charged, or contain dipole (or higher) moments, this artifice introduces spurious potentials due to interactions between the system and multipole moments of its periodic images in aperiodic directions. I describe a method to handle properly the multipole moments of the electron density in electronic structure calculations using supercells. The density is divided into two pieces. A model local density is constructed to match multipole moments of the full density. The potential from this piece is obtained treating this density as isolated. With the density of this local-moment countercharge removed from the full density, the remainder density no longer contains moments with long-range potentials, and its electrostatic potential can be evaluated accurately using periodic boundary conditions. {copyright} {ital 1999} {ital The American Physical Society}

  6. Quantum periods of Calabi-Yau fourfolds

    Gerhardus, Andreas

    2016-01-01

    In this work we study the quantum periods together with their Picard-Fuchs differential equations of Calabi-Yau fourfolds. In contrast to Calabi-Yau threefolds, we argue that the large volume points of Calabi-Yau fourfolds generically are regular singular points of the Picard-Fuchs operators of non-maximally unipotent monodromy. We demonstrate this property in explicit examples of Calabi-Yau fourfolds with a single Kahler modulus. For these examples we construct integral quantum periods and study their global properties in the quantum Kahler moduli space with the help of numerical analytic continuation techniques. Furthermore, we determine their genus zero Gromov-Witten invariants, their Klemm-Pandharipande meeting invariants, and their genus one BPS invariants. In our computations we emphasize the features attributed to the non-maximally unipotent monodromy property. For instance, it implies the existence of integral quantum periods that at large volume are purely worldsheet instanton generated. To verify ou...

  7. Using periodicity to mitigate ground vibration

    Andersen, Lars Vabbersgaard

    filters for wave propagation, effectively reducing the transmission of energy in certain frequency bands known as stop bands or band gaps, thus only allowing propagation in the so-called pass bands. In this paper, a stratified ground with two soil layers is considered and two types of periodicity is...... of energy transmission can be obtained within the medium and high frequency ranges, barriers are a poor solution at low frequencies. As an alternative, a periodic change in the properties of the soil can be introduced—to the geometry and/or to the material. Periodic structures are known to act as......Introduction of trenches, barriers and wave impeding blocks on the transmission path between a source and receiver can be used for mitigation of ground vibration. However, to be effective a barrier must have a depth of about one wavelength of the waves to be mitigated. Hence, while great reductions...

  8. Krsko NPP Periodic Safety Review program

    The need for conducting a Periodic Safety Review for the Krsko NPP has been clearly recognized both by the NEK and the regulator (SNSA). The PSR would be highly desirable both in the light of current trends in safety oversight practices and because of many benefits it is capable to provide. On January 11, 2001 the SNSA issued a decision requesting the Krsko NPP to prepare a program and determine a schedule for the implementation of the program for 'Periodic Safety Review of NPP Krsko'. The program, which is required to be in accordance with the IAEA safety philosophy and with the EU practice, was submitted for the approval to the SNSA by the end of March 2001. The paper summarizes Krsko NPP Periodic Safety Review Program [1] including implemented SNSA and IAEA Expert Mission comments.(author)

  9. The incubation periods of Dengue viruses.

    Miranda Chan

    Full Text Available Dengue viruses are major contributors to illness and death globally. Here we analyze the extrinsic and intrinsic incubation periods (EIP and IIP, in the mosquito and human, respectively. We identified 146 EIP observations from 8 studies and 204 IIP observations from 35 studies. These data were fitted with censored Bayesian time-to-event models. The best-fitting temperature-dependent EIP model estimated that 95% of EIPs are between 5 and 33 days at 25°C, and 2 and 15 days at 30°C, with means of 15 and 6.5 days, respectively. The mean IIP estimate was 5.9 days, with 95% expected between days 3 and 10. Differences between serotypes were not identified for either incubation period. These incubation period models should be useful in clinical diagnosis, outbreak investigation, prevention and control efforts, and mathematical modeling of dengue virus transmission.

  10. Symmetry and Resonance in Periodic FPU Chains

    Rink, Bob

    The symmetry and resonance properties of the Fermi Pasta Ulam chain with periodic boundary conditions are exploited to construct a near-identity transformation bringing this Hamiltonian system into a particularly simple form. This ``Birkhoff-Gustavson normal form'' retains the symmetries of the original system and we show that in most cases this allows us to view the periodic FPU Hamiltonian as a perturbation of a nondegenerate Liouville integrable Hamiltonian. According to the KAM theorem this proves the existence of many invariant tori on which motion is quasiperiodic. Experiments confirm this qualitative behaviour. We note that one can not expect this in lower-order resonant Hamiltonian systems. So the periodic FPU chain is an exception and its special features are caused by a combination of special resonances and symmetries.

  11. Electromagnetic Radiation of Electrons in Periodic Structures

    Potylitsyn, Alexander Petrovich

    2011-01-01

    Periodic magnetic structures (undulators) are widely used in accelerators to generate monochromatic undulator radiation (UR) in the range from far infrared to the hard X-ray region. Another periodic crystalline structure is used to produce quasimonochromatic polarized photon beams via the coherent bremsstrahlung mechanism (CBS). Due to such characteristics as monochromaticity, polarization and adjustability, these types of radiation is of large interest for applied and basic research of accelerator-emitted radiation. The book provides a detailed overview of the fundamental principles behind electromagnetic radiation emitted from accelerated charged particles (e.g. UR, CBS, radiation of fast electrons in Laser flash fields) as well as a unified description of relatively new radiation mechanisms which attracted great interest in recent years. This are the so-called polarization radiation excited by the Coulomb field of incident particles in periodic structures, parametric X-rays, resonant transition radiation a...

  12. Detecting series periodicity with horizontal visibility graphs

    Núñez, Angel M; Valero, Eusebio; Gómez, Jose Patricio; Luque, Bartolo

    2011-01-01

    The horizontal visibility algorithm has been recently introduced as a mapping between time series and networks. The challenge lies in characterizing the structure of time series (and the processes that generated those series) using the powerful tools of graph theory. Recent works have shown that the visibility graphs inherit several degrees of correlations from their associated series, and therefore such graph theoretical characterization is in principle possible. However, both the mathematical grounding of this promising theory and its applications are on its infancy. Following this line, here we address the question of detecting hidden periodicity in series polluted with a certain amount of noise. We first put forward some generic properties of horizontal visibility graphs which allow us to define a (graph theoretical) noise reduction filter. Accordingly, we evaluate its performance for the task of calculating the period of noisy periodic signals, and compare our results with standard time domain (autocorre...

  13. Spinor Structure and Modulo 8 Periodicity

    Varlamov, V V

    2015-01-01

    Spinor structure is understood as a totality of tensor products of biquaternion algebras, and the each tensor product is associated with an irreducible representation of the Lorentz group. A so-defined algebraic structure allows one to apply modulo 8 periodicity of Clifford algebras on the system of real and quaternionic representations of the Lorentz group. It is shown that modulo 8 periodic action of the Brauer-Wall group generates modulo 2 periodic relations on the system of representations, and all the totality of representations under this action forms a self-similar fractal structure. Some relations between spinors, twistors and qubits are discussed in the context of quantum information and decoherence theory.

  14. Intermittence and roughening of periodic elastic media

    We analyze intermittence and roughening of an elastic interface or domain wall pinned in a periodic potential, in the presence of random-bond disorder in 1+1 and 2+1 dimensions. Though the ensemble average behavior is smooth, the typical behavior of a large sample is intermittent, and does not self-average to a smooth behavior. Instead, large fluctuations occur in the mean location of the interface and the onset of interface roughening is via an extensive fluctuation which leads to a jump in the roughness of order λ, the period of the potential. Analytical arguments based on extreme statistics are given for the number of the minima of the periodicity visited by the interface and for the roughening crossover, which is confirmed by extensive exact ground state calculations

  15. Drug treatment

    1995-01-01

    950229 A controlled multi—center clinical trial oncisapride in treatment of functional dyspepsia.WANGBaoen(王宝恩),et al.Beijing Friendship Hosp,Bei-jing.100050.Chin J Intern Med 1995;34(3):180—184.A controlled muhi-centre clinical trial was con-ducted for evaluating the efficacy and safety of cis-apride in the treatment of 414 cases of functional dys-pepsia with 169 cases as control.Cisapride were given

  16. Short-Term Periodicities in Solar Indices

    Kane, R. P.

    2005-03-01

    The purpose of the present communication is to identify the short-term (few tens of months) periodicities of several solar indices (sunspot number, Caii area and K index, Lyman α, 2800 MHz radio emission, coronal green-line index, solar magnetic field). The procedure used was: from the 3-month running means (3m) the 37-month running means (37m) were subtracted, and the factor (3m - 37m) was examined for several parameters. For solar indices, considerable fluctuations were seen during the ± 4 years around sunspot maxima of cycles 18-23, and virtually no fluctuations were seen in the ± 2 years around sunspot minima. The spacings between successive peaks were irregular but common for various solar indices. Assuming that there are stationary periodicities, a spectral analysis was carried out which indicated periodicities of months: 5.1 5.7, 6.2 7.0, 7.6 7.9, 8.9 9.6, 10.4 12.0, 12.8 13.4, 14.5 17.5, 22 25, 28 (QBO), 31 36 (QBO), 41 47 (QTO). The periodicities of 1.3 year (15.6 months) and 1.7 years (20.4 months) often mentioned in the literature were seen neither often nor prominently. Other periodicities occurred more often and more prominently. For the open magnetic flux estimated by Wang, Lean, and Sheeley (2000) and Wang and Sheeley (2002), it was noticed that the variations were radically different at different solar latitudes. The open flux for 45∘ solar latitudes had variations anti-parallel to the sunspot cycle. The open fluxes, interplanetary magnetic field and cosmic rays, all showed periodicities similar to those of solar indices. Many peaks (but not all) matched, indicating that the open flux for < 45∘ solar latitudes was at least partially an adequate carrier of the solar characteristics to the interplanetary space and thence for galactic cosmic ray modulation.

  17. Periodic leg movements in prepubertal children with sleep disturbance.

    Martinez, Sandra; Guilleminault, Christian

    2004-11-01

    This study's aims were to determine: (1) prevalence of periodic leg movements (PLMs) in walking prepubertal children consulting a sleep clinic for any sleep disorder; (2) associations between PLMs and other sleep and medical disorders; and (3) the response of other sleep disorders to treatment with the dopamine agonist pramipexol. Clinical evaluation and polysomnography were carried out for a period of 12 months on 252 consecutively seen, prepubertal children with sleep disorders (156 males, 96 females; aged 15mo to 11y, mean 7y 1mo, SD3y 10mo). Sleep disorders unrelated to PLMs were treated, and six children received pramipexol for PLMs. Follow-up included clinical evaluation and polysomnography. Twenty-three per cent of children were diagnosed with PLMs on the basis of polysomnography. The presence of PLMs had usually been unrecognized clinically. The only clinical symptom that could be related to periodic limb movement disorder was a report of leg pains at morning awakening. Only two of 58 children had PLMs without other clinical or polysomnographic findings. Comorbidity seen with PLMs included neuropsychiatric syndromes (n=20), isolated sleep disordered breathing (SDB; n=29), and several other comorbid conditions (n=7). Seven of 11 children seen with attention-deficit-hyperactivity disorder also had PLMs. Surgery for SDB was associated with subsequent cessation of PLMs in 15 of 29 children. Five out of six children with PLMs who received pramipexol were able to tolerate the drug and experienced a complete disappearance of their PLMs. Presence of chronic fatigue, sleepiness, disrupted nocturnal sleep, and difficulties in falling asleep should lead to a systematic search for PLMs that is independent of associated syndromes. Isolated treatment of SDB might help eliminate some, but not all, PLMs. PMID:15540638

  18. Treatment of Child Victims of Incest.

    Boatman, Bonny; And Others

    1981-01-01

    Reviews three treatment methods (individual, group, and family therapy) used over a five-year period for child incest victims. Presents common themes, issues, and pitfalls that arose during therapy. Stresses potential benefits of psychotherapy to this population. (Author)

  19. Periodicity in bimodal atomic force microscopy

    Lai, Chia-Yun; Santos, Sergio, E-mail: santos-en@yahoo.com; Chiesa, Matteo [Laboratory for Energy and NanoScience (LENS), Institute Center for Future Energy (iFES), Masdar Institute of Science and Technology, Abu Dhabi (United Arab Emirates); Barcons, Victor [Departament de Disseny i Programació de Sistemes Electrònics, UPC - Universitat Politècnica de Catalunya, Av. Bases, 61, 08242 Manresa (Barcelona) (Spain)

    2015-07-28

    Periodicity is fundamental for quantification and the application of conservation principles of many important systems. Here, we discuss periodicity in the context of bimodal atomic force microscopy (AFM). The relationship between the excited frequencies is shown to affect and control both experimental observables and the main expressions quantified via these observables, i.e., virial and energy transfer expressions, which form the basis of the bimodal AFM theory. The presence of a fundamental frequency further simplifies the theory and leads to close form solutions. Predictions are verified via numerical integration of the equation of motion and experimentally on a mica surface.

  20. Periodicity in the isotope chemistry of hydrogen

    Bigeleisen, Jacob

    1981-01-01

    Periodicities and regularities are established among the deuterium to protium isotopic reduced partition function ratios, ln(s/s′)f, of 39 diatomic and 19 polyatomic hydrides. It is shown that ln(s/s′)f for diatomic hydrides can be correlated with the position in the periodic table of the element X in the hydride HX. A similar analysis is made for the contributions from X—H stretching motion in the polyatomic hydrides HnX. It is shown that the contributions from stretching motions to ln(s/s′)...