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Sample records for absorb 2-year outcomes

  1. 2-year patient-related versus stent-related outcomes

    Jensen, Lisette Okkels; Thayssen, Per; Christiansen, Evald Høj;

    2012-01-01

    , comparing the EES with the SES in patients with coronary artery disease, the EES was noninferior to the SES at 9 months. METHODS: The primary endpoint was a composite: cardiac death, myocardial infarction (MI), definite stent thrombosis, or target vessel revascularization. Safety and efficacy outcomes at 2......, and 1,384 patients were assigned to receive the SES. RESULTS: At 2 years, the composite primary endpoint occurred in 8.3% in the EES group and in 8.7% in the SES group (hazard ratio [HR]: 0.94, 95% confidence interval [CI]: 0.73 to 1.22). The patient-related outcome: 15.0% in the EES group versus 15......OBJECTIVES: There are limited head-to-head randomized data on patient-related versus stent-related outcomes for everolimus-eluting stents (EES) and sirolimus-eluting stents (SES). BACKGROUND: In the SORT OUT IV (Scandinavian Organization for Randomized Trials With Clinical Outcome IV) trial...

  2. Clinical outcomes of pars plicata anterior vitrectomy: 2-year results

    Priya Narang

    2015-01-01

    Full Text Available Purpose: To demonstrate the safety and outcome of a surgical approach that uses pars plicata site for anterior vitrectomy during phacoemulsification procedure complicated by posterior capsule rupture and residual cortical matter. Design: Single center, retrospective, interventional, noncomparative study. Materials and Methods: Medical records of a consecutive series of 35 eyes of 35 patients who underwent pars plicata anterior vitrectomy (PPAV were reviewed. The main outcome measures were corrected and uncorrected distance visual acuity (CDVA, UDVA, early and late postoperative complications and intraocular pressure (IOP. Ultrasound biomicroscopic (UBM evaluation of sclerotomy site and spectral domain optical coherence tomography analysis for central macular thickness (CMT was performed. The final visual outcome at 2 years was evaluated. Results: At 2 years follow-up, the mean postoperative UDVA (logarithm of the minimum angle of resolution [logMAR] and CDVA (logMAR was 0.49 ± 0.26 and 0.19 ± 0.14, respectively. There was no significant change in the IOP (P = 0.061 and the mean CMT at 2 years was 192.5 ± 5.54 mm. The postoperative UBM image of the sclerotomy site at 8 weeks demonstrated a clear wound without any vitreous adhesion or incarceration. Intraoperative hyphema was seen in 1 (2.8% case and postoperative uveitis was seen in 2 (5.7% cases, which resolved with medications. No case of an iatrogenic retinal break or retinal detachment was reported. Conclusions: PPAV enables a closed chamber approach, allows thorough cleanup of vitreous in the pupillary plane and anterior chamber and affords better access to the subincisional and retropupillary cortical remnant with a significant visual outcome and an acceptable complication rate.

  3. Minimum 2-Year Outcomes after Resection Arthroplasty of the Sternoclavicular Joint

    Katthagen, Jan Christoph; Tahal, Dimitri S.; Menge, Travis; Horan, Marilee P.; Millett, Peter J.

    2016-01-01

    Objectives: Injuries of the sternoclavicular (SC) joint are rare and are usually caused by high energy mechanisms, such as collision sports or motor vehicle accidents. The aims of this study were to assess functional outcomes and return to sport following resection arthroplasty for osteoarthritis of the sternoclavicular joint. Methods: 20 SC joints (18 patients) had undergone resection arthroplasty of up to a maximum of 10 mm of the medial end of the clavicle for painful osteoarthritis, without instability, between November 2006 and November 2013. Patients at least two years out from surgery and living in the U.S. were included in the study. This was an IRB-approved retrospective outcomes study with prospectively collected data. Preoperative and postoperative function and pain levels were assessed with the ASES, SF-12 PCS, QuickDASH and SANE scores. Additionally, the level of sport intensity and the pain levels during activities of daily living, work and recreation were assessed pre- and postoperatively. The results of the functional outcome scores were normally distributed and were compared with the paired sample t-test. The results of pain level assessment were not normally distributed and were compared with the paired Wilcoxon signed-rank test. Results: 19 SC joints in 17 patients (9 female, 8 male; mean age at time of surgery 39.5±17.1 years) met inclusion criteria. One patient refused participation in the study. Two patients (10.5%) were considered failures as they required additional SC joint surgery (one patient with revision resection of the medial clavicle for persistent symptoms and one patient with secondary figure-of-eight graft stabilization for instability). Minimum 2-year outcomes data were available for 14 of the remaining 16 SC joints (88%). The mean time to follow-up was 3.1 years (range, 2.0-8.8 years). The ASES score, QuickDASH, and pain levels demonstrated significant improvement postoperatively (p0.05; Table 1). All patients (100%, n=11) that

  4. Patient-reported outcome 2 years after lung transplantation: does the underlying diagnosis matter?

    Ghosh S

    2012-11-01

    Full Text Available Maria Jose Santana,1 David Feeny,2 Sunita Ghosh,3 Dale C Lien41Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada; 2Kaiser Permanente Center for Health Research, Portland, OR, USA; 3Cross Cancer Center, University of Alberta, Edmonton, Alberta, Canada; 4University of Alberta Hospital, Edmonton, Alberta, CanadaPurpose: Transplantation has the potential to produce profound effects on survival and health-related quality of life (HRQL. The inclusion of the patient’s perspective may play an important role in the assessment of the effectiveness of lung transplantation. Patient perspectives are assessed by patient-reported outcome measures, including HRQL measures. We describe how patients’ HRQL among different diagnosis groups can be used by clinicians to monitor and evaluate the outcomes associated with transplantation.Methods: Consecutive lung transplant recipients attending the lung transplant outpatient clinic in a tertiary institution completed the 15-item Health Utilities Index (HUI questionnaire on a touchscreen computer. The results were available to clinicians at every patient visit. The HUI3 covers a range of severity and comorbidities in eight dimensions of health status. Overall HUI3 scores are on a scale in which dead = 0.00 and perfect health = 1.00; disability categories range from no disability = 1 to severe disability <0.70. Single-attribute and overall HUI3 scores were used to compare patients’ HRQL among different diagnosis groups. Random-effect models with time since transplant as a random variable and age, gender, underlying diagnoses, infections, and broncholitis obliterans syndrome as fixed variables were built to identify determinants of health status at 2-years posttransplantation.Results: Two hundred and fourteen lung transplant recipients of whom 61% were male with a mean age of 52 (19–75 years were included in the study. Chronic obstructive pulmonary disease and cystic fibrosis patients displayed

  5. Stability and Change among High-Functioning Children with Pervasive Developmental Disorders: A 2-Year Outcome Study.

    Starr, Elizabeth; Szatmari, Peter; Bryson, Susan; Zwaigenbaum, Lonnie

    2003-01-01

    This study compared the 2-year outcomes of 68 children diagnosed with autism or Asperger syndrome at age 6-8 years in terms of symptoms from the Autism Diagnostic Interview. Significant differences were seen in the domains of social interaction, communication, and repetitive activities, with the Asperger group demonstrating fewer and/or less…

  6. Gender differences in outcome at 2-year follow-up of treated bipolar and depressed alcoholics.

    Farren, Conor K

    2011-09-01

    Alcohol dependence and affective disorders are significant health problems, and their co-occurrence is mutually detrimental. There are few long-term studies on the impact of treatment on the prognosis of these comorbid disorders. We wished to study if the impact of effective inpatient integrated treatment for these co-occurring disorders was maintained 2 years after discharge from the hospital.

  7. Predictors of outcome at 2 years of age after early intrauterine growth restriction

    Torrance, H. L.; Bloemen, M. C. T.; Mulder, E. J. H.; Nikkels, P. G. J.; Derks, J. B.; De Vries, L. S.; Visser, G. H. A.

    2010-01-01

    Objective To examine the relative importance of antenatal and perinatal variables on short- and long-term outcome of preterm growth restricted fetuses with umbilical artery (UA) Doppler abnormalities. Methods This was a cohort study of 180 neonates with birth weight <10(th) percentile, gestational a

  8. Motor Testing at 1 Year Improves the Prediction of Motor and Mental Outcome at 2 Years after Perinatal Hypoxic-Ischaemic Encephalopathy

    van Schie, Petra Em; Becher, Jules G.; Dallmeijer, Annet J.; Barkhof, Frederik; van Weissenbruch, Mirjam M.; Vermeulen, R. Jeroen

    2010-01-01

    Aim: To investigate the predictive value of motor testing at 1 year for motor and mental outcome at 2 years after perinatal hypoxic-ischaemic encephalopathy (HIE) in term neonates. Method: Motor and mental outcome at 2 years was assessed with the Bayley Scales of Infant Development, 2nd edition (BSID-II) in 32 surviving children (20 males, 12…

  9. A 2-year prospective study of patient-relevant outcomes in patients operated on for knee osteoarthritis with tibial osteotomy

    Toksvig-Larsen Sören

    2005-04-01

    Full Text Available Abstract Background Tibial osteotomy is a treatment for younger and/or physically active patients suffering from uni-compartmental knee osteoarthritis. The open wedge osteotomy by the hemicallotasis technique includes the use of external fixation. The use of external fixation has several advantages, as early mobilization and the opportunity for optimal correction. However, the hemicallotasis technique has also been described as a cumbersome procedure for the patient. The aim of this study was to prospectively evaluate patient-relevant outcomes during the first 2 post-operative years. Especially the treatment period, during which external fixation was used, was closely monitored. Methods In an uncontrolled study, fifty-eight consecutive patients, 30 men and 28 women (mean age 54 years were operated on by the hemicallotasis technique were evaluated with the patient-relevant outcome measure Knee injury and Osteoarthritis Outcome Score (KOOS preoperatively, during the treatment with external fixation, one week after removal of the external fixation, at 6 months, and at one and two years postoperatively. Results At the 2-year postoperative follow-up, all subscales of the KOOS were improved (p Conclusion Tibial osteotomy by the hemicallotasis technique yields large improvement in self-rated pain, function and quality of life, which persists over two years. Surprisingly, large improvements occurred already during the immediate post-operative period when the external fixation was still used.

  10. Lasting Effects of a 2-Year Diabetes Self-Management Support Intervention: Outcomes at 1-Year Follow-Up

    Tang, Tricia S.; Funnell, Martha M.; Oh, Mary

    2012-01-01

    Introduction Diabetes-related health improvements achieved from self-management education interventions are not sustained long-term. We examined the health effects at 1 year follow-up of a 2-year, empowerment-based, diabetes self-management support intervention designed for African Americans. Methods We collected data from 52 African American adults with type 2 diabetes who completed the 3-year study. The intervention consisted of weekly groups led by 2 health care professionals and emphasize...

  11. Clinical Features and Treatment Outcomes of Primary Immune Thrombocytopenic Purpura in Hospitalized Children Under 2-Years Old

    Farhangi, H; Ghasemi, A; Banihashem, A; Badiei, Z; Jarahi, L; Eslami, G; Langaee, T

    2016-01-01

    Background Immune thrombocytopenic purpura (ITP) is the most prevalent cause of thrombocytopenia in children. Despite the importance of ITP in children under 2-years old, only a few publications are available in the literature.ITP usually presents itself as isolated thrombocytopenia and mucocutaneous bleeding. Materials and Methods This study was conducted on 187 under 2-year-old children diagnosed with ITP and treated at Dr. Sheikh Hospital from 2004 to 2011.In this retrospective study, clinical symptoms, laboratory findings, history of viral infections, vaccination history, and treatment efficacy in children under 2-years old with ITP were investigated.Patients were followed for one year after being discharged from the hospital. Results The risk of the disease developing into chronic form was higher in older children (0.001). ITP in children under 3-months old was significantly associated with vaccination (p=0.007). There was no significant differences between male and female patients in regards to newly diagnosed ITP, persistent, and chronic disease status (p = 0.21). No significant difference in bleeding symptoms was observed between patients under 3-months old and 3 to 24-months old (p=0.18). Conclusion Infantile ITP respond favorably to treatment. The risk of the disease developing into chronic form is higher in 3-to-24-month-old children compared to under-three-month olds.

  12. Effects of Cognitive Enhancement Therapy on Employment Outcomes in Early Schizophrenia: Results from a 2-Year Randomized Trial

    Eack, Shaun M.; Hogarty, Gerard E.; Greenwald, Deborah P.; Hogarty, Susan S.; Keshavan, Matcheri S.

    2011-01-01

    Objective: To examine the effects of psychosocial cognitive rehabilitation on employment outcomes in a randomized controlled trial for individuals with early course schizophrenia. Method: Early course schizophrenia outpatients (N = 58) were randomly assigned to cognitive enhancement therapy (CET) or an enriched supportive therapy (EST) control and…

  13. Operation for recurrent cystocele with anterior colporrhaphy or non-absorbable mesh: patient reported outcomes

    Nüssler, Emil Karl; Greisen, Susanne; Kesmodel, Ulrik Schiøler;

    2013-01-01

    Abstract INTRODUCTION AND HYPOTHESIS: The aim of this study was to compare patient reported outcomes and complications after repair of recurrent anterior vaginal wall prolapse in routine health care settings using standard anterior colporrhaphy or non-absorbable mesh. METHODS: The study is based on...... prospective data from the Swedish National Register for Gynaecological Surgery. 286 women were operated on for recurrent anterior vaginal wall prolapse in 2008-2010; 157 women had an anterior colporrhaphy and 129 were operated on with a non-absorbable mesh. Pre-, and perioperative data were collected from...... were found more often in the mesh group. However, no differences in serious complications were found. Thus, an organ lesion was found in 2.3 % after mesh implant compared with 2.5 % after anterior colporrhaphy (p = 0.58). Two patients in the mesh group (1.2 %) were re-operated compared with 1 patient...

  14. A 2 year follow-up of involuntary admission's influence upon adherence and outcome in first-episode psychosis

    Opjordsmoen, Stein; Friis, Svein; Melle, Ingrid;

    2010-01-01

    Objective:  To see, if voluntary admission for treatment in first-episode psychosis results in better adherence to treatment and more favourable outcome than involuntary admission. Method:  We compared consecutively first-admitted, hospitalised patients from a voluntary (n = 91) with an involuntary...... years were measured. Results:  More women than men were admitted involuntarily. Voluntary patients had less psychopathology and better functioning than involuntary patients at baseline. No significant difference as to duration of psychotherapy and medication between groups was found. No significant...... difference was found as to psychopathology and functioning between voluntarily and involuntarily admitted patients at follow-up. Conclusion:  Legal admission status per se did not seem to influence treatment adherence and outcome....

  15. Percutaneous endoscopic lumbar discectomy: clinical and quality of life outcomes with a minimum 2 year follow-up

    Tan Seang B

    2009-06-01

    Full Text Available Abstract Background Percutaneous endoscopic lumbar discectomy is a relatively new technique. Very few studies have reported the clinical outcome of percutaneous endoscopic discectomy in terms of quality of life and return to work. Method 55 patients with percutaneous endoscopic lumbar discectomy done from 2002 to 2006 had their clinical outcomes reviewed in terms of the North American Spine Score (NASS, Medical Outcomes Study Short Form-36 scores (SF-36 and Pain Visual Analogue Scale (VAS and return to work. Results The mean age was 35.6 years, the mean operative time was 55.8 minutes and the mean length of follow-up was 3.4 years. The mean hospital stay for endoscopic discectomy was 17.3 hours. There was significant reduction in the severity of back pain and lower limb symptoms (NASS and VAS, p Conclusion Percutaneous endoscopic lumbar discectomy is associated with improvement in back pain and lower limb symptoms postoperation which translates to improvement in quality of life. It has the advantage that it can be performed on a day case basis with short length of hospitalization and early return to work thus improving quality of life earlier.

  16. The Anglo-Scandinavian Cardiac Outcomes Trial lipid lowering arm: extended observations 2 years after trial closure

    Sever, Peter S; Poulter, Neil R; Dahlof, Bjorn;

    2008-01-01

    -BPLA) compared two different antihypertensive treatment strategies on cardiovascular outcomes. ASCOT-LLA was a double-blind placebo-controlled trial of atorvastatin in those enrolled into ASCOT-BPLA with total cholesterol concentrations at baseline of <= 6.5 mmol/L. A total of 19 342 hypertensive patients were...... enrolled in ASCOT-BPLA and 10 305 were further assigned either atorvastatin, 10 mg, or placebo. ASCOT-LLA was stopped prematurely after a median 3.3 years follow-up because of substantial cardiovascular benefits in those assigned atorvastatin. Trial physicians were invited to offer atorvastatin to all...

  17. Early MRI in term infants with perinatal hypoxic–ischaemic brain injury: Interobserver agreement and MRI predictors of outcome at 2 years

    Aim: To compare diffusion-weighted imaging (DWI) and non-DWI magnetic resonance imaging (MRI), proton MR spectroscopy (1H-MRS), and clinical biomarkers for prediction of 2 year developmental outcome in term infants with perinatal hypoxic–ischaemic encephalopathy (HIE). Materials and methods: Nineteen infants ≥36 weeks gestation with HIE were recruited and MRI performed day 3–7 (mean = 5). MRI was scored independently by three radiologists using a standardized scoring system. Lactate-to-N-acetylaspartate ratio (Lac:NAA) in the lentiform nucleus was calculated. Developmental assessment was performed at 2 years using the Bayley Scales of Infant and Toddler Development (BSID-III). Interobserver agreement about abnormality in 10 brain regions was measured. Univariate analysis was performed to determine variables associated with adverse outcome (i.e., death or Bayley score for any domain <70). Results: Good interobserver agreement (kappa = 0.61–0.69) on scores for DWI was obtained for the cortex, putamen, and brainstem, but not for any region on non-DWI. A significant association was found between outcome and Lac:NAA (p < 0.003) and DWI scores for lentiform nucleus, thalamus, cortex, posterior limb of the internal capsule (PLIC), and paracentral white matter (p = 0.001–0.013), but for non-DWI score only in the vermis or brainstem. A combination of Lac:NAA ≥0.25 or DWI/apparent diffusion coefficient (ADC) signal abnormality in the PLIC had 100% specificity and sensitivity for poor outcome. Conclusion: Interobserver agreement for non-DWI performed during the first week is poor. Agreement by three radiologists about the presence of abnormal signal within the PLIC on ADC/DWI images or elevation of Lac:NAA above 0.25 improved sensitivity without reducing the prognostic specificity of MRS in the 19 patients, but this requires validation in a larger group of infants with HIE who have been treated with hypothermia

  18. Comparison of Immediate and 2-Year Outcomes between Excimer Laser-Assisted Angioplasty with Spot Stent and Primary Stenting in Intermediate to Long Femoropopliteal Disease

    Tien-Yu Wu

    2013-01-01

    Full Text Available Background. To compare the clinical outcomes between excimer laser-assisted angioplasty (ELA with spot stent (group A and primary stenting (group B in intermediate to long femoropopliteal disease. Methods. Outcomes of 105 patients totaling 119 legs treated with two different strategies were analyzed retrospectively in a prospectively maintained database. Results. Baseline characteristics were similar in both groups. Better angiographic results and lesser increase of serum C-reactive protein levels (0.60 ± 0.72 versus 2.98 ± 0.97 mg/dL, P<0.001 after the intervention were obtained in Group B. Group A had inferior 1-year outcomes due to higher rate of binary restenosis (67% versus 32%, P=0.001 and lower rate of primary patency (40% versus 58%, P=0.039. Rates of amputation-free survival, target vessel revascularization, assisted primary patency, and stent fracture at 24 months were similar in both groups (80% versus 82%, P=0.979, 65% versus 45%, P=0.11, 78% versus 80%, P=0.75 and 6.3% versus 6.8%, P=0.71, resp.. Conclusion. Greater vascular inflammation after ELA with spot stent resulted in earlier restenosis and inferior 1-year clinical outcomes than primary stenting. This benefit was lost in the primary stenting group at 2 years due to late catch-up restenosis. Active surveillance with prompt intervention was required to maintain the vessel patency.

  19. OUTCOME OF CHILDREN AT 1-2 YEARS AND MATERNAL MORB IDITY AFTER CESAREAN SECTION VS VAGINAL BIRTH FOR BREECH PRESENTATION AT OR NEAR TERM

    Jyoti Ramesh

    2013-02-01

    Full Text Available ABSTRACT: Back ground: In 2000 an international multicentric randomized co ntrol trial of planned vaginal delivery vs planned elective caesarea n section for uncomplicated term breech presentation confirmed that perinatal mortality and s erious neonatal morbidity were significantly lower in planned caesarean group. Seco ndary analysis of Term Breech Trial showed that prelabour caesarean and caesarean during early labour were associated with lowest adverse perinatal outcome due to labour or de livery and that vaginal delivery had the highest risk of adverse outcome AIMS: The purpose of this study is to determine the outco me of children at 1-2 years and maternal morbidity after caesarean section vs. vaginal birth for breech presentation at or near term. SETTINGS AND DESIGN: Prospective observational study from 1 st January 2008-30 th June 2009( 18 months at Institute of Maternal & Child Health , Govt. Medical College Kozhikode. METHODS AND MATERIAL: Outcome of 45 assisted breech deliveries during this period analyzed from case rec ords. 90 Cesarean deliveries during the same period randomly selected as control. STATISTICAL ANALYSIS USED: Data analyzed using SPSS version 16.0.Chi square test was used to compare the outcome. A p value <0.05 was considered to indicate statistical significance. RESULTS : Vaginal delivery group- Five minute Apgar <7 (p=0.019, NICU admission (p=0.00001(RR 4.71 , 95% CI 2.33 to 9.91,Neonatal morbidity (p=0.012RR 2.627,95% CI 1.216 to 5.678 , Prolonged hospitalisation (p=0.005 RR = 2.962 ,95% CI 1.354 to 6.478 statistically signific ant in vaginal delivery group .Caesarean Section group-Elective 30(33.3% Emergency 60(66.6% Neonatal complication( p=0.03 RR=2.57 ,95% CI 1.06 to 6.2, NICU admission ( p=0.01 3 RR=2.86 ,95% CI 1.21 to 6.76. were statistically significant in elective section grou p Maternal morbidity was not associated with type of CS p=0.2 RR = 1.39 ,95% CI 0.447 to 4.307. However the perinatal mortality was

  20. Drug-eluting stents with biodegradable polymer for the treatment of patients with diabetes mellitus: clinical outcome at 2 years in a large population of patients

    Wiemer M

    2015-02-01

    Full Text Available Marcus Wiemer,1 Gian Battista Danzi,2 Nick West,3 Vassilios Voudris,4 René Koning,5 Stefan Hoffmann,6 Mario Lombardi,7 Josepa Mauri,8 Rade Babic,9 Fraser Witherow10On behalf of the NOBORI 2 Investigators 1Department of Cardiology, Heart and Diabetes Center North Rhine–Westphalia, Ruhr University Bochum, Bad Oeynhausen, Germany; 2Ospedale Maggiore Policlinico, Milan, Italy; 3Papworth Hospital, Cambridge, UK; 4Onassis Cardiac Surgery Center, Athens, Greece; 5Clinique Saint Hilaire, Rouen, France; 6Vivantes Netzwerk für Gesundheit GmbH, Berlin, Germany; 7Azienda Ospedaliera Villa Sofia, Palermo, Italy; 8Hospital Universitari Germans Trias i Pujol, Badalona, Spain; 9Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia; 10Dorset County Hospital, Dorchester, UK Objective: This study investigates the safety and efficacy of a third-generation drug-eluting stent (DES with biodegradable polymer in the complex patient population of diabetes mellitus (DM. Clinical trial registration: ISRCTN81649913. Background: Percutaneous coronary interventions in patients with DM are associated with a higher incidence of death, restenosis, and stent thrombosis as compared to non-diabetic patients. The use of a DES has been shown to improve outcomes in diabetic patients. Methods: Out of 3,067 patients, enrolled in 126 centers worldwide in the NOBORI 2 registry, 888 patients suffered from DM, 213 of them (14% being insulin-dependent DM (IDDM. Two years’ follow-up has been completed in this study. Results: At 1- and 2-year follow-up, 97% and 95% of the patients, respectively, were available. The reported target lesion failure (TLF rates at 1- and 2-year follow-up were 6.0% and 7.2% in the DM group, respectively, and 3.0% and 4.2% in the non-DM group, respectively (P<0.001 for both years. Inside the DM group, the TLF rates of 9.9% and 11.7% at the 1- and 2-year follow-ups, respectively, in patients with IDDM were significantly higher than the TLF rates of 4

  1. The association of maternal vitamin D status with infant birth outcomes, postnatal growth and adiposity in the first 2 years of life in a multi-ethnic Asian population: the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort study.

    Ong, Yi Lin; Quah, Phaik Ling; Tint, Mya Thway; Aris, Izzuddin M; Chen, Ling Wei; van Dam, Rob M; Heppe, Denise; Saw, Seang-Mei; Godfrey, Keith M; Gluckman, Peter D; Chong, Yap Seng; Yap, Fabian; Lee, Yung Seng; Foong-Fong Chong, Mary

    2016-08-01

    Maternal vitamin D status during pregnancy has been associated with infant birth and postnatal growth outcomes, but reported findings have been inconsistent, especially in relation to postnatal growth and adiposity outcomes. In a mother-offspring cohort in Singapore, maternal plasma vitamin D was measured between 26 and 28 weeks of gestation, and anthropometric measurements were obtained from singleton offspring during the first 2 years of life with 3-month follow-up intervals to examine birth, growth and adiposity outcomes. Associations were analysed using multivariable linear regression. Of a total of 910 mothers, 13·2 % were vitamin D deficient (<50 nmol/l) and 26·5 % were insufficient (50-75 nmol/l). After adjustment for potential confounders and multiple testing, no statistically significant associations were observed between maternal vitamin D status and any of the birth outcomes - small for gestational age (OR 1·00; 95 % CI 0·56, 1·79) and pre-term birth (OR 1·16; 95 % CI 0·64, 2·11) - growth outcomes - weight-for-age z-scores, length-for-age z-scores, circumferences of the head, abdomen and mid-arm at birth or postnatally - and adiposity outcomes - BMI, and skinfold thickness (triceps, biceps and subscapular) at birth or postnatally. Maternal vitamin D status in pregnancy did not influence infant birth outcomes, postnatal growth and adiposity outcomes in this cohort, perhaps due to the low prevalence (1·6 % of the cohort) of severe maternal vitamin D deficiency (defined as of <30·0 nmol/l) in our population. PMID:27339329

  2. Efficacy, safety and patient-reported outcomes of combination etanercept and sulfasalazine versus etanercept alone in patients with rheumatoid arthritis: a double-blind randomised 2-year study

    Combe, B.; Codreanu, C; Fiocco, U; Gaubitz, M; Geusens, P P; Kvien, T K; Pavelka, K.; P N Sambrook; Smolen, J S; Khandker, R; Singh, A.; Wajdula, J; Fatenejad, S; ,

    2008-01-01

    Objective: To determine the efficacy and safety of etanercept and etanercept plus sulfasalazine versus sulfasalazine in patients with rheumatoid arthritis (RA) despite sulfasalazine therapy. Methods: Patients were randomly assigned to etanercept (25 mg twice weekly; sulfasalazine was discontinued at baseline), etanercept plus sulfasalazine (unchanged regimen of 2–3 g/day) or sulfasalazine in a double-blind, randomised, 2-year study in adult patients with active RA despite sulfasalazine therap...

  3. Neurodevelopmental outcome at 2 years of age after general anaesthesia and awake-regional anaesthesia in infancy (GAS) : an international multicentre, randomised controlled trial

    Davidson, Andrew J; Disma, Nicola; de Graaff, Jurgen C; Withington, Davinia E; Dorris, Liam; Bell, Graham; Stargatt, Robyn; Bellinger, David C; Schuster, Tibor; Arnup, Sarah J; Hardy, Pollyanna; Hunt, Rodney W; Takagi, Michael J; Giribaldi, Gaia; Hartmann, Penelope L; Salvo, Ida; Morton, Neil S; von Ungern Sternberg, Britta S; Locatelli, Bruno Guido; Wilton, Niall; Lynn, Anne; Thomas, Joss J; Polaner, David; Bagshaw, Oliver; Szmuk, Peter; Absalom, Anthony R; Frawley, Geoff; Berde, Charles; Ormond, Gillian D; Marmor, Jacki; McCann, Mary Ellen

    2016-01-01

    BACKGROUND: Preclinical data suggest that general anaesthetics affect brain development. There is mixed evidence from cohort studies that young children exposed to anaesthesia can have an increased risk of poor neurodevelopmental outcome. We aimed to establish whether general anaesthesia in infancy

  4. Mental, psychomotor, neurologic, and behavioral outcomes of 2-year-old children born after preimplantation genetic screening: follow-up of a randomized controlled trial

    K.J. Middelburg; M. van der Heide; B. Houtzager; M. Jongbloed-Pereboom; V. Fidler; A.F. Bos; J. de Kok; M. Hadders-Algra

    2011-01-01

    Objective: To evaluate the effect of preimplantation genetic screening (PGS) on neurodevelopmental outcomes in children. Design: Prospective, assessor-blinded, follow-up study of children born to women randomly assigned to in vitro fertilization or intracytoplasmic sperm injection (IVF/ICSI) with or

  5. Surgical Fixation of Fourth and Fifth Metacarpal Shaft Fractures with Flexible Intramedullary Absorbable Rods: Early Clinical Outcomes and Implications

    Ge Xiong; Zi-Run Xiao; Shi-Gong Guo; Wei Zheng; Lu-Fei Dai

    2015-01-01

    Background:To avoid the irritation of tendons and soft tissues as well as hardware-related problems,we designed an intramedullary fixation with bioabsorbable rods for the treatment of the metacarpal shaft fractures.Methods:Five patients with nine shaft fractures of the fourth and fifth metacarpi were treated with intramedullary absorbable implants and followed up with an average of 4.2 months postoperatively.Results:At final follow-up,all patients achieved fracture union with no signs of inflammatory or subcutaneous effusion.There was no shortening,angulatory,or rotatory deformity.There was almost full active extension range of motion (ROM) of the metacarpophalangeal joints while the active flexion ROM of these joints was 80.7 ± 9.6°.Compared with the contralateral hand,the grip strength of the injured hand was 94.0 ± 9.6%.X-rays showed that the arch of the second to fifth metacarpal heads was smooth.There were no intramedullary lytic changes and soft tissue swellings.Conclusion:The intramedullary absorbable implants are a safe,simple,and practical treatment for fourth and fifth metacarpal fractures with good early clinical outcomes and no significant complications.

  6. Combination of clinical and v/q scan assessment for the diagnosis of pulmonary embolism: a 2-year outcome prospective study

    Barghouth, G.; Boubaker, A.; Delaloye, A.B. [Univ. Hospital, Lausanne (Switzerland). Dept. of Nuclear Medicine; Yersin, B. [Dept. of Internal Medicine, Univ. Hospital, Lausanne (Switzerland); Doenz, F.; Schnyder, P. [Centre Hospitalier Universitaire Vaudois, Lausanne (Switzerland). Dept. of Radiology

    2000-09-01

    With the aim of evaluating the efficiency of our diagnositc approach in patients with suspected acute pulmonary embolism (PE), we prospectively studied 143 patients investigated by means of a ventilation/perfusion (V/Q) lung scan. A pre-test clinical probability of PE (P{sub clin}) was assigned to all patients by the clinicians and scans were interpreted blinded to clinical assessment. A 2-year follow-up of our patients was systematically performed and possible in 134 cases. Distribution of clinical probabilities was high P{sub clin} in 22.5%, intermediate P{sub clin} in 24% and low P{sub clin} in 53.5%, whereas the distribution of scan categories was high P{sub scan} in 14%, intermediate P{sub scan} in 18%, low P{sub scan} in 57% and normal P{sub scan} in 11%. The final prevalence of PE was 24.5%. High P{sub scan} and normal P{sub scan} were always conclusive (19 and 15 cases respectively). Low P{sub scan} associated with low P{sub clin} could exclude PE in 43/45 cases (96%). Noe of the patients in whom the diagnosis of PE was discarded had a major event related to PE during the 2-year follow-up. Overall, the combined assessment of clinical and scintigraphic probabilities allowed confirmation or exclusion of PE in 80% of subjects (107/134) and proved to be a valuable tool for selecting patients who needed pulmonary angiography, which was required in 20% of our patients (27/134). (orig.)

  7. Shared care or nursing consultations as an alternative to rheumatologist follow-up for rheumatoid arthritis outpatients with low disease activity--patient outcomes from a 2-year, randomised controlled trial

    Primdahl, Jette; Sørensen, Jan; Horn, Hans Christian;

    2014-01-01

    (-8.8, p=0.004). No statistically significant differences were seen in other outcome variables. CONCLUSIONS: It is safe to implement shared care and nursing consultations as alternatives to rheumatologist consultations for RA outpatients with low disease activity without deterioration in disease......OBJECTIVES: To compare patient outcomes of three regimes of follow-up care for rheumatoid arthritis (RA) outpatients with low disease activity. METHODS: RA outpatients (n=287) with Disease Activity Score (DAS28-CRP)<3.2 and Health Assessment Questionnaire<2.5 from two Danish rheumatology clinics...... were randomised to 2-year follow-up by either: (1) planned rheumatologist consultations, (2) shared care without planned consultations or (3) planned nursing consultations. The primary outcome was change in disease activity. DAS28-CRP, Health Assessment Questionnaire, visual analogue scale (VAS...

  8. What are the outcomes of an industrial remediation on a metal-impacted hydrosystem? A 2-year field biomonitoring of the filter-feeding bivalve Corbicula fluminea.

    Arini, A; Daffe, G; Gonzalez, P; Feurtet-Mazel, A; Baudrimont, M

    2014-08-01

    The Riou-Mort watershed (southwest France) exhibits high metal contaminations (Cd and Zn) related to an important mining past. In this context, a remediation process has been implemented in 2007 to reduce the watershed contamination. The aim of this study was to assess the early effectiveness of the remediation process on the hydrosystem contamination state. A biomonitoring was realized over two years (2008-2010) with the filter-feeding bivalve Corbicula fluminea, exposed along a contamination gradient. Several biological parameters were monitored: (1) Cd and Zn bioaccumulation, (2) Metallothionein (MT) production as detoxification mechanism, (3) differential gene expression (cat, sod, gst, 12S, cox1, mt). The physicochemical data highlighted strong metal contamination persistence in the river water and failed to demonstrate a significant decrease of metal contamination during the 2-year monitoring. The bioaccumulation results confirmed the persistence of a water contamination despite remediation works, with maximum values measured downstream from the industrial site (Joany). The bioaccumulation increased in 2010, reaching 69.3±5.3 μg Cd g(-1) DW at Joany in July 2010, whereas it did not exceed 1.4±0.2 μg Cd g(-1) DW at the reference site throughout the biomonitoring. MT concentrations were closely related to the contamination gradient, especially at Joany, demonstrating their strong involvement in the detoxification processes. The mt gene induction was strongly correlated to the MT and metal concentrations. The gene inductions of cat, sod, gst and 12S were correlated to both the metal concentrations and the seasonal variations, especially temperatures. This suggests that environmental factors require serious consideration for the interpretation of bioaccumulation kinetics and thus for the assessment of the remediation effectiveness. Consequently, the whole results did not yet highlight strong beneficial effects of remediation work on the hydrosystem

  9. A Retrospective Review of Outcomes of Dental Treatment Performed for Special Needs Patients under General Anaesthesia: 2-Year Follow-Up

    Sreekanth Kumar Mallineni

    2014-01-01

    Full Text Available Objective. The purpose of the study was to evaluate the follow-up pattern of special needs patients (SNP treated under general anaesthesia (GA and the failure rates of different treatment procedures and restorative materials. Study Design. The treatment records of the patients who received dental treatment under GA during 2005 to 2009 were reviewed. The duration of follow-up periods, the outcomes of different treatment procedures, and the quality of different restorative materials were recorded and evaluated. Statistics were used for the comparison (SPSS 20.0. Pearson’s chi-square test and post hoc analysis were used to evaluate the attendance of postoperative appointments and the associations of failure rates of different treatment procedures and restorative materials. Cohen kappa statistics was used for intraexaminer reliability. Results. A total of 177 patients were included in the study. The attendance of postoperative appointments showed a gradual decrease from 96% to 36% within 24 months (P<0.05. Restorative procedures had the highest failure rates among all treatment procedures (P<0.05. Stainless steel crowns showed higher survival rates among different restorative materials (P<0.05. Pulp treatment in primary molars has higher success rate than primary incisors and canines. Composite restorations placed in primary canines have low survival rates. The intraexaminer reliability was good (k=0.94. Conclusion. The attendance for postoperative follow-up appointments declined within two years. Restorative treatment was less successful when compared to preventive and pulp treatments. Stainless steel crowns were more reliable restorations with higher survival rates and composite restorations were less durable.

  10. A comparative study of outcome of the absorbable suture polydioxanone and nonabsorbable suture polypropylene in laparotomy wound closure

    Kiran Shankar H.

    2016-06-01

    Full Text Available Background: Abdominal wound closure is one of the common operations for a general surgeon. Prevention of complications is important to reduce post-operative morbidity and mortality. Post-operative wound pain, wound infection, wound dehiscence, suture sinus formation; palpable knots and incisional hernia are the parameters are to be studied. Therefore, the present study was undertaken to compare polydioxanone and polypropylene suture material for abdominal fascial closure regarding morbidity in terms of post-operative wound complications. Methods: Patients admitted in the department of surgery, who undergo laparotomy operations, with midline abdominal incisions were included in the study. The recruited subjects were divided into Group-A, whom abdominal incisions are closed with non-absorbable suture material polypropylene and Group-B whom abdominal incisions are closed with absorbable suture material polydioxanone. Data was expressed as percentages. Results: The incidence of wound pain was observed in all the patients in both immediate and delayed post-operative period in the polypropylene suture material compared to polydioxanone. The incidence of wound infection was higher in polypropylene (24% compared to PDS (2%. There were 4% cases of wound dehiscence in the present study. The incidence of suture sinus formation was higher in the polypropylene suture material (9% compared to the polydioxanone suture material (2% in the delayed postoperative period. The incidence of palpable knots was higher in the polypropylene suture material (23% compared to the polydioxanone suture material. No cases of incisional hernia were reported with polydioxanone suture material. Conclusions: The overall morbidity from abdominal closure was considerably reduced in the Polydioxanone group. We encountered reduction in wound complications like burst abdomen, wound infection, wound pain, suture sinus formation, palpable knots and incisional hernia. Therefore

  11. Radioiodine therapy in Graves' disease based on tissue-absorbed dose calculations: effect of pre-treatment thyroid volume on clinical outcome

    This study was performed with three aims. The first was to analyse the effectiveness of radioiodine therapy in Graves' disease patients with and without goitres under conditions of mild iodine deficiency using several tissue-absorbed doses. The second aim was to detect further parameters which might be predictive for treatment outcome. Finally, we wished to determine the deviation of the therapeutically achieved dose from that intended. Activities of 185-2,220 MBq radioiodine were calculated by means of Marinelli's formula to deliver doses of 150, 200 or 300 Gy to the thyroids of 224 patients with Graves' disease and goitres up to 130 ml in volume. Control of hyperthyroidism, change in thyroid volume and thyrotropin-receptor antibodies were evaluated 15±9 months after treatment for each dose. The results were further evaluated with respect to pre-treatment parameters which might be predictive for therapy outcome. Thyroidal radioiodine uptake was measured every day during therapy to determine the therapeutically achieved target dose and its coefficient of variation. There was a significant dose dependency in therapeutic outcome: frequency of hypothyroidism increased from 27.4% after 150 Gy to 67.7% after 300 Gy, while the frequency of persistent hyperthyroidism decreased from 27.4% after 150 Gy to 8.1% after 300 Gy. Patients who became hypothyroid had a maximum thyroid volume of 42 ml and received a target dose of 256±80 Gy. The coefficient of variation for the achieved target dose ranged between 27.7% for 150 Gy and 17.8% for 300 Gy. When analysing further factors which might influence therapeutic outcome, only pre-treatment thyroid volume showed a significant relationship to the result of treatment. It is concluded that a target dose of 250 Gy is essential to achieve hypothyroidism within 1 year after radioiodine therapy in Graves' disease patients with goitres up to 40 ml in volume. Patients with larger goitres might need higher doses. (orig.)

  12. Language Development: 2 Year Olds

    ... Stages Listen Español Text Size Email Print Share Language Development: 2 Year Olds Page Content Article Body ... Pay attention to how he also is using language to describe ideas and information and to express ...

  13. Social Development:: 2 Year Olds

    ... in Action Medical Editor & Editorial Advisory Board Sponsors Sponsorship Opporunities Spread the Word Shop AAP Find a Pediatrician ... Ages & Stages > Toddler > Social Development: 2 Year Olds Ages & Stages Listen Español Text ...

  14. Emotional Development: 2 Year Olds

    ... in Action Medical Editor & Editorial Advisory Board Sponsors Sponsorship Opporunities Spread the Word Shop AAP Find a Pediatrician ... & Stages > Toddler > Emotional Development: 2 Year Olds Ages & Stages Listen Español Text ...

  15. Radioiodine therapy in Graves' disease based on tissue-absorbed dose calculations: effect of pre-treatment thyroid volume on clinical outcome

    Reinhardt, Michael J.; Joe, Alexius Y.; Mallek, Dirk von; Ezziddin, Samer; Palmedo, Holger [Department of Nuclear Medicine, University Hospital of Bonn, Sigmund-Freud-Strasse 25, 53127 Bonn (Germany); Brink, Ingo [Department of Nuclear Medicine, University Hospital of Freiburg (Germany); Krause, Thomas M. [Department of Nuclear Medicine, Inselspital Bern (Switzerland)

    2002-09-01

    This study was performed with three aims. The first was to analyse the effectiveness of radioiodine therapy in Graves' disease patients with and without goitres under conditions of mild iodine deficiency using several tissue-absorbed doses. The second aim was to detect further parameters which might be predictive for treatment outcome. Finally, we wished to determine the deviation of the therapeutically achieved dose from that intended. Activities of 185-2,220 MBq radioiodine were calculated by means of Marinelli's formula to deliver doses of 150, 200 or 300 Gy to the thyroids of 224 patients with Graves' disease and goitres up to 130 ml in volume. Control of hyperthyroidism, change in thyroid volume and thyrotropin-receptor antibodies were evaluated 15{+-}9 months after treatment for each dose. The results were further evaluated with respect to pre-treatment parameters which might be predictive for therapy outcome. Thyroidal radioiodine uptake was measured every day during therapy to determine the therapeutically achieved target dose and its coefficient of variation. There was a significant dose dependency in therapeutic outcome: frequency of hypothyroidism increased from 27.4% after 150 Gy to 67.7% after 300 Gy, while the frequency of persistent hyperthyroidism decreased from 27.4% after 150 Gy to 8.1% after 300 Gy. Patients who became hypothyroid had a maximum thyroid volume of 42 ml and received a target dose of 256{+-}80 Gy. The coefficient of variation for the achieved target dose ranged between 27.7% for 150 Gy and 17.8% for 300 Gy. When analysing further factors which might influence therapeutic outcome, only pre-treatment thyroid volume showed a significant relationship to the result of treatment. It is concluded that a target dose of 250 Gy is essential to achieve hypothyroidism within 1 year after radioiodine therapy in Graves' disease patients with goitres up to 40 ml in volume. Patients with larger goitres might need higher doses

  16. Tratamento das infecções pós artroplastia total de joelho: resultados com 2 anos de seguimento Treatment of infections following total knee arthroplasty: 2-year follow-up outcomes

    Caio Oliveira D'Elia

    2007-01-01

    follow-up time was 20 months. Nine cases had superficial infections, three had acute deep infections and eighteen had chronic deep infections. The classification is based on local clinical criteria and on the time of symptoms onset. RESULTS: Eight patients with superficial infection and three patients with acute deep infection were treated, showing good outcomes and no recurrence cases. Eighteen patients with chronic deep infection were treated and cured, 14 of whom with no recurrence during the follow-up period. CONCLUSION: We regard our outcomes and treatment protocol as appropriate and consistent with literature.

  17. Cosmetic outcome and surgical site infection rates of antibacterial absorbable (Polyglactin 910) suture compared to Chinese silk suture in breast cancer surgery: a randomized pilot research

    ZHANG Zhong-tao; Jessica Shen; Martin Weisberg; ZHANG Hong-wei; FANG Xue-dong; WANG Li-ming; LI Xiao-xi; LI Ya-fen; SUN Xiao-wei; Judith Carver; Dorella Simpkins

    2011-01-01

    Background The primary objective of this multicenter post-market study was to compare the cosmetic outcome of triclosan-coated VICRYL* Plus sutures with Chinese silk sutures for skin closure of modified radical mastectomy. A secondary objective was to assess the incidence of surgical site infection (SSI).Methods Patients undergoing modified radical mastectomy were randomly assigned to coated VICRYL* Plus antibacterial (Polyglactin 910) suture or Chinese silk suture. Cosmetic outcomes were evaluated postoperatively at days 12 (±2) and 30 (±5), and the evidence of SSI was assessed at days 3, 5, 7, 12 (±2), 30 (±5), and 90 (±7). Cosmetic outcomes were independently assessed via visual analogue scale (VAS) score evaluations of blinded incision photographs (primary endpoint) and surgeon-assessed modified Hollander Scale (mHCS) scores (secondary endpoint).SSI assessments used both CDC criteria and ASEPSIS scores.Results Six Chinese hospitals randomized 101 women undergoing modified radical mastectomy to closure with coated VICRYL* Plus suture (n=51) or Chinese silk suture (n=50). Mean VAS cosmetic outcome scores for antibacterial suture (67.2) were better than for Chinese silk (45.4) at day 30 (P<0.0001)). Mean mHCS cosmetic outcome total scores, were also higher for antibacterial suture (5.7) than for Chinese silk (5.0) at day 30 (P=0.002).Conclusions Patients using coated VICRYL* Plus suture had significantly better cosmetic outcomes than those with Chinese silk sutures. Patients using coated VICRYL* Plus suture had a lower SSI incidence compared to the Chinese silk sutures, although the difference did not reach statistical significance. (ClinicalTrials.gov NCT 00768222)

  18. Inflammatory and Metabolic Dysregulation and the 2-Year Course of Depressive Disorders in Antidepressant Users

    Vogelzangs, Nicole; Beekman, Aartjan T. F.; Dortland, Arianne K. B. van Reedt; Schoevers, Robert A.; Giltay, Erik J.; de Jonge, Peter; Penninx, Brenda W. J. H.

    2014-01-01

    Scarce evidence suggests that inflammatory and metabolic dysregulation predicts poor response to antidepressants, which could result in worse depression outcome. This study prospectively examined whether inflammatory and metabolic dysregulation predicted the 2-year course of depressive disorders amo

  19. Scorpion Sting: A 2-Year Study

    B Chomeili

    1998-01-01

    Scorpion sting and its complications are a serious pediatric problem in district Khuzestan, especially in the warm months of the year (May through November in this area). During 2 years (March 1991-march 1993) totally 10559 cases of scorpion sting have been referred to the scorpion envonimation unit in Aboozar children's hospital, which being the only scorpion sting center in the district is active 1981. 154 cases had to be admitted because of severe complications such as extensive ecchymosis...

  20. Acoustic coherent perfect absorbers

    In this paper, we explore the possibility of achieving acoustic coherent perfect absorbers. Through numerical simulations in two dimensions, we demonstrate that the energy of coherent acoustic waves can be totally absorbed by a fluid absorber with specific complex mass density or bulk modulus. The robustness of such absorbing systems is investigated under small perturbations of the absorber parameters. We find that when the resonance order is the lowest and the size of the absorber is comparable to the wavelength in the background, the phenomenon of perfect absorption is most stable. When the wavelength inside both the background and the absorber is much larger than the size of the absorber, perfect absorption is possible when the mass density of the absorber approaches the negative value of the background mass density. Finally, we show that by using suitable dispersive acoustic metamaterials, broadband acoustic perfect absorption may be achieved. (papers)

  1. The ALICE absorbers

    Maximilien Brice

    2006-01-01

    Weighing more than 400 tonnes, the ALICE absorbers and the surrounding support structures have been installed and aligned with a precision of 1-2 mm, hardly an easy task but a very important one. The ALICE absorbers are made of three parts: the front absorber, a 35-tonne cone-shaped structure, and two small-angle absorbers, long straight cylinder sections weighing 18 and 40 tonnes. The three pieces lined up have a total length of about 17 m.

  2. Scorpion Sting: A 2-Year Study

    B Chomeili

    1998-05-01

    Full Text Available Scorpion sting and its complications are a serious pediatric problem in district Khuzestan, especially in the warm months of the year (May through November in this area. During 2 years (March 1991-march 1993 totally 10559 cases of scorpion sting have been referred to the scorpion envonimation unit in Aboozar children's hospital, which being the only scorpion sting center in the district is active 1981. 154 cases had to be admitted because of severe complications such as extensive ecchymosis and necrosis of the sting site, severe hemolysis and dark urine, toxic appearance, convulsions, hematemesis, hypotension, pulmonary edema, cardiac heart failure and death. 90% of the admitted cases had been stung by hemiscorpius lepturus, a dangerous scorpion called "Gadim" in Khuzestan. 19 out of 20 fatalities were caused by this scorpion. Unfortunately, the available antivenoms have no effect on this kind of scorpion venom. To reduce casualties, good scorpion control and eradication, intensive protective care, and preparation of specific antivenom must be taken into consideration.

  3. Burnable neutron absorber element

    A burnable thermal neutron absorber element is described comprising: a zirconium alloy elongated tubular container having an inside diameter surface; hydrogen diffusion barrier means for limiting hydrogen diffusion from within the container into the zirconium alloy; a boron-containing burnable thermal neutron absorber material sealed within the zirconium alloy elongated container, the boron-containing burnable absorber material being in a particle form, the particles of absorber material being coated with a diffusion barrier material; zirconium hydride sealed within the zirconium alloy elongated container, the zirconium hydride being in a partially hydrided condition and having a H to Zr ratio on an atomic basis in the range of about 1.0 to about 1.8; the burnable thermal neutron absorber material and the zirconium hydride distributed along the length of the zirconium alloy elongated container; and the zirconium hydride acts as a neutron moderator thereby enhancing the neutron capture efficiency of the burnable thermal neutron absorber

  4. Burnable neutron absorber element

    Ferrari, H.M.

    1988-06-14

    A burnable thermal neutron absorber element is described comprising: a zirconium alloy elongated tubular container having an inside diameter surface; hydrogen diffusion barrier means for limiting hydrogen diffusion from within the container into the zirconium alloy; a boron-containing burnable thermal neutron absorber material sealed within the zirconium alloy elongated container, the boron-containing burnable absorber material being in a particle form, the particles of absorber material being coated with a diffusion barrier material; zirconium hydride sealed within the zirconium alloy elongated container, the zirconium hydride being in a partially hydrided condition and having a H to Zr ratio on an atomic basis in the range of about 1.0 to about 1.8; the burnable thermal neutron absorber material and the zirconium hydride distributed along the length of the zirconium alloy elongated container; and the zirconium hydride acts as a neutron moderator thereby enhancing the neutron capture efficiency of the burnable thermal neutron absorber.

  5. Methods for absorbing neutrons

    Guillen, Donna P.; Longhurst, Glen R.; Porter, Douglas L.; Parry, James R.

    2012-07-24

    A conduction cooled neutron absorber may include a metal matrix composite that comprises a metal having a thermal neutron cross-section of at least about 50 barns and a metal having a thermal conductivity of at least about 1 W/cmK. Apparatus for providing a neutron flux having a high fast-to-thermal neutron ratio may include a source of neutrons that produces fast neutrons and thermal neutrons. A neutron absorber positioned adjacent the neutron source absorbs at least some of the thermal neutrons so that a region adjacent the neutron absorber has a fast-to-thermal neutron ratio of at least about 15. A coolant in thermal contact with the neutron absorber removes heat from the neutron absorber.

  6. Single-tooth replacement by osseointegrated Astra Tech dental implants: a 2-year report

    Karlsson, U; Gotfredsen, K; Olsson, C

    1998-01-01

    This study presents the outcome of single-tooth restorations supported by Astra Tech single-tooth implants followed for 2 years. Forty-seven implants were placed in the same number of patients. Forty-three patients attended the second recall visit, and none of the evaluated implants have been...

  7. MST with Conduct Disordered Youth in Sweden: Costs and Benefits after 2 Years

    Olsson, Tina M.

    2010-01-01

    Objectives: The purpose of this study was to investigate the costs and benefits associated with multisystemic therapy (MST) for conduct disordered youth, 2 years following intake. Methods: The study employed a secondary analysis of 156 youth enrolled in a randomized trial assessing the psychosocial and behavioral outcomes of MST. Results: MST cost…

  8. TOMS Absorbing Aerosol Index

    Washington University St Louis — TOMS_AI_G is an aerosol related dataset derived from the Total Ozone Monitoring Satellite (TOMS) Sensor. The TOMS aerosol index arises from absorbing aerosols such...

  9. Metasurface Broadband Solar Absorber

    Azad, Abul K.; Kort-Kamp, Wilton J. M.; Milan Sykora; Nina R. Weisse-Bernstein; Luk, Ting S.; Antoinette J. Taylor; Dalvit, Diego A. R.; Hou-Tong Chen

    2016-01-01

    We demonstrate a broadband, polarization independent, omnidirectional absorber based on a metallic metasurface architecture, which accomplishes greater than 90% absorptance in the visible and near-infrared range of the solar spectrum, and exhibits low emissivity at mid- and far-infrared wavelengths. The complex unit cell of the metasurface solar absorber consists of eight pairs of gold nano-resonators that are separated from a gold ground plane by a thin silicon dioxide spacer. Our experiment...

  10. Metasurface Broadband Solar Absorber

    Azad, A K; Sykora, M; Weisse-Bernstein, N R; Luk, T S; Taylor, A J; Dalvit, D A R; Chen, H -T

    2015-01-01

    We demonstrate a broadband, polarization independent, omnidirectional absorber based on a metallic metasurface architecture, which accomplishes greater than 90% absorptance in the visible and near-infrared range of the solar spectrum, and exhibits low emissivity at mid- and far-infrared wavelengths. The complex unit cell of the metasurface solar absorber consists of eight pairs of gold nano-resonators that are separated from a gold ground plane by a thin silicon dioxide spacer. Our experimental measurements reveal high-performance absorption over a wide range of incidence angles for both s- and p-polarizations. We also investigate numerically the frequency-dependent field and current distributions to elucidate how the absorption occurs within the metasurface structure. Furthermore, we discuss the potential use of our metasurface absorber design in solar thermophotovoltaics by exploiting refractory plasmonic materials.

  11. An absorbed dose microcalorimeter

    A graphite microcalorimeter is described for use as a primary standard of ionising radiation absorbed dose; its place in the hierarchy of Australian ionising radiation standards is discussed. A disc shaped absorber is supported on pins within three nested graphite jackets and an insulated vacuum vessel. Calibration heating is by thermistor, the feasibility of this was verified by computer modelling. Adiabatic and heat-flow modes of operation are described, and calculations of heat transfer between the various graphite parts are summarised. Carbon and water phantoms were built for the evaluation of correction factors for the microcalorimeter, and for the calibration of radiotherapy dosemeters. The microcalorimeter will be used as a working standard for the calibration of dosemeters in terms of absorbed dose for the x-ray, gamma-ray and electron radiotherapy beams commonly used in Australia today

  12. Negative impedance shunted electromagnetic absorber for broadband absorbing: experimental investigation

    The traditional tuned mass absorber is widely employed to control the vibration of a primary structure by transferring the vibrating energy to the absorber. However, the working band of the absorber is very narrow, which limits the application of broadband vibration control. This study presents a novel broadband electromagnetic absorber by first introducing two negative impedance shunts to improve broadband damping of the absorber. The electromagnetic absorber is modeled, and the corresponding electromagnetic coupling coefficient is tested. A cantilever beam is employed to verify the broadband vibration absorption of the negative resistance (NR) shunted electromagnetic absorber (NR absorber) and the negative inductance NR shunted electromagnetic absorber (NINR absorber). The governing equations of the beam with two absorbers are derived, and the experiments are set up. The results point out that the NR and NINR absorbers can attenuate the broadband vibration. The proposed absorbers do not need the feedback system and the real-time controller compared to the active absorber; hence, they have great application potential in aerospace and in submarine applications, as well as in civil and mechanical engineering. (paper)

  13. Metasurface Broadband Solar Absorber

    Azad, Abul K.; Kort-Kamp, Wilton J. M.; Sykora, Milan; Weisse-Bernstein, Nina R.; Luk, Ting S.; Taylor, Antoinette J.; Dalvit, Diego A. R.; Chen, Hou-Tong

    2016-02-01

    We demonstrate a broadband, polarization independent, wide-angle absorber based on a metallic metasurface architecture, which accomplishes greater than 90% absorptance in the visible and near-infrared range of the solar spectrum, and exhibits low absorptivity (emissivity) at mid- and far-infrared wavelengths. The complex unit cell of the metasurface solar absorber consists of eight pairs of gold nano-resonators that are separated from a gold ground plane by a thin silicon dioxide spacer. Our experimental measurements reveal high-performance absorption over a wide range of incidence angles for both s- and p-polarizations. We also investigate numerically the frequency-dependent field and current distributions to elucidate how the absorption occurs within the metasurface structure.

  14. Universal metamaterial absorbe

    Smaali, Rafik; Moreau, Antoine; Taliercio, Thierry; Centeno, Emmanuel

    2016-01-01

    We propose a design for an universal absorber, characterized by a resonance frequency that can be tuned from visible to microwave frequencies independently of the choice of the metal and the dielectrics involved. An almost resonant perfect absorption up to 99.8 % is demonstrated at resonance for all polarization states of light and for a very wide angular aperture. These properties originate from a magnetic Fabry-Perot mode that is confined in a dielectric spacer of $\\lambda/100$ thickness by a metamaterial layer and a mirror. An extraordinary large funneling through nano-slits explains how light can be trapped in the structure. Simple scaling laws can be used as a recipe to design ultra-thin perfect absorbers whatever the materials and the desired resonance wavelength, making our design truly universal.

  15. Absorbable and biodegradable polymers

    Shalaby, Shalaby W

    2003-01-01

    INTRODUCTION NOTES: Absorbable/Biodegradable Polymers: Technology Evolution. DEVELOPMENT AND APPLICATIONOF NEW SYSTEMS: Segmented Copolyesters with Prolonged Strength Retention Profiles. Polyaxial Crystalline Fiber-Forming Copolyester. Polyethylene Glycol-Based Copolyesters. Cyanoacrylate-Based Systems as Tissue Adhesives. Chitosan-Based Systems. Hyaluronic Acid-Based Systems. DEVELOPMENTS IN PREPARATIVE, PROCESSING, AND EVALUATION METHODS: New Approaches to the Synthesis of Crystalline. Fiber-Forming Aliphatic Copolyesters. Advances in Morphological Development to Tailor the Performance of Me

  16. Universal metamaterial absorbe

    Smaali, Rafik; Omei, Fatima; Antoine MOREAU; Taliercio, Thierry; Centeno, Emmanuel

    2016-01-01

    We propose a design for an universal absorber, characterized by a resonance frequency that can be tuned from visible to microwave frequencies independently of the choice of the metal and the dielectrics involved. An almost resonant perfect absorption up to 99.8 % is demonstrated at resonance for all polarization states of light and for a very wide angular aperture. These properties originate from a magnetic Fabry-Perot mode that is confined in a dielectric spacer of $\\lambda/100$ thickness by...

  17. Burnable neutron absorbers

    This patent deals with the fabrication of pellets for neutron absorber rods. Such a pellet includes a matrix of a refractory material which may be aluminum or zirconium oxide, and a burnable poison distributed throughout the matrix. The neutron absorber material may consist of one or more elements or compounds of the metals boron, gadolinium, samarium, cadmium, europium, hafnium, dysprosium and indium. The method of fabricating pellets of these materials outlined in this patent is designed to produce pores or voids in the pellets that can be used to take up the expansion of the burnable poison and to absorb the helium gas generated. In the practice of this invention a slurry of Al2O3 is produced. A hard binder is added and the slurry and binder are spray dried. This powder is mixed with dry B4C powder, forming a homogeneous mixture. This mixture is pressed into green tubes which are then sintered. During sintering the binder volatilizes leaving a ceramic with nearly spherical high-density regions of

  18. Absorber for terahertz radiation management

    Biallas, George Herman; Apeldoorn, Cornelis; Williams, Gwyn P.; Benson, Stephen V.; Shinn, Michelle D.; Heckman, John D.

    2015-12-08

    A method and apparatus for minimizing the degradation of power in a free electron laser (FEL) generating terahertz (THz) radiation. The method includes inserting an absorber ring in the FEL beam path for absorbing any irregular THz radiation and thus minimizes the degradation of downstream optics and the resulting degradation of the FEL output power. The absorber ring includes an upstream side, a downstream side, and a plurality of wedges spaced radially around the absorber ring. The wedges form a scallop-like feature on the innermost edges of the absorber ring that acts as an apodizer, stopping diffractive focusing of the THz radiation that is not intercepted by the absorber. Spacing between the scallop-like features and the shape of the features approximates the Bartlett apodization function. The absorber ring provides a smooth intensity distribution, rather than one that is peaked on-center, thereby eliminating minor distortion downstream of the absorber.

  19. Corrosion resistant neutron absorbing coatings

    Choi, Jor-Shan; Farmer, Joseph C.; Lee, Chuck K.; Walker, Jeffrey; Russell, Paige; Kirkwood, Jon; Yang, Nancy; Champagne, Victor

    2012-05-29

    A method of forming a corrosion resistant neutron absorbing coating comprising the steps of spray or deposition or sputtering or welding processing to form a composite material made of a spray or deposition or sputtering or welding material, and a neutron absorbing material. Also a corrosion resistant neutron absorbing coating comprising a composite material made of a spray or deposition or sputtering or welding material, and a neutron absorbing material.

  20. Corrosion resistant neutron absorbing coatings

    Choi, Jor-Shan; Farmer, Joseph C; Lee, Chuck K; Walker, Jeffrey; Russell, Paige; Kirkwood, Jon; Yang, Nancy; Champagne, Victor

    2013-11-12

    A method of forming a corrosion resistant neutron absorbing coating comprising the steps of spray or deposition or sputtering or welding processing to form a composite material made of a spray or deposition or sputtering or welding material, and a neutron absorbing material. Also a corrosion resistant neutron absorbing coating comprising a composite material made of a spray or deposition or sputtering or welding material, and a neutron absorbing material.

  1. Sensing with THz metamaterial absorbers

    Cong, Longqing

    2014-01-01

    Metamaterial perfect absorbers from microwaves to optical part of the electromagnetic spectrum has been intensely studied for its ability to absorb electromagnetic radiation. Perfect absorption of light by metamaterials have opened up new opportunities for application oriented functionalities such as efficient sensors and emitters. We present an absorber based sensing scheme at the terahertz frequencies and discuss optimized designs to achieve high frequency and amplitude sensitivities. The major advantage of a perfect metamaterial absorber as a sensor is the sensitive shift in the absorber resonance frequency along with the sharp change in the amplitude of the resonance due to strong interaction of the analyte with the electric and the magnetic fields at resonant perfect absorption frequency. We compare the sensing performance of the perfect metamaterial absorber with its complementary structural design and planar metasurface with identical structure. The best FoM values obtained for the absorber sensor here...

  2. Hippocampal sclerosis in children younger than 2 years

    Kadom, Nadja [Children' s National Medical Center, Department of Diagnostic Imaging and Radiology, Washington, DC (United States); Tsuchida, Tammy; Gaillard, William D. [Children' s National Medical Center, Department of Neurology, Washington, DC (United States)

    2011-10-15

    Hippocampal sclerosis (HS) is rarely considered as a diagnosis in children younger than 2 years. To describe imaging features in conjunction with clinical information in patients with hippocampal sclerosis who are younger than 2 years. We retrospectively reviewed MR brain imaging and clinical information in five children in whom the diagnosis of HS was made both clinically and by MRI prior to 2 years of age. Imaging features establishing the diagnosis of hippocampal sclerosis were bright T2 signal and volume loss, while the internal architecture of the hippocampal formation was preserved in almost all children. Clinically, all children had an infectious trigger. It is necessary for radiologists to consider HS in children with certain clinical features to plan an MRI protocol that is appropriate for detection of hippocampal pathology. (orig.)

  3. Heterogeneous neutron absorbers development

    The use of solid burnable absorber materials in power light water reactors has increased in the last years, specially due to improvements attained in costs of generated electricity. The present work summarizes the basic studies made on an alumina-gadolinia system, where alumina is the inert matrix and gadolinia acts as burnable poison, and describes the fabrication method of pellets with that material. High density compacts were obtained in the range of concentrations used by cold pressing and sintering at 1600 deg C in inert (Ar) atmosphere. Finally, the results of the irradiation experiences made at RA-6 reactor, located at the Bariloche Atomic Center, are given where variations on negative reactivity caused by introduction of burnable poison rods were measured. The results obtained from these experiences are in good agreement with those coming from calculation codes. (Author)

  4. Clinical and laboratory 2-year outcome of oral immunotherapy in patients with cow's milk allergy.

    Elizur, A; Appel, M Y; Goldberg, M R; Yichie, T; Levy, M B; Nachshon, L; Katz, Y

    2016-02-01

    Studies examining the long-term effect of oral immunotherapy in food-allergic patients are limited. We investigated cow's milk-allergic patients, >6 months after the completion of oral immunotherapy (n = 197). Questionnaires, skin prick tests, and basophil activation assays were performed. Of the 195 patients contacted, 180 (92.3%) were consuming milk protein regularly. Half experienced adverse reactions, mostly mild. Thirteen patients (6.7%) required injectable epinephrine. Higher reaction rate after immunotherapy was associated with more anaphylactic episodes before treatment and a lower starting dose (OR = 2.1, P = 0.035 and OR = 2.3, P = 0.035, respectively). Reaction rate in patients who were 6-15 months, 15-30 months, or >30 months post-treatment decreased from 0.28/month to 0.21/month to 0.15/month, respectively (P Milk-induced %CD63 and %CD203c expression was significantly lower in patients >24 months vs in patients <24 months post-treatment (P = 0.038 and P = 0.047, respectively). In conclusion, many patients experience mild adverse reactions after completing oral immunotherapy and some require injectable epinephrine. Progressive desensitization, both clinically and in basophil reactivity, occurs over time. PMID:26482941

  5. Rehabilitation outcomes in children with cerebral palsy during a 2 year period

    İçağasıoğlu, Afitap; Mesci, Erkan; Yumusakhuylu, Yasemin; Turgut, Selin Turan; Murat, Sadiye

    2015-01-01

    [Purpose] To observe motor and functional progress of children with cerebral palsy during 2 years. [Subjects and Methods] Pediatric cerebral palsy patients aged 3–15 years (n = 35/69) with 24-month follow-up at our outpatient cerebral palsy clinic were evaluated retrospectively. The distribution of cerebral palsy types was as follows: diplegia (n = 19), hemiplegia (n = 4), and quadriplegia (n = 12). Participants were divided into 3 groups according to their Gross Motor Functional Classificati...

  6. Warm Absorbers in the ROSAT Spectra of Quasars

    Fiore, Fabrizio

    1998-01-01

    We present two ROSAT PSPC observations of the radio-loud, lobe-dominated quasar 3C 351, which shows an 'ionized absorber' in its X-ray spectrum. The factor 1.7 change in flux in the approx. 2 years between the observations allows a test of of models for this ionized absorber. The absorption feature at approx. 0.7 keV (quasar frame) is present in both spectra but with a lower optical depth when the source intensity - and hence the ionizing flux at the absorber - is higher, in accordance with a simple, single-zone, equilibrium photoionization model. Detailed modeling confirms this agreement quantitatively. The maximum response time of 2 years allows us to limit the gas density: n(sub e) greater than 2 x 10(exp 4)cm(exp -3); and the distance of the ionized gas from the central source R less than 19 pc. This produces a strong test for a photoionized absorber in 3C 351: a factor 2 flux change in approx. 1 week in this source must show non-equilibrium effects in the ionized absorber.

  7. 75 FR 77958 - Gravesite Reservation Survey (2 Year); Correction

    2010-12-14

    ...-461-7485. Correction In FR Doc. 2010-30554, published on December 7, 2010, at 75 FR 76082, make the... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Gravesite Reservation Survey (2 Year); Correction AGENCY: National Cemetery...

  8. Results of 2-year vitamin B treatment on cognitive performance

    Zwaluw, van der N.L.; Dhonukshe-Rutten, R.A.M.; Wijngaarden, van J.P.; Brouwer, E.M.; Nieuwerth-van de Rest, O.; Veld, in 't P.H.; Enneman, A.W.; Dijk, van S.C.; Ham, A.C.; Swart, K.M.A.; Velde, van der N.; Schoor, van N.M.; Cammen, van der T.J.M.; Uitterlinden, A.G.; Lips, P.; Kessels, R.P.C.; Groot, de C.P.G.M.

    2014-01-01

    Objective: We investigated the effects of 2-year folic acid and vitamin B12 supplementation on cognitive performance in elderly people with elevated homocysteine (Hcy) levels. Methods: This multicenter, double-blind, randomized, placebo-controlled trial included 2,919 elderly participants (65 years

  9. Casimir force in absorbing multilayers

    Tomas, M. S.

    2002-01-01

    The Casimir effect in a dispersive and absorbing multilayered system is considered adopting the (net) vacuum-field pressure point of view to the Casimir force. Using the properties of the macroscopic field operators appropriate for absorbing systems and a convenient compact form of the Green function for a multilayer, a straightforward and transparent derivation of the Casimir force in a lossless layer of an otherwise absorbing multilayer is presented. The resulting expression in terms of the...

  10. Energy-absorbing effectiveness factor

    Jones, Norman

    2010-01-01

    Abstract A study is reported on the energy-absorbing effectiveness factor which was introduced recently. The factor is defined as the quotient of the total energy, which can be absorbed in a system, to the maximum energy up to failure in a normal tensile specimen, which is made from the same volume of material. This dimensionless parameter allows comparisons to be made of the effectiveness of various geometrical shapes and of energy-absorbers made from different materials. The infl...

  11. Predicting School Readiness from Neurodevelopmental Assessments at Age 2 Years after Respiratory Distress Syndrome in Infants Born Preterm

    Patrianakos-Hoobler, Athena I.; Msall, Michael E.; Huo, Dezheng; Marks, Jeremy D.; Plesha-Troyke, Susan; Schreiber, Michael D.

    2010-01-01

    Aim: To determine whether neurodevelopmental outcomes at the age of 2 years accurately predict school readiness in children who survived respiratory distress syndrome after preterm birth. Method: Our cohort included 121 preterm infants who received surfactant and ventilation and were enrolled in a randomized controlled study of inhaled nitric…

  12. Energy absorber for the CETA

    Wesselski, Clarence J.

    1994-01-01

    The energy absorber that was developed for the CETA (Crew Equipment and Translation Aid) on Space Station Freedom is a metal on metal frictional type and has a load regulating feature that prevents excessive stroking loads from occurring while in operation. This paper highlights some of the design and operating aspects and the testing of this energy absorber.

  13. Energy absorber for the CETA

    Wesselski, Clarence J.

    1994-05-01

    The energy absorber that was developed for the CETA (Crew Equipment and Translation Aid) on Space Station Freedom is a metal on metal frictional type and has a load regulating feature that prevents excessive stroking loads from occurring while in operation. This paper highlights some of the design and operating aspects and the testing of this energy absorber.

  14. Leaf absorbance and photosynthesis

    Schurer, Kees

    1994-01-01

    The absorption spectrum of a leaf is often thought to contain some clues to the photosynthetic action spectrum of chlorophyll. Of course, absorption of photons is needed for photosynthesis, but the reverse, photosynthesis when there is absorption, is not necessarily true. As a check on the existence of absorption limits we measured spectra for a few different leaves. Two techniques for measuring absorption have been used, viz. the separate determination of the diffuse reflectance and the diffuse transmittance with the leaf at a port of an integrating sphere and the direct determination of the non-absorbed fraction with the leaf in the sphere. In a cross-check both methods yielded the same results for the absorption spectrum. The spectrum of a Fuchsia leaf, covering the short-wave region from 350 to 2500 nm, shows a high absorption in UV, blue and red, the well known dip in the green and a steep fall-off at 700 nm. Absorption drops to virtually zero in the near infrared, with subsequent absorptions, corresponding to the water absorption bands. In more detailed spectra, taken at 5 nm intervals with a 5 nm bandwidth, differences in chlorophyll content show in the different depths of the dip around 550 nm and in a small shift of the absorption edge at 700 nm. Spectra for Geranium (Pelargonium zonale) and Hibiscus (with a higher chlorophyll content) show that the upper limit for photosynthesis can not be much above 700 nm. No evidence, however, is to be seen of a lower limit for photosynthesis and, in fact, some experiments down to 300 nm still did not show a decrease of the absorption although it is well recognized that no photosynthesis results with 300 nm wavelengths.

  15. Radiostereometric migration analysis of the Cerafit femoral stem: 28 patients followed for 2 years.

    Tschunko, Franz; Wagner, Benedikt; Hong, Yutong; Söder, Stephan; Wölfel, Rainer; Müller, Lutz A; Forst, Raimund; Sesselmann, Stefan

    2016-06-01

    Radiostereometric analysis (RSA) is the gold standard evaluating micromovements after total hip arthroplasty. The aim of this study was to investigate the migratory pattern of an uncemented femoral stem during the first 2 years after surgery. We followed 28 patients with a mean age of 57 (SD 13) years for the first two postoperative years. Radiostereometric analysis was used to measure the translation and rotation of the femoral component. The Harris hip score (HHS) was determined to evaluate the clinical outcome. No stem had to be revised. The mean HHS advanced from 35 (SD 11) preoperative to 89 (SD 10) 1 year after surgery. At the end of the observation period, mean subsidence of the stem was 0.26 mm (SD 0.82). Maximum total point motion (MTPM) was 1.23 mm (SD 1.22). The main distal migration took place up to 6 weeks after surgery with nearly no further subsidence up to 2 years postoperatively. All the measured migrations of the hip stem were very small. Results of the HHS demonstrate good clinical outcome. Long-term RSA is necessary to assess possible late migration of the Cerafit standard femoral stem. PMID:25996482

  16. Can a general health surveillance between birth and 10 months identify children with mental disorder at 1(1/2) year? A case-control study nested in cohort CCC 2000

    Skovgaard, Anne Mette; Houmann, Tine; Christiansen, Eva Storgaard; Olsen, Else Marie; Landorph, Susanne Lassen; Lichtenberg, Anne; Jørgensen, Torben

    2008-01-01

    Mental health surveillance in infancy was studied in an existing child health surveillance programme with child psychiatric disorder at 1(1/2) year as the outcome.......Mental health surveillance in infancy was studied in an existing child health surveillance programme with child psychiatric disorder at 1(1/2) year as the outcome....

  17. Liquid metal reactor absorber technology

    This paper reports that the selection of boron carbide as the reference liquid metal reactor absorber material is supported by results presented for irradiation performance, reactivity worth, compatibility, and benign failure consequences. Scram response requirements are met easily with current control rod configurations. The trend in absorber design development is toward larger sized pins with fewer pins per bundle, providing economic savings and improved hydraulic characteristics. Very long-life absorber designs appear to be attainable with the application of vented pin and sodium-bonded concepts

  18. Liquid metal reactor absorber technology

    The selection of boron carbide as the reference liquid metal reactor absorber material is supported by results presented for irradiation performance, reactivity worth compatibility, and benign failure consequences. Scram response requirements are met easily with current control rod configurations. The trend in absorber design development is toward larger sized pins with fewer pins per bundle, providing economic savings and improved hydraulic characteristics. Very long-life absorber designs appear to be attainable with the application of vented pin and sodium-bonded concepts. 3 refs., 3 figs

  19. Multidrug-resistant tuberculosis that required 2 years for diagnosis.

    Yano, Shuichi; Kobayashi, Kanako; Ikeda, Toshikazu

    2012-01-01

    Isoniazid (H) or rifampicin (R) mono-resistant disease can be treated easily and effectively with first-line drugs, while combined H and R resistance (ie, multidrug-resistant tuberculosis (MDRTB)) requires treatment with at least four agents, including a quinolone and an injectable agent. Drug-resistant Mycobacterium tuberculosis strains are reported to be extremely difficult to cultivate invitro. The authors report a case of MDRTB that required 2 years for diagnosis, and was detected only in sputum culture on solid medium. Physicians should consider MDRTB if TB is suspected but pathogens are not detected. PMID:22605803

  20. Intracranial tumors in children less than 2 years of age

    We analyzed the characteristic CT findings in twelve cases of intracranial tumors in children under 2 years of age. The histological classification of them was as follows: 2 were teratomas, 3 ependymoma and ependymoblastomas, 2 medulloblastomas, 2 craniopharyngiomas, and 3 were other gliomas, including a pontine glioma. 1. Ten cases were located along the central neural axis. The supratentorial/infratentorial ratio became nearly equal at each age before and after the first year. 2. With regard to tumor size, approximately 70 % out of the brain tumors were more than 5 cm in diameter; especially, four cases had diameters of more than 7 cm. In the case of the teratomas, the cranial cavity was filled with several nodular tumors of varying densities. On admission, an ependymoblastoma in the posterior fossa had already invaded the pineal region. 3. Hydrocephalus was a frequent finding except for the two craniopharyngiomas and the pontine glioma. Some demonstrated an eminent ventricular collapse and a displacement of the midline structures because of the large size of the tumor masses. 4. The malignant gliomas had less peritumoral edemas in proportion to the large sizes of the tumor masses. The prognosis of some brain tumors in our cases less than 2 years of age was extremely poor, but an aggressive approach to them with surgical treatment, irradiation, and adjuvant chemotherapy may improve their chances of survival. (author)

  1. Absorber pin development in Europe

    The neutron absorbing material chosen for the absorber elements of the European fast reactor (EFR) is boron carbide. Various pin designs are studied in Europe: (1) vented helium-bonded pins chosen for prototype fast reactor (PFR) control rods, (2) vented sodium-bonded pins chosen for the Phenix and Superphenix control rods, (3) vented shrouded sodium-bonded pins chosen for future loads of Superphenix control ros. There are three aspects to the research and development program to evaluate absorber pin performance: (1) experimental irradiation program dealing with basic studies and validation design experiments, (2) modeling of B4C physical properties, descriptive laws, and code development, (3) design optimization and innovative studies (various B4C enrichments and pellet densities, new absorber materials). The irradiation program is being performed in Phenix and PFR using either control rods or static rigs

  2. Hyperuniformity of Critical Absorbing States

    Hexner, Daniel; Levine, Dov

    2015-03-01

    The properties of the absorbing states of nonequilibrium models belonging to the conserved directed percolation universality class are studied. We find that, at the critical point, the absorbing states are hyperuniform, exhibiting anomalously small density fluctuations. The exponent characterizing the fluctuations is measured numerically, a scaling relation to other known exponents is suggested, and a new correlation length relating to this ordering is proposed. These results may have relevance to photonic band-gap materials.

  3. The absorber hypothesis of electrodynamics

    De Luca, Jayme

    2008-01-01

    We test the absorber hypothesis of the action-at-a-distance electrodynamics for globally-bounded solutions of a finite-particle universe. We find that the absorber hypothesis forbids globally-bounded motions for a universe containing only two charged particles, otherwise the condition alone does not forbid globally-bounded motions. We discuss the implication of our results for the various forms of electrodynamics of point charges.

  4. Role Modeling in the First 2 Years of Medical School.

    Obadia, Sharon J

    2015-08-01

    Role modeling opportunities for osteopathic physician teachers during a student's first 2 years of medical school are emerging as more colleges of osteopathic medicine strive to connect basic science didactics with clinically based learning activities. Examples of positive modeling by physician teachers during the first years of medical school are illustrated by 10 vignettes that can be incorporated into faculty development programs to increase awareness of such opportunities. The physician teacher in each vignette interacts with the student demonstrating desired professional behaviors. These vignettes also illustrate the effect of a positive "hidden curriculum" on a student's professional development. By recognizing these valuable teachable moments, teachers can incorporate role modeling into their daily practice. PMID:26214824

  5. Tetanus trismus in a 2 year old child: Case report

    Menon Narayanankutty Sunilkumar, Vadakut Krishnan Parvathy

    2014-07-01

    Full Text Available Tetanus is still a major cause of mortality and morbidity in developing countries. It occurs in children mainly in the unimmunized, due to parental ignorance and objection to vaccination. This potentially fatal disease caused by a neurotoxin, tetanospasmin released from wounds infected with Clostridium tetani, an anaerobic gram–positive bacillus. As tetanus becomes less common, cases are likely to be misdiagnosed or go unrecognized. In this case report, we present a case of tetanus in a partially immunized 2 year old girl who presented with trismus. She was treated with the recent recommendations and adequate supportive care. Detection of tetanus at a very early stage can favor lifesaving interventions. Trismus, infected wound and partially immunized/unimmunized status of a child were the key features leading to the prompt diagnosis and early treatment.

  6. Absorber materials in CANDU PHWRs

    In a CANDU reactor the fuel channels are arranged on a square lattice in a calandria filled with heavy water moderator. This arrangement allows five types of tubular neutron absorber devices to be located in the relatively benign environment of low pressure, low temperature heavy water between neighbouring rows or columns of fuel channels. This paper will describe the roles of the devices and outline the design requirements of the absorber component from a reactor physics viewpoint. Nuclear heating and activation problems associated with the different absorbers will be briefly discussed. The design and manufacture of the devices will be also discussed. The control rod absorbers and shut off materials are cadmium and stainless steel. In the tubular arrangement, the cadmium is sandwiched between stainless steel tubes. This type of device has functioned well, but there is now concern over the availability and expense of cadmium which is used in two types of CANDU control devices. There are also concerns about the toxicity of cadmium during the fabrication of the absorbers. These concerns are prompting AECL to study alternatives. To minimize design changes, pure boron-10 alloyed in stainless steel is a favoured option. Work is underway to confirm the suitability of the boron-loaded steel and identify other encapsulated absorber materials for practical application. Because the reactivity devices or their guide tubes span the calandria vessel, the long slender components must be sufficiently rigid to resist operational vibration and also be seismically stable. Some of these components are made of Zircaloy to minimize neutron absorption. Slow irradiation growth and creep can reduce the spring tension, and periodic adjustments to the springs are required. Experience with the control absorber devices has generally been good. In one instance liquid zone controllers had a problem of vibration induced fretting but a redesigned back-fit resolved the problem. (author). 3 refs, 8

  7. Carbon Absorber Retrofit Equipment (CARE)

    Klein, Eric [Neumann Systems Group, Incorporated, Colorado Springs, CO (United States)

    2015-12-23

    During Project DE-FE0007528, CARE (Carbon Absorber Retrofit Equipment), Neumann Systems Group (NSG) designed, installed and tested a 0.5MW NeuStream® carbon dioxide (CO2) capture system using the patented NeuStream® absorber equipment and concentrated (6 molal) piperazine (PZ) as the solvent at Colorado Springs Utilities’ (CSU’s) Martin Drake pulverized coal (PC) power plant. The 36 month project included design, build and test phases. The 0.5MW NeuStream® CO2 capture system was successfully tested on flue gas from both coal and natural gas combustion sources and was shown to meet project objectives. Ninety percent CO2 removal was achieved with greater than 95% CO2product purity. The absorbers tested support a 90% reduction in absorber volume compared to packed towers and with an absorber parasitic power of less than 1% when configured for operation with a 550MW coal plant. The preliminary techno-economic analysis (TEA) performed by the Energy and Environmental Research Center (EERC) predicted an over-the-fence cost of $25.73/tonne of CO2 captured from a sub-critical PC plant.

  8. Mushroom plasmonic metamaterial infrared absorbers

    There has been a considerable amount of interest in the development of various types of electromagnetic wave absorbers for use in different wavelength ranges. In particular, infrared (IR) absorbers with wavelength selectivity can be applied to advanced uncooled IR sensors, which would be capable of identifying objects through their radiation spectrum. In the present study, mushroom plasmonic metamaterial absorbers (MPMAs) for the IR wavelength region were designed and fabricated. The MPMAs consist of a periodic array of thin metal micropatches connected to a thin metal plate with narrow silicon (Si) posts. A Si post height of 200 nm was achieved by isotropic XeF2 etching of a thin Si layer sandwiched between metal plates. This fabrication procedure is relatively simple and is consistent with complementary metal oxide semiconductor technology. The absorption spectra of the fabricated MPMAs were experimentally measured. In addition, theoretical calculations of their absorption properties were conducted using rigorous coupled wave analysis. Both the calculated and measured absorbance results demonstrated that these MPMAs can realize strong selective absorption at wavelengths beyond the period of the array by varying the micropatch width. Absorbance values greater than 90% were achieved. Dual- or single-mode absorption can also be selected by varying the width of the Si posts. Pixel structures using such MPMAs could be used as high responsivity, high resolution and fast uncooled IR sensors

  9. Bimonthly Evolution of Cortical Atrophy in Early Relapsing-Remitting Multiple Sclerosis over 2 Years: A Longitudinal Study

    Robert Zivadinov

    2013-01-01

    Full Text Available We investigated the evolution of cortical atrophy in patients with early relapsing-remitting (RR multiple sclerosis (MS and its association with lesion volume (LV accumulation and disability progression. 136 of 181 RRMS patients who participated in the Avonex-Steroids-Azathioprine study were assessed bimonthly for clinical and MRI outcomes over 2 years. MS patients with disease duration (DD at baseline of ≤24 months were classified in the early group (DD of 1.2 years, n=37, while patients with DD > 24 months were classified in the late group (DD of 7.1 years, n=99. Mixed effect model analysis was used to investigate the associations. Significant changes in whole brain volume (WBV (P<0.001, cortical volume (CV (P<0.001, and in T2-LV (P<0.001 were detected. No significant MRI percent change differences were detected between early and late DD groups over 2 years, except for increased T2-LV accumulation between baseline and year 2 in the early DD group (P<0.01. No significant associations were found between changes in T2-LV and CV over the followup. Change in CV was related to the disability progression over the 2 years, after adjusting for DD (P=0.01. Significant cortical atrophy, independent of T2-LV accumulation, occurs in early RRMS over 2 years, and it is associated with the disability progression.

  10. The 2-year stability of parental perceptions of child vulnerability and parental overprotection.

    Thomasgard, M; Metz, W P

    1996-08-01

    Clinicians often identify parent-child relationships that are believed to be problematic for the child's future emotional growth, yet there are minimal outcome data on which to base anticipatory guidance. This 2-year follow-up study examined the stability and child behavioral correlates of parental perceptions of increased child vulnerability and parental overprotection. Of 192 potential participants, 114 parents (93% mothers, 86% white, 75% married, 90% middle-upper socioeconomic status) with children age 4 to 7 years successfully completed the Parent Protection Scale, Child Vulnerability Scale, Child Behavior Checklist 4-18, and the Parental Bonding Instrument. The 2-year stability of high parental overprotection was 37%; for high parental perception of child vulnerability, it was 31%. High perceived vulnerability at enrollment was significantly associated with both internalizing (somatic complaints, anxious/depressed) and externalizing (aggressive) behaviors at follow-up. A history of overprotection in the parent's childhood was not associated with current parental report of overprotective behaviors toward the child. PMID:8856517

  11. Anomalous Diffusion with Absorbing Boundary

    Kantor, Yacov; Kardar, Mehran

    2007-01-01

    In a very long Gaussian polymer on time scales shorter that the maximal relaxation time, the mean squared distance travelled by a tagged monomer grows as ~t^{1/2}. We analyze such sub-diffusive behavior in the presence of one or two absorbing boundaries and demonstrate the differences between this process and the sub-diffusion described by the fractional Fokker-Planck equation. In particular, we show that the mean absorption time of diffuser between two absorbing boundaries is finite. Our res...

  12. Perfectly Reflectionless Omnidirectional Electromagnetic Absorber

    Sainath, Kamalesh

    2014-01-01

    We demonstrate the existence of metamaterial blueprints describing, and fundamental limitations concerning, perfectly reflectionless omnidirectional electromagnetic absorbers (PR-OEMA). Previous attempts to define PR-OEMA blueprints have led to active (gain), rather than passive, media. We explain this fact and unveil new, distinct limitations of true PR-OEMA devices including the appearance of an "electromagnetic horizon" on physical solutions. As practical alternatives, we introduce two new OEMA blueprints. While these two blueprints do not correspond to reflectionless media, they are effective in absorbing incident waves in a manner robust to incident wave diversity.

  13. Diffusion coefficients for absorbing materials

    A method to improve the diffusion results for systems containing strong absorbers is described. Each absorbing material is transformed into an equivalent rectangle. Transport and diffusion calculations in slab geometry are performed for both directions of the rectangle, and group-dependent diffusion coefficients are determined by matching the outgoing currents. Test problems comprise a critical slab, a compact PWR fuel element storage pool and two BWR fuel elements with a control rod and a poison cell. The multiplication factors of these systems are calculated with an accuracy of 1 to 2%. (Auth.)

  14. Adaptive inertial shock-absorber

    Faraj, Rami; Holnicki-Szulc, Jan; Knap, Lech; Seńko, Jarosław

    2016-03-01

    This paper introduces and discusses a new concept of impact absorption by means of impact energy management and storage in dedicated rotating inertial discs. The effectiveness of the concept is demonstrated in a selected case-study involving spinning management, a recently developed novel impact-absorber. A specific control technique performed on this device is demonstrated to be the main source of significant improvement in the overall efficiency of impact damping process. The influence of various parameters on the performance of the shock-absorber is investigated. Design and manufacturing challenges and directions of further research are formulated.

  15. Waveform-dependent absorbing metasurfaces

    Wakatsuchi, Hiroki; Rushton, Jeremiah J; Sievenpiper, Daniel F

    2014-01-01

    We present the first use of a waveform-dependent absorbing metasurface for high-power pulsed surface currents. The new type of nonlinear metasurface, composed of circuit elements including diodes, is capable of storing high power pulse energy to dissipate it between pulses, while allowing propagation of small signals. Interestingly, the absorbing performance varies for high power pulses but not for high power continuous waves (CWs), since the capacitors used are fully charged up. Thus, the waveform dependence enables us to distinguish various signal types (i.e. CW or pulse) even at the same frequency, which potentially creates new kinds of microwave technologies and applications.

  16. Study of an electroacoustic absorber

    Rodríguez de Antonio, Javier

    2008-01-01

    El problema de la atenuación del ruido de baja frecuencia todavía persiste pese a que ha sido ampliamente estudiado. Las técnicas para absorber ruido de alta frecuencia (superior a 500 Hz), como son los materiales porosos, resonadores de Helmholtz o espumas no ofrecen resultados aceptables a bajas frecuencias. Serían necesarios volúmenes impracticables de materiales porosos para intentar absorber frecuencias menores a 500 Hz, y lo mismo ocurre con los resonadores de Helmholtz. Esta ineficacia...

  17. Neonatal malaria in Nigeria -a 2 year review

    Fetuga Bolanle M

    2006-06-01

    Full Text Available Abstract Background In view of the fact that a significant proportion of neonates with malaria may be missed on our wards on the assumption that the disease condition is rare, this study aims at documenting the prevalence of malaria in neonates admitted into our neonatal ward. Specifically, we hope to describe its clinical features and outcome of this illness. Knowledge of these may ensure early diagnosis and institution of prompt management. Methods Methods Hospital records of all patients (two hundred and thirty admitted into the Neonatal ward of Olabisi Onabanjo University Teaching Hospital, Sagamu between 1st January 1998 and 31st December 1999 were reviewed. All neonates (fifty-seven who had a positive blood smear for the malaria parasite were included in the study. Socio-demographic data as well as clinical correlates of each of the patients were reviewed. The Epi-Info 6 statistical software was used for data entry, validation and analysis. A frequency distribution was generated for categorical variables. To test for an association between categorical variables, the chi-square test was used. The level of significance was put at values less than 5%. Results Prevalence of neonatal malaria in this study was 24.8% and 17.4% for congenital malaria. While the mean duration of illness was 3.60 days, it varied from 5.14 days in those that died and and 3.55 in those that survived respectively. The duration of illness significantly affected the outcome (p value = 0.03. Fever alone was the clinical presentation in 44 (77.4% of the patients. Maturity of the baby, sex and age did not significantly affect infestation. However, history of malaria/febrile illness within the 2 weeks preceding the delivery was present in 61.2% of the mothers. Maternal age, concurrent infection and duration of illness all significantly affected the outcome of illness. Forty-two (73.7% of the babies were discharged home in satisfactory condition. Conclusion It was concluded

  18. Scattering properties of heterogeneous mineral particles with absorbing inclusions

    We analyze the results of numerically exact computer modeling of scattering and absorption properties of randomly oriented polydisperse heterogeneous particles obtained by placing microscopic absorbing grains randomly on the surfaces of much larger spherical mineral hosts or by imbedding them randomly inside the hosts. These computations are paralleled by those for heterogeneous particles obtained by fully encapsulating fractal-like absorbing clusters in the mineral hosts. All computations are performed using the superposition T-matrix method. In the case of randomly distributed inclusions, the results are compared with the outcome of Lorenz–Mie computations for an external mixture of the mineral hosts and absorbing grains. We conclude that internal aggregation can affect strongly both the integral radiometric and differential scattering characteristics of the heterogeneous particle mixtures. - Highlights: • Scattering and absorption characteristics of heterogeneous particles are studied. • Computations are performed using the superposition T-matrix method. • Internal aggregation modifies optical properties of heterogeneous mixtures

  19. SECKEL SYNDROME IN A - 2 YEAR OLD GIRL

    Imanuel Yulius Malino

    2013-10-01

    Full Text Available Seckel syndrome is a frequent autosomal recessive that cause microcephalic osteodysplastic dwarfisms. It characterized with proportionate dwarfism of prenatal onset, dysmorphic features including severe microcephaly and “bird-headed” like appearance, mental retardation and autosomal recessive inheritance, becausedefect on chromosome 3q22.1-q24 (SCKL1, chromosome 18p11.31-q11.2 (SCKL2 and chromosome 14q23 (SCKL3. We reported, 2 years, 8 months female with intrauterine growth restriction, severe proportionately short stature, a “bird-headed” profile with receding forehead, large eyes, breaks like protrusion of the nose, narrow face, receding lower jaw and micrognathia and from bone survey we found a retarded bone age on which was appropriate for 6 months of age.There was no other systems dissorder have been found and no specific medication has been given. Patient was hospitalized to establish diagnosis and was dischargedafter ten days of hospitalization Normal 0 false false false IN X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}

  20. Sluggish Cognitive Tempo and ADHD Inattention as Predictors of Externalizing, Internalizing, and Impairment Domains: A 2-Year Longitudinal Study.

    Bernad, Maria del Mar; Servera, Mateu; Becker, Stephen P; Burns, G Leonard

    2016-05-01

    Although sluggish cognitive tempo (SCT) is distinct from attention-deficit/hyperactivity disorder inattention (ADHD-IN), few studies have examined whether SCT longitudinally predicts other symptom or impairment dimensions. This study used 4 sources (mothers, fathers, primary teachers, and secondary teachers) and 3 occasions of measurement (first, second, and third grades) with 758 first grade (55 % boys), 718 second grade (54 % boys), and 585 third grade (53 % boys) children from Spain to determine SCT's and ADHD-IN's unique longitudinal relationships with psychopathology, academic impairment, and social impairment over the 1- and 2-year intervals (i.e., first to third grade, second to third grade). For 1- and 2-year intervals using both mothers' and fathers' ratings, higher levels of SCT uniquely predicted higher levels of anxiety, depression, academic impairment, and social impairment whereas higher levels of ADHD-IN uniquely predicted higher levels of ADHD-HI, ODD, and academic impairment. For 1- and 2-year intervals across different primary and secondary teachers (i.e., first/second and third grade ratings were provided by different teachers), higher scores on ADHD-IN uniquely predicted poorer outcomes across domains whereas higher scores on SCT uniquely predicted lower levels of ADHD-HI and ODD for both intervals in addition to higher levels of depression (for primary teachers only), academic impairment (for 1-year interval only), and peer rejection (2-year interval only for primary teachers). Overall, SCT was significantly associated with important outcomes independent of ADHD-IN over 1- and 2-year intervals and across four different raters. This study provides further evidence for distinguishing between SCT and ADHD-IN in home and school settings. PMID:26278273

  1. A randomised controlled trial of absorbable versus non-absorbable sutures for skin closure after open carpal tunnel release.

    Theopold, C

    2012-05-01

    We compared the aesthetic outcome of scars after closure of open carpal tunnel incisions with either absorbable 4-0 Vicryl Rapide or non-absorbable 4-0 Novafil. Patients were recruited in a randomized controlled trial and scars were scored at 6 weeks using a modified Patient and Observer Scar Assessment Scale. Scores demonstrated differences only for pain, vascularity and cross-hatching between both groups, though none of these were statistically significant. The dissolving and falling out of Vicryl Rapide was significantly more comfortable than removal of 4-0 Novafil sutures, assessed on a numerical analogue scale. There was no difference in infection rate between both study groups, supporting overall the use of Vicryl Rapide for the closure of palmar hand incisions, in light of the convenience and cost savings associated with absorbable sutures.

  2. Can absorbable stabilizers be used routinely in the Nuss procedure?

    Pilegaard, Hans K; Licht, Peter B

    2009-01-01

    OBJECTIVE: During minimal invasive surgical correction of pectus excavatum the metal bar is rotated 180 degrees and fixed by one or two stabilisers. Previously, all stabilisers were made from metal, but they often caused chronic pain and had to be removed. Recently, a slowly absorbable stabiliser...... made from Lactosorb has been introduced. METHODS: From 2001 to 2008 a total of 507 patients underwent minimally invasive repair of pectus excavatum at Aarhus University Hospital. Since February 2007 we routinely used absorbable stabilisers made by Lactosorb. We always used shorter pectus bars than...... metal stabiliser while 85 patients received a Lactosorb stabilizer. Seven patients received two stabilisers. During the follow-up period one metal stabiliser broke after 2(1/2) years (0.2%), but within 6 weeks after surgery three Lactosorb stabilizers broke (3.5%) and another three dislocated laterally...

  3. Advanced UV Absorbers for the Protection of Human Skin.

    Hüglin, Dietmar

    2016-01-01

    The increasing awareness of the damaging effects of UV radiation to human skin triggered the market introduction of new cosmetic UV absorbers. This article summarizes the outcome of a multi-year research program, in which the author contributed to the development of different new UV filters. First of all, the molecular design and the basic properties of bis-ethylhexyloxyphenol methoxyphenyl triazine (BEMT) will be presented. This oil-soluble filter, which today is widely used in both beach products and skin care products, exhibits inherent photostability and strong broad-spectrum UV-A+B absorbance. Based on the concept of micronized organic UV absorbers, the UV-B filter tris biphenyl triazine (TBPT) will be introduced. At present TBPT exhibits the highest efficacy of all cosmetic UV absorbers in the market (measured by area under the UV spectrum). Finally, the concept of liposomogenic UV absorbers will be featured. This approach was developed to create water-resistant UV filters, as liposomogenic structures are thought to integrate into the lipids of the horny layer. Due to prohibitively high costs, this technology did not result in a commercial product so far. PMID:27561611

  4. Associations between regional brain volumes at term-equivalent age and development at 2 years of age in preterm children

    Lind, Annika [Turku University Hospital, Department of Pediatrics, Turku (Finland); Aabo Akademi University, Department of Psychology, Turku (Finland); Parkkola, Riitta [University of Turku and Turku University Hospital, Department of Radiology and Turku PET Center, PO Box 52, Turku (Finland); Lehtonen, Liisa; Maunu, Jonna; Lapinleimu, Helena [University of Turku and Turku University Hospital, Department of Pediatrics, Turku (Finland); Munck, Petriina [Turku University Hospital, Department of Pediatrics, Turku (Finland); University of Turku, Department of Psychology, Turku (Finland); Haataja, Leena [University of Turku and Turku University Hospital, Department of Pediatric Neurology, Turku (Finland)

    2011-08-15

    Altered brain volumes and associations between volumes and developmental outcomes have been reported in prematurely born children. To assess which regional brain volumes are different in very low birth weight (VLBW) children without neurodevelopmental impairments ([NDI] cerebral palsy, hearing loss, blindness and significantly delayed cognitive performance) compared with VLBW children with NDI, and to evaluate the association between regional brain volumes at term-equivalent age and cognitive development and neurological performance at a corrected age of 2 years. The study group consisted of a regional cohort of 164 VLBW children, divided into one group of children without NDI (n = 148) and one group of children with NDI (n = 16). Brain (MRI) was performed at term-equivalent age, from which brain volumes were manually analysed. Cognitive development was assessed with the Bayley Scales of Infant Development II (BSID-II), and neurological performance with the Hammersmith Infant Neurological Examination at the corrected age of 2 years. The volumes of total brain tissue, cerebrum, frontal lobes, basal ganglia and thalami, and cerebellum were significantly smaller, and the volume of the ventricles significantly larger, in the children with NDI than in those without NDI. Even in children without NDI, a smaller cerebellar volume was significantly correlated with poor neurological performance at 2 years of corrected age. Volumetric analysis at brain MRI can provide an additional parameter for early prediction of outcome in VLBW children. (orig.)

  5. Associations between regional brain volumes at term-equivalent age and development at 2 years of age in preterm children

    Altered brain volumes and associations between volumes and developmental outcomes have been reported in prematurely born children. To assess which regional brain volumes are different in very low birth weight (VLBW) children without neurodevelopmental impairments ([NDI] cerebral palsy, hearing loss, blindness and significantly delayed cognitive performance) compared with VLBW children with NDI, and to evaluate the association between regional brain volumes at term-equivalent age and cognitive development and neurological performance at a corrected age of 2 years. The study group consisted of a regional cohort of 164 VLBW children, divided into one group of children without NDI (n = 148) and one group of children with NDI (n = 16). Brain (MRI) was performed at term-equivalent age, from which brain volumes were manually analysed. Cognitive development was assessed with the Bayley Scales of Infant Development II (BSID-II), and neurological performance with the Hammersmith Infant Neurological Examination at the corrected age of 2 years. The volumes of total brain tissue, cerebrum, frontal lobes, basal ganglia and thalami, and cerebellum were significantly smaller, and the volume of the ventricles significantly larger, in the children with NDI than in those without NDI. Even in children without NDI, a smaller cerebellar volume was significantly correlated with poor neurological performance at 2 years of corrected age. Volumetric analysis at brain MRI can provide an additional parameter for early prediction of outcome in VLBW children. (orig.)

  6. Insight into magnetorheological shock absorbers

    Gołdasz, Janusz

    2015-01-01

    This book deals with magnetorheological fluid theory, modeling and applications of automotive magnetorheological dampers. On the theoretical side a review of MR fluid compositions and key factors affecting the characteristics of these fluids is followed by a description of existing applications in the area of vibration isolation and flow-mode shock absorbers in particular. As a majority of existing magnetorheological devices operates in a so-called flow mode a critical review is carried out in that regard. Specifically, the authors highlight common configurations of flow-mode magnetorheological shock absorbers, or so-called MR dampers that have been considered by the automotive industry for controlled chassis applications. The authors focus on single-tube dampers utilizing a piston assembly with one coil or multiple coils and at least one annular flow channel in the piston.

  7. Optical trapping of absorbing particles

    Rubinsztein-Dunlop, H; Friese, M E J; Heckenberg, N R

    1998-01-01

    Radiation pressure forces in a focussed laser beam can be used to trap microscopic absorbing particles against a substrate. Calculations based on momentum transfer considerations show that stable trapping occurs before the beam waist, and that trapping is more effective with doughnut beams. Such doughnut beams can transfer angular momentum leading to rotation of the trapped particles. Energy is also transferred, which can result in heating of the particles to temperatures above the boiling point of the surrounding medium.

  8. Optical trapping of absorbing particles

    Rubinsztein-Dunlop, H.; Nieminen, T. A.; Friese, M. E. J.; Heckenberg, N R

    2003-01-01

    Radiation pressure forces in a focussed laser beam can be used to trap microscopic absorbing particles against a substrate. Calculations based on momentum transfer considerations show that stable trapping occurs before the beam waist, and that trapping is more effective with doughnut beams. Such doughnut beams can transfer angular momentum leading to rotation of the trapped particles. Energy is also transferred, which can result in heating of the particles to temperatures above the boiling po...

  9. Identifiable Data Files - Health Outcomes Survey (HOS)

    U.S. Department of Health & Human Services — The Medicare Health Outcomes Survey (HOS) identifiable data files are comprised of the entire national sample for a given 2-year cohort (including both respondents...

  10. Health Outcomes Survey - Limited Data Set

    U.S. Department of Health & Human Services — The Medicare Health Outcomes Survey (HOS) limited data sets (LDS) are comprised of the entire national sample for a given 2-year cohort (including both respondents...

  11. Fractional flow reserve versus angiography for guiding percutaneous coronary intervention in patients with multivessel coronary artery disease: 2-year follow-up of the FAME (Fractional Flow Reserve Versus Angiography for Multivessel Evaluation) study

    Pijls, Nico H J; Fearon, William F; Tonino, Pim A L;

    2010-01-01

    The purpose of this study was to investigate the 2-year outcome of percutaneous coronary intervention (PCI) guided by fractional flow reserve (FFR) in patients with multivessel coronary artery disease (CAD)....

  12. Glueing of solar absorbers; Solarabsorber kleben

    Berner, Joachim

    2012-04-20

    Bonding technologies in absorber fabrication are evolving. After soldering, ultrasonic welding and laser welding, glueing is the latest development. The Go Innovate AG company developed a process for glueing the most varied absorber materials.

  13. Predictors of remission and recovery in a first-episode schizophrenia spectrum disorder sample: 2-year follow-up of the OPUS trial

    2008-01-01

    OBJECTIVE: To examine the frequency and predictors of good outcome for patients with first-episode schizophrenia spectrum disorder (SSD). METHOD: We conducted a 2-year follow-up of a cohort of patients (n = 547) with first-episode SSD. We evaluated the patients on demographic variables, diagnosis...

  14. Efficacy Trial of a Selective Prevention Program Targeting Both Eating Disorders and Obesity among Female College Students: 1- and 2-Year Follow-Up Effects

    Stice, Eric; Rohde, Paul; Shaw, Heather; Marti, C. Nathan

    2013-01-01

    Objective: Evaluate the effects of a prevention program targeting both eating disorders and obesity at 1- and 2-year follow-ups. Method: Female college students at risk for these outcomes because of body image concerns (N = 398) were randomized to the "Healthy Weight 2" group-based 4-hr prevention program, which promotes lasting healthy…

  15. A 2-YEAR FOLLOW-UP OF BABIES ENROLLED IN A EUROPEAN MULTICENTER TRIAL OF PORCINE SURFACTANT REPLACEMENT FOR SEVERE NEONATAL RESPIRATORY-DISTRESS SYNDROME

    ROBERTSON, B; CURSTEDT, T; TUBMAN, R; STRAYER, D; BERGGREN, P; KOK, J; KOPPE, J; VANSONDEREN, L; HALLIDAY, H; MCCLURE, G; REID, M; OETEMO, SB; OKKEN, A; SPEER, C; SCHROTER, W; SVENNINGSEN, N; WALTI, H; RELIER, JP

    1992-01-01

    The postnatal growth, respiratory status and neurodevelopmental outcome of surviving babies enrolled in the first European multicentre trial of porcine surfactant (Curosurf) replacement for severe neonatal respiratory distress syndrome, were assessed at corrected ages of 1 and 2 years. Follow up rat

  16. Piezooptic effect of absorbing environment

    Ю. А. Рудяк

    2013-07-01

    Full Text Available Application of piezooptic effect of absorbing environment for the definition of the parameter of stress deformation state was examined. The analysis of dielectric permeability tensor of imaginary parts was done. It is shown that changes in the real part dielectric permeability tensor mainly the indicator of fracture was fixed by means of mechanics interference methods and the changes in the imaginary part (α – real rate of absorption can be measured by means of analysis of light absorption and thus stress deformation state can be determined

  17. 75 FR 76082 - Agency Information Collection; Gravesite Reservation Survey (2-Year) Activity Under OMB Review

    2010-12-07

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Agency Information Collection; Gravesite Reservation Survey (2- Year) Activity Under OMB Review... correspondence. SUPPLEMENTAL INFORMATION: Title: Gravesite Reservation Survey (2-Year), VA Form 40-40....

  18. Results from Over One Year of Follow-Up for Absorbable Mesh Insertion in Partial Mastectomy

    Koo, Min Young; Lee, Se Kyung; Hur, Sung Mo; Bae, Soo Youn; Choi, Min-Young; Cho, Dong Hui; Kim, Sangmin; Choe, Jun-Ho; Kim, Jung-Han; Kim, Jee Soo; Lee, Jeong Eon; Nam, Seok Jin; Yang, Jung-Hyun

    2011-01-01

    Purpose Recently, several clinicians have reported the advantages of simplicity and cosmetic satisfaction of absorbable mesh insertion. However, there is insufficient evidence regardint its long-term outcomes. We have investigated the surgical complications and postoperative examination from the oncologic viewpoint. Materials and Methods From February 2008 to March 2009, 34 breast cancer patients underwent curative surgery with absorbable mesh insertion in Samsung Medical Center. Patient char...

  19. The Suitability of Absorbable Mesh Insertion for Oncoplastic Breast Surgery in Patients with Breast Cancer Scheduled to Be Irradiated

    Kim, Taehyun; Cho, Heunglae

    2013-01-01

    Purpose The objective of this study was to investigate the influence of radiotherapy on the cosmetic outcome after immediate breast reconstruction using an absorbable mesh in breast cancer. Methods From July 2008 to July 2009, 35 breast cancer patients who received immediate breast reconstruction with absorbable mesh insertion at the time of breast conserving surgery followed by radiotherapy were retrospectively studied. Results In 91% of cases there was an excellent or good cosmetic outcome ...

  20. KINIK, Absorber Rod Calibration Kinetics

    1 - Description of program or function: KINIK is an inverse kinetic code that solves the inverse form of the point kinetic equations using the Runge-Kutta method. An optimization procedure is involved to control the time step and to reduce the running time. Up to 24 delayed neutron groups of different types (in case of heavy water as moderator or beryllium as reflector) are considered. KINIK is commonly applied to determine reactivity worths and to calibrate absorber rods. Following a rod drop, neutron flux or power is recorded as a function of time and used as input. 2 - Method of solution: The inverse point kinetic equations are numerically solved for each time step using the Runge-Kutta method. The input data resulting from measurements are first approximated by polynomials of maximum degree 10 using a least-squares approach

  1. Planar Metamaterial Absorber Based on Lumped Elements

    GU Chao; QU Shao-Bo; PEI Zhi-Bin; ZHOU Hang; XU Zhuo; BAI Peng; PENG Wei-Dong; LIN Bao-Qin

    2010-01-01

    @@ We present the design of a planar metamaterial absorber based on lumped elements,which shows a wide-band polarization-insensitive and wide-angle strong absorption.This absorber consists of metal electric resonators,the dielectric substrate,the metal film and lumped elements.The simulated absorbances under two different loss conditions indicate that high absorbance in the absorption band is mainly due to lumped resistances.The simulated absorbances under three different load conditions indicate that the local resonance circuit(lumped resistance and capacitance)could boost up the resonance of the whole RLC circuit.The simulated voltage in lumped elements indicates that the transformation efficiency from electromagnetic energy to electric energy in the absorption band is high,and electric energy is subsequently consumed by lumped resistances.This absorber may have potential applications in many military fields.

  2. 6-weekly bevacizumab versus 4-weekly ranibizumab for neovascular age-related macular degeneration: a 2-year outcome

    Patrick J Chiam; Vivian W Ho; Nicholas M Hickley; Venkat Kotamarthi

    2016-01-01

    AIM: To compare visual acuity and central macular thickness (CMT) changes in neovascular age related macular degeneration patients treated with either 6 weekly bevacizumab regimen or 4 weekly ranibizumab on an as required basis. METHODS: Patients made an informed choice between bevacizumab 1.25 mg or ranibizumab 0.5 mg. The selected treatment was administered in the first 3 visits. Bevacizumab patients were followed-up 6 weekly and ranibizumab 4 weekly. Retreatment criteria was based on th...

  3. 6-weekly bevacizumab versus 4-weekly ranibizumab for neovascular age-related macular degeneration: a 2-year outcome

    Patrick J Chiam

    2016-04-01

    Full Text Available AIM: To compare visual acuity and central macular thickness (CMT changes in neovascular age related macular degeneration patients treated with either 6 weekly bevacizumab regimen or 4 weekly ranibizumab on an as required basis. METHODS: Patients made an informed choice between bevacizumab 1.25 mg or ranibizumab 0.5 mg. The selected treatment was administered in the first 3 visits. Bevacizumab patients were followed-up 6 weekly and ranibizumab 4 weekly. Retreatment criteria was based on the reduction of >5 letters in the best-corrected visual acuity (BCVA, the presence of retinal fluid on optical coherence tomography (OCT or new retinal haemorrhage. RESULTS: Visual acuity at 2y bevacizumab patients gained 7.0 letters and ranibizumab 9.2 (P=0.31, 95% CI -6.4 to 2.0. At 2y 86% of bevacizumab and 94% ranibizumab patients had not lost 15 letters or more (P=0.13. Mean CMT decreased at 2y bevacizumab by 146 µm, ranibizumab 160 µm (P=0.72. Mean number of injections was at 2y bevacizumzb 11.9, ranibizumab 10.3 (P=0.023. CONCLUSION: Bevacizumab 6 weekly on an as required basis was not demonstrably non-inferior to ranibizumab 4 weekly pro re nata (prn in terms of BCVA and change in CMT. In the bevacizumab group, one more injection was required in the second year compared to the ranibizumab group.

  4. Multiband Negative Permittivity Metamaterials and Absorbers

    Yiran Tian

    2013-01-01

    Full Text Available Design and characteristics of multiband negative permittivity metamaterial and its absorber configuration are presented in this paper. The proposed multiband metamaterial is composed of a novel multibranch resonator which can possess four electric resonance frequencies. It is shown that, by controlling the length of the main branches of such resonator, the resonant frequencies and corresponding absorbing bands of metamaterial absorber can be shifted in a large frequency band.

  5. A Six-Fold Symmetric Metamaterial Absorber

    Humberto Fernández Álvarez

    2015-04-01

    Full Text Available A novel microwave metamaterial absorber design is introduced along with its manufacturing and characterization. Significant results considering both bandwidth and angular stability are achieved. Parametric analysis and simplified equivalent circuit are provided to give an insight on the key elements influencing the absorber performance. In addition, the constitutive parameters of the effective medium model are obtained and related to the absorber resonant behavior. Moreover, a new thinner and more flexible absorber version, preserving broad bandwidth and angular insensitive performance, is simulated, and an 8 × 8 unit-cells prototype is manufactured and measured for a limited angular margin in an anechoic chamber.

  6. Absorber rod for pebble-bed reactor

    The absorber rod that can be moved into the pebble bed from the top reflector is enclosed by a cladding tube which, if it is completely moved down, ends above the pebble bed and is open at the bottom. Through the cladding tube the absorber rod is cooled with gas. The cladding tube consists of e.g. boron steel. If the absorber rod is drawn it takes along the cladding tube which is moved into the guide tube like a telescope. The rigidity of that part of the absorber rod projecting from the pebble bed is thus guaranteed. (DG)

  7. Plasmonic titanium nitride nanostructures for perfect absorbers

    Guler, Urcan; Li, Wen-Wei; Kinsey, Nathaniel; Naik, Gururaj V.; Boltasseva, Alexandra; Guan, Jianguo; Kildishev, Alexander V.; Shalaev, Vladimir M.

    2013-01-01

    We propose a metamaterial based perfect absorber in the visible region, and investigate the performance of titanium nitride as an alternative plasmonic material. Numerical and experimental results reveal that titanium nitride performs better than gold as a plasmonic absorbing material.Renewable E......We propose a metamaterial based perfect absorber in the visible region, and investigate the performance of titanium nitride as an alternative plasmonic material. Numerical and experimental results reveal that titanium nitride performs better than gold as a plasmonic absorbing material...

  8. Metamaterial absorber with random dendritic cells

    Zhu, Weiren; Zhao, Xiaopeng

    2010-05-01

    The metamaterial absorber composed of random dendritic cells has been investigated at microwave frequencies. It is found that the absorptivities come to be weaker and the resonant frequency get red shift as the disordered states increasing, however, the random metamaterial absorber still presents high absorptivity more than 95%. The disordered structures can help understanding of the metamaterial absorber and may be employed for practical design of infrared metamaterial absorber, which may play important roles in collection of radiative heat energy and directional transfer enhancement.

  9. Device for absorbing mechanical shock

    This invention is a comparatively inexpensive but efficient shock-absorbing device having special application to the protection of shipping and storage cylinders. In a typical application, two of the devices are strapped to a cylinder to serve as saddle-type supports for the cylinder during storage and to protect the cylinder in the event it is dropped during lifting or lowering operations. In its preferred form, the invention includes a hardwood plank whose grain runs in the longitudinal direction. The basal portion of the plank is of solid cross-section, whereas the upper face of the plank is cut away to form a concave surface fittable against the sidewall of a storage cylinder. The concave surface is divided into a series of segments by transversely extending, throughgoing relief slots. A layer of elastomeric material is positioned on the concave face, the elastomer being extrudable into slots when pressed against the segments by a preselected pressure characteristic of a high-energy impact. The compressive, tensile, and shear properties of the hardwood and the elastomer are utilized in combination to provide a surprisingly high energy -absorption capability

  10. Absorbable Plate as a Perpendicular Strut for Acute Saddle Nose Deformities

    Deok Jung Kim

    2012-03-01

    Full Text Available Background Nasal pyramid fractures accompanied by saddle nose deformities are noteasily corrected by closed reduction. We used an absorbable plate as a perpendicular strut tosupport the collapsed “keystone area” and obtained good results.Methods Between September 2008 and June 2011, 18 patients who had nasal pyramidfractures with saddle nose deformities underwent surgery. Pre- and postoperative facialcomputed tomographic images and photographs were taken to estimate outcomes. Theoperative technique included the mucoperichondrial dissection of the nasal septum, insertionof an absorbable plate prepared to an appropriate length to support the “keystone area”, andfixation of the absorbable plate strut to the cartilaginous septum.Results Functional and esthetic outcomes were satisfactory in all patients. Eleven patientsassessed the postoperative appearance of the external nose as ‘markedly improved’ and 7patients as ‘improved’. The 5 surgeons scored the results as a mean of 4.5 on a 5-point scale.Conclusions The use of an absorbable plate as a perpendicular strut requires no additionalprocedures because the plate is gradually absorbed. The mechanical strength provided by abuttress between the “keystone area” and the maxillary crest lasts for a long time before thestrut is absorbed.

  11. [Absorbed doses in dental radiology].

    Bianchi, S D; Roccuzzo, M; Albrito, F; Ragona, R; Anglesio, S

    1996-01-01

    The growing use of dento-maxillo-facial radiographic examinations has been accompanied by the publication of a large number of studies on dosimetry. A thorough review of the literature is presented in this article. Most studies were carried out on tissue equivalent skull phantoms, while only a few were in vivo. The aim of the present study was to evaluate in vivo absorbed doses during Orthopantomography (OPT). Full Mouth Periapical Examination (FMPE) and Intraoral Tube Panoramic Radiography (ITPR). Measurements were made on 30 patients, reproducing clinical conditions, in 46 anatomical sites, with 24 intra- and 22 extra-oral thermoluminiscent dosimeters (TLDS). The highest doses were measured, in orthopantomography, at the right mandibular angle (1899 mu Gy) in FMPE on the right naso-labial fold (5640 mu Gy and in ITPR on the palatal surface of the left second upper molar (1936 mu Gy). Intraoral doses ranged from 21 mu Gy, in orthopantomography, to 4494 mu Gy in FMPE. Standard errors ranged from 142% in ITPR to 5% in orthopantomography. The highest rate of standard errors was found in FMPE and ITPR. The data collected in this trial are in agreement with others in major literature reports. Disagreements are probably due to different exam acquisition and data collections. Such differences, presented comparison in several sites, justify lower doses in FMPE and ITPR. Advantages and disadvantages of in vivo dosimetry of the maxillary region are discussed, the former being a close resemblance to clinical conditions of examination and the latter the impossibility of collecting values in depth of tissues. Finally, both ITPR and FMPE required lower doses than expected, and can be therefore reconsidered relative to their radiation risk. PMID:8966249

  12. Structured Metal Film as Perfect Absorber

    Xiong, Xiang; Jiang, Shang-Chi; Peng, Ru-Wen; Wang, Mu

    2014-03-01

    With standing U-shaped resonators, fish-spear-like resonator has been designed for the first time as the building block to assemble perfect absorbers. The samples have been fabricated with two-photon polymerization process and FTIR measurement results support the effectiveness of the perfect absorber design. In such a structure the polarization-dependent resonance occurs between the tines of the spears instead of the conventional design where the resonance occurs between the metallic layers separated by a dielectric interlayer. The incident light neither transmits nor reflects back which results in unit absorbance. The power of light is trapped between the tines of spears and finally be absorbed. The whole structure is covered with a continuous metallic layer with good thermo-conductance, which provides an excellent approach to deal with heat dissipation, is enlightening in exploring metamaterial absorbers.

  13. ANL Advanced Photon Source crotch absorber design

    The ANL 7-GeV Advanced Photon Source storage ring crotch absorber will be subjected to a very high photon loading power density, approximately 750 W/mm2 at normal incidence. To accommodate this high heat load, two designs were studied: one is a V-type compound angle absorber and the other is a horizontally rotated plate absorber. For both models, thermal and structural analyses have been carried out using 3-D finite element analysis. The analysis indicates that the V-type compound angle absorber controlled the peak temperatures effectively within the given geometric constraints. Test samples made of GlidCop AL 15 (alumina dispersion strengthened copper) were evaluated with an electron beam welder. The predicted and measured temperatures were in reasonable agreement. The overall absorber design includes a perforated screen in the positron beam area of the storage ring vacuum chamber to reduce RF impedance and to provide pumping access for the high local gas load

  14. Infantile Amnesia across the Years: A 2-Year Follow-Up of Children's Earliest Memories

    Peterson, Carole; Warren, Kelly L.; Short, Megan M.

    2011-01-01

    Although infantile amnesia has been investigated for many years in adults, only recently has it been investigated in children. This study was a 2-year follow-up and extension of an earlier study. Children (4-13 years old) were asked initially and 2 years later for their earliest 3 memories. At follow-up, their age at the time of these memories…

  15. Sleep Duration, but Not Insomnia, Predicts the 2-Year Course of Depressive and Anxiety Disorders

    van Mill, Josine G.; Vogelzangs, Nicole; van Someren, Eus J. W.; Hoogendijk, Witte J. G.; Penninx, Brenda W. J. H.

    2014-01-01

    Objective: To examine the predictive role of insomnia and sleep duration on the 2-year course of depressive and anxiety disorders. Method: This study is a secondary data analysis based on data from the baseline (2004-2007) and 2-year assessment of the Netherlands Study of Depression and Anxiety. Par

  16. Sleep duration, but not insomnia, predicts the 2-year course of depressive and anxiety disorders

    van Mill, Josine G; Vogelzangs, Nicole; van Someren, Eus J W; Hoogendijk, Witte J G; Penninx, Brenda W J H

    2014-01-01

    OBJECTIVE: To examine the predictive role of insomnia and sleep duration on the 2-year course of depressive and anxiety disorders. METHOD: This study is a secondary data analysis based on data from the baseline (2004-2007) and 2-year assessment of the Netherlands Study of Depression and Anxiety. Par

  17. Sleep duration, but not insomnia, predicts the 2-year course of depressive and anxiety disorders

    J. van Mill; N. Vogelzangs (Nicole); E.J.W. van Someren (Eus); W.J.G. Hoogendijk (Witte); B.W.J.H. Penninx (Brenda)

    2014-01-01

    textabstractObjective: To examine the predictive role of insomnia andsleep duration on the 2-year course of depressive andanxiety disorders. Method: This study is a secondary data analysis based ondata from the baseline (2004-2007) and 2-year assessmentof the Netherlands Study of Depression and Anxi

  18. Night-vision goggles for night-blind subjects : subjective evaluation after 2 years of use

    Hartong, D. T.; Kooijman, A. C.

    2006-01-01

    Purpose: To evaluate the usefulness of night-vision goggles (NVG) for night-blind subjects after 1 and 2 years of use. Methods: Eleven night-blind subjects with retinitis pigmentosa used NVG for a 2-year period. At the end of each year, they were requested to fill-in two questionnaires regarding the

  19. Method of absorbing UF6 from gaseous mixtures in alkamine absorbents

    A method is described for recovering UF6 from gaseous mixtures by absorption in a liquid. The liquid absorbent must have a relatively low viscosity and at least one component of the absorbent is an alkamine having less than 3 carbon atoms bonded to the amino nitrogen, less than 2 of the carbon atoms other than those bonded to the amino nitrogen are free of the hydroxy radical and precipitate the absorbed uranium from the absorbent. At least one component of the absorbent is chosen from the group consisting of ethanolamine, diethanolamine, and 3-methyl-3-amino-propane-diol-1,2

  20. Systematic review of absorbable vs non-absorbable sutures used for the closure of surgical incisions

    Muhammad; S; Sajid; Malcolm; R; Mc; Fall; Pauline; A; Whitehouse; Parv; S; Sains

    2014-01-01

    AIM: To report a systematic review of published randomized controlled trials(RCTs) investigating the role of absorbable suture(AS) against non-AS(NAS) used for the closure of surgical incisions.METHODS: RCTs investigating the use of AS vs NAS for the closure of surgical incisions were statistically analysed based upon the principles of meta-analysis and the summated outcomes were represented as OR.RESULTS: The systematic search of medical literature yielded 10 RCTs on 1354 patients. Prevalence of wound infection(OR = 0.97; 95%CI: 0.56, 1.69; Z = 0.11; P = 0.92) and operative morbidity(P = 0.45) was comparable in both groups. Nonetheless, the use of AS lead to lower risk of wound break-down(OR = 0.12; 95%CI: 0.04, 0.39; Z = 3.52; P < 0.0004).CONCLUSION: This meta-analysis of 10 RCTs demonstrates that the use of AS is similar to NAS for skin closure for surgical site infection and other operative morbidities. AS do not increase the risk of skin wound dehiscence,rather lead to a reduced risk of wound dehiscence compared to NAS.

  1. On the definition of absorbed dose

    Purpose: The quantity absorbed dose is used extensively in all areas concerning the interaction of ionizing radiation with biological organisms, as well as with matter in general. The most recent and authoritative definition of absorbed dose is given by the International Commission on Radiation Units and Measurements (ICRU) in ICRU Report 85. However, that definition is incomplete. The purpose of the present work is to give a rigorous definition of absorbed dose. Methods: Absorbed dose is defined in terms of the random variable specific energy imparted. A random variable is a mathematical function, and it cannot be defined without specifying its domain of definition which is a probability space. This is not done in report 85 by the ICRU, mentioned above. Results: In the present work a definition of a suitable probability space is given, so that a rigorous definition of absorbed dose is possible. This necessarily includes the specification of the experiment which the probability space describes. In this case this is an irradiation, which is specified by the initial particles released and by the material objects which can interact with the radiation. Some consequences are discussed. Specific energy imparted is defined for a volume, and the definition of absorbed dose as a point function involves the specific energy imparted for a small mass contained in a volume surrounding the point. A possible more precise definition of this volume is suggested and discussed. Conclusions: The importance of absorbed dose motivates a proper definition, and one is given in the present work. No rigorous definition has been presented before. - Highlights: • A stringent definition of absorbed dose is given. • This requires the definition of an irradiation and a suitable probability space. • A stringent definition is important for an understanding of the concept absorbed dose

  2. Estimation of Absorbed Dose in Occlusal Radiography

    The purpose of this study was to estimate absorbed dose of each important anatomic site of phantom (RT-210 Head and Neck Section R, Humanoid Systems Co., U.S.A.) head in occlusal radiography. X-radiation dosimetry at 12 anatomic sites in maxillary anterior topography, maxillary posterior topography, mandibular anterior cross-section, mandibular posterior cross-section, mandibular anterior topographic, mandibular posterior topographic occlusal projection was performed with calcium sulfate thermoluminescent dosimeters under 70 Kvp and 15 mA, 1/4 second (8 inch cone ) and 1 second (16 inch cone) exposure time. The results obtained were as follows: Skin surface produced highest absorbed dose ranged between 3264 mrad and 4073 mrad but there was little difference between projections. In maxillary anterior topographic occlusal radiography, eyeballs, maxillary sinuses, and pituitary gland sites produced higher absorbed doses than those of other sites. In maxillary posterior topographic occlusal radiography, exposed eyeball site and exposed maxillary sinus site produced high absorbed doses. In mandibular anterior cross-sectional occlusal radiography, all sites were produced relatively low absorbed dose except eyeball sites. In Mandibular posterior cross-sectional occlusal radiography, exposed eyeball site and exposed maxillary sinus site were produced relatively higher absorbed doses than other sites. In mandibular anterior topographic occlusal radiography, maxillary sinuses, submandibular glands, and thyroid gland sites produced high absorbed doses than other sites. In mandibular posterior topographic occlusal radiography, submandibular gland site of the exposed side produced high absorbed dose than other sites and eyeball site of the opposite side produced relatively high absorbed dose.

  3. Estimation of Absorbed Dose in Occlusal Radiography

    Yoo, Young Ah; Choi, Karp Shick [Dept. of Oral Radiology, College of Dentistry, Kyungpuk National University, Daegu (Korea, Republic of); Lee, Sang Han [Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Kyungpook National University, Daegu (Korea, Republic of)

    1990-02-15

    The purpose of this study was to estimate absorbed dose of each important anatomic site of phantom (RT-210 Head and Neck Section R, Humanoid Systems Co., U.S.A.) head in occlusal radiography. X-radiation dosimetry at 12 anatomic sites in maxillary anterior topography, maxillary posterior topography, mandibular anterior cross-section, mandibular posterior cross-section, mandibular anterior topographic, mandibular posterior topographic occlusal projection was performed with calcium sulfate thermoluminescent dosimeters under 70 Kvp and 15 mA, 1/4 second (8 inch cone) and 1 second (16 inch cone) exposure time. The results obtained were as follows: Skin surface produced highest absorbed dose ranged between 3264 mrad and 4073 mrad but there was little difference between projections. In maxillary anterior topographic occlusal radiography, eyeballs, maxillary sinuses, and pituitary gland sites produced higher absorbed doses than those of other sites. In maxillary posterior topographic occlusal radiography, exposed eyeball site and exposed maxillary sinus site produced high absorbed doses. In mandibular anterior cross-sectional occlusal radiography, all sites were produced relatively low absorbed dose except eyeball sites. In Mandibular posterior cross-sectional occlusal radiography, exposed eyeball site and exposed maxillary sinus site were produced relatively higher absorbed doses than other sites. In mandibular anterior topographic occlusal radiography, maxillary sinuses, submandibular glands, and thyroid gland sites produced high absorbed doses than other sites. In mandibular posterior topographic occlusal radiography, submandibular gland site of the exposed side produced high absorbed dose than other sites and eyeball site of the opposite side produced relatively high absorbed dose.

  4. CO2 Absorbing Capacity of MEA

    José I Huertas; Gomez, Martin D.; Nicolas Giraldo; Jessica Garzón

    2015-01-01

    We describe the use of a gas bubbler apparatus in which the gas phase is bubbled into a fixed amount of absorbent under standard conditions as a uniform procedure for determining the absorption capacity of solvents. The method was systematically applied to determine the CO2 absorbing capacity of MEA (Ac) at several aqueous MEA (β) and gas-phase CO2 concentrations. Ac approached the nominal CO2 absorbing capacity of MEA (720 g CO2/kg MEA) at very low β levels, increasing from 447.9±18.1 to 581...

  5. Graphene and Graphene Metamaterials for Terahertz Absorbers

    Andryieuski, Andrei; Pizzocchero, Filippo; Booth, Tim;

    2013-01-01

    Graphene, due to the possibility to tune its conductivity, is the promising material for a range of the terahertz (THz) applications, such as tunable reflectors, absorbers, modulators, filters and polarization converters. Subwavelength structuring of graphene in order to form metamaterials allows...... for even more control over the THz waves. In this poster presentation I will show an elegant way to describe the graphene metamaterials and the design of graphene based absorbers. I will also present our recent experimental results on the graphene absorbers characterization....

  6. Determination of absorbed dose in water

    This report describes the experimental work carried out for the determination of absorbed dose in water in the energy of X-rays generated at potentials of 100 kV to 250 kV. Two small cavity ionization chambers were used for this experiment. The results of these measurements were compared with the results obtained by using NPL Secondary Standard Therapy level X-ray exposure meter. The related problems of converting an exposure quantity into absorbed dose in water an absorbed dose in water have also been discussed. (Orig./A.B.)

  7. Development and study on vacuum absorber tubes

    Wang, Jun; Zhang, Yaoming [Southeast Univ., Hohai Univ., Nanjing (China); Liu, Deyou; An, cuicui [Hohai Univ., Nanjing (China)

    2008-07-01

    A new type solar vacuum absorber tube has been developed, and the tensile tests have shown the high reliability of the joint between the metal and glass of the vacuum absorber tube; the fatigue tests have indicated that the bellows of the vacuum absorber tube as well as the interface between the metal and glass can last for as long as 20 years; the weathering tests of the sample, have lasted for an entire year, which proves that the tube design is scientifically and reasonably devised. (orig.)

  8. Semiconductor saturable absorbers for ultrafast terahertz signals

    Hoffmann, Matthias C.; Turchinovich, Dmitry

    2010-01-01

    We demonstrate saturable absorber behavior of n-type semiconductors GaAs, GaP, and Ge in the terahertz THz frequency range at room temperature using nonlinear THz spectroscopy. The saturation mechanism is based on a decrease in electron conductivity of semiconductors at high electron momentum...... states, due to conduction band onparabolicity and scattering into satellite valleys in strong THz fields. Saturable absorber parameters, such as linear and nonsaturable transmission, and saturation fluence, are extracted by fits to a classic saturable absorber model. Further, we observe THz pulse...

  9. Absorbed dose by a CMOS in radiotherapy

    Borja H, C. G.; Valero L, C. Y.; Guzman G, K. A.; Banuelos F, A.; Hernandez D, V. M.; Vega C, H. R. [Universidad Autonoma de Zacatecas, Unidad Academica de Estudios Nucleares, Calle Cipres No. 10, Fracc. La Penuela, 98068 Zacatecas (Mexico); Paredes G, L. C., E-mail: candy_borja@hotmail.com [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)

    2011-10-15

    Absorbed dose by a complementary metal oxide semiconductor (CMOS) circuit as part of a pacemaker, has been estimated using Monte Carlo calculations. For a cancer patient who is a pacemaker carrier, scattered radiation could damage pacemaker CMOS circuits affecting patient's health. Absorbed dose in CMOS circuit due to scattered photons is too small and therefore is not the cause of failures in pacemakers, but neutron calculations shown an absorbed dose that could cause damage in CMOS due to neutron-hydrogen interactions. (Author)

  10. Design and application of functional absorbers

    WANG Jiqing

    2004-01-01

    This paper gives an overview of the research at Institute of Acoustics, Tongji University, on functional absorbers and experience acquired in practical applications over the past three decades. Experiments and analysis of the absorption characteristics of three different geometrical forms of functional absorbers, i.e., panels, cubes and tubes, were conducted with different arrangements. The resulting esthetical effects are illustrated with pictures. Several non-fiber materials are used to compose functional absorbers with advantages both in acoustic properties and in architectural features. Cost effectiveness analysis is also given in order to provide design guidelines.

  11. Prospective study of cognitive function in children receiving whole-brain radiotherapy and chemotherapy: 2-year results

    As survival rates have risen for children with malignant primary brain tumors, so has the concern that many survivors have significant permanent cognitive deficits. Cranial irradiation (CRT) has been implicated as the major cause for cognitive dysfunction. To clarify the etiology, incidence, and severity of intellectual compromise in children with brain tumors after CRT, a prospective study was undertaken comparing the neuropsychological outcome in 18 consecutive children with malignant brain tumors treated with CRT to outcome in 14 children harboring brain tumors in similar sites in the nervous system who had not received CRT. Children with cortical or subcortical brain tumors were not eligible for study. Neuropsychological testing was performed after surgery prior to radiotherapy, after radiotherapy, and at 1- and 2-year intervals thereafter. Children who had received CRT had a mean full-scale intelligence quotient (FSIQ) of 105 at diagnosis which fell to 91 by Year 2. Similar declines were noted in their performance intelligence quotient (IQ) and verbal IQ. After CRT, patients demonstrated a statistically significant decline from baseline in FSIQ (p less than 0.02) and verbal IQ (p less than 0.04). Children who had not received CRT did not demonstrate a fall in any cognitive parameter over time. The decline between baseline testing and testing performed at Year 2 in patients who had CRT was inversely correlated with age (p less than 0.02), as younger children demonstrated the greatest loss of intelligence. Children less than 7 years of age at diagnosis had a mean decline in FSIQ of 25 points 2 years posttreatment. No other clinical parameter correlated with the overall IQ or decline in IQ. After CRT, children demonstrated a wide range of dysfunction including deficits in fine motor, visual-motor, and visual-spatial skills and memory difficulties

  12. Study on buffering characteristics of hydraulic absorber

    Control rod hydraulic drive mechanism (CRHDM) is a new type of in-vessel control rod drive technology. Hydraulic absorber is one of the key parts of control rod hydraulic drive line. It is used to buffer control rod when the rod scrams to prevent the cross-blades of control rod from deformation and damage. Based on the working process of the hydraulic absorber, a theoretical model of the buffering process was established. Calculation results of the theoretical model agree well with the experiment results. The trend of pressure change in absorber cylinder, the displacement and velocity of the piston and buffering force during the buffering process were obtained from the calculation results of the theoretical model. Then influence parameters about cushioning characteristics were analyzed, which laid foundation for optimal design of the hydraulic absorber. (authors)

  13. Perfectly matched layer based multilayer absorbers

    Stefaniuk, Tomasz; Stolarek, Marcin; Pastuszczak, Anna; Wróbel, Piotr; Wieciech, Bartosz; Antosiewicz, Tomasz J.; Kotyński, Rafał

    2015-05-01

    Broadband layered absorbers are analysed theoretically and experimentally. A genetic algorithm is used to opti- mize broadband and wide-angle of incidence metal-dielectric layered absorbers. An approximate representation of the perfectly matched layer with a spatially varied absorption strength is discussed. The PML is realised as a stack of uniform and isotropic metamaterial layers with permittivieties and permeabilities given from the effective medium theory. This approximate representation of PML is based on the effective medium theory and we call it an effective medium PML (EM-PML).1 We compare the re ection properties of the layered absorbers to that of a PML material and demonstrate that after neglecting gain and magnetic properties, the absorber remains functional.

  14. An ultra-broadband multilayered graphene absorber

    Amin, Muhammad

    2013-01-01

    An ultra-broadband multilayered graphene absorber operating at terahertz (THz) frequencies is proposed. The absorber design makes use of three mechanisms: (i) The graphene layers are asymmetrically patterned to support higher order surface plasmon modes that destructively interfere with the dipolar mode and generate electromagnetically induced absorption. (ii) The patterned graphene layers biased at different gate voltages backedup with dielectric substrates are stacked on top of each other. The resulting absorber is polarization dependent but has an ultra-broadband of operation. (iii) Graphene\\'s damping factor is increased by lowering its electron mobility to 1000cm 2=Vs. Indeed, numerical experiments demonstrate that with only three layers, bandwidth of 90% absorption can be extended upto 7THz, which is drastically larger than only few THz of bandwidth that can be achieved with existing metallic/graphene absorbers. © 2013 Optical Society of America.

  15. Space Compatible Radar Absorbing Materials Project

    National Aeronautics and Space Administration — This SBIR Phase 1 project shall investigate novel radar absorbing materials (RAM) for use in space or simulated space environments. These materials are lightweight...

  16. Design of a magnetorheological automotive shock absorber

    Lindler, Jason E.; Dimock, Glen A.; Wereley, Norman M.

    2000-06-01

    Double adjustable shock absorbers allow for independent adjustment of the yield force and post-yield damping in the force versus velocity response. To emulate the performance of a conventional double adjustable shock absorber, a magnetorheological (MR) automotive shock absorber was designed and fabricated at the University of Maryland. Located in the piston head, an applied magnetic field between the core and flux return increases the force required for a given piston rod velocity. Between the core and flux return, two different shaped gaps meet the controllable performance requirements of a double adjustable shock. A uniform gap between the core and the flux return primarily adjusts the yield force of the shock absorber, while a non-uniform gap allows for control of the post-yield damping. Force measurements from sinusoidal displacement cycles, recorded on a mechanical damper dynamometer, validate the performance of uniform and non- uniform gaps for adjustment of the yield force and post-yield damping, respectively.

  17. FFTF absorber-pin performance verification test

    The FFTF (Fast Flux Test Facility) Absorber Pin Performance Verification Test - (HA006) is an irradiation test of neutron absorber pins with integral temperature and pressure monitoring instrumentation. The pins, containing boron carbide, are representative of the FFTF Row 3 Safety, Row 5 Control and Row 7 Fixed Shim Absorber Assemblies. In the 300 full power days (FPD) this test will reside in its 2610 Position in the reactor, it will generate test data that will be used to infer the effects of irradiation on the absorber assemblies it simulates. Design and fabrication of the test vehicle began in 1976 and the forty-foot test assembly was loaded in the FFTF on February 10, 1981. The test provided data in March 1981 during a series of natural circulation tests, and again in November 1981 during the eight-day full power run establishing base-line data

  18. Optically Modulated Multiband Terahertz Perfect Absorber

    Seren, Huseyin R.; Keiser, George R.; Cao, Lingyue;

    2014-01-01

    response of resonant metamaterials continues to be a challengingendeavor. Resonant perfect absorbers have flourished as one of the mostpromising metamaterial devices with applications ranging from power har-vesting to terahertz imaging. Here, an optically modulated resonant perfectabsorber is presented...

  19. Absorbing boundary conditions for linear gravity waves

    Dgaygui, Kebir; Joly, Patrick

    1992-01-01

    In this article, we construct, analyze and implement a family of absorbing boundary conditions for linear gravity waves in dimension 2. The main difficulty consists in taking into account the dispersive nature of these waves.

  20. Mucool Hydrogen Absorber R and D

    The Mucool hydrogen absorber program will be presented. An update of current projects will be described, and the next year's plan will be reviewed, along with efforts in collaboration with the Muon International Cooling Experiment

  1. Tuned mass absorber on a flexible structure

    Krenk, Steen; Høgsberg, Jan Becker

    2014-01-01

    The classic design of a tuned mass absorber is based on a simple two-mass analogy in which the tuned mass is connected to the structural mass with a spring and a viscous damper. In a flexible multi-degree-of-freedom structure the tuned mass absorber is typically introduced to provide damping of a...... specific mode. The motion of the point of attachment of the tuned mass absorber to the structure has not only a contribution from the targeted mode, but also a background contribution from other non-resonant modes. Similarly, the force provided by the tuned mass absorber is distributed between the targeted...... mode and the background modes. It is demonstrated how this effect can be included via a non-dimensional dynamic background flexibility coefficient, extracted from a classic modal analysis for the particular frequency of the selected mode. An explicit calibration procedure is developed starting with the...

  2. Many Kidney Transplant Patients Land in ER Within 2 Years: Study

    ... gov/medlineplus/news/fullstory_157959.html Many Kidney Transplant Patients Land in ER Within 2 Years: Study Findings show need to coordinate care after organ transplant, researcher says To use the sharing features on ...

  3. The Groningen assisted reproductive technologies cohort study : developmental status and behavior at 2 years

    Jongbloed-Pereboom, Marjolein; Middelburg, Karin J.; Heineman, Maas Jan; Bos, Arend F.; Hadders-Algra, Mijna

    2011-01-01

    Objective: To evaluate whether children's cognitive and psychomotor development and behavior at 2 years are affected by ovarian hyperstimulation and the IVF laboratory procedures or subfertility. Design: Prospective longitudinal cohort study. Setting: University Medical Center Groningen, the Netherl

  4. 75 FR 60172 - Proposed Information Collection (Gravesite Reservation Survey (2 Year)) Activity: Comment Request

    2010-09-29

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Proposed Information Collection (Gravesite Reservation Survey (2 Year)) Activity: Comment Request... Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the...

  5. 78 FR 68909 - Proposed Information Collection (Gravesite Reservation Survey (2 Year)) Activity: Comment Request

    2013-11-15

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Proposed Information Collection (Gravesite Reservation Survey (2 Year)) Activity: Comment Request... Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to publish notice in the...

  6. Graphene and Graphene Metamaterials for Terahertz Absorbers

    Andryieuski, Andrei; Pizzocchero, Filippo; Booth, Tim; BØGGILD, Peter

    2013-01-01

    Graphene, due to the possibility to tune its conductivity, is the promising material for a range of the terahertz (THz) applications, such as tunable reflectors, absorbers, modulators, filters and polarization converters. Subwavelength structuring of graphene in order to form metamaterials allows for even more control over the THz waves. In this poster presentation I will show an elegant way to describe the graphene metamaterials and the design of graphene based absorbers. I will also present...

  7. Motor simulation of a shock absorber

    Clancy, Brian

    1996-01-01

    The use of modern control theory to produce an electrical motor simulation of a Formula 1, Grand Pnx, passive motorcycle front suspension shock absorber is investigated. It is shown, using a test-rig comprising two permanent magnet DC motors directly coupled, that desired shock absorber responses to load forces can be achieved using model reference control. The controller feedback in this test rig is provided via a high resolution rotary position sensor. A stochastic Kalman filter is used to ...

  8. Semiconductor saturable absorbers for ultrafast THz signals

    Hoffmann, Matthias C.; Turchinovich, Dmitry

    We demonstrate saturable absorber behavior of n-type semiconductors in the THz frequency range using nonlinear THz spectroscopy. Further, we observe THz pulse shortening and increase of the group refractive index at high field strengths.......We demonstrate saturable absorber behavior of n-type semiconductors in the THz frequency range using nonlinear THz spectroscopy. Further, we observe THz pulse shortening and increase of the group refractive index at high field strengths....

  9. Directed percolation with an absorbing boundary

    Lauritsen, K. B.; K. Sneppen; Markosova, M.; Jensen, M. H.

    1997-01-01

    We consider directed percolation with an absorbing boundary in 1+1 and 2+1 dimensions. The distribution of cluster lifetimes and sizes depend on the boundary. The new scaling exponents can be related to the exponents characterizing standard directed percolation in 1+1 dimension. In addition, we investigate the backbone cluster and red bonds, and calculate the distribution of living sites along the absorbing boundary.

  10. Actual behaviour of a ball vibration absorber

    Pirner, Miroš

    2002-01-01

    Roč. 90, č. 8 (2002), s. 987-1005. ISSN 0167-6105 R&D Projects: GA ČR(CZ) GV103/96/K034 Institutional support: RVO:68378297 Keywords : TV towers * wind-excited vibrations * vibration absorbers * pendulum absorber Subject RIV: JM - Building Engineering Impact factor: 0.513, year: 2002 http://www.sciencedirect.com/science/article/pii/S0167610502002155#

  11. Progression of fibromyalgia: results from a 2-year observational fibromyalgia and chronic pain study in the US

    Adams, Edgar H; McElroy, Heather J; Udall, Margarita; Masters, Elizabeth T; Mann, Rachael M; Schaefer, Caroline P; Cappelleri, Joseph C; Clair, Andrew G; Hopps, Markay; Daniel, Shoshana R; Mease, Philip; Silverman, Stuart L; Staud, Roland

    2016-01-01

    Background A previous fibromyalgia (FM) research reports that 20%–47% of diagnosed patients may not meet the study definition of FM 1–2 years after diagnosis. The aim of this study was to gain a better understanding of the progression of FM in a geographically diverse cohort over a 2-year time period. Methods This cohort study followed 226 subjects recruited online to assess FM and chronic widespread pain (CWP) diagnosis stability over time. At enrollment (baseline), subjects provided informed consent, completed an online questionnaire consisting of the London Fibromyalgia Epidemiology Study Screening Questionnaire to screen for CWP (bilateral pain above/below waist lasting ≥1 week in the past 3 months), visited a site for physician evaluation for FM, and completed a questionnaire with validated patient-reported outcome instruments. Subjects were classified into mutually exclusive groups: FM+CWP+ (screened positive for CWP and received physician diagnosis of FM), FM−CWP+ (screened positive for CWP but did not receive physician diagnosis of FM), and FM−CWP− (screened negative for CWP). Approximately 2 years later (follow-up), subjects were reassessed at the same study site and completed a questionnaire with the same patient-reported outcomes. Results Seventy-six FM+CWP+ subjects completed assessments at both time points; 56 (73.7%) met the FM study definition at follow-up. Twenty subjects no longer met the FM study definition (eleven became FM−CWP− and nine became FM−CWP+). Ten subjects (two from FM−CWP− and eight from FM−CWP+) transitioned into the FM+CWP+ group at follow-up; they reported more tender points and pain interference with sleep and worse physical function at baseline compared with subjects who did not transition to FM+CWP+. Most (76.7%) of the subjects who transitioned into/out of FM+CWP+ experienced changes in CWP, number of positive tender points, or both. Conclusion The results suggest that some FM+CWP+ patients experience

  12. PREVALENCE AND AETIOLOGICAL FACTORS OF URINARY TRACT INFECTION IN FEBRILE CHILDREN 2 MONTHS TO 2 YEARS

    Mohammed, MR; Adarsh

    2016-01-01

    OBJECTIVES To determine the prevalence of urinary tract infection and etiological factors in recurrent urinary tract infections in febrile children, 2 months to 2 years of age. METHODS It was a hospital-based cross-sectional study conducted in the OPD of a tertiary care teaching hospital; 239 children between the ages of 2 months to 2 years with fever of more than 5 days were evaluated for UTI. Those who have >5 pus cells in urine analysis, urine culture was done....

  13. Myopia Control with a Novel Peripheral Gradient Soft Lens and Orthokeratology: A 2-Year Clinical Trial

    Jaime Pauné; Hari Morales; Jesús Armengol; Lluisa Quevedo; Miguel Faria-Ribeiro; González-Méijome, José M.

    2015-01-01

    Objective. To evaluate the degree of axial elongation with soft radial refractive gradient (SRRG) contact lenses, orthokeratology (OK), and single vision (SV) spectacle lenses (control) during a period of 1 year before treatment and 2 years after treatment. Methods. This was a prospective, longitudinal, nonrandomized study. The study groups consisted of 30, 29, and 41 children, respectively. The axial length (AL) was measured during 2 years after recruitment and lens fitting. Results. The bas...

  14. Adaptive Piezoelectric Absorber for Active Vibration Control

    Sven Herold

    2016-02-01

    Full Text Available Passive vibration control solutions are often limited to working reliably at one design point. Especially applied to lightweight structures, which tend to have unwanted vibration, active vibration control approaches can outperform passive solutions. To generate dynamic forces in a narrow frequency band, passive single-degree-of-freedom oscillators are frequently used as vibration absorbers and neutralizers. In order to respond to changes in system properties and/or the frequency of excitation forces, in this work, adaptive vibration compensation by a tunable piezoelectric vibration absorber is investigated. A special design containing piezoelectric stack actuators is used to cover a large tuning range for the natural frequency of the adaptive vibration absorber, while also the utilization as an active dynamic inertial mass actuator for active control concepts is possible, which can help to implement a broadband vibration control system. An analytical model is set up to derive general design rules for the system. An absorber prototype is set up and validated experimentally for both use cases of an adaptive vibration absorber and inertial mass actuator. Finally, the adaptive vibration control system is installed and tested with a basic truss structure in the laboratory, using both the possibility to adjust the properties of the absorber and active control.

  15. On the definition of absorbed dose

    Grusell, Erik

    2015-02-01

    Purpose: The quantity absorbed dose is used extensively in all areas concerning the interaction of ionizing radiation with biological organisms, as well as with matter in general. The most recent and authoritative definition of absorbed dose is given by the International Commission on Radiation Units and Measurements (ICRU) in ICRU Report 85. However, that definition is incomplete. The purpose of the present work is to give a rigorous definition of absorbed dose. Methods: Absorbed dose is defined in terms of the random variable specific energy imparted. A random variable is a mathematical function, and it cannot be defined without specifying its domain of definition which is a probability space. This is not done in report 85 by the ICRU, mentioned above. Results: In the present work a definition of a suitable probability space is given, so that a rigorous definition of absorbed dose is possible. This necessarily includes the specification of the experiment which the probability space describes. In this case this is an irradiation, which is specified by the initial particles released and by the material objects which can interact with the radiation. Some consequences are discussed. Specific energy imparted is defined for a volume, and the definition of absorbed dose as a point function involves the specific energy imparted for a small mass contained in a volume surrounding the point. A possible more precise definition of this volume is suggested and discussed. Conclusions: The importance of absorbed dose motivates a proper definition, and one is given in the present work. No rigorous definition has been presented before.

  16. Warm Absorber Diagnostics of AGN Dynamics

    Kallman, Timothy

    Warm absorbers and related phenomena are observable manifestations of outflows or winds from active galactic nuclei (AGN) that have great potential value. Understanding AGN outflows is important for explaining the mass budgets of the central accreting black hole, and also for understanding feedback and the apparent co-evolution of black holes and their host galaxies. In the X-ray band warm absorbers are observed as photoelectric absorption and resonance line scattering features in the 0.5-10 keV energy band; the UV band also shows resonance line absorption. Warm absorbers are common in low luminosity AGN and they have been extensively studied observationally. They may play an important role in AGN feedback, regulating the net accretion onto the black hole and providing mechanical energy to the surroundings. However, fundamental properties of the warm absorbers are not known: What is the mechanism which drives the outflow?; what is the gas density in the flow and the geometrical distribution of the outflow?; what is the explanation for the apparent relation between warm absorbers and the surprising quasi-relativistic 'ultrafast outflows' (UFOs)? We propose a focused set of model calculations that are aimed at synthesizing observable properties of warm absorber flows and associated quantities. These will be used to explore various scenarios for warm absorber dynamics in order to answer the questions in the previous paragraph. The guiding principle will be to examine as wide a range as possible of warm absorber driving mechanisms, geometry and other properties, but with as careful consideration as possible to physical consistency. We will build on our previous work, which was a systematic campaign for testing important class of scenarios for driving the outflows. We have developed a set of tools that are unique and well suited for dynamical calculations including radiation in this context. We also have state-of-the-art tools for generating synthetic spectra, which are

  17. ANL Advanced Photon Source crotch absorber design

    The ANL 7-GeV Advanced Photon Source storage ring crotch absorber will be subjected to a very high photon loading power density, approximately 750 W/mm2 at normal incidence. To accommodate this high heat load, two designs were studied: one is a V-type compound angle absorber and the other is a horizontally rotated plate absorber. For both models, thermal and structural analyses have been carried out using 3-D finite element analysis. The analysis indicates that the V-type compound angle absorber controlled the peak temperatures effectively within the given geometric constraints. Test samples made of GlidCop Al 15 (alumina dispersion strengthened copper) were evaluated with an electron beam welder. The predicted and measured temperatures were in reasonable agreement. The overall absorber design includes a perforated screen in the positron beam area of the storage ring vacuum chamber to reduce rf impedance and to provide pumping access for the high local gas load. 3 refs., 4 figs., 2 tabs

  18. An absorbable thread suture technique to treat snoring.

    Kwon, Jang-Woo; Kong, Tae-Hoon; Ha, Tae-Hyoung; Park, Dong-Joon

    2016-05-01

    We investigated a novel, minimally invasive surgery that uses an absorbable suture technique to treat snoring and mild obstructive sleep apnea. This simple procedure was developed to increase the stiffness of the soft palate and to promote uvula elevation with sutures. Thirty-five snorer and mild obstructive sleep apnea syndrome patients were included in this study. The palate was sutured with the newly developed technique. The results of our surgery were evaluated using polysomnography (PSG), the Epworth sleepiness scale (ESS), and a visual analogue scale (VAS) before surgery and 90 days after surgery. One year after surgery, telephone interviews were performed to assess patient satisfaction. Postoperative physical examinations of all patients showed increased stiffness of the soft palate and superiorly displaced uvula. These findings were consistent after the postoperative day 90. The patients' snoring symptoms and their bed partners' complaints, assessed by ESS and VAS, significantly improved compared to the pre-treatment value (p PSG, was significantly improved compared to the pre-treatment value (p < 0.05). Based on the results from the telephone interviews analyzed 1 year after surgery, about 88 % of patients were satisfied with the outcome. This minimally invasive snoreplasty that uses absorbable suture material is an effective and simple procedure for treating snoring and mild obstructive sleep apnea. PMID:26162452

  19. Circular polarization sensitive absorbers based on graphene

    Yang, Kunpeng; Wang, Min; Pu, Mingbo; Wu, Xiaoyu; Gao, Hui; Hu, Chenggang; Luo, Xiangang

    2016-01-01

    It is well known that the polarization of a linearly polarized (LP) light would rotate after passing through a single layer graphene under the bias of a perpendicular magnetostatic field. Here we show that a corresponding phase shift could be expected for circularly polarized (CP) light, which can be engineered to design the circular polarization sensitive devices. We theoretically validate that an ultrathin graphene-based absorber with the thickness about λ/76 can be obtained, which shows efficient absorption >90% within incident angles of ±80°. The angle-independent phase shift produced by the graphene is responsible for the nearly omnidirectional absorber. Furthermore, a broadband absorber in frequencies ranging from 2.343 to 5.885 THz with absorption over 90% is designed by engineering the dispersion of graphene. PMID:27034257

  20. A Dynamic Absorber With Active Vibration Control

    Huang, S.-J.; Lian, R.-J.

    1994-12-01

    The design and construction of a dynamic absorber incorporating active vibration control is described. The absorber is a two-degrees-of-freedom spring — lumped mass system sliding on a guide pillar, with two internal vibration disturbance sources. Both the main mass and the secondary absorber mass are acted on by DC servo motors, respectively, to suppress the vibration amplitude. The state variable technique is used to model this dynamic system and a decoupling PID control method is used. First, the discrete time state space model is identified by using the commercial software MATLAB. Then the decoupling controller of this multi-input/multi-output system is derived from the identified model. Finally the results of some experiments are presented. The experimental results show that the system is effective in suppressing vibration. Also, the performance of this control strategy for position tracking control is evaluated based on experimental data.

  1. Ferrite HOM Absorber for the RHIC ERL

    Hahn,H.; Choi, E.M.; Hammons, L.

    2008-10-01

    A superconducting Energy Recovery Linac is under construction at Brookhaven National Laboratory to serve as test bed for RHIC upgrades. The damping of higher-order modes in the superconducting five-cell cavity for the Energy-Recovery linac at RHIC is performed exclusively by two ferrite absorbers. The ferrite properties have been measured in ferrite-loaded pill box cavities resulting in the permeability values given by a first-order Debye model for the tiled absorber structure and an equivalent permeability value for computer simulations with solid ring dampers. Measured and simulated results for the higher-order modes in the prototype copper cavity are discussed. First room-temperature measurements of the finished niobium cavity are presented which confirm the effective damping of higher-order modes in the ERL. by the ferrite absorbers.

  2. Tribology Aspect of Rubber Shock Absorbers Development

    M. Banić

    2013-09-01

    Full Text Available Rubber is a very flexible material with many desirable properties Which enable its broad use in engineering practice. Rubber or rubber-metal springs are widely used as anti-vibration or anti-shock components in technical systems. Rubber-metal springs are usually realized as a bonded assembly, however especially in shock absorbers, it is possible to realize free contacts between rubber and metal parts. In previous research it authors was observed that friction between rubber and metal in such case have a significant influence on the damping characteristics of shock absorber. This paper analyzes the development process of rubber or rubber-metal shock absorbers realized free contacts between the constitutive parts, starting from the design, construction, testing and operation, with special emphasis on the development of rubber-metal springs for the buffing and draw gear of railway vehicles.

  3. Absorber Materials at Room and Cryogenic Temperatures

    We recently reported on investigations of RF absorber materials at cryogenic temperatures conducted at Jefferson Laboratory (JLab). The work was initiated to find a replacement material for the 2 Kelvin low power waveguide Higher Order Mode (HOM) absorbers employed within the original cavity cryomodules of the Continuous Electron Beam Accelerator Facility (CEBAF). This effort eventually led to suitable candidates as reported in this paper. Furthermore, though constrained by small funds for labor and resources, we have analyzed a variety of lossy ceramic materials, several of which could be usable as HOM absorbers for both normal conducting and superconducting RF structures, e.g. as loads in cavity waveguides and beam tubes either at room or cryogenic temperatures and, depending on cooling measures, low to high operational power levels.

  4. Design and fabrication of magnetic shock absorber

    S. Gopinath

    2014-03-01

    Full Text Available In a vehicle, shock absorber reduces the effect of travelling over rough ground, without shock absorber the vehicle would have a bouncing ride, as an energy is stored in the spring and then released to the vehicle, possibly exceeding the allow range of suspension movement [1]. Control of excessive suspension movement without shock absorption requires stiffer springs, which would intern gives a harsh ride. Shock absorber allows the use of soft springs while controlling the rate of suspension movement in response to bumps [2]. In this project a new suspension system based on magnetic power which can be used in automobile in future. The suspension system consists of magnets freely moving inside the cylinder with their same poles facing each other. Since the magnetic poles repel each other while moving closer, the up and down spring action is obtained.   Keywords: Suspension System, Magnetic Power, Magnetic Poles.

  5. Broadband plasmonic absorber for photonic integrated circuits

    Xiong, Xiao; Ren, Xi-Feng; Guo, Guang-Can

    2013-01-01

    The loss of surface plasmon polaritons has long been considered as a fatal shortcoming in information transport. Here we propose a plasmonic absorber utilizing this "shortcoming" to absorb the stray light in photonic integrated circuits (PICs). Based on adiabatic mode evolution, its performance is insensitive to incident wavelength with bandwidth larger than 300nm, and robust against surrounding environment and temperature. Besides, the use of metal enables it to be very compact and beneficial to thermal dissipation. With this 40um-long absorber, the absorption efficiency can be over 99.8% at 1550nm, with both the reflectivity and transmittance of incident light reduced to less than 0.1%. Such device may find various applications in PICs, to eliminate the residual strong pump laser or stray light.

  6. On the warm absorber in AGN outflow

    Adhikari, T P; Sobolewska, M; Czerny, B

    2016-01-01

    Warm absorber (WA) is an ionised gas present in the line of sight to the AGN central engine. The effect of the absorber is imprinted in the absorption lines observed in X-ray spectra of AGN. In this work, we model the WA in Seyfert 1 galaxy Mrk 509 using its recently published shape of broad band spectral energy distribution (SED) as a continuum illuminating the absorber. Using the photoionization code {\\sc Titan}, recently we have shown that the absorption measure distribution (AMD) found for this object can be successfully modelled as a single slab of gas in total pressure (radiation+gas) equilibrium, contrary to the usual models of constant density multiple slabs. We discuss the transmitted spectrum that would be recorded by an observer after the radiation from the nucleus passes through the WA.

  7. A Novel Burnable Absorber Concept for PWR: BigT (Burnable Absorber-Integrated Guide Thimble)

    This paper presents the essential BigT design concepts and its lattice neutronic characteristics. Neutronic performance of a newly-proposed BA concept for PWR named BigT is investigated in this study. Preliminary lattice analyses of the BigT absorber-loaded WH 17x17 fuel assembly show a high potential of the concept as it performs relatively well in comparison with commercial burnable absorber technologies, especially in managing reactivity depletion and peaking factor. A sufficiently high control rod worth can still be obtained with the BigT absorbers in place. It is expected that with such performance and design flexibilities, any loading pattern and core management objective, including a soluble boron-free PWR, can potentially be fulfilled with the BigT absorbers. Future study involving full 3D reactor core simulations with the BigT absorbers shall hopefully verify this hypothesis. A new burnable absorber design for Pressurized Water Reactor (PWR) named 'Burnable absorber-Integrated control rod Guide Thimble' (BigT) was recently proposed. Unlike conventional burnable absorber (BA) technologies, the BigT integrates BA materials directly into the guide thimble but still allows insertion of control rod (CR). In addition, the BigT offers a variety of design flexibilities such that any loading pattern and core management objective can potentially be fulfilled

  8. A Novel Burnable Absorber Concept for PWR: BigT (Burnable Absorber-Integrated Guide Thimble)

    Yahya, Mohdsyukri; Kim, Yonghee [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of); Chung, Chang Kyu [KEPCO Engineering and Construction Company, Daejeon (Korea, Republic of)

    2014-05-15

    This paper presents the essential BigT design concepts and its lattice neutronic characteristics. Neutronic performance of a newly-proposed BA concept for PWR named BigT is investigated in this study. Preliminary lattice analyses of the BigT absorber-loaded WH 17x17 fuel assembly show a high potential of the concept as it performs relatively well in comparison with commercial burnable absorber technologies, especially in managing reactivity depletion and peaking factor. A sufficiently high control rod worth can still be obtained with the BigT absorbers in place. It is expected that with such performance and design flexibilities, any loading pattern and core management objective, including a soluble boron-free PWR, can potentially be fulfilled with the BigT absorbers. Future study involving full 3D reactor core simulations with the BigT absorbers shall hopefully verify this hypothesis. A new burnable absorber design for Pressurized Water Reactor (PWR) named 'Burnable absorber-Integrated control rod Guide Thimble' (BigT) was recently proposed. Unlike conventional burnable absorber (BA) technologies, the BigT integrates BA materials directly into the guide thimble but still allows insertion of control rod (CR). In addition, the BigT offers a variety of design flexibilities such that any loading pattern and core management objective can potentially be fulfilled.

  9. PT-symmetric laser-absorber

    Longhi, Stefano

    2010-01-01

    In a recent work, Y.D. Chong et al. [Phys. Rev. Lett. {\\bf 105}, 053901 (2010)] proposed the idea of a coherent perfect absorber (CPA) as the time-reversed counterpart of a laser, in which a purely incoming radiation pattern is completely absorbed by a lossy medium. The optical medium that realizes CPA is obtained by reversing the gain with absorption, and thus it generally differs from the lasing medium. Here it is shown that a laser with an optical medium that satisfies the parity-time $(\\m...

  10. LINEAR MODEL FOR NON ISOSCELES ABSORBERS

    Previous analyses have assumed that wedge absorbers are triangularly shaped with equal angles for the two faces. In this case, to linear order, the energy loss depends only on the position in the direction of the face tilt, and is independent of the incoming angle. One can instead construct an absorber with entrance and exit faces facing rather general directions. In this case, the energy loss can depend on both the position and the angle of the particle in question. This paper demonstrates that and computes the effect to linear order

  11. The MIRD method of estimating absorbed dose

    Weber, D.A.

    1991-01-01

    The estimate of absorbed radiation dose from internal emitters provides the information required to assess the radiation risk associated with the administration of radiopharmaceuticals for medical applications. The MIRD (Medical Internal Radiation Dose) system of dose calculation provides a systematic approach to combining the biologic distribution data and clearance data of radiopharmaceuticals and the physical properties of radionuclides to obtain dose estimates. This tutorial presents a review of the MIRD schema, the derivation of the equations used to calculate absorbed dose, and shows how the MIRD schema can be applied to estimate dose from radiopharmaceuticals used in nuclear medicine.

  12. Concomitant NSAID use during antipsychotic treatment and risk of 2-year relapse - a population-based study of 16,253 incident patients with schizophrenia

    Köhler, Karl Ole; Petersen, Liselotte; Benros, Michael Eriksen; Mors, Ole; Gasse, Christiane

    OBJECTIVE: Clinical trials have indicated antipsychotic effects of non-steroidal anti-inflammatory drugs (NSAIDs) among incident patients with schizophrenia. We aimed to study, in a population-based setting, whether concomitant use of NSAIDs or paracetamol, changed 2-year relapse risk for...... schizophrenia. METHODS: We identified all incident patients with schizophrenia in Denmark diagnosed 1996-2012 initiating antipsychotic treatment within the year after diagnosis. We calculated concomitant treatment intervals for antipsychotic and NSAID or paracetamol use. Hazard rate ratios (HRR) were estimated...... using Cox regression adjusted for important covariates. MAIN OUTCOME MEASURES: 2-year relapse, i.e. (re)-hospitalizations with schizophrenia. RESULTS: Among 16,235 incident patients with schizophrenia using antipsychotics, 1480 (9.1%) used NSAIDs and 767 (4.7%) paracetamol. Concomitant use of NSAIDs was...

  13. Myopia Control with a Novel Peripheral Gradient Soft Lens and Orthokeratology: A 2-Year Clinical Trial

    Jaime Pauné

    2015-01-01

    Full Text Available Objective. To evaluate the degree of axial elongation with soft radial refractive gradient (SRRG contact lenses, orthokeratology (OK, and single vision (SV spectacle lenses (control during a period of 1 year before treatment and 2 years after treatment. Methods. This was a prospective, longitudinal, nonrandomized study. The study groups consisted of 30, 29, and 41 children, respectively. The axial length (AL was measured during 2 years after recruitment and lens fitting. Results. The baseline refractive sphere was correlated significantly (Spearman’s Rho (ρ correlation = 0.542; P < 0.0001 with the amount of myopia progression before baseline. After 2 years, the mean myopia progression values for the SRRG, OK, and SV groups were −0.56 ± 0.51, −0.32 ± 0.53, and −0.98 ± 0.58 diopter, respectively. The results represent reductions in myopic progression of 43% and 67% for the SRRG and OK groups, respectively, compared to the SV group. The AL increased 27% and 38% less in the SRRG and OK groups, respectively compared with the SV group at the 2-year visit (P < 0.05. Axial elongation was not significantly different between SRRG and OK (P = 0.430. Conclusion. The SRRG lens significantly decreased AL elongation compared to the SV control group. The SRRG lens was similarly effective to OK in preventing myopia progression in myopic children and adolescent.

  14. How Joint Attention Relates to Cooperation in 1- and 2-Year-Olds

    Wu, Zhen; Pan, Jingtong; Su, Yanjie; Gros-Louis, Julie

    2013-01-01

    Joint attention has been suggested to contribute to children's development of cooperation; however, few empirical studies have directly tested this hypothesis. Children aged 1 and 2 years participated in two joint action activities to assess their cooperation with an adult partner, who stopped participating at a specific moment during the…

  15. 2 years versus 1 year of adjuvant trastuzumab for HER2-positive breast cancer (HERA)

    Goldhirsch, Aron; Gelber, Richard D; Piccart-Gebhart, Martine J;

    2013-01-01

    Trastuzumab has established efficacy against breast cancer with overexpression or amplification of the HER2 oncogene. The standard of care is 1 year of adjuvant trastuzumab, but the optimum duration of treatment is unknown. We compared 2 years of treatment with trastuzumab with 1 year of treatmen...

  16. PSYCHOSOCIAL EFFECTS OF 2 YEARS OF HUMAN GROWTH-HORMONE TREATMENT IN TURNER SYNDROME

    SLIJPER, FME; SINNEMA, G; AKKERHUIS, GW; BRUGMANBOEZEMAN, A; FEENSTRA, J; DENHARTOG, L; HEUVEL, F

    1993-01-01

    Thirty-eight girls with Turner syndrome were treated for 2 years with human growth hormone. Both parents and patients carried out assessments of the effects of treatment on various aspects of psychosocial functioning. The children used the Piers-Harris Self-Concept Scale and the Social Anxiety Scale

  17. Complete paroxysmal atrioventricular block in a 2-year-old girl

    Holst, Line Marie; Dixen, Ulrik; Jeppesen, Dorthe L

    2015-01-01

    We present a case of atypical syncope in a 2-year-old, otherwise healthy girl. The patient presented with three episodes of syncope without any precipitating factors and no family history of sudden unexpected death. Holter monitoring revealed 24 events of complete atrioventricular block lasting up...

  18. Mesenteric teratoma associated with acute perforated appendicitis in a 2-year-old girl

    Jihoon Jang

    2016-07-01

    Full Text Available Mesenteric teratoma is a rare tumor, with few cases reported in the literature. Because mesenteric teratomas have no specific signs or symptoms, their clinical manifestations depend on their size and location. This report describes a mesenteric teratoma associated with acute perforated appendicitis in a 2-year-old girl who presented with abdominal pain and high grade fever.

  19. 7 CFR 25.403. - Ongoing 2-year work plan requirement.

    2010-01-01

    ... 25.403. Agriculture Office of the Secretary of Agriculture RURAL EMPOWERMENT ZONES AND ENTERPRISE COMMUNITIES Post-Designation Requirements § 25.403. Ongoing 2-year work plan requirement. (a) Each Empowerment... conditional upon the designation of the community as an Empowerment Zone; and (iv) Documentation...

  20. Clustering of Dietary Intake and Sedentary Behavior in 2-Year-Old Children

    Gubbels, J.S.; Kremers, S.P.J.; Stafleu, A.; Dagnelie, P.C.; Vries, S.I.de; Vries, N.K.de; Thijs, C.

    2009-01-01

    Objective: To examine clustering of energy balance-related behaviors (EBRBs) in young children. This is crucial because lifestyle habits are formed at an early age and track in later life. This study is the first to examine EBRB clustering in children as young as 2 years. Study design: Cross-section

  1. MRI findings of an intermuscular lipoma in a 2-year-old

    Grandbois, Lindsey; Vade, Aruna; Lim-Dunham, Jennifer [Loyola University Medical Center, Department of Radiology, Maywood, IL (United States); Al-Masri, Hytham [Mount Sinai Hospital, Department of Pathology, Chicago, IL (United States)

    2006-09-15

    We report the MRI findings of a large deep intermuscular lipoma in a 2-year-old child with a painless palpable shoulder mass, and its differentiation from liposarcoma and other soft-tissue masses. To our knowledge, the imaging features of deep lipomas in children have not been reported. (orig.)

  2. Administration of high-dose interleukin-2 in a 2-year-old with metastatic melanoma.

    Bernhardt, M Brooke; Hicks, M John; Pappo, Alberto S

    2009-12-15

    Malignant melanoma is rare in pediatrics, and therapies for patients with disseminated disease have not been well studied. This report describes our experience with the use of high-dose interleukin 2 (aldesleukin, IL-2) in a 2-year-old child with metastatic melanoma and describes our approach for the administration of this agent to young patients. PMID:19731326

  3. Results of 2-year vitamin B treatment on cognitive performance: Secondary data from an RCT

    Zwaluw, N.L. van der; Dhonukshe-Rutten, R.A.M.; Wijngaarden, J.P. van; Brouwer-Brolsma, E.M.; Rest, O. van de; Veld, P.H. In 't; Enneman, A.W.; Dijk, S.C. van; Ham, A.C. van der; Swart, K.M.; Velde, N. van der; Schoor, N.M. van; Cammen, T.J.M. van der; Uitterlinden, A.G.; Lips, P.; Kessels, R.P.C.; Groot, L.C.P.G.M. de

    2014-01-01

    OBJECTIVE: We investigated the effects of 2-year folic acid and vitamin B12 supplementation on cognitive performance in elderly people with elevated homocysteine (Hcy) levels. METHODS: This multicenter, double-blind, randomized, placebo-controlled trial included 2,919 elderly participants (65 years

  4. Results of 2-year vitamin B treatment on cognitive performance Secondary data from an RCT

    Zwaluw, N.L. van der; Dhonukshe-Rutten, R.A.M.; Wijngaarden, J.P. van; Brouwer-Brolsma, E.M.; Rest, O. van de; Veld, P.H. in 't; Enneman, A.W.; Dijk, S.C. van; Ham, A.C.; Swart, K.M.A.; Velde, N. van der; Schoor, N.M. van; Cammen, T.J.M. van der; Uitterlinden, A.G.; Lips, P.J.; Kessels, R.P.C.; Groot, L.C.P.G.M. de

    2014-01-01

    Objective: We investigated the effects of 2-year folic acid and vitamin B-12 supplementation on cognitive performance in elderly people with elevated homocysteine (Hcy) levels. Methods: This multicenter, double-blind, randomized, placebo-controlled trial included 2,919 elderly participants (65 years

  5. Sexual Identity, Attractions, and Behavior among Young Sexual-Minority Women over a 2-Year Period.

    Diamond, Lisa M.

    2000-01-01

    Examined sexual identities, attractions, and behaviors of sexual-minority women in 2-year follow-up of women first interviewed at 16-23 years. Found half the participants had changed sexual-minority orientations more than once; one- third changed identities since the first interview. Found changes in sexual attractions were larger among bisexuals…

  6. Environmental NO2 level is associated with 2-year mortality in patients undergoing peritoneal dialysis.

    Lin, Jui-Hsiang; Yen, Tzung-Hai; Weng, Cheng-Hao; Huang, Wen-Hung

    2015-01-01

    An ongoing issue related to global urbanization is the association of air pollution with increased incidences of morbidity and mortality. However, no in-depth study has investigated this issue focusing on peritoneal dialysis (PD) patients. Therefore, this study assessed the effects of traffic-related air pollutants and other important mortality-associated factors on 2-year mortality in PD patients.A total of 160 PD patients were recruited in this 2-year retrospective observational study. Differences in air quality were analyzed with respect to the patients' living areas. The PD patients were categorized into 2 groups according to high (n = 65) and low (n = 95) nitrogen dioxide (NO2) exposure. Demographic, hematological, nutritional, inflammatory, biochemical, air pollutants, and dialysis-related data were analyzed. Univariate and multivariate Cox regression analyses were used for 2-year mortality analysis.A total of 160 PD patients (38 men and 122 women) were enrolled. Fourteen patients (8.8%) died within 2 years; among them, the causes of death were infection (n = 10), malignancy (n = 1), and cardiovascular events (n = 3). Among the 10 patients who died from infection, 5, 4, and 1 died from pneumonia, PD-related peritonitis, and sepsis of unknown origin, respectively. All patients who died from pneumonia were living in high environmental NO2 exposure areas. Multivariate Cox regression analysis showed that age (hazard ratio [HR] 1.073, 95% confidence interval [CI] [1.013-1.137]; P = 0.017), white blood cell count (HR 1.41, 95% CI [1.116-1.781]; P = 0.004), log normalized protein nitrogen appearance (HR 0.0001, 95% CI [0-0.073]; P = 0.005), high cardiothoracic ratio (HR 14.28, 95% CI [1.778-114.706]; P = 0.012), and high environmental NO2 exposure (HR 3.776, 95% CI [1.143-12.47]; P = 0.029) were significantly associated with 2-year mortality.PD patients with high environmental NO2 exposure had a higher 2-year mortality rate

  7. Technology and assessment of neutron absorbing materials

    The present review assesses more recent developments in the technology and application of those absorber materials which are considered to be established or to have shown potential in reactor control. Emphasis is placed on physical, chemical and metallurgical properties and upon irradiation behaviour. (author)

  8. Can polar bear hairs absorb environmental energy?

    He Ji-Huan

    2011-01-01

    Full Text Available A polar bear (Ursus maritimus has superior ability to survive in harsh Arctic regions, why does the animal have such an excellent thermal protection? The present paper finds that the unique labyrinth cavity structure of the polar bear hair plays an important role. The hair can not only prevent body temperature loss but can also absorb energy from the environment.

  9. Non-Absorbable Disaccharides for Hepatic Encephalopathy

    Gluud, Lise L; Vilstrup, Hendrik; Morgan, Marsha Y

    2016-01-01

    Non-absorbable disaccharides (NADs) have been used to treat hepatic encephalopathy (HE) since 1966. However, a Cochrane review, published in 2004, found insufficient evidence to recommend their use in this context. This updated systematic review evaluates the effects of the NADs, lactulose and...

  10. Manufacturing of Solar Absorber by Unconventional Methods

    Mrňa, Libor; Lidmila, Z.; Podaný, K.; Forejt, M.; Kubíček, J.

    Ostrava: TANGER Ltd, 2012. ISBN 978-80-87294-29-1. [METAL 2012. International Conference on Metallurgy and Materials /21./. Brno (CZ), 23.05.2012-25.05.2012] R&D Projects: GA MŠk ED0017/01/01 Institutional support: RVO:68081731 Keywords : solar absorber * drawing in flexible tools * laser welding * austenitic steel Subject RIV: JA - Electronics ; Optoelectronics, Electrical Engineering

  11. Measuring the absorbed radioactivity during a flight

    This paper presents the new system SIEVERT developed by the General Direction of the Civil Aviation (DGAC) to measure the radiations doses absorbed from cosmic radiation. The system is available on the Internet site: www.sievert-system.org. (A.L.B.)

  12. Review of Plasmonic Nanocomposite Metamaterial Absorber

    Mehdi Keshavarz Hedayati

    2014-02-01

    Full Text Available Plasmonic metamaterials are artificial materials typically composed of noble metals in which the features of photonics and electronics are linked by coupling photons to conduction electrons of metal (known as surface plasmon. These rationally designed structures have spurred interest noticeably since they demonstrate some fascinating properties which are unattainable with naturally occurring materials. Complete absorption of light is one of the recent exotic properties of plasmonic metamaterials which has broadened its application area considerably. This is realized by designing a medium whose impedance matches that of free space while being opaque. If such a medium is filled with some lossy medium, the resulting structure can absorb light totally in a sharp or broad frequency range. Although several types of metamaterials perfect absorber have been demonstrated so far, in the current paper we overview (and focus on perfect absorbers based on nanocomposites where the total thickness is a few tens of nanometer and the absorption band is broad, tunable and insensitive to the angle of incidence. The nanocomposites consist of metal nanoparticles embedded in a dielectric matrix with a high filling factor close to the percolation threshold. The filling factor can be tailored by the vapor phase co-deposition of the metallic and dielectric components. In addition, novel wet chemical approaches are discussed which are bio-inspired or involve synthesis within levitating Leidenfrost drops, for instance. Moreover, theoretical considerations, optical properties, and potential application of perfect absorbers will be presented.

  13. Timing the warm absorber in NGC 4051

    Silva, Catia; Costantini, Elisa

    2016-01-01

    We investigated, using spectral-timing analysis, the characterization of highly ionized outflows in Seyfert galaxies, the so-called warm absorbers. Here, we present our results on the extensive ~ 600 ks of XMM-Newton archival observations of the bright and highly variable Seyfert 1 galaxy NGC 4051, whose spectrum has revealed a complex multicomponent wind. Making use of both RGS and EPIC-pn data, we performed a detailed analysis through a time-dependent photoionization code in combination with spectral and Fourier spectral-timing techniques. The source light curves and the warm absorber parameters obtained from the data were used to simulate the response of the gas due to variations in the ionizing flux of the central source. The resulting time variable spectra were employed to predict the effects of the warm absorber on the time lags and coherence of the energy dependent light curves. We have found that, in the absence of any other lag mechanisms, a warm absorber with the characteristics of the one observed ...

  14. Absorbed fractions for electrons in ellipsoidal volumes

    Amato, E.; Lizio, D.; Baldari, S.

    2011-01-01

    We applied a Monte Carlo simulation in Geant4 in order to calculate the absorbed fractions for monoenergetic electrons in the energy interval between 10 keV and 2 MeV, uniformly distributed in ellipsoids made from soft tissue. For each volume, we simulated a spherical shape, four oblate and four prolate ellipsoids, and one scalene shape. For each energy and for every geometrical configuration, an analytical relationship between the absorbed fraction and a 'generalized radius' was found, and the dependence of the fit parameters from electron energy is discussed and fitted by proper parametric functions. With the proposed formulation, the absorbed fraction for electrons in the 10-2000 keV energy range can be calculated for all volumes and for every ellipsoidal shape of practical interest. This method can be directly applied to evaluation of the absorbed fraction from the radionuclide emission of monoenergetic electrons, such as Auger or conversion electrons. The average deposited energy per disintegration in the case of extended beta spectra can be evaluated through integration. Two examples of application to a pure beta emitter such as 90Y and to 131I, whose emission include monoenergetic and beta electrons plus gamma photons, are presented. This approach represent a generalization of our previous studies, allowing a comprehensive treatment of absorbed fractions from electron and photon sources uniformly distributed in ellipsoidal volumes of any ellipticity and volume, in the whole range of practical interest for internal dosimetry in nuclear medicine applications, as well as in radiological protection estimations of doses from an internal contamination.

  15. Neutron absorbers and methods of forming at least a portion of a neutron absorber

    Guillen, Donna P; Porter, Douglas L; Swank, W David; Erickson, Arnold W

    2014-12-02

    Methods of forming at least a portion of a neutron absorber include combining a first material and a second material to form a compound, reducing the compound into a plurality of particles, mixing the plurality of particles with a third material, and pressing the mixture of the plurality of particles and the third material. One or more components of neutron absorbers may be formed by such methods. Neutron absorbers may include a composite material including an intermetallic compound comprising hafnium aluminide and a matrix material comprising pure aluminum.

  16. CAD/CAM ZIRCONIA VS. SLIP-CAST GLASS-INFILTRATED ALUMINA/ZIRCONIA ALL-CERAMIC CROWNS: 2-YEAR RESULTS OF A RANDOMIZED CONTROLLED CLINICAL TRIAL

    Murat Cavit Çehreli; Ali Murat Kökat; Kivanç Akça

    2009-01-01

    The aim of this randomized controlled clinical trial was to compare the early clinical outcome of slip-cast glass-infiltrated Alumina/Zirconia and CAD/CAM Zirconia all-ceramic crowns. A total of 30 InCeram® Zirconia and Cercon® Zirconia crowns were fabricated and cemented with a glass ionomer cement in 20 patients. At baseline, 6-month, 1-year, and 2-year recall appointments, Californian Dental Association (CDA) quality evaluation system was used to evaluate the prosthetic replacements, and p...

  17. NON ABSORBABLE INTERMITTENT MATTRESS SUTURES IN THE MANAGEMENT OF AURICULAR HAEMATOMA

    Muralidhar Reddy; Manish Kumar; Hanumantha Rao; Indira Devi; Shankar; Ranganatha Swamy; Durga Prasad; Yugandhar

    2014-01-01

    Auricular haematoma of pinna usually occurs secondary to trauma. If left untreated usually result in a deformity known as cauliflower ear. Various treatments are employed so as to produce the best cosmetic results. The aim of this article was to evaluate the outcome and complications of the treatment of auricular haematoma using non-absorbable 3-0 prolene intermittent sutures. This study has been performed upon eight patients presented with auricular haematoma at tertiary center, Govt. ENT Ho...

  18. Absorbable Plate as a Perpendicular Strut for Acute Saddle Nose Deformities

    Deok Jung Kim; Soo Hyang Lee; Pil Dong Cho; Seung Chul Rhee; Jong Gyu Kim

    2012-01-01

    Background Nasal pyramid fractures accompanied by saddle nose deformities are not easily corrected by closed reduction. We used an absorbable plate as a perpendicular strut to support the collapsed "keystone area" and obtained good results. Methods Between September 2008 and June 2011, 18 patients who had nasal pyramid fractures with saddle nose deformities underwent surgery. Pre- and postoperative facial computed tomographic images and photographs were taken to estimate outcomes. The operati...

  19. Fast Absorbing Gut Suture versus Cyanoacrylate Tissue Adhesive in the Epidermal Closure of Linear Repairs Following Mohs Micrographic Surgery

    Kim, June; Singh Maan, Harjot; Cool, Alicia J.; Hanlon, Allison M.; Leffell, David J.

    2015-01-01

    Background: Cyanoacrylate topical adhesives and fast absorbing gut sutures are increasingly utilized by dermatologic surgeons as they provide satisfactory surgical outcomes while eliminating an additional patient visit for suture removal. To date, no head-to-head studies have compared the wound healing characteristics of these epidermal closure techniques in the repair of facial wounds after Mohs micrographic surgery. Objective: To compare the cosmetic outcome of epidermal closure by cyanoacr...

  20. Differences in predictors of traditional and cyber-bullying: a 2-year longitudinal study in Korean school children.

    Yang, Su-Jin; Stewart, Robert; Kim, Jae-Min; Kim, Sung-Wan; Shin, Il-Seon; Dewey, Michael E; Maskey, Sean; Yoon, Jin-Sang

    2013-05-01

    Traditional bullying has received considerable research but the emerging phenomenon of cyber-bullying much less so. Our study aims to investigate environmental and psychological factors associated with traditional and cyber-bullying. In a school-based 2-year prospective survey, information was collected on 1,344 children aged 10 including bullying behavior/experience, depression, anxiety, coping strategies, self-esteem, and psychopathology. Parents reported demographic data, general health, and attention-deficit hyperactivity disorder (ADHD) symptoms. These were investigated in relation to traditional and cyber-bullying perpetration and victimization at age 12. Male gender and depressive symptoms were associated with all types of bullying behavior and experience. Living with a single parent was associated with perpetration of traditional bullying while higher ADHD symptoms were associated with victimization from this. Lower academic achievement and lower self esteem were associated with cyber-bullying perpetration and victimization, and anxiety symptoms with cyber-bullying perpetration. After adjustment, previous bullying perpetration was associated with victimization from cyber-bullying but not other outcomes. Cyber-bullying has differences in predictors from traditional bullying and intervention programmes need to take these into consideration. PMID:23640732

  1. Prevalence of HHV-6 in cerebrospinal fluid of children younger than 2 years of age with febrile convulsion.

    Setareh Mamishi

    2014-04-01

    Full Text Available Febrile convulsion is a common disorder in children. Viral infections such as human herpes virus 6 (HHV-6 which results in roseola infantum may contribute to developing seizure. The objective of this study was to determine the prevalence of HHV-6 by detecting DNA in cerebrospinal fluid (CSF of children with febrile convulsion and without any rash of roseola infantum.In this descriptive cross-sectional study, CSF of 100 children younger than 2 years of age with febrile convulsion was evaluated for detecting HHV-6 DNA by PCR. All of them were referred to emergency ward in Pediatric Medical Center from March 2010 to March 2011. General information, clinical manifestations, laboratory tests and outcomes were collected in the questionnaires.One hundred children including 59 males and 41 females were evaluated. HHV-6 was detected from CSF in six patients (6% by PCR. Mean age was 8 months old. All children were younger than 12 months old. The most common primary manifestation was fever alone. None of them had rash. Majority of cases occurred in winter. All patients recovered without any encephalitis.These findings showed that primary infection with HHV-6 is frequently associated with febrile convulsion in infants which may be at risk for subsequent development of epilepsy.

  2. Design of a non-traditional dynamic vibration absorber.

    Cheung, Y L; Wong, W O

    2009-08-01

    A non-traditional dynamic vibration absorber is proposed for the minimization of maximum vibration velocity response of a vibrating structure. Unlike the traditional damped absorber configuration, the proposed absorber has a linear viscous damper connecting the absorber mass directly to the ground instead of the main mass. Optimum parameters of the proposed absorber are derived based on the fixed-point theory for minimizing the maximum vibration velocity response of a single-degree-of-freedom system under harmonic excitation. The extent of reduction in maximum vibration velocity response of the primary system when using the traditional dynamic absorber is compared with that using the proposed one. Under the optimum tuning condition of the absorbers, it is proved analytically that the proposed absorber provides a greater reduction in maximum vibration velocity response of the primary system than the traditional absorber. PMID:19640019

  3. Design and development of radiation absorber for sighting beam line

    During the commissioning of Indus-2 , it is necessary to view the synchrotron radiation that will be emanating from the dipole exit ports. The 100 beam line from dipole 11 was earmarked for sighting beam line. The synchrotron radiation power density would be around 340 watts on the photon absorber inside the radiation absorber module, at the specified beam power of Indus-2. The beam striking on this photon absorber produces x-rays and Bremsstrahlung radiation. These are to be stopped and absorbed by radiation absorber. The photon absorber and the radiation absorber are integrated in a single vacuum chamber and actuated by a pneumatic cylinder connected using a bellow. Radiation absorber was needed to isolate the diagnostic components and to protect them from radiation a well as heat when they were not in use. The paper describes the design, calculation and development of the dynamic photon cum radiation absorber. The ultimate vacuum performance is also described. (author)

  4. Effectiveness of a tinnitus management programme: a 2-year follow-up

    Gudex, Claire

    2009-01-01

    new clients presenting with tinnitus completed the Tinnitus Handicap Inventory (THI) three times - before their first consultation, after one month and after 1-2 years. The scores were tested for significant differences over time using tests for paired data. Logistic regression was used to examine...... significant benefit to many clients at a relatively low cost. It would be useful to conduct a randomised controlled study comparing the current programme with alternative forms of combination counselling/sound therapy approaches....

  5. A 2-Year Psychological Autopsy Study of Completed Suicides in the Athens Greater Area, Greece

    Paraschakis, Antonios; Michopoulos, Ioannis; Christodoulou, Christos; Koutsaftis, Filippos; Lykouras, Lefteris; Douzenis, Athanassios

    2015-01-01

    Objective To study the characteristics of a sample of suicide victims from the Athens Greater Area using the psychological autopsy method for the first time in Greece. Methods We studied all recorded cases of completed suicide for the 2-year time period November 2007-October 2009 collecting data from the victims' forensic records as well as from the completion of a psychological autopsy questionnaire. Results 335 persons were recorded as suicide victims. We contacted relatives of 256 victims ...

  6. Involvement in bullying and depression in a 2-year follow-up in middle adolescence

    Kaltiala-Heino, Riittakerttu; Fröjd, Sari; Marttunen, Mauri

    2009-01-01

    Abstract The main objective was to analyse whether involvement in bullying at school predicts depression, and whether depression predicts involvement in bullying in middle adolescence. A total of 2,070 15-year-old girls and boys in two Finnish cities were surveyed at ninth grade (age 15) at schools, and followed up 2 years later in the Adolescent Mental Health Cohort Study (AMHC). Depression was measured by a Finnish modification of the 13-item short Beck Depression Inventory. Invo...

  7. Instrumentation in lumbar fusion improves back pain but not quality of life 2 years after surgery

    Robinson, Yohan; Michaëlsson, Karl; Sandén, Bengt

    2013-01-01

    Background and purpose Instrumented and non-instrumented methods of fusion have been compared in several studies, but the results are often inconsistent and conflicting. We compared the 2-year results of 3 methods of lumbar fusion when used in degenerative disc disease (DDD), using the Swedish Spine Register (SWESPINE). Methods All patients registered in SWESPINE for surgical treatment of DDD between January 1, 2000 and October 1, 2007 were eligible for the study. Patients who had completed t...

  8. Substance misuse in life and death in a 2-year cohort of suicides

    Galway, Karen; Gossrau-Breen, Diana; Mallon, Sharon; Hughes, Lynette; Rosato, Michael; Rondon-Sulbaran, Janeet; Leavey, Gerry

    2015-01-01

    Background: Although substance misuse is a key risk factor in suicide, relatively little is known about the relationship between lifetime misuse and misuse at the time of suicide.Aims: To examine the relationship between substance misuse and subsequent suicide.Method: Linkage of coroners' reports to primary care records for 403 suicides occurring over 2 years.Results: With alcohol misuse, 67% of the cohort had previously sought help for alcohol problems and 39% were intoxicated at the time of...

  9. Predictors of beginning reading in Chinese and English: A 2-year longitudinal study of Chinese kindergartners

    Ho, CSH; McBrideChang, C

    2005-01-01

    Ninety Chinese children were tested once at age 4 and again 22 months later on phonological-processing and other reading skills. Chinese phonological-processing skills alone modestly predicted Chinese character recognition, and English letter-name knowledge uniquely predicted reading of both Chinese and English 2 years later. Furthermore, concurrently measured phonological-processing skills in Chinese, but not English, accounted for unique variance in both English and Chinese word recognition...

  10. Factors associated with phantom limb pain: a 31/2-year prospective study

    Bosmans, J.C.; Geertzen, J. H. B.; Post, W.J.; van der Schans, C P; Dijkstra, P.U.

    2010-01-01

    Objective: To analyse the prevalence of phantom (limb) pain over time and to analyse factors associated with phantom (limb) pain in a prospective cohort of amputees. Design: A multicentre longitudinal study. Patients: One hundred and thirty-four patients scheduled for amputation were included. Methods: Patients filled in questionnaires before amputation, and postal questionnaires six months, 1 years and 2 years to a maximum of 3 years after amputation. Preoperative assessment included patient...

  11. Filariasis presenting as a scrotal nodule in a 2 year old child:A case report

    Kiran Yagain; Mary Mathew

    2011-01-01

    A two year old boy from southwestern village of India presented with a2 cm í1 cm size swelling in scrotum for8 months. It was excised surgically and the histopathological examination revealed a gravid filarial worm. The occurrence of adult filarial worm in2 year old boy signifies the endemicity and high larval load of insect vectors in western coast of south India.

  12. Health-Engagement Control Strategies and 2-Year Changes in Older Adults’ Physical Health

    Wrosch, Carsten; Schulz, Richard

    2008-01-01

    This study examined the associations between older adults’ daily physical symptoms (e.g., chest pain or difficulty breathing) and 2-year changes in chronic health problems (e.g., cardiovascular disease or cancer) and in functional problems (e.g., difficulty dressing or moving around at home). We reasoned that these associations depend on a person’s active control processes aimed at counteracting physical health problems (i.e., health-engagement control strategies, or HECS). In particular, we ...

  13. Knee rotational laxity and proprioceptive function 2 years after partial ACL reconstruction

    Chouteau, Julien; Testa, Rodolphe; Viste, Anthony; MOYEN, Bernard

    2012-01-01

    The aim of our study was to evaluate knee rotational laxity and proprioceptive function 2 years after partial anterior cruciate ligament (ACL) reconstruction. According to our hypothesis, partial ACL reconstruction could restore knee laxity and function to the intact level. Methods : We conducted a study in fifteen consecutive patients undergoing partial ACL reconstruction. Fifteen anteromedial bundle tears were identified intra-operatively. Partial ACL reconstructions were performed by the s...

  14. Endoscopic ultrasound-guided transmural drainage of infected pancreatic necrosis developing 2 years after acute pancreatitis

    Eliason, Kyle; Douglas G. Adler

    2015-01-01

    This is a case report of endoscopic ultrasound guided transmural drainage of a large infected pancreatic necrosis. The infected necrosis was treated by placement of a fully covered metal stent with subsequent endoscopic necrosectomy to remove solid debris. The case is notable for the fact that the patient developed infection of a long-standing and previously stable area of walled-off pancreatic necrosis 2 years after it formed. We believe this is the longest time ever reported between necroti...

  15. The Histological Changes of the Great Saphenous Vein at 2 Years after Cryosclerosis

    Balint, Istvan Bence; Bali, Ottilia; Vargovics, Eszter; Simon, Eva; Vizsy, Laszlo

    2014-01-01

    Cryosclerosis was developed at the end of the last decade. It is the endovenous cryoablation of the great saphenous vein and has been forgotten before the era of the endovenous ablation techniques began. The caused histomorphological changes of the vein weren’t described before, especially, years after the procedure. A 31-year-old female patient underwent cryosclerosis 2 years ago. Because of the recanalization of the great saphenous vein and recurrent varicosity, high ligation, cryostripping...

  16. Running with Dewey: An alternative running program in 2. year high shool physical education

    Næss, Harald Solhaug

    2012-01-01

    This study is based on an action research project labeled “Running with Dewey” implemented in a 2.year High School Physical Education class. The purpose of the project was to analyze students´ response to a running program based on experience learning. 8 students participated in alternative Physical Education for 8 weeks. The action research project facilitated an autonomy supportive and reflection supportive climate, where students were individually given the freedom to choose th...

  17. PREVALENCE AND AETIOLOGICAL FACTORS OF URINARY TRACT INFECTION IN FEBRILE CHILDREN 2 MONTHS TO 2 YEARS

    Mohammed

    2016-03-01

    Full Text Available OBJECTIVES To determine the prevalence of urinary tract infection and etiological factors in recurrent urinary tract infections in febrile children, 2 months to 2 years of age. METHODS It was a hospital-based cross-sectional study conducted in the OPD of a tertiary care teaching hospital; 239 children between the ages of 2 months to 2 years with fever of more than 5 days were evaluated for UTI. Those who have >5 pus cells in urine analysis, urine culture was done. Children with recurrent UTI were evaluated by abdominal ultrasonogram, MCU and DMSA scan. RESULTS Total number of children studied were 239, prevalence of urinary tract infection was 11.3%, 2-6 months of age (18.75% and 7-12 months of age (14.14%. E. coli constituted 62.96%. Among children with recurrent urinary tract infection, pyelonephritic changes in DMSA scan were present in 4 (36.3% and VUR was present in 2 (16% in MCU. CONCLUSIONS Urinary tract infection is a significant problem to be looked for in febrile children 2 months to 2 years. In recurrent UTI, any underlying problems like VUR should be considered and evaluated.

  18. Patient satisfaction and penile morphology changes with postoperative penile rehabilitation 2 years after Coloplast Titan prosthesis.

    Pryor, Michael B; Carrion, Rafael; Wang, Run; Henry, Gerard

    2016-01-01

    A common complaint after inflatable penile prosthesis surgery is reduced penile length. We previously reported how using the Coloplast Titan inflatable penile prosthesis with aggressive new length measurement technique (NLMT) coupled with postoperative IPP rehabilitation of the implant for 1-year helped to improve patient satisfaction and erectile penile measurements. This is a 2 years follow-up of a prospective, three-center, study of 40 patients who underwent Titan prosthesis placement, with new length measurement technique for erectile dysfunction. Patient instructions were to inflate daily for 6 months and then inflate maximally for 1-2 h daily for 6-24 months. Fifteen penile measurements were taken before and immediately after surgery and at follow-up visits. Measurement changes were improved at 24 months as compared to immediately postoperative and at 12 months. 67.8% of subjects were satisfied with their length at 2 years, and 77% had perceived penile length that was longer (30.8%) or the same (46.2%) as prior to the surgery. 64.3% and 17.9% of subjects had increased and unchanged satisfaction, respectively, with penile length as compared to prior to penile implant surgery. All but one subject (96.5%) was satisfied with the overall function of his implant. This study suggests using the Coloplast Titan with aggressive cylinder sizing, and a postoperative penile rehabilitation inflation protocol can optimize patient satisfaction and erectile penile measurements at 2 years postimplant. PMID:26459782

  19. Absorbing Software Testing into the Scrum Method

    Tuomikoski, Janne; Tervonen, Ilkka

    In this paper we study, how to absorb software testing into the Scrum method. We conducted the research as an action research during the years 2007-2008 with three iterations. The result showed that testing can and even should be absorbed to the Scrum method. The testing team was merged into the Scrum teams. The teams can now deliver better working software in a shorter time, because testing keeps track of the progress of the development. Also the team spirit is higher, because the Scrum team members are committed to the same goal. The biggest change from test manager’s point of view was the organized Product Owner Team. Test manager don’t have testing team anymore, and in the future all the testing tasks have to be assigned through the Product Backlog.

  20. Thermal neutron absorbing composite organic fiber material

    Purpose: To obtain clothing materials easy to put on by plasma spray of inorganic material containing elements with a large thermal neutron absorption cross section on a fiberous structure mainly composed of organic fibers. Constitution: The composite organic fiber material comprises flame-spray molding products containing elements with a large thermal neutron absorbing cross section and fiberous structure mainly composed of organic fibers having a melting point lower than that for the flame-spray molding products and they are integrated as a multilayered structure. The flame-spray fabrication is applied by melting and pulverizing starting materials in plasmas and then forming in the shape of a film, sponge or flake on a sheet-like product while carrying them on a plasma stream etc. The binder layer can be saved or reduced significantly by constituting the neutron absorbing material with the flame-spray molding products. (Takahashi, M.)

  1. Fault Detection for Automotive Shock Absorber

    Hernandez-Alcantara, Diana; Morales-Menendez, Ruben; Amezquita-Brooks, Luis

    2015-11-01

    Fault detection for automotive semi-active shock absorbers is a challenge due to the non-linear dynamics and the strong influence of the disturbances such as the road profile. First obstacle for this task, is the modeling of the fault, which has been shown to be of multiplicative nature. Many of the most widespread fault detection schemes consider additive faults. Two model-based fault algorithms for semiactive shock absorber are compared: an observer-based approach and a parameter identification approach. The performance of these schemes is validated and compared using a commercial vehicle model that was experimentally validated. Early results shows that a parameter identification approach is more accurate, whereas an observer-based approach is less sensible to parametric uncertainty.

  2. Vibration absorber modeling for handheld machine tool

    Abdullah, Mohd Azman; Mustafa, Mohd Muhyiddin; Jamil, Jazli Firdaus; Salim, Mohd Azli; Ramli, Faiz Redza

    2015-05-01

    Handheld machine tools produce continuous vibration to the users during operation. This vibration causes harmful effects to the health of users for repeated operations in a long period of time. In this paper, a dynamic vibration absorber (DVA) is designed and modeled to reduce the vibration generated by the handheld machine tool. Several designs and models of vibration absorbers with various stiffness properties are simulated, tested and optimized in order to diminish the vibration. Ordinary differential equation is used to derive and formulate the vibration phenomena in the machine tool with and without the DVA. The final transfer function of the DVA is later analyzed using commercial available mathematical software. The DVA with optimum properties of mass and stiffness is developed and applied on the actual handheld machine tool. The performance of the DVA is experimentally tested and validated by the final result of vibration reduction.

  3. Absorber rod drive for nuclear reactors

    The invention concerns an absorber rod drive for Boiling Water Reactors, in which a mechanical drive is combined with a hydraulic drive working separately from it, so that both drives are situated concentric within an overall length. The driving torque of a motor is transmitted to a threaded spindle, which moves a free adjacent hollow piston vertically via a fixed nut. The same means are used for the hydraulic liquid which is used as coolant or moderator and there are nozzles, annular gaps and/or bores between the hydraulic system and the reactor pressure vessel for the purpose of pressure compensation. All the components of the absorber rod drive except the sealing housing and the setting drive are situated in one casing tube taking the differential pressure. (orig./HP)

  4. Ultra-broadband terahertz metamaterial absorber

    Zhu, Jianfei; Ma, Zhaofeng; Sun, Wujiong; Ding, Fei; He, Qiong; Zhou, Lei; Ma, Yungui

    2014-07-01

    We demonstrated an ultra-broadband, polarization-insensitive, and wide-angle metamaterial absorber for terahertz (THz) frequencies using arrays of truncated pyramid unit structure made of metal-dielectric multilayer composite. In our design, each sub-layer behaving as an effective waveguide is gradually modified in their lateral width to realize a wideband response by effectively stitching together the resonance bands of different waveguide modes. Experimentally, our five layer sample with a total thickness 21 μm is capable of producing a large absorptivity above 80% from 0.7 to 2.3 THz up to the maximum measurement angle 40°. The full absorption width at half maximum of our device is around 127%, greater than those previously reported for THz frequencies. Our absorber design has high practical feasibility and can be easily integrated with the semiconductor technology to make high efficient THz-oriented devices.

  5. High-performance THz metamaterial absorber

    Zhu, Jianfei; Sun, Wujiong; Ding, Fei; He, Qiong; Zhou, Lei; Ma, Yungui

    2014-01-01

    We demonstrated an ultra-broadband, polarization-insensitive and wide-angle metamaterial absorber for terahertz (THz) frequencies using arrays of truncated pyramid unit structure made of metal-dielectric multilayer composite. In our design each sub-layer behaving as an effective waveguide is gradually modified in their lateral width to realize a wideband response by effectively stitching together the resonance bands of different waveguide modes. Experimentally, our five layer sample with a total thickness 21um is capable of producing a large absorptivity above 80% from 0.7 to 2.3 THz up to the maximum measurement angle 40{\\deg}. The full absorption width at half maximum (FWHM) of our device is around 127%, greater than those previously reported for THz frequencies. Our absorber design has high practical feasibility and can be easily integrated with the semiconductor technology to make high efficient THz-oriented devices.

  6. Effect of the bio-absorbent on the microwave absorption property of the flaky CIPs/rubber absorbers

    Microwave absorbing composites filled with flaky carbonyl iron particles (CIPs) and the bio-absorbent were prepared by using a two-roll mixer and a vulcanizing machine. The electromagnetic (EM) parameters were measured by a vector network analyzer and the reflection loss (RL) was measured by the arch method in the frequency range of 1–4 GHz. The uniform dispersion of the absorbents was verified by comparing the calculated RL with the measured one. The results confirm that as the bio-absorbent was added, the permittivity was increased due to the volume content of absorbents, and the permeability was enlarged owing to the volume content of CIPs and interactions between the two absorbents. The composite filled with bio-absorbents achieved an excellent absorption property at a thickness of 1 mm (minimum RL reaches −7.8 dB), and as the RL was less than −10 dB the absorption band was widest (2.1–3.8 GHz) at a thickness of 2 mm. Therefore, the bio-absorbent is a promising additive candidate on fabricating microwave absorbing composites with a thinner thickness and wider absorption band. - Graphical abstract: Morphology of composites filled with flaky CIPs and the bio-absorbent. The enhancement of bio-absorbent on the electromagnetic absorption property of composites filled with flaky carbonyl iron particles (CIPs) is attributed to the interaction of the two absorbents. The volume content of the FCMPs with the larger shape CIPs play an important role in this effects, the composites filled with irons and bio-absorbents can achieve wider-band and thinner-thickness absorbing materials. - Highlights: • Absorbers filled with bio-absorbents and CIPs was fabricated. • Bio-absorbents enhanced the permittivity and permeability of the composites. • The absorbent interactions play a key role in the enhancement mechanism. • Bio-absorbents enhanced the composite RL in 1–4 GHz

  7. Absorbed Doses to Patients in Nuclear Medicine

    The work with a Swedish catalogue of radiation absorbed doses to patients undergoing nuclear medicine investigations has continued. After the previous report in 1999, biokinetic data and dose estimates (mean absorbed dose to various organs and tissues and effective dose) have been produced for a number of substances: 11C- acetate, 11C- methionine, 18F-DOPA, whole antibody labelled with either 99mTc, 111In, 123I or 131I, fragment of antibody, F(ab')2 labelled with either 99mTc, 111In, 123I or 131I and fragment of antibody, Fab' labelled with either 99mTc, 111In, 123I or 131I. The absorbed dose estimates for these substances have been made from published biokinetic information. For other substances of interest, e.g. 14C-urea (children age 3-6 years), 14C-glycocholic acid, 14C-xylose and 14C-triolein, sufficient literature data have not been available. Therefore, a large number of measurements on patients and volunteers have been carried out, in order to determine the biokinetics and dosimetry for these substances. Samples of breast milk from 50 mothers, who had been subject to nuclear medicine investigations, have been collected at various times after administration of the radiopharmaceutical to the mother. The activity concentration in the breast milk samples has been measured. The absorbed dose to various organs and tissues and the effective dose to the child who ingests the milk have been determined for 17 different radiopharmaceuticals. Based on these results revised recommendations for interruption of breast-feeding after nuclear medicine investigations are suggested

  8. 2D Saturable Absorbers for Fibre Lasers

    Robert I. Woodward

    2015-11-01

    Full Text Available Two-dimensional (2D nanomaterials are an emergent and promising platform for future photonic and optoelectronic applications. Here, we review recent progress demonstrating the application of 2D nanomaterials as versatile, wideband saturable absorbers for Q-switching and mode-locking fibre lasers. We focus specifically on the family of few-layer transition metal dichalcogenides, including MoS2, MoSe2 and WS2.

  9. Tuned ball absorber acting in one direction

    Pirner, Miroš; Urushadze, Shota

    US : SEM, 2004 - (Wicks, A.), s. 150-158 ISBN 0-912053-86-0. ISSN 1046-6770. [IMAC-XXII Conference on Structural Dynamic s. Dearborn (US), 26.01.2004-29.01.2004] R&D Projects: GA AV ČR KJB2071303 Institutional research plan: CEZ:AV0Z2071913 Keywords : ball absorber * acceleration * frequency Subject RIV: JM - Building Engineering

  10. Cylinder light concentrator and absorber: theoretical description

    Kildishev, Alexander V.; Prokopeva, Ludmila J.; Narimanov, Evgenii

    2010-01-01

    We present a detailed theoretical description of a broadband omnidirectional light concentrator and absorber with cylinder geometry. The proposed optical "trap" captures nearly all the incident light within its geometric cross-section, leading to a broad range of possible applications from solar energy harvesting to thermal light emitters and optoelectronic components. We have demonstrated that an approximate lamellar black-hole with a moderate number of homogeneous layers, while giving the d...