WorldWideScience

Sample records for 52-week treatment period

  1. [Gymnema sylvestre leaf extract: a 52-week dietary toxicity study in Wistar rats].

    Ogawa, Yukio; Sekita, Kiyoshi; Umemura, Takashi; Saito, Minoru; Ono, Atsushi; Kawasaki, Yasushi; Uchida, Osayuki; Matsushima, Yuko; Inoue, Tohru; Kanno, Jun

    2004-02-01

    A 52-week study of oral-repeated-dose toxicity for the extraction powder of Gymnema sylvestre (GS), Indian-native genus, Metaplexis japonica, was conducted in both genders of Wistar rats. The rats were administered a graded dose of GS at 0.01, 0.10 and 1.00% of basal powder diet, along with a group fed solely with the basal powder diet without GS, for 52 weeks. General conditions were recorded daily. Body weights and food consumptions were recorded weekly up to 12 weeks, and thereafter at longer intervals. At 26 weeks, for an intermediate examination, and 52 weeks, for the final examination, animals were subjected to hematology, serum chemistry, and pathological examination. None of the animals died in the period up to 52 weeks. No exposure-related changes in body-weight, in the food consumption, in the hematological examinations, or in the serum biochemical examinations were recognized. No histopathological alterations were seen. Thus, it was concluded that there was no toxic effect in rats treated with GS at up to 1.00% in the diet for 52 weeks. The no-observable-effect level from this study is 1.00% GS, i.e., 504 mg/kg/day for male and 563 mg/kg/day for female as mean daily intake, for 52 weeks.

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

    Andersen, Thomas Rostgaard; Schmidt, Jakob Friis; Pedersen, Mogens Theisen; Krustrup, Peter; Bangsbo, Jens

    2016-01-01

    The effects of 52 weeks of soccer or resistance training were investigated in untrained elderly men. The subjects aged 68.1±2.1 yrs were randomised into a soccer (SG; n = 9), a resistance (RG; n = 9) and a control group (CG; n = 8). The subjects in SG and RG, respectively, trained 1.7±0.3 and 1.8±0.3 times weekly on average during the intervention period. Muscle function and body composition were determined before and after 16 and 52 weeks of the intervention period. In SG, BMI was reduced by 1.5% and 3.0% (p<0.05) after 16 and 52 weeks, respectively, unchanged in RG and 2% higher (p<0.05) in CG after 52 weeks of the intervention period. In SG, the response to a glucose tolerance test was 16% lower (p<0.05) after 16 wks, but not after 52 wks, compared to before the intervention period, and unchanged in RG and CG. In SG, superoxide dismutase-2 expression was 59% higher (p<0.05) after 52 wks compared to before the intervention period, and unchanged in RG and CG. In RG, upper body lean mass was 3 and 2% higher (p<0.05) after 16 and 52 wks, respectively, compared to before the intervention period, and unchanged in SG and CG. In RG, Akt-2 expression increased by 28% (p<0.01) and follistatin expression decreased by 38% (p<0.05) during the 52-wk intervention period, and was unchanged in SG and CG. Thus, long-term soccer training reduces BMI and improves anti-oxidative capacity, while long-term resistance training impacts muscle protein enzyme expression and increases lean body mass in elderly men. Trial Registration ClinicalTrials.gov: NCT01530035 PMID:26886262

  3. Efficacy and safety of canagliflozin over 52 weeks in patients with type 2 diabetes on background metformin and pioglitazone

    Forst, T; Guthrie, R; Goldenberg, R; Yee, J; Vijapurkar, U; Meininger, G; Stein, P

    2014-01-01

    Aim The efficacy and safety of canagliflozin, a sodium glucose co-transporter 2 inhibitor, was evaluated in patients with type 2 diabetes mellitus (T2DM) inadequately controlled with metformin and pioglitazone. Methods In this randomized, double-blind, phase 3 study, patients (N = 342) received canagliflozin 100 or 300 mg during a 26-week, placebo-controlled, core period and a 26-week, active-controlled extension in which placebo-treated patients were switched to sitagliptin 100 mg. Efficacy comparisons for canagliflozin versus placebo at week 26 are reported, with no comparisons versus sitagliptin at week 52 (sitagliptin used to maintain double-blind and control for safety). Safety data are reported for canagliflozin and placebo/sitagliptin. Results Canagliflozin 100 and 300 mg significantly lowered haemoglobin A1c (HbA1c) compared with placebo at week 26 (−0.89%, −1.03% and −0.26%; p < 0.001); reductions with canagliflozin 100 and 300 mg were maintained at week 52 (−0.92% and −1.03%). Relative to placebo, both canagliflozin doses significantly reduced body weight (−2.5 and −3.5 kg), fasting plasma glucose and systolic blood pressure (BP) at week 26 (p < 0.05 for all), with reductions maintained at week 52. Overall adverse event (AE) incidence over 52 weeks was 69.9, 76.3 and 76.5% with canagliflozin 100 and 300 mg and placebo/sitagliptin; AE-related discontinuation and serious AE rates were low. Incidences of genital mycotic infections and AEs related to osmotic diuresis and volume depletion were higher with canagliflozin than placebo/sitagliptin. Conclusion Canagliflozin improved glycaemic control, reduced body weight and systolic BP, and was generally well tolerated in patients with T2DM on metformin and pioglitazone over 52 weeks. PMID:24528605

  4. Treatment for periodic paralysis

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

    2008-01-01

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

  5. Efficacy and Safety of Once-Daily Insulin Degludec/Insulin Aspart versus Insulin Glargine (U100) for 52 Weeks in Insulin-Naïve Patients with Type 2 Diabetes: A Randomized Controlled Trial

    Kumar, Ajay; Franek, Edward; Wise, Jonathan; Niemeyer, Marcus; Mersebach, Henriette; Simó, Rafael

    2016-01-01

    Purpose The efficacy and safety of insulin degludec/insulin aspart (IDegAsp) once daily (OD) compared with insulin glargine U100 (IGlar) OD over 52 weeks in insulin-naïve adults with type 2 diabetes mellitus (T2DM) was investigated. Methods In this open-label, parallel-group treat-to-target trial, participants were randomized (1:1) to receive IDegAsp OD (breakfast, n = 266) or IGlar OD (as per label, n = 264). Participants then entered a 26-week extension phase (IDegAsp OD, n = 192; IGlar OD, n = 221). The primary endpoint was change from baseline to Week 26 in HbA1c. Results After 26 and 52 weeks, mean HbA1c decreased to similar levels in both groups. After 52 weeks, the mean estimated treatment difference was –0.08% (–0.26, 0.09 95%CI), confirming the non-inferiority of IDegAsp OD versus IGlar OD evaluated at Week 26. After 52 weeks, there was a similar reduction in mean fasting plasma glucose in both treatment groups. The rate of confirmed hypoglycemic episodes was 86% higher (p administration of IDegAsp with the main meal of the day, tailored to the individual patient’s needs. Trial Registration ClinicalTrials.gov: NCT01045707 [core]) and NCT01169766 [ext] PMID:27760129

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

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

    2016-09-01

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

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

    Martino Matteo

    2010-12-01

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

  8. Early and Periodic Screening, Diagnosis and Treatment

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

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

    O'Keefe, Stephen J D; Jeppesen, Palle B; Gilroy, Richard

    2013-01-01

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

  10. Pancreatic safety in Japanese patients with type 2 diabetes treated with once weekly dulaglutide 0.75 mg up to 52 weeks in phase 3 clinical trials.

    Emoto, Masanori; Oura, Tomonori; Matsui, Akiko; Kazama, Hirotaka; Iwamoto, Noriyuki

    2017-02-27

    The effects of incretin therapies on pancreatic safety are currently being evaluated. In 3 phase 3 clinical studies of once weekly dulaglutide 0.75 mg (dulaglutide) in Japanese patients with type 2 diabetes (T2D), symptoms suggestive of acute pancreatitis as well as pancreatic enzymes were assessed and the risk of acute pancreatitis was evaluated. Patients who met any of the predefined criteria (clinical signs/symptoms of acute pancreatitis, confirmed amylase or lipase level ≥3 times the upper limit of normal [ULN], abdominal imaging of the pancreas) were adjudicated for acute pancreatitis by a blinded external committee. A total of 43 events in 40 patients (dulaglutide, 35/917 patients; liraglutide, 2/137 patients; insulin glargine, 2/180 patients; and placebo, 2/70 patients) were adjudicated (1 patient had events adjudicated during both placebo and dulaglutide treatment); 2 patients treated with dulaglutide had acute pancreatitis confirmed (2/917 [0.2%]; 2.651 patients/1,000 patient-years). One of these patients was diagnosed by the investigator with acute pancreatitis related to dulaglutide, but there was no typical abdominal pain. The event in the other patient occurred following an endoscopic ultrasound-guided fine needle aspiration. Transient increases in lipase ≥3×ULN were observed in 2% of patients in both the dulaglutide and liraglutide groups; the incidence in dulaglutide-treated patients was not significantly different from the incidences in liraglutide, placebo-, or insulin glargine-treated patients. Results of systematic assessments of pancreatic safety in 3 phase 3 studies for up to 52 weeks do not suggest an increased risk of acute pancreatitis in Japanese patients treated with dulaglutide.

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

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

    2010-01-01

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

  12. Optimizing the treatment of mood disorders in the perinatal period

    Meltzer-Brody, Samantha; Jones, Ian

    2015-01-01

    The perinatal period is a time of high risk for women with unipolar and bipolar mood disorders. We discuss treatment considerations for perinatal mood disorders, including unipolar and bipolar depression as well as postpartum psychosis. We further explore the unique issues faced by women and their families across the full trajectory of the perinatal period from preconception planning through pregnancy and following childbirth. Treatment of perinatal mood disorders requires a collaborative care approach between obstetrics practitioners and mental health providers, to ensure that a thoughtful risk : benefit analysis is conducted. It is vital to consider the risks of the underlying illness versus risks of medication exposure during pregnancy or lactation. When considering medication treatment, attention must be paid to prior medication trials that were most efficacious and best tolerated. Lastly, it is important to assess the impact of individual psychosocial stressors and lifestyle factors on treatment response. PMID:26246794

  13. Treatment delay period: the case of arsenicosis in rural Bangladesh.

    Paul, Bimal Kanti; Brock, Vicki L Tinnon

    2006-12-01

    Arsenic concentrations of tubewell water that exceed acceptable limits poses a serious health problem in Bangladesh. Many Bangladeshis are now suffering from arsenic-related diseases. The objectives of this paper are to examine the extent of delay in seeking medical treatment by victims of arsenic poisoning and to identify factors contributing to this delay. Questionnaire survey successfully administered to 663 victims living in two rural areas of Bangladesh provided the major data source for this study. Analysis of survey data reveal that median delay period was 12 months, but the delay period ranged from 1 month to 18 years. Because of this extremely large range, the mean delay period was about 22 months. The study identified time of identification of symptoms of arsenicosis as the most significant determinant of treatment delay followed by treatment sought from members of mobile medical teams, perceived threat, and level of education. Based on the study findings, it is recommended that the Bangladesh government and NGOs involved in arsenic mitigation and prevention efforts should educate individuals at risk for arsenic poisoning about the benefits of seeking early treatment. This study also recommends to continue to dispatch mobile medical teams to the arsenic-impacted areas.

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

    Lin Yi-Chu

    2012-01-01

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

  15. One-year safety and efficacy study of bilastine treatment in Japanese patients with chronic spontaneous urticaria or pruritus associated with skin diseases.

    Yagami, Akiko; Furue, Masutaka; Togawa, Michinori; Saito, Akihiro; Hide, Michihiro

    2016-11-14

    A number of second-generation non-sedating antihistamines are used in clinical practices over the world. However, long-term safety and efficacy have not been proved high level evidence based medicine. We have performed an open-label, multicenter, phase III study to evaluate the long-term safety and efficacy of bilastine, a novel non-sedating H1 -antihistamine for patients with chronic spontaneous urticaria (CSU) or pruritus associated with skin diseases (trial registration no. JapicCTI-142528). Patients aged 18-74 years were treated with bilastine 20 mg once daily for up to 52 weeks. Safety and tolerability were assessed on the basis of adverse events (AE), bilastine-related AE, laboratory tests and vital signs. Efficacy was assessed based on rash score, itch score, overall improvement and quality of life. One hundred and ninety-eight patients enrolled, 122 of whom (61.6%) completed the 52-week treatment period. AE were reported in 64.5% and bilastine-related AE in 2.5% of patients throughout the 52-week treatment period. All AE were mild to moderate in severity. AE associated with the nervous system occurred in 10 patients (5.1%) including seven patients (3.6%) with headache. Somnolence reported in two of these patients (1.0%) was related to bilastine. All efficacy variables improved during treatment with bilastine. In conclusion, long-term treatment with bilastine 20 mg once daily for 52 weeks is safe and well tolerated in Japanese patients with CSU or pruritus associated with skin diseases. Bilastine improved disease symptoms of both conditions early in treatment, and the efficacy was maintained throughout the treatment.

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

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

    2012-01-01

    Hereditary diffuse gastric cancer (HDGC) is a relatively rare disorder, with a mutated CDH1 gene as the only known cause. Carriers of a germline mutation in CDH1 have a lifetime risk of > 80% of developing diffuse gastric cancer. As periodic gastric surveillance is of limited value in detecting earl

  17. [Familial gastric cancer: diagnosis, treatment and periodic surveillance

    Kluijt, I.; Sijmons, R.H.; Hoogerbrugge, N.; Vasen, H.F.; Cats, A.

    2011-01-01

    The only known genetic causes of hereditary diffuse gastric cancer (HDGC) are germline mutations in the CDH1 gene.- CDH1 mutation carriers have a lifetime risk of 70-80% of developing diffuse gastric cancer. As periodic gastric surveillance is of limited value in detecting early stages of HDGC, prop

  18. Treatment of Anxiety and Depression in the Preschool Period

    Luby, Joan L.

    2013-01-01

    Objective: Empirical studies have established that clinical anxiety and depressive disorders may arise in preschool children as young as 3.0 years. Because empirical studies validating and characterizing these disorders in preschoolers are relatively recent, less work has been done on the development and testing of age-appropriate treatments.…

  19. Zebra mussel control using periodic chlorine dioxide treatments

    Tsou, J. [Electric Power Research Institute, Palo Alto, CA (United States); Coyle, J. [Central Illinois Public Service, Merdosia, IL (United States); Crone, D. [Illinois Power Company, Alton, IL (United States)] [and others

    1996-08-01

    This paper summarizes the EPRI report (TR-105202) on the same topic as well as presents changes in current thinking on the suitability (applicability) of chlorine dioxide for fouling control. Chlorine dioxide was tested as a zebra mussel biocide at two steam electric generating stations in Illinois and one in Indiana. The purpose of these studies was to determine the efficacy of chlorine dioxide in killing zebra mussels and to develop site specific treatment programs for the three utilities. The Electric Power Research Institute (EPRI) Zebra Mussel Consortium sponsored the testing of this recent use of chlorine dioxide. The raw water system at Central Illinois Public Service`s Meredosia Station, on the Illinois River, received applications of chlorine dioxide in April, July, and September 1994. The raw water system at Illinois Power Company`s Wood River Station, on the Mississippi River, received applications in July 1993, January, April, May, July, and September 1994. The Gallagher Station, on the Ohio River, was treated in July and October 1994. Chlorine dioxide was generated on-site and injected into the water intake structure. Both cooling and service water systems were treated at the facilities. 6 refs., 13 figs.

  20. Treatment with an orthopedic appliance system in relation to treatment intensity and growth periods. A study of initial effects.

    Malmgren, O; Omblus, J; Hägg, U; Pancherz, H

    1987-02-01

    The study comprises an analysis of the effect of treatment with a modified activator combined with a high-pull headgear during a standardized observation period of the initial 6 months of treatment. All patients (24 girls and 32 boys, aged 8.5 to 15 years) had severe skeletal Class II malocclusion. In the first part of the study, the effect of treatment with the appliance both day and night is compared with the effect when it was worn only at night. Only a small and nonsignificant difference was found, but the patients tended to cooperate better if they were instructed to wear the appliance continuously. In the second part of the study, the effect of treatment is related to the somatic maturation of the patients. Longitudinal records of standing height were used to assess whether treatment had been performed before maximal pubertal growth (prepeak period), during maximal pubertal growth (peak period), or after maximal pubertal growth (postpeak period). The skeletal effect was significantly greater in boys treated during the peak period than in those treated during the prepeak period and a similar tendency, although not significant, was found among girls. The number of patients treated during the postpeak period was too small for statistical analysis.

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

    Halanay, A.

    2012-11-01

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

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

    Tashkin DP

    2012-02-01

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

  3. Treatment of acquired periodic alternating nystagmus with memantine: a case report.

    Kumar, Anil; Thomas, Shery; McLean, Rebecca; Proudlock, Frank A; Roberts, Eryl; Boggild, Mike; Gottlob, Irene

    2009-01-01

    We report a case of acquired periodic alternating nystagmus associated with common variable immunodeficiency and cutaneous sarcoid. The patient was initially treated with baclofen with minimal subjective improvement. We found a significant improvement in the patient's symptoms and nystagmus intensity after treatment with memantine.

  4. PERIODS OF VERTEBRAL COLUMN SENSITIVITY TO BORIC ACID TREATMENT IN CD-1 MICE IN UTERO

    Periods of vertebral column sensitivity to boric acid treatment in CD-1 mice in utero.Cherrington JW, Chernoff N.Department of Toxicology, North Carolina State University, Raleigh, NC 27695, USA. jana_cherrington@hotmail.comBoric acid (BA) has many uses as...

  5. Stress perception among patients in pre-colonoscopy period and those undergoing chemotherapy treatment

    Graziela de Souza Alves da Silva

    2015-05-01

    Full Text Available Objective: comparing the perception of stress among patients with colorectal cancer undergoing chemotherapy with those in pre-colonoscopy period. Methods: a comparative descriptive study developed with 144 people receiving chemotherapy and 100 patients in the pre-colonoscopy period, using biosocial and clinical data, Stress Assessment Tool and Perceived Stress Scale. Results: a predominance of females (73%, aged over 65 (50% were predominant for the pre-colonoscopy period patients. In patients receiving chemotherapy, gender parity with ages ranging from 40-64 years (68.1% was observed. Pre-colonoscopy patients showed higher perceived stress compared to those receiving chemotherapy (p <0.001. Conclusion: the phase of diagnostic definition represents greater stress to patients in comparison to period of treatment, even despite the characteristic manifestations of chemotherapy.

  6. Regeneration of Aqueous Periodate Solutions by Ozone Treatment: A Sustainable Approach for Dialdehyde Cellulose Production.

    Koprivica, Slavica; Siller, Martin; Hosoya, Takashi; Roggenstein, Walter; Rosenau, Thomas; Potthast, Antje

    2016-04-21

    A method for easy and fast regeneration of aqueous periodate solutions from dialdehyde cellulose (DAC) production by ozone treatment is presented, along with a direct and reliable simultaneous quantification of iodate and periodate by reversed-phase HPLC. The influence of iodate and ozone concentration, solution pH, and reaction time on the regeneration efficiency was studied, as well as the reaction kinetics. Regeneration of spent periodate solutions by ozone was successfully performed in alkaline medium, which favors the formation of free (.) OH radicals, as supported by the addition of radical scavengers and quantum mechanical calculations. At pH 13 and an ozone concentration of approximately 150 mg L(-1) , periodate was completely regenerated from a 100 mm solution of iodate within 1 h at room temperature. A cyclic process of cellulose oxidation and subsequent regeneration of spent periodate with 90 % efficiency has been developed. So far, commercial applications of DAC have been hampered by difficulties in reusing the costly periodate. This work overcomes this hurdle and presents a highly efficient, clean, and low-cost protocol for the preparation of DAC with integrated periodate recycling, with the possibility of scaling the process up.

  7. Treatment and Prognosis for an Esthesioneuroblastoma over a 20-Year Period: Impact of Treatment Era

    Song, Chang Hoon; Kim, Il Han; Wu, Hong Gyun; Kim, Dong Wan; Rhee, Chae Seo [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    2009-12-15

    The aim of this study was to evaluate the results of postoperative radiotherapy in a case of perihilar cholagiocarcinoma by analyzing overall survival rate, patterns of failure, prognostic factors for overall survival, and toxicity. Between January 1998 and March 2008, 38 patients with perihilar cholangiocarcinoma underwent a surgical resection and adjuvant radiotherapy. The median patient age was 59 years (range, 28 to 72 years), which included 23 men and 15 women. The extent of surgery was complete resection in 9 patients, microscopically positive margins in 25 patients, and a subtotal resection in 4 patients. The tumor bed and regional lymphatics initially received 45 Gy or 50 Gy, but was subsequently boosted to a total dose of 59.4 Gy or 60 Gy in incompletely resected patients. The median radiotherapy dose was 59.4 Gy. Concurrent chemotherapy was administered in 30 patients. The median follow-up period was 14 months (range, 6 to 45 months). The 3-year overall survival and 3-year progression free survival rates were 30% and 8%, respectively. The median survival time was 28 months. A multivariate analysis showed that differentiation was the only significant factor for overall survival. The 3-year overall survival was 34% in R0 patients and 20% in R1 patients. No statistically significant differences in survival were found between the 2 groups (p=0.3067). The first site of failure was local in 18 patients (47%). No patient experienced grade 3 or higher acute toxicity and duodenal bleeding developed in 2 patients. Our results suggest that adjuvant RT might be a significant factor in patients with a positive margin following a radical resection. However, there was still a high locoregional recurrence rate following surgery and postoperative radiotherapy. Further study is necessary to enhance the effect of the adjuvant radiotherapy.

  8. Treatment of chronic generalized periodontitis at women in the period of postmenopause

    Ostrovskaya L.U.

    2015-03-01

    Full Text Available Purpose: an assessment of efficiency of complex treatment of periodontitis at women in a period of postmenopause with the use of zoledronic acid. Material and methods. Examination and treatment of 90 patients with a chronic generalized periodontitis against post-menopausal osteoporosis has been conducted. Material is processed statistically. Results. Application of preparations of zoledronic acid in complex treatment of system osteoporosis and periodontitis allows to reduce the frequency of recurrence of periodontal disease and to improve indicators of bone remodeling. Conclusion. In conclusion it is worth while determining that zoledronic acid in complex therapy of periodontitis is an effective method of drug correction of a mineral exchange before periodontological surgery.

  9. Efficacy and safety of canagliflozin alone or as add-on to other oral antihyperglycemic drugs in Japanese patients with type 2 diabetes: A 52-week open-label study

    Inagaki, Nobuya; Kondo, Kazuoki; Yoshinari, Toru; Kuki, Hideki

    2015-01-01

    Aims/Introduction Canagliflozin is a sodium–glucose cotransporter 2 inhibitor under development for the treatment of type 2 diabetes. Our aim was to examine its efficacy and safety as monotherapy or in combination with commonly used oral antihyperglycemic drugs in Japanese patients with type 2 diabetes. Materials and Methods Patients on diet/exercise alone or diet/exercise plus an oral antihyperglycemic drug (sulfonylurea, glinide, α-glucosidase inhibitor, biguanide, thiazolidinedione or dipeptidyl peptidase-4 inhibitor) were randomized to either 100 or 200 mg canagliflozin while continuing prior therapy. Patients were treated for 52 weeks in an open-label manner. Results Canagliflozin significantly reduced hemoglobin A1c, fasting plasma glucose and bodyweight in all the study groups. Improvements were apparent by 4 weeks of treatment, and were maintained for 52 weeks. The reduction in hemoglobin A1c ranged from −0.80 to −1.06%, and from −0.93 to −1.26% in the 100 and 200 mg canagliflozin groups, respectively. Drug-related adverse events occurred in approximately one-third of patients, and included hypoglycemia/asymptomatic hypoglycemia and pollakiuria. Hypoglycemia/asymptomatic hypoglycemia was most common in patients treated with a sulfonylurea. Most adverse events were classified as mild or moderate in severity. Conclusions The results of the present study confirmed that treatment with canagliflozin resulted in significant reductions in glycemic control and bodyweight that were maintained for 52 weeks of treatment irrespective of whether it was administered as monotherapy or in combination with another oral antihyperglycemic drug. Canagliflozin was well tolerated, with a low incidence of drug-related adverse events. This trial was registered with ClinicalTrials.gov (no. NCT01387737). PMID:25802729

  10. Treatment of Class II, Division 2 in the late growth period.

    Eberhard, H; Hirschfelder, U

    1998-01-01

    The "Deckbiss" with skeletal Class II jaw relationship sometimes presents a considerable therapeutic problem, particularly in the late growth period (DP3U), as regards the coordination of dental and skeletal treatment objectives. An effective treatment approach was demonstrated: a modified Herbst appliance used simultaneously with fixed appliances in the maxilla. The sample comprised 12 male (14.0 +/- 0.9 years old) and 10 female (12.3 +/- 0.4 years old) patients. Correction of the distal occlusion was achieved in all patients by means of the Herbst appliance, which was removed after an average time period of 6.4 +/- 0.2 months. In the mandible the multibracket appliances were then immediately inserted, and Class II elastics were used for retention. Maximum anchorage was required in the maxilla as well as in the mandible. Complete diagnostic records were made at the beginning of the treatment as well as 6 and 12 months later, in order to document skeletal and dental changes. A dental and skeletal Class I relationship was achieved in all cases. A significant improvement was recorded in the vertical jaw base relationship; this was still stable after a period of 12 months. In the dental area in particular, a so-called high-pull headgear effect (intrusion and distalization 16, 26) and intrusion of teeth 34, 44 were registered. Only a minor protrusion of the mandibular incisors was observed. Reinforcement of the bands reduced the failure rate significantly. The Herbst appliance does not represent a standard treatment for Class II. Its indication range is limited.

  11. The comparative analysis of results of surgical treatment of myasthenia in the remote periods of disease

    L. Zaslavsky

    2016-01-01

    Full Text Available Based on long-term follow-up to perform comparative analysis of long-term results of surgical treatment of myasthenia. A retrospective analysis of long-term results of surgical treatment of 146 patients with myasthenia has been carried out. We used the modified Keynes classification to estimate the severity of myasthenia and to summarize the data relating to therapy volume and treatment results. In dependence on the type of thymus lesion patients were divided into two groups. Thymus hyperplasia was verified at — 106 (72.6 % patients, tumor lesion of the thymus gland (thymoma — at 40 (27.4 % ones. The results were estimated in the following periods after thymectomy: 1—2 years, 3—4 years, 5—6 years, 7 — 9 years, 10—14 years, and over 15 years. Short- and longterm results of surgical treatment of myasthenia for the patients without tumor lesions of the thymus gland were significantly better. Positive effects of surgical treatment of myasthenia in patients with hyperplasia are observed after 1 year of surgery (p = 0.0023, and the best results are observed after 5 — 6 year of the disease, then after 7 — 9 year one notes some deterioration of state (p = 0.026. In the myasthenia patients with thymoma one notes the similar trends in dynamics of state, but in general, the results are significantly (p = 0.042 badly than in the group of the patients with hyperplasia. Starting from the first year after operation treatment the patients with myasthenia with thymus hyperplasia have statistically significant (p = 0.048 decrease of average doses of glucocorticoids, and anticholinesterase drugs. The statistically best treatment results were noted for the patients operated at the first year of the disease. Positive result of surgical treatment of myasthenia is noted both in the short- and long-term period and at thymomas. In the group of patients with thymoma one has noted significantly badly results in comparison with group of hyperplasia. It is

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

    V. V. Apollonov

    2014-01-01

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

  13. Surgical treatment of eye injuries in five-year survey period

    Vukosavljević Miroslav

    2006-01-01

    Full Text Available Introduction: Eye injuries represent one of the biggest problems in eye surgery all around the world, including our country. Treatment of eye injuries demands highly skilled personnel and adequate technical equipment. Objective: To show a total number of eye injuries, including the surgical methods used for their treatment. Methods: In our study, retrospective analysis of all performed surgical methods used in treatment of hospitalized patients in our Clinic during 2000-2004 was carried out. A special attention was paid to pars plana vitrectomy, together with combined anterior-posterior segment procedures. Results: During 2000-2004, a total of 347 pars plana vitrectomy, and 27 traumatic retinal detachments (conventional methods were performed. In addition, 314 patients with contusion trauma of the eyes were treated. Out of 297 patients with penetrant eye injuries, 196 (66% had intraocular foreign bodies (IOFB, and 101 (34% were without IOFB. A total number of endophthalmitis was 34 (8.73%. The number of combined anterior-posterior segment operations during this period was 227. Conclusion: Vitreoretinal operations are the most prevailing in treatment of serious eye injuries. Pars plana vitrectomy is also the most common method of surgical treatment of eye injuries.

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

    Karen da Silva Santos

    2015-08-01

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

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

    Calabrese JR

    2005-07-01

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

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

    Álvaro Frías

    2015-01-01

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

  17. Treatment of bronchial asthma with low-level laser in attack-free period at children

    Ailioaie, C.; Ailioaie, Laura

    2000-06-01

    Bronchial asthma is a common disease in both the pediatric and adult populations, characterized by wide variations over short periods of time in resistance to airflow in intrapulmonary airways. A primary goal in the use of low- level laser therapy (LLLT) was the safe, effective and rapid palliation of symptoms owing to tracheal or bronchial obstruction. We have investigated the effects of LLLT comparatively with other modality trials in children's asthma. In the study were included 98 patients aged 10-18 years diagnosed with moderate or severe asthma, in attack- free period. The patients were divided into 3 groups. Group 1 received only laser therapy using extra meridian acupuncture points and scanning technique. Group 2 was treated only with inhaled Serevent 2 X 25 micrometers , two times daily, 3 months. Group 3 was tread with Theophylline retard in dosage of 15-mg/kg/12 h, 3 months. At the end of treatment we remarked a noticeable improvement of the clinical, functional and immunological characteristics at 83 percent of patients in group 1, comparatively with only 70 percent (group 2) and 53 percent (group 3). The LLLT had a very good action on bronchial patency , displayed an immunocorrecting action and is recommended in attack-free periods at children.

  18. Comparing different treatment modalities for partial nephrectomies without ischemic period: laser, Hydro-Jet and RF

    de Boorder, Tjeerd; Boeken Kruger, Arto; Klaessens, John; Grimbergen, Matthijs; Verdaasdonk, Rudolf

    2008-02-01

    The treatment of partial nefrectomies is usually performed under a warm ischemic period. Recently, various treatment modalities have become available to perform a partial nefrectomy without clamping off the blood circulation. We have studied three devices in laboratory setting, investigating the thermal and high speed imaging techniques in tissue models and consequently, applying the instruments in the clinic during open procedures especially looking at efficacy and blood loss. The continuous wave 2.0 micron laser of 70 W (Revolix, LISA laser) is used as a fiber delivered knife cutting through circulated tissue with controlled hemostasis for vessels up to 3 mm diameter. The 2 μm wavelength effectively vaporizes tissue water and coagulates the smaller vessels. The Hydro-Jet (ERBE, Germany) uses high pressure (20-80 bar) to ejects a water jet of 40 um diameter at high velocity (10-30 m/s). The parenchyma is resected while vessels are preserved. Consequently, the exposed vessels can be coagulated in a controlled way with minimal blood loss. The water jet showed to induce cavitation bubbles that resect the soft tissue from the matrix leaving the elastic microvessels intact. Various systems are based on bipolar RF technology. We are using the Habib device (Rita 1500X RF generator) to create a coagulation zone around the tumor. Subsequently, the tumor can be resected along the coagulation zone with minimal bleeding. The treatment modalities investigated, have their own advantages and, stand-alone or in combination, can facilitate laparoscopic partial nephrectomies without an ischemic period.

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

    Stanimir A Yotov; Anatoli S Atanasov; Yordanka Y Ilieva

    2013-01-01

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

  20. Reference datasets for 2-treatment, 2-sequence, 2-period bioequivalence studies.

    Schütz, Helmut; Labes, Detlew; Fuglsang, Anders

    2014-11-01

    It is difficult to validate statistical software used to assess bioequivalence since very few datasets with known results are in the public domain, and the few that are published are of moderate size and balanced. The purpose of this paper is therefore to introduce reference datasets of varying complexity in terms of dataset size and characteristics (balance, range, outlier presence, residual error distribution) for 2-treatment, 2-period, 2-sequence bioequivalence studies and to report their point estimates and 90% confidence intervals which companies can use to validate their installations. The results for these datasets were calculated using the commercial packages EquivTest, Kinetica, SAS and WinNonlin, and the non-commercial package R. The results of three of these packages mostly agree, but imbalance between sequences seems to provoke questionable results with one package, which illustrates well the need for proper software validation.

  1. Treatment trends during a thirteen-year period in a student pediatric dentistry clinic.

    Bimstein, E; Eidelman, E

    1997-01-01

    This manuscript reports the treatment trends in a pediatric dentistry clinic from 1980 to 1992 and discusses their implication in clinical teaching. Analysis of the records of the senior year pediatric dentistry students indicated: no significant change with time in the patients/student ratio, the number of preformed crowns, pulpotomies, and pulpectomies by student or by patient; a significant decrease in the number of one-surface and > or = 2-surface restorations by student and by patient; a significant increase in the number of pit-and-fissure sealants and preventive resin restorations by student and by patient. During the thirteen-year period, the students performed an average of 7.3 one-surface; 12.9 > or = 2-surface restorations; 5.5 preformed crowns; 6.4 pit-and-fissure sealants; 2.4 pulpotomies. There was a significant increase with time in the number of students who performed pit-and-fissure sealants.

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

    Pierre Quartier

    2011-01-01

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

  3. Metabolic observations during the treatment of obese patients by periods of total starvation

    Riet, H.G. van; Schwarz, F.; Kinderen, P.J. der; Veeman, W.

    1964-01-01

    Ten very obese female patients were treated by periods of total starvation lasting 10 days each. In the interval between these starvation periods, a diet of 600 calories was given. Twenty-one periods were completed, 6 patients went through 3 periods each. The fasting was generally well tolerated; wi

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

    Eugen Dhimolea

    2011-01-01

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

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

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

    2016-04-01

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

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

    Sicras-Mainar A

    2015-12-01

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

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

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

    2008-01-01

    OBJECTIVE. The objective of this study was to analyze the population incidence of retinopathy of prematurity treatment in Denmark in the 10-year period from 1996 to 2005. METHODS. Patient charts of infants treated for retinopathy of prematurity and the national birth registry provide information...

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

    R Nooripour

    2014-11-01

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

  9. Treatment of knee prosthesis infections: evaluation of 15 patients over a 5-year period.

    Kosters, K.; Crevel, R. van; Sturm, P.D.J.; Schreurs, B.W.; Waal Malefijt, M.C. de; Kampen, A. van; Kullberg, B.J.

    2009-01-01

    Our objective was to evaluate different treatment alternatives for total knee arthroplasty (TKA) infection and to compare outcomes depending on adherence to a current treatment algorithm. All patients treated for a first episode of TKA infection between January 2000 and July 2005 were included. Pati

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

    Juliana M. Grégio

    2009-03-01

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

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

    He, Wei

    2016-01-01

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

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

    Helen Egestad

    2015-01-01

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

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

    Jaroslav Čapek

    2014-01-01

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

  14. [Clinical and pharmacoeconomic peculiarities of the treatment with cerebrolysin in the period of rehabilitation of is ischemic stroke.].

    Gusev, E I; Gekht, A B; Belousov, Iu B; Pavlov, N A; Galanov, D V; Popov, G R; Mil'chakova, L E

    2007-01-01

    The results of the clinical and pharmacoeconomic study of cerebrolysin in the rehabilitative therapy of ischemic stroke presented in the paper revealed the statistically significant regress of neurological disturbances in patients receiving cerebrolysin in daily dosages of 10 and 20 ml as compared to the control group. The rehabilitation of motor functions was more rapid than sensitive ones in patients receiving cerebrolysin comparing to those switched to the basic antihypertensive and antiaggregate therapy. The positive dynamics of speech rehabilitation was observed, the regress of aphatic disturbances being more significant for daily dosage of 20 ml. Rehabilitation rate in the period of treatment with cerebrolysin was higher for daily dosage of 20 ml than that of 10 ml. A prolonged effect of the drug during the long period after its withdrawal was found that resulted in higher rates of rehabilitation to the 11th week in patients receiving cerebrolysin as compared to the control group. Average total cost of direct medical expenses per a patient estimated in the pharmacoeconomic analysis for the groups receiving cerebrolysin and the control group was higher in the former groups, in particular in that with 20 ml dosage of cerebrolysin. A cost-efficacy analysis revealed that the cost of cerebrolysin treatment per effective unit (a cost of one score on the Lindmark scale and the Barthel scale) was less or comparable in patients receiving cerebrolysin comparing to the control group. The study suggests clinical and pharmacoeconomic expediency of cerebrolysin treatment in rehabilitative period of ischemic stroke.

  15. Cost of glaucoma treatment in a developing country over a 5-year period

    Lazcano-Gomez, Gabriel; Ramos-Cadena, María de los Angeles; Torres-Tamayo, Margarita; Hernandez de Oteyza, Alejandra; Turati-Acosta, Mauricio; Jimenez-Román, Jesús

    2016-01-01

    Abstract The aim of the study was to disclose a realistic estimate of primary open-angle glaucoma treatment, follow-up costs, and patients’ monthly glaucoma-economic burden in an ophthalmology hospital in Mexico City. Prospective survey of 462 primary open-angle glaucoma patients from 2007 to 2012 was carried out. Costs from visits, glaucoma follow-up studies, laser, and glaucoma surgical procedures were obtained from hospital pricings. Education, employment, and monthly income were interrogated. Total cost was divided into hypotensive treatment cost, nonpharmacologic treatment cost (laser and surgeries), and follow-up studies and consults. Average wholesale price for drugs analyzed was obtained from IMS Health data; monthly cost was calculated using: Monthly cost  = ([average wholesale price/number of drops per eye dropper] × number of daily applications) × 30 days. Patients were classified according to their glaucoma severity, and data were analyzed based on monthly income (average annual exchange rate: 12.85 Mexican pesos = 1 USD). The mean age was 70 ± 10 years, women = 81%, elementary school = 39%, and unemployed = 53%. Low-income group = 266 patients (57%), 146 with mild glaucoma; moderate-income group = 176 patients (38%), 81 with mild glaucoma; high-income group = 20 patients (4.3%), 10 with mild glaucoma. Patients’ monthly average economic burden in glaucoma treatment: low-income patients = 61.5%, moderate-income patients = 19.5%, and high-income patients = 7.9%. Glaucoma-economic burden is substantial not only for health systems, but for the family and the patient. Therefore, screening plans for earlier diagnosis, and health policies that lessen the cost of disease management and increase adherence to treatment, and reduce the prevalence of blindness attributed to glaucoma are essential. These would improve quality of life, reduce personal and national expenditure, and help increase national

  16. Vojta and Bobath combined treatment for high risk infants with brain damage at early period

    Chunyan Wu; Xiaohui Peng; Xuesong Li; Qingling Niu; Hong Guo; Huitao Huang

    2007-01-01

    BACKGROUND: In the process of early screening and interventions to high risk infants with brain damage,the occasion and choosing methods of interventions and the combined application of different interventions are still at the exploratory phase.OBJECTIVE: To observe the efficacy of early intervention using Vojta and Bobath combined treatment in high risk infants with brain damage, and investigate the effect of early rehabilitation on the prognosis.DESIGN: A randomized controlled comparative observation.SETTING: Daqing Oil Field General Hospital of Heilongjiang Province.PARTICIPANTS: Eighty-four high risk infants younger than 1 year were selected from the Department of Pediatrics, Daqing Oil Field General Hospital of Heilongjiang Province from October 2005 to October 2006,including 52 boys (62%) and 32 girls (38%). The treatment started at the age of 0 - 3 months in 11 cases (13%), 4 - 6 months in 28 cases (33%), 7 - 9 months in 35 cases (42%), and 10 - 12 months in 10 cases (12%). Infants with at least two of the followings were enrolled, including 7 Vojta abnormal postural reflexes,slow or disorder of motor development, increase of muscular tension, postural abnormality, primary reflection residual and CT/MRI abnormalities. Informed consents were obtained from their guardians. The 84 infants were randomly divided into treatment group (n =42) and control group (n =42).METHODS: All the children were intravenously injected with cerebroprotein hydrolysate injection or cattle encephalon glycoside and ignotin injection, 10 times as a course for 2 - 5 courses; Besides, the infants in the treatment group also received early rehabilitative training of Vojta and Bobath combined treatment, once a day, 40 minutes per time, 5 times a week followed by a 2-day rest, 1 month as a course, and totally 2 - 5 courses. The Vojta method was to facilitate the automatic regulation by reflexlocomotion. Bobath method was to inhibit abnormal posture but facilitate the normal one, thus it is

  17. A Case Report on Juvenile Neuromyelitis Optica: Early Onset, Long Remission Period, and Atypical Treatment Response.

    Elpers, Christiane; Gross, Catharina C; Fiedler, Barbara; Meuth, Sven G; Kurlemann, Gerhard

    2015-08-01

    Neuromyelitis optica (NMO) is a severe inflammatory demyelinating disease of the central nervous system and preferentially targets the optic nerves and spinal cord. NMO is rare in children and clinical course of the disease is highly variable as described in studies. Here, we present a case report of a young girl presenting with a rare course of pediatric NMO with an early disease onset at the age of 12 years, a relapse free interval of 4 years, evidence of NMO immunoglobulin G (IgG) and an unusual response against immunosuppressive therapy. The aim of this report is to highlight the potentially long remission period between relapses complicating proper diagnosis despite well defined diagnostic criteria. In addition, we want to encourage the use of rituximab in pediatric NMO, although larger cohorts are warranted to establish B cell depleting therapies in juvenile NMO.

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

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

    2016-04-01

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

  19. [Experience with treatment of chronic polypoid rhinosinusitis using low doses of clarithromycin in the postoperative period].

    Piskunov, G Z; Bobacheva, T Iu

    2012-01-01

    A total of 37 patients at the age from 25 to 65 years presenting with chronic polipoid rhinosinusitis (CPRS) were available for the observation. They were allocated to two groups based on the results of endoscopic polyposinusotomy. The patients in group 1 (n=18) were instructed at discharge from the clinic to take 250 mg of clarithromycin daily for 3 months in combination with the local application of a topical corticosteroid. The patients in group 2 (n=19) were prescribed topical corticosteroids alone. It was shown that clarithromycin at low doses caused significant stabilization of CPRS remission and prevented the development of relapses in the majority of the patients (66%). Therapy of CPRS with low doses of clarithromycin was associated with a significant decrease of the frequency of acute retroviral infections (ARVI). The intake of clarithromycin had no effect on the development and/or aggravation of intestinal dysbacteriosis nor did it provoke deviation of blood biochemical characteristics from the normal values both at the onset of therapy and after a follow-up period of 3 months.

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

    Tkachov, A V

    2008-01-01

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

  1. [Experience of systematization on the treatment of patients with upper jaws fractures, during the period 1991-2000].

    Khinkov, D

    2005-01-01

    A retrospecive analysis was done of the 128 patients with fractures in a upper jaw, treated during the period 1991-2000. The treatment of the patients with partial fractures in a alveolar part of maxilla and frontal wall of maxillary sinus, consist of debridement on the open wound, primery stiched and stabilization by arch bar of perspective teeth. In the cases with fractures of tuber maxilla and opening of maxillary sinus they tray to clouse it by Rhermann technique, with or without radical antrothomy by Caldwell-Luc technique. On the patients by total upper jaw fractures they try lead by princip of duble stage fixation: from one side-of intact upper bone structures and the other side-on a mandible. On the cases of upper jaw fractures, combine with barain traums. was treated conservativly - the specialize treatment of facial injures was postpoun until stabilization of brain status.

  2. The optimal period of Ca-EDTA treatment for parthenogenetic activation of porcine oocytes during maturation culture

    MORITA, Yasuhiro; TANIGUCHI, Masayasu; TANIHARA, Fuminori; ITO, Aya; NAMULA, Zhao; DO, Lanh Thi Kim; TAKAGI, Mitsuhiro; TAKEMOTO, Tatsuya; OTOI, Takeshige

    2016-01-01

    The changes triggered by sperm-induced activation of oocytes, which are required for normal oocyte development, can be mediated by other agents, thereby inducing the parthenogenesis. In this study, we exposed porcine oocytes to 1 mM Ca-EDTA, a metal-ion chelator, at various intervals during 48 hr of in vitro maturation to determine the optimum period of Ca-EDTA treatment for parthenogenetic activation. When the oocytes were cultured with or without Ca-EDTA from 36 hr (post-12), 24 hr (post-24), 12 hr (post-36) and 0 hr (post-48) after the start of maturation culture, the blastocyst formation rates were significantly higher (P<0.05) in the post-24, post-36 and post-48 groups (3.3%, 4.0% and 2.6%, respectively) than those in the control group without treatment (0%). Furthermore, when the oocytes were cultured with Ca-EDTA for 0 hr (control), 12 hr (pre-12), 24 hr (pre-24), 36 hr (pre-36) and 48 hr (pre-48) from the start of maturation culture, the oocytes formed blastocysts only in the pre-36 and pre-48 groups (0.4% or 0.8%, respectively). Pronuclei (<66.7%) were observed only when the periods of Ca-EDTA treatment were more than 12 hr during maturation culture. In the control group, no pronuclei were detected. Our findings demonstrate that porcine immature oocytes can be parthenogenetically activated by Ca-EDTA treatment for at least 24 hr to 36 hr during maturation culture, leading to pronucleus formation followed by the formation of blastocysts. PMID:26947170

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

    Yang Ling-Ling

    2010-12-01

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

  4. The Nursing Treatment of Mediastinal Disease in Surgery Period%纵隔疾病围手术期的护理

    庞会娟

    2014-01-01

    目的:探讨纵隔疾病围手术期的护理对策。方法针对收治入院的30例纵隔肿瘤切除患者术前给予心理护理的临床资料进行分析。结果经过行外科手术治疗30例患者手术顺利,切口Ⅰ期愈合,无术后并发症的发生。结论严密的围手术期护理对提高手术成功率,减少术后并发症起到了重要作用,促进患者早日康复出院。%Objective Make a discussion on the nursery treatment of mediastinal disease in surgery period.MethodsAnalyzing the clinical data taken from 30 hospitalized patients who have received psychological care before they were operated with mediastinal cancer surgery.Results Having been operated surgery,30patients got satisfactory results and the wound were healed during first phrase and no complications occurred.Conclusion Strict nursery treatment and care in surgical period make significance in improving the surgical successful probabilities, decrease the occurrence of complications and aid patients with being into rehab.

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

    Olivier Rascol

    2014-07-01

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

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

    Ayşe Neslihan Bebek

    2012-03-01

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

  7. Tumor necrosis factor receptor-associated periodic syndrome (TRAPS): definition, semiology, prognosis, pathogenesis, treatment, and place relative to other periodic joint diseases.

    Masson, Charles; Simon, Virginie; Hoppé, Emmanuel; Insalaco, Paolo; Cissé, Idrissa; Audran, Maurice

    2004-07-01

    Tumor necrosis factor receptor-associated periodic syndrome (TRAPS) is an autosomal dominant inherited condition of periodic fever and pain. Most patients are of northern European descent. The attacks manifest as fever and pain in the joints, abdomen, muscles, skin, or eyes, with variations across patients. An acute-phase response occurs during the attacks. Patients with TRAPS are at risk for AA amyloidosis, the most common targets being the kidneys and liver. Soluble TNFRSF1A is usually low between the attacks and may be normal during the attacks, when TNF levels are high. TNFRSF1A is found in abnormally high numbers on leukocyte cell membranes. TRAPS is the first condition for which naturally occurring mutations in a TNF receptor were found; the mutations affect the soluble TNFRSF1A gene in the 12p13 region. In some patients, the pathogenesis involves defective TNFRSF1A shedding from cell membranes in response to a given stimulus. Thus, TRAPS is a model for a novel pathogenic concept characterized by failure to shed a cytokine receptor. This review compares TRAPS to other inherited periodic febrile conditions, namely, familial Mediterranean fever, Muckle-Wells syndrome, cold urticaria, and hyper-IgD syndrome. The place of TRAPS relative to other intermittent systemic joint diseases is discussed. Colchicine neither relieves nor prevents the attacks, whereas oral glucocorticoid therapy is effective when used in dosages greater than 20 mg/day. The pathogenic hypothesis involving defective TNFRSF1A shedding suggests that medications targeting TNF may be effective in TRAPS.

  8. The influence of dry matter, applied heat treatment and storage period on the viscosity of stirred yogurt

    Denin-Đurđević Jelena D.

    2002-01-01

    Full Text Available Skim milk powder reconstituted to 8.44% TS, 9.65% TS and 10.84% TS respectively was used for investigation. Untreated milk and milk heat treated at 85ºC/20 min and 90ºC/10 min, respectively, were used for the investigation. Milk was inoculated with 2.5% of yogurt culture (containing Lactobacillus delbrueckii subsp. bulgaricus and Streptococcus thermophilus in the ratio 1:1 at 43ºC. Samples were incubated until pH 4.6 was reached. Samples were immediately cooled to 4ºC and held at that temperature during 14 days. Acid casein gel was stirred after 1, 7 and 14 days of storage. Measurements were done at 30 rpm during 2 min, at 20ºC. According to the investigation, it could be concluded that both applied heat treatment and dry matter content influence viscosity of stirred yogurt. Viscosity increases when dry matter content increases. The smallest viscosity had yogurt produced from untreated milk with 8.44% TS, while samples produced from milk with 10.84% TS had the highest viscosity. Applied heat treatments had significant influence on viscosity of yogurt gained by stirring of acid casein gels after 7 and 14 days of storage. Stirred yogurt produced from milk heat treated at 90ºC/10 min had a higher viscosity than samples produced from milk heat treated at 85ºC/20 min. Storage period influenced average viscosity of stirred yogurt. Samples of stirred yogurt produced from milk with 8.44% TS showed a decrease of average viscosity during storage regardless of the applied heat treatment of milk. The highest average viscosity had samples produced from milk with 10.84% TS.

  9. Simultaneous biohydrogen production and wastewater treatment in biofilm configured anaerobic periodic discontinuous batch reactor using distillery wastewater

    Venkata Mohan, S.; Mohanakrishna, G.; Ramanaiah, S.V.; Sarma, P.N. [Bioengineering and Environmental Centre, Indian Institute of Chemical Technology, Hyderabad 500007 (India)

    2008-01-15

    Biohydrogen (H{sub 2}) production with simultaneous wastewater treatment was studied in anaerobic sequencing batch biofilm reactor (AnSBBR) using distillery wastewater as substrate at two operating pH values. Selectively enriched anaerobic mixed consortia sequentially pretreated with repeated heat-shock (100{sup o}C; 2 h) and acid (pH -3.0; 24 h) methods, was used as parent inoculum to startup the bioreactor. The reactor was operated at ambient temperature (28{+-}2 {sup circle} C) with detention time of 24 h in periodic discontinuous batch mode. Experimental data showed the feasibility of hydrogen production along with substrate degradation with distillery wastewater as substrate. The performance of the reactor was found to be dependent on the operating pH. Adopted acidophilic microenvironment (pH 6.0) favored H{sub 2} production (H{sub 2} production rate - 26 mmol H{sub 2}/day; specific H{sub 2} production - 6.98 mol H{sub 2}/kg COD{sub R}-day) over neutral microenvironment (H{sub 2} production rate - 7 mmol H{sub 2}/day; specific H{sub 2} production - 1.63 mol H{sub 2}/kg COD{sub R}-day). However, COD removal efficiency was found to be effective in operated neutral microenvironment (pH 7 - 69.68%; pH 6.0 - 56.25%). The described process documented the dual benefit of renewable energy generation in the form of H{sub 2} with simultaneous wastewater treatment utilizing it as substrate. (author)

  10. Effect of germination periods and hydrothermal treatments on in vitro protein and starch digestibility of germinated legumes.

    Uppal, Veny; Bains, Kiran

    2012-04-01

    Germination of legumes followed by hydrothermal treatments is an effective mean of improving nutritive value of legumes. The protein content of mungbean, chickpea and cowpea increased by 9-11, 11-16 and 8-11% after germination. A significant (p ≤ 0.05) decrease in protein content was observed on pressure cooking and microwaving in all three legumes. The carbohydrates decreased by 1 to 3% during soaking and 2 to 6% during germination. A significant (p ≤ 0.05) improvement in in vitro protein digestibility (IVPD) was observed after soaking as well as after three germination periods. Germination resulted in an increase in IVPD from 15 to 25% in mungbean, 6 to 17% in chickpea and 6 to 17% in cowpea. A significant (p ≤ 0.05) increase in IVPD was observed when raw sprouts of three legumes were subjected to pressure cooking and microwaving. In vitro starch digestibility (IVSD) increased significantly (p ≤ 0.05) after germination, the percent increase being 8 to 12% in mungbean, 9 to 11% in chickpea and 10 to 13% in cowpea. The duration of germination had significant (p ≤ 0.05) effect on IVSD. A significant (p ≤ 0.05) improvement in IVSD was observed when legume sprouts were subjected to pressure cooking and microwave cooking.

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

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

    2013-01-01

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

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

    Berntson, Lillemor; Agback, Peter; Dicksved, Johan

    2016-06-01

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

  13. Clinical Observation of Recombinant Human Vascular Endostatin Durative Transfusion Combined with Window Period Arterial Infusion Chemotherapy in the Treatment of 
Advanced Lung Squamous Carcinoma

    Yuan LV

    2015-08-01

    Full Text Available Background and objective Lung cancer is one of the most common malignant tumors in China. The aim of this study is to observe the efficacy and safety of recombinant human vascular endostatin (endostar durative transfusion combined with window period arterial infusion chemotherapy in the treatment of advanced lung squamous carcinoma. Methods From February 2014 to January 2015, 10 cases of the cytological or histological pathology diagnosed stage IIIb - stage IV lung squamous carcinoma were treated with recombinant human vascular endostatin (30 mg/d durative transfusion combined with window period arterial infusion chemotherapy. Over the same period of 10 cases stage IIIb - stage IV lung squamous carcinoma patients for pure arterial perfusion chemotherapy were compared. Recombinant human vascular endostatin was durative transfused every 24 hours for 7 days in combination group, and in the 4th day of window period, the 10 patients were received artery infusion chemotherapy, using docetaxel combined with cisplatin. Pure treatment group received the same arterial perfusion chemotherapy regimen. 4 weeks was a cycle. 4 weeks after 2 cycles, to evaluate the short-term effects and the adverse drug reactions. Results 2 groups of patients were received 2 cycles treatments. The response rate (RR was 70.0%, and the disease control rate (DCR was 90.0% in the combination group; In the pure treatment group were 50.0%, 70.0% respectively, there were no statistically significant difference (P=0.650, 0.582. The adverse reactions of the treatment were mild, including level 1-2 of gastrointestinal reaction and blood toxicity, there were no statistically significant difference (P=0.999, P=0.628. In the combination group, 1 patient occurred level 1 of cardiac toxicity. Conclusion Recombinant human vascular endostatin durative transfusion combined with window period arterial infusion chemotherapy in the treatment of advanced lung squamous carcinoma could take a

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

    Josué Viana Castro Neto

    2002-11-01

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

  15. Decreased strongyle egg re-appearance period after treatment with ivermectin and moxidectin in horses in Belgium, Italy and The Netherlands

    Geurden, Thomas; van Doorn, Deborah; Claerebout, Edwin; Kooyman, Frans; De Keersmaecker, Sofie; Vercruysse, Jozef; Besognet, Bruno; Vanimisetti, Bindu; di Regalbono, Antonio Frangipane; Beraldo, Paola; Di Cesare, Angela; Traversa, Donato

    2014-01-01

    The objective of the present study was to evaluate the efficacy of an oral treatment with ivermectin (IVM) or moxidectin (MOX) against gastro-intestinal strongyles in naturally infected horses by performing a faecal egg count reduction test (FECRT) and by monitoring the egg reappearance period (ERP)

  16. Short-day treatment during the growing period limits shoot growth and increases frost hardiness of hybrid aspen plants in the nursery

    Zhang Gang; Jaana Luoranen; Heikki Smolander

    2007-01-01

    In Finland, under nursery conditions hybrid aspen may continue their shoot growth until early September. Thus,frost hardening is usually delayed. To solve this problem, We used a three-week period of short-day (SD) treatment between late July and mid-August. During autumn after frost exposure,frost hardiness (FH) Was assessed three times with a stem-browning test. The resuits showed that after SD treatment shoot growth ceased and FH increased when compared to untreated hybrid aspen. Furthermore,the height of SD-treated hybrid aspen varied much less than that of the control plants. We conclude that SD treatment in the nursery during the growing period can be used as a supplementary method for producing well-hardened and uniform hybrid aspen plants.

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

    李凌

    2012-01-01

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

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

    W. Louis Cleveland

    2009-01-01

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

  19. Estimating long-term effects of treatment from placebo-controlled trials with an extension period, using virtual twins.

    Vittinghoff, Eric; McCulloch, Charles E; Woo, Claudine; Cummings, Steven R

    2010-05-10

    The best information about the benefits of long-term treatment is obtained from a long-term placebo-controlled trial. However, once efficacy has been demonstrated in relatively brief trials, it may not be possible to conduct long-term placebo-controlled trials, for ethical or practical reasons. This paper presents a method for estimating long-term effects of a treatment from a placebo-controlled trial in which some participants originally randomized to active-treatment volunteer to continue on treatment during an extension study, but follow-up of participants originally assigned to placebo ends with the trial, or they are crossed over to active treatment during the extension. We propose using data from the trial to project the outcomes for a 'virtual twin' for each active-treatment volunteer under the counterfactual placebo condition, and using bootstrap methods for inference. The proposed method is validated using simulation, and applied to data from the Fracture Intervention Trial and its extension, FLEX.

  20. Correlates of satisfaction with pain treatment in the acute postoperative period: results from the international PAIN OUT registry.

    Schwenkglenks, Matthias; Gerbershagen, Hans J; Taylor, Rod S; Pogatzki-Zahn, Esther; Komann, Marcus; Rothaug, Judith; Volk, Thomas; Yahiaoui-Doktor, Maryam; Zaslansky, Ruth; Brill, Silviu; Ullrich, Kristin; Gordon, Debra B; Meissner, Winfried

    2014-07-01

    Patient ratings of satisfaction with their postoperative pain treatment tend to be high even in those with substantial pain. Determinants are poorly understood and have not previously been studied in large-scale, international datasets. PAIN OUT, a European Union-funded acute pain registry and research project, collects patient-reported outcome data on postoperative day 1 using the self-reported International Pain Outcome Questionnaire (IPO), and patient, clinical, and treatment characteristics. We investigated correlates of satisfaction and consistency of effects across centres and countries using multilevel regression modelling. Our sample comprised 16,868 patients (median age 55 years; 55% female) from 42 centres in 11 European countries plus Israel, USA, and Malaysia, who underwent a wide range of surgical procedures, for example, joint, limb, and digestive tract surgeries. Median satisfaction was 9 (interquartile range 7-10) on a 0-10 scale. Three IPO items showed strong associations and explained 35% of the variability present in the satisfaction variable: more pain relief received, higher allowed participation in pain treatment decisions, and no desire to have received more pain treatment. Patient factors and additional IPO items reflecting pain experience (eg, worst pain intensity), pain-related impairment, and information on pain treatment added little explanatory value, partially due to covariate correlations. Effects were highly consistent across centres and countries. We conclude that satisfaction with postoperative pain treatment is associated with the patients' actual pain experience, but more strongly with impressions of improvement and appropriateness of care. To the degree they desire, patients should be provided with information and involved in pain treatment decisions.

  1. Familial Periodic Paralyses

    ... and less severe than the hypokalemic form. Muscle spasms are common. × Definition Familial periodic paralyses are a ... and less severe than the hypokalemic form. Muscle spasms are common. View Full Definition Treatment Treatment of ...

  2. Early exposure of infants to GI nematodes induces Th2 dominant immune responses which are unaffected by periodic anthelminthic treatment.

    Victoria J Wright

    Full Text Available We have previously shown a reduction in anaemia and wasting malnutrition in infants <3 years old in Pemba Island, Zanzibar, following repeated anthelminthic treatment for the endemic gastrointestinal (GI nematodes Ascaris lumbricoides, hookworm and Trichuris trichiura. In view of the low intensity of worm infections in this age group, this was unexpected, and it was proposed that immune responses to the worms rather than their direct effects may play a significant role in morbidity in infants and that anthelminthic treatment may alleviate such effects. Therefore, the primary aims of this study were to characterise the immune response to initial/early GI nematode infections in infants and the effects of anthelminthic treatment on such immune responses. The frequency and levels of Th1/Th2 cytokines (IL-5, IL-13, IFN-gamma and IL-10 induced by the worms were evaluated in 666 infants aged 6-24 months using the Whole Blood Assay. Ascaris and hookworm antigens induced predominantly Th2 cytokine responses, and levels of IL-5 and IL-13 were significantly correlated. The frequencies and levels of responses were higher for both Ascaris positive and hookworm positive infants compared with worm negative individuals, but very few infants made Trichuris-specific cytokine responses. Infants treated every 3 months with mebendazole showed a significantly lower prevalence of infection compared with placebo-treated controls at one year following baseline. At follow-up, cytokine responses to Ascaris and hookworm antigens, which remained Th2 biased, were increased compared with baseline but were not significantly affected by treatment. However, blood eosinophil levels, which were elevated in worm-infected children, were significantly lower in treated children. Thus the effect of deworming in this age group on anaemia and wasting malnutrition, which were replicated in this study, could not be explained by modification of cytokine responses but may be related to

  3. [MVK gene abnormality and new approach to treatment of hyper IgD syndrome and periodic fever syndrome].

    Naruto, Takuya

    2007-04-01

    Hyper IgD and periodic fever syndrome (HIDS; OMIM 260920) is one of the hereditary autoinflammatory syndromes characterized by recurrent episodes of fever and inflammation.. HIDS is an autosomal recessive disorder characterized by recurrent fever attacks in early childhood. HIDS caused by mevalonate kinase (MK) mutations, also that is the gene of mevalonic aciduria (OMIM 251170). During febrile episodes, urinary mevalonate concentrations were found to be significantly elevated in patients. Diagnosis of HIDS was retrieving gene or measurement of the enzyme activity in peripheral blood lymphocyte in general. This of HIDS is an activity decline of MK, and a complete deficiency of MK becomes a mevalonic aciduria with a nervous symptom. The relation between the fever and inflammation of mevalonate or isoprenoid products are uncertain. The therapy attempt with statins, which is inhibited the next enzyme after HMG-CoA reductase, or inhibit the proinflammatory cytokines.

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

    Yatan Pal Singh Balhara

    2016-01-01

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

  5. Effect of germination periods and hydrothermal treatments on in vitro protein and starch digestibility of germinated legumes

    Uppal, Veny; Bains, Kiran

    2011-01-01

    Germination of legumes followed by hydrothermal treatments is an effective mean of improving nutritive value of legumes. The protein content of mungbean, chickpea and cowpea increased by 9–11, 11–16 and 8–11% after germination. A significant (p ≤ 0.05) decrease in protein content was observed on pressure cooking and microwaving in all three legumes. The carbohydrates decreased by 1 to 3% during soaking and 2 to 6% during germination. A significant (p ≤ 0.05) improvement in in vitro protein di...

  6. Biomineralization of azo dye bearing wastewater in periodic discontinuous batch reactor: Effect of microaerophilic conditions on treatment efficiency.

    Naresh Kumar, A; Nagendranatha Reddy, C; Venkata Mohan, S

    2015-01-01

    The present study illustrates the influence of microaerophilic condition on periodic discontinuous batch reactor (PDBR) operation in treating azo dye containing wastewater. The process performance was evaluated with the function of various dye load operations (50-750 mg/l) by keeping the organic load (1.6 kg COD/m(3)-day) constant. Initially, lower dye operation (50mg dye/l) resulted in higher dye [45 mg dye/l (90%)] and COD [SDR: 1.29 kg COD/m(3)-day (92%)] removal efficiencies. Higher dye load operation (750 mg dye/l) also showed non-inhibitory performance with respect to dye [600 mg dye/l (80%)] and COD [1.25 kg COD/m(3)-day (80%)] removal efficiencies. Increment in dye load showed increment in azo reductase and dehydrogenase activities (39.6 U; 4.96 μg/ml; 750 mg/l). UV-Vis spectroscopy (200-800 nm), FTIR and (1)H NMR studies revealed the disappearance of azo bond (-NN-). First derivative cyclic voltammogram supported the involvement of various membrane bound redox shuttlers, viz., cytochrome-C, cytochrome-bc1 and flavoproteins (FAD (H)).

  7. Long-Term Cinacalcet HCl Treatment Improved Bone Metabolism in Japanese Hemodialysis Patients with Secondary Hyperparathyroidism

    Shigematsu, Takashi; Akizawa, Tadao; Uchida, Eiji; Tsukamoto, Yusuke; Iwasaki, Manabu; Koshikawa, Shouzo

    2009-01-01

    Background/Aims Few clinical trials conducted with cinacalcet have thoroughly addressed its effects of on bone metabolism. We assessed the effects of cinacalcet on bone markers in Japanese hemodialysis (HD) patients with secondary hyperparathyroidism (SHPT). Methods 200 Japanese HD patients with intact PTH (iPTH) levels ≥300 pg/ml were enrolled. The dose of cinacalcet was titrated from 25 up to 100 mg/day to achieve iPTH levels ≤250 pg/ml for 52 weeks. Results At the end of the study visit, 57.8% of patients (115/199) had achieved iPTH levels ≤250 pg/ml. Serum Ca, phosphorus (P) and Ca × P levels decreased rapidly and were maintained throughout the study. At week 52, all bone metabolic markers levels had decreased significantly from baseline. Although bone resorption markers gradually decreased throughout the study period, bone alkaline phosphatase significantly increased during the first 4 weeks and then gradually decreased. Conclusions The time courses of changes in bone markers after cinacalcet treatment resembled those observed after surgical parathyroidectomy (PTx), sometimes described as the hungry bone syndrome, indicating that cinacalcet treatment induces a rapid recovery in bone response to calcium. In addition, long-term efficacy and safety of cinacalcet were also observed in Japanese patients undertaking long-term hemodialysis (167.0 ± 81.4 months). PMID:18797166

  8. Administration of Mycobacterium phlei cell wall-nucleic acid complex in the immediate postoperative period for the treatment of non-muscle-invasive bladder cancer

    Morales, Álvaro

    2016-01-01

    Introduction: This review sought to investigate the safety of intravesical administration of Mycobacterium phlei cell wall-nucleic acid (MCNA) in the immediate postoperative period after biopsy/resection for non-muscle-invasive bladder cancer (NMIBC). Methods: Patients with NMIBC who failed bacillus Calmette-Guérin (BCG) therapy and at high risk of recurrence and progression participated in this study. Treatment involved an induction phase of six weeks and maintenance of three weekly instillations every six months for two years. Biopsies were mandatory at six months and resections/biopsies as indicated. Of the 129 patients enrolled, 18 (14%) received one or more instillations of MCNA within 24 hours of an endoscopic procedure for a total of 32 instillations. Results: Fourteen patients (78%) received MCNA in the immediate postoperative period. Two (11%) received treatment the day after surgery, but a second treatment immediately after a transurethral resection of the bladder tumour (TURBT). The remaining two patients received an instillation each the day after surgery. Adverse events (AEs) occurred in 31.3% of those treated immediately after the procedure; they were mild, limited to the lower urinary tract, and not drug-related. Only one patient experienced systemic symptoms of moderate severity. None of the AEs resulted in postponement of treatment. There were no AEs among those receiving MCNA the day after surgery. Conclusions: The dual mechanism of action of MCNA suggests that early treatment would take advantage of its chemotherapeutic (pro-apoptotic) activity. Concerns about early administration due to the presence of live bacteria are circumvented with this sterile preparation. These preliminary results warrant further investigation to confirm the safety of perioperative administration of MCNA. PMID:27800054

  9. Induction of anoxic microenvironment in multi-phase metabolic shift strategy during periodic discontinuous batch mode operation enhances treatment of azo dye wastewater.

    Nagendranatha Reddy, C; Naresh Kumar, A; Annie Modestra, J; Venkata Mohan, S

    2014-08-01

    Variation in anoxic microenvironment (multi-phase (MP) metabolic shift strategy) during cycle operation of periodic discontinuous batch/sequencing batch (PDBR/SBR) mode operation showed enhanced degradation of recalcitrant azo dye (C.I. Acid Black 10B) at higher dye load (1250mg/l). The process performance was evaluated by varying anoxic phasing period during cycle operation. Before multiphase (BMP) operation with 2.1% of anoxic period showed color/COD removal efficiency of 41.9%/46.3%. Increment in anoxic period responded favorable in enhancing treatment efficiency [AMPI (16.2%), 49.4%/52.4%; AMPII (26.6%), 54.7%/57.2%; AMPIII (34.9%), 58.4%/61.5%]. Relatively higher bio-electrochemical activity, persistent reductive behavior (redox catalytic currents, 0.26/-0.72μA), prevalence of redox shuttlers (Fe-S proteins, cytochromes, quinones) facilitating enhanced electron transfer by minimization of associated losses and higher enzyme activities were observed with induction of anoxic phase. Anoxic condition shifts system microenvironment between oxidation and reduction assisting reduction of dye to its intermediates followed by their mineralization.

  10. Efficacy and safety of oral deferasirox treatment in the posttransplant period for patients who have undergone allogeneic hematopoietic stem cell transplantation (alloHSCT).

    Sivgin, Serdar; Eser, Bulent; Bahcebasi, Sami; Kaynar, Leylagul; Kurnaz, Fatih; Uzer, Elmas; Pala, Cigdem; Deniz, Kemal; Ozturk, Ahmet; Cetin, Mustafa; Unal, Ali

    2012-05-01

    Iron overload is considered to be associated with various complications in patients who undergo both allogeneic (allo) and autologous hematopoietic stem cell transplantation (HSCT). A total of 23 alloHSCT recipients who started deferasirox treatment due to hyperferritinemia (ferritin ≥1,000 ng/mL) were analyzed retrospectively. The demographic characteristics, data about deferasirox treatment, and history of phlebotomy were obtained from the patients' files. The reduction in posttreatment ferritin levels was found statistically significant compared with pretreatment ferritin levels in both def+phlebotomy and def+nonphlebotomy groups (p = 0.025 and 0.017, respectively). The liver enzymes, especially ALT and bilirubins, were significantly reduced after the treatment (p deferasirox treatment reduced pretreatment ferritin levels below the level of 1,000 ng/mL in a median period of 94 days, and these data were found to be statistically significant (p deferasirox was 94 days (72-122). The most common adverse effects were nausea and vomiting, which occurred in three of the patients (13%). In conclusion, our data suggest that oral deferasirox treatment may be used as a safe and effective alternative method for reducing iron overload in alloHSCT recipients, whether combined with or without phlebotomy.

  11. Ruptured intracranial aneurysms: the outcome of surgical treatment in experienced hands in the period prior to the advent of endovascular coiling

    Lafuente, J; Maurice-Williams, R

    2003-01-01

    Objectives: To evaluate the results of treatment of patients with a ruptured intracranial aneurysm treated by a single experienced vascular neurosurgeon in the period prior to the introduction of endovascular coiling. Methods: Over a mean (SD) period of 9 (2) years, between January 1990 and June 1999, 245 consecutive patients with ruptured intracranial aneurysms were treated. Patients' details were obtained from a database that had been constructed prospectively. The patients consisted of all those patients treated by the senior author (Mr Maurice-Williams) over this period—that is, every third day on call at his unit. During this period, all patients under the age of 75 years with a diagnosis of subarachnoid haemorrhage were admitted to the neurosurgical unit as soon as was practicable regardless of clinical grade. Results: Of 245 patients, 190 (77.6%) underwent treatment by open surgery using standard microsurgical techniques. At 1 year, the mortality of the operated patients was 2.6%, while 89.5% of the patients had a Glasgow Outcome Score (GOS) of 4 and 5. The overall management outcome (all patients treated, including operated and non-operated cases) at 1 year was: 17.1 % dead while 74.3% had GOS 4 and 5. Of the 190 patients who underwent surgery, 38 (20%) required additional operations, totalling 72 operations in all. Of these, 32 were for hydrocephalus and 17 for the evacuation of intracranial haematomas/collections. Complications of surgery occurred in 56 patients (29.5%). Conclusion: Open surgery, despite good eventual results, is associated with a significant rate of re-operations and complications that would probably be largely avoided with endovascular treatment. Nevertheless, although endovascular coiling has these immediate advantages over surgery it is still not certain that the long term results will be superior to surgery which leads to permanent obliteration of the aneurysm. There may still be a need for open surgery in the future. PMID:14638889

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

    Maria-Angeliki Gkini

    2014-01-01

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

  13. Chronic caffeine treatment during prepubertal period confers long-term cognitive benefits in adult spontaneously hypertensive rats (SHR), an animal model of attention deficit hyperactivity disorder (ADHD).

    Pires, Vanessa A; Pamplona, Fabrício A; Pandolfo, Pablo; Prediger, Rui D S; Takahashi, Reinaldo N

    2010-12-20

    The spontaneously hypertensive rat (SHR) is frequently used as an experimental model for the study of attention deficit hyperactivity disorder (ADHD) since it displays behavioural and neurochemical features of ADHD. Increasing evidence suggests that caffeine might represent an important therapeutic tool for the treatment of ADHD and we recently demonstrated that the acute administration of caffeine improves several learning and memory impairments in adult SHR rats. Here we further evaluated the potential of caffeine in ADHD therapy. Female Wistar (WIS) and SHR rats were treated with caffeine (3mg/kg, i.p.) or methylphenidate (MPD, 2mg/kg, i.p.) for 14 consecutive days during the prepubertal period (post-natal days 25-38) and they were tested later in adulthood in the object-recognition task. WIS rats discriminated all the objects used, whereas SHR were not able to discriminate pairs of objects with subtle structural differences. Chronic treatment with caffeine or MPD improved the object-recognition deficits in SHR rats. Surprisingly, these treatments impaired the short-term object-recognition ability in adult WIS rats. The present drug effects are independent of changes in locomotor activity, arterial blood pressure and body weight in both rat strains. These findings suggest that chronic caffeine treatment during prepubertal period confers long-term cognitive benefits in discriminative learning impairments of SHR, suggesting caffeine as an alternative therapeutic strategy for the early management of ADHD symptoms. Nevertheless, our results also emphasize the importance of a correct diagnosis and the caution in the use of stimulant drugs such as caffeine and MPD during neurodevelopment since they can disrupt discriminative learning in non-ADHD phenotypes.

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

    Levin Jonathan

    2009-08-01

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

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

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

    2015-01-01

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

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

    NONE

    1997-08-01

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

  17. Establishing and sustaining a healthy vaginal environment: analysis of data from a randomized trial of periodic presumptive treatment for vaginal infections.

    Balkus, Jennifer E; Richardson, Barbra A; Mandaliya, Kishorchandra; Kiarie, James; Jaoko, Walter; Ndinya-Achola, Jeckoniah O; Marrazzo, Jeanne; Farquhar, Carey; McClelland, R Scott

    2011-07-15

    Data from a randomized trial of oral periodic presumptive treatment (PPT) to reduce vaginal infections were analyzed to assess the effect of the intervention on a healthy vaginal environment (normal flora confirmed by Gram stain with no candidiasis or trichomoniasis). The incidence of a healthy vaginal environment was 608 cases per 100 person-years in the intervention arm and 454 cases per 100 person-years in the placebo arm (hazard ratio [HR], 1.36; 95% confidence interval [CI], 1.17-1.58). Sustained vaginal health (healthy vaginal environment for ≥3 consecutive visits) was also more frequent in the intervention arm (HR, 1.69; 95% CI, 1.23-2.33). PPT is effective at establishing and sustaining a healthy vaginal environment.

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

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

    2000-01-01

    AIM To investigate the changes of gastric acid production and its mechanism in shock period of severe burn in rats.METHODS A rat model with 30% TBSA fullthickness burn injury was employed and the gastric acid production, together with gastric mucosal blood flow (GMBF) and energy charge ( EC ) were measured serially within 48h postburn.RESULTS The gastric acid production in the acute shock period was markedly inhibited after severe burn injury. At the 3rd h postburn, the gastric juice volume, total acidity and acid output were already significantly decreased (P<0.01), and reached the lowest point,0.63mL/L ± 0.20mL/L, 10.81mmol/L ±2.58mmol/L and 2.23 mmol/h ± 0.73mmol/h respectively, at the 12th h postburn. Although restored to some degree 24 h after thermal injury, the variables above were still statistically lower, compared with those of control animals at the 48th h postburn. The GMBF and EC were also significantly reduced after severe burns, consistent with the trend of gastric acid production changes.CONCLUSION Gastric acid production, as well as GMBF and EC was predominantly decreased in the early postburn stage, suggesting that gastric mucosal ischemia and hypoxia with resultant disturbance in energy metabolism, but not gastric acid proper, might be the decisive factor in the pathogenesis of AGML after thermal injury, and that the preventive use of anti-acid drugs during burn shock period was unreasonable in some respects. Therefore,taking effective measures to improve gastric mucosal blood perfusion as early as possible postburn might be more preferable for the AGML prevention and treatment.

  19. THE SUCCESSFUL TREATMENT OF A PERIPHERAL VENO-VENOUS EXTRACORPOREAL MEMBRANE OXYGENATION FOR SEVERE ACUTE RESPIRATORY FAILURE IN THE EARLY PERIOD AFTER ADULT LIVER TRANSPLANTATION

    V. N. Poptsov

    2014-01-01

    Full Text Available Aim: of our clinical study was to present own experience of veno-venous extracorporeal membrane oxygenation (VV ECMO for the treatment of an adult patient (female, 28 yrs, 150 cm, 35 kg with acute respiratory distress syndrome (ARDS in the early period after liver transplantation against satisfactory liver graft function. Materials and methods. Double-lumen cannula 22 F was placed percutaneously in the right internal jugular vein. The ext- racorporeal contour reduced in length and the polymethylpeptene oxygenator (priming volume 175 ml were also. Results. In 1 hour after the beginning of VV ECMO, we registered the noted improvement of arterial blood gas and acid-base balance (regress of respiratory acidosis, improvement of arterial oxygenation which allowed us to use the «protective» mode of mechanical ventilation. Improvement of gas exchange and regress of clinical and radiological manifestations of ARDS allowed for VV ECMO weaning and decannulation on day 7. The patient was discharged from ICU and then from our Centre to a homestay respectively on the 9th and 16th day after VV ECMO weaning with the satisfactory liver graft and lungs function. Conclusion. VV ECMO can be successfully applied to correct the life-threatening acute respiratory failure in the early period after liver transplantation. 

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

    Nasim Jafaripozve

    2013-01-01

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

  1. Period Pain

    ... You may also have other symptoms, such as lower back pain, nausea, diarrhea, and headaches. Period pain is not ... Taking a hot bath Doing relaxation techniques, including yoga and meditation You might also try taking over- ...

  2. Irregular Periods

    ... blood become too low or too high. Some women have irregular periods because their bodies produce too much androgen, which is a hormone that causes increased muscle mass, facial hair, and deepening of the voice in males and ...

  3. Combination of peg ylated interferon and lamivudine for patients with chronic hepatitis B who have failed treatment

    Shiv K. Sarin; Manoj Kumar; Syed Hissar; Barjesh C. Sharma

    2006-01-01

    BACKGROUND: Treatment of chronic hepatitis B (CHB) alone with interferon or lamivudine alone or in combination is effective in only a small proportion of patients. Treatment of patients in whom antiviral therapy fails is challenging. This study was made to determine the efifcacy of combined pegylated interferon alpha (peg-IFN) and lamivudine in patients with CHB who had failed to respond to antiviral treatment. METHODS: Twenty patients with CHB proven by liver biopsy, with ALT levels>1.5×ULN, HBV DNA levels>141 500 copies/ml, and previous treatment failure with an adequate regimen were treated with a combination of peg-IFN 1.5 μg/kg and lamivudine 100 mg/day for 52 weeks and followed up for a further 24 weeks. Biochemical response was deifned as normalization of ALT and DNA response as HBV DNA RESULTS: Twenty patients were treated, of whom 16 were HBeAg positive. At 52 weeks, normal ALT was seen in 10 (50%) (8 of 16 HBeAg+ and 2 of 4 HBeAg-), HBV DNA response in 5 (25%) (5 of 16 in HBeAg+ and none in HBeAg-), and HBeAg loss with appearance of anti-HBe in 5 (31.3%) of the 16 HBeAg positive patients. At 76 weeks, 8 (80%) of the 10 patients with normal ALT at 52 weeks relapsed, with normal ALT only in 2 (10%) (1 of 16 HBeAg+and 1 of 4 HBeAg-), and all 5 patients who had a DNA response at 52 weeks relapsed at 76 weeks and had no DNA response. HBeAg loss with appearance of anti-HBe was seen in 1 (6.3%) of 16 HBeAg-positive patients. None of the patients lost HBsAg. CONCLUSIONS:The combination of peg-IFN and lamivudine for 52 weeks is not effective for treatment of CHB patients with a failed treatment. New treatment strategies need to be developed.

  4. 儿童周期性内斜视的屈光状态与治疗%Refractive status and treatment of children of periodic esotropia

    刘毅

    2015-01-01

    目的:通过临床病例资料回顾性分析探讨儿童周期性内斜视的屈光状态,并探讨相应的临床治疗方法。方法:以2013年1月至2014年12月期间在我院我院门诊筛查的1321例3到7岁学龄前儿童作为本组研究的观察对象,用复方托品卡胺眼水点眼散瞳验光,检验患儿的屈光度;斜视日与正位日用三棱镜测量斜视度;用同视机检验双眼立体视觉;手术量根据斜视日最大斜视角设计。结果:本组1321例3到7岁学龄前儿童中共筛查出17例周期性内斜视,检测出现轻度远视11例(11眼)、中度远视5例(5眼)、无屈光不正1例(1眼),发生率为1.28%;经手术矫正治疗后斜视日均有复视,正位日有双眼立体视觉,在斜视日与非斜视日眼位均得到矫正并有正常的立体视觉。结论:周期性内斜视与远视屈光状态密切相关,通过早期屈光状态检测,给予戴镜矫正并及时手术治疗效果较为确切。%Objective:through the clinical data of retrospective analysis of refractive status of children of periodic esotropia,and discuss the corresponding methods of clinical treatment.Methods:during the December January 2013 to 2014 in our hospital outpatient screening of 1321 cases of 3 to 7 years old pre-school children as the research object of observation,compound tropine card amine water eye drops mydriasis optometry,test with diopter;strabismus,and is a daily three prism measurement strabismus degree;with the same visual machine test binocular stereo vision;strabismus,the largest angle according to the amount of the operation.Results:in this group of 1321 cases of 3 to 7 years old preschool children CPC screening out of 17 cases of periodic esotropia,detecting the presence of a mild hyperopia in 11 cases (11 eyes),moderate hyperopia in 5 cases (5 eyes),refractive error in 1 case (1 eye),incidence rate of 1.28%;sur-gically corrected treatment of strabismus after daily

  5. Canakinumab treatment for patients with active recurrent or chronic TNF receptor-associated periodic syndrome (TRAPS): an open-label, phase II study

    Gattorno, Marco; Obici, Laura; Cattalini, Marco; Tormey, Vincent; Abrams, Ken; Davis, Nicole; Speziale, Antonio; Bhansali, Suraj G; Martini, Alberto; Lachmann, Helen J

    2017-01-01

    Objective To evaluate the efficacy of canakinumab, a high-affinity human monoclonal anti-interleukin-1β antibody, in inducing complete or almost complete responses in patients with active tumour necrosis factor receptor-associated periodic syndrome (TRAPS). Methods Twenty patients (aged 7–78 years) with active recurrent or chronic TRAPS were treated with canakinumab 150 mg every 4 weeks for 4 months (2 mg/kg for those ≤40 kg) in this open-label, proof-of-concept, phase II study. Canakinumab was then withdrawn for up to 5 months, with reintroduction on relapse, and 4 weekly administration (subsequently increased to every 8 weeks) for 24 months. The primary efficacy variable was the proportion of patients achieving complete or almost complete response at day 15, defined as clinical remission (Physician's Global Assessment score ≤1) and full or partial serological remission. Results Nineteen patients (19/20, 95%; 95% CI 75.1% to 99.9%) achieved the primary efficacy variable. Responses to canakinumab occurred rapidly; median time to clinical remission 4 days (95% CI 3 to 8 days). All patients relapsed after canakinumab was withdrawn; median time to relapse 91.5 days (95% CI 65 to 117 days). On reintroduction of canakinumab, clinical and serological responses were similar to those seen during the first phase, and were sustained throughout treatment. Canakinumab was well tolerated and clinical responses were accompanied by rapid and sustained improvement in health-related quality of life. Weight normalised pharmacokinetics of canakinumab, although limited, appeared to be consistent with historical canakinumab data. Conclusions Canakinumab induces rapid disease control in patients with active TRAPS, and clinical benefits are sustained during long-term treatment. Trial registration number NCT01242813; Results. PMID:27269295

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

    Dipyaman Sengupta

    2013-04-01

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

  7. Antimicrobial Resistance in Commensal Escherichia coli from Pigs during Metaphylactic Trimethoprim and Sulfamethoxazole Treatment and in the Post-Exposure Period

    Justyna Mazurek

    2015-02-01

    Full Text Available The prevalence of trimethoprim (TMP and sulfamethoxazole (SMX resistance in commensal E. coli from pigs was tested in this study. E. coli was derived from three groups of piglets in successive stages of metaphylactic therapy and from two groups of sows 10 and 18 weeks after the treatment. MIC values of TMP and SMX were determined for a total of 352 strains. The presence of resistance genes (dfrA1, dfrA5, dfrA7, dfrA12, dfrA17, sul1, sul2, sul3 and class 1 and 2 integron-associated dfrA gene cassettes was tested. Resistance to TMP was very high during the administration of the antimicrobial (from 97 to 100% and amounted to 86% and 69% in the post-exposure period; MIC > 32 mg/L. The isolates from all groups of pigs were resistant to sulfamethoxazole, with MIC > 1028 mg/L. The dfrA1 and sul1 genes (as part of integrons dominated in E. coli from piglets, but the dfrA12 and sul1 genes were prevalent in E. coli from sows. Coexistence of the different dfrA genes was detected in 71 isolates from all groups of swine. Transcription analysis revealed that most of these genes were not transcribed, particularly gene cassettes of class 1 integrons. The research revealed a high level of resistance associated with the metaphylactic treatment, persistence and circulation of resistance in bacterial populations. Diverse genetic background with multiple and not transcribed resistance genes was observed.

  8. Antimicrobial resistance in commensal Escherichia coli from pigs during metaphylactic trimethoprim and sulfamethoxazole treatment and in the post-exposure period.

    Mazurek, Justyna; Bok, Ewa; Stosik, Michał; Baldy-Chudzik, Katarzyna

    2015-02-16

    The prevalence of trimethoprim (TMP) and sulfamethoxazole (SMX) resistance in commensal E. coli from pigs was tested in this study. E. coli was derived from three groups of piglets in successive stages of metaphylactic therapy and from two groups of sows 10 and 18 weeks after the treatment. MIC values of TMP and SMX were determined for a total of 352 strains. The presence of resistance genes (dfrA1, dfrA5, dfrA7, dfrA12, dfrA17, sul1, sul2, sul3) and class 1 and 2 integron-associated dfrA gene cassettes was tested. Resistance to TMP was very high during the administration of the antimicrobial (from 97 to 100%) and amounted to 86% and 69% in the post-exposure period; MIC > 32 mg/L. The isolates from all groups of pigs were resistant to sulfamethoxazole, with MIC > 1028 mg/L. The dfrA1 and sul1 genes (as part of integrons) dominated in E. coli from piglets, but the dfrA12 and sul1 genes were prevalent in E. coli from sows. Coexistence of the different dfrA genes was detected in 71 isolates from all groups of swine. Transcription analysis revealed that most of these genes were not transcribed, particularly gene cassettes of class 1 integrons. The research revealed a high level of resistance associated with the metaphylactic treatment, persistence and circulation of resistance in bacterial populations. Diverse genetic background with multiple and not transcribed resistance genes was observed.

  9. Randomized, observer-blind, split-face study to compare the irritation potential of 2 topical acne formulations over a 14-day treatment period.

    Ting, William

    2012-08-01

    This randomized, observer-blind, split-face study assessed the irritation potential and likelihood of continued use of clindamycin phosphate 1.2%--benzoyl peroxide (BPO) 2.5% gel or adapalene 0.1%--BPO 2.5% gel once daily over a 14-day treatment period in 21 participants (11 males; 10 females) with acne who were 18 years or older. Investigator clinical assessment (erythema and dryness) and self-assessment (dryness and burning/stinging) were performed at baseline and each study visit (days 1-14) using a 4-point scale (O = none; 3 = severe). Transepidermal water loss (TEWL) and corneometry measurements were performed at baseline and days 3, 5, 7, 9, 11, and 14. Lesions were counted at baseline and on day 14. Participant satisfaction questionnaires were completed on days 7 and 14. At the end of the study, investigators reported none or only mild erythema in 86% (18/21) of participants treated with clindamycin phosphate 1.2%--BPO 2.5% gel compared with 62% (13/21) of participants treated with adapalene 0.1%--BPO 2.5% gel. No severe erythema was reported with clindamycin phosphate 1.2%--BPO 2.5% gel. Adapalene 0.1%--BPO 2.5% gel was prematurely discontinued due to severe erythema in 1 participant on day 5 and a second participant on day 9. Additionally, 2 more participants reported severe erythema on day 14. Mean erythema scores were 0.9 (mean change from baseline, 0.7) with clindamycin phosphate 1.2%--BPO 2.5% gel and 1.4 (mean change from baseline, 1.3) with adapalene 0. 1%--BPO 2.5% gel on day 14 (P BPO 2.5% gel. Continued use and efficacy results for the treatment of acne were influenced by the potential of the product to cause irritation and the participant preferences. Irritation potential was more pronounced and severe with adapalene 0.1%--BPO 2.5% gel. Undoubtedly, as a result more participants preferred treatment with clindamycin phosphate 1.2%--BPO 2.5% gel and were more likely to continue to use the product.

  10. Periodic behaviors

    Napp, Diego; Shankar, Shiva

    2010-01-01

    This paper studies behaviors that are defined on a torus, or equivalently, behaviors defined in spaces of periodic functions, and establishes their basic properties analogous to classical results of Malgrange, Palamodov, Oberst et al. for behaviors on R^n. These properties - in particular the Nullstellensatz describing the Willems closure - are closely related to integral and rational points on affine algebraic varieties.

  11. PERIODIC BEHAVIORS

    Napp, Diego; Put, Marius van der; Shankar, Shiva

    2010-01-01

    This paper studies behaviors that are defined on a torus, or equivalently, behaviors defined in spaces of periodic functions, and establishes their basic properties analogous to classical results of Malgrange, Palamodov, Oberst et al. for behaviors on R(n). These properties-in particular the Nullste

  12. Anti-infective treatment for the HIV-infected patient during perioperative period%围手术期HIV感染者的抗感染治疗

    刘保池; 张磊; 李垒; 司炎辉; 宋言峥; 赵中辛

    2012-01-01

      Objective:To investigate anti-infective treatments in HIV-infected surgical patients during the perioperative period. Methods 〓 A retrospective study of sepsis and surgical site infections (SSIs) was conducted in 266 HIV-infected patients from January 2009 to December 2011 in Shanghai Public Health Clinical Center. The patients were divided into 3 groups based on CD4 cells counts in the preoperative period: group A (<200 cell/μl), group B (200-349 cell/μl) and group C (≥350 cell/μl). Highly active anti-retrovirus therapy (HAART) was started in group B. Preoperative antibiotic medication SMZ and fluconazole against Pneumocystis carinii pneumonia (PCP) and other fungal infection was started in group A. No special treatment in group C. Results〓There were only 6 patients dead at 30 days after surgery, with the death rate of 2.3%. Sepsis appeared in 110 patients (41.3%). Patients in group A were more likely to get sepsis than patients in the other two groups (P <0.01). Conclusion〓Complete evalua- tion of surgical risk and suitable perioperative anti-infective treatment may lead to better outcome for HIV-infected surgical patients.%  〓〓[]〓目的〓探讨 HIV 感染者围手术期合理的抗感染治疗.方法〓回顾性分析上海市公共卫生临床中心外科2009年1月至2011年12月救治的266例 HIV 感染患者围手术期临床资料,根据患者术前 CD4 T 淋巴细胞水平分 A 组<200 cell/μl,B 组200~349 cell/μl 和 C 组≥350 cell/μl 三组,对 B 组给予抗 HIV 病毒治疗,对 A 组给予抗 HIV 病毒、磺胺甲唑(SMZ)和氟康唑预防肺孢子虫和真菌感染,对已经合并结核、真菌等机会性感染者给予相应的抗感染治疗.对 C组无特殊处理.结果〓经适当的抗感染治疗,266例患者手术后30 d 内死亡6例,病死率2.3%.110例发生脓毒症,脓毒症发生率41.3%.A 组脓毒症发病率明显高于 B 组和 C 组(P <0.01).结论〓精细的手术与合理的围手术

  13. 针刺治疗周围性面瘫(急性期)的系统评价%Acupuncture Treatment of Peripheral Facial Paralysis(Acute Period)

    潘江; 章薇; 陈武善; 石文英

    2011-01-01

    Objective :To systematically analyze the effectiveness of acupuncture for the treatment of peripheral facial paralysis at acute period.Methods:Through the VIP datebase, index.htm Shuofang doctoral dissertation,the national databases, Wanfang database electronic retrieval and refer to the relevant professional information and network information.The test data taken by the Cochrane pensonnel provide Revman4.2.7 on Meta analysis.Results:Through selecting, only eight articles which met criteria were chosen from total checked 79 related paper, using Jadad rating criteria for 8 articles methodological quality evaluation, including a literature which is of high quality and the rest are low quality documents.We can see that acupuncture trcatment of peripheral facial paralysis has a better efficacy.The difference was statistically significant( Z = 5.89, P < 0.00001 ).Conclusion:Using acupuncture treatment for peripheral facial paralysis at acute period is better, and it could shorten the time.However, the quality of RCT literatures is not high, and quantity is less.This study still needs further large - scale development to further improve the intensity of evidence.%目的:评价针刺治疗周围性面瘫急性期的疗效.方法:通过对维普网、中国知网、全国硕博士论文数据库、万方数据库进行电子检索以及查阅相关的专业资料和网络信息.试验数据采取由Cochrane协作网提供的Revman4.2.7进行Meta分析.结果:共查到79篇相关文献,经过筛选,只有8篇文章符合纳入标准,采用Jadad评分标准对8篇文献的方法学质量进行评价,其中1篇文献质量高,其余均是低质量文献.Meta分析显示,周围性面瘫急性期针刺治疗结果比不使用针刺治疗的效果好,其差异有统计学意义(P<0.01).结论:现有的临床证据表明,周围性面瘫的急性期应用针刺治疗比不使用针刺治疗更能改善病人的症状,提高治疗的效果,缩短面瘫恢复的时间.但是,由

  14. Retrospective Analysis of Corticosteroid Treatment in Stevens-Johnson Syndrome and/or Toxic Epidermal Necrolysis over a Period of 10 Years in Vajira Hospital, Navamindradhiraj University, Bangkok.

    Roongpisuthipong, Wanjarus; Prompongsa, Sirikarn; Klangjareonchai, Theerawut

    2014-01-01

    Background. Stevens-Johnson syndrome (SJS) and/or toxic epidermal necrolysis (TEN) are uncommon and life-threatening drug reaction associated with a high morbidity and mortality. Objective. We studied SJS and/or TEN by conducting a retrospective analysis of 87 patients treated during a 10-year period. Methods. We conducted a retrospective review of the records of all patients with a diagnosis of SJS and/or TEN based on clinical features and histological confirmation of SJS and/or TEN was not available at the Department of Medicine, Vajira hospital, Bangkok, Thailand. The data were collected from two groups from 2003 to 2007 and 2008 to 2012. Results. A total of 87 cases of SJS and/or TEN were found, comprising 44 males and 43 females whose mean age was 46.5 years. The average length of stay was 17 days. Antibiotics, anticonvulsants, and allopurinol were the major culprit drugs in both groups. The mean SCORTEN on admission was 2.1 in first the group while 1.7 in second the group. From 2008 to 2012, thirty-nine patients (76.5%) were treated with corticosteroids while only eight patients (22.2%) were treated between 2003 and 2007. The mortality rate declined from 25% from the first group to 13.7% in the second group. Complications between first and second groups had no significant differences. Conclusions. Short-term corticosteroids may contribute to a reduced mortality rate in SJS and/or TEN without increasing secondary infection. Further well-designed studies are required to compare the effect of corticosteroids treatment for SJS and/or TEN.

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

    Agon Y Mekaj

    2015-01-01

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

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

    Đurđević Srđan

    2015-01-01

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

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

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

    2015-01-01

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

  18. Meditative Movement as a treatment for pulmonary dysfunction in flight attendants exposed to second-hand cigarette smoke: Study protocol for a randomized trial.

    Peter ePayne

    2016-03-01

    Full Text Available A study protocol is presented for the investigation of Meditative Movement (MM as a treatment for pulmonary dysfunction in Flight Attendants (FA who were exposed to second-hand cigarette smoke (SHCS while flying before the smoking ban. The study will have three parts, some of which will run concurrently. The first is a data gathering and screening phase, which will gather data on pulmonary and other aspects of the health of FA, and will also serve to screen participants for the other phases. Second is an exercise selection phase, in which a variety of MM exercises will be taught, over a 16-week period, to a cohort of 20 FA. A subset of these exercises will be selected on the basis of participant feedback on effectiveness and compliance. Third is a 52-week randomized controlled trial (RCT to evaluate the effectiveness of a digitally delivered form of the previously selected exercises on a group of 20 FA, as compared with an attention control group. Outcome measures to be used in all three parts of the study include the six-minute walk test as a primary measure, as well as a range of biomarkers, tests and questionnaires documenting hormonal, cardio-respiratory, autonomic and affective state. This study is registered at ClinicalTrials.gov. Identifier: NCT02612389.

  19. Intralesional cryotherapy versus excision and corticosteroids or brachytherapy for keloid treatment: study protocol for a randomised controlled trial

    2013-01-01

    Background Keloids are a burden for patients due to physical, aesthetic and social complaints and treatment remains a challenge because of therapy resistance and high recurrence rates. The main goal of treatment is to improve the quality of life (QoL); this implies that, apart from surgical outcomes, patient-reported outcome measures (PROMs) need to be taken into account. Decision making in keloid treatment is difficult due to heterogeneity of the condition and the lack of comparative studies. Methods/Design This is a multicentre, randomised controlled open trial that compares 1) intralesional cryotherapy versus excision and corticosteroids for primary keloids, and 2) intralesional cryotherapy versus excision and brachytherapy for therapy-resistant keloids. The primary outcome is the Patient and Observer Scar Assessment Scale (POSAS), a 12-item scale (with score 12 indicating the best and 120 indicating the worst scar imaginable). A difference of six points on the total score is considered to be of clinical importance. Secondary outcomes are recurrence rates, volume reduction, Skindex-29 scores, SF-36 scores and complication rates. Primary and secondary outcome measurements are taken at baseline, and at 2, 12, 26 and 52 weeks postoperatively. For analysis, a linear mixed model is used. A total of 176 patients will be included over a period of 2.5 years. The protocol is approved by the Medical Ethics Committee of the Erasmus University Medical Centre Rotterdam and follows good clinical practice guidelines. Discussion The outcomes of this study will improve evidence-based decision making for the treatment of keloids, as well as patient education. Trial registration Dutch Trial Register NTR4151. PMID:24354714

  20. Effect of gastrointestinal events on treatment patterns, discontinuation, resource utilization, and cost in osteoporosis

    Kjellberg, Jakob; Jørgensen, Andreas D.; Vestergaard, Peter

    2014-01-01

    treatment with 70 microgram (2,800 IU) cholecalciferol or placebo for 52 weeks. Treatment was administered 26 weeks prior to PTX and continued for 26 weeks after PTX. Main outcome measures: Changes in QoL and measures of muscle strength and function. Results: Preoperatively, 25-hydroxyvitamin D (25OHD......) increased significantly (50 to 94 nmol/L) compared with placebo (57 to 52 nmol/L). We did not measure any beneficial effects of supplementation with vitamin D compared with placebo regarding well-being, QoL, postural stability, muscle strength, or function. In all patients, we measured marked improvements...

  1. The prevalence, prevention and treatment of cattle epidemic during the Han-Tang Period%汉唐时期牛疫的流行与防治

    韩毅

    2013-01-01

    About 21 times of cattle epidemic with rather strong infectivity happened during the Han-Tang Period,including 6 in the Eastern Han Dynasty,2 in the Jin Dynasty,4 in the Southern and Northern Dynasties,8 in the Tang Dynasty and 1 in the Five Dynasty.Most of them were spread along the Yellow River and the northern region of the Huai River.The type of cattle epidemic included the acute cattle plague,cattle bovine mange,cattle yellow fever and cattle rotten hoof disease,etc.Its occurrence and prevalence brought a serious influentce on the society of the Han and Tang Dynasties,causing massive mortality of farm cattle,and then the shortage of animal power,and threatening the agriculture,which drew the attention of the governments,physicians,agriculturists,astrologists and Taoists.The medical measures and economic measures were adopted for the prevention and treatment of cattle epidemic.Especially,prescriptions in the books of medicine and agriculture exerted positive effects on the containment of cattle epidemic.On the other hand,its prevalence and the mass mortality of farm cattle,in a way,promoted,to certain extent,the improvement of the government's function of relief,the updating of the methods of agriculture and the creation of new farm tools,and being regarded as a main cause for the technological innovation of agriculture.%汉唐时期约发生了21次传染性较强的牛疫,其中东汉时期6次,两晋时期2次,南北朝时期4次,唐代8次,五代1次,大多分布在黄河流域和淮河以北地区.牛疫种类主要有急性牛疫、牛疥癣病、牛黄热病和牛漏蹄病等.牛疫的发生和流行对汉唐社会产生了严重影响,不仅引起耕牛的大量死亡,而且造成畜力短缺,威胁到农业生产的正常进行,从而引起历代政府、医学家、农学家、星占学家、道家等不同社会阶层的关注和重视.防治牛疫的措施主要有医学措施和经济措施两方面,尤其是医学本草、方书、农书等类著

  2. Fistula Tunnel Method to Suture a Period of Treatment, the Clinical Effect of the Treatment of Anal Fistula%瘘管隧道法切除一期缝合术治疗肛瘘的临床疗效

    杨本军

    2016-01-01

    目的:探讨利用瘘管隧道法切除一期缝合术进行肛瘘治疗的临床疗效。方法方便选取2013年1月—2014年1月期间入住该院治疗肛瘘的120例患者,按治疗方法不同将其随机分为A、B、C 3组各40例,A组采用瘘管隧道切除一期缝合术,B组采用肛瘘切除缝合术,C组采用肛瘘切除术,对比3个组患者创面愈合时间、术后伤疤情况、感染情况以及肛门的括约肌功能恢复等。结果 A、B两组患者手术后伤口的愈合时间分别为(4±11)d和(5±12)d,相比于C组的愈合时间(9±18)d要更短,疤痕也较小,P<0.05;在手术后伤口出现感染情况以及复发情况的比较上,A组1例,B组15例,C组5例,B组又比A、C两组更高,P<0.05;肛门的变形数量方面A组2例,B组3例,C组18例,A、B两组明显比C组少,P<0.05;另外,A、B两组患者都没有出现因为肛门括约肌损伤而导致大小便时常的病例。结论治疗肛瘘疾病采用瘘管隧道法切除一期缝合术,有效减少了患者伤口创面痊愈的时间,且手术后的疤痕比较小,手术复发率低,最大限度的保护了患者肛门括约肌的功能,提高治疗肛瘘的疗效,值得在临床上广泛推广和应用。%Objective To study the fistula tunnel method is used to suture the first phase of treatment for anal fistula of clinical efficacy. Methods Convenient selection between January 2013 to January 2014 during the period of stay in the hos-pital for the treatment of anal fistula, 120 patients in treatment methods, based on the random divided into A, B, C three groups (40 cases, group A with fistula tunnel suture issue, group B with anal fistula resection decompression, group C with anal fistula resection, compare the three groups of patients with wound healing time, postoperative scar size, postoperative wound infection situation and anal deformation of anal sphincter function, and the postoperative recurrence 2 years of fol-low-up, and statistical analysis

  3. Thyrotoxic periodic paralysis

    Ferreiro, J.E.; Arguelles, D.J.; Rams, H. Jr.

    1986-01-01

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

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

    Rothenberger Aribert

    2009-01-01

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

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

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

    2015-01-01

    Background: Chronic subdural hematoma (CSDH) is frequent pathology in neurosurgical practice. The aim of this study is to present the first series of patients with CSDH, who got surgically treated in Clinic of Neurosurgery, University Clinical Center of Kosovo. Materials and Methods: This is a retrospective study that included 137 patients with CSDH who had been treated during the period 2008-2012. The data were collected and analyzed from the archives and protocols of the University Clinical...

  6. Anaerobic treatment of tequila vinasses under seasonal operating conditions: start-up, normal operation and restart-up after a long stop and starvation period.

    Jáuregui-Jáuregui, J A; Méndez-Acosta, H O; González-Álvarez, V; Snell-Castro, R; Alcaraz-González, V; Godon, J J

    2014-09-01

    This study examines the performance of an anaerobic fixed-film bioreactor under seasonal operating conditions prevailing in medium and small size Tequila factories: start-up, normal operation and particularly, during the restart-up after a long stop and starvation period. The proposed start-up procedure attained a stable biofilm in a rather short period (28 days) despite unbalanced COD/N/P ratio and the use of non-acclimated inoculum. The bioreactor was restarted-up after being shut down for 6 months during which the inoculum starved. Even when biofilm detachment and bioreactor clogging were detected at the very beginning of restart-up, results show that the bioreactor performed better as higher COD removal and methane yield were attained. CE-SSCP and Q-PCR analyses, conducted on the biofilm prokaryotic communities for each operating condition, confirmed that the high COD removal results after the bioreactor clogging and the severe starvation period were mainly due to the stable archaeal and resilient bacterial populations.

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

    Jie Zhang; Juan Wen; Yong-Gang Lu

    2015-01-01

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

  8. Short-term alpha-tocopherol treatment during neonatal period modulates pro-inflammatory response to endotoxin (LPS) challenge in the same calves several months later

    Vitamin E, a major natural antioxidant, has been previously shown to attenuate pro-inflammatory response to immune challenge in cattle. Our objective was to evaluate the effect of short-term treatment with alpha-tocopherol in newborn calves on selected elements of the pro-inflamatory response to LPS...

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

    Dipyaman Sengupta; Pramod R. Nandi

    2013-01-01

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

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

    Maria Eunice Ribeiro Marcondes

    2009-12-01

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

  11. Changes in soil C-isotopic composition in an agroecosystem under Free Air Carbon dioxide Enrichment (FACE) treatment during a crop rotation period.

    Giesemann, Anette

    2005-01-01

    FACE (Free Air Carbon dioxide Enrichment) has been used since 1999 to evaluate the effects of future atmospheric CO(2) concentrations on an arable crop agroecosystem. The experiment conducted at the Institute of Agroecology at the Federal Research Centre in Braunschweig consists of a typical local crop rotation of winter barley, a cover crop, sugar beet and winter wheat. The atmospheric CO2 concentration of ambient air is about 375 ppm with a delta13C value of -7 to -9 per thousand, and 550 ppm (delta13C value = -20.2 per thousand) during daylight hours in the rings fumigated with additional CO2. Thus, the surplus C can be traced in the agricultural system. Over the course of the first experimental period (3-year crop rotation period), the C-isotopic composition and the C concentration in soil were monitored monthly. Plant samples were analysed according to the relevant developmental stages of the crop under cultivation. A 13C depletion was observed in plant parts, as well as in soil samples from the FACE rings under CO2 enrichment, indicating that labelled C has reached both respective ecosystem compartments. Albeit farming management practice (especially ploughing) leads to a mixing of 'old' and 'new' C compounds throughout all soil horizons down to the end of the ploughing layer and resulted in a heterogeneous distribution of newly formed C compounds in the soil, isotope analysis of soil C reflected where the surplus C went.

  12. The Treatment Analyze of Subclinical Hypothyroidism Patients in Gestation Period by Thyroid Hormones%妊娠期亚临床甲状腺功能减退患者甲状腺激素治疗分析

    高原

    2015-01-01

    目的:探讨妊娠期亚临床甲状腺功能减退患者甲状腺激素治疗效果情况。方法:分析本院2012年8月-2014年8月收治的妊娠期亚临床甲状腺功能减退患者34例临床资料,依据是否进行甲状腺激素治疗进行分组,未治疗组14例和治疗组20例。结果:治疗组TSH、血清甘油三酯、总胆固醇异常均低于未治疗组,FT3、FT4水平均高于未治疗组,治疗组早产、妊娠期高血压疾病、子痫前期、胎盘早剥和妊娠期贫血发生率均低于未治疗组,两组比较差异均有统计学意义(P<0.05)。结论:妊娠期亚临床甲状腺功能减退患者甲状腺激素治疗可以提高妊娠结局,降低妊娠并发症,值得临床推广应用。%Objective:To approach the treatment result of subclinical hypothyroidism patients in gestation period by thyroid hormones.Method:34 patients clinical data of subclinical hypothyroidism in gestation period were selected in our hospital from August 2012 to August 2014,and were divided into two groups,no treatment group of 14 cases and treatment group of 20 cases.Result:The TSH,TG,total cholesterol abnormalities of treatment group were better than no treatment group,FT3,FT4 level were higher than no treatment group,the premature delivery,pregnancy-induced hypertension,preeclampsia,abruptio placentae and incidence of anemia during pregnancy of treatment group were lower than no treatment group,the differences were statistically significant(P<0.05).Conclusion:The pregnancy outcome of subclinical hypothyroidism patients in gestation period by thyroid hormones are improved,the pregnancy complication is decreased,so it is worth to promote in clinical.

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

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

    2015-09-01

    The present aimed to develop a hormonal therapy based on the insertion of a progesterone (P4) insert (PI) during 10 d plus an estradiol injection (E2) at PI removal before the onset of breeding of beef heifers. In Exp. 1, the plasma P4 profile of prepubertal heifers showed that the insertion of a PI or 24 d previously used P4 insert (UPI) sustained plasma P4 above 1 ng/mL for at least the first 7 d of the treatment. In Exp. 2 there was no positive effect of additional estradiol benzoate (EB) administered at the insertion of UPI on the proportion of heifers with a corpus luteum (CL/Treated) 30 d after UPI removal [UPI + EB = 85.3%(a) (n = 134); EB + UPI + EB = 80.8%(a) (n = 125)]; however, both were greater (P < 0.0001) than the Control group [60.3%(b) (n = 129)]. In Exp. 3, a positive effect (P=0.01) of UPI treatment and both E2 supplementations [EB and estradiol cypionate (EC); P = 0.10] at the UPI removal was observed on CL/Treated [Control = 42.5%(b) (n = 94); UPI = 58.5%(a) (n= 130); UPI + EB = 64.0%(a) (n = 128); UPI + EC = 67.2%(a) (n = 128)]. However, greater pregnancy per treated heifer (P/Treated) following artificial insemination (AI) upon estrus detection was achieved when EC was applied [Control = 20.2%(b); UPI = 29.2%(ab); UPI + EB = 26.6%(b); UPI + EC = 36.7%(a)]. In Exp. 4, the treatment prior to the timed AI (TAI) tended to improve pregnancy per TAI [P/AI; Control 43.6% (n = 298) vs. UPI+EC 51.9% (n = 342); P = 0.08], but increased P/Treated [26.5% vs. 43.3%; P < 0.001]. Thus, UPI + EC treatment were efficient in increasing the CL/Treated, tended to improve the P/AI and consequently enhanced P/Treated of zebu beef heifers.

  14. Curative effect observation of alprostadil in the treatment of pulmonary heart disease when the cardiac decompensa-tion period%前列地尔对心功能失代偿期肺心病的疗效观察

    寇民生

    2015-01-01

    目的:探讨前列地尔在心功能失代偿期肺心病的疗效.方法:收治肺心病患者98例,随机分为对照组(48例)与治疗组(50例),对照组给予常规治疗.治疗组在常规治疗的基础上,给予脂微球前列地尔静脉滴注.结果:治疗组临床症状的改善、心功能的改善显著优于对照组(P<0.05);治疗组血氧分压、二氧化碳分压、肺动脉压、射血分数等指标与对照组比较,有明显改善(P<0.05).结论:前列地尔治疗心功能失代偿期肺心病有较好的效果.前列地尔是治疗慢性失代偿期肺心病的有效药物.%Objective:To investigate the effect of alprostadil in the treatment of pulmonary heart disease when the cardiac decompensation period.Methods:98 patients with pulmonary heart disease were selected,they were randomly divided into the control group(48 cases) and the treatment group(50 cases),the control group received the conventional treatment.The treatment group given the lipid microsphere alprostadil intravenous infusion on the basis of the conventional treatment.Results:The improvement of clinical symptoms and heart function of the treatment group were significantly better than those of the control group(P<0.05);the blood oxygen partial pressure,carbon dioxide partial pressure,pulmonary arterial pressure,ejection fraction and other indexes of the treatment group were significantly improved compared with the control group(P<0.05).Conclusion:Alprostadil in the treatment of pulmonary heart disease when the cardiac decompensation period has a better curative effect. Alprostadil is an effective drug for the treatment of chronic decompensated pulmonary heart disease.

  15. Incidence of modifiable cardiovascular risk factors and treatment of persons suffering from diabetes in the Bjelovar-Bilogora County during the period from 2001 to 2012

    Magas Sasa

    2013-07-01

    Full Text Available The aim of this article is to present the incidence of modifiable cardiovascular risk factors and types of applied diabetes therapy in outpatients in the Center for Diabetes in the Bjelovar-Bilogora County during the period from 2001 to 2012.The study involved 4,408 outpatients whose e-records are maintained by the national register of diabetic persons CroDiab NET. 93% of patients had type 2 diabetes, while type 1 diabetes was recorded in only 3% of patients. Hypertension was present in 51% of patients with an upward trend in the last three years. The highest rate of dyslipidemia was 39% in 2004, with a downward trend at about 25% in the last 3 years. The frequency of patients with myocardial infarction was stable at around 10%, with the lowest value of 7.4% in 2010. The prevalence of patients with stroke also showed a downward trend from 14.9% to 7.4%. Only 10% of patients had body mass index (BMI 30 kg/m2. Good disease control was achieved by only 18% of patients, a further 18% of them had borderline disease control. Less than 1% of patients were treated only by changes in lifestyle and diet, while 43% of them were treated by oral medications. The combination of oral medications with insulin was applied in 38% of patients, and only 15% of patients were treated by insulin.To conclude, the influx of patients in the Center for Diabetes of the Bjelovar-Bilogora County is rising. The values of BMI, Hba1c levels and the incidence of hypertension and dyslipidemia are worrisome. A decrease in Hba1c which is a result of pronounced insulinization, or the introduction of new drugs such as DPP 4 inhibitors and GLP 1 analogues is encouraging

  16. Identification and Treatment of Psychological Disorders during the Perioperative Period of PCI%PCI术前术后的心理障碍识别与处理

    陶贵周; 毛慧子

    2014-01-01

    This article outlines the high incidence of coronary heart disease with psychological disorders during percutaneous coronary intervention (PCI) . These psychological disorders influence on development and prognosis of coronary heart disease ,This article analyzes the causes ,mechanisms and factors of anxiety ,depression and other psychological disorders in patients during the operation of PCI .It is high time to appeal heart physicians identify the psychological disorders in patients during PCI .Treat these symptoms by psychology and psychiatry combine cardiovascular medical treatment .That is so-called psychocardiacology .We should diagnosis and treat the patient who had a not obvious curative efficacy treated by PCI and cardiovascular medicine with psychology and psychiatry .In this way ,we can facilitate the rehabilitation and prognosis of patients undergoing PCI ,meanwhile reduce unnecessary medical examination and treatment .%概述冠心病经皮冠状动脉介入治疗(PCI)术前术后患者合并心理障碍的较高发生率以及心理障碍对冠心病发生、发展及预后的影响,分析 PCI 术前术后患者出现焦虑抑郁等心理障碍的原因、产生机制及影响因素,强调心内科医生应及时识别 PCI 术前术后患者出现的心理障碍,并以“双心医学”方式对其进行心理精神医学及心血管专科医学治疗,同时对心血管专科医学治疗效果不明显的冠心病 PCI 患者,进行相关的鉴别诊断后也要进行心理精神医学的诊断和治疗,以便有利于 PCI 术患者的康复和预后,减少不必要的检查和治疗。

  17. 1-MCP对火龙果果实采后生理特性的影响%Effects of 1-Methylcyclopropene Fumigation Treatment on Physiological Characteristics of Pitaya Fruits during Storage Period

    王彬; 郑伟; 何绪晓; 李胜海; 邓仁菊; 周俊良

    2011-01-01

    The fruits of Jinghonglong, a new pitaya variety with white flesh, were fumigated with 1 -MCP to study the effects on fruit hardness, respiration intensity, POO and CAT activity, PG and PE enzymatic activity, content of soluble pectin and insoluble pectin and discuss the anti-aging mechanism of 1-MCP in fresh preservation of pitaya during the storage period. Hie results showed that 1-MCP fumigation treatment delayed reduction of fruit hardness at the late storage period and inhibited the respiratory intensity of pitaya fruits to some extent. The 1 -MCP fumigation treatment delayed the senescence process of pitaya fruits during the earlier storage period, but it accelerated the senescence process of pitaya fruits during the late storage period.%为探明1-甲基环丙烯(1-MCP)在火龙果果实保鲜过程中的抗衰老作用机理,为火龙果保鲜提供理论依据,以白肉火龙果新品种晶红龙为试验材料,分别研究了1 -MCP处理对火龙果低温贮藏期的果实硬度、呼吸强度、POD、CAT、PG、PE、水溶性果胶和不溶性果胶的影响.结果表明,1-MCP熏蒸处理减缓了火龙果贮藏后期果实硬度下降,对火龙果果实的呼吸作用具有一定的抑制作用;贮藏前期(第24天前)可廷缓火龙果果实衰老,但是在贮藏后期却加速了果实的衰老.

  18. Discussion on Application Treatment During Three Nine-Day Periods for Chronic Lung Disease%伏九贴敷治疗慢性肺系疾病探究

    王曾敏

    2013-01-01

    Four seasonal climate changes are closely related with human physiological and pathological changes. This article dicussed the theory of application treatment during three nine-day periods in winter and dog days in summer from the time selection and acupoint selection, elaborating the idea of harmony between heaven and human and the principle of preventive treatment of disease.%四时阴阳浮涨变化与人体生理、病理的改变密切相关,该文从贴敷的时间选择与穴位选择两方面分析伏九穴位贴敷的中医原理,阐述祖国医学“天人合一”的整体思想和“治未病”的原则.

  19. 恩替卡韦治疗失代偿期乙型肝炎肝硬化的效果观察%Clinical observation of entecavir for the treatment of decompensation period of hepatitis B cirrhosis

    葛亮; 林宾; 田瑞; 胡爱华

    2013-01-01

    目的探讨恩替卡韦治疗失代偿期乙型肝炎肝硬化的治疗效果及安全性。方法对失代偿期乙型肝炎肝硬化患者的临床资料进行回顾性分析和总结。将64例患者分为治疗组和对照组各32例,对照组进行一般治疗,如给予休息、合理饮食,利尿、保肝退黄、血浆蛋白支持、抗感染、止血等对症、支持以及预防并发症治疗;治疗组在对照组治疗的基础上,加用恩替卡韦进行治疗,观察两组患者治疗前、治疗后4周、12周及24周时患者的临床症状、肝功能以及HBV DNA转阴率、不良反应等情况。结果治疗组中,HBV DNA定量改善情况不仅优于治疗前(P<0.05),而且明显优于对照组(P<0.05),同时HBV DNA转阴率明显高于对照组(P<0.05);ALT、TBIL等指标改善情况明显优于对照组(P<0.05),ALB未见明显变化(P>0.05),未见明显不良反应发生。结论失代偿期乙型肝炎肝硬化患者应用恩替卡韦进行治疗,可明显改善患者的肝功能,延长患者的生存期,改善患者的生存质量,效果较为理想。%Objective To investigate the therapeutic effect and safety of entecavir for the treatment of decompensation period of hepatitis B cirrhosis. Methods The clinical data in patients with decompensation period of hepatitis B cirrhosis were retrospectively analyzed and summarized.64 patients were randomly divided into treatment group and control group,,each group had 32 cases,the control group with general treatment,such as rest,reasonable diet,diuresis,protect liver back yellow,plasma protein support,anti-infection,staunch the bleeding etc. symptomatic treatment,supported and prevented complications;The treatment group based on the control group,added entecavir. Observed two groups of patients before treatment,4 weeks,12 weeks and 24 weeks after treatment in patients with clinical symptoms,liver function and HBV DNA turn rate

  20. TUBERCULOSIS IN ADOLESCENTS AND CHILDREN: DATA ON CLINICAL PRESENTATION AND TREATMENT OUTCOMES FOR A PERIOD OF 4 YEARS , FROM A TERTIARY CARE HOSPITAL IN SOUTH INDIA

    Jayasree

    2015-05-01

    Full Text Available INTRODUCTI ON: Adolescents are less frequently studied population as far as tuberculosis is concerned. And their response to the disease as well as clinical manifestations is different from children . MATERIALS AND METHOD S: A retrospective study was done on patients up to the age of 19 years and classified them in to child and adolescent. Up to 12 years was taken as child and beyond that as adolescent. Data col lection was done from the RNTCP registers and medical records. The incidence of pulmonary, extra - pulmonary was found separately. Among pulmonary as well as the total intra - thoracic tuberculosis, sputum positivity was found. The incidence of lymph node tube rculosis, pleural effusion and others were also recorded. The records were checked to find out the completion/cure of disease and any record of relapse. RESULTS: Total 67 patients were included in the study, 35 males and 32 females. 40.3% were adolescents and the rest were children. 48.14% were having pulmonary tuberculosis among adolescents while 85% in childhood had this presentation. (p - 0.001. Intra - thoracic tuberculosis (pulmonary , intra - thoracic nodes and pleural effusion occurred to 62.96% adolescen ts and 87.5% children. 53.84% of adolescents with pulmonary TB were sputum positive whereas in children it was only 18.7%. T he increased chance of sputum positivity among adolescents was statistically significant (p - 0.026. Among the total tuberculosis patients in each category, 29.6% adolescents had extra - thoracic lymph node tuberculosis while only 7.5% children had this (p - 0. 04. There were no statistically significant differences in other forms of extra - pulmonary tuberculosis. All patients were compliant and had completed treatment. DISCUSSION AND CONCL USIONS: Our adolescents had greater incidence of extra - thoracic Tb (37% w hile Cruz et al found 18.6% of this type. Smear positivity of adolescents with intra - thoracic TB was also higher in our study (41

  1. Factors that Affect the Adherence to ADHD Medications during a Treatment Continuation Period in Children and Adolescents: A Nationwide Retrospective Cohort Study Using Korean Health Insurance Data from 2007 to 2011

    Bhang, Soo-Young; Kwack, Young Sook; Joung, Yoo-Sook; Lee, Soyoung Irene; Kim, Bongseog; Sohn, Seok Han; Chung, Un-Sun; Yang, Jaewon; Hong, Minha; Bahn, Geon Ho; Choi, Hyung-yun; Oh, In Hwan; Lee, Yeon Jung

    2017-01-01

    Objective Several factors, such as male gender, older age, type of insurance, comorbid conditions, and medication type, have been associated with attention-deficit/hyperactivity disorder (ADHD) medication adherence rates, but the results have been inconsistent. We analyzed data to answer several questions: 1) How old were patients who first refilled their treatment medications used primarily for ADHD, regardless of the medication type? 2) What socio-demographic factors are associated with medication adherence? 3) What medical conditions, such as medication type and comorbid diagnosis, influence adherence? Methods We analyzed National Health Insurance data, which comprised continuously enrolled Korean National Medical Insurance children (6–18 years) with at least 2 ADHD prescription claims (January 2008–December 2011). The persistence of use regarding the days of continuous therapy without a 30-day gap were measured continuously and dichotomously. Adherence, using a medication possession ratio (MPR), was measured dichotomously (80% cut-off). Results The cumulative incidence of index cases that initiated medication refills for ADHD treatment during the 4 year period was 0.85%. The patients who exhibited a MPR greater than 80 comprised approximately 66%. The medication type, high school age groups, physician speciality, treatment at a private clinic, and comorbid conditions were associated with medication adherence during continuous treatment using a multivariate analysis. Conclusion A better understanding of ADHD treatment patterns may lead to initiatives targeted at the improvement of treatment adherence and persistence. Other factors, including the severity, family history, costs, type of comorbidities, and switching patterns, will be analyzed in future studies.

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

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

    2010-01-01

    We examined whether improvements in the performance and health profile of an intensive 12-week football intervention could be maintained with a reduced training frequency. Seventeen healthy untrained males completed the study. Ten subjects trained 2.4 times/week for 12 weeks and another 52 weeks......, but not different between 12 and 0 weeks. Plantar jump force (17-18%), 30-m sprinting velocity (1.3-3.0%) and muscle glycogen concentration (19-21%) were higher (Pexercise was lower (27-72%, P... unaltered for CG. In conclusion, positive adaptations in cardiovascular fitness obtained over 12 weeks of regular recreational football training can be maintained over a 1-year period with a reduced training frequency, with further development in musculo-skeletal fitness....

  3. 中医周期疗法用于人工流产术后的疗效观察%On the therapeutic effect of the traditional Chinese medicine periodic treatment after the artifitial abortion

    于广宇; 张蔚莉

    2010-01-01

    Objective This paper aims at the therapeutic effect aft er the artifitial abortion by employing the TCM periodic treatment with respect to shortening the vaginal bleeding time and accelerating the uterine lining recovery. Methods Sampling 280 cases of artifitial abortion in early pregnancy, the author divides them at random the testing and control groups with each of the membership of 140 cases. Given the Nifuratel perorally same as the control group, the testing group is additionally under the TCM periodic treatment, that is, dosing Chinese medicine with the purpose of eliminating blood stasis,promoting tissue regeneration as well as invigorating the vital energy and nourishing the blood during the 1 to 3 days'postoperation period, giving Chinese medicine with a view of strenthening liver and kidney together with activating vital energy during the 4 to 14 days' postoperation period, instructing Chinese medicine in order to nourish the spleen and kidney as well as regulate Chong and Ren Vessels during the 15 to 25 days' postoperation period perorally and respectivelly. In contrast, the control group is given Xuefuzhuyu Capsules after the whole postoperation period. Results In terms of the time of vaginal bleeding, menstrual recovery and the regenerating condition of the uterine lining, the result (except for 3 cases in testing group and 2 cases in control group quiting the experiment) shows that after treatment (9 days after the abortion) the testing group achieves the effect superior to that of control group (P<0.01). Conclusion The conclusion is that the TCM periodic therapy is effective in the aspect of shortening the vaginal bleeding time, accelerating the uterine lining recovery and regulating the menstrual circle.%目的 观察中医周期疗法对人工流产术后阴道流血时间、子宫内膜修复、月经周期恢复的临床疗效.方法 280例早期妊娠要求行人工流产术的患者,随机分为治疗组、对照组各140例,两组术后均

  4. 牙周-牙髓联合病变不同时期治疗方法及疗效分析%Analysis the treatment methods and curative effect of periodontal endodontic lesions in different periods

    张伟军

    2015-01-01

    目的:研究分析牙周-牙髓联合病变在不同时期的治疗方法以及疗效。方法选取2011年3月~2012年3月我院收治的114例牙周-牙髓联合病变患者为研究对象,将所有患者按照入院顺序均分为对照组和观察组,各57例。对照组患者给予牙周基础进行常规治疗,观察组患者给予牙周牙髓进行综合治疗,观察两组患者的疗效,进行对比。结果观察组的治疗总有效率明显比对照组高,差异有统计学意义(P<0.05)。结论牙周病牙髓联合病变在不同时期采取不同治疗方法,能够明显提高疗效,值得在临床应用中推广。%Objective Study periodontal disease pulp joint pathological changes in different periods of treatment methods and clinical curative effect.methods In March 2011 to 2012 in our hospital during the period of March 114 periodontal disease pulp joint disease patients as the research object, all patients according to admission order were divided into control group and observation group, 57 cases in each group. Based on regular treatment, control group patients give periodontal treatment group patients give periodontal pulp for, to observe the clinical efifcacy of two groups of patients, were compared.Results The total effective rate of observation group was obviously higher than control group, the difference was statistically signiifcant (P<0.05). Conclusion Periodontal disease pulp joint lesions treated with different methods in different periods, can signiifcantly improve the treatment effect and is worth popularizing in clinical applications.

  5. A prospective longitudinal study of the clinical outcomes from cryptococcal meningitis following treatment induction with 800 mg oral fluconazole in Blantyre, Malawi.

    Camilla Rothe

    Full Text Available Cryptococcal meningitis is the most common neurological infection in HIV infected patients in Sub Saharan Africa, where gold standard treatment with intravenous amphotericin B and 5 flucytosine is often unavailable or difficult to administer. Fluconazole monotherapy is frequently recommended in national guidelines but is a fungistatic drug compromised by uncertainty over optimal dosing and a paucity of clinical end-point outcome data.From July 2010 until March 2011, HIV infected adults with a first episode of cryptococcal meningitis were recruited at Queen Elizabeth Central Hospital, Blantyre, Malawi. Patients were treated with oral fluconazole monotherapy 800 mg daily, as per national guidelines. ART was started at 4 weeks. Outcomes and factors associated with treatment failure were assessed 4, 10 and 52 weeks after fluconazole initiation.Sixty patients were recruited. 26/60 (43% died by 4 weeks. 35/60 (58.0% and 43/56 (77% died or failed treatment by 10 or 52 weeks respectively. Reduced consciousness (Glasgow Coma Score 3 of 5 and confusion (Abbreviated Mental Test Score <8 of 10 were all common at baseline and associated with death or treatment failure. ART prior to recruitment was not associated with better outcomes.Mortality and treatment failure from cryptococcal meningitis following initiation of treatment with 800 mg oral fluconazole is unacceptably high. To improve outcomes, there is an urgent need for better therapeutic strategies and point-of-care diagnostics, allowing earlier diagnosis before development of neurological deficit.

  6. Infections with gastrointestinal parasitic helminths indigenous to Japan and their treatment historically studied in an attempt to control the diseases in countries where they are still rampant: (1) the Jomon to Edo periods.

    Maki, Jun; Sakagami, Hiroshi; Kuwada, Masahiro; Caceres, Armando; Sekiya, Hiroshi; Tamai, Eiji

    2009-01-01

    Infections with gastrointestinal parasitic helminthes were historically surveyed from the Jomon period to the end of the Edo period in Japan. The parasitic helminthes whose eggs or symptoms were shown in the remains and bibliographies are the roundworm, whipworm, liver fluke, Yokogawa's fluke and the cestode, Diphyllobothrium sp. The first two are soil-transmitted nematodes and the other three parasitic helminths are those with which people are infected following eating raw fish. The infection routes provide valuable information on the environments, life-style and customs in those days. The eggs of the soil-transmitted parasites have the thick shells resistant to the environments. Humans are infected with the parasites after the eggs are orally ingested with soil, dust, vegetables grown with night soil or manure. When the custom of the night soil was started in the history of Japan was discussed with this infection route. In ancient times, feces are thought to have been discarded. In the Medieval Period, they were started to be used as a fertilizer. No mature types of manure were used until the modern times (already in the Edo period). To our idea, no recoveries of eggs of hookworms causing severe anemia do not necessarily mean that people were not infected with the parasites in those days because the eggs are covered with thin shells liable to rupture. The latter fact of the eggs of the platihelminths, C. sinensis, M. yokogawai and D. latum has something to do with Japanese traditional eating customs, unequivocally demonstrating that they ate raw fish from the Nara Period, at latest, until today. Whether eggs of the cestode (D. latum) are found in Jomon remains, Momijiyama Iseki, Hokkaido should be investigated. If no eggs of the cestode are found in their toilet site or elsewhere, it could be concluded that they did not have the custom of eating raw salmon. Such a conclusion would be itself a new fact. One of the effective treatments for the cestode (D. latum

  7. Clinical experience on diagnosis and treatment of 26 patients with hyperthyroidism complicated by periodic paralysis%甲亢合并周期性麻痹26例临床诊治体会

    姜甲军

    2014-01-01

    Objective To investigate the clinical featurs of hyperthyroidism patients with periodic paralysis in order to dearease the rate of missed diagnosis and misdiagnosis .Methods A retrospective analysis of the clinical data was performed of 26 patients with hyperthyroidism complicated by periodic paralysis .Results Within 1to 18 h after potassium treatment , the patients′symptoms and signs quickly relieved , and after antithyroid drug treatment thy-roid function returned to normal in 22 patients.Two patients experienced 2 times of recurrent attacks and their thyroid function returned to normal after adjusting antithyroid drug .Due to adverse reaction of oral drugs ,2 patients were trea-ted with 131 I treatment instead of oral drugs and their thyroid function returned to normal after 131 I treatment.Within 6 to 12 months of follow-up,no recurrence of periodic paralysis appeared in 26 patients.Conclusion For patients with hyperthyroidism complicated by periodic paralysis , potassium supplementation can rapidly improve their symptoms;active and effective antithyroid drugs treatment is key to preventing recurrence ;at the same time , it is necessary to a-void the predisposing factors such as overeat ingestion , infection, excessive exertion , and intravenous infusion of hy-pertonic glucose and so on ,in order to prevent recurrence .%目的:探讨甲亢合并周期性麻痹的临床特点,减少漏诊、误诊的发生。方法回顾性分析26例甲亢合并周期性麻痹患者的临床资料。结果患者经补钾后1~18 h病情迅速缓解,并予正规抗甲状腺药物治疗后22例甲功恢复正常,2例反复发作2次,经调整抗甲状腺药物后甲功恢复正常,2例因口服药出现不良反应改131 I治疗甲功恢复正常。26例随访6个月~1年内无周期性麻痹复发。结论甲亢合并周期性麻痹补钾治疗后症状迅速改善,积极有效控制甲亢是预防复发的关键,同时注意避免饱餐

  8. Hyperkalemic periodic paralysis

    Periodic paralysis - hyperkalemic; Familial hyperkalemic periodic paralysis; HyperKPP; HyperPP; Gamstorp disease ... factors include having other family members with periodic paralysis. It affects men more often than women.

  9. 老年肺心病急性加重期临床治疗特点分析%Analysis of Clinical Characteristics of Acute Exacerbation Period of Treatment of Senile Pulmonary Heart Disease

    刘学

    2015-01-01

    目的:探析老年肺心病急性加重期临床治疗特点。方法老年肺心病急性加重期患者,给予对照组常规治疗,而观察组则给予中西医结合治疗。结果观察组治疗总有效率为95%;对照组治疗总有效率为76.67%,两组临床治疗效果差异明显,具有统计学意义(P<0.05)。结论运用中西医结合的方法对老年肺心病急性加重期患者进行治疗,不良反应小、安全性高,还能提高治疗效果。%ObjectiveTo analysis the elderly cor pulmonale with acute aggravating period of clinical treatment.Methods The patients with acute exacerbation of chronic cor pulmonale in the elderly, give the control group received routine treatment, while the observation group were treated with combination of traditional Chinese and Western medicine treatment. Resultsin the observation group, the total effective rate was 95%, the control group the total effective rate was 76.67%, the clinical therapeutic effect of two groups were obviously differences, with statistical signiifcance (P<0.05).Conclusion Using the method of combining traditional Chinese and Western Medicine on patients with acute exacerbation of chronic cor pulmonale in the elderly during treatment, little adverse reaction, high security, but also can improve the therapeutic effect.

  10. Dynamics of nitrifying bacterial communities in the Seine river and estuary as affected by changes in the treatment of Paris wastewater : a comparison of 2001-2003 vs 2012-2013 periods

    Aissa Grouz, Najla; Billen, Gilles; Garnier, Josette; Mercier, Benjamin; Martinez, Anun

    2014-05-01

    The major branch of the Seine river from the confluence with the Marne river to the entrance of the estuary is deeply affected by the release of wastewater from the huge Paris agglomeration. In the first years of 2000, the largest part of the effluents were still discharged at the Seine-Aval (Achères) treatment plant with only a standard, low residence time, activated sludge treatment, thus releasing a high ammonium load. NH4 concentration as high as 7 mgN/l were frequently observed downstream from Paris agglomeration. Cébron et al. (2003, 2005) and Garnier et al. 2007 described in details how this massive reduced nitrogen concentrations triggered the growth of nitrifying bacteria, already present in the upstream Seine and Marne rivers, but also brought in large amount by the effluents of the wastewater treatment plant themselves. The decrease of ammonium concentration was slow, however, and was only completed 200 km downstream, in the upper estuarine area, where it causes a severe oxygen deficiency. Since 2007, important changes occurred in the treatment of nitrogen in the Parisian wastewater purification plants. In 2007, the Seine-Aval plant treated up to 90% of the ammonium contained in wastewater through nitrification, and 30% of the total supply of nitrates is treated by denitrification. These modifications have of course favorably affected the water quality of the Seine river: ammonium concentrations are reduced by a factor of 5 and the area of oxygen depletion in the upstream estuary is no more observed. However, nitrites, still released in the effluents, are a matter of concern for the water quality of the Seine downstream from Paris. Using measurements of potential microbial activities carried out with the same experimental protocol for the 2000-2003 and 2012-2013 periods, we here examine and model the dynamics of ammonium oxidizing and nitrite oxidizing microbial populations before and after the implementation of nitrification treatment of Paris

  11. Autism: a "critical period" disorder?

    LeBlanc, Jocelyn J; Fagiolini, Michela

    2011-01-01

    Cortical circuits in the brain are refined by experience during critical periods early in postnatal life. Critical periods are regulated by the balance of excitatory and inhibitory (E/I) neurotransmission in the brain during development. There is now increasing evidence of E/I imbalance in autism, a complex genetic neurodevelopmental disorder diagnosed by abnormal socialization, impaired communication, and repetitive behaviors or restricted interests. The underlying cause is still largely unknown and there is no fully effective treatment or cure. We propose that alteration of the expression and/or timing of critical period circuit refinement in primary sensory brain areas may significantly contribute to autistic phenotypes, including cognitive and behavioral impairments. Dissection of the cellular and molecular mechanisms governing well-established critical periods represents a powerful tool to identify new potential therapeutic targets to restore normal plasticity and function in affected neuronal circuits.

  12. The Treatment of Restless Legs Syndrome and Periodic Limb Movement Disorder in Adults—An Update for 2012: Practice Parameters with an Evidence-Based Systematic Review and Meta-Analyses

    Aurora, R. Nisha; Kristo, David A.; Bista, Sabin R.; Rowley, James A.; Zak, Rochelle S.; Casey, Kenneth R.; Lamm, Carin I.; Tracy, Sharon L.; Rosenberg, Richard S.

    2012-01-01

    A systematic literature review and meta-analyses (where appropriate) were performed to update the previous AASM practice parameters on the treatments, both dopaminergic and other, of RLS and PLMD. A considerable amount of literature has been published since these previous reviews were performed, necessitating an update of the corresponding practice parameters. Therapies with a STANDARD level of recommendation include pramipexole and ropinirole. Therapies with a GUIDELINE level of recommendation include levodopa with dopa decarboxylase inhibitor, opioids, gabapentin enacarbil, and cabergoline (which has additional caveats for use). Therapies with an OPTION level of recommendation include carbamazepine, gabapentin, pregabalin, clonidine, and for patients with low ferritin levels, iron supplementation. The committee recommends a STANDARD AGAINST the use of pergolide because of the risks of heart valve damage. Therapies for RLS secondary to ESRD, neuropathy, and superficial venous insufficiency are discussed. Lastly, therapies for PLMD are reviewed. However, it should be mentioned that because PLMD therapy typically mimics RLS therapy, the primary focus of this review is therapy for idiopathic RLS. Citation: Aurora RN; Kristo DA; Bista SR; Rowley JA: Zak RS; Casey KR; Lamm CI; Tracy SL; Rosenberg RS. The treatment of restless legs syndrome and periodic limb movement disorder in adults—an update for 2012: practice parameters with an evidence-based systematic review and meta-analyses. SLEEP 2012;35(8):1039-1062. PMID:22851801

  13. 3种处理方式对冬枣货架期品质的影响%Effects of Different Treatments on Storage Quality of Dongzao Jujube Fruits during Shelf-life Period

    武杰; 张引成; 李梅玲; 钱金

    2012-01-01

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

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

    于桂贤

    2015-01-01

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

  15. 围绝经期妇女焦虑症心理治疗研究进展%Research progress of the psychological treatment of the anxiety disorders of the women in the peri-menopausal period

    张莉; 王彩霞; 李萍

    2016-01-01

    Along with the social competition increasingly serious, the women bear more and more physical, psychological, and social pressures so as to cause some women to advance into the peri-menopausal period early, and appear the more serious peri-menopausal anxiety disorder. The prevalence of the peri-menopausal anxiety disorder is high, the rates of the diagnosis and treatment are low and it is more easily misdiagnosed as the organic disease, which seriously affects the family life and work quality of the women. Therefore, development of the community psychological treatment, active cooperation with the district mental health center and formation of a mental disease prevention and control network can improve the social function of the women in the peri-menopausal period better, promote the community women’s health and the rapid development of the community psychological treatment of the peri-menopausal anxiety disorder.%随着社会竞争日益激烈,妇女承受的生理、心理、社会压力越来越大,致使部分女性提早进入围绝经期,出现较为严重的围绝经期焦虑症。围绝经期焦虑症患病率较高,诊断率和治疗率均很低,临床更易误诊为器质性疾病,严重影响妇女的家庭生活和工作。因此,大力发展社区心理治疗,主动与区精神卫生中心合作,形成心理疾病防控网络,可更好地提高妇女在围绝经期的社会功能,促进社区妇女健康,推动社区围绝经期焦虑症心理治疗的迅速发展。

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

    Darnell Ross

    2008-02-01

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

  17. Sigmoid Volvulus Complicating Postpartum Period

    Blake, Erin; Gonzalez, Eduardo; Pieracci, Frederic

    2017-01-01

    Background. Sigmoid volvulus is a rare complication of pregnancy and the puerperium. Case. A 19-year-old patient, gravida 1 para 0 at 41 0/7 weeks of gestation, admitted for late-term induction of labor underwent an uncomplicated primary low transverse cesarean delivery for arrest of descent. Her postoperative period was complicated by sudden onset of abdominal pain and the ultimate diagnosis of sigmoid volvulus. Conclusion. Prompt surgical evaluation of an acute abdomen in the postpartum period is essential; delayed diagnosis and treatment can lead to significant maternal morbidity and mortality.

  18. Inverse periodic shadowing properties

    Osipov, Alexey V

    2011-01-01

    We consider inverse periodic shadowing properties of discrete dynamical systems generated by diffeomorphisms of closed smooth manifolds. We show that the $C^1$-interior of the set of all diffeomorphisms having so-called inverse periodic shadowing property coincides with the set of $\\Omega$-stable diffeomorphisms. The equivalence of Lipschitz inverse periodic shadowing property and hyperbolicity of the closure of all periodic points is proved. Besides, we prove that the set of all diffeomorphisms that have Lipschitz inverse periodic shadowing property and whose periodic points are dense in the nonwandering set coincides with the set of Axiom A diffeomorphisms.

  19. ON PERIODIC DYNAMICAL SYSTEMS

    LU WENLIAN; CHEN TIANPING

    2004-01-01

    The authors investigate the existence and the global stability of periodic solution for dynamical systems with periodic interconnections, inputs and self-inhibitions. The model is very general, the conditions are quite weak and the results obtained are universal.

  20. The Periodic Pyramid

    Hennigan, Jennifer N.; Grubbs, W. Tandy

    2013-01-01

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

  1. Community College Periodicals.

    Pederson, Eldor O.

    Drawing from an examination of community college periodicals, their availability and characteristics, the academic affiliations of contributing authors, and the topics of their articles, this paper discusses the minor role which community college periodicals appear to play. A list of 35 periodicals dealing primary with community college education…

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

    Mamun Al-Mahtab

    Full Text Available Previous in vivo studies have suggested that nucleic acid polymers (NAPs may reduce circulating levels of HBsAg in the blood by blocking its release from infected hepatocytes and that this effect may have clinical benefit. NAP treatment, was evaluated in two clinical studies in patients with HBeAg positive chronic HBV infection. The REP 101 study examined REP 2055 monotherapy in 8 patients and the REP 102 study examined REP 2139-Ca, in monotherapy in 12 patients, 9 of which transitioned to short term combined treatment with pegylated interferon alpha 2a or thymosin alpha 1. In both studies NAP monotherapy was accompanied by 2-7 log reductions of serum HBsAg, 3-9 log reductions in serum HBV DNA and the appearance of serum anti-HBsAg antibodies (10-1712 mIU / ml. Eight of the 9 patients transitioning to combined treatment with immunotherapy (pegylated interferon or thymosin alpha 1 in the REP 102 study experienced HBsAg loss and all 9 patients experienced substantial increases in serum anti-HBsAg antibody titers before withdrawal of therapy. For 52 weeks after removal of REP 2055 therapy, rebound of serum viremia (HBV DNA > 1000 copies / ml, HBsAg > 1IU / ml was not observed in 3 / 8 patients. Suppression of serum virema was further maintained for 290 and 231 weeks in 2 of these patients. After withdrawal of all therapy in the 9 patients that transitioned to combination therapy in the REP 102 study, 8 patients achieved HBV DNA < 116 copies / ml after treatment withdrawal. Viral rebound occurred over a period of 12 to 123 weeks in 7 patients but was still absent in two patients at 135 and 137 weeks of follow-up. Administration tolerability issues observed with REP 2055 were rare with REP 2139-Ca but REP 2139-Ca therapy was accompanied by hair loss, dysphagia and dysgeusia which were considered related to heavy metal exposure endemic at the trial site. These preliminary studies suggest that NAP can elicit important antiviral responses during

  3. 艾塞那肽治疗对2型糖尿病患者缓解期的影响研究%Effects of Exenatide Treatment on Remission Period of Patients with Type 2 Diabetes

    黄艾平; 吴文字; 熊璞; 陈晶; 王霞; 张弛; 陈丹丹; 赵乃蕊; 李华珠; 杨晓春; 周桂莲; 冯晶; 王敏

    2012-01-01

    目的:研究艾塞那肽治疗对2型糖尿病患者缓解期的影响.方法:选择2009年11月-2010年10月我院内分泌科收治的57例2型糖尿病患者为研究对象,按照病程、体重指数、空腹餐后C肽、血脂、原有治疗方案一一配对分成艾塞那肽组(n=31)与对照组(n=26).共治疗3个月,每月随访1次,检测血糖、糖化血红蛋白(HbA1c)、C肽、胰岛素,治疗前与治疗3个月后行72 h动态血糖监测、静脉葡萄糖耐量试验.结果:艾塞那肽治疗3个月,16.13%(n=5)的2型糖尿病患者出现缓解期,与对照组比较差异有统计学意义(P<0.05);与治疗前比较,艾塞那肤治疗3个月的空腹血糖、餐后血糖、HbA1c下降,高血糖及低血糖所占时间比下降,差异有统计学意义(P<0.05).结论:艾塞那肽治疗可促进2型糖尿病患者出现缓解期.%OBJECTIVE: To investigate the effects of exenatide treatment on the remission period of patients with type 2 diabetes. METHODS: 57 patients with type 2 diabetes in endocrinology department of our hospital from Nov. 2009 to Oct. 2010 were included and divided into exenatide group (n=31) and control group (n=26) according to disease duration, body weight index, fasting postprandial C Peptide, blood lipid, previous treatment scheme. During follow-up, plasma glucose, HbA1c, serum insulin and C peptide were evaluated every month. Before treatment and after 3 month, 72 h dynamic glucose monitoring (DGM) and intravenous glucose tolerance test (IVGTT) were performed. RESULTS: In type 2 diabetics with the treatment of exenatide, 16.13% (n= 5) of them achieved remission, there was statistical significance between exenatide group and control group (P<0.05). Compared with before treatment, fasting blood glucose, postprandial blood glucose, HbA1C and the rate of hyperglycemia and hypoglycemia during DGM were significantly lowered after 3 months of treatment, there was statistical significance (P<0.05). CONCLUSION: Exenatide therapy

  4. 40 CFR 264.96 - Compliance period.

    2010-07-01

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

  5. New treatment possibilities for rheumatoid arthritis: the Russian experience in using certolizumab pegol

    Dmitry Evgenyevich Karateev

    2012-01-01

    Full Text Available Certolizumab pegol (CZP is a new drug from the group of tumor necrosis factor a inhibitors. The efficacy and safety CZP in the treatment of rheumatoid arthritis (RA have been studied in the international 52-week RAPID-1 and 24-week RAPID-2 clinical trials that studied the use of CZP in combination with methotrexate (MTX in patients with active RA unresponsive to MTX. The study populations of the RAPID 1 and RAPID 2 trials constituted the major portion of Russian patients (11.8 and 18.4%, respectively, including that in the prolonged open-labeled phases. The results of using CZP in Russian patients in the RAPID trials showed that they displayed a highly stable response to treatment and a rapidly developing clinical effect, that a therapy response could be predicted in the first 12 weeks, and that the incidence of local postinjection reactions was low.

  6. Bott periodicity of inclusions

    Mare, Augustin-Liviu

    2011-01-01

    When looking at Bott's original proof of his periodicity theorem for the stable homotopy groups of the orthogonal and unitary groups, one sees in the background a differential geometric periodicity phenomenon. We show that this geometric phenomenon extends to the standard inclusion of the orthogonal group into the unitary group. This explains the periodicity of the group homomorphisms between stable homotopy groups which are induced by the inclusion map. Standard inclusions between other classical Riemannian symmetric spaces are also discussed.

  7. Periodicity of chaotic solutions

    Berezowski, Marek

    2016-01-01

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

  8. Painful menstrual periods

    Menstruation - painful; Dysmenorrhea; Periods - painful; Cramps - menstrual; Menstrual cramps ... related activities for a few days during each menstrual cycle. Painful menstruation is the leading cause of ...

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

    陈丽楠; 刘玲娣

    2014-01-01

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

  10. Second Period Access Report

    Maisondieu, Christophe; Giebhardt, Jochen; Tetu, Amelie

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

  11. The Living Periodic Table

    Nahlik, Mary Schrodt

    2005-01-01

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

  12. On some periodicity effects

    Sorokin, Sergey V.

    2015-01-01

    The talk is concerned with the modelling of wave propagation in and vibration of periodic elastic structures. Although analysis of wave-guide properties of infinite periodic structures is a well establish research subject, some issues have not yet been fully addressed in the literature. The aim o...

  13. Latent Period of Relaxation.

    Kobayashi, M; Irisawa, H

    1961-10-27

    The latent period of relaxation of molluscan myocardium due to anodal current is much longer than that of contraction. Although the rate and the grade of relaxation are intimately related to both the stimulus condition and the muscle tension, the latent period of relaxation remains constant, except when the temperature of the bathing fluid is changed.

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

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

    2012-01-01

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

  15. 不同处理方式对牛干巴贮藏期品质的影响%Effects of different treatments on the quality of dry-cured beef during storage period

    胡凯弟; 甘芳瑗; 刘书亮; 王成; 何利; 陈姝娟

    2015-01-01

    .Low nitrite content was showed in thermal combined chemical treatment.AV and TVBN of that group were 1.50 mg/g and 52.5 mg/kg respectively,both of them were the lowest among all treatments.Sensory scores of thermal and thermal combined chemical group were very close,but microorganisms decreased faster.The color of ultra-high pressure treated group was not good,while the sterilization effect was desirable.The nitrite content,AV,TVBN and biomass of microorganism of control group were higher than all treated groups after 35 days.The number of bacteria and yeast of four treated groups decreased during storage.The nitrite content was less than 1.5 mg/kg which was much lower than the national standard.No peroxide value and fungus were detected throughout the storage period.The thermal combined with chemical-treated was the optimal treatment.

  16. Periods and Nori motives

    Huber, Annette

    2017-01-01

    This book casts the theory of periods of algebraic varieties in the natural setting of Madhav Nori’s abelian category of mixed motives. It develops Nori’s approach to mixed motives from scratch, thereby filling an important gap in the literature, and then explains the connection of mixed motives to periods, including a detailed account of the theory of period numbers in the sense of Kontsevich-Zagier and their structural properties. Period numbers are central to number theory and algebraic geometry, and also play an important role in other fields such as mathematical physics. There are long-standing conjectures about their transcendence properties, best understood in the language of cohomology of algebraic varieties or, more generally, motives. Readers of this book will discover that Nori’s unconditional construction of an abelian category of motives (over fields embeddable into the complex numbers) is particularly well suited for this purpose. Notably, Kontsevich's formal period algebra represents a to...

  17. Hyperkalemic periodic paralysis associated with multiple sleep onset REM periods.

    Iranzo, A; Santamaria, J

    1999-12-15

    A 24-year-old man with sporadic hyperkalemic periodic paralysis (HPP) presented with moderate excessive daytime sleepiness and transitory episodes of weakness which occurred during and after sleep. Multiple sleep latency test (MSLT) demonstrated the presence of five sleep onset REM periods (SOREMPs) and a sleep latency of five minutes. Treatment with a diuretic which decreases serum potassium resolved all the clinical symtomps and a new MSLT showed the absence of SOREMPs and a sleep latency of 13.5 minutes. To our knowledge, the patient herein reported is the first case that associates sleep abnormalities and multiple SOREMPs with HPP. Furthermore, the present case suggests that SOREMPs may be explained by an increased extracellular potassium conductance related to HPP.

  18. Can persons with a history of multiple addiction treatment episodes benefit from technology delivered behavior therapy? A moderating role of treatment history at baseline.

    Kim, Sunny Jung; Marsch, Lisa A; Acosta, Michelle C; Guarino, Honoria; Aponte-Melendez, Yesenia

    2016-03-01

    A growing line of research has shown positive treatment outcomes from technology-based therapy for substance use disorders (SUDs). However, little is known about the effectiveness of technology-based SUD interventions for persons who already had numerous prior SUD treatments. We conducted a secondary analysis on a 12-month trial with patients (N=160) entering methadone maintenance treatment (MMT). Patients were randomly assigned to either standard MMT treatment or a model in which half of standard counseling sessions were replaced with a computer-based intervention, called Therapeutic Education System (standard+TES). Four treatment history factors at baseline, the number of lifetime SUD treatment episodes, detoxification episodes, and inpatient/outpatient treatment episodes were categorized into three levels based on their tertile points, and analyzed as moderators. Dependent variables were urine toxicology results for opioid and cocaine abstinence for 52-weeks. The standard+TES condition produced significantly better opioid abstinence than standard treatment for participants with 1) a moderate or high frequency of lifetime SUD treatment episodes, and 2) those with all three levels (low, moderate and high) of detoxification and inpatient/outpatient treatment episodes, pshistory, pstechnology-based behavioral therapy as part of treatment can be more effective than MMT alone, even among patients with a history of multiple addiction treatment episodes.

  19. Mean-periodic functions

    Carlos A. Berenstein

    1980-01-01

    Full Text Available We show that any mean-periodic function f can be represented in terms of exponential-polynomial solutions of the same convolution equation f satisfies, i.e., u∗f=0(μ∈E′(ℝn. This extends to n-variables the work of L. Schwartz on mean-periodicity and also extends L. Ehrenpreis' work on partial differential equations with constant coefficients to arbitrary convolutors. We also answer a number of open questions about mean-periodic functions of one variable. The basic ingredient is our work on interpolation by entire functions in one and several complex variables.

  20. Optimal periodic control

    Colonius, Fritz

    1988-01-01

    This research monograph deals with optimal periodic control problems for systems governed by ordinary and functional differential equations of retarded type. Particular attention is given to the problem of local properness, i.e. whether system performance can be improved by introducing periodic motions. Using either Ekeland's Variational Principle or optimization theory in Banach spaces, necessary optimality conditions are proved. In particular, complete proofs of second-order conditions are included and the result is used for various versions of the optimal periodic control problem. Furthermore a scenario for local properness (related to Hopf bifurcation) is drawn up, giving hints as to where to look for optimal periodic solutions. The book provides mathematically rigorous proofs for results which are potentially of importance in chemical engineering and aerospace engineering.

  1. Extremal periodic wave profiles

    E. van Groesen

    2007-01-01

    Full Text Available As a contribution to deterministic investigations into extreme fluid surface waves, in this paper wave profiles of prescribed period that have maximal crest height will be investigated. As constraints the values of the momentum and energy integrals are used in a simplified description with the KdV model. The result is that at the boundary of the feasible region in the momentum-energy plane, the only possible profiles are the well known cnoidal wave profiles. Inside the feasible region the extremal profiles of maximal crest height are "cornered" cnoidal profiles: cnoidal profiles of larger period, cut-off and periodically continued with the prescribed period so that at the maximal crest height a corner results.

  2. On semi-periods

    Avram, A C; Jancic, D; Uni, H; Uni, Humboldt

    1995-01-01

    The periods of the three-form on a Calabi-Yau manifold are found as solutions of the Picard-Fuchs equations; however, the toric varietal method leads to a generalized hypergeometric system of equations which has more solutions than just the periods. This same extended set of equations can be derived from symmetry considerations. Semi-periods are solutions of this extended system. They are obtained by integration of the three-form over chains; these chains can be used to construct cycles which, when integrated over, give periods. In simple examples we are able to obtain the complete set of solutions for the extended system. We also conjecture that a certain modification of the method will generate the full space of solutions in general.

  3. Setting the Periodic Table.

    Saturnelli, Annette

    1985-01-01

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

  4. The Periodic Table CD.

    Banks, Alton J.; Holmes, Jon L.

    1995-01-01

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

  5. Historically defined autobiographical periods

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

    2012-01-01

    The chapter reviews a research programme that has demonstrated the existence of historically defined autobiographical periods and identified the conditions that bring them about. Data from four samples of World War II-generation adults show that historically defined autobiographical periods endure...... over time and theoretical implications are discussed, notably by introducing a new approach to autobiographical memory, Transition Theory, which assumes that autobiographical memory is organized by transitional events that can be selfinitiated or externally imposed - historically defined...

  6. Photosynthetic characteristics of high yield Camellia oleifera during summer drought period under different treatment%夏旱期不同管理措施下高产油茶的光合特性

    左继林; 龚春; 黄建建; 周文才; 赵松子; 高捍东

    2013-01-01

    为了研究夏早期间灌溉、覆膜与盖草不同管理措施对盛产期油茶光合作用的影响,利用Li-6400XT便携式光合测定仪对赣无系列2个无性系的净光合速率(Pn)、蒸腾速率(T1)等日变化参数进行测定.研究表明:灌溉、覆膜与盖草措施可以不同程度地提高油茶的净光合速率、蒸腾速率、水分利用效率(EWUE)、气孔导度与胞间二氧化碳浓度,其中不同管理措施下的赣84-8与赣71的Pn日均值从大到小均表现为灌溉B、覆膜、灌溉A、盖草;赣84-8的Tr日均值从大到小表现为灌溉B、灌溉A、覆膜、盖草;赣71的则从大到小表现为灌溉B、覆膜、灌溉A、盖草;赣84-8的EWUE日均值从大到小表现为灌溉B、覆膜、灌溉A、盖草;而赣71的从大到小则为盖草、覆膜、灌溉B、灌溉A.说明采取上述措施能有效缓解夏季高温干旱对油茶林的水分胁迫,促进高产油茶夏旱期水分利用效率与光合作用,此外,还可提高油茶叶片中叶绿素含量.%The different management measures including irrigation, film covering and grass mulch were taken to learn the photosynthetic responses of Camellia oleifera at full-fruit-stage . The diurnal changes of net photosynthetic rate (Pn) and transpiration rate (Tr) of two cultivars ( Gan 84-8 and Gan 71) were determined with Li - 6400XT portable photosynthetic system during the summer drought period. Results showed that all index including the net photosynthetic rate, transpiration rate,water use efficiency, stomatal conductance and intercellular CO2 concentration were increased in above mentioned cultivation conditions. The order of average net photosynthetic rate (Pn) of Gan 84-8 and Gan 71 from high to low under different treatments was irrigation B, film covering, irrigation A, grass mulch. The average transpiration rate (Tr) of Gan 84-8 from high to low was irrigation B, the irrigation A, film covering, grass mulch. The average transpiration (Tr

  7. 腰椎间盘突出症围手术期功能锻炼的护理%Nursing care of functional exercise during the perioperative period of surgial treatment for lumbar disc herniation

    植智云; 叶焕兰; 邓雪娇; 梁前芝

    2013-01-01

    Objective To explore the effect of nursing care of functional exercise during the perioperative period of surgial treatment for lumbar disc herniation.Methods 986 patients with lumbar disc hemiation who had been hospitalized during the period of January 2001 to December 2011 were included in this study.The patients in January 2001 to December 2006 were assigned to a control group and those in January 2007 to December 2011 were assigned to a study group.The study group received prone position training,back muscle exercise,and training for cough,expectoration,and bed excretion to adapt postoperative lying in bed for a long time and avoid the occurrence of complications.After anesthesia,the patients received instruction for straight leg raising and flexion of hip and knee exercises.They performed functional excerise of low back muscle according todifferent surgical procedures.Results During a follow-up of 1 to 10 years,the rate of patients who developed nerve root adhesion,muscle atrophy in the affected lower limbs,or phlebothrombosis in the lower limbs,and who needed repeated surgery due to recurrence were lowered and length of hospital stay was shorter in the study group than in the control group.Conclusions For the patients with lumbar disc herniation,perioperative functional exercise can prevent postoperative adhesion of the nerve root,lower limb muscle disuse atrophy,and deep venous thrombosis of the lower extremities,and shorten length of hospital stay.%目的 探讨腰椎间盘突出症围手术期功能锻炼护理的效果.方法 选取我院2001年1月至2011年12月986例腰椎间盘突出症患者为研究对象,其中2001年1月至2006年12月的493例为对照组,2007年1月至2011年12月的493例为观察组.对照组采用常规护理方法,观察组在手术前进行俯卧位训练、腰背肌训练及咳嗽、咳痰、床上排泄训练,以适应术后长时间卧床,避免发生不良的并发症.手术麻醉过后指导进行直腿抬高和屈髋

  8. The Peri Operation Period Nursing of Umbilical Single Port Laparoscopic Treatment of Diseases of the Urinary System%经脐单孔腹腔镜治疗泌尿系疾病的围手术期护理

    夏婷婷

    2014-01-01

    Objective To investigate the peri operation period nursing of single hole laparoscopic urology patients. Methods From June to 2013 in our department in 2012 December 20 patients underwent transumbilical single hole laparoscopic operation treatment, the patients psychological nursing before operation, postoperative complications in special care, guidance for patients. Results 20 cases of operation were successful, no 1 cases were converted to laparoscopic or open operation, postoperative wound healing, patients' satisfaction to nursing work, no complications, no obvious scar of umbilical operation, cosmetic ef ect is good. Conclusion According to the nursing needs of patients with umbilical single hole laparoscopic urologic operation, formulation of peri operation nursing, to carry out holistic nursing and " and " and the nursing service mode, ensure the operation effect, prevent or detect complications, it is of significance for the patients received operation therapy and surgery after rehabilitation.%目的探讨单孔腹腔镜泌尿科患者的围手术期护理。方法选取我科2012年6月~2013年12月20例住院患者行经脐单孔腹腔镜手术治疗,术前对患者进行心理护理,术后针对常见并发症进行特殊护理,出院时对患者进行指导。结果20例手术均获成功,无1例中转腹腔镜或开放式手术,术后伤口愈合良好,患者对护理工作满意,无并发症发生,脐部无明显手术疤痕,美容效果良好。结论针对经脐单孔腹腔镜行泌尿系手术患者的护理需求,制定围手术期护理措施,有针对性地开展整体护理及"身心"并护的护理服务模式,确保手术效果,预防或及时发现并发症,对患者接受手术治疗和术后康复均有一定意义。

  9. Single center experience over a 5-year period with sequential Transarterial Chemoembolization (TACE) in the treatment of Hepatocellular Carcinoma (HCC); Sequentielle transarterielle Chemoembolisation (TACE) des hepatozellulaeren Karzinoms (HCC) - Erfahrungsbericht eines einzelnen Zentrums ueber 5 Jahre

    Herber, S.C.; Schneider, J.; Kummer, I.; Manzl, N.; Dueber, C.; Pitton, M.B. [Mainz Univ. (Germany). Klinik und Poliklinik fuer Diagnostische und Interventionelle Radiologie; Otto, G.; Moench, C. [Mainz Univ. (Germany). Transplantationschirurgie und Chirurgie von Leber, Gallenwegen, Pankreas; Woerns, M.; Kanzler, S.; Schuchmann, M. [Mainz Univ. (Germany). I. Medizinische Klinik; Junginger, T. [Mainz Univ. (Germany). Klinik und Poliklinik fuer Allgemein- und Abdominalchirurgie

    2007-03-15

    Purpose: To analyze the course of disease of patients treated with sequential TACE and to evaluate the dependent and independent prognostic factors for patient survival using the Cox Proportional Hazard Model. Materials and Methods: 94 patients palliatively treated with TACE. Patients were selected if they had been treated at least 3 times. The TACE procedure was carried out at 8-week intervals using a suspension consisting of a fixed dosage of Mitomycin C (10 mg) and 10 ml Lipiodol. Follow-up investigations included contrast-enhanced multislice CT before and after TACE and assessment of the laboratory test results (i. e., blood count, liver enzymes, and coagulation). Results: In 66.7 % of the patients, multifocal tumors were found. In 16.0 % of the patients, the tumor load represented more then 50 % of the liver volume. In 23.4 % of the cases, a portal vein thrombosis was found in the initial CT scan. The mean survival for the total cohort was 24.1 months (95 %-CI 20.1 - 28.2). During the investigation period, 72/94 of the patients died. The cumulative 1-year, 2-year, and 3-year survival rates are 71.6 %, 33.9 %, und 17.2 %, respectively. A median of 6.0 {+-} 3.1 (range 14, n total = 612 TACE) was performed in each patient. A total of 62.5 % patients died because of tumor progression whereas 18.1 % died due to progressive liver failure. Patients in whom the tumor responded to the TACE treatment and who did not develop ascites or those with Okuda stage I or unifocal tumor growth showed a survival benefit whereas the presence of portal vein thrombosis was associated with a significantly poor outcome (p < 0.05). The Child-Pugh stage was not statistically significant for the disease course; the occurrence of new tumor lesions had no influence with regard to 1-year and 2-year survival but had a significant influence on long-term survival (p < 0,05). Independent prognostic factors are (multivariate analysis; p < 0.05): number of TACE performed, tumor type (i. e

  10. A periodic table for cancer.

    Epstein, Richard J

    2015-01-01

    Cancers exhibit differences in metastatic behavior and drug sensitivity that correlate with certain tumor-specific variables such as differentiation grade, growth rate/extent and molecular regulatory aberrations. In practice, patient management is based on the past results of clinical trials adjusted for these biomarkers. Here, it is proposed that treatment strategies could be fine-tuned upfront simply by quantifying tumorigenic spatial (cell growth) and temporal (genetic stability) control losses, as predicted by genetic defects of cell-cycle-regulatory gatekeeper and genome-stabilizing caretaker tumor suppressor genes, respectively. These differential quantifications of tumor dysfunction may in turn be used to create a tumor-specific 'periodic table' that guides rational formulation of survival-enhancing anticancer treatment strategies.

  11. 不同时期ICU脓毒症患者临床特征及转归分析%Analysis of clinical characteristics and treatment outcomes of patients with sepsis in the different periods in ICU

    李国民; 管双仙; 万健; 袁冬; 王建强; 杨建军

    2012-01-01

    Objective: To analyze the clinical features and treatment outcomes of sepsis in the different periods in ICU. Methods: Observing the sepsis patients with a prospective design, and comparing with the historical cases. The prospective observational sepsis group( prospective group ) cases were collected from January 2010 to December 2011 , and historical control group( control group ) cases were gathered from January 2006 to December 2007. There were 401 cases in the prospective group and 285 cases in the control group. According to the severity of sepsis, the cases were divided into general sepsis, severe sepsis and septic shock three levels. Prospective group were treated with the early goal- directed therapy( EGDT ) and other measurement within 6 hours after the diagnosis of sepsis, control group data was gathered from medical historical records. Results: The APACHE II score was positively correlated to the severity of sepsis( P < 0. 01 ). The days staying in ICU and mortality rates of patients of severe sepsis, septic shock in prospective group were lower than those in the control group( P < 0. 05 ). The sites of infection in two groups were followed by respiratory, abdominal cavity, blood and other parts. The top mortality of sepsis was the blood infection. The total mortality rate in prospective group was lower than that in the control group ( P <0.05 ). Conclusion: Sepsis patients are the main target who needs to be treated in ICU for its severity and high mortality. An active regulatory early treatment can reduce mortality of patients with severe sepsis and septic shock.%目的:分析不同时期ICU脓毒症患者临床特征及治疗转归.方法:采用前瞻法研究,与历史病例进行对照比较研究;前瞻性观察组(前瞻组)为2010年1月至2011年12月ICU脓毒症患者,历史对照组(对照组)为2006年1月至2007年12月ICU的脓毒症患者,前瞻组401例,对照组285例,组内按疾病严重程度再分为普通脓毒症、严

  12. 围手术期诊断降主动脉夹层及应急治疗%The Diagnosis during Peroperative Period and Emergent Surgical Treatment of Descending Aortic Dissection

    董国华; 许飚; 景华; 李德闽; 申翼; 罗立国; 钱建军; 王常田; 吴海卫

    2013-01-01

    目的 总结在非主动脉夹层围手术期确诊降主动脉夹层的临床特点,探讨误诊、漏诊原因及应急治疗策略.方法 回顾分析我院2001年1月-2010年12月1 1例在其他手术过程中或在围手术期发现的主动脉夹层患者的临床资料.结果 胸外伤后开胸探查发现4例,反复胸穿后凝固性血胸行开胸探查发现1例,术前诊断急腹症术中发现腹主动脉夹层1例、术后发现4例,行椎间盘手术时造成医源性降主动脉夹层1例.全组在明确诊断后全麻下急诊手术治疗,行升主动脉置换+术中降主动脉覆膜支架植入1例、降主动脉人造血管置换术6例、降主动脉覆膜支架植入3例、降主动脉补片修补1例.本组均顺利完成主动脉置换或覆膜支架植入手术.1例原有肾脏病的患者在降主动脉置换术后出现急性肾功能衰竭,术后并发肺部感染3例,顽固性心律失常1例.全组无截瘫,无围手术期死亡,均痊愈出院.结论 遭遇性降主动脉夹层或为误、漏诊病例或是易误诊、漏诊,给临床治疗带来困难,及时合理的人造血管置换或覆膜支架植入是应急处理的可靠、有效手段.%Objective To summarize the clinical characteristics of patients with descending aortic dissection diagnosed during peroperative period, and to explore the misdiagnosis causes and the strategies of emergent treatment. Methods The clinical data of 11 patients with descending aortic dissection diagnosed during non-aortic dissection surgery or peroperative period during January 2001 and December 2012 were retrospectively analyzed. Results The aortic dissection was diagnosed in 4 patients with thoracic trauma during exploratory thoracotomy, 1 patient with coagulating hemothorax after repeating thoracic paracentesis, 5 preoperative misdiagnosis patients with acute abdomen including 1 patient with abdominal dissection of aorta during operation and 4 patients diagnosed after operation, and 1 patient

  13. Periods of weed interference in cowpea

    Maria José Pinheiro Corrêa

    2015-12-01

    Full Text Available This work aimed to determine the periods weed interference in cowpea. The experimental design was randomized blocks, and the treatments consisted of periods of control or coexistence with the culture. The periods of control or weed coexistence after culture emergence were: 0-10, 0-20, 0-30, 0-40, 0-50, 0-60 and 0 – 80 days after crop emergence. The main weed density were: AlternantheratenellaColla,CyperusrotundusL., Digitariaciliaris(Retz. Koeler, Eleusineindica(L.Gaertn,MollugoverticillataL.Considering 5% of tolerance in cowpea yield reduction, the period prior interference was 8 days after emergence (DAE, total period of interference prevention was 53 DAE and critical period of interference prevention between 8 and 53 DAE. Weed interference reduced the grainyield up to 46%.

  14. Thyrotoxic periodic paralysis

    Rojith Karandode Balakrishnan

    2011-01-01

    Full Text Available This article aims at highlighting the importance of suspecting thyrotoxicosis in cases of recurrent periodic flaccid paralysis; especially in Asian men to facilitate early diagnosis of the former condition. A case report of a 28 year old male patient with recurrent periodic flaccid paralysis has been presented. Hypokalemia secondary to thyrotoxicosis was diagnosed as the cause of the paralysis. The patient was given oral potassium intervention over 24 hours. The patient showed complete recovery after the medical intervention and was discharged after 24 hours with no residual paralysis. Thyrotoxic periodic paralysis (TPP is a complication of thyrotoxicosis, more common amongst males in Asia. It presents as acute flaccid paralysis in a case of hyperthyroidism with associated hypokalemia. The features of thyrotoxicosis may be subtle or absent. Thus, in cases of recurrent or acute flaccid muscle paralysis, it is important to consider thyrotoxicosis as one of the possible causes, and take measures accordingly.

  15. Periodic Ising Correlations

    Hystad, Grethe

    2010-01-01

    In this paper, we first rework B. Kaufman's 1949 paper, "Crystal Statistics. II. Partition Function Evaluated by Spinor Analysis", by using representation theory. Our approach leads to a simpler and more direct way of deriving the spectrum of the transfer matrix for the finite periodic Ising model. We then determine formulas for the spin correlation functions that depend on the matrix elements of the induced rotation associated with the spin operator in a basis of eigenvectors for the transfer matrix. The representation of the spin matrix elements is obtained by considering the spin operator as an intertwining map. We exhibit the "new" elements V+ and V- in the Bugrij-Lisovyy formula as part of a holomorphic factorization of the periodic and anti-periodic summability kernels on the spectral curve associated with the induced rotation for the transfer matrix.

  16. 老年人迟发性外伤性颅内血肿的早期诊治%Diagnosis and treatment of elderly with delayed traumatic intracranial hematoma at earliest period

    戴新连; 李志强; 吴彬

    2011-01-01

    目的 探讨老年人迟发性外伤性颅内血肿(DTIH)的早期诊疗方案.方法 对老年人DTIH 171例的临床资料进行回顾性分析.结果 原发性昏迷125例,占73.1%;意识障碍一度好转又恶化49例,占28.7%;意识障碍进行性加重109例,占63.7%.首次头颅CT征像:未见异常9例,颅骨骨折15例;硬膜外血肿9例;硬膜外血肿伴对冲部脑挫裂伤4例;脑挫裂伤伴蛛网膜下腔出血83例,占48.5%;硬膜外血肿伴脑挫裂伤11例;蛛网膜下腔出血64例,占37.4%;上述征像均伴有不同程度脑受压.复查头颅CT征象:DTIH发生于首次CT无异常处25例,硬膜外6例;脑挫裂伤和/或蛛网膜下腔出血162例占94.7%;血肿量20~130mL,50mL以上87例,占50.9%.手术治疗122例,恢复良好83例,中残7例,重残4例,植物状态2例,死亡26例;非手术治疗49例,恢复良好36例,死亡8例,自动出院5例.结论 掌握老年人的病理生理特点及其DTIH的临床表现与头颅CT征像等特征,严密观察意识演变等病情变化,头颅CT追踪动态观察颅脑损伤病灶变化,是早期诊断的关键.血肿占位效应及意识状态是选择手术或非手术治疗的主要指标.%Objective It is to approach the diagnosis and treatment of elderly with delayed traumatic intracranial hematoma ( DTIH ) at earliest period. Methods The clinical data of 171 elderly with DTIH was analyzed retrospectively. Results Primary coma was 125 cases for 73. 1% . Consciousness disorders transient better and worse was 49 cases for 28. 7% . Consciousness disorders progressive exacerbation was 109 cases for 63. 7% . The first head CT signs: normal was 9 cases, skull fractures was 15 cases, epidural hematoma was 9 cases, epidural hematoma with hedge contusion and laceration of brain was 4 cases, contusion and laceration of brain with suharachnoid hemorrhage was 83 cases for 48. 5% , epidural hematoma with contusion and laceration of brain was 11 cases and subarachnoid hemorrhage was 64 cases

  17. Periodically poled silicon

    Hon, Nick K.; Tsia, Kevin K.; Solli, Daniel R.; Khurgin, Jacob B.; Jalali, Bahram

    2010-02-01

    Bulk centrosymmetric silicon lacks second-order optical nonlinearity χ(2) - a foundational component of nonlinear optics. Here, we propose a new class of photonic device which enables χ(2) as well as quasi-phase matching based on periodic stress fields in silicon - periodically-poled silicon (PePSi). This concept adds the periodic poling capability to silicon photonics, and allows the excellent crystal quality and advanced manufacturing capabilities of silicon to be harnessed for devices based on χ(2)) effects. The concept can also be simply achieved by having periodic arrangement of stressed thin films along a silicon waveguide. As an example of the utility, we present simulations showing that mid-wave infrared radiation can be efficiently generated through difference frequency generation from near-infrared with a conversion efficiency of 50% based on χ(2) values measurements for strained silicon reported in the literature [Jacobson et al. Nature 441, 199 (2006)]. The use of PePSi for frequency conversion can also be extended to terahertz generation. With integrated piezoelectric material, dynamically control of χ(2)nonlinearity in PePSi waveguide may also be achieved. The successful realization of PePSi based devices depends on the strength of the stress induced χ(2) in silicon. Presently, there exists a significant discrepancy in the literature between the theoretical and experimentally measured values. We present a simple theoretical model that produces result consistent with prior theoretical works and use this model to identify possible reasons for this discrepancy.

  18. Oscillations following periodic reinforcement.

    Monteiro, Tiago; Machado, Armando

    2009-06-01

    Three experiments examined behavior in extinction following periodic reinforcement. During the first phase of Experiment 1, four groups of pigeons were exposed to fixed interval (FI 16s or FI 48s) or variable interval (VI 16s or VI 48s) reinforcement schedules. Next, during the second phase, each session started with reinforcement trials and ended with an extinction segment. Experiment 2 was similar except that the extinction segment was considerably longer. Experiment 3 replaced the FI schedules with a peak procedure, with FI trials interspersed with non-food peak interval (PI) trials that were four times longer. One group of pigeons was exposed to FI 20s PI 80s trials, and another to FI 40s PI 160s trials. Results showed that, during the extinction segment, most pigeons trained with FI schedules, but not with VI schedules, displayed pause-peck oscillations with a period close to, but slightly greater than the FI parameter. These oscillations did not start immediately after the onset of extinction. Comparing the oscillations from Experiments 1 and 2 suggested that the alternation of reconditioning and re-extinction increases the reliability and earlier onset of the oscillations. In Experiment 3 the pigeons exhibited well-defined pause-peck cycles since the onset of extinction. These cycles had periods close to twice the value of the FI and lasted for long intervals of time. We discuss some hypotheses concerning the processes underlying behavioral oscillations following periodic reinforcement.

  19. A Modern Periodic Table.

    Herrenden-Harker, B. D.

    1997-01-01

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

  20. Periodic Table of Students.

    Johnson, Mike

    1998-01-01

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

  1. Chaotic period doubling

    Chandramouli, V. V. M. S.; Martens, M.; De Melo, W.; Tresser, C. P.

    2009-01-01

    The period doubling renormalization operator was introduced by Feigenbaum and by Coullet and Tresser in the 1970s to study the asymptotic small-scale geometry of the attractor of one-dimensional systems that are at the transition from simple to chaotic dynamics. This geometry turns out not to depend

  2. Absent menstrual periods - secondary

    ... weight suddenly (for example, from strict or extreme diets or after gastric bypass surgery ) Other causes include: Brain (pituitary) tumors Drugs for cancer treatment Drugs to treat schizophrenia or psychosis Overactive ...

  3. Certolizumab in the long-term treatment of rheumatoid arthritis

    Scott DL

    2011-08-01

    Full Text Available Abdul Khan, David L ScottDepartment of Rheumatology, King’s College London School of Medicine, King’s College, London, UKAbstract: Rheumatoid arthritis is the most common inflammatory arthritis and continues to have major long-term effects on quality of life. Early and intensive treatment has now become the norm in clinical practice with changes of medication dictated by measuring the presence of continued disease activity. Biologics, particular tumor necrosis factor inhibitors, have a crucial role in the management of very severe disease. Certolizumab is a relatively new tumor necrosis factor inhibitor which uses a novel strategy to neutralize TNF-alpha – the conjugation of tumor necrosis factor specific Fab antibody fragments to polyethylene glycol. Two Phase II and three Phase III randomized controlled trials have evaluated the efficacy and toxicity of certolizumab. More than 2000 patients were enrolled, and followed from 12–52 weeks. The number of patients achieving significant improvements with certolizumab, was indicated by the American College of Rheumatology with a 50% response rate. The risk ratios of achieving this response at 24 weeks was 6.01 (95% confidence interval [CI]: 3.84–9.40. At 52 weeks the risk ratio was 5.27 (95% CI: 3.19–8.71. The number of patients needed to treat, to obtain this benefit at 24 weeks was 4 (95% CI: 3–5. Certolizumab also had important clinical benefits in reducing erosive damage to joints, limiting disability, and enhancing other outcomes of importance to patients such as fatigue. The patient-related benefits were present from the early weeks of treatment. The clinical trials showed serious adverse events, including infections, which were more frequent for certolizumab. The most common adverse events comprised upper respiratory tract infections, hypertension, and nasopharyngitis. The balance of evidence suggests that certolizumab is equivalent to other tumor necrosis factor inhibitors

  4. Studies on the effectiveness of oral pellet vaccine in improving egg production and egg quality in desi chicken

    T. Lurthu Reetha

    2016-08-01

    Full Text Available Aim: To study the effect of Newcastle disease (ND oral pellet vaccine in egg production and egg quality in desi chicken. Materials and Methods: The study was conducted at Veterinary University Training and Research Centre, Tiruchirapalli, Tamil Nadu. A total of 48-day-old desi chicks obtained from a private hatchery in Namakkal, Tamil Nadu, were maintained under cage system of rearing up to 52 weeks of age as per standard management practices. All the 48 chicks were divided into six groups having eight chicks in each group were subjected to different treatment regimes. All the birds were challenged at 52 weeks of age with 0.5 ml dose of 104.0 egg infectious dose 50 virulent ND field virus. 10 eggs from each group were randomly collected during the last 3 days of 8 weeks interval period from 28 to 52 weeks of age and were used to measure the egg quality parameters. The production performance of each group was assessed at 4 weeks interval period from 25 to 52 weeks of age. Results: In all the six treatment groups with respect to egg production, no significant difference (p≥0.05 was noticed from 25 to 52 weeks of age. Similarly, in egg weight, egg shape index and specific gravity, no significant difference (p≥0.05 was noticed from 28 to 52 weeks of age. Conclusion: From this study, it is concluded that the administration of ND oral pellet vaccine to desi chicken does not affect the egg production performance, egg weight, egg shape index, and specific gravity of egg.

  5. The postanesthetic period. Complications.

    Malamed, S F

    1987-01-01

    Postanesthetic complications can occur even in the best of circumstances. Proper preparation of the staff, aggressive monitoring of the recovering patient, and early recognition and management of the complications are essential if the outcome is to be successful. In reviewing postanesthetic complications, two factors are present in the overwhelming majority of situations--hypoxia and hypercarbia--often the direct result of inadequate monitoring during the postanesthetic period. The anesthetic procedure is not over once the anesthetic agents are discontinued. The skillful anesthetist is aware of the possibilities of postoperative complications and prevents problems by employing enhanced monitoring techniques during the recovery phase.

  6. Periods of Hecke characters

    Schappacher, Norbert

    1988-01-01

    The starting point of this Lecture Notes volume is Deligne's theorem about absolute Hodge cycles on abelian varieties. Its applications to the theory of motives with complex multiplication are systematically reviewed. In particular, algebraic relations between values of the gamma function, the so-called formula of Chowla and Selberg and its generalization and Shimura's monomial relations among periods of CM abelian varieties are all presented in a unified way, namely as the analytic reflections of arithmetic identities beetween Hecke characters, with gamma values corresponding to Jacobi sums. The last chapter contains a special case in which Deligne's theorem does not apply.

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

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

    2015-06-15

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

  8. Periodic truss structures

    Zok, Frank W.; Latture, Ryan M.; Begley, Matthew R.

    2016-11-01

    Despite the recognition of the enormous potential of periodic trusses for use in a broad range of technologies, there are no widely-accepted descriptors of their structure. The terminology has been based loosely either on geometry of polyhedra or of point lattices: neither of which, on its own, has an appropriate structure to fully define periodic trusses. The present article lays out a system for classification of truss structure types. The system employs concepts from crystallography and geometry to describe nodal locations and connectivity of struts. Through a series of illustrative examples of progressively increasing complexity, a rational taxonomy of truss structure is developed. Its conceptual evolution begins with elementary cubic trusses, increasing in complexity with non-cubic and compound trusses as well as supertrusses, and, finally, with complex trusses. The conventions and terminology adopted to define truss structure yield concise yet unambiguous descriptions of structure types and of specific (finite) trusses. The utility of the taxonomy is demonstrated by bringing into alignment a disparate set of ad hoc and incomplete truss designations previously employed in a broad range of science and engineering fields. Additionally, the merits of a particular compound truss (comprising two interpenetrating elementary trusses) is shown to be superior to the octet truss for applications requiring high stiffness and elastic isotropy. By systematically stepping through and analyzing the finite number of structure types identified through the present classification system, optimal structures for prescribed mechanical and functional requirements are expected to be ascertained in an expeditious manner.

  9. Clinical observation on one period radical gastrectomy on treatment of 92 cases of perianal abscess%一期根治术治疗肛周脓肿92例临床观察

    马进生

    2014-01-01

    为探讨一期根治术治疗肛周脓肿的临床疗效。回顾分析92例行一期根治术治疗肛周脓肿患者的治疗资料,结果显示92例患者中,90例一期愈合,2例形成肛瘘,经二次手术治愈。疗程23~37天,平均26.5天。92例患者有87例获访18个月,无复发,无肛门失禁、变形。一期根治术治疗肛周脓肿疗效满意,及经济负担,配合中药可减轻患者的痛苦,是一种理想的治疗方法。%To explore the clinical effect of one stage radical operation in the treatment of perianal abscess. Retrospective analysis of the treatment data of 92 routine surgery in treatment of the patients with perianal abscess, results showed that 92 patients, 90 cases were healed, 2 cases formed fistula, after two times of operation cure. Treatment 23-37 days, average 26.5 days. In 92 patients, 87 patients were followed up for 18 months, no recurrence, no anal incontinence, deformation. One stage radical operation in the treatment of perianal abscess curative effect is satisfactory, and the economic burden, combined with traditional Chinese medicine can relieve the pain of patients, and is an ideal treatment method.

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

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

    2006-01-01

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

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

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

    2006-01-01

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

  12. GLP-1 receptor agonist treatment increases bone formation and prevents bone loss in weight-reduced obese women

    Iepsen, Eva Pers Winning; Lundgren, Julie Rehné; Hartmann, Bolette

    2015-01-01

    bone mass reductions. DESIGN: Randomized control study. SETTING: Out-patient research hospital clinic. PARTICIPANTS: Thirty-seven healthy obese women. BMI 34±0.5 kg/m(2), age 46±2 years. INTERVENTION: After a low-calorie diet-induced 12% weight loss, participants were randomized to treatment...... with or without administration of the GLP-1 RA liraglutide (1.2mg/day) for 52 weeks. In case of weight gain, up to two meals per day could be substituted with a low-calorie diet product in order to maintain the weight loss. MAIN OUTCOME MEASURES: Total, pelvic and arm-leg bone mineral content (BMC) and bone......% and prevented bone loss after weight loss obtained through a low calorie-diet, supporting its role as a safe weight-lowering agent....

  13. Treatment with a GLP-1 receptor agonist diminishes the decrease in free plasma leptin during maintenance of weight loss

    Iepsen, E W; Lundgren, J; Dirksen, C

    2015-01-01

    BACKGROUND: Recent studies indicate that glucagon-like peptide (GLP)-1 inhibits appetite in part through regulation of soluble leptin receptors. Thus, during weight loss maintenance, GLP-1 receptor agonist (GLP-1RA) administration may inhibit weight loss-induced increases in soluble leptin...... receptors thereby preserving free leptin levels and preventing weight regain. METHODS: In a randomized controlled trial, 52 healthy obese individuals were, after a diet-induced 12% body weight loss, randomized to treatment with or without administration of the GLP-1RA liraglutide (1.2 mg per day). In case...... of weight gain, low-calorie diet products were allowed to replace up to two meals per day to achieve equal weight maintenance. Glucose tolerance and hormone responses were investigated before and after weight loss and after 52 weeks weight maintenance. Primary end points: increase in soluble leptin receptor...

  14. Selegiline transdermal system: in the treatment of major depressive disorder.

    Frampton, James E; Plosker, Greg L

    2007-01-01

    The monamine oxidase (MAO) inhibitor selegiline is selective for MAO-B at the low oral dosages used in the treatment of Parkinson's disease. However, MAO-A is also inhibited at the high oral dosages needed to effectively treat depression (not an approved indication), necessitating a tyramine-restricted diet. The selegiline transdermal system was designed to deliver antidepressant drug concentrations to the CNS, without substantially impairing small intestine MAO-A activity. At the target dose of 6 mg/24 hours, tyramine dietary restrictions are not needed. Short-term treatment with fixed (6 mg/24 hours) or flexible (6, 9 or 12 mg/24 hours) doses of selegiline transdermal system was superior to placebo on most measures of antidepressant activity in 6- or 8-week, randomised, double-blind, multicentre studies in adult outpatients with major depressive disorder (MDD). Likewise, long-term treatment with a fixed dose of selegiline transdermal system 6 mg/24 hours was superior to placebo as maintenance therapy in a 52-week, randomised, double-blind, multicentre, relapse-prevention trial in patients with MDD. Selegiline transdermal system therapy was generally well tolerated in placebo-controlled studies; application site reactions, mostly of mild to moderate severity, were the most commonly reported adverse events. The incidence of sexual adverse effects and weight gain was low and similar to that with placebo.

  15. Outcome of the TURP-TUVP sandwich procedure for minimally invasive surgical treatment of benign prostatic hyperplasia with volume larger than 40cc over a 4-year period in Nigeria

    O.I. Aisuodionoe-Shadrach

    2013-03-01

    Conclusions: The sandwich combination of TURP and TUVP for the surgical treatment of BPH with volume larger than 40cc had satisfactory patient safety profile and resulted in significant improvement in IPSS, Qmax and PVR on follow-up at 3 months.

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

    邓华; 段勇

    2013-01-01

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

  17. Periods and Superstring Amplitudes

    Stieberger, S

    2016-01-01

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

  18. 反式 Twin -block 治疗替牙期安氏Ⅲ类错牙合疗效研究%Research on curative effect of reverse Twin-block appliance in treatment of mixed dentition period of class Ⅲ malocclusion

    何艳; 谭燕; 张清磊; 陈畅

    2014-01-01

    目的:评价应用反式 Twin -block 治疗替牙期安氏Ⅲ类错牙合的临床疗效。方法应用反式 Twin -block 矫治器治疗替牙期安氏Ⅲ类错牙合11例,并对治疗前后的头影测量结果进行分析。结果11例替牙期安氏Ⅲ类错牙合患者侧貌改善,前牙覆牙合覆盖正常。结论反式 Twin -block 矫治器能有效治疗替牙期安氏Ⅲ类错牙合。%Objective To evaluate the clinical effects of application of reverse Twin-block in treating mixed dentition of Angle class Ⅲmalocclusion.Methods Reverse Twin-block appliance was applied in the treatment of mixed dentition period of class Ⅲ malocclusion in 1 1 cases,and cephalomertric analysis was performed before and after treatment.Results The profiles of 1 1 patients of mixed denti-tion period of class Ⅲ malocclusion have improved,and their anterior teeth overbite and overjet became normal.Conclusions Reverse Twin-block appliance is effective in the treatment of mixed dentition period of class Ⅲ malocclusion.

  19. The Treatment of Restless Legs Syndrome and Periodic Limb Movement Disorder in Adults—An Update for 2012: Practice Parameters with an Evidence-Based Systematic Review and Meta-Analyses: An American Academy of Sleep Medicine Clinical Practice Guideline

    Aurora, R. Nisha; Kristo, David A.; Bista, Sabin R.; Rowley, James A.; Zak, Rochelle S.; Casey, Kenneth R.; Lamm, Carin I.; Tracy, Sharon L.; Rosenberg, Richard S.

    2012-01-01

    A systematic literature review and meta-analyses (where appropriate) were performed to update the previous AASM practice parameters on the treatments, both dopaminergic and other, of RLS and PLMD. A considerable amount of literature has been published since these previous reviews were performed, necessitating an update of the corresponding practice parameters. Therapies with a STANDARD level of recommendation include pramipexole and ropinirole. Therapies with a GUIDELINE level of recommendati...

  20. [Childhood periodic syndromes].

    Cuvellier, J-C; Lépine, A

    2010-01-01

    This review focuses on the so-called "periodic syndromes of childhood that are precursors to migraine", as included in the Second Edition of the International Classification of Headache Disorders. Three periodic syndromes of childhood are included in the Second Edition of the International Classification of Headache Disorders: abdominal migraine, cyclic vomiting syndrome and benign paroxysmal vertigo, and a fourth, benign paroxysmal torticollis is presented in the Appendix. The key clinical features of this group of disorders are the episodic pattern and intervals of complete health. Episodes of benign paroxysmal torticollis begin between 2 and 8 months of age. Attacks are characterized by an abnormal inclination and/or rotation of the head to one side, due to cervical dystonia. They usually resolve by 5 years. Benign paroxysmal vertigo presents as sudden attacks of vertigo, accompanied by inability to stand without support, and lasting seconds to minutes. Age at onset is between 2 and 4 years, and the symptoms disappear by the age of 5. Cyclic vomiting syndrome is characterized in young infants and children by repeated stereotyped episodes of pernicious vomiting, at times to the point of dehydration, and impacting quality of life. Mean age of onset is 5 years. Abdominal migraine remains a controversial issue and presents in childhood with repeated stereotyped episodes of unexplained abdominal pain, nausea and vomiting occurring in the absence of headache. Mean age of onset is 7 years. Both cyclic vomiting syndrome and abdominal migraine are noted for the absence of pathognomonic clinical features but also for the large number of other conditions to be considered in their differential diagnoses. Diagnostic criteria, such as those of the Second Edition of the International Classification of Headache Disorders and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition, have made diagnostic approach and management easier. Their diagnosis

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

    D. B. Nemick

    2015-01-01

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

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

    D. B. Nemick

    2015-12-01

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

  3. Near periodicity in dynamical systems

    陈文成

    1995-01-01

    The notion of near periodicity is shown to be equivalent to that of weak near periodicity in dynamical systems. A sufficient condition for the positive near periodicity of a point in dynamical systems is given. The structure of nearly periodic dynamical systems is discussed, and a condition is proved to be necessary and sufficient for a dynamical system on a local compact space to be positively nearly periodic.

  4. THE WAVELET TRANSFORM OF PERIODIC FUNCTION AND NONSTATIONARY PERIODIC FUNCTION

    刘海峰; 周炜星; 王辅臣; 龚欣; 于遵宏

    2002-01-01

    Some properties of the wavelet transform of trigonometric function, periodic function and nonstationary periodic function have been investigated. The results show that the peak height and width in wavelet energy spectrum of a periodic function are in proportion to its period. At the same time, a new equation, which can truly reconstruct a trigonometric function with only one scale wavelet coefficient, is presented. The reconstructed wave shape of a periodic function with the equation is better than any term of its Fourier series. And the reconstructed wave shape of a class of nonstationary periodic function with this equation agrees well with the function.

  5. Critical Period of Weed Control in Aerobic Rice

    Anwar, M. P.; A. S. Juraimi; Samedani, B.; Puteh, A.; Man, A.

    2012-01-01

    Critical period of weed control is the foundation of integrated weed management and, hence, can be considered the first step to design weed control strategy. To determine critical period of weed control of aerobic rice, field trials were conducted during 2010/2011 at Universiti Putra Malaysia. A quantitative series of treatments comprising two components, (a) increasing duration of weed interference and (b) increasing length of weed-free period, were imposed. Critical period was determined th...

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

    Popova, B; Mitev, D; Nikolov, A

    2016-01-01

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

  7. Tolvaptan and its potential in the treatment of hyponatremia

    Y Howard Lien

    2008-10-01

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

  8. Factors Associated With Dropout During Recruitment and Follow-Up Periods of a mHealth-Based Randomized Controlled Trial for Mobile.Net to Encourage Treatment Adherence for People With Serious Mental Health Problems

    Korhonen, Joonas; Adams, Clive E; Koivunen, Marita Hannele; Vahlberg, Tero; Välimäki, Maritta Anneli

    2017-01-01

    Background Clinical trials are the gold standard of evidence-based practice. Still many papers inadequately report methodology in randomized controlled trials (RCTs), particularly for mHealth interventions for people with serious mental health problems. To ensure robust enough evidence, it is important to understand which study phases are the most vulnerable in the field of mental health care. Objective We mapped the recruitment and the trial follow-up periods of participants to provide a picture of the dropout predictors from a mHealth-based trial. As an example, we used a mHealth-based multicenter RCT, titled “Mobile.Net,” targeted at people with serious mental health problems. Methods Recruitment and follow-up processes of the Mobile.Net trial were monitored and analyzed. Recruitment outcomes were recorded as screened, eligible, consent not asked, refused, and enrolled. Patient engagement was recorded as follow-up outcomes: (1) attrition during short message service (SMS) text message intervention and (2) attrition during the 12-month follow-up period. Multiple regression analysis was used to identify which demographic factors were related to recruitment and retention. Results We recruited 1139 patients during a 15-month period. Of 11,530 people screened, 36.31% (n=4186) were eligible. This eligible group tended to be significantly younger (mean 39.2, SD 13.2 years, P<.001) and more often women (2103/4181, 50.30%) than those who were not eligible (age: mean 43.7, SD 14.6 years; women: 3633/6514, 55.78%). At the point when potential participants were asked to give consent, a further 2278 refused. Those who refused were a little older (mean 40.2, SD 13.9 years) than those who agreed to participate (mean 38.3, SD 12.5 years; t1842=3.2, P<.001). We measured the outcomes after 12 months of the SMS text message intervention. Attrition from the SMS text message intervention was 4.8% (27/563). The patient dropout rate after 12 months was 0.36% (4/1123), as

  9. Photolysis of Periodate and Periodic Acid in Aqueous Solution

    Sehested, Knud; Kläning, U. K.

    1978-01-01

    The photochemistry of periodate and periodic acid in aqueous solution was studied (i) by quantum yield measurements at low light intensity (ii) by flash photolysis, and (iii) by photolysis of glassy samples at 77 K. The photochemical studies were supplemented with pulse radiolysis studies...... of aqueous periodate solutions and with kinetic studies using stopped-flow technique. In strongly alkaline solution the photodecomposition of periodate proceeds via formation of O– and IVI. At pH

  10. 替牙期上颌中切牙埋伏阻生的临床诊断和矫治方法%Maxillary Impacted Incisor Period for Clinical Diagnosis and Treatment of Impacted

    李雪

    2014-01-01

    目的:探讨替牙期上颌中切牙埋伏阻生的临床诊断和矫治方法。方法:研究对象为2010年2月~2011年2月我院收治的21例诊断为替牙期上颌中切牙埋伏阻生的患儿,回顾性分析其临床诊治资料,分析其特点。结果:上颌埋伏中切牙的影像学诊断结果显示,与螺旋CT检查结果比较,经X线片检查水平阻生无一例漏诊,但唇侧斜位阻生漏诊2例,腭侧斜位阻生漏诊1例;确诊患儿经正畸导萌术治疗,牙髓活力测试均恢复正常,牙轴恢复正常,无托槽脱落,无一例发生伤口感染。结论:在替牙期上颌中切牙埋伏阻生的治疗中,螺旋CT有助于其定位诊断,正畸导萌术可获得良好疗效。%Objective:To investigate the phase for teeth in maxillary incisor in method of clinical diagnosis and correction. Methods:The research object for February 2010-February 2010, 21 cases of our hospital diagnosed as for stage of maxillary incisor teeth in children and its clinical diagnosis and treatment were retrospectively analyzed, analysis of its characteristics. Results:Maxillary incisor in the ambush of imaging diagnosis results show that compared with the spiral CT examination and the X-ray examination level no maxillary in diagnosis, but the lip side inclined maxillary, 2 cases of misdiagnosis, palatal side inclined a maxillary misdiagnosis and 1 case;Diagnosis of children with orthodontic guided eruption technique treatment, dental pulp vitality tests are back to normal, tooth shaft back to normal, no braces off, no wound infection occurred. Conclusion:For stage of maxillary incisor teeth lie in the treatment of maxillary, spiral CT is helpful to diagnosis, its positioning orthodontic guided eruption technique can obtain good therapeutic effect.

  11. [Hypoglycaemic periodic paralysis in hyperthyroidism patients].

    Kratochvíl, J; Masopust, J; Martínková, V; Charvát, J

    2008-11-01

    Hypokalemic periodic paralysis (HPP) is a rare disorder characterised by acute, potentially fatal atacks of muscle weakness or paralysis. Massive shift of potassium into cells is caused by elevated levels of insulin and catecholamines in the blood. Hypophosphatemia and hypomagnesemia may be also present. Acidobasic status usually is not impaired. HPP occurs as familiar (caused by ion channels inherited defects) or acquired (in patients with hyperthyroidism). On the basis of two clinical cases we present a review of hypokalemic periodic paralysis in hyperthyroid patients. We discuss patogenesis, clinical and laboratory findings as well as the principles of prevention and treatment of this rare disorder.

  12. The Lueneburg model - experience from a one-year operating period of the mechanic-biological waste pre-treatment plant; Modell Lueneburg - Erfahrungen aus einem Jahr Betrieb der MBV-Anlage

    Tegtmeyer, E. [Gesellschaft fuer Abfallwirtschaft Lueneburg mbH, Bardowick (Germany)

    1997-12-31

    The Lueneburg plant is one of three demonstration plants for mechanic-biological pre-treatment of residual waste which receive considerable grants from the state of Niedersachsen. Whereas the other two plants, the one at Bassum (district of Diepholz) and the one at Wiefels (district of Friesland), are currently under construction, the Lueneburg plant has been officially inaugurated already in December 1995 and has since been in operation. (orig./SR) [Deutsch] Die Lueneburger Anlage ist eine von drei Demonstrationsanlagen zur mechanisch-biologischen Vorbehandlung von Restabfaellen, die durch das Land Niedersachsen in erheblichem Umfang anteilig gefoerdert werden. Waehrend die beiden anderen Anlagen in Bassum (Landkreis Diepholz) und Wiefels (Landkreis Friesland) sich zur Zeit in der Errichtungsphase befinden, ist die MBV-Anlage Lueneburg bereits im Dezember 1995 offiziell eingeweiht worden und verfuegt damit mittlerweile ueber eine etwa einjaehrige Betriebserfahrung. (orig./SR)

  13. Periodic feedback stabilization for linear periodic evolution equations

    Wang, Gengsheng

    2016-01-01

    This book introduces a number of recent advances regarding periodic feedback stabilization for linear and time periodic evolution equations. First, it presents selected connections between linear quadratic optimal control theory and feedback stabilization theory for linear periodic evolution equations. Secondly, it identifies several criteria for the periodic feedback stabilization from the perspective of geometry, algebra and analyses respectively. Next, it describes several ways to design periodic feedback laws. Lastly, the book introduces readers to key methods for designing the control machines. Given its coverage and scope, it offers a helpful guide for graduate students and researchers in the areas of control theory and applied mathematics.

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

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

    2008-01-01

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

  15. Doubly Resonant Optical Periodic Structure.

    Alagappan, G; Png, C E

    2016-02-08

    Periodic structures are well known in various branches of physics for their ability to provide a stopband. In this article, using optical periodic structures we showed that, when a second periodicity--very closed to the original periodicity is introduced, large number of states appears in the stopband corresponding to the first periodicity. In the limit where the two periods matches, we have a continuum of states, and the original stopband completely disappears. This intriguing phenomena is uncovered by noticing that, regardless of the proximities of the two periodicities, there is an array of spatial points where the dielectric functions corresponding to the two periodicities interfere destructively. These spatial points mimic photonic atoms by satisfying the standards equations of quantum harmonic oscillators, and exhibit lossless, atom-like dispersions.

  16. The redoubtable ecological periodic table

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

  17. Periodic review and continuous ordering

    Prak, Dennis R.J.; Teunter, Ruud; Riezebos, Jan

    2014-01-01

    There exist many inventory control studies that consider either continuous review & continuous ordering, or periodic review & periodic ordering. Mixtures of the two are hardly ever studied. However, the model with periodic review and continuous ordering is highly relevant in practice, as information on the actual inventory level is not always up to date while making ordering decisions. This paper will therefore consider this case of periodic review and continuous ordering. Assuming zero fixed...

  18. Periodic review and continuous ordering

    Prak, Dennis; Teunter, Ruud; Riezebos, Jan

    2015-01-01

    Many inventory control studies consider either continuous review and continuous ordering, or periodic review and periodic ordering. Mixtures of the two are hardly ever studied. However, the model with periodic review and continuous ordering is highly relevant in practice, as information on the actua

  19. Periodic review and continuous ordering

    Prak, Dennis R.J.; Teunter, Ruud; Riezebos, Jan

    2014-01-01

    There exist many inventory control studies that consider either continuous review & continuous ordering, or periodic review & periodic ordering. Mixtures of the two are hardly ever studied. However, the model with periodic review and continuous ordering is highly relevant in practice, as information

  20. The treatment of restless legs syndrome and periodic limb movement disorder in adults--an update for 2012: practice parameters with an evidence-based systematic review and meta-analyses: an American Academy of Sleep Medicine Clinical Practice Guideline.

    Aurora, R Nisha; Kristo, David A; Bista, Sabin R; Rowley, James A; Zak, Rochelle S; Casey, Kenneth R; Lamm, Carin I; Tracy, Sharon L; Rosenberg, Richard S

    2012-08-01

    A systematic literature review and meta-analyses (where appropriate) were performed to update the previous AASM practice parameters on the treatments, both dopaminergic and other, of RLS and PLMD. A considerable amount of literature has been published since these previous reviews were performed, necessitating an update of the corresponding practice parameters. Therapies with a STANDARD level of recommendation include pramipexole and ropinirole. Therapies with a GUIDELINE level of recommendation include levodopa with dopa decarboxylase inhibitor, opioids, gabapentin enacarbil, and cabergoline (which has additional caveats for use). Therapies with an OPTION level of recommendation include carbamazepine, gabapentin, pregabalin, clonidine, and for patients with low ferritin levels, iron supplementation. The committee recommends a STANDARD AGAINST the use of pergolide because of the risks of heart valve damage. Therapies for RLS secondary to ESRD, neuropathy, and superficial venous insufficiency are discussed. Lastly, therapies for PLMD are reviewed. However, it should be mentioned that because PLMD therapy typically mimics RLS therapy, the primary focus of this review is therapy for idiopathic RLS.

  1. Observation of clinical effect of routine atomization combined massage treatment of children bronchial asthma at chronic persistent period%常规雾化联合推拿疗法治疗小儿支气管哮喘慢性持续期临床效果观察

    张宝珍; 裴竹英

    2015-01-01

    ObjectiveTo study and analyze the clinical treatment effect of routine atomization combined massage in the treatment of children bronchial asthma at chronic persistent period.Methods 100 children patients with chronic persistent asthmatics, who were received and treated in clinic of our hospital from October 2012 to November 2014, were selected and were divided into treatment group and control group according to different treatment methods, with 50 cases in each group. The control group was treated with routine atomization, while the treatment group was treat with routine atomization combined massage, the treatment cycle were all 8 weeks. To observe and compare the effective rate of clinical treatment of children patients between the two groups, to analyze the change levels of intracorporal inflammatory factors of children patients by peripheral blood. Results After 8 weeks treatment, the effective rate of clinical treatment in treatment group was better than which in control group(P<0.05), the change levels of intracorporal inflammatory factors of children patients of IL-17, IL-33, IL-6 in treatment group were statistical significance compared with which in control group(P<0.05).Conclusion Routine atomization combined with massage in the treatment of children bronchial asthma at chronic persistent period is effective, could improve children immunological function meanwhile to treat the symptoms of asthma, has higher popularization and application value in clinical treatment.%目的:研究分析常规雾化联合推拿疗法对小儿支气管哮喘慢性持续期的临床治疗效果。方法选择2012年10月~2014年11月期间我院门诊收治入院的100例慢性持续期哮喘患儿,按照治疗方法不同分为治疗组和对照组,每组患儿50例。对照组运用常规雾化疗法进行治疗,治疗组运用常规雾化联合推拿疗法进行治疗,治疗周期均为8周。观察比较两组患儿临床治疗有效

  2. Nonparametric Inference for Periodic Sequences

    Sun, Ying

    2012-02-01

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

  3. 丁丙诺啡舌下含片与美沙酮用于海洛因依赖门诊稽延期治疗的对照研究%Control study of buprenorphine sublingual tablets and methadone for heroin addicts on out patients treatment during recovery period

    牛光胜; 杜万君; 王玉明; 郑杰

    2011-01-01

    目的 观察丁丙诺啡舌下含片与美沙酮用于海洛因依赖者稽延期治疗的价值。方法 对完成脱毒治疗患者,依先后次序交叉纳入观察组与对照组,分别给予丁丙诺啡舌下含片和美沙酮治疗6个月,观察操守时间,并于入组前后做焦虑量表评分。结果 丁丙诺啡舌下含片组比美沙酮组的操守时间长(P<0.01),焦虑评分低(P<0.05)。结论 丁丙诺啡舌下含片于海洛因依赖门诊稽延期治疗能更好地缓解焦虑情绪并延长操守时间。%Objective To observe the effect of buprenorphine sublingual tablets (Bup) and methadone for heroin addicts on out patients treatment during recovery period. Methods Heroin addicts who completed acute drug detoxification treatment were assigned in the order of cross to the observation group and control group. The observation group and the control group were treated with Bup and methadone, respectively for six months. Both groups were observed on the time of keeping heroin abstinence during the treatment and were assessed with Anxiety Scale before and after Bup or methadone treatment. Results Bup group kept abstinence from heroin longer than methadone group ( P <0.01 ) ,and had lower anxiety scores( P <0.05). Conclusion Bupernorphine sublingual tablets used for out patients at recovery period could better alleviate heroin addicts' anxiety and prolong their abstinence time.

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

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

    2005-01-17

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

  5. 围关节置换期并发血栓的诊断与治疗%Diagnosis and treatment of thrombosis during the perioperative period of joint replacement

    李少斐; 赵建宁; 郭亭

    2013-01-01

    BACKGROUND:The coagulation function of patients after joint replacement is enhanced during the perioperative time, the coagulation disorder can easily lead to the deep vein thrombosis, which wil seriously affect the rehabilitation and prognosis of patients. The embolus fal ing off from venous thrombosis can lead to acute pulmonary embolism, severe cases can be life-threatening. So the early diagnosis of postoperative deep vein thrombosis and acute pulmonary embolism is very important. OBJECTIVE:To review the research progress of clinical diagnosis of thrombosis in the perioperative patients after orthopaedic joint replacement. METHODS:A computer-based retrieve in PubMed database and CNKI database were conducted by the first author for the articles on the clinical diagnosis of thrombosis in the perioperative patients after orthopaedic joint replacement from January 2008 to May 2013 with the key words of“arthroplasty, deep venous thrombosis, pulmonary artery embolism, risk factor, diagnostic approach, anticoagulant, perioperative period, research progress”in English and Chinese. A total of 165 articles were screened out, and final y 50 articles were included according to the inclusion criteria. RESULTS AND CONCLUSION:After joint replacement surgery, various risk factors were associated with the etiology and pathogenesis of deep venous thrombosis, such as vascular and tissue impairments, limb fixation, pain stress, and hemorrhagic fluid caused coagulation disorder, were the main reasons to thrombosis. Deep vein thrombosis and pulmonary embolism had variety of clinical manifestations, many diagnostic approaches were widely applied in clinic, but each one has its laminations. So the positive diagnosis intervention should be performed according to the common clinical manifestations, general y begin from the routine examinations of ultrasound and electrocardiogram, and the combination of various methods was preferred if necessary in order to increase the positive

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

    于在湖; 胡青芳; 杜衍晓

    2014-01-01

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

  7. [Periodic breathing with periodic oxygen variation in infancy].

    von Czettritz, G; Bax, R T; Eckardt, T; Springer, S; Emmrich, P

    1996-01-01

    Oxycardiorespirographies, recording arterial oxygen saturation (SaO2), breathing movements, heart rate and ECG with a mean recording time of 22.3 hours, were performed on 85 preterm (mean postconceptional age: 38 weeks) and 81 term infants (mean postconceptional age 42.4 weeks). 83% of the preterm infants showed periodic breathing (PB), in 97% of them this was accompanied by periodic variations of arterial oxygen saturation (PVO). Periodic breathing occurred in 61% of the term infants, 84% of them showed PVO during periodic breathing. The mean variation of oxygen saturation was between 92.8 and 96.8% (+/- 1.7) for preterm and between 92.9 and 96.0% (+/- 2.2) for term infants. In some infants the peak to peak amplitude of the SaO2 cycles was up to 22%, sometimes a further fall of SaO2 occurred. There was a strong correlation of the PVO both at the beginning and end of the episode as well as with the PB-cycle periodicity itself. The fall of the oxygen saturation occurred 3.1 to 7.8 s after the beginning of the first apnea of an episode of periodic breathing, the minimum SaO2 was reached approximately 4.2 to 8.6 s later. This periodic rapid fall of SaO2 from a high oxygenation level cannot be explained by the apneas of a rather short duration during periodic breathing. It is discussed that PVO during periodic breathing may be caused by an ideopathic right to left shunting across fetal circulation pathways which occurs intermittently and periodically. This mechanism could-via patterns of reaction exhibited during the fetal and neonatal time period-lead to acute hypoxemia, as found in apparently life threatening events (ALTE) and as postulated in sudden infant death (SID).

  8. From Periodic Properties to a Periodic Table Arrangement

    Besalú, Emili

    2013-01-01

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

  9. Repelling periodic points of given periods of rational functions

    CHANG Jianming; FANG Mingliang

    2006-01-01

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

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

    李幸运

    2014-01-01

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

  11. Critical period of weed control In cumin (Cuminum cyminum)

    azade hoseyni; alireza koochaki; mehdi nassiri mahalati

    2009-01-01

    In order to evaluate the critical period of weed control in Cumin, an experiment with Complete Randomized Block Design and three replications was conducted in experimental field of Faculty of Agriculture, Ferdowsi University of Mashhad, During 2004-2005 growing season. Treatments included different combinations of weed free and weed infested periods (20, 30, 40 and 80 days after germination) plus weedy check and weed free check. Critical period weed control was evaluated with Gompertz and Log...

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

    van Bockxmeer Frank

    2010-01-01

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

  13. Latino Periodicals: A Selection Guide.

    Guerena, Salvador, Ed.; Pisano, Vivian M., Ed.

    This guide is a collection development tool of national scope for librarians who need in-depth coverage of Latino periodicals suitable for public, school, and academic libraries. Periodicals evaluated include general interest and popular magazines and newspapers that appeal to Spanish-speaking, bilingual, and English-speaking library patrons and…

  14. 脊柱术后新斯的明对治疗老年患者卧床期腹胀的疗效观察%Neostigmine for treatment of spinal postoperative elderly patients lie in bed period curative effect observation of abdominal distension

    李青梅; 郑光峰

    2015-01-01

    ObjectiveTo observe the neostigmine treatment of spinal postoperative elderly patients lie in bed period abdominal distension abdominal distension and other three kinds of commonly used clinical treatment method curative effect comparison.Method To our department from January 2012 to December 2012 treated 160 cases of elderly patients, postoperative for neostigmine, application, increased gastrointestinal medicine Pan Li methadone, 2% more soapy water enema, open plug plug anal and anal exhaust four ways to treat spinal abdominal distension postoperative elderly patients lie in bed.Result After treatment for 2 h. Neostigmine treatment group soon exhaust and defecate, and can normal sense no abdominal distention after eating, the effect is better than the other three groups (P<0.05). Neostigmine.ConclusionTreatment of spinal postoperative elderly patients lie in bed period abdominal distension, quick effect, operation is simple, safe, and reduce the patients pain caused by recurrent abdominal distension.%目的:观察新斯的明治疗脊柱术后老年患者卧床期出现腹胀及其它三种临床常用治疗腹胀方法的疗效比较。方法:将我科从2013年4月至2014年4月收治的160例老年患者,术后分别进行新斯的明、应用增加胃肠动力药多潘立酮、2%肥皂水灌肠、开塞露塞肛加肛管排气四种方法治疗脊柱术后老年患者卧床期腹胀。结果:经治疗2h后观察疗效。新斯的明治疗组很快排气、排便,且能正常进食后无腹胀感,效果明显优于其他三组(P<0.05)。结论:新斯的明治疗脊柱术后老年患者卧床期出现的腹胀,见效快,操作简单、安全,减轻了患者因反复腹胀引起的痛苦。

  15. Periodic and aperiodic synchronization in skilled action

    Fred eCummins

    2011-12-01

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

  16. The Clinical Observation of Naoxinkang Capsule in the Treatment of Qi Deficiency,Blood and Phlegm Stagnation Syndrome of Ischemic Stroke Recovery Period of 56 Cases%脑欣康胶囊治疗气虚血瘀痰阻型缺血性中风恢复期56例疗效观察

    孙玉勇

    2014-01-01

    Objective:To observe the clinical effect of Naoxinkang Capsule in the treatment of qi deficiency,blood and phlegm stagnation syndrome of ischemic stroke recovery period.Method:107 stroke patients with condition tends to be stable in our hospital from January 2011 to December 2012 were selected,using randomized,double-blind,double-dummy,parallel control study method,they were divided into the experimental group for 56 cases and the control group for 51 cases.The experimental group was given Naoxinkang Capsule for treatment,the control group was given Xuesaitong Tablets for treatment.The clinical efficacy and the changes of hemodynamics before and after treatment between the two groups were observed and compared.Result:After treatment,the total effective rate of experimental group was 87.50%(49/56),it was significantly higher than 70.59%(36/51) of control group,the difference was statistically significant(χ2=4.674,P=0.031).The hemodynamic indexes of the two groups after treatment were significantly lower than before treatment,and the hemodynamic indexes of experimental group after treatment were significantly lower than control group,the differences were statistically significant(P<0.05). Conclusion:Naoxinkang Capsule in the treatment of qi deficiency,blood and phlegm stagnation syndrome of ischemic stroke recovery period has the remarkable curative effect,safety and effectiveness,easy to use,is worthy of clinical promotion.%目的:观察脑欣康胶囊治疗气虚血瘀痰阻型缺血性中风恢复期的临床疗效。方法:选取2011年1月-2012年12月笔者所在医院收治的107例病情趋于稳定的中风患者作为研究对象,采用随机双盲、双模拟、平行对照研究方法将其分为试验组56例和对照组51例。试验组给予脑欣康胶囊治疗,对照组给予血塞通片治疗,观察比较两组患者的中医症候疗效及治疗前后血液动力学变化情况。结果:经治疗后,试验组的治疗总有效率87

  17. Optical Periodicity Analysis of 3C 446 using Period04

    Fei Guo; Hao Jing Zhang

    2014-09-01

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

  18. The outcome of control groups in clinical trials of conservative treatments for chronic mechanical neck pain: a systematic review

    Hagino Carol

    2006-07-01

    Full Text Available Abstract Background Chronic neck pain is highly prevalent in Western societies, with about 15% of females and 10% of males suffering with it at any time. The course of untreated chronic neck pain patients in clinical trials has not been well-defined and the placebo effect has not been clarified. Methods A systematic review of RCT's of conservative treatments for chronic mechanical neck pain was conducted. Studies were excluded if they did not include a control group, if they involved subjects with whiplash injuries, a predominance of headache or arm pain associated with chronic neck pain and if only one treatment was reported. Only studies scoring 3–5 out of 5 on the Jadad Scale for quality were included in the final analysis. Data on change in pain scores of subjects in both placebo (PL as well as no-treatment (NT control groups were analyzed. Mean changes in pain scores as well as effect sizes were calculated, summarized and compared between these groups. Results Twenty (20 studies, 5 in the NT group and 15 in the PL group, with outcome intervals ranging from 1–52 weeks were included in the final analysis. The mean [95% CI] effect size of change in pain ratings in the no-treatment control studies at outcome points up to 10 weeks was 0.18 [-0.05, 0.41] and for outcomes from 12–52 weeks it was 0.4 [0.12, 0.68]. In the placebo control groups it was 0.50 [0.10, 0.90] at up to 10 weeks and 0.33. [-1.97, 2.66] at 12–24 weeks. None of the comparisons between the no-treatment and placebo groups were statistically significant. Conclusion It appears that the changes in pain scores in subjects with chronic neck pain not due to whiplash who are enrolled in no-treatment and placebo control groups were similarly small and not significantly different. As well, they do not appear to increase over longer-term follow-up.

  19. Obesity and exercise in adoloscent period

    Eda Mendeş

    2011-10-01

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

  20. Obesity and exercise in adoloscent period

    Eda Mendes

    2011-10-01

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

  1. [HYPP--hyperkalemic periodic paralysis in horses].

    Zeilmann, M

    1993-12-01

    A literature review of the clinical syndrome HYPP (Hyperkalemic periodic paralysis) affecting Quarter Horses is given. HYPP is characterized by sporadic attacks of muscle tremors, weakness and/or collapse, lasting for variable periods of time. Diagnosis is based on physical findings in association with hyperkalemia. In horses with HYPP, the regulation of ion transport through the sodium channels in the muscle cells occasionally fails, causing uncontrollable muscle twitching. Further investigations into molecular genetics reveals a mutation in the gene responsible for sodium and potassium regulation. The identification of this gene mutation is the basis for the blood test used to diagnose HYPP. HYPP is inherited as an autosomal dominant trait. Treatment of HYPP attacks by intravenous application of calcium gluconate, bicarbonate and glucose results in rapid recovery. Consequent dietary management and daily administration of acetazolamide effectively controls the disease.

  2. Measuring Scars of Periodic Orbits

    Kaplan, L

    1999-01-01

    The phenomenon of periodic orbit scarring of eigenstates of classically chaotic systems is attracting increasing attention. Scarring is one of the most important ``corrections'' to the ideal random eigenstates suggested by random matrix theory. This paper discusses measures of scars and in so doing also tries to clarify the concepts and effects of eigenfunction scarring. We propose a new, universal scar measure which takes into account an entire periodic orbit and the linearized dynamics in its vicinity. This measure is tuned to pick out those structures which are induced in quantum eigenstates by unstable periodic orbits and their manifolds. It gives enhanced scarring strength as measured by eigenstate overlaps and inverse participation ratios, especially for longer orbits. We also discuss off-resonance scars which appear naturally on either side of an unstable periodic orbit.

  3. Periodicities in photospheric magnetic flux

    SONG; Wenbin; WANG; Jingxiu

    2006-01-01

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

  4. Period-doubling cascades galore

    Sander, Evelyn; Yorke, James A.

    2009-01-01

    The appearance of numerous period-doubling cascades is among the most prominent features of {\\bf parametrized maps}, that is, smooth one-parameter families of maps $F:R \\times {\\mathfrak M} \\to {\\mathfrak M}$, where ${\\mathfrak M}$ is a smooth locally compact manifold without boundary, typically $R^N$. Each cascade has infinitely many period-doubling bifurcations, and it is typical to observe -- such as in all the examples we investigate here -- that whenever there are any cascades, there are...

  5. Period Integrals and Tautological Systems

    Lian, Bong H; Yau, Shing-Tung

    2011-01-01

    We study period integrals of CY hypersurfaces in a partial flag variety. We construct a holonomic system of differential equations which govern the period integrals. By means of representation theory, a set of generators of the system can be described explicitly. The results are also generalized to CY complete intersections. The construction of these new systems of differential equations have lead us to the notion of a tautological system.

  6. Periodic billiard trajectories in polyhedra

    Bedaride, Nicolas

    2011-01-01

    We consider the billiard map inside a polyhedron. We give a condition for the stability of the periodic trajectories. We apply this result to the case of the tetrahedron. We deduce the existence of an open set of tetrahedra which have a periodic orbit of length four (generalization of Fagnano's orbit for triangles), moreover we can study completly the orbit of points along this coding.

  7. Jupiter and Saturn Rotation Periods

    Helled, Ravit; Anderson, John D

    2009-01-01

    Anderson & Schubert (2007, Science,317,1384) proposed that Saturn's rotation period can be ascertained by minimizing the dynamic heights of the 100 mbar isosurface with respect to the geoid; they derived a rotation period of 10h 32m 35s. We investigate the same approach for Jupiter to see if the Jovian rotation period is predicted by minimizing the dynamical heights of its isobaric (1 bar pressure level) surface using zonal wind data. A rotation period of 9h 54m 29s is found. Further, we investigate the minimization method by fitting Pioneer and Voyager occultation radii for both Jupiter and Saturn. Rotation periods of 9h 55m 30s and 10h 32m 35s are found to minimize the dynamical heights for Jupiter and Saturn, respectively. Though there is no dynamical principle requiring the minimization of the dynamical heights of an isobaric surface, the successful application of the method to Jupiter lends support to its relevance for Saturn. We derive Jupiter and Saturn rotation periods using equilibrium theory in ...

  8. Thyrotoxic periodic paralysis: a short clinical review

    Rashmi Aggarwal

    2015-06-01

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

  9. Risk factors associated with death in patients who initiate treatment for tuberculosis after two different follow-up periods Fatores de risco associados com o óbito em pacientes que iniciam o tratamento para a tuberculose após dois diferentes períodos de seguimento

    Maria de Fátima Pessoa Militão de Albuquerque

    2009-12-01

    Full Text Available INTRODUCTION: Mortality from tuberculosis, which should be a rare event, still affects a large portion of the population of developing countries. In this context, Recife, a city in the northeast of Brazil where this study was developed, has the highest tuberculosis mortality rates of the Brazilian capitals. OBJECTIVE: To analyze survival probability and identify risk factors for death from tuberculosis in a cohort of patients living in Recife who started treatment for tuberculosis. METHODOLOGY: A cohort of newly diagnosed TB cases was followed up from the beginning of treatment (in 2001-2003 until June 2007. Survival probability was estimated by Kaplan-Meier method; and Cox Regression analysis was used to identify risk factors. RESULTS: At the end of the follow-up period, the survival probability after beginning TB treatment was 95.9%. Older ages, positivity for HIV and late initial treatment were statistically associated with death from TB in one year follow-up. When the analysis was done considering the total period of follow-up, older ages, positivity serology for HIV, late initial treatment, weight loss, and history of previous treatment remained in the multivariate Cox regression model. CONCLUSION: A more comprehensive analysis, specifically for deaths from tuberculosis as the underlying and non-underlying cause, allowed identification of a greater number of predictive factors that would otherwise not be detected if follow-up had lasted only until the end of treatment. These results can guide feasible interventions for health services aiming to reduce case-fatality from tuberculosis.INTRODUÇÃO: A mortalidade por tuberculose, que deveria ser um evento raro, ainda acomete uma grande parcela da população dos países em desenvolvimento. Nesse contexto, Recife, situada no Nordeste do Brasil, tem uma das mais altas taxas de mortalidade das capitais brasileiras. OBJETIVO: Analisar a probabilidade de sobrevida e identificar os fatores de risco

  10. Clinical research of hypnotic therapy in treatment of patients with mental disorders due to alcohol in convalescent period%催眠疗法在酒精所致精神障碍患者康复期治疗中的临床研究

    王伟; 张撰荣; 冯合星; 王晨光; 白萍; 殷文英; 王艳

    2014-01-01

    目的:观察催眠疗法对酒精所致精神障碍患者康复期的作用,探讨治疗酒精所致精神障碍的新疗法。方法:通过前瞻性对照研究,将酒精所致精神障碍患者随机分为研究组和对照组,研究组患者在常规戒酒治疗的基础上,利用催眠疗法进行干预,对照组患者单用常规戒酒治疗。治疗1个月前后分别采用明尼苏达个性量表( MMPI)、汉密尔顿焦虑量表( HAMA)和汉密尔顿抑郁量表(HAMD)作为测查工具,进行回顾性分析。结果:研究组酒精所致精神障碍患者除 Sc、Si 量表外,其他 MMPI 量表的 t 分均比治疗前显著降低(P 均<0.05)。研究组治疗前后 Hs、D、Hy、Pd、Mf、Pa、Pt、Ma 量表的 t 分减分值与对照组比较,差异有统计学意义(P 均<0.05)。治疗前后两组患者 HAMA、HAMD减分均显著降低(P 均<0.05),研究组患者减分率与对照组比较差异有统计学意义(P 均<0.05)。结论:综合运用催眠疗法对酒精所致精神障碍患者的治疗效果显著,无不良反应,值得临床推广。%Objective:To explore effects of hypnotic therapy in treatment of patients with mental disorders due to alcohol in convalescent period and explore new therapies for the treatment of mental disorders due to alcohol. Methods:Through a prospective control study, the patients with mental disorders due to alcohol were selected and randomly divided into research group and control group, wherein the cases in research group were given the hypnosis intervention on the basis of the conventional alcohol withdrawal treatment, whereas those in control group were only given the conventional alcohol withdrawal treatment. Before and 1 month after the treatment, Minnesota personality inventory (MMPI), Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) were used for the retrospective analysis. Results: For research group, except Sc and Si scales, the other T points in MMPI scale

  11. Perioperative Period Treatments for Patients Underwent One-stage Coronary Artery bypass Grafting and Artificial Heart Valve Repair or Replacement%冠心病合并心脏瓣膜疾病同期手术治疗的围手术期处理要点

    黎昱江; 刘学刚

    2013-01-01

    目的:探讨同期行冠脉旁路移植术和瓣膜置换或瓣膜成形术的围手术期的处理要点和注意事项,以期降低该类手术围手术期的死亡率.方法:通过Pubmed、万方数据库、中国知网等检索近几年国内外关于同期行冠脉旁路移植术和瓣膜置换或瓣膜成形术研究的相关文献,总结其围手术期的处理要点和注意事项.结果:同期行冠脉旁路移植术和瓣膜置换或瓣膜成形术,术前应注意患者各脏器功能情况,积极处理合并症;严格掌握手术适应证,制定合理的手术方式、手术流程;术中需掌握各种手术技巧,注意加强心肌保护;术后积极处理各种并发症.结论:同期行冠脉旁路移植术和瓣膜置换或瓣膜成形术,重视并掌握围手术期的处理要点和注意事项,在提高该类手术病人的生存率上起关键作用,能有效提高病人术后生存质量、降低其死亡率.%Objective:To investigate the perioperative period treatments for patients underwent one-stage coronary artery bypass grafting and artificial heart valve repair or replacement in order to reduce the surgical perioperative morbidity and mortality.Methods:To search the related literature in the database of PubMed,Wanfang Data and CNKI in recent years,to sum up the appropriate perioperative treatments.Results:In the perioperative period treatments for patients underwent one-stage coronary artery bypass grafting and artificial heart valve repair or replacement,it has many critical factors,including organs' condition before operation,correct assessment for operative indications,rational operative plan,operative skills,myocardial preservation in operation and prophylaxis and treatment for operation complications.Conclusions:The operation effect of patients underwent one-stage coronary artery bypass grafting and artificial heart valve repair or replacement will be increased remarkably if we pay attention to above-mentioned perioperative period

  12. 血必净联合前列地尔治疗脑梗死急性期的疗效及安全性观察%Effect and safety of Xuebijing combined Alprostadil in the treatment of acute period of cerebral infarction

    程京

    2014-01-01

    目的:观察血必净联合前列地尔治疗脑梗死急性期的疗效与安全性。方法70例脑梗死急性期患者进行分组治疗,观察组给予血必净联合前列地尔,对照组给予前列地尔。观察2组有效率、美国国立卫生院神经功能缺损评分(NIHSS)以及肝、肾功能等指标。结果观察组有效率94.29%,高于对照组的77.14%,差异有统计学意义( P<0.05)。治疗前2组NIHSS 评分差异无统计学意义(P>0.05),治疗后7、14、21 d ,观察组NIHSS 评分均显著低于对照组,差异有统计学意义( P <0.05)。2组肝、肾功能等方面差异均无统计学意义( P>0.05)。结论血必净联合前列地尔治疗脑梗死急性期,具有较好的临床疗效,能够一定程度上恢复患者的神经功能,安全可靠,值得推广。%Objective To observe the clinical effect and safety of Xuebijing combined Alprostadil in the treatment of acute period of cerebral infarction. Methods Seventy patients with acute period of cerebral infarction were divided into 2 groups.Observation group was given Xuebijing combined Alprostadil ,while control group was given Alprostadil only. The effective rate ,NIHSS score and safety index of liver and kidney function of the two groups were compared.Results The effective rate of observation group was higher than control group(P0.05. Conclusion Xuebijing combined Alprostadil for treatment of acute period of cerebral infarction has a high clinical effec-tive rate ,it can promote recovery of nerve function of patients to some extent and it is safe and reliable ,so it is worth of being popularized.

  13. Periodic Sweep Coverage Scheme Based on Periodic Vehicle Routing Problem

    Li Shu

    2014-03-01

    Full Text Available We provide a sweep coverage algorithm for routing mobile sensors that communicate with a central data sink. This algorithm improves on its predecessors by reducing the number of unnecessary scans when different points of interest (POIs have different requirements for the time interval within which they must be scanned (sweep period. Most sweep coverage algorithms seek to minimize the number of sensors required to cover a given collection of POIs. When POIs have different sweep period requirements, existing algorithms will produce solutions in which sensors visit some POIs much more frequently than is necessary. We define this as the POI Over-Coverage problem. In order to address this problem we develop a Periodic Sweep Coverage (PSC scheme based on a well-known solution to the Periodic Vehicle Routing Problem (PVRP. Our algorithm seeks a route for the mobile sensors that minimizes the number of unnecessary visits to each POI. To verify and test the proposed scheme we implemented a C++ simulation and ran scenarios with a variety of POI topologies (number and distribution of the POIs and the speed at which sensors could travel. The simulation results show that the PSC algorithm outperforms other sweep coverage algorithms such as CSweep and Vehicle Routing Problem Sweep Coverage (VRPSC on both the average number of sensors in a solution and in the computational time required to find a solution. Our results also demonstrate that the PSC scheme is more suitable for the sweep coverage scenarios in which higher speed mobile sensors are used.

  14. Periodicity, the Canon and Sport

    Thomas F. Scanlon

    2015-10-01

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

  15. Inflation from periodic extra dimensions

    Higaki, Tetsutaro

    2016-01-01

    We discuss a realization of a small field inflation based on string inspired supergravities. In theories accompanying extra dimensions, compactification of them with small radii is required for realistic situations. Since the extra dimension can have a periodicity, there will appear (quasi-)periodic functions under transformations of moduli of the extra dimensions in low energy scales. Such a periodic property can lead to a UV completion of so-called multi-natural inflation model where inflaton potential consists of a sum of multiple sinusoidal functions with a decay constant smaller than the Planck scale. As an illustration, we construct a SUSY breaking model, and then show that such an inflaton potential can be generated by a sum of world sheet instantons in intersecting brane models on extra dimensions containing $T^2/{\\mathbb Z}_2$ orbifold. We show also predictions of cosmic observables by numerical analyzes.

  16. Periodicity and repeatability in data

    Southwood, D.

    Using magnetic data from the first two years in Saturn orbit, the basic periodicity of apparent is examined with the aim of elucidating the `cam' shaft model of Espinosa et al. (2003) identifying the nature of the `cam' and giving a definitive period for its rotation. An initial hypothesis, supported by the spectral analysis of analysis of the first 8 months in orbit Gianpieri et al. (2006), is made that the source of the period is linked to something inside the planet and therefore that the source inertia means that the period effectively does not change over the 2 years. Moreover one expects that the source phase is fixed. Using this approach, not only can the period identified by spectral analysis (647.1 + 0.6 min.) be verified but also by phase analysis between successive passes over the 2 years the period can be refined to 647.6 + 0.1 min. The signal itself is remarkably reproducible from pass to pass. It appears in all three components of the field and its polarisation is unambiguously not attributable to direct detection of an internal field. Not only does the signal not decay rapidly with distance from the planet, but although it has the m=1 symmetry of a tilted dipole, the field lines diverge from the planet indicating an exterior source. This feature led to the `cam' model. The polarisation and comparisons of passes with different latitude profiles show a surprising north-south symmetry in the azimuthal field. The absence of asymmetry with respect to the magnetic equator rules out a direct magnetospheric-ionospheric interaction source. Accordingly, it is proposed that the basic `cam' effect is generated by a single hemisphere anomaly which creates hemisphere to hemisphere field aligned currents. The existence of Saturn phase related anomaly appears to produce a basic asymmetry in the inner magnetosphere that sets the phase of both an inflowing and outflowing sector in a rotating circulation system.

  17. Hydrogen purification by periodic adsorption

    Barg, Christian; Secchi, Argimiro R.; Trierweiler, Jorge O. [Rio Grande do Sul Univ., Porto Alegre, RS (Brazil). Dept. de Engenharia Quimica]. E-mail: cbarg@enq.ufrgs.br; arge@enq.ufrgs.br; jorge@enq.ufrgs.br

    2000-07-01

    The periodic adsorption processes have been widely used for industrial applications, mainly because it spends less energy than the usual gas separation processes, like the cryogenic distillation. The largest commercial application of periodic adsorption processes is the pressure swing adsorption (PSA) applied to hydrogen purification. Although its wide use in the chemical and petrochemical industry, there are no reports in the open literature about complete modeling studies of a complex commercial unit, with multiple adsorbents and multiple beds and several feed components. This study has as objective the modeling, optimization and dynamical analysis of an industrial PSA unit for hydrogen purification. (author)

  18. Conservative treatment in patients with an acute lumbosacral radicular syndrome: design of a randomised clinical trial [ISRCTN68857256

    Peul Wilco C

    2004-11-01

    Full Text Available Abstract Background The objective is to present the design of randomised clinical trial (RCT on the effectiveness of physical therapy added to general practitioners management compared to general practitioners management only in patients with an acute lumbosacral radicular syndrome (also called sciatica. Methods/Design Patients in general practice diagnosed with an acute (less than 6 weeks lumbosacral radicular syndrome and an age above 18 years are eligible for participation. The general practitioners treatment follows their clinical guideline. The physical therapy treatment will consist of patient education and exercise therapy. The primary outcome measure is patients reported global perceived effect. Secondary outcome measures are severity of complaints, functional status, health status, fear of movement, medical consumption, sickness absence, costs and treatment preference. The follow-up is 52 weeks. Discussion Treatment by general practitioners and physical therapists in this study will be transparent and not a complete "black box". The results of this trial will contribute to the decision of the general practitioner regarding referral to physical therapy in patients with an acute lumbosacral radicular syndrome.

  19. Storage stability of lycopene in tomato juice subjected to combined pressure-heat treatments.

    Gupta, Rockendra; Balasubramaniam, V M; Schwartz, Steven J; Francis, David M

    2010-07-28

    A study was conducted to characterize the storage stability of lycopene in hot-break tomato juice prepared from two different cultivars and processed by various pressure-heat combinations. Samples were subjected to pressure assisted thermal processing (PATP; 600 MPa, 100 degrees C, 10 min), high pressure processing (HPP; 700 MPa, 45 degrees C, 10 min), and thermal processing (TP; 0.1 MPa, 100 degrees C, 35 min). Processed samples were stored at 4, 25, and 37 degrees C for upto 52 weeks. HPP and PATP treatments significantly improved the extractability of lycopene over TP and control. All-trans lycopene was found to be fairly stable to isomerization during processing, and the cis isomer content of the control and processed juice did not differ significantly. During storage, lycopene degradation varied as a function of the cultivar, processing method, storage temperature, and time. This study shows that combined pressure-temperature treatments could be an attractive alternative to thermal sterilization for preserving tomato juice quality.

  20. Baseline study of methane emission from anaerobic ponds of palm oil mill effluent treatment.

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

    2006-07-31

    The world currently obtains its energy from the fossil fuels such as oil, natural gas and coal. However, the international crisis in the Middle East, rapid depletion of fossil fuel reserves as well as climate change have driven the world towards renewable energy sources which are abundant, untapped and environmentally friendly. Malaysia has abundant biomass resources generated from the agricultural industry particularly the large commodity, palm oil. This paper will focus on palm oil mill effluent (POME) as the source of renewable energy from the generation of methane and establish the current methane emission from the anaerobic treatment facility. The emission was measured from two anaerobic ponds in Felda Serting Palm Oil Mill for 52 weeks. The results showed that the methane content was between 35.0% and 70.0% and biogas flow rate ranged between 0.5 and 2.4 L/min/m(2). Total methane emission per anaerobic pond was 1043.1 kg/day. The total methane emission calculated from the two equations derived from relationships between methane emission and total carbon removal and POME discharged were comparable with field measurement. This study also revealed that anaerobic pond system is more efficient than open digesting tank system for POME treatment. Two main factors affecting the methane emission were mill activities and oil palm seasonal cropping.

  1. Shanghai's Fashion During Republic Period

    卞向阳

    2004-01-01

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

  2. Soliton Management in Periodic Systems

    Malomed, Boris A

    2006-01-01

    During the past ten years, there has been intensive development in theoretical and experimental research of solitons in periodic media. This book provides a unique and informative account of the state-of-the-art in the field. The volume opens with a review of the existence of robust solitary pulses in systems built as a periodic concatenation of very different elements. Among the most famous examples of this type of systems are the dispersion management in fiber-optic telecommunication links, and (more recently) photonic crystals. A number of other systems belonging to the same broad class of spatially periodic strongly inhomogeneous media (such as the split-step and tandem models) have recently been identified in nonlinear optics, and transmission of solitary pulses in them was investigated in detail. Similar soliton dynamics occurs in temporal-domain counterparts of such systems, where they are subject to strong time-periodic modulation (for instance, the Feshbach-resonance management in Bose-Einstein conde...

  3. Quasi-Periodic Spatiotemporal Filtering

    Burghouts, G.J.; Geusebroek, J.M.

    2006-01-01

    This paper presents the online estimation of temporal frequency to simultaneously detect and identify the quasi-periodic motion of an object. We introduce color to increase discriminative power of a reoccurring object and to provide robustness to appearance changes due to illumination changes. Spati

  4. Quantifying Periodicity in Omics Data

    Cornelia eAmariei

    2014-08-01

    Full Text Available Oscillations play a significant role in biological systems, with many examples in the fast, ultradian, circadian, circalunar and yearly time domains. However, determining periodicity in such data can be problematic. There are a number of computational methods to identify the periodic components in large datasets, such as signal-to-noise based Fourier decomposition, Fisher's g-test and autocorrelation. However, the available methods assume a sinusoidal model and do not attempt to quantify the waveform shape and the presence of multiple periodicities, which provide vital clues in determining the underlying dynamics. Here, we developed a Fourier based measure that generates a de-noised waveform from multiple significant frequencies. This waveform is then correlated with the raw data from the respiratory oscillation found in yeast, to provide oscillation statistics including waveform metrics and multi-periods. The method is compared and contrasted to commonly used statistics. Moreover we show the utility of the program in the analysis of noisy datasets and other high-throughput analyses, such as metabolomics and flow cytometry, respectively.

  5. Periodic solutions and slow manifolds

    Verhulst, F.

    2006-01-01

    After reviewing a number of results from geometric singular perturbation theory, we give an example of a theorem for periodic solutions in a slow manifold. This is illustrated by examples involving the van der Pol-equation and a modified logistic equation. Regarding nonhyperbolic transitions we disc

  6. Glass Waveguides for Periodic Poling

    Fage-Pedersen, Jacob; Jacobsen, Rune Shim; Kristensen, Martin

    2005-01-01

    Planar silica-based waveguide devices have been developed for second-harmonic generation by poling with periodic electrodes. We show that detrimental charge transport can occur along interfaces, but with proper choice of fabrication, high-quality devices are obtained....

  7. Periodic progress report, 6 months

    Juhl, Thomas Winther; Nielsen, Jakob Skov

    This is the first progress report of the BriteEuram project named "High Power Laser Cutting for Heavy Industry" ("Powercut"). The report contains a summary of the objectives of the first period, an overview of the technical progress, a comparison between the planed and the accomplished work...

  8. Coupling light to periodic nanostructures

    Driessen, Eduard Frans Clemens

    2009-01-01

    This thesis describes coupling of light to periodic structures. A material is patterned with a regular pattern on a length scale comparable to the wavelength of light. With these structures, light can be manipulated very precisely. The structures find applications in semiconductor lasers, light emit

  9. PERIODIC COMPLEMENTARY BINARY SEQUENCE PAIRS

    XuChengqian; ZhaoXiaoqun

    2002-01-01

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

  10. PERIODIC COMPLEMENTARY BINARY SEQUENCE PAIRS

    Xu Chengqian; Zhao Xiaoqun

    2002-01-01

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

  11. Pairs of dual periodic frames

    Christensen, Ole; Goh, Say Song

    2012-01-01

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

  12. 76 FR 80312 - Periodic Reporting

    2011-12-23

    ... of the Business Reply Mail cost model in periodic reporting of service performance measurement... initiate a rulemaking proceeding to address the current methodology used to develop the avoided cost.... SUMMARY: The Commission is establishing a docket to consider new measurement of Flats Sequencing...

  13. System Optimization by Periodic Control.

    1979-09-30

    extended re- sults are now contained in a single report [3] which will appear as a regular paper in the December, 1979 issue of the IEEE Transactions on Automatic Control . The...Test Revisited, " to appear in the IEEE Transactions on Automatic Control . 4. D. J. Lyons, "Improved Aircraft Cruise by Periodic Control," Ph. D

  14. 7 CFR 1160.113 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Fiscal period. 1160.113 Section 1160.113 Agriculture... Definitions § 1160.113 Fiscal period. Fiscal period means the initial period of up to 30 months that this subpart is effective. Thereafter, the fiscal period shall be such annual period as the Board may...

  15. 降钙素原在指导慢性阻塞性肺疾病急性加重期抗感染治疗中的价值%Procalcitonin Original in Guiding Acute Exacerbation of Chronic Obstructive Pulmonary Disease Period the Value of Anti-infection Treatment

    韩宁; 向湘元

    2016-01-01

    目的:观察并分析降钙素原在指导慢性阻塞性肺疾病急性加重期抗感染治疗中的价值。方法研究对象选取2015年5月期间来湖北省宜昌市第二人民医院就诊的100例慢性阻塞性肺疾病急性加重期病例,根据随机数字表法将其分为对照组与观察组各50例,对照组结合临床实际情况制订抗生素治疗方案,观察组则根据血清降钙素原( PCT)指导抗生素应用,对比两组抗生素应用时间、临床治疗效果、住院时间、病情加重与死亡率,并对研究结果相关数据作统计学处理。结果与对照组比,观察组抗生素使用时间、住院时间更短,组间差异显著而具有统计学意义(P<0.05);两组临床治疗效果,病情加重率与死亡率差异并无统计学意义( P>0.05)。结论在慢性阻塞性肺疾病急性加重期,监测血清降钙素原水平以指导抗感染治疗可有效降低抗生素使用量,促进患者康复,具有积极的临床意义。%Objective To observe and analyze the calcitonin original in guiding acute exacerbation of chronic obstructive pulmonary disease period the value of anti -infection treatment.Methods The study object in May 2015 to our hospital during the period of 100 cases acute exacerbation of chronic obstructive pulmonary disease period, according to random number table method to each 50 cases were divided into control group and observation group, control group to establish the antibiotic therapy in combination with the practical situation of clinical, observation group according to the serum calcitonin ( PCT) guidance of antibiotics application, compared two groups of antibiotics application time, clinical curative effect, length of hospital stay, illness and death, and the research results related data for statistical processing.Results Compared with control group and observation group, and shorter hospitalization time, antibiotic use time significantly and

  16. 中药周期性阶段疗法治疗肝肾阴虚型黄褐斑疗效观察%Clinical study of the treatment effect of the therapy of periodical phase of Chinese Medicine on melasma

    李振洁; 林春生; 邓景航; 李燕红; 叶兴东; 朱慧兰

    2011-01-01

    Objective To evaluate the treatment effect of periodical phase of Chinese Medicine on Melasmao Methods 123 cases with melasma were divided randomly into the test group treated with BuJingXie Granule and LiQiYangXieHuoXie Granule, and the control group treated with BuJingHuoXie Granule. The survey was conducted on clinical effect after two periods of therapy. Results The total effective rate in the test group was 95.08%, and the control group was 93.22% .Comparison between the two groups showed no significant statistical difference (P >0.05).Conclusion The results suggested that the two therapy have a good effect in treating melasma. Their clinical effect were not difference. They are effective and safe medicine to treating melasma.%目的:观察中药周期性阶段疗法治疗黄褐斑的临床疗效.方法:将123例患者随机分为两组,治疗组62例,采用月经后服用补精血颗粒与月经前及经期服用理气养血活血颗粒的周期性阶段治疗;对照组61例,采用补精活血颗粒的持续性给药治疗,2个疗程后判定临床疗效.结果:总有效率治疗组为95.08%,对照组为93.22%,两组比较差异无统计学意义(P>0.05).结论:两组临床疗效相当,均能有效治疗黄褐斑.

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

    Frank Carlos Alvarez Li

    2009-03-01

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

  18. Effect of TSA concentration and treatment period on in vitro development of pig somatic cell nuclear transfer (SCNT) embryos%TSA浓度及处理时间对猪体细胞核移植胚胎体外发育影响

    黄波; 刘忠华; 郇延军; 石永乾; 王峰; 何文腾; 张鑫淼; 刘仲凤; 朱江; 吕明

    2011-01-01

    曲古抑菌素A(Trichostatin A,TSA)是一种组蛋白去乙酰化酶抑制剂.有研究表明TSA处理可以提高核移植胚胎的发育率.为探讨TSA对猪核移植胚胎发育的作用,试验重点研究了TSA浓度及处理时间对核移植胚胎体外发育的影响,同时也探索了TSA对不同供核细胞构建的重构胚体外发育的影响.结果表明,40 nmol·L-1的TSA处理核移植胚胎可以显著提高其体外囊胚发育率;40nmol·L-1TSA处理重构胚12和24 h,两组重构胚的卵裂率与囊胚发育率差异不显著;40nmol·L-1TSA处理12 h对不同供核细胞构建的重构胚均具有提高囊胚发育率的效果,不同供核细胞所构建的重构胚发育率无显著差异.由此可知,40nmol·L-1TSA处理12或24 h可以提高猪体细胞核移植胚胎体外发育能力.%Histone deacetylase inhibitors (HDACi), such as trichostatin A (TSA), can significantly enhance the developmental competence of somatic cell nuclear transfer (SCNT) embryos. The present study was designed to examine the effect of TSA, especially the concentration of TSA and the treat period, on the development of pig SCNT embryos. The reaults showed that the treatment of cloned pig embryos with 40 nmol· L-1 TSA could significantly improve the in vitro blastocyst rate compared with the control group, whereas no significant deference of the blastocyst rate was observed between treatment period of 12 and 24 h. 40 nmoI·L-1 TSA treated 12 h could enhance the blstocyst rate of porcine SCNT embryos regardless of the difference of donor cells compared with control group, but there was no significant difference of the blastocyst rate between SCNT embryos reconstructed with diffirent donor cells. These results indicated that 40 nmol·L-1 TSA treated 12 or 24 h could enhance the porcine SCNT embryos in vitro development competence.

  19. 阿德福韦酯治疗乙型肝炎肝硬化失代偿期患者96周的临床观察%A clinical study of adefovir dipivoxil treatment for chronic hepatitis patients with cirrhosis in their decompensation period

    杨清; 龚作炯; 胡丹凤

    2009-01-01

    Objective To evaluate the efficacy and safety of 96 weeks adcfovir dipivoxil (ADV)treatment for chronic hepatitis patients with cirrhosis in their deeompensation period. Methods Chronic hepatitis patients with cirrhosis in their decompensation period were randomly divided into two groups. An ADV group: patients treated with 10 mg ADV per day; a lamivudine (LMV) group: patients treated with 100rag LMV per day. The course of treatment lasted 96 weeks. Serum levels of ALT, AST, Alb, Tbil, HbeAg,HBV DNA, PCⅢ, IVC, LN and HA, renal ftmetion, Child-Pugh scores, drug adverse reactions and complication during the treatment of the two groups were analyzed. Results During the two-year treatment, the proportions of patients with a return to normal liver function were similar in both groups. With the treatment prolonged, serum HBV DNA levels of the patients in adefovir dipivoxil group decreased gradually. The HBV DNA level in some lamivudine-treated patients was inereased. The sero-conversion rote of HBeAg/HBeAb of the patients in the two groups was increased with the prolongation of the treatment. At 96 weeks, the ratio of emerging virus-resistant strains was lower in the adefovir dipivoxil group than in the lamivudine group. The levels of the serum markers of hepatic fibrosis of the patients in the two groups remained low. Child-Pugh scores of the patients in the two groups were significantly improved. No significant difference in the total incidence of complications between the two groups was noticed. Each of the two groups had a patient with liver-kidney syndrome and other serious complications. Conclusion The efficacy and safety of adefovir dipivoxil and lamivudine treatment for the above patients are similar, but the ratio of emerging virus-resistant strains of the adefovir dipivoxil treatment group is lower than that of lamivudine treatment group.%目的 研究阿德福韦酯和拉米夫定治疗乙型肝炎肝硬化失代偿期患者96周

  20. Geopulsation, Volcanism and Astronomical Periods

    Yang Xuexiang; Chen Dianyou; Yang Xiaoying; Yang Shuchen

    2000-01-01

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

  1. Exploration of Periodically Varying Graphs

    Flocchini, Paola; Santoro, Nicola

    2009-01-01

    We study the computability and complexity of the exploration problem in a class of highly dynamic graphs: periodically varying (PV) graphs, where the edges exist only at some (unknown) times defined by the periodic movements of carriers. These graphs naturally model highly dynamic infrastructure-less networks such as public transports with fixed timetables, low earth orbiting (LEO) satellite systems, security guards' tours, etc. We establish necessary conditions for the problem to be solved. We also derive lower bounds on the amount of time required in general, as well as for the PV graphs defined by restricted classes of carriers movements: simple routes, and circular routes. We then prove that the limitations on computability and complexity we have established are indeed tight. In fact we prove that all necessary conditions are also sufficient and all lower bounds on costs are tight. We do so constructively presenting two worst case optimal solution algorithms, one for anonymous systems, and one for those w...

  2. Regular and Periodic Tachyon Kinks

    Bazeia, D.; Menezes, R.; Ramos, J. G.

    2004-01-01

    We search for regular tachyon kinks in an extended model, which includes the tachyon action recently proposed to describe the tachyon field. The extended model that we propose adds a new contribution to the tachyon action, and seems to enrich the present scenario for the tachyon field. We have found stable tachyon kinks of regular profile, which may appropriately lead to the singular kink found by Sen sometime ago. Also, under specific conditions we may find periodic array of kink-antikink co...

  3. Social Research On Renaissance Period

    张蕾蕾

    2009-01-01

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

  4. Constituents of Doubly Periodic Instantons

    Ford, C; Ford, Chris; Pawlowski, Jan M.

    2002-01-01

    Using the Nahm transform we investigate doubly periodic charge one SU(2) instantons with radial symmetry. Two special points where the Nahm zero modes have softer singularities are identified as constituent locations. To support this picture, the action density is computed analytically and numerically within a two dimensional slice containing the two constituents. For particular values of the parameters the torus can be cut in half yielding two copies of a twisted charge 1/2 instanton. Such objects comprise a single constituent.

  5. Effect of Psychological Nursing and Health Education on the Treatment of Coronary Heart Disease in Perioperative Period%心理护理与健康教育对冠心病围手术期的治疗效果影响分析

    张颖

    2016-01-01

    目的:探讨心理护理与健康教育对冠心病围手术期的治疗效果。方法随机选取我院收治的96例冠心病患者,均分为观察组和对照组,对照组实施常规护理措施;观察组在围手术期实施心理护理及健康指导,对两组患者的术前恐惧程度,治疗配合度及满意度进行比较。结果观察组患者的术前恐惧程度低于对照组,患者治疗配合度及满意度高于对照组。结论实施心理护理及健康教育能改善患者的焦虑程度,提高患者满意度,有很好的临床意义。%Objective To investigate the therapeutic effect of psychological nursing care and health education on coronary heart disease during perioperative period.Methods 96 patients with coronary heart disease in our hospital were randomly selected, sharing into observation group and control group,control group received the routine nursing; observation group of the implementation of psychological care and health guidance on perioperative, of two groups of patients with preoperative fear of treatment cooperation and satisfaction were compared.Results In the observation group, the degree of preoperative fear was lower than that of the control group, the treatment of patients with the degree of satisfaction and satisfaction than the control group.ConclusionThe implementation of psychological nursing and health education can improve the patient's anxiety, improve patient satisfaction, has a good clinical signiifcance.

  6. Long-term safety and tolerability of aripiprazole once-monthly in maintenance treatment of patients with schizophrenia.

    Fleischhacker, W Wolfgang; Sanchez, Raymond; Johnson, Brian; Jin, Na; Forbes, Robert A; McQuade, Robert; Baker, Ross A; Carson, William; Kane, John M

    2013-07-01

    The aim of this study was to evaluate the safety and tolerability of aripiprazole once-monthly (ARI-OM) for the maintenance treatment of schizophrenia. This long-term, pivotal study had four phases: oral conversion (phase 1, 4-6 weeks); oral stabilization (phase 2, 4-12 weeks); ARI-OM stabilization with coadministration of oral aripiprazole in the first 2 weeks (phase 3, 12-36 weeks); and a 52-week, randomized [phase 4, ARI-OM vs. placebo (2 : 1)], double-blind, maintenance phase. Safety was assessed across study phases by the time of first onset of adverse events, as were objective measures of extrapyramidal symptoms, fasting metabolic parameters, and body weight. Patient enrollment was phase 1=633; phase 2=710, of whom 210 entered phase 2 directly; phase 3=576; and phase 4=403 (ARI-OM, n=269; placebo, n=134). Adverse events (>5%) in any phase were insomnia, headache, anxiety, akathisia, increase in weight, injection-site pain, and tremor. Headache, somnolence, and nausea had a peak first onset within 4 weeks of treatment initiation. The incidence of extrapyramidal symptoms was similar in all phases. There were no unexpected changes in weight or shifts in fasting metabolic parameters across all study phases. ARI-OM had a safety and tolerability profile comparable with oral aripiprazole in maintenance treatment of schizophrenia.

  7. Critical period of weed control In cumin (Cuminum cyminum

    azade hoseyni

    2009-06-01

    Full Text Available In order to evaluate the critical period of weed control in Cumin, an experiment with Complete Randomized Block Design and three replications was conducted in experimental field of Faculty of Agriculture, Ferdowsi University of Mashhad, During 2004-2005 growing season. Treatments included different combinations of weed free and weed infested periods (20, 30, 40 and 80 days after germination plus weedy check and weed free check. Critical period weed control was evaluated with Gompertz and Logestic functions. Traits measured were yield and yield components, harvest index of cumin and also number and weight of weed species. Results showed the critical period was between 24-38 days after germination. With increasing interfereing period at early or late growth stages of cumin, the economic yield was reduced. By extending weeding periods at early stage of growth or during the growth period, dry weight of weeds were reduced, while extending weeding period at the end of growth stage and also weed free during growth period, early or late stages of growth had no significant effects on yield components except on number of umbels per plant. Harvest index was positively affected by early weeding. It appears that early weeding was somehow more effective on yield components for cumin.

  8. Clinical effect observation of three periods of traditional Chinese medicine therapy in the treatment of infertility resulted from polycystic ovary syn-drome%中药三期疗法治疗多囊卵巢综合征性不孕症的临床效果观察

    高艳珠; 王颖; 刘异香

    2015-01-01

    Objective To explore the clinical effect of three periods of traditional Chinese medicine therapy in the treatment of infertility resulted from polycystic ovary syndrome. Methods 168 outpatient of polycystic ovary syndrome patients from April 2012 to April 2014 in our hospital were selected and randomly divided into the control group and the observation group,84 patients in each group.The control group was given traditional Diana-35 to stimulate ovula-tion,the observation group was given further three periods of traditional Chinese medicine therapy on the basis of the-control group.Clinical therapy effect,ovulation rate and pregnant rate in two groups was compared. Results The total ef-fective rate of the observation group was higher than that of the control group,with significant difference (P<0.05).The improvement of clinical symptoms in the observation group was better than that in the control group,with significant dif-ference (P<0.05).The ovulation rate,pregnancy rate,the rate of menstrual recovery,the regression rate of the crinosity and acne in the observation group was higher than that in the control group,with significant difference (P<0.05). Conclusion The effect of three periods of traditional Chinese medicine therapy in the treatment of infertility resulted from polycystic ovary syndrome is significant,it is worthy of popularize and application.%目的:探讨中药三期疗法治疗多囊卵巢综合征性不孕症的临床效果。方法选取2012年4月~2014年4月在本院门诊治疗的168例多囊卵巢综合征患者作为研究对象,随机分为观察组和对照组,各84例。对照组给予传统的达英-35加促排卵治疗,观察组在对照组的基础上给予中药三期疗法,比较两组的临床治疗效果、排卵率及受孕率。结果观察组的总有效率显著高于对照组,差异有统计学意义(P<0.05)。观察组的临床症状改善情况显著优于对照组,差异有统计学意义(P<0.05)。观察组

  9. 顺铂与奈达铂联合紫杉醇治疗晚期肺鳞癌的临床疗效与毒副反应%The Clinical Curative Effect and Toxic and Side Effect of Cisplatin and Eugene Nida Combine With Taxol in Treatment of Squamous Cell Lung Carcinoma in Later Period

    任丽影; 曲卓慧; 赵卓勇; 左秀娟

    2016-01-01

    Objective Analyze nida, cisplatin and carboplatin combined treatment of advanced lung squamous cell carcinomas of the clinical curative effect and adverse reaction.Methods 110 patients with adanced lung squamous carcinoma admitted during the period as the research object, from November 2013 to November 2015 in our hospital, which were randomly divided into the treatment group and control group, control group given cisplatin plus paclitaxel, nida, the team give platinum combined therapy with paclitaxel, analysis of the two groups of patients with clinical effect and adverse reaction. Results The therapeutic effect of group and the control group had no signiifcant difference (P>0.05), The side reaction of the team lower than the control group, was difference had statistical signiifcance (P<0.05).Conclusion Nedaplatin combined with paclitaxel in the treatment of advanced squamous cell carcinoma of the lung, and no obvious side effects.%目的:分析顺铂与奈达铂联合紫杉醇治疗晚期肺鳞癌的临床疗效与毒副反应。方法选取我院2013年11月~2015年11月收治的晚期肺鳞癌患者110例作为研究对象,随机分成研究疗组和对照组,对照组给予顺铂联合紫杉醇治疗,研究组给予奈达铂联合紫杉醇治疗,分析两组患者的临床效果和毒副反应。结果两组治疗效果对比,差异无统计学意义(P>0.05);研究组的毒副反应低于对照组,差异有统计学意义(P<0.05)。结论奈达铂联合紫杉醇治疗晚期肺鳞癌效果较好,且无明显毒副作用发生。

  10. 7 CFR 955.113 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 955.113 Section 955.113 Agriculture... and Regulations § 955.113 Fiscal period. Pursuant to § 955.13, fiscal period shall mean the period beginning January 1 and ending December 31 of each year, except that the fiscal period that began...

  11. 7 CFR 929.106 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 929.106 Section 929.106 Agriculture... LONG ISLAND IN THE STATE OF NEW YORK Rules and Regulations § 929.106 Fiscal period. The fiscal period... include the period of August 1, through August 31, 1968. Thereafter, the fiscal period will begin...

  12. [Psychiatric treatment sentences.

    Stevens, Hanne; Nordentoft, Merete; Agerbo, Esben

    2010-01-01

    INTRODUCTION: Previous Danish studies of the increasing number of sentences to psychiatric treatment (SPT) have compared prevalent populations of persons undergoing treatment with incident measures of reported crimes. Examining the period 1990-2006, we studied incident sentences, taking the type...

  13. 对内观疗法辅助治疗精神分裂症疗效的1年随访:一项单盲、随机对照研究%Single-blind, randomized controlled trial of effecitveness of Naikan therapy as an adjuncitve treatment for schizophrenia over a one-year follow-up period

    张红; 李晨虎; 赵立宇; 占归来

    2015-01-01

    Background:Current treatments for schizophrenia are otfen only paritally effecitve. Aim:Assess the possible benefit of using adjunctive Naikan therapy, a cognitive approach based on self-relfeciton that originated in Japan for the treatment of schizophrenia. Methods:Atfer resoluiton of acute psychoitc symptoms, 235 psychiatric inpaitents with schizophrenia who had a middle school educaiton or higher were randomly assigned to a control group (n=112) that received routine medication and inpatient rehabilitative treatment or an intervention group (n=123) that also received adjunctive Naikan therapy for 2 hours daily, 5 days a week for 4 weeks. The patients were then discharged and followed up for 12 months. The Posiitve and Negaitve Syndrome Scale (PANSS), Personal and Social Performance scale (PSP), and Insight and Atttude Quesitonnaire (ITAQ) were used to assess paitents at enrollment, atfer the 1-month interveniton, and atfer the 12-month follow-up. Evaluators were blind to the group assignment of paitents. Results:Only 13(10.6%) of the interveniton group paritcipants relapsed over the 12-month follow-up, but 23 (20.5%)control group paritcipants relapsed (X2=4.50,p=0.034). Using a modiifed inteniton-to-treat analysis and a repeated measure analysis of variance, the PANSS, PSP, and ITAQ total scores all showed signiifcantly greater improvement over the 12-month follow-up in the Naikan group than in the control group. The drop in mean chlorpromazine-equivalent dosage from enrollment to the end of follow-up was signiifcantly different in the intervention group but not in the control group, though the change in dosage over time between groups was not staitsitcally signiifcant. Conclusions:This study provides robust support for the effecitveness of Naikan therapy as an adjuncitve treatment during the recovery period of schizophrenia. Compared to treatment as usually, adjuncitve Naikan therapy can sustain the improvement in psychotic symptoms achieved during acute

  14. Periodic roads and quantized wheels

    de Campos Valadares, Eduardo

    2016-08-01

    We propose a simple approach to determine all possible wheels that can roll smoothly without slipping on a periodic roadbed, while maintaining the center of mass at a fixed height. We also address the inverse problem that of obtaining the roadbed profile compatible with a specific wheel and all other related "quantized wheels." The role of symmetry is highlighted, which might preclude the center of mass from remaining at a fixed height. A straightforward consequence of such geometric quantization is that the gravitational potential energy and the moment of inertia are discrete, suggesting a parallelism between macroscopic wheels and nano-systems, such as carbon nanotubes.

  15. Takotsubo Cardiomyopathy Occurring in the Postoperative Period.

    Deniz, Süleyman; Bakal, Ömer; İnangil, Gökhan; Şen, Hüseyin; Özkan, Sezai

    2015-02-01

    Takotsubo cardiomyopathy simulates acute myocardial infarction, and it is characterised by reversible left ventricular failure. A case of Takotsubo cardiomyopathy diagnosed after emergency angiography performed in a patient with evidence of acute myocardial infarction in the postoperative period will be described in this report. Transurethral resection of a bladder tumour (TUR-BT) was performed in a 92-year-old male patient by the urology clinic. The patient was transferred to the post-anaesthesia care unit after the operation. An echocardiography was performed because of the sudden onset of dyspnoea, tachycardia (140-150 beats per minute, rhythm-atrial fibrillation) and ST-segment elevation on electrocardiography (ECG) at the first postoperative hour, and midapical dyskinesia was detected at the patient. An immediate angiography was performed due to suspicion of acute coronary syndrome. Patent coronary arteries and temporary aneurysmatic dilatation of the apex of the heart were revealed by angiography. As a result of these findings, the patient was diagnosed with Takotsubo cardiomyopathy by the cardiology service. The patient was discharged uneventfully following 10 days in the intensive care unit. Aneurysm of the apex of the left ventricle and normal anatomy of the coronary arteries in the angiography have diagnostic value for Takotsubo cardiomyopathy. Diuretics (furosemide) and beta-blockers (metoprolol) are commonly used for the treatment of Takotsubo cardiomyopathy. Even though Takotsubo cardiomyopathy is a rare and benign disease, it should be kept in mind in patients suspected for acute myocardial infarction in the postoperative period.

  16. Clinical genetic testing of periodic fever syndromes.

    Marcuzzi, Annalisa; Piscianz, Elisa; Kleiner, Giulio; Tommasini, Alberto; Severini, Giovanni Maria; Monasta, Lorenzo; Crovella, Sergio

    2013-01-01

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

  17. Clinical Genetic Testing of Periodic Fever Syndromes

    Annalisa Marcuzzi

    2013-01-01

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

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

    Abbate Eduardo H

    2008-11-01

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

  19. Psychological Treatment

    ... IBS Pain IBS Global Treatments IBS Diet Low FODMAP Diet Complimentary or Alt Treatments Medications Psychological Treatments ... IBS Pain IBS Global Treatments IBS Diet Low FODMAP Diet Complimentary or Alt Treatments Medications Psychological Treatments ...

  20. Psychiatric disorders in chronic periodic haemodialysis

    Paraskevi Theofilou

    2010-10-01

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

  1. Pegylated interferon in HBeAg-positive and -negative chronic hepatitis B patients: post-treatment 1-year results of three Turkish centres.

    Yamazhan, Tansu; Kurtaran, Behice; Pullukçu, Hüsnü; Yüksel, Esma; Özkaya, Deniz; Taşbakan, Meltem Işıkgöz; Sipahi, Oğuz Reşat; Durusoy, Raika; Aksu, Hasan Salih Zeki

    2014-12-01

    In this study, we aimed to evaluate the 1-year post-treatment follow-up results of 112 patients who received pegylated interferon (PEG-IFN) for 52 weeks. HBeAg negativity/seroconversion and/or negative HBV-DNA at the end of the treatment were considered as response. Patients who had response at the end of treatment but had HBV-DNA breakthrough during 1-year follow-up were considered as relapse. The study group comprised 112 cases (34 HBeAg-positive, 78 HBeAg-negative). In HBeAg-positive and -negative cases, end-of-treatment response rates were 2·9% and 60·2%, whereas 1-year sustained virological response rates were 0 and 33·3%, respectively. When we compared relapse cases versus cases with response at the end of 1-year follow-up, being female and having low viral load were the two parameters associated with higher response rates (Chi-square, P  =  0·028; Mann-Whitney U test, P  =  0·023). Overall non-response rates to PEG-IFN were high (57·1%). Results in HBeAg-positive cases were disappointing.

  2. A model for periodic blazars

    Sobacchi, Emanuele; Stamerra, Antonio

    2016-01-01

    We describe a scenario to explain blazar periodicities with timescales of $\\sim$ few years. The scenario is based on a binary super-massive black hole (SMBH) system in which one of the two SMBH carries a jet. We discuss the various mechanisms that can cause the jet to precess and produce corkscrew patterns through space with a scale of $\\sim$ few pc. It turns out that the dominant mechanism responsible for the precession is simply the imprint of the jet-carrying SMBH orbital speed on the jet. Gravitational deflection and Lense-Thirring precession (due to the gravitational field of the other SMBH) are second order effects. We complement the scenario with a kinematical jet model which is inspired to the spine-sheath structure observed in M87. One of the main advantages of such a structure is that it allows the peak of the synchrotron emission to scale with frequency according to $\

  3. Quasi Periodic Oscillations in Blazars

    Alok C. Gupta

    2014-09-01

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

  4. [Pregnancy and lactation period: Which local anesthetics and analgesics?].

    Fatori Popovic, Sandra; Lübbers, Heinz-Theo; von Mandach, Ursula

    2016-01-01

    The aim of this paper is to show relevant aspects of dental treatment in pregnancy. Common medication used in dental offices should be highlighted in special regard to the pregnant patient during dental treatment. The reader should gain more security in the election of the proper drugs for local anesthesia and oral analgesics. Local anaesthetics such as articain with adrenalin in a dilution of 1 : 200 000 can be used for dental treatment at any time. Paracetamol should be used as first line oral analgesic. Elective dental procedures should be postponed after delivery and after lactation period.

  5. [Pregnancy and lactation period: Which local anesthetics and analgesics].

    Fatori Popovic, Sandra; Lübbers, Heinz-Theo; von Mandach, Ursula

    2016-01-01

    The aim of this paper is to show relevant aspects of dental treatment in pregnancy. Common medication used in dental offices should be highlighted in special regard to the pregnant patient during dental treatment. The reader should gain more security in the election of the proper drugs for local anesthesia and oral analgesics. Local anaesthetics such as articain with adrenalin in a dilution of 1 : 200 000 can be used for dental treatment at any time. Paracetamol should be used as first line oral analgesic. Elective dental procedures should be postponed after delivery and after lactation period.

  6. Role of sublingual asenapine in treatment of schizophrenia

    Citrome L

    2011-05-01

    Full Text Available Leslie CitromeNew York University School of Medicine, Department of Psychiatry, New York, NY, USAAbstract: Asenapine tablets are a new option for the treatment of schizophrenia. Sublingual administration is essential because bioavailability if ingested is less than 2%. Efficacy is supported by acute and long-term randomized controlled studies conducted by the manufacturer, with asenapine 5 mg twice daily evidencing superiority over placebo in six-week studies of acute schizophrenia, and flexibly-dosed asenapine (modal dose 10 mg twice daily superior to placebo in a 26-week maintenance of response study. Tolerability advantages over some second-generation antipsychotics, such as olanzapine, include a relatively favorable weight and metabolic profile, as demonstrated in a 52-week randomized, head-to-head, double-blind clinical trial. Although dose-related extrapyramidal symptoms and akathisia can be present, the frequency of these effects is lower than that for haloperidol and risperidone. Somnolence may also occur, and appears to be somewhat dose-dependent when examining rates of this among patients receiving asenapine for schizophrenia and bipolar disorder. Prolactin elevation can occur, but at a rate lower than that observed for haloperidol or risperidone. Unique to asenapine is the possibility of oral hypoesthesia, occurring in about 5% of participants in the clinical trials. Obstacles to the use of asenapine are the recommendations for twice-daily dosing and the need to avoid food or liquids for 10 minutes after administration, although the bioavailability is only minimally reduced if food or liquids are avoided for only two minutes.Keywords: antipsychotic, asenapine, clinical trials, schizophrenia

  7. "El tratamiento estilístico de la tauromaquia en la narrativa breve y en los artículos periodísticos de Ernest Hemingway" [The stylistic treatment of bullfighting in the short stories and articles of Ernest Hemingway

    Ricardo Marín Ruiz

    2011-01-01

    Full Text Available RESUMEN:Este artículo aborda el análisis del tratamiento estilístico de la tauromaquia en algunos de los relatos y artículos periodísticos de Ernest Hemingway. El punto de partida de este estudio es la asunción de que algunos rasgos estilísticos de la narrativa del escritor estadounidense guardan una estrecha relación con su visión de la tauromaquia, de este modo, la comprensión del patrón estilístico empleado por Hemingway al escribir sobre la tauromaquia pasa por la previa consideración de las ideas que el autor desarrolló sobre esta última, aspecto que se aborda en la primera parte del artículo. A continuación, se aborda el asunto central del estudio, como es, en primer lugar, el análisis de los principales rasgos estilísticos de los relatos “taurinos” “The Undefeated” y “The Capital of the World” y, en segundo, identificar las principales diferencias y similitudes estilísticas entre estas historias y las crónicas taurinas firmadas por Hemingway.PALABRAS CLAVE:  ABSTRACT:The central subject of this essay is the study of the stylistic treatment of bullfighting in Hemingway´s short stories and articles, taking as a starting point the assumption that some of the features of the narrative pattern of his fiction are connected to his vision of bullfighting. Therefore, the treatment of this topic would be incomplete, and almost incomprehensible, without regarding first the forging and evolution of his ideas concerning bullfighting; thus, after having shown in the first part of the essay an overview of how the American author understood bullfighting, the author goes on to focus on a stylistic analysis of the short stories concerning bullfighting “The Undefeated” and “The Capital of the World”, and the identification of the main similarities and differences they show in relation to some articles signed by Hemingway.

  8. Structural Group Psychotherapy in the Treatment of Schizophrenia During Rehabilitation Period:Clinical Observation of 82 Cases%82例结构式团体心理治疗在精神分裂症康复期的效果观察

    陈波; 张集慧; 鲁建瑞

    2015-01-01

    目的:进一步对结构式团体心理治疗在精神分裂症康复期的效果进行观察。方法:选取我院于2012年至2014年期间收治的164例精神分裂症,分成对照组和观察组,每组各82例,对照组患者采用药物治疗,同时进行适当的康复训练,观察组患者在对照组的基础上联合结构式团体心理治疗,采用住院慢性精神病患者社会功能评定量表、自尊量表、自我和谐量表对两组患者的治疗效果进行检验。结果:经过治疗后,观察组社会功能评定量表得分以及自我和谐量表得分均低于对照组,自尊量表得分明显高于对照组,两组差异明显(P<0.05),具有统计学意义。结论:在精神分裂症康复期患者的治疗过程中,结构式团体心理治疗法能够有效改善患者的社会功能,有利于患者的康复,具有极为重要的意义,今后值得推广和应用。%Objective: To further explore the clinical effects of structural group psychotherapy in patients with schizophrenia during rehabilitation period. Methods: 164 cases that were diagnosed with schizophrenia from 2012 to 2014 were randomly di-vided into a control group and an observation group, with 82 in each group each. Besides the drug therapy and appropriate reha-bilitation training which were implemented with the control group, structural group psychotherapy was also carried out on the ob-servation group. Social function assessment table, self-esteem volume table and self-harmony volume table were used for the testing of the clinical effects of hospitalized chronic psychiatric patients in the two groups. Results:After treatment, the scores of social function assessment table and self-harmony volume table in the observation group were lower than those of the control group. However, the self-esteem scale score of the observation group is significantly higher than that of the control group. Sig-nificant difference was observed in both

  9. The clinical research of tension-free repair treatment inguinal hernia without use of antibiotics in the perioperative period%无张力腹股沟疝修补术在围术期不使用抗生素的临床研究

    罗国德; 曹永宽; 张林; 张国虎; 王培红; 龚加庆; 王永华

    2013-01-01

    Objective To explore the feasibility and safety of tension-free repair treatment of inguinal hernia no use of antibiotics in the perioperative period. Methods The same including standards and double-blind randomized control study were carried out to compare the postoperative hospital stay and condition of operative incision in 59 patients who underwent tension-free hernia repair for inguinal hernia from February 2011 to October 2011. Among them, 29 patients without use of antibiotics were included in study group, and 30 patients who use of antibiotics were included in control group. Results All cases were cured completely. Compared with the control group, postoperative hospital stay was not significantly different between the two groups (P >0.05). Postoperative follow-up from 5 to 15 days, 3 cases lost to follow-up, 1 case appear fat liquefaction and surgical site infection in incision for per group, and are cured by change a medical prescription at outpatient department (P > 0.05) were not significantly different between the two groups. Operative incision class A healing were 27 cases vs 28 cases (P > 0.05) and were not significantly different between the two groups. Conclusion It is safety and feasible fortension-free hernia repair treatment inguinal hernia which may not use of antibiotics in the perioperative period, but should pay attention to the choice of case.%目的 探讨无张力疝修补术治疗腹股沟疝在围术期不使用抗生素的可行性和安全性.方法 采用统一入组标准,同期临床对比研究方法,对应用无张力疝修补术治疗59例腹股沟疝临床资料进行分析,其中以围术期未使用抗生素29例作为观察组,在围术期常规使用抗生素30例作为对照组,比较术后住院时间及手术切口愈合情况.结果 两组病例全部治愈,观察组术后住院时间为(3.41±0.94)d,对照组术后住院时间为(3.27±0.68)d,组间差异无统计学意义(P>0.05);术后5~15d随访,3例失访,观

  10. 比较妊娠合并糖尿病患者不同时期应用胰岛素治疗后的妊娠结局%Comparison of pregnancy outcomes of insulin treatment in patients with pregnancy complicated with diabetes mellitus in different periods

    李秀红

    2014-01-01

    目的:探讨在不同时期妊娠合并糖尿病的患者中对胰岛素进行应用后给妊娠结局造成的影响。方法选取2011年2013年我院接诊的68例妊娠合并糖尿病患者作为本次研究的对象,给予饮食指导和胰岛素泵等治疗,并根据初次应用胰岛素的时间不同将其分成两组,将其中34例在孕周≤30周时应用胰岛素治疗者归为观察组,将34例孕周在30周以上时应用胰岛素治疗者归为对照组,评估两组病例治疗后的血糖控制情况和妊娠结局,总结临床治疗经验。结果经相关治疗后,两组病例分娩前的餐后2h血糖、空腹血糖均要较其初诊时有显著性改善(P<0.05),但组间对比差异并不明显(P>0.05)。在妊娠结局方面,观察组发生早产、剖宫产、低血糖及巨大儿等的概率均要较对照组更低,比较差异明显(P<0.05)。结论为孕周≤30周妊娠合并糖尿病患者实施胰岛素治疗,能够在有效控制血糖的同时,尽量避免不良妊娠结局的出现,这对于保障母婴安全和提高医院产科整体治疗水平有重要意义。%Objective to investigate the effect on pregnancy outcomes of treating pregnancy complicated with diabetes mellitus in different periods with insulin.Methods 68 cases of pregnant women with diabetes admitted in our hospital from 2011 to 2013 were selected as research subjects. they were given dietary guidance and insulin pump therapy and were divided into two groups according to initial application of insulin in different period. 34 cases of gestational age ≤ 30 weeks treated with insulin were selected as observation group, and 34 cases of gestational age over 30 weeks treated with insulin were selected as control group. the controlling condition of blood glucose and pregnancy outcomes were assessed after treatment in two groups and the clinical experience were summarized.Results after related treatment, postprandial 2h plasma

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

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

    2016-02-01

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

  12. Analysis on short term effects of short-term treatment for modified pelvic floor rehabilitation in different age periods%不同年龄段改良盆底康复短期治疗的近期疗效分析

    刘美兰

    2016-01-01

    Objective To investigate the short term effect of a course of modified pelvic floor rehabilitation short term treatment in different ages of female patients with pelvic floor dysfunction. Methods The patients in the pelvic floor rehabilita-tion department of our hospital from August 2014 to August 2015 were treated by the pelvic floor rehabilitation instrument PHENIX USB4 and combining with the pelvic floor muscle exercise(Kegel exercise). Totaaly 72 cases of accomplishing 1 course of treatment were collected and divided into the<35 years old group(48 cases) and the≥35 years old group(24 cases). Then the clinical symptoms,muscle force of pelvic floor muscle, fatigue and myogenic potentials in the two groups were compared between before and after therapy. Results The total effective rate of the symptom improvement after the therapy by the neuromuscular stimulation treatment instrument combined with Kegel exercise was 91.7%(66/72);the classⅠandⅡmuscle force,Ⅱmuscle fa-tigue degrees of total pelvic floor muscle had statistical difference between before and after treatment (P<0.05). the classⅠmuscle force,classⅠmuscle fatigue degree and class II muscle force in the<35 years old group had statistical difference between before and after treatment(P<0.05);the classⅠ,Ⅱmuscle force,classⅡmuscle fatigue degree in the≥35 years old group had statis-tical difference between before and after treatment(P<0.05);the classⅡmuscle fatigue degree after treatment had statistical dif-ference between the two groups(P<0.05). Conclusion Receiving the short term pelvic floor rehabilitation therapy in different age periods of female patients with pelvic floor dysfunction has some effect,which can improve the symptoms and increases the living quality.%目的:探讨不同年龄段盆底功能障碍女性接受1个疗程改良盆底康复短期治疗的近期疗效。方法对2014年8月至2015年8月在该院进行盆底康复科治疗的患者给

  13. Rhabdomyolysis following severe hypokalemia caused by familial hypokalemic periodic paralysis

    Jung, Young-Lee; Kang, Jae-Young

    2017-01-01

    Rhabdomyolysis continues to appear with increasing frequency and represents a medical emergency requiring rapid appropriate treatment. One of the unusual causes of nontraumatic rhabdomyolysis is hypokalemic periodic paralysis without secondary causes. Primary hypokalemic periodic paralysis is a rare genetic disease characterized by episodic attacks of muscle weakness due to decreases in serum potassium. A 30-year-old woman who had 3 episodic attacks of hypokalemic periodic paralysis was admitted in emergency room with sudden onset symmetrical muscle weakness. After several hours, she started to complain myalgia and severe ache in both calves without any changes. Laboratory test showed markedly elevated creatine phosphokinase, lactic dehydrogenase levels with hypokalemia, rhabdomyolysis resulting from hypokalemia was diagnosed. Here, we report an unusual case of rhabdomyolysis caused by severe hypokalemia, which was suggested a result of familial hypokalemic periodic paralysis. PMID:28255549

  14. 7 CFR 955.13 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 955.13 Section 955.13 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Definitions § 955.13 Fiscal period. Fiscal period means the 12-month period beginning on September 16...

  15. 7 CFR 953.122 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 953.122 Section 953.122 Agriculture... STATES Rules and Regulations Change in Date for Completing Nominations, Term of Office, and Fiscal Period § 953.122 Fiscal period. The fiscal period, pursuant to § 953.9, which began on April 1, 1976, shall...

  16. 7 CFR 947.9 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 947.9 Section 947.9 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Definitions § 947.9 Fiscal period. Fiscal period means the period beginning and ending on the dates...

  17. 7 CFR 923.7 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 923.7 Section 923.7 Agriculture... COUNTIES IN WASHINGTON Order Regulating Handling Definitions § 923.7 Fiscal period. Fiscal period is synonymous with fiscal year and means the 12-month period ending on March 31 of each year or such...

  18. 7 CFR 966.16 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 966.16 Section 966.16 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Regulating Handling Definitions § 966.16 Fiscal period. Fiscal period means the period beginning August 1...

  19. 7 CFR 948.10 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 948.10 Section 948.10 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Order Regulating Handling Definitions § 948.10 Fiscal period. Fiscal period means the period...

  20. 7 CFR 922.7 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 922.7 Section 922.7 Agriculture... IN WASHINGTON Order Regulating Handling Definitions § 922.7 Fiscal period. Fiscal period is synonymous with fiscal year and means the 12-month period ending on March 31 of each year or such...

  1. 7 CFR 1221.10 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Fiscal period. 1221.10 Section 1221.10 Agriculture... INFORMATION ORDER Sorghum Promotion, Research, and Information Order Definitions § 1221.10 Fiscal period. Fiscal period means the 12-month period ending on December 31 or such other consecutive 12-month...

  2. 7 CFR 1230.9 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Fiscal period. 1230.9 Section 1230.9 Agriculture... CONSUMER INFORMATION Pork Promotion, Research, and Consumer Information Order Definitions § 1230.9 Fiscal period. Fiscal period means the 12-month period ending on December 31 or such other consecutive...

  3. 7 CFR 1220.111 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Fiscal period. 1220.111 Section 1220.111 Agriculture... CONSUMER INFORMATION Soybean Promotion and Research Order Definitions § 1220.111 Fiscal period. The term fiscal period means the calendar year or such other annual period as the Board may determine with...

  4. 7 CFR 924.7 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 924.7 Section 924.7 Agriculture... COUNTIES IN WASHINGTON AND IN UMATILLA COUNTY, OREGON Order Regulating Handling Definitions § 924.7 Fiscal period. Fiscal period is synonymous with fiscal year and means the 12-month period ending on March 31...

  5. 7 CFR 948.103 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 948.103 Section 948.103 Agriculture... Rules and Regulations General § 948.103 Fiscal period. Pursuant to § 948.10, the fiscal periods for each... following year, both dates inclusive. The 1986-87 fiscal period which began July 1, 1986, will be...

  6. 7 CFR 946.9 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 946.9 Section 946.9 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Order Regulating Handling Definitions § 946.9 Fiscal period. Fiscal period means the period beginning...

  7. 7 CFR 1218.8 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Fiscal period. 1218.8 Section 1218.8 Agriculture... INFORMATION ORDER Blueberry Promotion, Research, and Information Order Definitions § 1218.8 Fiscal period. Fiscal period means a calendar year from January 1 through December 31, or such other period as...

  8. 7 CFR 929.6 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 929.6 Section 929.6 Agriculture... LONG ISLAND IN THE STATE OF NEW YORK Order Regulating Handling Definitions § 929.6 Fiscal period. Fiscal period is synonymous with fiscal year and crop year and means the 12-month period...

  9. 7 CFR 956.113 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 956.113 Section 956.113 Agriculture... VALLEY OF SOUTHEAST WASHINGTON AND NORTHEAST OREGON Rules and Regulations § 956.113 Fiscal period. Pursuant to § 956.13, fiscal period shall mean the period beginning January 1 and ending December 31...

  10. 7 CFR 927.9 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 927.9 Section 927.9 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Order Regulating Handling Definitions § 927.9 Fiscal period. Fiscal period means the period...

  11. 7 CFR 959.16 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 959.16 Section 959.16 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Regulating Handling Definitions § 959.16 Fiscal period. Fiscal period means the annual period beginning...

  12. 7 CFR 917.9 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 917.9 Section 917.9 Agriculture... CALIFORNIA Order Regulating Handling Definitions § 917.9 Fiscal period. Fiscal period is synonymous with fiscal year and means the 12-month period ending on the last day of February of each year, or such...

  13. 7 CFR 945.12 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 945.12 Section 945.12 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Fiscal period. Fiscal period means the period beginning and ending on the dates approved by the...

  14. 7 CFR 958.12 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 958.12 Section 958.12 Agriculture... COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Order Regulating Handling Definitions § 958.12 Fiscal period. Fiscal period means the period beginning and ending on the dates approved by the Secretary pursuant...

  15. Time—periodic weak solutions

    Eliana Henriques de Brito

    1990-01-01

    Full Text Available In continuing from previous papers, where we studied the existence and uniqueness of the global solution and its asymptotic behavior as time t goes to infinity, we now search for a time-periodic weak solution u(t for the equation whose weak formulation in a Hilbert space H isddt(u′,v+δ(u′,v+αb(u,v+βa(u,v+(G(u,v=(h,vwhere: ′=d/dt; (′ is the inner product in H; b(u,v, a(u,v are given forms on subspaces U⊂W, respectively, of H; δ>0, α≥0, β≥0 are constants and α+β>0; G is the Gateaux derivative of a convex functional J:V⊂H→[0,∞ for V=U, when α>0 and V=W when α=0, hence β>0; v is a test function in V; h is a given function of t with values in H.

  16. Critical period of weed control in aerobic rice.

    Anwar, M P; Juraimi, A S; Samedani, B; Puteh, A; Man, A

    2012-01-01

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

  17. Critical Period of Weed Control in Aerobic Rice

    M. P. Anwar

    2012-01-01

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

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

    Simon, James; Nachtigall, Lila; Ulrich, Lian G;

    2010-01-01

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

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

    Simon, James; Nachtigall, Lila; Ulrich, Lian G;

    2010-01-01

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

  20. 达芬奇机器人辅助宫颈癌根治术患者围术期心理体验的质性研究%Qualitative research on the psychological experience of the patients during perioperative period in the treatment of cervical cancer by applying radical operation assisted with Da Vinci robot

    高丹; 曹耀萍; 郭梅

    2016-01-01

    Objective:To explore the real psychological experience of the patients during perioperative period in the treatment of cervical cancer by applying radical operation assisted with Da Vinci robot so as to provide evidence for psychological support of the patients. Meth-ods:The real psychological experiences of 17 patients with cervical cancer after radical operation were investigated by semi - structured in- depth interviews of qualitative research method. Results:The psychological experiences of the patients included preoperative shock,an-ger,remorse,expectation and contradiction,and intraoperative fear,anxiety,tension,a sense of helplessness and postoperative powerlessness and concerns;the support system included care and support of the families and medical help and care of medical staff. Conclusion:The sub-jective specificity exists in the surgical patients during perioperative period,but it was not paid much attention to in clinical practice,so medical personnel should take proper psychological support to help patients effectively respond to surgery.%目的:探讨达芬奇机器人辅助宫颈癌根治术患者围术期的真实心理体验,为宫颈癌患者心理支持提供依据。方法:采用质性研究中的现象学研究方法,通过半结构式深入访谈,了解17例宫颈癌患者进行达芬奇机器人辅助宫颈癌根治术期间的心理体验。结果:宫颈癌患者进行达芬奇机器人辅助宫颈癌根治术围术期的心理状态包括术前震惊、愤怒、自责、期待和矛盾、陌生感和不确定感,术中恐惧、焦虑、紧张、无助感,术后无力感和担忧;支持体系包括家庭成员的关爱和支持、医护人员的帮助和照护。结论:达芬奇机器人辅助宫颈癌根治术患者围术期的心理问题存在主观特异性,临床上并未引起足够重视,医护人员应对其采取针对性心理支持,帮助患者有效应对手术。

  1. Thyrotoxic Periodic Paralysis: A Case Report and Literature Review

    Barahona, M. J.; Vinagre, I.; Sojo, L.; Cubero, J. M.; Pérez, Antonio

    2009-01-01

    We describe a 37-year-old man with a 4-month history of episodic muscular weakness, involving mainly lower-limbs. Hypokalemia was documented in one episode and managed with intravenous potassium chloride. Hyperthyroidism was diagnosed 4 months after onset of attacks because of mild symptoms. The patient was subsequently diagnosed as having thyrotoxic periodic paralysis associated with Graves’ disease. Treatment with propranolol and methimazol was initiated and one year later he remains euthyroid and symptom free. Thyrotoxic periodic paralysis is a rare disorder, especially among Caucasians, but it should always be considered in patients with acute paralysis and hypokalemia, and thyroid function should be evaluated. PMID:19625499

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

    Imas Sri Nurhayati

    2015-06-01

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

  3. The Influence of Different Periods Aerosol Inhalation Treatment on Acute Oral Mucositis Caused by Radiotherapy%不同雾化吸入时机对放射性急性口腔黏膜炎治疗效果的影响

    刘琼

    2015-01-01

    Objective To observe the influence of different periods aerosal inhalation treatment on acute o-ral mucositis caused by radiotherapy.Methods Totally 60 patients hospitalized with head and neck cancer and undergoing radiotherapy were randomly divided into observation group and control group,with 30 ca-ses in each group.The observation group received aerosol inhalation while the radiotherapy started,while the control group only received aerosol inhalation while the acute oral mucositis appeared.The incidence rate of acute oral mucositis caused by radiotherapy,inj ury of oral mucosa and pain degree were compared between two groups.Results During the radiotherapy,the incidence rate of acute oral mucositis caused by radiotherapy,inj ury of oral mucosa and pain degree in observation group were less or lower than which in control group (P<0.05 or P<0.01).Conclusion Giving inhalation treatment at the beginning of radio-therapy can reduces the incidence rate of acute oral mucositis caused by radiotherapy,and the inj ury level of oral mucosa,and also ease the pain,which guarantees the success of radiotherapy,and thus to improve pa-tient’s quality of life.%目的:了解不同雾化吸入开始时间对放射性急性口腔黏膜炎治疗效果的影响.方法便利抽样法选择2012年10月至2013年7月,上海交通大学附属第六人民医院肿瘤放疗科收治的头颈部恶性肿瘤行根治性放射治疗的患者60例,按入院先后将其分为观察组和对照组各30例,观察组患者放疗开始即给予雾化吸入,对照组患者放疗过程中出现放射性急性口腔黏膜炎后再给予雾化吸入,评价并比较两组患者放射性急性口腔黏膜炎的发生情况、口腔黏膜损伤及疼痛程度.结果放疗期间,观察组患者放射性急性口腔黏膜炎的发生率、口腔黏膜损伤及疼痛程度均低于或轻于对照组患者,差异均有统计学意义(P<0.05或P<0.01).结论放疗开始即给予雾化

  4. Exploration of the Effect and Research Period Patients with Nasal Septum and Nasal Surgery Treatment of Nasal Deformtiy%同期鼻中隔与鼻整形术的外鼻畸形患者的效果观察

    李传荣; 谢德翠; 李艳; 牟方国

    2014-01-01

    目的:探讨和研究同期鼻中隔和鼻整形术治疗外鼻畸形患者的疗效。方法:以我院2012年1月~2013年1月之间所收治的32例伴有鼻中隔偏曲的外鼻畸形者为对象进行研究,行同期鼻中隔和鼻整形术进行治疗,在鼻侧软骨与大翼软骨间取手术切口,单面一边骨膜蒂骨瓣截骨法处理骨椎畸形,同时采用“转门法”进行鼻中隔矫正。结果:本组32例患者均顺利完成手术,效果满意,随访5~12个月,无1例出现复发或相关并发症。结论:同期进行鼻中隔和鼻整形术能够有效避免在术中造成的鼻骨及中隔软骨的移位,减少了对鼻粘膜的损害,确保了鼻骨的血供良好,在改善患者鼻腔通气功能的同时也取得了美容的效果,值得在临床上加以推广和应用。%Objective:To explore the effect and research period patients with nasal septum and nasal surgery treatment of nasal deformi -ty.Methods:32 patients in our hospital from 2012.1 to 2013.1 were analyzed with nasal septum deviation of nasal deformity as the object of study, underwent nasal septum and nasal plastic surgery treatment , the operation incision cartilage and alar cartilage in the nasal , single side periosteal bone flap pedicled bone osteotomy of vertebral deformity , at the same time correction of nasal septum using the “revolving door”.Results:of the 32 patients were successfully completed the operation , effect satisfaction, the follow-up of 5~12 months, no case of recurrence or complications .Conclusion:Simultaneous nasal septum and nasal surgery can effectively avoid the nasal septal cartilage re -sulting in displacement and during operation , reduce the nasal mucosa damage , to ensure that the nasal good blood supply ,also made the effect of beauty in improving nasal ventilation function of patients , is worthy of popularizing and applying in clinical .

  5. Periodic Control of Power Electronic Converters

    Zhou, Keliang; Danwei, Wang; Yang, Yongheng

    Advanced power electronic converters convert, control and condition electricity. Power converters require control strategies for periodic signal compensation to assure good power quality and stable power system operation. This comprehensive text presents the most recent internal model principle...... based periodic control technology, which offers the perfect periodic control solution for power electronic conversion. It also provides complete analysis and synthesis methods for periodic control systems, and plenty of practical examples to demonstrate the validity of proposed periodic control...... technology for power converters. It proposes a unified framework for housing periodic control schemes for power converters, and provides a general proportional-integral-derivative control solution to periodic signal compensation in extensive engineering applications. Periodic Control of Power Electronic...

  6. US Forest Service Periodical Cicada Broods

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

  7. 7 CFR 1205.20 - Representative period.

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Representative period. 1205.20 Section 1205.20 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING... period means the 2006 calendar year....

  8. Periodic solutions of nonlinear vibrating beams

    J. Berkovits

    2003-01-01

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

  9. Periodic Solution of the Hematopoiesis Equation

    Ji-Huan He

    2013-01-01

    Full Text Available Wu and Liu (2012 presented some results for the existence and uniqueness of the periodic solutions for the hematopoiesis model. This paper gives a simple approach to find an approximate period of the model.

  10. The period functions' higher order derivatives

    Sabatini, Marco

    2012-01-01

    We prove a formula for the $n$-th derivative of the period function $T$ in a period annulus of a planar differential system. For $n = 1$, we obtain Freire, Gasull and Guillamon formula for the period's first derivative \\cite{FGG}. We apply such a result to hamiltonian systems with separable variables and other systems. We give some sufficient conditions for the period function of conservative second order O.D.E.'s to be convex.

  11. Prediction Theory of Periodically Correlated Stochastic Processes

    2015-05-12

    in order to do a reliable forecasting of periodically correlated sequences with large period (or continuous time processes) the standard method of...aimed at sequences with large periods. It has been known already for years that in order to do a reliable forecasting of periodically correlated...we showed that this technique is very efficient. We successfully used it to study structure, regularity, autoregressive representation, innovation

  12. The Middle Islamic and Crusader Periods

    Walmsley, Alan George

    2008-01-01

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

  13. Treatment of autoinflammatory diseases

    Ter Haar, Nienke; Lachmann, Helen; Özen, Seza

    2013-01-01

    OBJECTIVE: To evaluate the response to treatment of autoinflammatory diseases from an international registry and an up-to-date literature review. METHODS: The response to treatment was studied in a web-based registry in which clinical information on anonymised patients with autoinflammatory...... receptor antagonist (DIRA), NLRP12-related periodic fever and periodic fever aphthosis pharyngitis adenitis (PFAPA) syndrome. Cases were independently validated by experts for each disease. A literature search regarding treatment of the abovementioned diseases was also performed using Medline and Embase....... RESULTS: 22 months from the beginning of the enrolment, complete information on 496 validated patients was available. Data from the registry in combination with evidence from the literature confirmed that colchicine is the treatment of choice for FMF and IL-1 blockade for DIRA and CAPS. Corticosteroids...

  14. Cepheids : the period-luminosity relation

    Beaulieu, JP

    1997-01-01

    The Cepheids are relatively young, bright, periodic supergiant variable stars showing a correlation between their periods and luminosities. Since the beginning of the century, the Cepheid Period-Luminosity relation has been the corner stone of distance determination, and of the measure of the correl

  15. 7 CFR 920.7 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 920.7 Section 920.7 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Definitions § 920.7 Fiscal period. Fiscal period is synonymous with fiscal year and means a 12-month...

  16. 32 CFR 552.80 - Suspension period.

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Suspension period. 552.80 Section 552.80 National... Suspension period. All solicitation privileges suspended by installation commanders will be for a specific time. Normally, it will not exceed 2 years. When the suspension period expires, the agent may...

  17. 12 CFR 561.6 - Audit period.

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Audit period. 561.6 Section 561.6 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY DEFINITIONS FOR REGULATIONS AFFECTING ALL SAVINGS ASSOCIATIONS § 561.6 Audit period. The audit period of a savings association means the...

  18. 47 CFR 27.13 - License period.

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false License period. 27.13 Section 27.13... COMMUNICATIONS SERVICES Applications and Licenses § 27.13 License period. (a) 2305-2320 MHz and 2345-2360 MHz... beyond the end of the license term if no broadcast service had been provided, whichever period is...

  19. 47 CFR 78.29 - License period.

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false License period. 78.29 Section 78.29... SERVICE Applications and Licenses § 78.29 License period. Licenses for CARS stations will be issued for a period not to exceed five (5) years. On and after February 1, 1966, licenses for CARS stations...

  20. 47 CFR 5.71 - License period.

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false License period. 5.71 Section 5.71...) Applications and Licenses § 5.71 License period. (a) The regular license period for stations in the Experimental Radio Service is either 2 or 5 years. An applicant desiring to apply for a 5-year license...

  1. 7 CFR 945.111 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 945.111 Section 945.111 Agriculture... DESIGNATED COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Rules and Regulations Definitions § 945.111 Fiscal period. The fiscal period that began June 1, 1981, shall end July 31, 1982. Each year thereafter...

  2. 7 CFR 947.114 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 947.114 Section 947.114 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Definitions § 947.114 Fiscal period. The fiscal period shall begin July 1 of each year and end June 30 of...

  3. 7 CFR 905.11 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 905.11 Section 905.11 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... TANGELOS GROWN IN FLORIDA Order Regulating Handling Definitions § 905.11 Fiscal period. Fiscal period...

  4. 7 CFR 1205.307 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Fiscal period. 1205.307 Section 1205.307 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Research and Promotion Order Definitions § 1205.307 Fiscal period. Fiscal period is the 12-month...

  5. 7 CFR 1150.107 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Fiscal period. 1150.107 Section 1150.107 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Order Definitions § 1150.107 Fiscal period. Fiscal period means the calendar year or such other...

  6. 7 CFR 959.104 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 959.104 Section 959.104 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Regulations General § 959.104 Fiscal period. The fiscal period shall begin August 1 of each year and end...

  7. 7 CFR 930.107 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 930.107 Section 930.107 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Miscellaneous Provisions § 930.107 Fiscal period. Pursuant to § 930.7, fiscal period shall mean the...

  8. 7 CFR 916.7 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 916.7 Section 916.7 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... Regulating Handling Definitions § 916.7 Fiscal period. Fiscal period is synonymous with fiscal year and...

  9. 7 CFR 925.12 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 925.12 Section 925.12 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... SOUTHEASTERN CALIFORNIA Definitions § 925.12 Fiscal period. Fiscal period is synonymous with fiscal year...

  10. 7 CFR 1250.303 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Fiscal period. 1250.303 Section 1250.303 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... Research and Promotion Order Definitions § 1250.303 Fiscal period. Fiscal period means the calendar...

  11. 7 CFR 953.9 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 953.9 Section 953.9 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... STATES Order Regulating Handling Definitions § 953.9 Fiscal period. Fiscal period means the...

  12. Local Extrema of Periodic Function's Wavelet Transform

    FAN Qi-bin; SONG Xiao-yan

    2005-01-01

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

  13. CICATRIZATION OF WOUNDS : XI. LATENT PERIOD.

    Carrel, A; du Noüy, P L

    1921-09-30

    1. The latent period of cicatrization varies generally from 5 to 7 days. 2. It stops abruptly and contraction starts with its maximum velocity. 3. The formula of du Noüy applies to the beginning of the contraction period as well as to the subsequent periods.

  14. Generalized periodic and generalized Boolean rings

    Howard E. Bell

    2001-01-01

    Full Text Available We prove that a generalized periodic, as well as a generalized Boolean, ring is either commutative or periodic. We also prove that a generalized Boolean ring with central idempotents must be nil or commutative. We further consider conditions which imply the commutativity of a generalized periodic, or a generalized Boolean, ring.

  15. 32 CFR 37.1325 - Periodic audit.

    2010-07-01

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

  16. 10 CFR 603.1295 - Periodic audit.

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Periodic audit. 603.1295 Section 603.1295 Energy... Used in this Part § 603.1295 Periodic audit. An audit of a participant, performed at an agreed-upon... an audit may cover. A periodic audit of a participant differs from an award-specific audit of...

  17. 5 CFR 9901.411 - Appraisal period.

    2010-01-01

    ....411 Administrative Personnel DEPARTMENT OF DEFENSE HUMAN RESOURCES MANAGEMENT AND LABOR RELATIONS... PERSONNEL SYSTEM (NSPS) Performance Management § 9901.411 Appraisal period. (a) Except as provided in... period, an employee has not met the minimum period of performance, management may extend the...

  18. 49 CFR 236.588 - Periodic test.

    2010-10-01

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

  19. 38 CFR 3.17 - Disability and death pension; Mexican border period and later war periods.

    2010-07-01

    ... pension; Mexican border period and later war periods. 3.17 Section 3.17 Pensions, Bonuses, and Veterans... Compensation General § 3.17 Disability and death pension; Mexican border period and later war periods. In... service which began before and extended into the Mexican border period or ended during World War I,...

  20. Splitting fields and periods of Fibonacci sequences modulo primes

    Gupta, Sanjai; Su, Francis Edward

    2009-01-01

    What is the period of the Fibonacci sequence modulo a prime? The purpose of our brief expository paper is to illustrate an accessible, motivated treatment of this classical topic using only ideas from linear and abstract algebra (rather than the case-by-case analysis found in many papers on the subject, or techniques from graduate number theory). Our methods extend to general recurrences with prime moduli and provide some new insights. And our treatment highlights a nice application of the use of splitting fields that might be suitable to present in undergraduate course in abstract algebra or Galois theory.

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

    Rusakov, Alexander A

    2015-01-01

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

  2. Hyperbaric treatment

    Amoroso, Michael T.

    1990-01-01

    Viewgraphs on hyperbaric treatment are presented. Topics covered include: hyperbaric treatment - purpose; decompression sickness; sources of decompression sickness; physical description; forms of decompression sickness; hyperbaric treatment of decompression sickness; and duration of treatment.

  3. Periodic fevers with aphthous stomatitis, pharyngitis, and adenitis (PFAPA).

    Vigo, Giulia; Zulian, Francesco

    2012-11-01

    PFAPA syndrome (acronym of periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis) is the most common cause of periodic fever in childhood. Nowadays, it is considered part of the wide family of the autoinflammatory diseases, but a genetic or molecular marker hasn't been identified yet, therefore, its etiology is still unknown. Diagnosis is essentially based on clinical criteria but, especially in younger children, it is sometimes difficult to differentiate it from other hereditary periodic fever syndromes. Fever attacks in PFAPA have a spontaneous resolution and in a high rate of patients the syndrome ends spontaneously over time. Treatment is still a matter of debate. Usually a single administration of oral corticosteroids aborts attacks. Tonsillectomy may be an alternative option but its role remains to be clarified.

  4. Suicide During Perinatal Period: Epidemiology, Risk Factors and Clinical Correlates

    Laura Orsolini

    2016-08-01

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

  5. Quasi-Periodically Driven Quantum Systems

    Verdeny, Albert; Puig, Joaquim; Mintert, Florian

    2016-10-01

    Floquet theory provides rigorous foundations for the theory of periodically driven quantum systems. In the case of non-periodic driving, however, the situation is not so well understood. Here, we provide a critical review of the theoretical framework developed for quasi-periodically driven quantum systems. Although the theoretical footing is still under development, we argue that quasi-periodically driven quantum systems can be treated with generalisations of Floquet theory in suitable parameter regimes. Moreover, we provide a generalisation of the Floquet-Magnus expansion and argue that quasi-periodic driving offers a promising route for quantum simulations.

  6. Correspondence Between Astronomical Periods and Sedimentary Cycles

    Cheng Rihui; You Haitao

    2000-01-01

    It is shown from detailed study that there are some genetic relationships between outer events of celestial bodies and inner geological events of the earth, such as some kinds of correspondences between astronomical periods and sedimentary cycles. The time spans of movement periods of the solar system around the center of the galaxy and cross the plain of the galaxy, the periods of the earth orbit (Milankovitch period) and periods of sunspot are coincided with that of respective sedimentary cycles. It is suggested that the gravity and magnetic changes of the earth leading up to the global climatic and sea level changes are the dynamics of sedimentary cycles.

  7. A highly specific test for periodicity

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

    2015-11-15

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

  8. Safety and efficacy of ospemifene for the treatment of dyspareunia associated with vulvar and vaginal atrophy due to menopause.

    Wurz, Gregory T; Kao, Chiao-Jung; DeGregorio, Michael W

    2014-01-01

    During the menopausal transition, women experience a number of symptoms due to declining estrogen levels, including vasomotor symptoms and vulvar and vaginal atrophy (VVA). Unlike vasomotor symptoms, vaginal dryness and dyspareunia, the main symptoms of VVA, typically worsen without treatment and can significantly impact the quality of life. Up to 60% of postmenopausal women may be affected by VVA, but many women unfortunately do not seek treatment due to embarrassment or other factors. After 20+ years in development, ospemifene (Osphena™) was approved by the US Food and Drug Administration in 2013 for treatment of moderate-to-severe dyspareunia associated with VVA due to menopause. As the first non-hormonal alternative to estrogen-based products for this indication, the approval of ospemifene represents a significant milestone in postmenopausal women's health. Ospemifene is a non-steroidal estrogen receptor agonist/antagonist, also known as a selective estrogen receptor modulator (SERM), from the same chemical class as the breast cancer drugs tamoxifen and toremifene. Unlike other selective estrogen receptor modulators, ospemifene exerts a strong, nearly full estrogen agonist effect in the vaginal epithelium, making it well suited for the treatment of dyspareunia in postmenopausal women. Results of Phase III clinical trials showed that ospemifene significantly improved the vaginal maturation index (decreased parabasal cells and increased superficial cells), decreased vaginal pH, and decreased severity of the self-identified most bothersome symptom (dyspareunia or vaginal dryness) compared to placebo. Long-term safety studies revealed that 60 mg ospemifene given daily for 52 weeks was well tolerated and was not associated with any endometrium or breast-related safety concerns. This review discusses the preclinical and clinical data supporting the use of ospemifene for the treatment of dyspareunia associated with VVA due to menopause and provides an overview of

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

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

    2016-01-01

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

  10. Uniformly Almost Periodic Functions and Almost Periodic Solutions to Dynamic Equations on Time Scales

    Yongkun Li

    2011-01-01

    Full Text Available Firstly, we propose a concept of uniformly almost periodic functions on almost periodic time scales and investigate some basic properties of them. When time scale T=ℝ or ℤ, our definition of the uniformly almost periodic functions is equivalent to the classical definitions of uniformly almost periodic functions and the uniformly almost periodic sequences, respectively. Then, based on these, we study the existence and uniqueness of almost periodic solutions and derive some fundamental conditions of admitting an exponential dichotomy to linear dynamic equations. Finally, as an application of our results, we study the existence of almost periodic solutions for an almost periodic nonlinear dynamic equations on time scales.

  11. [Periodic fever: a description of twelve patients with periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis (PFAPA)].

    De Cunto, Carmen; Britos, María; Eymann, Alfredo; Deltetto, Noelia; Liberatore, Diana

    2010-10-01

    PFAPA is a periodic fever syndrome characterized by: fever, aphthous stomatitis, pharyngitis and cervical adenitis. It is one of the autoinflammatory syndromes, but yet of unknown etiology. Our aim is to report our experience, describe clinical manifestations, laboratory findings, relapses occurrence and response to treatment. We present 12 PFAPA patients. Median age at onset: 1.15 years, mean duration of febrile episodes: 4 days, and relapses at regular intervals. All children received prednisone (1-2 mg/kg/dose) one to two doses, 9 patients responded immediately after the first dose and all experienced a lower periodicity of attacks. PFAPA is the most frequent periodic fever syndrome. To our knowledge, there are no other local series of PFAPA patients published. Recognizing this syndrome will prevent from ordering unnecessary studies and will favor family coping.

  12. Análisis del manejo quirúrgico de la enfermedad de Hirschsprung en el Hospital Nacional de Niños Dr. Carlos Sáenz Herrera, durante el periodo 2000-2010 Surgical treatment of Hirschsprung’s disease at the National Children’s Hospital “Dr. Carlos Saenz Herrera” during the period 2000-2010

    Fabián García-Arias

    2013-06-01

    Full Text Available Antecedentes: la enfermedad de Hirschsprung es causa de obstrucción intestinal baja en neonatos. Se caracteriza por ausencia de inervación en un segmento intestinal. El tratamiento radica en la resección de ese segmento intestinal enfermo para permitir el funcionamiento correcto del intestino sano. Se analizó el manejo de esta patología en el Hospital Nacional de Niños Dr. Carlos Sáenz Herrera, durante el periodo 2000 -2010 y su epidemiología. Métodos: se realizó un estudio observacional retrospectivo; se revisó 130 expedientes usando Microsoft Excel y el programa estadístico JMP. Resultados: se identificó una relación de hombre: mujer de 4:1, la mayoría de los casos se presentó en recién nacidos de término. Los síntomas iniciales más frecuentes fueron distensión abdominal y vómitos biliosos. La edad de presentación, en el 78% de los casos, fue de menos de 1 mes. Dentro de las cirugías realizadas se evidenció que en el 35 % de los casos se utilizó la técnica del descenso endorrectaltransanal y en el 48%, la técnica de Duhamel. Entre las complicaciones postoperatorias en el grupo de descenso endorrectaltransanal, la más frecuente fue la enterocolitis, en 14 de 19 casos, mientras que la complicación más frecuente en el grupo de Duhamel, fue el tabique rectal, en 8 de 21 casos. Conclusión: las características clínicas y epidemiológicas de los casos de enfermedad de Hirschsprung analizados, son similares a las descritas en la bibliografía. Las complicaciones postoperatorias y la morbilidad fue similar para ambas técnicas quirúrgicas.Background: Hirschsprung´s disease (congenital megacolon is a common cause of lower bowel obstruction in neonates. Its main characteristic is that a section of the bowel is unable to relax, causing functional colonic obstruction. Treatment for this disease requires the resection of the abnormal bowel segment in order to restore the functions of the healthy part of the intestine. The

  13. 老年非大量脑基底节区出血不同治疗方式短期效果观察%Observation on short period effect elderly non-massive cerebral hemorrhage of basal ganglia region patients by different ways of treatment

    杨青松; 王遂山; 徐辉; 蒋珂; 方岩

    2014-01-01

    目的:探讨老年患者非大量高血压性脑基底节区出血(20~40mL)患者采用不同治疗方式的短期(4周内)疗效及病死率和神经功能缺损的变化情况。方法对2010-06-2013-06我院收治的非大量(20~40mL)高血压性脑基底节区出血56例老年患者进行回顾性分析,随机分为微创引流治疗24例(微创组)和非手术组32例(内科组),观察4周后疗效情况。结果发病4周内,微创组死亡3例(12.50%),内科组死亡9例(28.13%),微创组病死率低于内科组,但差异无统计学意义(χ2=1.989,P>0.05);针对存活4周的患者,入院时2组患者神经功能缺损评分(NIHSS)差异无统计学意义(t=0.724,P>0.05);2周时微创组平均神经功能缺损评分10±5,内科组为13±6,差异有统计学意义(t=2.038,P<0.05);4周时平均神经功能缺损评分8±4,内科组为11±5,差异有统计学意义(t=2.493,P<0.05)。结论微创治疗非大量老年脑基底节区出血,可改善2周及4周时的神经功能缺损,值得临床重视。%Objective To investigate the short period(in 4 weeks)clinical effect of contrast on the elderly non-massive (20~40mL)hepertensive cerebral hemorrhage of basal ganglia region by different ways of treatment and to observe the case fatality rate of patients and the change of nerve function defect change.Methods A retrospective analysis on the 56 elderly non-massive (20~40 mL) hemorrhage of basal ganglia region patients in the neurology departments from June 2010 to June 2013 in our hos-pital ,24 cases were treated by minimally invasive drain(minimally invasive group) ,and 32 cases were in the non-surgical group (internal medicine group);the curative effect was observed through comparative analysis 4 weeks later.Results Three cases died (12.50% ) in the minimally invasive group ,and 9 cases died(28.13% ) in the conservative group after 4 weeks

  14. Gabor systems on discrete periodic sets

    2009-01-01

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

  15. Gabor systems on discrete periodic sets

    LI YunZhang; LIAN QiaoFang

    2009-01-01

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

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

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

    2005-06-01

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

  17. Cyclical period changes in Z Chamaeleontis

    Baptista, R; Oliveira, E; Vrielmann, S; Woudt, P A; Catalan, M S

    2002-01-01

    We report the identification of cyclical changes in the orbital period of the eclipsing dwarf nova Z Cha. We used times of mid-eclipse collected from the literature and our new eclipse timings to construct an observed-minus-calculated diagram covering 30 years of observations (1972-2002). The data present cyclical variations that can be fitted by a linear plus sinusoidal function with period 28+/-2 yr and amplitude 1.0+/-0.2 minute. The statistical significance of this period by an F-test is larger than 99.9%. The derived fractional period change, Delta P/P= 4.4 x 10^{-7}, is comparable to that of other short-period cataclysmic variables (CVs), but is one order of magnitude smaller than those of the long-period CVs. Separate fits to the first and second half of the data lead to ephemerides with quite different cycle periods and amplitudes, indicating that the variation is not sinusoidal or, most probably, is not strictly periodic. The observed cyclical period change is possibly caused by a solar-type magnetic...

  18. Exact analysis of bi-periodic structures

    Cai, C W; Chan, H C

    2002-01-01

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

  19. Measuring stellar rotation periods with Kepler

    Nielsen, M B; Schunker, H; Karoff, C

    2015-01-01

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

  20. Periodic Motion near the Surface of Asteroids

    Jiang, Yu; Li, Hengnian

    2015-01-01

    We are interested in the periodic motion and bifurcations near the surface of an asteroid. The gravity field of an irregular asteroid and the equation of motion of a particle near the surface of an asteroid are studied. The periodic motions around the major body of triple asteroid 216 Kleopatra and the OSIRIS REx mission target asteroid 101955 Bennu are discussed. We find that motion near the surface of an irregular asteroid is quite different from the motion near the surface of a homoplastically spheroidal celestial body. The periodic motions around the asteroid 101955 Bennu and 216 Kleopatra indicate that the geometrical shapes of the orbits are probably very sophisticated. There exist both stable periodic motions and unstable periodic motions near the surface of the same irregular asteroid. This periodic motion which is unstable can be resonant or non resonant. The period doubling bifurcation and pseudo period doubling bifurcation of periodic orbits coexist in the same gravity field of the primary of the t...

  1. 38 CFR 3.252 - Annual income; pension; Mexican border period and later war periods.

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Annual income; pension; Mexican border period and later war periods. 3.252 Section 3.252 Pensions, Bonuses, and Veterans' Relief... Dependency, Income and Estate § 3.252 Annual income; pension; Mexican border period and later war periods....

  2. Uniformly Asymptotic Stability and Existence of Periodic Solutions and Almost Periodic Solutions

    林发兴

    1994-01-01

    We introduce the concepts of uniformly stable solutions and uniformly-asymptotically stable solutions, and then give the relation between Lyapunov function and those concepts. Furthermore, we establish the theorem that an almost periodic system or periodic system has uniformly-asymptotically stable solutions and Lipschitz’ condition has an almost periodic solution or periodic solution.

  3. Rest versus exercise as treatment for patients with low back pain and Modic changes. a randomized controlled clinical trial

    Jensen Rikke K

    2012-02-01

    Full Text Available Abstract Background Clinical experience suggests that many patients with Modic changes have relatively severe and persistent low back pain (LBP, which typically appears to be resistant to treatment. Exercise therapy is the recommended treatment for chronic LBP, however, due to their underlying pathology, Modic changes might be a diagnostic subgroup that does not benefit from exercise. The objective of this study was to compare the current state-of-the art treatment approach (exercise and staying active with a new approach (load reduction and daily rest for people with Modic changes using a randomized controlled trial design. Methods Participants were patients from an outpatient clinic with persistent LBP and Modic changes. They were allocated using minimization to either rest therapy for 10 weeks with a recommendation to rest for two hours daily and the option of using a flexible lumbar belt or exercise therapy once a week for 10 weeks. Follow-up was at 10 weeks after recruitment and 52 weeks after intervention and the clinical outcome measures were pain, disability, general health and global assessment, supplemented by weekly information on low back problems and sick leave measured by short text message (SMS tracking. Results In total, 100 patients were included in the study. Data on 87 patients at 10 weeks and 96 patients at one-year follow-up were available and were used in the intention-to-treat analysis. No statistically significant differences were found between the two intervention groups on any outcome. Conclusions No differences were found between the two treatment approaches, 'rest and reduced load' and 'exercise and staying active', in patients with persistent LBP and Modic changes. Trial Registration ClinicalTrials.gov: NCT00454792

  4. Cartilage repair and subchondral bone migration using 3D printing osteochondral composites: a one-year-period study in rabbit trochlea.

    Zhang, Weijie; Lian, Qin; Li, Dichen; Wang, Kunzheng; Hao, Dingjun; Bian, Weiguo; He, Jiankang; Jin, Zhongmin

    2014-01-01

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

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

    Weijie Zhang

    2014-01-01

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

  6. Determination of the critical period of weed control in corn using a thermal basis.

    BEDMAR,FRANCISCO; Manetti,Pablo; MONTERUBBIANESI,GLORIA

    1999-01-01

    Field studies were conducted over 3 years in southeast Buenos Aires, Argentina, to determine the critical period of weed control in maize (Zea mays L.). The treatments consisted of two different periods of weed interference, a critical weed-free period, and a critical time of weed removal. The Gompertz and logistic equations were fitted to relative yields representing the critical weed-free and the critical time of weed removal, respectively. Accumulated thermal units were used to describe ea...

  7. 75 FR 19406 - Determination of Regulatory Review Period for Purposes of Patent Extension; AFINITOR

    2010-04-14

    ... advanced renal cell carcinoma after failure of treatment with sunitinib or sorafenib. Subsequent to this... HUMAN SERVICES Food and Drug Administration Determination of Regulatory Review Period for Purposes of... and Drug Administration (FDA) has determined the regulatory review period for AFINITOR and...

  8. 29 CFR 825.115 - Continuing treatment.

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Continuing treatment. 825.115 Section 825.115 Labor... treatment. A serious health condition involving continuing treatment by a health care provider includes any one or more of the following: (a) Incapacity and treatment. A period of incapacity of more than...

  9. Project 2nd Periodic Report - Section 2

    Healy, Mark; Knowles, Emma; Johnstone, Cameron

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

  10. Selecting Full-Text Undergraduate Periodicals Databases.

    Still, Julie M.; Kassabian, Vibiana

    1999-01-01

    Examines how libraries and librarians can compare full-text general periodical indices, using ProQuest Direct, Periodical Abstracts (via Ovid), and EBSCOhost as examples. Explores breadth and depth of coverage; manipulation of results (email/download/print); ease of use (searching); and indexing quirks. (AEF)

  11. 18 CFR 367.5 - Accounting period.

    2010-04-01

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

  12. 46 CFR 403.115 - Accounting period.

    2010-10-01

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

  13. 17 CFR 285.2 - Periodic reports.

    2010-04-01

    ... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Periodic reports. 285.2 Section 285.2 Commodity and Securities Exchanges SECURITIES AND EXCHANGE COMMISSION (CONTINUED) RULES AND REGULATIONS PURSUANT TO SECTION 15(a) OF THE BRETTON WOODS AGREEMENTS ACT § 285.2 Periodic reports. (a)...

  14. 14 CFR 23.49 - Stalling period.

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Stalling period. 23.49 Section 23.49... STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Flight Performance § 23.49 Stalling period. (a) VSOand VS1are the stalling speeds or the minimum steady flight speeds, in knots (CAS),...

  15. Modeling of laser induced periodic surface structures

    Skolski, J.Z.P.; Römer, G.R.B.E.; Huis in 't Veld, A.J.; Mitko, V.S.; Obona, J.V.; Ocelik, V.; Hosson, J.T.M. de

    2010-01-01

    In surfaces irradiated by short laser pulses, Laser Induced Periodic Surface Structures (LIPSS) have been observed on all kind of materials for over forty years. These LIPSS, also referred to as ripples, consist of wavy surfaces with periodicity equal or smaller than the wavelength of the laser radi

  16. 12 CFR 226.7 - Periodic statement.

    2010-01-01

    ... telephone numbers and the Web site operated by or on behalf of the Federal Reserve Board. A small depository... period and calendar year to date, using a format substantially similar to Sample G-18(A) in appendix G to... period and calendar year to date, using a format substantially similar to Sample G-18(A) in appendix...

  17. Discontinuous Spirals of Stable Periodic Oscillations

    Sack, Achim; Freire, Joana G.; Lindberg, Erik

    2013-01-01

    We report the experimental discovery of a remarkable organization of the set of self-generated periodic oscillations in the parameter space of a nonlinear electronic circuit. When control parameters are suitably tuned, the wave pattern complexity of the periodic oscillations is found to increase ...

  18. Dry period length of dairy cows :

    Vries, de Ruben

    2017-01-01

    A dry period of dairy cows is historically seen as a period during which the cow can restore its body condition and regenerate its mammary epithelium in order to be high yielding in the successive lactation. Recent work has indicated that high yielding cows generally experience a severe negative ene

  19. Nonlinear quasimodes near elliptic periodic geodesics

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

    2011-01-01

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

  20. 47 CFR 24.15 - License period.

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false License period. 24.15 Section 24.15 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES PERSONAL COMMUNICATIONS SERVICES Applications and Licenses General Filing Requirements § 24.15 License period. Licenses for...

  1. Multi-periodic nanostructures for photon control

    Kluge, Christian; Adam, Jost; Barié, Nicole;

    2014-01-01

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

  2. Studying the Nazi Period: Some Considerations.

    Molnar, Alex; And Others

    1984-01-01

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

  3. BIVARIATE REAL-VALUED ORTHOGONAL PERIODIC WAVELETS

    Qiang Li; Xuezhang Liang

    2005-01-01

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

  4. 7 CFR 956.13 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 956.13 Section 956.13 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... VALLEY OF SOUTHEAST WASHINGTON AND NORTHEAST OREGON Definitions § 956.13 Fiscal period. Fiscal...

  5. 7 CFR 958.112 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 958.112 Section 958.112 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... COUNTIES IN IDAHO, AND MALHEUR COUNTY, OREGON Rules and Regulations § 958.112 Fiscal period. The...

  6. 7 CFR 1212.7 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Fiscal period. 1212.7 Section 1212.7 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS..., Consumer Education, and Industry Information Order Definitions § 1212.7 Fiscal period. “Fiscal...

  7. 7 CFR 925.112 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 925.112 Section 925.112 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... SOUTHEASTERN CALIFORNIA Rules and Regulations § 925.112 Fiscal period. Beginning January 1, 1988, fiscal...

  8. 7 CFR 906.15 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 8 2010-01-01 2010-01-01 false Fiscal period. 906.15 Section 906.15 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... RIO GRANDE VALLEY IN TEXAS Order Regulating Handling Definitions § 906.15 Fiscal period. Fiscal...

  9. 7 CFR 1206.7 - Fiscal period.

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Fiscal period. 1206.7 Section 1206.7 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS... INFORMATION Mango Promotion, Research, and Information Order Definitions § 1206.7 Fiscal period. Fiscal...

  10. Online Periodic Table: A Cautionary Note

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

    2013-01-01

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

  11. 28 CFR 524.75 - Periodic review.

    2010-07-01

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

  12. Asymptotically periodic solutions of Volterra integral equations

    Muhammad N. Islam

    2016-03-01

    Full Text Available We study the existence of asymptotically periodic solutions of a nonlinear Volterra integral equation. In the process, we obtain the existence of periodic solutions of an associated nonlinear integral equation with infinite delay. Schauder's fixed point theorem is used in the analysis.

  13. Local field effects in periodic metamaterials

    Porvatkina, O. V.; Tishchenko, A. A.; Strikhanov, M. N.

    2016-08-01

    In this article we investigate dielectric and magnetic properties of periodic metamaterials taking into account the so-called local field effect, caused by interaction between single particles the material consists of. We also consider the spatial dispersion effects. As a result, generalized Clausius-Mossotti techniques have been extended to the case of periodic metamaterials; permittivity tensor and permeability tensor were obtained.

  14. 24 CFR 886.332 - Rehabilitation period.

    2010-04-01

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

  15. Automatically identifying periodic social events from Twitter

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

    2015-01-01

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

  16. Hiss emissions during quiet and disturbed periods

    D K Singh; R P Singh

    2002-10-01

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

  17. David's Understanding of Functions and Periodicity

    Gerson, Hope

    2008-01-01

    This is a study of David, a senior enrolled in a high school precalculus course. David's understandings of functions and periodicity was explored, through clinical interviews and contextualized through classroom observations. Although David's precalculus class was traditional his understanding of periodic functions was unconventional David engaged…

  18. Short Periodicities in Latitudinal Variation of Sunspots

    Kim, Bang-Yeop; Chang, Heon-Young

    2011-06-01

    The latitudinal variation of sunspots appearing during the period from 1874 to 2009 has been studied in terms of centerof- latitude (COL). The butterfly diagram has been used to study the evolution of the magnetic field and the dynamics at the bottom of the solar convection zone. Short-term periodicities have been of particular interest, in that they are somehow related to the structure and dynamics of the solar interior. We thus have focused our investigation on shortterm periodicities. We first calculated COL by averaging the latitude of sunspots with the weight function in area. Then, we analyzed the time series of COL using the wavelet transform technique. We found that a periodicity of ~5 years is the most dominant feature in the time series of COL, with the exception of the ~11 year solar cycle itself. This periodicity can be easily understood by considering small humps between the minima in the area-weighted butterfly diagram. However, we find that periodicities of ~1.3 (0.064), ~1.5 (0.056), or ~1.8 (0.046) years ( 1/ month ), which have been previously suggested as evidence of links between the changing structure of the sunspot zone and the tachocline rotation rate oscillations, are insignificant and inconsistent. We therefore conclude that the only existing short-term periodicity is of ~5 years, and that periodicities of ~1.3, ~1.5, or ~1.8 years are likely to be artifacts due to random noise of small sunspots.

  19. New Realization of Periodic Cycled Separation

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

    2016-01-01

    A new realization of periodic cycled gas/liquid separation is presented. Separation factors and column efficiencies are compared for a column stripping ammonia from water with air, using three different sets of internals: conventional sieve trays, Sulzer BX gauze packings, and periodically cycled...... trays. The proposed new periodic trays are shown to be advantageous compared to their continuous alternatives. It is demonstrated experimentally that periodic tray efficiencies of up to 300% are achievable. With the proposed new tray design, a new operation form is also introduced in which the trays...... are drained sequentially rather than simultaneously, such that the vapor flow is not interrupted during the liquid drainage. For different ratios of counter-current vapor/liquid flow rates, column efficiencies for periodically cycled columns are shown experimentally to be two times greater than those...

  20. Bounded Correctors in Almost Periodic Homogenization

    Armstrong, Scott; Gloria, Antoine; Kuusi, Tuomo

    2016-10-01

    We show that certain linear elliptic equations (and systems) in divergence form with almost periodic coefficients have bounded, almost periodic correctors. This is proved under a new condition we introduce which quantifies the almost periodic assumption and includes (but is not restricted to) the class of smooth, quasiperiodic coefficient fields which satisfy a Diophantine-type condition previously considered by Kozlov (Mat Sb (N.S), 107(149):199-217, 1978). The proof is based on a quantitative ergodic theorem for almost periodic functions combined with the new regularity theory recently introduced by Armstrong and Shen (Pure Appl Math, 2016) for equations with almost periodic coefficients. This yields control on spatial averages of the gradient of the corrector, which is converted into estimates on the size of the corrector itself via a multiscale Poincaré-type inequality.

  1. On Orbital Period Changes in Nova Outbursts

    Martin, Rebecca G; Schaefer, Bradley E

    2011-01-01

    We propose a new mechanism that produces an orbital period change during a nova outburst. When the ejected material carries away the specific angular momentum of the white dwarf, the orbital period increases. A magnetic field on the surface of the secondary star forces a fraction of the ejected material to corotate with the star, and hence the binary system. The ejected material thus takes angular momentum from the binary orbit and the orbital period decreases. We show that for sufficiently strong magnetic fields on the surface of the secondary star, the total change to the orbital period could even be negative during a nova outburst, contrary to previous expectations. Accurate determinations of pre- and post-outburst orbital periods of recurrent nova systems could test the new mechanism, in addition to providing meaningful constraints on otherwise difficult to measure physical quantities. We apply our mechanism to outbursts of the recurrent nova U Sco.

  2. On the Rotation Period of (90377) Sedna

    Gaudi, B S; Hartman, J D; Holman, M J; McLeod, B A; Stanek, Krzysztof Z.; Hartman, Joel D.; Holman, Matthew J.; Leod, Brian A. Mc

    2005-01-01

    We present precise, ~1%, r-band relative photometry of the unusual solar system object (90377) Sedna. Our data consist of 143 data points taken over eight separate nights in October 2004 and January 2005. The RMS variability over the longest contiguous stretch of five nights of data spanning nine days is only ~1.3%. This subset of data alone constrain the amplitude of any long-period variations with period P to be A10 days, unless the intrinsic light curve has significant and comparable power on multiple timescales, which we argue is difficult. A sinusoidal fit yields a number of viable solutions, with a best-fit period of P=(10.273+/-0.003) hours and semi-amplitude of A=(1.0 +/- 0.1)%. Our results indicate that the period of Sedna is likely consistent with typical rotation periods of solar system objects, thus obviating the need for a massive companion to slow its rotation.

  3. PERIODATE AND HYPOBROMITE MODIFICATION OF SOUTHERN PINE WOOD TO IMPROVE SORPTION OF COPPER ION

    James D. McSweeny

    2008-02-01

    Full Text Available Milled southern pine wood was modified with sequential treatments of sodium periodate and sodium hypobromite for the purpose of improving copper ion (Cu2+ sorption capacity of the wood when tested in 24-h equilibrium batch tests. The modified wood provided additional carboxyl groups to those in the native wood and substantially increased Cu2+ uptake over that of unmodified wood. Sorption capacity (qe measured with an unbuffered standard solution increased to a maximum of 7.8 mg Cu2+ ion per gram of wood (treated from 3.1 mg Cu2+ ion/g wood (untreated. Samples tested were first sodium ion exchanged to keep the pH of the standard solution from declining during the sorption test. The treatment necessary for maximum qe was 3% (w/v periodate for 24 h and 0.8% (w/v bromine (as hypobromite for 24 h; both treatments were at room temperature. These conditions corresponded to the maximum periodate concentration and treatment times tested. To further evaluate the efficacy of modification treatments, weight change after each treatment was determined. Weight loss after the periodate stage for any concentration and time used was minor, indicating the selective nature of this reaction. However, most of the weight loss was incurred after hypobromite treatment. Weight loss corresponding to the greatest increase in sorption capacity was 12.6% total from the combined periodate and hypobromite stages. The increase of carboxylate functional groups in the wood was monitored using FTIR/ATR spectroscopy.

  4. Glutathione treatment of hepatocellular carcinoma

    Dalhoff, K; Ranek, L; Mantoni, M

    1992-01-01

    abnormal alfa-1-fetoprotein (AFP) returned to normal after GSH treatment. AFP remained normal throughout the treatment period in the other women. These observations indicate that GSH may have a sex-dependent effect on HCC. However, further studies involving more patients are required to pursue...

  5. Epidemiological characteristics and treatment outcome of severe chest trauma in Chongqing during different periods%重庆地区不同时期严重胸部创伤流行病学特征及救治结局的回顾性分析

    刘云; 向小勇; 都定元; 赵兴吉

    2011-01-01

    Objective To analyze the epidemiological characteristics and clinical features of severe chest trauma (SCT) in Chongqing during different periods in order to improve severe chest trauma care outcome. Methods A total of 1 834 cases of severe chest trauma with AlS ≥ 3 and ISS ≥ 16 in Chongqing Emergency Medical Center from January 1990 to December 2009 were reviewed retrospectively. These patients were divided into 2 groups according to the treatment time ( cases treated before 2000 and those after 2000 ), and were divided into different groups according to their outcome ( survival group and death group). Results Before and after 2000, blunt trauma covered 68.5% and 74.7% respectively ( P < 0. 01 ), traffic injury covered 54.37% and 58.94% respectively ( P = 0. 069 ), and sharp instrument injury covered 12.21% and 15.9% (P <0. 05) ,with statistical significances(P <0. 01, P <0. 05). After 2000, the pre-hospital time and transfers ratio had statistical significances ( P < 0. 01, 0.05 ). Before and after 2000, there were statistical significances in thoracic AlS and RTS (P <0. 01 ). The after 2000 group had statistical higher in average numbers of heart and great vessels serious injury, of combined thoraco-abdominal wound and cerebral trauma compared with the group before 2000. The incidence rate of severe complications in the group after 2000 was 55.58% (314/565), higher than that of the group before 2000 (673/1 269, 53.03% ) though without significant difference (P. = 0. 338 ). The therapeutic effect to pulmonary infection and traumatic shock was significantly improved in the group after 2000 compared with that of the group before 2000 (P =0. 019, P =0. 008), the mortality was decreased from 7.07% to 4.81% (P <0. 05), and the hospitalization days was reduce though with no statistical significance ( P = 0. 063 ). The most important cause of death was hypovolemic shock ( 59.41% ), followed by ARDS/respiratory failure ( 18.81

  6. Changes in root lengths of maxillary incisors during orthodontic retention period

    Ravanmehr H

    2006-01-01

    Full Text Available Background and Aim: External apical root resorption is a common iatrogenic consequence of orthodontic treatment. Much controversy exists in the literature about changes in root lengths at post treatment periods. Although many practitioners believe that resorption becomes stable after active treatment, quantitative data are scarce. The purpose of this study was to determine quantitative changes in root lengths of maxillary incisors during fixed orthodontic post treatment period, and to assess if it is influenced by gender and factors related to active treatment. Materials and Methods: This was a case cross over study, performed on 80 patients (52 females and 28 males aged between 13 and 22 years. At debonding stage and beginning of retention phase of fixed orthodontic treatment, Hawley type retainer was fabricated for maxillary arch. Periapical radiographs of maxillary incisors using standard parallel technique were obtained immediately after debonding, and 3 and 7 months later. Crown and root lengths of maxillary incisors were measured using computer program. Changes in root lengths were calculated considering correction factors. Also associations between some factors and the change in root lengths during post treatment periods were assessed. These included gender, type of treatment plan (non extraction/extraction, technique (standard edgewise/straight-wire edgewise and duration of active treatment (less than 2 years/2 years and more. T-test and 4-way ANOVA were used for statistical analysis with P0.05 as the limit of significance. Results: No significant relation was found between apical root resorption of maxillary central incisors and time elapsed after treatment. Significant relation was observed between apical root resorption of maxillary lateral incisors and the length of post treatment period. No significant relation was found between root length changes of maxillary incisors during post treatment period and gender, type of treatment

  7. Wave propagation in axially moving periodic strings

    Sorokin, Vladislav S.; Thomsen, Jon Juel

    2017-04-01

    The paper deals with analytically studying transverse waves propagation in an axially moving string with periodically modulated cross section. The structure effectively models various relevant technological systems, e.g. belts, thread lines, band saws, etc., and, in particular, roller chain drives for diesel engines by capturing both their spatial periodicity and axial motion. The Method of Varying Amplitudes is employed in the analysis. It is shown that the compound wave traveling in the axially moving periodic string comprises many components with different frequencies and wavenumbers. This is in contrast to non-moving periodic structures, for which all components of the corresponding compound wave feature the same frequency. Due to this "multi-frequency" character of the wave motion, the conventional notion of frequency band-gaps appears to be not applicable for the moving periodic strings. Thus, for such structures, by frequency band-gaps it is proposed to understand frequency ranges in which the primary component of the compound wave attenuates. Such frequency band-gaps can be present for a moving periodic string, but only if its axial velocity is lower than the transverse wave speed, and, the higher the axial velocity, the narrower the frequency band-gaps. The revealed effects could be of potential importance for applications, e.g. they indicate that due to spatial inhomogeneity, oscillations of axially moving periodic chains always involve a multitude of frequencies.

  8. Periodicity of extinction: A 1988 update

    Sepkowski, J. John, Jr.

    1988-01-01

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

  9. Reliability, return periods, and risk under nonstationarity

    Read, Laura K.; Vogel, Richard M.

    2015-08-01

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

  10. Numerical bifurcation of Hamiltonian relative periodic orbits

    Wulff, Claudia; Schilder, Frank

    2009-01-01

    that the family of choreographies rotating around the $e^2$-axis bifurcates to the family of rotating choreographies that connects to the Lagrange relative equilibrium. Moreover, we compute several relative period-doubling bifurcations and a turning point of the family of planar rotating choreographies, which...... to symmetry-breaking/symmetry-increasing pitchfork bifurcations or to period-doubling/period-halving bifurcations. We apply our methods to the family of rotating choreographies which bifurcate from the famous figure eight solution of the three-body problem as angular momentum is varied. We find...

  11. The Jovian period in the Sun?

    Kotov, V. A.

    2015-09-01

    The 41-year measurements of the Doppler effect of the photosphere performed at the Crimean Astrophysical Observatory, discovered two periods of global oscillations of the Sun: 9600.606(12) s and 9597.929(15) s. Their beat period, 398.4(2.9) d, well agrees with a synodic orbital period of Jupiter, PJ = 398.9 d, raising a new problem for solar physics, cosmogony and cosmology. A hypothesis is advanced that the PJ beating of the Sun is induced by gravitation of Jupiter, revolving in a privileged reference system "the Sun - the Earth".

  12. Periodicity effects on compound guided waves

    Chiadini, Francesco; Fiumara, Vincenzo; Scaglione, Antonio; Lakhtakia, Akhlesh

    2016-09-01

    Surface waves of different types can be compounded when a homogeneous layer is sandwiched between two half spaces filled with dissimilar periodically non-homogeneous dielectric materials and the intermediate layer is sufficiently thin. We solved the boundary-value problem for compound waves guided by a layer of a homogeneous and isotropic (metal or dielectric) material sandwiched between a structurally chiral material (SCM) and a periodically multi-layered isotropic dielectric material. We found that the periodicity of the SCM is crucial to excite a multiplicity of compound guided waves with strong coupling between the two interfaces.

  13. Investigation of periodic Ni–Ti multilayers

    Veres, T., E-mail: veres.tamas@wigner.mta.hu [Wigner Research Centre for Physics, Institute for Solid State Physics and Optics, Budapest H-1121, Konkoly-Thege út 29.-33. (Hungary); Cser, L. [Wigner Research Centre for Physics, Institute for Solid State Physics and Optics, Budapest H-1121, Konkoly-Thege út 29.-33. (Hungary); Bodnarchuck, V.; Ignatovich, V. [Frank Laboratory of Neutron Physics, Joint Institute for Nuclear Research, Joliot-Curie st. 6, Dubna, Moscow Reg. 141980 (Russian Federation); Horváth, Z.E. [Research Centre for Natural Sciences, Institute for Technical Physics and Materials Science, Budapest H-1121, Konkoly-Thege út 29.-33. (Hungary); Nagy, B. [Wigner Research Centre for Physics, Institute for Particle and Nuclear Physics, Budapest H-1121, Konkoly-Thege út 29.-33. (Hungary)

    2013-07-01

    In order to improve the quality of neutron supermirrors periodic multilayers of various periods were prepared. The reflectivity properties of these systems were investigated using neutron and X-ray reflectometry. The obtained experimental results were compared with the calculated ones. The deviations from the proposed structure and calculated scattering length densities were investigated. In first approximation, the results proved the main features of the calculations. The roughness of different interfaces was also investigated. - Highlights: • Periodic Ni(Mo)/Ti multilayer samples were prepared by dc sputtering. • X-ray and neutron reflectivity measurements on the samples • Fitting and comparison with the proposed structure.

  14. Weight effects on the periodic ambiguity function

    Getz, Benjamin; Levanon, Nadav

    1995-01-01

    CW radar signals and processors are discussed. The use of the periodic ambiguity function (PAF) to analyze the delay-Doppler performance of CW signals and their corresponding correlation receivers, is extended to include weight function effects. This work provides tools which can predict the delay-Doppler response of almost any phase-coded CW radar. Examples demonstrate that a combination of CW signals having perfect periodic autocorrelation, a matched reference signal with a large number of modulation periods and a smooth weight function, can create a delay-Doppler response with extremely low sidelobes, strongly resembling the response of a coherent pulse train.

  15. Diffraction Theory and Almost Periodic Distributions

    Strungaru, Nicolae; Terauds, Venta

    2016-09-01

    We introduce and study the notions of translation bounded tempered distributions, and autocorrelation for a tempered distribution. We further introduce the spaces of weakly, strongly and null weakly almost periodic tempered distributions and show that for weakly almost periodic tempered distributions the Eberlein decomposition holds. For translation bounded measures all these notions coincide with the classical ones. We show that tempered distributions with measure Fourier transform are weakly almost periodic and that for this class, the Eberlein decomposition is exactly the Fourier dual of the Lebesgue decomposition, with the Fourier-Bohr coefficients specifying the pure point part of the Fourier transform. We complete the project by looking at few interesting examples.

  16. Periodic solutions of dissipative systems revisited

    Górniewicz Lech

    2006-01-01

    Full Text Available We reprove in an extremely simple way the classical theorem that time periodic dissipative systems imply the existence of harmonic periodic solutions, in the case of uniqueness. We will also show that, in the lack of uniqueness, the existence of harmonics is implied by uniform dissipativity. The localization of starting points and multiplicity of periodic solutions will be established, under suitable additional assumptions, as well. The arguments are based on the application of various asymptotic fixed point theorems of the Lefschetz and Nielsen type.

  17. Periodic solutions of dissipative systems revisited

    Lech Górniewicz

    2006-05-01

    Full Text Available We reprove in an extremely simple way the classical theorem that time periodic dissipative systems imply the existence of harmonic periodic solutions, in the case of uniqueness. We will also show that, in the lack of uniqueness, the existence of harmonics is implied by uniform dissipativity. The localization of starting points and multiplicity of periodic solutions will be established, under suitable additional assumptions, as well. The arguments are based on the application of various asymptotic fixed point theorems of the Lefschetz and Nielsen type.

  18. Period change in Magellanic Cloud Cepheids

    Deasy, H.P.; Wayman, P.A. (Dunsink Observatory, Castleknock (Ireland))

    1985-01-15

    The data for period change in some 115 Cepheid variable stars in the Magellanic Clouds are presented. The accuracy of each determination is estimated and for all but three of the stars it is possible to estimate whether the rate of change of period prior to 1966/67 is maintained subsequently. About 40 per cent of the stars show period variations, similar to the percentage estimated for galactic Cepheids by a previous author. About half of these variations cannot be regarded as being constant in rate.

  19. Yougui Pill with the Treatment of Pulmonary Heart Disease Complicated with Chronic Obstructive Pulmonary Disease Re-mission Period of Curative Effect Observation Transfer Factor Capsules%右归丸配合转移因子胶囊治疗慢阻肺合并肺心病缓解期的疗效观察

    赵兵; 周燕

    2015-01-01

    目的:观察右归丸配合转移因子胶囊治疗慢阻肺合并肺心病缓解期的临床疗效.方法:将92例慢性肺心病患者随机分为治疗组48例和对照组44例.治疗组在肺心病缓解期基础治疗 ,加用右归丸、转移因子胶囊口服 ,2周为1个疗程.休息3~5d ,进行下1个疗程 ,长期规律治疗.对照组给予慢性肺心病缓解期基础治疗.结果:治疗组症状评分较治疗前明显改善 ,治疗组总显效率为70 .8% ,对照组为45 .5% ,两组比较差异具有统计学意义( P<0 .05 ).治疗后治疗组平均急性发作次数为2 .4次/年 ,对照组为4.2次/年 ,两组比较结果有显著差异(P<0 .05).结论:右归丸配合转移因子胶囊治疗慢阻肺合并肺心病缓解期可显著减少急性发作次数.%Objective:To observe the Yougui Pill combined with Transfer Factor Capsules treatment of pulmonary heart disease complicated with chronic obstructive pulmonary disease clinical remission .Methods:92 patients with chro-nic pulmonary heart disease were randomly divided into treatment group 48 cases and control group with 44 cases .The treatment group remission therapy in pulmonary heart disease ,with Transfer Factor Capsules Yougui Pill ,oral ,2 weeks as a course of treatment .Rest 3~5 days ,proceed to the next course ,long-term regular treatment .The control group was treated with chronic cor pulmonale foundation treatment .Results:In treatment group ,the symptom score significantly improved compared with before treatment ,the total obvious effective rate of the treatment group was 70.8% ,the control group was 45 .5% efficiency .Results there were significant differences between the two groups (P<0 .05) .The treatment group the number of acute attack for an average of 2 .4 times per year ,controls the number of acute attack on average 4 .2 times per year .Results there were significant differences between the two groups (P<0.05) .Conclusion:Yougui Pill combined with

  20. Compensating for Quasi-periodic Motion in Robotic Radiosurgery

    Ernst, Floris

    2012-01-01

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

  1. Hyperkalemic periodic paralysis episode during halothane anesthesia in a horse.

    Bailey, J E; Pablo, L; Hubbell, J A

    1996-06-01

    A 7-month-old Quarter Horse filly was admitted for surgical repair of a right olecranon fracture. Anesthesia was achieved with xylazine hydrochloride, guaifenesin, ketamine hydrochloride, and halothane. Two and a half hours after induction of anesthesia, myotonia, muscle fasciculations, and sweating, concurrent with high serum potassium concentration and associated electrocardiographic changes consistent with hyperkalemic periodic paralysis, were observed. Treatment included intermittent positive-pressure ventilation, changing intravenous administration of fluids from lactated Ringer's solution to 0.9% NaCl solution, and administration of calcium gluconate, glycopyrrolate, dopamine, and sodium bicarbonate. Clinical signs resolved with the return of serum potassium concentrations to the reference range. The horse was confirmed to be heterozygous for hyperkalemic periodic paralysis by DNA testing.

  2. Profile of saxagliptin in the treatment of type 2 diabetes: focus on Japanese patients

    Konya H

    2014-07-01

    Full Text Available Hiroyuki Konya,1 Yuzo Yano,1 Satoshi Matsutani,1 Taku Tsunoda,2 Takashi Ikawa,2 Yoshiki Kusunoki,2 Toshihiro Matsuo,2 Masayuki Miuchi,2 Tomoyuki Katsuno,3 Tomoya Hamaguchi,4 Jun-ichiro Miyagawa,2 Mitsuyoshi Namba21Department of Internal Medicine, Ashiya Municipal Hospital, Ashiya, 2Division of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, 3Division of Innovative Diabetes Treatment, Hyogo College of Medicine, Nishinomiya, 4Division of Diabetes, Department of Internal Medicine, Itami City Hospital, Itami, Hyogo, JapanAbstract: Saxagliptin is a selective and potent dipeptidyl peptidase (DPP-4 inhibitor, approved as an adjunct to diet and exercise to improve glycemic control in type 2 diabetes mellitus (T2DM in the USA on July 2009, and had been launched globally in over 86 countries by September 2013. In patients with T2DM, once-daily administration of saxagliptin before breakfast achieves sustained inhibition of plasma DPP-4 activity and reduction of postprandial hyperglycemia, including after dinner, associated with an increase in plasma glucagon-like peptide-1 levels. This paper reviews the safety and efficacy of saxagliptin in Japanese patients with T2DM. The clinical development study in Japan supported its usefulness for the disease. Saxagliptin 1, 2.5, and 5 mg led to significant improvements in glycated hemoglobin (HbA1c, and was generally well tolerated. Treatment with saxagliptin 5 mg induced a sustained reduction in HbA1c over 52 weeks. Long-term combination therapy with saxagliptin and other oral hypoglycemic agents also provided sustained glycemic control and was well tolerated for up to 52 weeks. Saxagliptin as add-on to sulfonylureas or glinides has a tendency to increase hypoglycemia, but not with other oral antidiabetic agents, such as α-glucosidase inhibitors, metformin, or thiazolidinediones. The results of clinical trials have confirmed the long-term efficacy and safety of saxagliptin monotherapy as

  3. Periodic Solutions of Periodic Delay Predator-Prey System with Nonmonotonic Functional Response

    宋永利; 韩茂安

    2003-01-01

    By using the continuation theorem of coincidence degree theory, sufficient conditions are obtained for theexistence of positive periodic solutions of a delayed predator-prey system with nonmonotonic functional response ina periodic environment.

  4. EXISTENCE AND UNIQUENESS OF PERIODIC SOLUTIONS TO A HIGHER DIMENSIONAL PERIODIC SYSTEM WITH DELAY

    2008-01-01

    In this paper, using fixed point theorem, we discuss a higher dimensional nonautonomous periodic system with delay and give some suffcient criteria for the existence and uniqueness of periodic solution. Our results extend and improve some results in previous researches.

  5. The Detection of Hidden Periodicities in EEG

    YOU Rong-yi

    2007-01-01

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

  6. Periodic words connected with the Fibonacci words

    G. M. Barabash

    2016-06-01

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

  7. UNVEILING THE PHENOMENON OF DOUBLE PERIODIC VARIABLES

    R. E. Mennickent

    2009-01-01

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

  8. A method to compute periodic sums

    Gumerov, Nail A

    2013-01-01

    In a number of problems in computational physics, a finite sum of kernel functions centered at $N$ particle locations located in a box in three dimensions must be extended by imposing periodic boundary conditions on box boundaries. Even though the finite sum can be efficiently computed via fast summation algorithms, such as the fast multipole method (FMM), the periodized extension is usually treated via a different algorithm, Ewald summation, accelerated via the fast Fourier transform (FFT). A different approach to compute this periodized sum just using a blackbox finite fast summation algorithm is presented in this paper. The method splits the periodized sum in to two parts. The first, comprising the contribution of all points outside a large sphere enclosing the box, and some of its neighbors, is approximated inside the box by a collection of kernel functions ("sources") placed on the surface of the sphere or using an expansion in terms of spectrally convergent local basis functions. The second part, compri...

  9. Quantum Chemistry via the Periodic Law.

    Blinder, S. M.

    1981-01-01

    Describes an approach to quantum mechanics exploiting the periodic structure of the elements as a foundation for the quantum theory of matter. Indicates that a quantum chemistry course can be developed using this approach. (SK)

  10. Cascade of period doublings of tori

    Arneodo, A.; Coullet, P. H.; Spiegel, E. A.

    1983-02-01

    A three-dimensional map is proposed to model the effects of periodic forcing on a system displaying a transition to chaos through a cascade of period-doubling bifurcations. The study outlined here raises the problem of the existence and bifurcation of invariant tori. A principal feature of the simulations of both the differential equations and the discrete dynamical systems is that it is possible to disrupt period-doubling sequences (and inverse sequences as well) by periodic external forcing. Even though the way in which this abortion works is not understood, the mechanism is thought to be associated with the destruction of tori (Aronson et al., 1982) when the system is on the verge of bifurcation. The simulations therefore suggest that in moving farther along the cascade, the tori become more fragile. It is suspected that for arbitrarily weak driving, the cascade will eventually be disrupted after the cascade has proceeded through a sufficient number of steps.

  11. Pole assignment in descriptor periodic systems

    FAN; Hung-Yuan; LIN; Wen-Wei; XU; Shufang

    2005-01-01

    In this paper a pole assignment problem is considered for the descriptor linear discrete-time periodic systems, which is using the periodic proportional-derivative feedback to modify a given system such that the closed loop system has a specified selfconjugate set of eigenvalues. It is shown that the complete reachability of an open loop periodic system is equivalent to the possibility of assigning an arbitrary set of the eigenvalues to the system by choosing the suitable periodic proportional-derivative feedback.A computational approach is also proposed to solve the problem, which uses the reliable numerical techniques based on the orthogonal transformations. Numerical examples are presented to illustrate the effectiveness of the proposed approach.

  12. 5 CFR 2634.908 - Reporting periods.

    2010-01-01

    ... DISCLOSURE, QUALIFIED TRUSTS, AND CERTIFICATES OF DIVESTITURE Confidential Financial Disclosure Reports § 2634.908 Reporting periods. (a) Incumbents. Each confidential financial disclosure report filed under... disclosure report filed under this part. (b) New entrants. Each confidential financial disclosure...

  13. Coping with Common Period Problems (For Teens)

    ... Delayed Puberty Can Birth Control Help With Cramps? Female Athlete Triad Abnormal Uterine Bleeding (AUB) Irregular Periods Endometriosis Gyn Checkups Female Reproductive System All About Menstruation Polycystic Ovary Syndrome ...

  14. Subcortical cytoskeleton periodicity throughout the nervous system.

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

    2016-03-07

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

  15. Stability of Periodic Locomotion in Potential Flow

    Jing, Fangxu

    2013-01-01

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

  16. Toward an Organic Chemist's Periodic Table.

    Hall, H. K., Jr.

    1980-01-01

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

  17. A new pattern of the periodic table

    Brajendra Nath Tripathi

    1962-07-01

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

  18. Theodore William Richards and the Periodic Table

    Conant, James B.

    1970-01-01

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

  19. Ecological periodic tables: In principle and practice

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

  20. The ACM Periodical Bank: A Retrospective View.

    Clarke, Jack A.

    1980-01-01

    Evaluates a cooperative venture in interlibrary lending of periodicals planned and executed by ten midwestern colleges. The study traces the consortium's history from 1967 to the present, describing successes and problems. (RAA)