Sample records for acute intermittent porphyria

  1. Acute intermittent porphyria. (United States)

    Herrick, Ariane L; McColl, Kenneth E L


    Acute intermittent porphyria (AIP) is characterised by neurovisceral crises the most common clinical presentation of which is abdominal pain. It is an autosomal dominant condition with incomplete penetrance and is potentially life-threatening. The key point in management is to suspect and confirm the diagnosis as early as possible in order to treat the attack and to avoid inappropriate treatments which may exacerbate the crisis. In this chapter we briefly outline the haem biosynthetic pathway and how deficiencies in individual enzymes give rise to the different porphyrias. We then describe the clinical features and diagnosis of AIP, followed by a discussion of pathogenesis, highlighting advances in the molecular biology of AIP and introducing the debate as to whether neurovisceral crises might result from porphyrin precursor neurotoxicity or from haem deficiency. Finally we discuss management, including family screening, avoidance of triggering factors, analgesia, maintenance of a high calorie intake, and administration of haem derivatives.

  2. Acute Intermittent Porphyria (AIP) (United States)

    ... attacks, but are usually not chronic. Wearing a Medic Alert bracelet is advisable for patients who have ... Week is ONE Month Away! Mar 17, 2017 Access to Care Toolkit for the Acute Porphyrias is ...

  3. Pharm GKB: Porphyria, Acute Intermittent [PharmGKB

    Lifescience Database Archive (English)

    Full Text Available Overview Alternate Names: PharmGKB Accession Id: PA166048717 External Vocabularies NDFRT: Porphyria, Acute... Intermittent (N0000003536) Common Searches Search Medline Plus Search CTD Pharm GKB: Porphyria, Acute Intermittent ...

  4. Acute intermittent porphyria in the puerperium

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    Sparić Radmila


    Full Text Available Introduction. Acute intermittent porphyria emerges as a result of partial defect of porphobilinogen deaminase and is manifested by repeated episodes of somatic, psychiatric and neurological disorders. The disease is conducted via the autosomaldominant gene of variable penetration, so most of the carriers never experience seizures. Timely making of diagnosis, screening of blood relatives of the patient and education of patients on avoidance of provoking factors are the key to adequate treatment. Case Outline. A 23-year-old patient having born the third child was hospitalized due to pains in the abdomen and convulsive seizures nine days after the vaginal delivery. At admittance, she suffered a generalized convulsive seizure of clonic-tonic type. The patient immediately underwent a complete clinical, laboratory, bacteriological and ultrasound examination. Bearing in mind the fact that the patient had several convulsive seizures even after the given neurological therapy, haem-arginate was introduced into therapy during four days. The administration of haem-arginate led to the normalization of blood pressure, pulse and bowel function. The administration of haem-arginate led to the normalization of blood pressure, pulse and bowel function. The patient was treated by a team of doctors, in the intensive care ward, with the use of medicaments, which are allowed in the case of acute porphyria. Sixteen days after the admittance, with clean neurological status and gynaecological and ultra-sound findings, she was released for ambulatory treatment. Conclusion. The presented case exhibits the gravity of making a diagnosis of acute intermittent porphyria in puerperium and the necessity of multi-disciplinary approach in treating this disease. Acute intermittent porphyria should be considered in cases of ambiguous abdominal pain, as well as in patients having abdominal pains followed by neuro-psychiatric disorders.

  5. [Acute intermittent porphyria and inappropriate ADH syndrome]. (United States)

    Tébar, M T; Aguilera, L


    A 44-year-old woman complained of abdominal pain of 4 days' duration accompanied by vomiting and painful urination. The admitting physician noted neurologic signs consistent with axonal polyneuropathy and hyponatremia. In the absence of other explanations for the syndrome, SIADH was diagnosed. Because of the nonspecific nature of the observations, the patient was assessed by various specialists and admitted to the anesthetic recovery unit due to worsening of neurologic signs and suspicion of acute intermittent porphyria. The diagnosis was confirmed by laboratory findings of elevated d-aminolevulinic acid and porphobilinogen levels and normal stool porphyrins. The patient improved with intravenous hematin infused over 4 days.

  6. Acute intermittent porphyria and pregnancy: an obstetric challenge

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    Pragati Meena


    Full Text Available Acute intermittent porphyria is a rare autosomal dominant disease caused by a mutation in the gene coding for the porphobillinogen deaminase enzymes in heam biosynthesis. The disease manifests as acute attacks of neuropsychiatric dysfunction and neurovisceral manifestations presenting as acute abdomen. In pregnancy, 54% patient has exacerbation of attacks in the form of seizures and acute abdomen occurs due to hormonal changes. Prevalence of acute intermittent porphyria is 1-2/200000 in general. Here we report a case of 36 year old women, G4P1L2A2 presenting at 10+4 weeks of gestation requesting pregnancy termination. Patient was diagnosed as case of acute intermittent porphyria with porphyic polyneuropathy 6 months back. At that time her main symptoms were acute pain abdomen with numbness and weakness in all four limbs. Her urinary porphobillinogen and 5 ALA raised. Her CECT of brain and nerve conduction studies were normal. Since then she is on Tablet Gabapentin 300 mg H.S. She underwent successful pregnancy termination by suction and evacuation under spinal anesthesia and she refused for copper-T insertion. Only safe drugs were used for procedure and she was discharged with advice of barrier contraception. [Int J Reprod Contracept Obstet Gynecol 2016; 5(2.000: 542-544

  7. Liver transplantation for acute intermittent porphyria:a viable treatment?

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    Faisal S Dar; Koji Asai; Ali Raza Haque; Thomas Cherian; Mohamed Rela; Nigel Heaton


    BACKGROUND:Acute intermittent porphyria (AIP) is the most common hepatic porphyria. Its clinical presentation includes severe disabling and life-threatening neurovisceral symptoms and acute psychiatric symptoms. These symptoms result from the overproduction and accumulation of porphyrin precursors, 5-aminoleuvulinic acid (ALA) and porphobilinogen (PBG). The effect of medical treatment is transient and is not effective once irreversible neurological damage has occurred. Liver transplantation (LT) replaces hepatic enzymes and can restore normal excretion of ALA and PBG and prevent acute attacks. METHOD:Two cases of LT for AIP were identiifed retro-spectively from a prospectively maintained LT database. RESULT:LT was successful with resolution of AIP in two patients who suffered from repeated acute attacks. CONCLUSION:LT can correct the underlying metabolic abnormality in AIP and improves quality of life signiifcantly.

  8. An update of clinical management of acute intermittent porphyria

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    Pischik E


    Full Text Available Elena Pischik,1,2 Raili Kauppinen,11Porphyria Research Unit, Division of Endocrinology, Department of Medicine, University Central Hospital of Helsinki, Helsinki, Finland; 2Department of Neurology, Consultative and Diagnostic Centre with Polyclinics, St Petersburg, Russia Abstract: Acute intermittent porphyria (AIP is due to a deficiency of the third enzyme, the hydroxymethylbilane synthase, in heme biosynthesis. It manifests with occasional neuropsychiatric crises associated with overproduction of porphyrin precursors, aminolevulinic acid and porphobilinogen. The clinical criteria of an acute attack include the paroxysmal nature and various combinations of symptoms, such as abdominal pain, autonomic dysfunction, hyponatremia, muscle weakness, or mental symptoms, in the absence of other obvious causes. Intensive abdominal pain without peritoneal signs, acute peripheral neuropathy, and encephalopathy usually with seizures or psychosis are the key symptoms indicating possible acute porphyria. More than fivefold elevation of urinary porphobilinogen excretion together with typical symptoms of an acute attack is sufficient to start a treatment. Currently, the prognosis of the patients with AIP is good, but physicians should be aware of a potentially fatal outcome of the disease. Mutation screening and identification of type of acute porphyria can be done at the quiescent phase of the disease. The management of patients with AIP include following strategies: A, during an acute attack: 1 treatment with heme preparations, if an acute attack is severe or moderate; 2 symptomatic treatment of autonomic dysfunctions, polyneuropathy and encephalopathy; 3 exclusion of precipitating factors; and 4 adequate nutrition and fluid therapy. B, during remission: 1 exclusion of precipitating factors (education of patients and family doctors, 2 information about on-line drug lists, and 3 mutation screening for family members and education about precipitating factors in

  9. Acute intermittent porphyria: psychosis as the only clinical manifestation. (United States)

    Ellencweig, Natalie; Schoenfeld, Nili; Zemishlany, Zvi


    Acute intermittent porphyria (AIP) is the most common of the four forms of neuroporphyria. AIP mimics a variety of disorders and thus poses a diagnostic quagmire. Abdominal pain occurs in 90-95% of the attacks. Some patients develop psychiatric symptoms such as psychosis similar to schizophrenia. The diagnostic difficulty may lead to under-diagnosis of patients who present with strictly psychiatric symptoms. This assumption is supported by a high prevalence of AIP in psychiatric hospitals. Therefore, we encourage a high index of suspicion for AIP in psychiatric patients in order to prevent false psychiatric diagnosis. In addition we discuss psychotropic drugs that may exacerbate acute attacks in undiagnosed patients. We report a case in which the diagnosis of AIP was clouded by the presence of only psychiatric symptoms. The clue for diagnosis was an anamnestic detail of the use of a porphyrogenic drug prior to the admission. The diagnosis of AIP was supported by excess of alpha aminolevulinic acid (ALA) and porphobilinogen (PBG) in urine concomitantly with a decrease in porphobilinogen deaminase (PBGD) activity in erythrocytes. The diagnosis was further strengthened by the fact that the patient's father was identified as an AIP carrier. However, in the absence of typical organic symptoms of porphyria, one cannot definitely rule out the presence of schizophrenia in this patient in addition to AIR

  10. Acute intermittent porphyria presenting as progressive muscular atrophy in a young black man. (United States)

    Albertyn, C H; Sonderup, M; Bryer, A; Corrigall, A; Meissner, P; Heckmann, J M


    Acute intermittent porphyria, the most common porphyria affecting the nervous system, typically presents with neurovisceral crises followed by a motor neuropathy. We describe a 23-year-old black South African man presenting with a progressive stuttering, lower motor neuron syndrome developing over months. He had not experienced pain or neuropsychiatric symptoms. One year after symptom onset he was bed-bound with a flaccid quadriparesis. There was marked amyotrophy, but without fasciculations. Sensation was intact apart from a hypo-aesthetic patch over the thigh. Electrophysiological investigations showed an active motor axonopathy. Urinary porphyrins, delta-aminolaevulinic acid and porphobilinogen were elevated. Mutation analysis revealed the c445C>T (R149X) mutation in the porphobilinogen deaminase gene. The patient responded dramatically to haem arginate and could walk with assistance 2 weeks later. We identified the first molecularly confirmed acute intermittent porphyria in a black South African. The clinical presentation mimicked a progressive lower motor neuron syndrome.

  11. Biochemical and hematological analysis in acute intermittent porphyria (AIP: a case report

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    Full Text Available Acute intermittent porphyria is the most common acute porphyria caused by a decrease in hepatic porphobilinogen deaminase activity, resulting in an accumulation of delta-aminolevulinic acid and porphobilinogen. This disease shows nonspecific signs and symptoms that can be confused with other diseases, thereby making the diagnosis difficult. We report a case of acute intermittent porphyria, reviewing clinical and laboratory aspects, highlighting the hematological and biochemical parameters during and after the crisis. A female patient, aged 28 years, suffered two crises, both presenting gastrointestinal disorders. The second presented neuropsychiatric symptoms. The analysis of hematological and biochemical parameters during the second crisis showed anemia, leukocytosis, hyponatremia, mild hypokalemia, uremia and elevated C-reactive protein. The initial treatment included glucose infusion, a diet rich in carbohydrates and interruption of porphyrinogenic drugs. Subsequently, treatment was maintained with oral contraceptive use. According to the observed data, signs and symptoms of gastrointestinal, neurological and psychiatric disorders, associated with laboratory results presented in this paper can be applied to screen acute porphyria, contributing to early diagnosis.

  12. Chronic Elevation of Liver Enzymes in Acute Intermittent Porphyria Initially Misdiagnosed as Autoimmune Hepatitis

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    A. González Estrada


    Full Text Available Autoimmune hepatitis is a disease characterized by an elevation of liver enzymes, as well as specific autoantibodies. It is more common in women than men. We describe a 32-year-old woman with elevated transaminases, autoantibodies, and a liver biopsy result suggestive of autoimmune hepatitis. The indicated treatment was administered without showing a satisfactory response. The patient had a family history of acute intermittent porphyria (AIP so we decided to begin treatment with hematin, achieving a complete remission of the symptoms. Acute intermittent porphyria is a rare condition characterized by neurovisceral symptoms, abdominal pain being the most common of them. The disease has a higher prevalence among young women and certain European countries such as Sweden, Great Britain, and Spain. A correct diagnosis and prompt treatment are essential because patients affected by AIP must have a strict followup due to the fatal outcome of the outbreaks.

  13. Acute intermittent porphyria: clinicopathologic correlation. Report of a case and review of the literature. (United States)

    Suarez, J I; Cohen, M L; Larkin, J; Kernich, C A; Hricik, D E; Daroff, R B


    Acute intermittent porphyria (AIP), an autosomal dominant disorder, results from a deficiency of the enzyme hydroxymethylbilane synthase. Despite important advances in the characterization of AIP, the pathophysiology of the neurologic manifestations is not clearly understood. We present a patient with AIP followed for 31 years with multiple episodes of hyponatremia during AIP exacerbations. We discuss the clinicopathologic correlation and possible explanations for the morphologic findings, including discrete hypothalamic changes.

  14. Acute intermittent porphyria with syndrome of inappropriate antidiuretic hormone secretion (SIADH and neurological crisis, successfully treated with haemodialysis

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    P. S. Singh


    Full Text Available We report a 35 years old male, a case of Acute Intermittent Porphyria (AIP with Syndrome of Inappropriate Antidiuretic Hormone secretion (SIADH and neurological crisis for its rarity. Since specific parenteral medication (hemin was not available, patient was empirically treated with haemodialysis with satisfactory outcome. [Int J Res Med Sci 2014; 2(2.000: 795-797

  15. Haem Biosynthesis and Antioxidant Enzymes in Circulating Cells of Acute Intermittent Porphyria Patients (United States)

    Ferrer, Miguel D.; Mestre-Alfaro, Antonia; Martínez-Tomé, Magdalena; Carrera-Quintanar, Lucrecia; Capó, Xavier; Jiménez-Monreal, Antonia M.; García-Diz, Luis; Roche, Enrique; Murcia, María A.; Tur, Josep A.


    The aims of the present study were to explore the expression pattern of haem biosynthesis enzymes in circulating cells of patients affected by two types of porphyria (acute intermittent, AIP, and variegate porphyria, VP), together with the antioxidant enzyme pattern in AIP in order to identify a possible situation of oxidative stress. Sixteen and twelve patients affected by AIP and VP, respectively, were analysed with the same numbers of healthy matched controls. Erythrocytes, neutrophils and peripheral blood mononuclear cells (PBMCs) were purified from blood, and RNA and proteins were extracted for quantitative real time PCR (qRT-PCR) and Western-blot analysis, respectively. Porhobilinogen deaminase (PBGD) and protoporphyrinogen oxidase (PPOX) gene and protein expression was analysed. Antioxidant enzyme activity and gene expression were additionally determined in blood cells, together with protein carbonyl content in plasma. PBMCs isolated from AIP patients presented low mRNA levels of PBGD when compared to controls, while PBMCs isolated from VP patients presented a decrease in PPOX mRNA. PPOX protein content was higher in AIP patients and lower in VP patients, compared to healthy controls. Regarding antioxidant enzymes, PBMCs and erythrocyte superoxide dismutase (SOD) presented statistically significant higher activity in AIP patients compared to controls, while catalase activity tended to be lower in these patients. No differences were observed regarding antioxidant gene expression in white blood cells. Circulating cells in AIP and VP patients present altered expression of haem biosynthetic enzymes, which could be useful for the differential diagnosis of these two types of porphyria in certain difficult cases. AIP patients present a condition of potential oxidative stress similar to VP patients, evidenced by the post-transcriptional activation of SOD and possible catalase impairment. PMID:27788171

  16. MR imaging of acute intermittent porphyria mimicking reversible posterior leukoencephalopathy syndrome

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    Utz, N.; Kinkel, B.; Hedde, J.P.; Bewermeyer, H. [Staedtisches Krankenhaus Koeln-Merheim, Koeln (Germany). Neurologische Klinik


    Reversible posterior leukoencephalopathy syndrome (PLS) is characterized by headache, altered mental function, visual disturbances and seizures. Neuroimaging studies suggest a white-matter oedema, predominantly in the posterior parietal-temporal-occipital regions of the brain. We present the case of a 30-year-old woman who had suffered her first attack of acute intermittent porphyria (AIP). Following 1 week of abdominal pain she developed several generalized seizures, and hallucinations, and exhibited a progressive deterioration of the consciousness. T2-weighted images, especially fluid-attenuated inversion recovery (FLAIR) sequences showed bilateral lesions in the posterior frontal, parietal and occipital cortex and subcortical white matter. Following treatment with haematin and a high carbohydrate diet the patient's condition improved. Follow-up magnetic resonance imaging (MRI) revealed complete resolution of the lesions. To our knowledge, this is the first report concerning a completely reversible PLS in AIP. (orig.)

  17. High prevalence of and potential mechanisms for chronic kidney disease in patients with acute intermittent porphyria. (United States)

    Pallet, Nicolas; Mami, Iadh; Schmitt, Caroline; Karim, Zoubida; François, Arnaud; Rabant, Marion; Nochy, Dominique; Gouya, Laurent; Deybach, Jean-Charles; Xu-Dubois, Yichum; Thervet, Eric; Puy, Hervé; Karras, Alexandre


    Acute intermittent porphyria (AIP) is a genetic disorder of the synthesis of heme caused by a deficiency in hydroxymethylbilane synthase (HMBS), leading to the overproduction of the porphyrin precursors δ-aminolevulinic acid and porphobilinogen. The aim of this study is to describe the clinical and biological characteristics, the renal pathology, and the cellular mechanisms of chronic kidney disease associated with AIP. A total of 415 patients with HMBS deficiency followed up in the French Porphyria Center were enrolled in 2003 in a population-based study. A follow-up study was conducted in 2013, assessing patients for clinical, biological, and histological parameters. In vitro models were used to determine whether porphyrin precursors promote tubular and endothelial cytotoxicity. Chronic kidney disease occurred in up to 59% of the symptomatic AIP patients, with a decline in the glomerular filtration rate of ~1 ml/min per 1.73 m(2) annually. Proteinuria was absent in the vast majority of the cases. The renal pathology was a chronic tubulointerstitial nephropathy, associated with a fibrous intimal hyperplasia and focal cortical atrophy. Our experimental data provide evidence that porphyrin precursors promote endoplasmic reticulum stress, apoptosis, and epithelial phenotypic changes in proximal tubular cells. In conclusion, the diagnosis of chronic kidney disease associated with AIP should be considered in cases of chronic tubulointerstitial nephropathy and/or focal cortical atrophy with severe proliferative arteriosclerosis.

  18. Anthropometric and Quality-of-Life Parameters in Acute Intermittent Porphyria Patients. (United States)

    Jiménez-Monreal, Antonia M; Murcia, M Antonia; Gómez-Murcia, Victoria; Bibiloni, Maria Del Mar; Pons, Antoni; Tur, Josep A; Martínez-Tomé, Magdalena


    The porphyrias are a group of rare metabolic disorders. The incidence and prevalence are low because the acute intermittent porphyria (AIP) is rare. Our aim was to assess the use of anthropometric and quality-of-life parameters in porphyric patients in order to identify predictor factors that might help in characterizing AIP patients.Sixteen AIP patients from Murcia (Spain) were recruited from local health centers in 2008 and 2009. A control group of 16 healthy people was established. Body composition was assessed by bioelectrical impedance analysis (BIA) and anthropometric measurements: body weight; height; knee-heel height; waist, hip, upper arm and calf circumferences (CCs); biacromion and biiliac diameters; bicondylar and biepicondylar width; and triceps, subscapular, supraspinale, and calf skinfold thickness. Anthropometric indicators were obtained from anthropometric measurements. A quality-of-life evaluation was carried out using the EuroQol-5D (EQ-5D) questionnaire and Barthel and Katz indexes. Significant differences in means were tested by unpaired Student t test. Group differences in anthropometric measurements were tested with a 2-way analysis of variance (group × condition: age group, overweight, and adiposity degree). Relative frequencies were obtained for noncontinuous variables. Significant differences in prevalence were calculated by means of χ.AIP patients showed statistically significant differences in terms of knee-heel height, biiliac diameter, CC, triceps skinfold thickness, BIA, ponderal index, endomorphy, and ectomorphy. Only 1 quality-of-life indicator, visual analog scale, in the EQ-5D questionnaire showed significant differences between porphyric and control groups.Some anthropometric parameters and the EQ-5D questionnaire could be used to appreciate the presence or follow the evolution of the disease in AIP patients.


    NARCIS (Netherlands)



    Acute intermittent porphyria is an autosomal dominant disorder defined by a partial deficiency of porphobilinogen deaminase (EC Clinical manifestations of the disease are characterized by acute attacks of neurological dysfunction often linked to environmental factors. Early diagnosis of ge

  20. An odd case of heteroallelic acute intermittent porphyria in the Argentinean population. (United States)

    Piñeiro Pauwels, M B; Gerez, E N; Martinez, M C; Melito, V A; Parera, V E; Batlle, A; Rossetti, M V


    AIP is an acute liver disorder caused by a deficiency of porphobilinogen deaminase (PBGD) characterized by neuroabdominal symptoms. It is an autosomal dominant disease. However, homozygous dominant AIP (HD-AIP) have been described. In some cases erythrodontia was observed. CEP is an autosomal recessive disease produced by mutations in the uroporphyrinogen III synthase gene (UROS), characterized by severe cutaneous lesions and erythrodontia. The aim of the work was to establish the differential diagnosis of porphyria in a patient with abdominal pain, neurological attacks, skin symptoms and erythrodontia. The PBGD activity was reduced 50% and the genetic analysis indicated the presence of two genetic variants in the PBGD gene, p.G111R and p.E258G, a new genetic variant, revealing a case of heteroallelic HD-AIP. The patient, first diagnosed as a carrier of a dual porphyria: AIP / CEP based on the excretion profile of porphyrins, precursors and her clinical symptoms, would be an atypical case of human HD-AIP. These results would also suggest the presence of a phenocopy of the CEP, induced by an endogenous or exogenous factor. Our findings highlight the importance of genetic studies for a proper diagnosis of porphyria, prevention of its manifestation and its treatment.

  1. Evaluation of mutation screening by heteroduplex analysis in acute intermittent porphyria: comparison with denaturing gradient gel electrophoresis. (United States)

    Tchernitchko, D; Lamoril, J; Puy, H; Robreau, A M; Bogard, C; Rosipal, R; Gouya, L; Deybach, J C; Nordmann, Y


    Acute intermittent porphyria is the major autosomal dominant form of acute hepatic porphyrias. The disease is due to mutations in the gene encoding for porphobilinogen deaminase (PBGD). Many different strategies have been developed to screen for mutations. However the high prevalence (0.6 per thousand) of PBGD gene defect, the large allelic heterogeneity of mutations (n = 130), and the limitations of the PBGD enzymatic assay for asymptomatic patients' detection, require for diagnosis an efficient and easy to handle strategy for locating mutations within the PBGD gene. In a recent study the sensitivity of the denaturing gradient gel electrophoresis (DGGE) technique was 100%. However DGGE requires the preparation of gradient gels and the use of primers with long GC-clamps; thus alternative methods should be preferable in the clinical laboratory. We have compared the detection rate of DGGE with heteroduplex analysis (HA) using 16 characterized PBGD gene mutations. Six different HA conditions were used to determine the efficiency of the method, including: (1) MDE (mutation detection enhancement) gel concentration; (2) addition of urea and sodium dodecyl sulfate (SDS); (3) radioactive labelling. The sensitivity of each HA condition varied from 31 to 81% vs. 100% in DGGE analysis. HA using 1 x MDE with 15% urea with or without 0.55% SDS was the most sensitive condition. This first comparative study of DGGE and HA mutation screening methods suggests that DGGE is a more sensitive screening assay than optimized HA. However, because of its simplicity HA should be considered as an efficient alternative mutation screening method.

  2. Haplotype Analysis of Norwegian and Swedish Patients with Acute Intermittent Porphyria (AIP: Extreme Haplotype Heterogeneity for the Mutation R116W

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    Kjersti Tjensvoll


    Full Text Available Acute intermittent porphyria (AIP, the most common of the acute porphyrias, is caused by mutations in the gene encoding hydroxymethylbilane synthase (HMBS also called porphobilinogen deaminase (PBGD. The mutation spectrum in the HMBS gene is characterized by a majority of family specific mutations. Among the exceptions are R116W and W198X, with high prevalence in both the Dutch and Swedish populations. These two mutations were also detected in unrelated Norwegian patients. Thus, Norwegian and Swedish patients were haplotyped using closely linked flanking microsatellites and intragenic single nucleotide polymorphisms (SNPs to see if the high frequency of these two mutations is due to a founder effect. Twelve intragenic SNPs were determined by a method based on fluorescent restriction enzyme fingerprinting single-strand conformation polymorphism (F-REF-SSCP.

  3. Pure motor axonal neuropathy triggered by antituberculous therapy in an undiagnosed case of acute intermittent porphyria. (United States)

    Babar, Masood Uz Zaman; Hakeem, Haris; Khan, Sara


    A man aged 22 years misdiagnosed as suffering from recurrent abdominal tuberculosis, in view of recurrent abdominal pain was treated for abdominal tuberculosis in the past. The patient was prescribed antituberculous therapy. 2 months after starting treatment, he developed progressive weakness of all 4 limbs. Electrodiagnostic examination revealed an acute severe motor axonal neuropathy. Further workup revealed elevated porphyrin precursors in urine.

  4. Weight Loss & Acute Porphyria (United States)

    ... overweight patients with Porphyria are at a distinct disadvantage, because it is unsafe for them to enter ... content on this Web site are protected by copyright. All rights are reserved. Users are prohibited from ...

  5. Renal failure affects the enzymatic activities of the three first steps in hepatic heme biosynthesis in the acute intermittent porphyria mouse.

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    Carmen Unzu

    Full Text Available Chronic kidney disease is a long-term complication in acute intermittent porphyria (AIP. The pathophysiological significance of hepatic overproduction of the porphyrin precursors aminolevulinate acid (ALA and porphobilinogen (PBG in chronic kidney disease is unclear. We have investigated the effect of repetitive acute attacks on renal function and the effect of total or five-sixth nephrectomy causing renal insufficiency on hepatic heme synthesis in the porphobilinogen deaminase (PBGD-deficient (AIP mouse. Phenobarbital challenge in the AIP-mice increased urinary porphyrin precursor excretion. Successive attacks throughout 14 weeks led to minor renal lesions with no impact on renal function. In the liver of wild type and AIP mice, 5/6 nephrectomy enhanced transcription of the first and rate-limiting ALA synthase. As a consequence, urinary PBG excretion increased in AIP mice. The PBG/ALA ratio increased from 1 in sham operated AIP animals to over 5 (males and over 13 (females in the 5/6 nephrectomized mice. Total nephrectomy caused a rapid decrease in PBGD activity without changes in enzyme protein level in the AIP mice but not in the wild type animals. In conclusion, high concentration of porphyrin precursors had little impact on renal function. However, progressive renal insufficiency aggravates porphyria attacks and increases the PBG/ALA ratio, which should be considered a warning sign for potentially life-threatening impairment in AIP patients with signs of renal failure.

  6. Markers for vulnerability in acute porphyria. A hypothesis paper. (United States)

    Thunell, S; Andersson, C; Carlmark, B; Floderus, Y; Grönqvist, S O; Harper, P; Henrichson, A; Lindh, U


    Previously symptomatic and permanently asymptomatic carriers of a gene mutation for acute intermittent porphyria as well as matched controls were screened with regard to a series of variables of possible relevance to the development of porphyric symptoms. The basis for the study was a concept of acute porphyria as a condition of a permanent system overload of oxidative stress, with long term effects on hepatic and renal tissue, and with instances of periodic overload of free radicals giving rise to acute neurologic involvement. Leukocyte concentrations of manganese, calcium, iron and zinc, as well as erythrocyte calcium differed between the groups, acute intermittent porphyria gene carriers, irrespective of previous porphyric illness, showing significantly higher levels than the controls. Manganese was found to be the most discriminative component of all the 78 variables investigated, accounting for about 98 per cent of the variance between the groups. An increment, by a factor of four, in cellular manganese is suggestive of an increase, in acute intermittent porphyria, of a manganese associated enzyme, e.g. glutamine synthetase, pyruvate carboxylase or mitochondrial superoxide dismutase. The best fit into the model considered is provided by a theory focused on superoxide dismutase, induced in response to superoxide anion radical produced from aminolaevulinic acid. In porphyria gene carriers seemingly resistant to porphyric manifestations, an increase in potentially prooxidant cellular iron is matched by a proportional increment in manganese, i.e. presumably by a corresponding mitochondrial superoxide dismutase induction. This mechanism is not operative in porphyric individuals prone to development of neuropsychiatric symptoms. In acute intermittent porphyria with a history of porphyric illness there is a positive correlation between erythrocyte manganese and serum folate and a negative correlation between leukocyte ferrochelatase activity and serum cobalamin

  7. Porphyria (United States)

    ... of their skin when it is exposed to sunlight. The nervous system type is called acute porphyria. Symptoms include pain in the chest, abdomen, limbs, or back; muscle numbness, tingling, paralysis, or cramping; vomiting; constipation; ...

  8. Human hereditary hepatic porphyrias. (United States)

    Nordmann, Yves; Puy, Hervé


    The human hereditary hepatic porphyrias are diseases due to marked deficiencies of enzymes in the heme biosynthetic pathway. Porphyrias can be classified as either hepatic or erythroid, depending on the major production site of porphyrins or their precursors. The pathogenesis of inherited hepatic porphyrias has now been defined at the molecular level. Some gene carriers are vulnerable to a range of exogenous and endogenous factors, which may trigger neuropsychiatric and/or cutaneous symptoms. Early diagnosis is of prime importance since it makes way for counselling. In this article we present an overview of recent advances on hepatic porphyrias: 5-aminolevulinic acid dehydratase deficiency porphyria, acute intermittent porphyria (AIP), porphyria cutanea tarda (PCT), hereditary coproporphyria (HC), and variegate porphyria (VP).

  9. Acute Intermittent Porphyrias Misdiagnosed as Intestinal Obstruction:Two Cases Report%急性间歇性血卟啉病误诊为肠梗阻二例报道

    Institute of Scientific and Technical Information of China (English)

    胡义亭; 侯洪涛; 王玉珍


    血卟啉病极为罕见,为常染色体显性遗传,临床表现多样化,不仅诊断困难,而且极易误诊.我院曾收治2例年轻女性患者,因其间断腹痛误诊为肠梗阻,后经查血卟啉、尿卟啉均确诊为急性间歇性血卟啉病.应用精氨酸血红素治疗效果较好.本病例提示,目前尚无根治方法,急性发作时可静脉滴注高糖及静脉应用血红素.原因不明腹痛要想到本病的可能.%The hematoporphyrin disease, an autosomal dominant inheritance, is very rare. Its clinical performances are diversified, difficult to diagnose and easy to misdiagnose. The 2 young female patients were misdiagnosed as intestinal obstruction due to intermittent abdominal pains, but confirmed as acute intermittent porphyrias after examinations of hematoporphyrin and uroporphyrin. Heme arginate have good effect on it, but no radical cure approaches have been found yet. When attacking acutely, intravenous high sugar and heme can be used. Unexplained abdominal pains remind the possibility of this disease.

  10. Acute Porphyria Presenting as Epilepsia Partialis Continua

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    Thi Phuoc Yen Tran


    Full Text Available Purpose: The porphyrias are a defect in the biosynthesis of heme which can be associated with different neurological symptoms during acute attacks such as peripheral neuropathy, mental disturbance and seizures. So far, there have only been a few case reports of status epilepticus, none of which were of epilepsia partialis continua (EPC. We present here two cases of hereditary coproporphyria (HCP manifesting EPC as part of the clinical presentation. Method: The patients' medical charts, EEG and imaging studies were carefully reviewed. Results: Case 1 is a 49-year-old male who first presented a tonic-clonic seizure. Case 2 is a 30-year-old male who came to the emergency room for a convulsive status epilepticus. Both evolved to EPC over the next days. EPC persisted despite several antiepileptic drug trials. Diagnosis of HCP was confirmed by a high level of urine, fecal and serum porphyrins in both cases and by genetic testing in one. Over the last 3 years, the first patient has continued to present non-disabling EPC and has had four tonic-clonic seizures associated with alcohol consumption. The second patient died from brain edema one month and half after admission. Conclusion: Acute porphyrias should be included in the differential diagnosis of new onset status epilepticus, including EPC. Their recognition is important as it modifies significantly patient management, since many anticonvulsants are porphyrogenic.

  11. Melatonin modulates drug-induced acute porphyria

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    Sandra M. Lelli


    Full Text Available This work investigated the modulation by melatonin (Mel of the effects of the porphyrinogenic drugs 2-allyl-2-isopropylacetamide (AIA and 3,5-diethoxycarbonyl-1,4-dihydro-2,4,6-collidine (DDC on oxidative environment, glucose biosynthesis and heme pathway parameters. Administration of Mel before rat intoxication with AIA/DDC showed a clear beneficial effect in all cases. Mel induced decreases of 42% and 35% in the excretion of the hemeprecursors 5-aminolevulinic acid (ALA and porphobilinogen (PBG, respectively, and a 33% decrease in the induction of the heme regulatory enzyme 5-aminolevulinic acid-synthase (ALA-S. The activity of the glucose metabolism enzyme phosphoenolpyruvate carboxykinase (PEPCK, which had been diminished by the porphyrinogenic treatment, was restored by 45% when animals were pre-treated with Mel. Mel abolished the modest decrease in glucose 6-phospatase (G6Pase activity caused by AIA/DDC treatment. The oxidative status of lipids was attenuated by Mel treatment in homogenates by 47%, whereas no statistically significant AIA/DDC-induced increase in thiobarbituric acid reactive substances (TBARS was observed in microsomes after Mel pre-treatment. We hypothesize that Mel may be scavenging reactive species of oxygen (ROS that could be damaging lipids, PEPCK, G6Pase and ferrochelatase (FQ. Additionally, Mel administration resulted in the repression of the key enzyme ALA-S, and this could be due to an increase in glucose levels, which is known to inhibit ALA-S induction. The consequent decrease in levels of the heme precursors ALA and PBG had a beneficial effect on the drug-induced porphyria. The results obtained open the possibility of further research on the use of melatonin as a co-treatment option in acute porphyria.

  12. Glucose Effect in the Acute Porphyrias (United States)

    ... sugar) intake to suppress disease activity. When the Atkins Diet, which was a high protein/low carbohydrate ... exacerbated their Porphyria. In fact, complying with the Atkins plan precipitated attacks in some previously undiagnosed and ...

  13. Danos ao DNA promovidos por ácido 5-aminolevulínico: possível associação com o desenvolvimento de carcinoma hepatocelular em portadores de porfiria aguda intermitente DNA damage induced by 5-aminolevulinic acid: a possible association with the development of hepatocellular carcinoma in acute intermittent porphyria patients

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    Janice Onuki


    Full Text Available 5-Aminolevulinic acid (ALA is a heme precursor accumulated in acute intermittent porphyria (AIP, which might be associated with hepatocellular carcinoma (HCC in symptomatic patients. Under metal catalyzed oxidation, ALA and its cyclic dimerization product, 3,6-dihydropyrazine-2,5-dipropanoic acid, produce reactive oxygen species that damage plasmid and calf thymus DNA bases, increase the steady state level of 8-oxo-7,8-dihydro-2´-deoxyguanosine in liver DNA and promote mitochondrial DNA damage. The final product of ALA, 4,5-dioxovaleric acid (DOVA, is able to alkylate guanine moieties, producing adducts. ALA and DOVA are mutagenic in bacteria. This review shows an up-to-date literature data that reinforce the hypothesis that the DNA damage induced by ALA may be associated with the development of HCC in AIP patients.

  14. Clinically Important Features of Porphyrin and Heme Metabolism and the Porphyrias (United States)

    Besur, Siddesh; Hou, Weihong; Schmeltzer, Paul; Bonkovsky, Herbert L.


    Heme, like chlorophyll, is a primordial molecule and is one of the fundamental pigments of life. Disorders of normal heme synthesis may cause human diseases, including certain anemias (X-linked sideroblastic anemias) and porphyrias. Porphyrias are classified as hepatic and erythropoietic porphyrias based on the organ system in which heme precursors (5-aminolevulinic acid (ALA), porphobilinogen and porphyrins) are chiefly overproduced. The hepatic porphyrias are further subdivided into acute porphyrias and chronic hepatic porphyrias. The acute porphyrias include acute intermittent, hereditary copro-, variegate and ALA dehydratase deficiency porphyria. Chronic hepatic porphyrias include porphyria cutanea tarda and hepatoerythropoietic porphyria. The erythropoietic porphyrias include congenital erythropoietic porphyria (Gűnther’s disease) and erythropoietic protoporphyria. In this review, we summarize the key features of normal heme synthesis and its differing regulation in liver versus bone marrow. In both organs, principal regulation is exerted at the level of the first and rate-controlling enzyme, but by different molecules (heme in the liver and iron in the bone marrow). We also describe salient clinical, laboratory and genetic features of the eight types of porphyria. PMID:25372274

  15. Clinically important features of porphyrin and heme metabolism and the porphyrias. (United States)

    Besur, Siddesh; Hou, Wehong; Schmeltzer, Paul; Bonkovsky, Herbert L


    Heme, like chlorophyll, is a primordial molecule and is one of the fundamental pigments of life. Disorders of normal heme synthesis may cause human diseases, including certain anemias (X-linked sideroblastic anemias) and porphyrias. Porphyrias are classified as hepatic and erythropoietic porphyrias based on the organ system in which heme precursors (5-aminolevulinic acid (ALA), porphobilinogen and porphyrins) are chiefly overproduced. The hepatic porphyrias are further subdivided into acute porphyrias and chronic hepatic porphyrias. The acute porphyrias include acute intermittent, hereditary copro-, variegate and ALA dehydratase deficiency porphyria. Chronic hepatic porphyrias include porphyria cutanea tarda and hepatoerythropoietic porphyria. The erythropoietic porphyrias include congenital erythropoietic porphyria (Gűnther's disease) and erythropoietic protoporphyria. In this review, we summarize the key features of normal heme synthesis and its differing regulation in liver versus bone marrow. In both organs, principal regulation is exerted at the level of the first and rate-controlling enzyme, but by different molecules (heme in the liver and iron in the bone marrow). We also describe salient clinical, laboratory and genetic features of the eight types of porphyria.

  16. Clinically Important Features of Porphyrin and Heme Metabolism and the Porphyrias

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    Siddesh Besur


    Full Text Available Heme, like chlorophyll, is a primordial molecule and is one of the fundamental pigments of life. Disorders of normal heme synthesis may cause human diseases, including certain anemias (X-linked sideroblastic anemias and porphyrias. Porphyrias are classified as hepatic and erythropoietic porphyrias based on the organ system in which heme precursors (5-aminolevulinic acid (ALA, porphobilinogen and porphyrins are chiefly overproduced. The hepatic porphyrias are further subdivided into acute porphyrias and chronic hepatic porphyrias. The acute porphyrias include acute intermittent, hereditary copro-, variegate and ALA dehydratase deficiency porphyria. Chronic hepatic porphyrias include porphyria cutanea tarda and hepatoerythropoietic porphyria. The erythropoietic porphyrias include congenital erythropoietic porphyria (Gűnther’s disease and erythropoietic protoporphyria. In this review, we summarize the key features of normal heme synthesis and its differing regulation in liver versus bone marrow. In both organs, principal regulation is exerted at the level of the first and rate-controlling enzyme, but by different molecules (heme in the liver and iron in the bone marrow. We also describe salient clinical, laboratory and genetic features of the eight types of porphyria.

  17. Seven Novel Mutations in Bulgarian Patients with Acute Hepatic Porphyrias (AHP). (United States)

    Dragneva, Sonya; Szyszka-Niagolov, Monika; Ivanova, Aneta; Mateva, Lyudmila; Izumi, Rumiko; Aoki, Yoko; Matsubara, Yoichi


    Acute intermittent porphyria (AIP), variegate porphyria (VP), and hereditary coproporphyria (HCP) are caused by mutations in the hydroxymethylbilane synthase (HMBS), protoporphyrinogen oxidase (PPOX), and coproporphyrinogen oxidase (CPOX) genes, respectively. This study aimed to identify mutations in seven Bulgarian families with AIP, six with VP, and one with HCP. A total of 33 subjects, both symptomatic (n = 21) and asymptomatic (n = 12), were included in this study. The identification of mutations was performed by direct sequencing of all the coding exons of the corresponding enzymes in the probands. The available relatives were screened for the possible mutations. A total of six different mutations in HMBS were detected in all seven families with AIP, three of which were previously described: c.76C>T [p.R26C] in exon 3, c.287C>T [p.S96F] in exon 7, and c.445C>T [p.R149X] in exon 9. The following three novel HMBS mutations were found: c.345-2A>C in intron 7-8, c.279-280insAT in exon 7, and c.887delC in exon 15. A total of three different novel mutations were identified in the PPOX gene in the VP families: c.441-442delCA in exon 5, c.917T>C [p.L306P] in exon 9, and c.1252T>C [p.C418R] in exon 12. A novel nonsense mutation, c.364G>T [p.E122X], in exon 1 of the CPOX gene was identified in the HCP family. This study, which identified mutations in Bulgarian families with AHP for the first time, established seven novel mutation sites. Seven latent carriers were also diagnosed and, therefore, were able to receive crucial counseling to prevent attacks.

  18. (Far) Outside the box: genomic approach to acute porphyria. (United States)

    Thunell, S


    If I were living in Caucasus I would be writing fairy tales there Chekov, 1888 The question of the reasons for the extreme variation in morbidity among the gene carriers of acute porphyria and the great diversity of the precipitating factors are approached by the aid of a model of interacting genomic circuits. It is based on the current paradigm of the acute porphyric attack as a result of a toxic proximal overload of the enzyme-deficient heme-biosynthetic patway. Porphyrogenic influx of precursors is seen as a consequence of uncontrolled induction of its gate-keeping enzyme, ubiquitous 5-aminolevulinate synthase (ALAS1), due to attenuated post-translational control of the enzyme combined with activated gene transcription. Focus is directed on the genomic control of the master-regulator of ALAS1-transcription, the nuclear receptor pair constitutively active receptor (CAR) and pregnane xenobiotic receptor (PXR). On activation by their ligands, i.e. lipophilic drugs, solvents, alcohols, hormonal steroids and biocides, these DNA-binding proteins transform xenobiotic or steroid stimuli to coordinated activations of gene transcription-programs for ALAS1 and apo-cytochromes P450 (apo-CYPs), thus effecting the formation of xenobiotic-metabolizing cytochrome P450 enzymes. The potency of the CAR/PXR-transduction axis is enhanced by co-activators generated in at least four other genomic circuits, each triggered by different external and internal stimuli clinically experienced to be porphyrogenic, and each controlled by co-activating and co-repressing modulators. The expressions of the genes for CAR and PXR are thus augmented by binding glucocorticoid receptor (GR) activated by a steroid hormone, e.g, cortisol generated in fasting, infection or different forms of stress. The promotor regions of ALAS1 and apoCYPs contain binding sites for at least three co-activating transcription factors enhancing CAR/PXR transduction: i.e. the ligand-independent growth hormone (GH

  19. 表现为可逆性后部白质脑病综合征的急性间歇性卟啉病(附1例报告)%Acute intermittent porphyria appeaed as reversible posterior leukoencephalopathy syndrome ( report of 1 case)

    Institute of Scientific and Technical Information of China (English)

    高海凤; 鲁琳; 李永秋


    Objective To explore the clinical features of acute intermittent porphyria ( AIP) apperaed as reversible posterior leukoencephalopathy syndrome (RPLS). Methods The clinical date of one AIP patient apperaed as RPLS was retrospectively analyzed. Results This patient was a young woman. The main clinical manifastations were abdominal pain, seizures, psychological symptoms and autonomie nervous dysfunction. The laboratory examination showed hyponatremia, hypochloridemia and uroporphyrin positive. The MR1 indicate diffusely lesions located in bilateral posterior frontal lobe, parital and temporal lobe and bilateral cerebellar hemisphere, which were low signals in T, WI and high signals in T2WI and Flair imaging. The symptom was improved after treated with high volume of glucose and adenosine triphosphate, and the symptomatic treatments like correcting electrolyte turbulence etc. The reexamination of MRI showed the lesions were almost disappeared. Conclusions AIP is a rare cause of RPLS. The AIP patient apperaed as RPLS may suffer abdominal pain and nervous and psychological symptoms. Urine test and MRI may be helpful to diagnose.%目的 探讨表现为可逆性白质脑病综合征(RPLs)的急性间歇性卟啉病(AIP)的临床特点.方法 回顾性分析1例表现为RPLS的AIP患者的临床资料.结果 本例患者为青年女性,临床表现为腹痛、癫痫发作、精神症状、植物神经受累表现,检查发现低钠、低氯血症,尿卟啉定性阳性;头颅MRI示两侧额叶后部、顶叶、颞叶皮质和两侧小脑半球弥漫对称性片状异常信号,T1WI为等或低信号,T2WI及Flair序列呈高信号.经高糖、三磷酸腺苷以及纠正电解质紊乱等治疗后症状改善.复查头颅MRI示病变基本消失.结论 AIP是RPLS的罕见原因之一.表现为RPLS的AIP可有腹痛和神经精神症状等,尿检和影像学检查对诊断有帮助.

  20. Clinical and neuroimaging features of central nervous system impairments in acute intermittent porphyria%急性间歇性血卟啉病的中枢神经系统损害临床及影像特点分析

    Institute of Scientific and Technical Information of China (English)

    袁晶; 彭斌; 有慧; 张薇


    目的 分析急性间歇性血卟啉病中枢神经系统损害的临床及影像学特点,探讨其可能的发生机制.方法 回顾分析北京协和医院1991-2011年收治住院的6例出现中枢神经系统损害的急性间歇性血卟啉病患者,以及文献报道的13例出现中枢神经系统损害的急性间歇性血卟啉病患者的临床及影像学资料.结果 北京协和医院6例患者的中枢神经系统损害表现包括痫性发作,意识障碍,皮质盲等.脑电图出现慢波增多或正常.脑脊液检查蛋白稍高或正常.神经影像学表现为两组,一组(4例)为皮质及皮质下白质病变,以白质受累为主.另一组(2例)为对称性深部灰质核团病变.文献中13例患者中枢神经系统损害症状包括急性意识障碍,幻觉,痫性发作,皮质盲等.神经影像学表现与北京协和医院报道的病例相似,此外有2例患者仅表现为脑叶皮质受累,无白质受累表现.结论 急性间歇性血卟啉病可以造成中枢神经系统,周围神经系统,自主神经系统损害,中枢神经系统损害的影像学可以表现为皮质及皮质下白质损害,脑深部灰质核团损害,或者仅累及皮质,无白质损害.其发生存在多种可能的机制,应早期正确诊断及治疗.%Objective To analyze the clinical and neuroimaging features of central nervous system impairments in acute intermittent porphyria,and explore the possible mechanisms.Methods Six cases with intracranial lesions at our hospital from 1991 to 2011 and 13 cases reported in literatures were retrospectively reviewed.Results The clinical manifestations of central nervous system impairments included seizures,unconsciousness and cortical blindness,etc.EEG (electroencephalogram) showed slow wave or normal.CSF (cerebrospinal fluid) test indicated slightly higher or normal level of CSF protein.Neuroimaging studies showed two types of intracranial lesions.One type ( n =4) mainly affected the cortex and subcortical

  1. Role of genetic testing in the management of patients with inherited porphyria and their families. (United States)

    Whatley, S D; Badminton, M N


    The porphyrias are a group of mainly inherited metabolic conditions that result from partial deficiency of individual enzymes in the haem biosynthesis pathway. Clinical presentation is either with acute neurovisceral attacks, skin photosensitivity or both, and is due to overproduction of pathway intermediates. The primary diagnosis in the proband is based on biochemical testing of appropriate samples, preferably during or soon after onset of symptoms. The role of genetic testing in the autosomal dominant acute porphyrias (acute intermittent porphyria, hereditary coproporphyria and variegate porphyria) is to identify presymptomatic carriers of the family specific pathogenic mutation so that they can be counselled on how to minimize their risk of suffering an acute attack. At present the additional genetic factors that influence penetrance are not known, and all patients are treated as equally at risk. Genetic testing in the erythropoietic porphyrias (erythropoietic protoporphyria, congenital erythropoietic porphyria and X-linked dominant protoporphyria) is focused on predictive and preconceptual counselling, prenatal testing and genotype-phenotype correlation. Recent advances in analytical technology have resulted in increased sensitivity of mutation detection with success rates of greater than 90% for most of the genes. The ethical and consent issues are discussed. Current research into genetic factors that affect penetrance is likely to lead to a more refined approach to counselling for presymptomatic gene carriers.

  2. Acute Effects of Carbohydrate Supplementation on Intermittent Sports Performance

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    Lindsay B. Baker


    Full Text Available Intermittent sports (e.g., team sports are diverse in their rules and regulations but similar in the pattern of play; that is, intermittent high-intensity movements and the execution of sport-specific skills over a prolonged period of time (~1–2 h. Performance during intermittent sports is dependent upon a combination of anaerobic and aerobic energy systems, both of which rely on muscle glycogen and/or blood glucose as an important substrate for energy production. The aims of this paper are to review: (1 potential biological mechanisms by which carbohydrate may impact intermittent sport performance; (2 the acute effects of carbohydrate ingestion on intermittent sport performance, including intermittent high-intensity exercise capacity, sprinting, jumping, skill, change of direction speed, and cognition; and (3 what recommendations can be derived for carbohydrate intake before/during exercise in intermittent sports based on the available evidence. The most researched intermittent sport is soccer but some sport-specific studies have also been conducted in other sports (e.g., rugby, field hockey, basketball, American football, and racquet sports. Carbohydrate ingestion before/during exercise has been shown in most studies to enhance intermittent high-intensity exercise capacity. However, studies have shown mixed results with regards to the acute effects of carbohydrate intake on sprinting, jumping, skill, change of direction speed, and cognition. In most of these studies the amount of carbohydrate consumed was ~30–60 g/h in the form of a 6%–7% carbohydrate solution comprised of sucrose, glucose, and/or maltodextrin. The magnitude of the impact that carbohydrate ingestion has on intermittent sport performance is likely dependent on the carbohydrate status of the individual; that is, carbohydrate ingestion has the greatest impact on performance under circumstances eliciting fatigue and/or hypoglycemia. Accordingly, carbohydrate ingestion before

  3. Clinically Important Features of Porphyrin and Heme Metabolism and the Porphyrias


    Siddesh Besur; Wehong Hou; Paul Schmeltzer; Bonkovsky, Herbert L.


    Heme, like chlorophyll, is a primordial molecule and is one of the fundamental pigments of life. Disorders of normal heme synthesis may cause human diseases, including certain anemias (X-linked sideroblastic anemias) and porphyrias. Porphyrias are classified as hepatic and erythropoietic porphyrias based on the organ system in which heme precursors (5-aminolevulinic acid (ALA), porphobilinogen and porphyrins) are chiefly overproduced. The hepatic porphyrias are further subdivided into acute p...

  4. Acute Interstitial Nephritis induced by Intermittent use of Rifampicin in Patient with Brucellosis

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    Salih S


    Full Text Available Acute oliguric renal failure (ARF developed in a patient 2 days after she was started on intermittent anti-Brucella therapy including rifampicin. The clinical picture was compatible with acute allergic interstitial nephritis. Renal histology revealed mainly acute tubular necrosis with mild tubulo-intertitial mononuclear cellular infiltrate. Intermittent therapy, as in our patient, has been the major factor in the development of rifampicin induced ARF in cases reviewed in literature.

  5. Rapid screening test for porphyria diagnosis using fluorescence spectroscopy (United States)

    Lang, A.; Stepp, H.; Homann, C.; Hennig, G.; Brittenham, G. M.; Vogeser, M.


    Porphyrias are rare genetic metabolic disorders, which result from deficiencies of enzymes in the heme biosynthesis pathway. Depending on the enzyme defect, different types of porphyrins and heme precursors accumulate for the different porphyria diseases in erythrocytes, liver, blood plasma, urine and stool. Patients with acute hepatic porphyrias can suffer from acute neuropathic attacks, which can lead to death when undiagnosed, but show only unspecific clinical symptoms such as abdominal pain. Therefore, in addition to chromatographic methods, a rapid screening test is required to allow for immediate identification and treatment of these patients. In this study, fluorescence spectroscopic measurements were conducted on blood plasma and phantom material, mimicking the composition of blood plasma of porphyria patients. Hydrochloric acid was used to differentiate the occurring porphyrins (uroporphyrin-III and coproporphyrin-III) spectroscopically despite their initially overlapping excitation spectra. Plasma phantom mixtures were measured using dual wavelength excitation and the corresponding concentrations of uroporphyrin-III and coproporphyrin-III were determined. Additionally, three plasma samples of porphyria patients were examined and traces of coproporphyrin-III and uroporphyrin-III were identified. This study may therefore help to establish a rapid screening test method with spectroscopic differentiation of the occurring porphyrins, which consequently allows for the distinction of different porphyrias. This may be a valuable tool for clinical porphyria diagnosis and rapid or immediate treatment.

  6. Genetics Home Reference: porphyria (United States)

    ... ALAD , ALAS2 , CPOX , FECH , HMBS , PPOX , UROD , or UROS . The genes related to porphyria provide instructions for ... ALAD ALAS2 CPOX FECH HFE HMBS PPOX UROD UROS Related Information What is a gene? What is ...

  7. Clinical and genetic features of variegate porphyria in a Chinese patient

    Institute of Scientific and Technical Information of China (English)


    @@Acute porphyria is rare in orientals. We describe a Chinese woman with recurrent generalised tonic-clonic seizures and abdominal pain. Genomic DNA studies identified a heterozygous base substitution from guanine to adenine at nucleotide position 503, resulting in substitution of arginine by histidine at position 168 of the protein (R168H). This genetic abnormality is similar to the mutation reported in Caucasians with variegate porphyria. To the best of our knowledge, this is the first report in the English literature a Chinese patient with variegate porphyria with an identifiable mutation. A brief review of porphyria is presented.

  8. Homozygous acute intermittent porphyria in a 7-year-old boy with massive excretions of porphyrins and porphyrin precursors.

    NARCIS (Netherlands)

    Hessels, J.; Voortman, G.; Wagen, A. van der; Elzen, C. van der; Scheffer, H.; Zuijderhoudt, F.M.


    A 7-year-old boy demonstrating hepatosplenomegaly, mild anaemia, mild mental retardation, yellow-brown teeth and dark red urine had excessively elevated levels of urinary delta-aminolevulinic acid, porphobilinogen and uroporphyrin. Furthermore hepta-, hexa-, penta- and copro(I)porphyrins were highly

  9. Porphyria cutanea tarda

    DEFF Research Database (Denmark)

    Bygum, A; Brandrup, F; Christiansen, L


    Porphyria cutanea tarda (PCT), the most common porphyria disease, is characterized by blistering and skin fragility of sun-exposed skin. The symptoms are caused by lowered activity of uroporphyrinogen decarboxylase (URO-D) resulting in accumulation of water-soluble porphyrins in the skin. Most PCT...... cases are sporadic but can be familiar due to mutations in the URO-D gene located on chromosome number 1. The disease may be exacerbated by environmental factors. Iron accumulation is a characteristic finding and there is an association to hereditary haemochromatosis. Therapeutic venesection reduces...

  10. Disease: H00202 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available oietic porphyria; Acute Intermittent Porphyria (AIP); Variegate porphyria (VP); ALA-dehydratase deficiency porphyria (ALADP); Heredit...ary Coproporphyria (HCP) Hepatic porphyrias are diseases due to marked deficiencies

  11. Hepatoerythropoietic porphyria: neuroimaging findings. (United States)

    Berenguer, J; Blasco, J; Cardenal, C; Pujol, T; Cruces Prado, M J; Herrero, C; Mascaró, J M; de la Torre, C; Mercader, J M


    CT and MR findings in two patients with hepatoerythropoietic porphyria are presented. CT scans showed atrophy and cortical mineralization at the same level. MR examination performed in one of the two patients showed mainly frontal cortical atrophy and punctate bright signal on T1- and T2-weighted sequences.

  12. Congenital erythropoietic porphyria with undescended testis

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    Sandeep Arora


    Full Text Available Hereditary porphyrias are a group of metabolic disorders of heme biosynthesis pathway that are characterized by acute neurovisceral symptoms, skin lesions, or both. Congenital erythropoietic porphyria (CEP is an extremely rare disease with a mutation in the gene that codes for uroporphyrinogen III synthase leading to accumulation of porphyrin in different tissues and marked cutaneous photosensitivity. We report a case of CEP with infancy onset blistering, photosensitivity, red colored urine, and teeth along with scarring. Examination revealed an undescended testis of the left side. Mutation analysis revealed mutation in the uroporphyrinogen III synthase gene (UROS resulting in c. 56 A > G (Tyr19Cys. The presence of undescended testis with a rare mutation in a case of CEP which itself is an extremely rare condition make the case interesting.

  13. Congenital Erythropoietic Porphyria with Undescended Testis. (United States)

    Arora, Sandeep; Harith, Arun Kumar; Sodhi, Neha


    Hereditary porphyrias are a group of metabolic disorders of heme biosynthesis pathway that are characterized by acute neurovisceral symptoms, skin lesions, or both. Congenital erythropoietic porphyria (CEP) is an extremely rare disease with a mutation in the gene that codes for uroporphyrinogen III synthase leading to accumulation of porphyrin in different tissues and marked cutaneous photosensitivity. We report a case of CEP with infancy onset blistering, photosensitivity, red colored urine, and teeth along with scarring. Examination revealed an undescended testis of the left side. Mutation analysis revealed mutation in the uroporphyrinogen III synthase gene (UROS) resulting in c. 56 A > G (Tyr19Cys). The presence of undescended testis with a rare mutation in a case of CEP which itself is an extremely rare condition make the case interesting.

  14. Porphyrin and heme metabolism and the porphyrias. (United States)

    Bonkovsky, Herbert L; Guo, Jun-Tao; Hou, Weihong; Li, Ting; Narang, Tarun; Thapar, Manish


    Porphyrins and metalloporphyrins are the key pigments of life on earth as we know it, because they include chlorophyll (a magnesium-containing metalloporphyrin) and heme (iron protoporphyrin). In eukaryotes, porphyrins and heme are synthesized by a multistep pathway that involves eight enzymes. The first and rate-controlling step is the formation of delta-aminolevulinic acid (ALA) from glycine plus succinyl CoA, catalyzed by ALA synthase. Intermediate steps occur in the cytoplasm, with formation of the monopyrrole porphobilinogen and the tetrapyrroles hydroxymethylbilane and a series of porphyrinogens, which are serially decarboxylated. Heme is utilized chiefly for the formation of hemoglobin in erythrocytes, myoglobin in muscle cells, cytochromes P-450 and mitochondrial cytochromes, and other hemoproteins in hepatocytes. The rate-controlling step of heme breakdown is catalyzed by heme oxygenase (HMOX), of which there are two isoforms, called HMOX1 and HMOX2. HMOX breaks down heme to form biliverdin, carbon monoxide, and iron. The porphyrias are a group of disorders, mainly inherited, in which there are defects in normal porphyrin and heme synthesis. The cardinal clinical features are cutaneous (due to the skin-damaging effects of excess deposited porphyrins) or neurovisceral attacks of pain, sometimes with weakness, delirium, seizures, and the like (probably due mainly to neurotoxic effects of ALA). The treatment of choice for the acute hepatic porphyrias is intravenous heme therapy, which repletes a critical regulatory heme pool in hepatocytes and leads to downregulation of hepatic ALA synthase, which is a biochemical hallmark of all forms of acute porphyria in relapse.

  15. New developments in erythropoietic porphyrias. (United States)

    Darwich, E; Herrero, C


    In recent years, important advances have been made in our understanding of the genetics of porphyrias, particularly with respect to erythropoietic protoporphyria (EPP) and congenital erythropoietic porphyria (CEP), 2 forms of erythropoietic porphyria no longer considered to be monogenic. The identification of mutations in genes not previously associated with these disorders as causative factors or modulators of severity has helped to explain the presence of genotypic and phenotypic differences between patients carrying the same mutations. These advances have also led to the identification of causative genetic defects in patients who, based on molecular studies, had no mutations in the uroporphyrinogen III synthase gene UROS (in CEP) or in the ferrochelatase gene FECH (in EPP). Better understanding and characterization of the genetics of porphyrias will allow us to determine genotypic and phenotypic correlations and improve the molecular classification of these diseases, which will have both practical and prognostic implications.

  16. Diet and Nutrition in Porphyria (United States)

    ... Art Sale You are here Home Diet and Nutrition A proper diet is important to all individuals, ... alter food intake. Therefore, attention to diet and nutrition is important in almost any disease. Porphyrias are ...

  17. Porphyria cutanea tarda responding to spirulina


    Pavithran K; Nair P


    A male patient of porphyria cutanea tarda responded to oral spirulina - an alga rich in beta - carotene. The beta - carotene in the spirulina quenches the singlet oxygen which is responsible for the tissue damage in porphyria-associated photosensitivity.

  18. Intermittent acute angle closure glaucoma and chronic angle closure following topiramate use with plateau iris configuration

    Directory of Open Access Journals (Sweden)

    Rajjoub LZ


    Full Text Available Lamise Z Rajjoub, Nisha Chadha, David A Belyea Department of Ophthalmology, The George Washington University, Washington, DC, USA Abstract: This is a case report describing recurrent intermittent acute angle closure episodes in the setting of topiramate use in a female suffering from migraines. Despite laser peripheral iridotomy placement for the pupillary block component, and the discontinuation of topiramate, the acute angle closure did not resolve in the left eye with chronic angle closure and the patient required urgent trabeculectomy. The right eye responded to laser peripheral iridotomy immediately and further improved after the cessation of topiramate. While secondary angle closure glaucoma due to topiramate use has been widely reported, its effects in patients with underlying primary angle closure glaucoma have not been discussed. Our report highlights the importance of recognizing the often multifactorial etiology of angle closure glaucoma to help guide clinical management. Keywords: angle closure glaucoma, plateau iris, topiramate, secondary glaucoma, drug-induced glaucoma

  19. Phase II study of profiromycin vs mitomycin-C utilizing acute intermittent schedules. (United States)

    Baker, L H; Izbicki, R M; Vaitkevicius, V K


    A randomized prosective study of Mitomycin-C and its N-methyl derivative, Porfiromycin, was conducted. Thirty-two patients with disseminated gastrointestinal cancer or other disseminated abdominal adenocarcinoma were treated with Mitomycin-C; 31 patients received Porfiromycin. Both drugs were given by acute intermittent bolus schedule (Mitomucin-C , 22.5 mg/M2 or Porfiromycin, 75 mg/M2 every 6--8 weeks as a single bolus i.v. injection). Eleven patients (34%) who received Mitomycin-C entered into partial remission. In 10 of the 31 patients (32%) receiving Porfiromycin, partial remission occured. Analysis by tumor type demonstrated that in the Mitomycin-C treated group responses occured in 4 of 12 patients with colorectal carcinoma, in 4 of 9 with upper GI cancers, and in 3 of 11 with ovarian cancer. Correspondingly in Porfiromycin group responses occured in 2 of 12 colorectal carcinoma patients, in 3 of 7 upper GI cancer patients, and in 5 of 12 ovarian cancer patients. Both drugs produced significant myelosuppression; however, Porfiromycin toxicity appeared more cumulative. Further clinical trial of Mitomycin in an acute intermittent bolus schedule appears justified.

  20. Purple pigments: the pathophysiology of acute porphyric neuropathy. (United States)

    Lin, Cindy S-Y; Lee, Ming-Jen; Park, Susanna B; Kiernan, Matthew C


    The porphyrias are inherited metabolic disorders arising from disturbance in the haem biosynthesis pathway. The neuropathy associated with acute intermittent porphyria (AIP) occurs due to mutation involving the enzyme porphobilinogen deaminase (PBGD) and is characterised by motor-predominant features. Definitive diagnosis often encompasses a combination of biochemical, enzyme analysis and genetic testing, with clinical neurophysiological findings of a predominantly motor axonal neuropathy. Symptomatic and supportive treatment are the mainstays during an acute attack. If administered early, intravenous haemin may prevent progression of neuropathy. While the pathophysiology of AIP neuropathy remains unclear, axonal dysfunction appears intrinsically linked to the effects of neural energy deficits acquired through haem deficiency coupled to the neurotoxic effects of porphyrin precursors. The present review will provide an overview of AIP neuropathy, including discussion of recent advances in understanding developed through neurophysiological approaches that have further delineated the pathophysiology of axonal degeneration.

  1. The Role of Acute Intermittent Hypoxia in Neutrophil-Generated Superoxide, Sympathovagal Balance, and Vascular Function in Healthy Subjects (United States)

    Almeida, Germana P. L.; Trombetta, Ivani C.; Cepeda, Felipe X.; Hatanaka, Elaine; Curi, Rui; Mostarda, Cristiano; Irigoyen, Maria C.; Barreto-Filho, José A. S.; Krieger, Eduardo M.; Consolim-Colombo, Fernanda M.


    Introduction: Recurrent hypoxia (HPX), a hallmark of the obstructive sleep apnea (OSA), impairs autonomic balance, and increases arterial blood pressure (BP). Oxidative stress is one of the mechanisms involved in these alterations. The cumulative effect of acute intermittent HPX and the chronicity may determine whether the response crosses the threshold from having protective value to pathology. However, the impact of acute intermittent HPX–reoxygenation on markers of oxidative stress in healthy individuals remains to be fully understood. Objective: To analyze the effects of the acute intermittent HPX on the generation of neutrophil-derived superoxide, sympathovagal balance, and vascular function in healthy subjects. Methods: We applied six cycles of intermittent HPX (10% O2 and 90% N2) for 5 min followed by 2 min of room-air in 15 healthy volunteers (34 ± 2 years; 22.3 ± 0.46 kg/m2), without OSA (polysomnography), during wakefulness. During the experimental protocol, we recorded O2 saturation, end-tidal CO2, heart rate (HR), systolic, and diastolic BP, cardiac output (CO) and peripheral resistance (PR). Cardiac sympathovagal balance was determined by HR variability analysis (low frequency and high frequency bands, LF/HF). Superoxide generation in polymorphonuclear neutrophil cells were established using relative luminescence units (PMNs RLU) at baseline (pre-HPX) and immediately after hypoxia induction (post-HPX6). Results: The studied subjects had normal levels of BP, plasma glucose, lipid profile, and inflammatory marker (C-reactive protein). Acute intermittent HPX increased HR, systolic BP, CO, and decreased PR. Additionally, acute intermittent HPX increased PMNs RLU, measured post-HPX6 (470 ± 50 vs. 741 ± 135, P < 0.05). We found a similar increase in LF/HF post-HPX6 (0.91 ± 0.11 vs. 2.85 ± 0.40, P < 0.05). PR was diminished from pre-HPX to post-HPX6 (1.0 ± 0.03 vs. 0.85 ± 0.06, P < 0.05). Further analysis showed significant association between O2

  2. Acute tubulo-interstitial nephritis requiring dialysis associated with intermittent rifampicin use: case report. (United States)

    Gallieni, M; Braidotti, P; Cozzolino, M; Romagnoli, S; Carpani, P


    Rifampicin is one of the most effective antibiotics used for the treatment of tuberculosis and severe staphylococcal infections. Intermittent administration of high doses of rifampicin has been associated with frequent adverse reactions, including hepatotoxicity and nephrotoxicity, sometimes resulting in acute renal failure. We describe a case of rifampicin-associated acute renal failure, with biopsy findings of tubulointerstitial nephritis; inflammatory cells were characterized by immunohistochemistry, which showed immunoreactivity for CD3 and CD5 (T lymphocytes) and for CD68 (macrophages). The patient presented with a very rapid systemic reaction to the offending drug and rapid deterioration of renal function, which required dialysis treatment. The response to rifampicin discontinuation was excellent: no further therapy was required, as renal function began to improve within several days and returned to normal values (serum creatinine 1.17 mg/dl) seven months after the onset of symptoms. When prescribing rifampicin the physician should investigate previous use of the drug, because re-exposure is a critical factor in predicting the possibility of drug-induced acute renal failure.

  3. Past and future: porphyria and porphyrins. (United States)

    Norman, Robert A


    Porphyria is a compelling disease--disrupted enzyme pathways, heightened sensitivities, and a fascinating history tied in with tales of Dracula. This review discusses the history, pathophysiology, classification, and treatment of porphyria. It further discusses the way in which research on the etiologies of the various porphyrias has led to the development of porphyrin-based photodynamic therapy, which shows great promise in targeted therapy for a variety of serious pathologies.

  4. Effect of Acute Intermittent CPAP Depressurization during Sleep in Obese Patients.

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    Jonathan C Jun

    Full Text Available Obstructive Sleep Apnea (OSA describes intermittent collapse of the airway during sleep, for which continuous positive airway pressure (CPAP is often prescribed for treatment. Prior studies suggest that discontinuation of CPAP leads to a gradual, rather than immediate return of baseline severity of OSA. The objective of this study was to determine the extent of OSA recurrence during short intervals of CPAP depressurization during sleep.Nine obese (BMI = 40.4 ± 3.5 subjects with severe OSA (AHI = 88.9 ± 6.8 adherent to CPAP were studied during one night in the sleep laboratory. Nasal CPAP was delivered at therapeutic (11.1 ± 0.6 cm H20 or atmospheric pressure, in alternating fashion for 1-hour periods during the night. We compared sleep architecture and metrics of OSA during CPAP-on and CPAP-off periods.8/9 subjects tolerated CPAP withdrawal. The average AHI during CPAP-on and CPAP-off periods was 3.6 ± 0.6 and 15.8 ± 3.6 respectively (p<0.05. The average 3% ODI during CPAP-on and CPAP-off was 4.7 ± 2 and 20.4 ± 4.7 respectively (p<0.05. CPAP depressurization also induced more awake (p<0.05 and stage N1 (p<0.01 sleep, and less stage REM (p<0.05 with a trend towards decreased stage N3 (p = 0.064.Acute intermittent depressurization of CPAP during sleep led to deterioration of sleep architecture but only partial re-emergence of OSA. These observations suggest carryover effects of CPAP.

  5. Porphyria cutanea tarda responding to spirulina

    Directory of Open Access Journals (Sweden)

    Pavithran K


    Full Text Available A male patient of porphyria cutanea tarda responded to oral spirulina - an alga rich in beta - carotene. The beta - carotene in the spirulina quenches the singlet oxygen which is responsible for the tissue damage in porphyria-associated photosensitivity.

  6. Effects of acute intermittent hypoxia on energy balance and hypothalamic feeding pathways. (United States)

    Moreau, J M; Ciriello, J


    This study was done to investigate the effects of acute intermittent hypoxia (IH) on metabolic factors associated with energy balance and body weight, and on hypothalamic satiety-inducing pathways. Adult male Sprague-Dawley rats were exposed to either 8h IH or normoxic control conditions. Food intake, locomotion and body weights were examined after IH. Additionally, plasma levels of leptin, adiponectin corticosterone, insulin and blood glucose were measured following exposure to IH. Furthermore, adipose tissue was removed and analyzed for leptin and adiponectin content. Finally, the hypothalamic arcuate nucleus (ARC) was assessed for alterations in protein signaling associated with satiety. IH reduced body weight, food intake and active cycle locomotion without altering adipose tissue mass. Leptin protein content was reduced while adiponectin content was elevated in adipose tissue after IH. Plasma concentration of leptin was significantly increased while adiponectin decreased after IH. No changes were found in plasma corticosterone, insulin and blood glucose. In ARC, phosphorylation of signal transducer and activator of transcription-3 and pro-opiomelanocortin (POMC) expression were elevated. In addition, POMC-expressing neurons were activated as determined by immediate early gene FRA-1/2 expression. Finally, ERK1/2 and its phosphorylation were reduced in response to IH. These data suggest that IH induces significant alterations to body energy balance through changes in the secretion of leptin which exert effects on satiety-inducing pathways within the hypothalamus.

  7. Intermittent and continuous high-intensity exercise training induce similar acute but different chronic muscle adaptations. (United States)

    Cochran, Andrew J R; Percival, Michael E; Tricarico, Steven; Little, Jonathan P; Cermak, Naomi; Gillen, Jenna B; Tarnopolsky, Mark A; Gibala, Martin J


    High-intensity interval training (HIIT) performed in an 'all-out' manner (e.g. repeated Wingate tests) is a time-efficient strategy to induce skeletal muscle remodelling towards a more oxidative phenotype. A fundamental question that remains unclear, however, is whether the intermittent or 'pulsed' nature of the stimulus is critical to the adaptive response. In study 1, we examined whether the activation of signalling cascades linked to mitochondrial biogenesis was dependent on the manner in which an acute high-intensity exercise stimulus was applied. Subjects performed either four 30 s Wingate tests interspersed with 4 min of rest (INT) or a bout of continuous exercise (CONT) that was matched for total work (67 ± 7 kJ) and which required ∼4 min to complete as fast as possible. Both protocols elicited similar increases in markers of adenosine monophosphate-activated protein kinase (AMPK) and p38 mitogen-activated protein kinase activation, as well as Peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α) mRNA expression (main effects for time, P ≤ 0.05). In study 2, we determined whether 6 weeks of the CONT protocol (3 days per week) would increase skeletal muscle mitochondrial content to a similar extent to what we have previously reported after 6 weeks of INT. Despite similar acute signalling responses to the CONT and INT protocols, training with CONT did not increase the maximal activity or protein content of a range of mitochondrial markers. However, peak oxygen uptake was higher after CONT training (from 45.7 ± 5.4 to 48.3 ± 6.5 ml kg(-1) min(-1); P muscle adaptations to low-volume, all-out HIIT. Despite the lack of skeletal muscle mitochondrial adaptations, our data show that a training programme based on a brief bout of high-intensity exercise, which lasted <10 min per session including warm-up, and performed three times per week for 6 weeks, improved peak oxygen uptake in young healthy subjects.

  8. Effects of continuous and intermittent renal replacement therapies among adult patients with acute kidney injury. (United States)

    Schoenfelder, Tonio; Chen, Xiaoyu; Bleß, Hans-Holger


    Background: Dialysis-dependent acute kidney injury (AKI) can be treated using continuous (CRRT) or intermittent renal replacement therapies (IRRT). Although some studies suggest that CRRT may have advantages over IRRT, study findings are inconsistent. This study assessed differences between CRRT and IRRT regarding important clinical outcomes (such as mortality and renal recovery) and cost-effectiveness. Additionally, ethical aspects that are linked to renal replacement therapies in the intensive care setting are considered. Methods: Systematic searches in MEDLINE, EMBASE, and Cochrane Library including RCTs, observational studies, and cost-effectiveness studies were performed. Results were pooled using a random effects-model. Results: Forty-nine studies were included. Findings show a higher rate of renal recovery among survivors who initially received CRRT as compared with IRRT. This advantage applies to the analysis of all studies with different observation periods (Relative Risk (RR) 1.10; 95% Confidence Interval (CI) [1.05, 1.16]) and to a selection of studies with observation periods of 90 days (RR 1.07; 95% CI [1.04, 1.09]). Regarding observation periods beyond there are no differences when only two identified studies were analyzed. Patients initially receiving CRRT have higher mortality as compared to IRRT (RR 1.17; 95% CI [1.06, 1.28]). This difference is attributable to observational studies and may have been caused by allocation bias since seriously ill patients more often initially receive CRRT instead of IRRT. CRRT do not significantly differ from IRRT with respect to change of mean arterial pressure, hypotensive episodes, hemodynamic instability, and length of stay. Data on cost-effectiveness is inconsistent. Recent analyzes indicate that initial CRRT is cost-effective compared to initial IRRT due to a reduction of the rate of long-term dialysis dependence. As regards a short time horizon, this cost benefit has not been shown. Conclusion: Findings of

  9. Porphyrin Tests (United States)

    ... Blood Cell Porphyrins Acute intermittent porphyria Increased Increased URO* Normal Normal Variegate porphyria Increased Increased COPRO Increased ... COPRO Increased PROTO Porphyria cutanea tarda Normal Increased URO, 7-carboxyl Increased Isocoproporphyrin Normal Erythropoietic Protoporphyria Normal ...

  10. Porphyria (United States)

    ... Liver Disease & NASH Definition & Facts Symptoms & Causes Diagnosis Treatment Eating, Diet, & Nutrition Clinical Trials Biliary Atresia Cirrhosis Hemochromatosis Hepatitis A through E (Viral Hepatitis) Hepatitis ...

  11. Porphyria (United States)

    ... Fax: 713–840–9552 Email: Internet: Iron Disorders Institute P.O. ... or 864–292–1175 Email: Internet: National Institutes of Health Office ...

  12. Intermittent Exposure to Social Defeat and Open-field Test in Rats : Acute and Long-term Effects on ECG, Body Temperature and Physical Activity

    NARCIS (Netherlands)

    Sgoifo, Andrea; Pozzato, Chiara; Meerlo, Peter; Costoli, Tania; Manghi, Massimo; Stilli, Donatella; Olivetti, Giorgio; Musso, Ezio


    This study investigated the effects of exposure to an intermittent homotypic stressor on: (i) habituation of acute autonomic responsivity (i.e. cardiac sympathovagal balance and susceptibility to arrhythmias), and (ii) circadian rhythmicity of heart rate, body temperature, and physical activity. Aft

  13. Porphyria cutanea tarda in a HIV- positive patient* (United States)

    Franzon, Valéria Aparecida Zanela; Mikilita, Emanuella Stella; Camelo, Fernanda Henriques; Camargo, Rosana


    This is a case report about Porphyria cutanea tarda (PCT) and its relationship with the infection caused by the human immunodeficiency virus (HIV). Cutaneous porphyria is an illness caused by enzymatic modification that results in partial deficiency of uroporphyrinogen decarboxylase (Urod), which may be hereditary or acquired. Several studies suggest that HIV infection associated with cofactors might trigger the development of porphyria cutanea tarda. In this case report, we present a patient infected with HIV, who after the introduction of antiretroviral therapy (ART) enjoyed clinical improvement of porphyria cutanea tarda symptoms. PMID:27579753

  14. Acute effects of plyometric jumping and intermittent running on serum bone markers in young males. (United States)

    Lin, Che-Fu; Huang, Tsang-hai; Tu, Kuo-Cheng; Lin, Linda L; Tu, Yi-Hsuan; Yang, Rong-Sen


    The purpose of this study was to investigate whether different modes of single-bout exercise would cause different responses in short-term bone metabolism. 24 untrained male college students (19.1 ± 0.1 years old) were recruited and randomly assigned to three groups: (1) a single-bout plyometric exercise group (the PL group, n = 8), (2) a 200-meter × 10 intermittent running group (the IR group, n = 8) and (3) a sedentary control group, which followed the same time schedule of experimentation without performing any exercise (the CON group, n = 8). Serial blood samples were collected before (baseline) and 5 min, 15 min, 1 h, 3 h, 6 h, 24 h, 48 h, and 72 h after exercise trials. Within 15 min of exercise, the PL and IR groups showed significantly higher serum phosphorus than did the control group (P < 0.05). Osteocalcin levels were significantly higher in the PL group at 5 min and 1 h after exercise (P < 0.05), while serum tartrate-resistant acid phosphatase (TRAP) showed no differences among groups. Exercises with different mechanical impact levels responded differently in serum bone formation markers as shown by osteocalcin. Because the increase in osteocalcin in the PL group was revealed shortly after the exercise bout, the changes might due to an exercise-induced mechanical impact rather than bone cellular activities.

  15. Spinal vascular endothelial growth factor (VEGF) and erythropoietin (EPO) induced phrenic motor facilitation after repetitive acute intermittent hypoxia. (United States)

    Dale, Erica A; Mitchell, Gordon S


    Vascular endothelial growth factor (VEGF) and erythropoietin (EPO) exert neurotrophic and neuroprotective effects in the CNS. We recently demonstrated that VEGF, EPO and their receptors (VEGF-R2, EPO-R) are expressed in phrenic motor neurons, and that cervical spinal VEGF-R2 and EPO-R activation elicit long-lasting phrenic motor facilitation (pMF). Since VEGF, VEGF-R, EPO, and EPO-R are hypoxia-regulated genes, and repetitive exposure to acute intermittent hypoxia (rAIH) up-regulates these molecules in phrenic motor neurons, we tested the hypothesis that 4 weeks of rAIH (10 episodes per day, 3 days per week) enhances VEGF- or EPO-induced pMF. We confirm that cervical spinal VEGF and EPO injections elicit pMF. However, neither VEGF- nor EPO-induced pMF was affected by rAIH pre-conditioning (4 wks). Although our data confirm that spinal VEGF and EPO may play an important role in respiratory plasticity, we provide no evidence that rAIH amplifies their impact. Further experiments with more robust protocols are warranted.

  16. Clinical Characteristics and 30-Day Outcomes of Intermittent Hemodialysis for Acute Kidney Injury in an African Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Arthur Kwizera


    Full Text Available Introduction. Acute kidney injury (AKI is a common occurrence in the intensive care unit (ICU. Studies have looked at outcomes of renal replacement therapy using intermittent haemodialysis (IHD in ICUs with varying results. Little is known about the outcomes of using IHD in resource-limited settings where continuous renal replacement therapy (CRRT is limited. We sought to determine outcomes of IHD among critically ill patients admitted to a low-income country ICU. Methods. A retrospective review of patient records was conducted. Patients admitted to the ICU who underwent IHD for AKI were included in the study. Patients’ demographic and clinical characteristics, cause of AKI, laboratory parameters, haemodialysis characteristics, and survival were interpreted and analyzed. Primary outcome was mortality. Results. Of 62 patients, 40 had complete records. Median age of patients was 38.5 years. Etiologic diagnoses associated with AKI included sepsis, malaria, and ARDS. Mortality was 52.5%. APACHE II (OR 4.550; 95% CI 1.2–17.5, p=0.028, mechanical ventilation (OR 13.063; 95% CI 2.3–72, p=0.003, and need for vasopressors (OR 16.8; 95% CI 3.4–82.6, p=0.001 had statistically significant association with mortality. Conclusion. IHD may be a feasible alternative for RRT in critically ill haemodynamically stable patients in low resource settings where CRRT may not be available.

  17. Acute impact of intermittent pneumatic leg compression frequency on limb hemodynamics, vascular function, and skeletal muscle gene expression in humans. (United States)

    Sheldon, Ryan D; Roseguini, Bruno T; Thyfault, John P; Crist, Brett D; Laughlin, M H; Newcomer, Sean C


    The mechanisms by which intermittent pneumatic leg compression (IPC) treatment effectively treats symptoms associated with peripheral artery disease remain speculative. With the aim of gaining mechanistic insight into IPC treatment, the purpose of this study was to investigate the effect of IPC frequency on limb hemodynamics, vascular function, and skeletal muscle gene expression. In this two study investigation, healthy male subjects underwent an hour of either high-frequency (HF; 2-s inflation/3-s deflation) or low-frequency (LF; 4-s inflation/16-s deflation) IPC treatment of the foot and calf. In study 1 (n = 11; 23.5 ± 4.7 yr), subjects underwent both HF and LF treatment on separate days. Doppler/ultrasonography was used to measure popliteal artery diameter and blood velocity at baseline and during IPC treatment. Flow-mediated dilation (FMD) and peak reactive hyperemia blood flow (RHBF) were determined before and after IPC treatment. In study 2 (n = 19; 22.0 ± 4.6 yr), skeletal muscle biopsies were taken from the lateral gastrocnemius of the treated and control limb at baseline and at 30- and 150-min posttreatment. Quantitative PCR was used to assess mRNA concentrations of genes associated with inflammation and vascular remodeling. No treatment effect on vascular function was observed. Cuff deflation resulted in increased blood flow (BF) and shear rate (SR) in both treatments at the onset of treatment compared with baseline (P inflation. IPC decreased the mRNA expression of cysteine-rich protein 61 from baseline and controls (P <0 .01) and connective tissue growth factor from baseline (P < 0.05) in a frequency-dependent manner. In conclusion, a single session of IPC acutely impacts limb hemodynamics and skeletal muscle gene expression in a frequency-dependent manner but does not impact vascular function.

  18. Intermittent use of amifostine during postoperative radiochemotherapy and acute toxicity in rectal cancer patients

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    Dunst, J.; Semlin, S.; Pigorsch, S.; Mueller, A.C.; Reese, T. [Halle-Wittenberg Univ., Halle (Germany). Abt. fuer Radiotherapie


    From September 1997 through October 1998, 30 patients with stage II/III rectal cancer underwent postoperative radiochemotherapy at our department. All patients had undergone curative (R0) resection and received 50.4 Gy to the pelvis with a 3-field technique using a belly board followed by a boost of 5.4 Gy to the presacral space in conventional fractionation with 1.8 Gy per fraction. 5-FU chemotherapy was administered as 120-hours continuous infusion in the first and fifth radiation week via a central venous catheter in a daily dosage of 1000 mg/m{sup 2}. All patients were offered to participate in a phase-II study using additional amifostine. Fifteen patients participated and received 500 mg amifostine daily on chemotherapy days (days 1 to 5 and 29 to 33) immediately prior to the daily radiation fraction. Fifteen patients did not participate and served as non-randomized control. The study was approved by the ethical committee of the Martin-Luter-University and informed consent was obtained from all patients. Results: The distribution of patients' characteristics and prognostic parameters was comparable in both groups. Side effects of amifostine were mild and included hypotension (53% grade I, 7% grade II) and nausea (47% grade I, 13% grade II). Antiemetics were not routinely used. All patients completed radiochemotherapy plus amifostine without unplanned breaks or dose reductions. One patients developed a cerebral infraction which was considered to be not related to the use of amifostine. As compared to the non-randomized control group, patients with additional amifostine had less acute skin and bowel toxicity (maximum erythema score 1.47{+-}0.64 without vs 0.87{+-}0.52 with amifostine, p=0.009 and maximum diarrhea score 1.07{+-}1.03 vs 0.40{+-}0.63, p=0.044). Oral 5-FU-related mucositis and hematological toxicity were not significantly different. (orig.) [German] Zwischen September 1997 und Oktober 1998 wurden 15 Patienten mit postoperativer

  19. Energy intermittency

    CERN Document Server

    Sorensen, Bent


    The first book to consider intermittency as a key point of an energy system, Energy Intermittency describes different levels of variability for traditional and renewable energy sources, presenting detailed solutions for handling energy intermittency through trade, collaboration, demand management, and active energy storage. Addressing energy supply intermittency systematically, this practical text:Analyzes typical time-distributions and intervals between episodes of demand-supply mismatch and explores their dependence on system layouts and energy source characteristicsSimulates scenarios regar

  20. HAART: a risk factor for development of porphyria cutanea tarda?

    Directory of Open Access Journals (Sweden)

    Fred Bernardes Filho


    Full Text Available Porphyria cutanea tarda (PCT is caused by inherited or acquired partial deficiency of the uroporphyrinogen-decarboxylase (Uro-D enzyme activity. It is the most common form of porphyria. The main triggering factors to the development of porphyria cutanea tarda are alcohol, hepatitis C virus and human immunodeficiency virus. There are several reports of PCT associated with drugs, among them, antiretroviral therapy. We describe three HIV-positive patients, which showed photosensitivity as well as the emergence of tense blisters on sun-exposed areas during the use of highly active antiretroviral therapy (HAART and discuss the possibility of PCT after the use of these drugs by those patients.

  1. Acute Flaccid paralysis in adults: Our experience

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    Rupesh Kaushik


    Full Text Available Acute flaccid paralysis (AFP is a complex clinical syndrome with a broad array of potential etiologies that vary with age. We present our experience of acute onset lower motor neuron paralysis. Materials and Methods: One hundred and thirty-three consecutive adult patients presenting with weakness of duration less than four weeks over 12 months period were enrolled. Detailed history, clinical examination, and relevant investigations according to a pre-defined diagnostic algorithm were carried out. The patients were followed through their hospital stay till discharge or death. Results: The mean age was 33.27 (range 13-89 years with male preponderance (67.7%. The most common etiology was neuroparalytic snake envenomation (51.9%, followed by Guillain Barre syndrome (33.1%, constituting 85% of all patients. Hypokalemic paralysis (7.5% and acute intermittent porphyria (4.5% were the other important conditions. We did not encounter any case of acute polio mylitis in adults. In-hospital mortality due to respiratory paralysis was 9%. Conclusion: Neuroparalytic snakebite and Guillain Barre syndrome were the most common causes of acute flaccid paralysis in adults in our study.

  2. Terpene-induced porphyria and the illness of Vincent van Gogh

    Energy Technology Data Exchange (ETDEWEB)

    Lambrecht, R.; Cable, E.; Cable, J.; Clements, E.; Donohue, S.; Greene, Y.; Srivastava, K.; Arnold, W.; Bonkovsky, H. (Univ. of Massachusetts Medical Center, Worcester (United States) Univ. of Kansas Medical Center, Kansas City (United States))


    Vincent van Gogh suffered from recurrent bouts of an illness that may have been acute porphyria and abused camphor and alcohol, the latter particularly in the form of absinthe, a liqueur distilled from wormwood that was popular in 19th C France. To learn whether camphor or terpenes found in absinthe are porphyrogenic, the authors studied them in cultures of chick embryo liver cells. All were found to be porphyrogenic, especially in the presence of deferoxamine. The terpenes also induced the activity and protein amount of 5-aminolevulinate synthase and heme oxygenase, and induced activities of benzphetamine demethylase. The degree of porphyrin and enzyme induction produced by 1mM camphor was similar to that produced by 50uM glutethimide, a potent porphyrogen. Potency of pinene and thujone were lower. Camphor and glutethimide both produced accumulations of 8- and 7-COOH porphyrins, whereas pinene and thujone produced 4- and 2-COOH porphyrin accumulation. The authors conclude that camphor, pinen and thujone are porphyrogenic, cable of exacerbating acute porphyria, and may have done so in van Gogh.

  3. Retraction: 'Beneficial Effect of Intermittent Cyclical Etidronate Therapy in Hemiplegic Patients Following an Acute Stroke' by Y. Sato, T. Asoh, M. Kaji and K. Oizumi. (United States)


    The above article, published online on 1 December 2000 in Wiley Online Library (, and in Volume 15, Issue 12, pages 2487-2494, has been retracted by agreement between the authors, the Journal Editor in Chief, Juliet Compston, and Wiley Periodicals, Inc. The retraction has been agreed due to concerns about the underlying data to which the authors have given no satisfactory response. Dr Sato acknowledges that his co-authors are named as such for honorary reasons and are not responsible for the content of the manuscript. Reference Sato, Y., Asoh, T., Kaji, M. and Oizumi, K. (2000) Beneficial Effect of Intermittent Cyclical Etidronate Therapy in Hemiplegic Patients Following an Acute Stroke. J Bone Miner Res, 15:2487-2494. doi: 10.1359/jbmr.2000.15.12.2487.

  4. Increasing Cycles of Intermittent Ischemia Can Effectively Maintain Liver Function during the Acute Phase of Ischemia Reperfusion Injury by Promotion of Bile Flow and Reduction in Bile Salt Toxicity

    NARCIS (Netherlands)

    Peters, J.; Nieuwenhuijs, V. B.; Morphett, A.; Porte, R. J.; Padbury, R. T. A.; Barritt, G. J.


    Background/Aims: Intermittent ischemia (INT) can improve liver function following inflow occlusion. The aim was to test whether the number of cycles of INT can be increased without impairing liver function. Methods: Liver function in the acute phase of ischemia reperfusion injury was assessed by mea

  5. Genetic and biochemical studies in Argentinean patients with variegate porphyria

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    Giudice Jimena


    Full Text Available Abstract Background A partial deficiency in Protoporphyrinogen oxidase (PPOX produces the mixed disorder Variegate Porphyria (VP, the second acute porphyria more frequent in Argentina. Identification of patients with an overt VP is absolutely important because treatment depends on an accurate diagnosis but more critical is the identification of asymptomatic relatives to avoid acute attacks which may progress to death. Methods We have studied at molecular level 18 new Argentinean patients biochemically diagnosed as VP. PPOX gene was amplified in one or in twelve PCR reactions. All coding exons, flanking intronic and promoter regions were manual or automatically sequenced. For RT-PCR studies RNA was retrotranscripted, amplified and sequenced. PPOX activity in those families carrying a new and uncharacterized mutation was performed. Results All affected individuals harboured mutations in heterozygous state. Nine novel mutations and 3 already reported mutations were identified. Six of the novel mutations were single nucleotide substitutions, 2 were small deletions and one a small insertion. Three single nucleotide substitutions and the insertion were at exon-intron boundaries. Two of the single nucleotide substitutions, c.471G>A and c.807G>A and the insertion (c.388+3insT were close to the splice donor sites in exons 5, 7 and intron 4 respectively. The other single nucleotide substitution was a transversion in the last base of intron 7, g.3912G>C (c.808-1G>C so altering the consensus acceptor splice site. However, only in the first case the abnormal band showing the skipping of exon 5 was detected. The other single nucleotide substitutions were transversions: c.101A>T, c.995G>C and c.670 T>G that result in p.E34V, p.G332A and W224G aminoacid substitutions in exons 3, 10 and 7 respectively. Activity measurements indicate that these mutations reduced about 50% PPOX activity and also that they co-segregate with this reduced activity value. Two

  6. Insulin resistance in porphyria cutanea tarda. (United States)

    Calcinaro, F; Basta, G; Lisi, P; Cruciani, C; Pietropaolo, M; Santeusanio, F; Falorni, A; Calafiore, R


    It has been reported that patients with porphyria cutanea tarda (PCT) develop carbohydrate (CHO) intolerance and manifest diabetes melitus (DM) more frequently than the normal population. In order to verify whether this is due to insulin resistance we studied 5 patients with PCT and 5 normal subjects matched for age, sex and weight. In all the patients an evaluation consisted of the glycemic curve and insulin response to an iv glucose tolerance test (IVGTT: 0.33 g/kg) as well as of an evaluation of the circulating monocyte insulin receptors. Blood samples were drawn in the basal state to measure plasma levels of NEFA, glycerol, and intermediate metabolites. The patients with PCT showed normal glucose tolerance which was obtained, however, at the expense of the elevated insulin levels: therefore a condition of insulin resistance was demonstrated in these subjects. An involvement of the lipid metabolism, observed by the raised levels of plasma NEFA and glycerol, was also evident. The insulin binding to circulating monocytes was reduced but not enough to justify the degree of insulin resistance observed. Therefore, it could be hypothesized, in agreement with similar studies, that a postreceptor defect is responsible for the insulin-resistance observed in patients with PCT and that the reduction of insulin receptors is determined by the down regulation in response to elevated insulinemic levels. An alteration of the porphyrin metabolism might be responsible for this disorder.

  7. Prolonged infusion versus intermittent boluses of β-lactam antibiotics for treatment of acute infections: a meta-analysis. (United States)

    Teo, Jocelyn; Liew, Yixin; Lee, Winnie; Kwa, Andrea Lay-Hoon


    The clinical advantages of prolonged (extended/continuous) infusion remain controversial. Previous studies and reviews have failed to show consistent clinical benefits of extending the infusion time. This meta-analysis sought to determine whether prolonged β-lactam infusions were associated with a reduction in mortality and improvement in clinical success. A search of PubMed, EMBASE and The Cochrane Library for randomised controlled trials (RCTs) and observational studies comparing prolonged infusion with intermittent bolus administration of the same antibiotic in hospitalised adult patients was conducted. Primary outcomes evaluated were mortality and clinical success. A total of 29 studies with 2206 patients (18 RCTs and 11 observational studies) were included in the meta-analysis. Compared with intermittent boluses, use of prolonged infusion appeared to be associated with a significant reduction in mortality [pooled relative risk (RR) = 0.66, 95% confidence interval (CI) 0.53-0.83] and improvement in clinical success (RR = 1.12, 95% CI 1.03-1.21). Statistically significant benefit was supported by non-randomised studies (mortality, RR = 0.57, 95% CI 0.43-0.76; clinical success, RR = 1.34, 95% CI 1.02-1.76) but not by RCTs (mortality, RR = 0.83, 95% CI 0.57-1.21; clinical success, RR = 1.05, 95% CI 0.99-1.12). The positive results from observational studies, especially in the face of increasing antibiotic resistance, serve to justify the imperative need to conduct a large-scale, well-designed, multicentre RCT involving critically ill patients infected with high minimum inhibitory concentration pathogens to clearly substantiate this benefit.

  8. Acute effects of resistance exercise and intermittent intense aerobic exercise on blood cell count and oxidative stress in trained middle-aged women

    Energy Technology Data Exchange (ETDEWEB)

    Cardoso, A.M. [Departamento de Química, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, Santa Maria, RS (Brazil); Bagatini, M.D. [Curso de Enfermagem, Campus Chapecó, Universidade Federal da Fronteira Sul, Chapecó, SC (Brazil); Roth, M.A. [Departamento de Desportos Individuais, Centro de Educação Física e Desportos, Universidade Federal de Santa Maria, Santa Maria, RS (Brazil); Martins, C.C.; Rezer, J.F.P. [Departamento de Química, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, Santa Maria, RS (Brazil); Mello, F.F. [Departamento de Desportos Individuais, Centro de Educação Física e Desportos, Universidade Federal de Santa Maria, Santa Maria, RS (Brazil); Lopes, L.F.D. [Departamento de Administração, Centro de Ciências Sociais e Humanas, Universidade Federal de Santa Maria, Santa Maria, RS (Brazil); Morsch, V.M.; Schetinger, M.R.C. [Departamento de Química, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, Santa Maria, RS (Brazil)


    The aim of this study was to compare the effect of an intermittent intense aerobic exercise session and a resistance exercise session on blood cell counts and oxidative stress parameters in middle-aged women. Thirty-four women were selected and divided into three groups: RE group (performing 60 min of resistance exercises, N = 12), spinning group (performing 60 min of spinning, N = 12), and control group (not exercising regularly, N = 10). In both exercise groups, lymphocytes and monocytes decreased after 1-h recuperation (post-exercise) compared to immediately after exercise (P < 0.05). Immediately after exercise, in both exercised groups, a significant increase in TBARS (from 16.5 ± 2 to 25 ± 2 for the spinning group and from 18.6 ± 1 to 28.2 ± 3 nmol MDA/mL serum for the RE group) and protein carbonyl (from 1.0 ± 0.3 to 1.6 ± 0.2 for the spinning group and from 0.9 ± 0.2 to 1.5 ± 0.2 nmol/mg protein for the RE group) was observed (P < 0.05). A decrease in antioxidant activities (non-protein sulfhydryl, superoxide dismutase, catalase) was also demonstrated with a negative correlation between damage markers and antioxidant body defenses (P < 0.05). These results indicate that an acute bout of intermittent or anaerobic exercise induces immune suppression and increases the production of reactive oxygen species, causing oxidative stress in middle-aged and trained women. Furthermore, we demonstrated that trained women show improved antioxidant capacity and lower oxidative damage than sedentary ones, demonstrating the benefits of chronic regular physical activity.

  9. Acute and delayed effects of intermittant ozone on cardiovascular and thermoregulatory responses of young and aged rats (United States)

    Ozone (03) is associated with cardiovascular and respiratory diseases. The aged population is considered to be more sensitive to air pollutants but relatively few studies have demonstrated increased susceptibility in animal models of aging. To study the acute and delayed physiolo...

  10. Acute effects of high-intensity intermittent training on kinematics and foot strike patterns in endurance runners. (United States)

    Latorre-Román, P Á; García Pinillos, F; Bujalance-Moreno, P; Soto-Hermoso, V M


    The main purpose of this study was to evaluate running kinematic characteristics and foot strike patterns (FSP) during early and late stages of actual and common high-intensity intermittent training (HIIT): 5 × 2000 m with 120-s recovery between runs. Thirteen healthy, elite, highly trained male endurance runners participated in this study. They each had a personal record in the half-marathon of 70 ± 2.24 min, and each had a minimum experience of 4 years of training and competition. Heart rate (HR) and rate of perceived exertion (RPE) were monitored during HIIT. High levels of exhaustion were reached by the athletes during HIIT (HRpeak: 174.30 bpm; RPE: 17.23). There was a significant increase of HRpeak and RPE during HIIT; nevertheless, time for each run remained unchanged. A within-protocol paired t-test (first vs. last run) revealed no significant changes (P ≥ 0.05) in kinematics variables and FSP variables during HIIT. There were no substantial changes on kinematics and FSP characteristics in endurance runners after fatigue induced by a HIIT. Only the minimum ankle alignment showed a significant change. The author suggests that these results might be due to both the high athletic level of participants and their experience in HIIT.

  11. Delivery of In Vivo Acute Intermittent Hypoxia in Neonatal Rodents to Prime Subventricular Zone-derived Neural Progenitor Cell Cultures. (United States)

    Ross, Heather H; Sandhu, Milap S; Sharififar, Sharareh; Fuller, David D


    Extended culture of neural stem/progenitor cells facilitates in vitro analyses to understand their biology while enabling expansion of cell populations to adequate numbers prior to transplantation. Identifying approaches to refine this process, to augment the production of all CNS cell types (i.e., neurons), and to possibly contribute to therapeutic cell therapy protocols is a high research priority. This report describes an easily applied in vivo "pre-conditioning" stimulus which can be delivered to awake, non-anesthetized animals. Thus, it is a non-invasive and non-stressful procedure. Specifically described are the procedures for exposing mouse or rat pups (aged postnatal day 1-8) to a brief (40-80 min) period of intermittent hypoxia (AIH). The procedures included in this video protocol include calibration of the whole-body plethysmography chamber in which pups are placed during AIH and the technical details of AIH exposure. The efficacy of this approach to elicit tissue-level changes in the awake animal is demonstrated through the enhancement of subsequent in vitro expansion and neuronal differentiation in cells harvested from the subventricular zone (SVZ). These results support the notion that tissue level changes across multiple systems could be observed following AIH, and support the continued optimization and establishment of AIH as a priming or conditioning modality for therapeutic cell populations.

  12. The acute effects of intermittent treadmill running on hunger and plasma acylated ghrelin concentration in individuals with obesity

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    Gholipour M


    Full Text Available "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Body weight is regulated by both food intake and energy expenditure. Ghrelin, a hormone produced by the stomach and pancreas, enhances appetite. This study was undertaken to determine the effects of intermittent treadmill running on acylated ghrelin and appetite in individuals with obesity."n"nMethods : Nine inactive male students, with a mean age of 20.56±0.48 yrs, a body mass index of 32.68±0.84 kg/m2 and a maximum oxygen uptake of 34.21±1.48 ml/kg/min, participated in the study in two trials (control and exercise in a counterbalanced, randomized design. The protocol included intermittent running with a constant intensity at 65% of VO2 max on a treadmill. Blood samples were collected before, during, and 2h after cessation of the exercise."n"nResults : Acylated ghrelin concentrations and hunger ratings decreased significantly in the second phase and remained lower than baseline (P=0.006 and P=0.002, respectively at the end of the exercise. The total area under the curve values and hunger ratings (all P<0.0005 were significantly lower in the exercise trial compared with the control state. Similarly, growth hormone rose significantly at the second phase and remained higher than baseline (P=0.033 at the

  13. Acute effects of Yo-Yo intermittent recovery test level 1 (Yo-YoIR1) on hemorheological parameters in female volleyball players. (United States)

    Kilic-Toprak, Emine; Yapici, Ayşegül; Kilic-Erkek, Ozgen; Koklu, Yusuf; Tekin, Volkan; Alemdaroglu, Utku; Bor-Kucukatay, Melek


    In the present study, we investigated possible alterations in red blood cell (RBC) deformability, plasma and whole blood viscosities (WBV) and hematological parameters in response to Yo-Yo intermittent recovery test level 1 (Yo-YoIR1) which is currently used to assess endurance performance, in female volleyball players. Eight volleyball player volunteers from Pamukkale University (mean age19,9 ± 2,2 years; mean body height 177.5 ± 1.99 cm; mean body mass index 21.66 ± 0.64 kg/m2) participated to the study. Blood samples were collected before and immediately after test. Red blood cell (RBC) deformability was determined by ektacytometer, plasma and whole blood viscosities (WBV) by a cone-plate rotational viscometer. Hematological parameters were determined using an electronic hematology analyzer. The Yo-YoIR1 applied, induced acute increments in WBV at native hematocrit (Hct) measured at a shear rate of 150 s-1 and 375 s-1, RBC deformability and WBC count. The results of the current study indicate that, the Yo-Yo IR1 test used to determine physical capacity of the player, by resulting in increments in RBC deformability contributes blood flow and thus, athletic performance of the individual.

  14. Acute inhibition of glial cells in the NTS does not affect respiratory and sympathetic activities in rats exposed to chronic intermittent hypoxia. (United States)

    Costa, Kauê M; Moraes, Davi J A; Machado, Benedito H


    Recent studies suggest that neuron-glia interactions are involved in multiple aspects of neuronal activity regulation. In the nucleus tractus solitarius (NTS) neuron-glia interactions are thought to participate in the integration of autonomic responses to physiological challenges. However, it remains to be shown whether NTS glial cells might influence breathing and cardiovascular control, and also if they could be integral to the autonomic and respiratory responses to hypoxic challenges. Here, we investigated whether NTS glia play a tonic role in the modulation of central respiratory and sympathetic activities as well as in the changes in respiratory-sympathetic coupling induced by exposure to chronic intermittent hypoxia (CIH), a model of central autonomic and respiratory plasticity. We show that bilateral microinjections of fluorocitrate (FCt), a glial cell inhibitor, into the caudal and intermediate subnuclei of the NTS did not alter baseline respiratory and sympathetic parameters in in situ preparations of juvenile rats. Similar results were observed in rats previously exposed to CIH. Likewise, CIH-induced changes in respiratory-sympathetic coupling were unaffected by FCt-mediated inhibition. However, microinjection of FCt into the ventral medulla produced changes in respiratory frequency. Our results show that acute glial inhibition in the NTS does not affect baseline respiratory and sympathetic control. Additionally, we conclude that NTS glial cells may not be necessary for the continuous manifestation of sympathetic and respiratory adaptations to CIH. Our work provides evidence that neuron-glia interactions in the NTS do not participate in baseline respiratory and sympathetic control.

  15. Comparison of the effects of growth hormone on acylated ghrelin and following acute intermittent exercise in two levels of obesity

    Directory of Open Access Journals (Sweden)

    Majid Gholipour


    Full Text Available Background: The prevalence of obesity has risen enormously over the past few decad-es. Both food intake (Appetite and energy expenditure can influence body weight. Acylated ghrelin enhances appetite, and its plasma level is suppressed by growth horm-one. The present study, examines the effects of an intermittent exercise with progress-ive intensities on acylated ghrelin, appetite, and growth hormone in inactive male students with two levels of obesity.Methods: Eleven inactive males were allocated into two groups on the basis of their body mass index (BMI. Six subjects in group one, BMI= 31.18±0.92 kg/m2, and five subjects in group two, BMI= 36.94±2.25 kg/m2, ran on the treadmill with progressive intensities of 50, 60, 70 and 80% of VO2max for 10, 10, 5, and 2 min respectively. Blood samples were collected before the exercise (as the resting values, after each workload (during the exercise, and at 30, 60, and 120 min (during recovery.Results: Plasma acylated ghrelin concentrations and hunger ratings in two groups were decreased and remained significantly lower than resting values (P=0.008 and P=0.002 respectively at the end of the trial and there was no significant differences between groups. Growth hormone levels in two groups were increased and remained significant-ly higher than resting values (groups one P=0.012, group two P=0.005 at the end of the trial and there was no significant differences between groups. In addition, there were no significant differences between area under the curves (AUC values over total periods for acylated ghrelin, hunger ratings, and growth hormone in two groups.Conclusion: These findings indicate that individuals with two levels of obesity have the same response to the different intensities of treadmill running and two hours thereafter during recovery period, which can be considered for designing a more effective weighting loss training program.

  16. Effects of angiotensin II on leptin and downstream leptin signaling in the carotid body during acute intermittent hypoxia. (United States)

    Moreau, J M; Messenger, S A; Ciriello, J


    Angiotensin II (ANG II) is known to promote leptin production and secretion. Although ANG II type 1 receptors (AT1Rs) and leptin are expressed within the carotid body, it is not known whether AT1R and leptin are co-expressed in the same glomus cells nor if these peptides are affected within the carotid body by intermittent hypoxia (IH). This study was done to investigate whether ANG II modulated leptin signaling in the carotid body during IH. Rats were treated with captopril (Capt) or the AT1R blocker losartan (Los) in the drinking water for 3days prior to being exposed to IH (8h) or normoxia (8h). IH induced increases in plasma ANG II and leptin compared to normoxic controls. Capt treatment abolished the plasma leptin changes to IH, whereas Los treatment had no effect on the IH induced increase in plasma leptin. Additionally, carotid body glomus cells containing both leptin and the long form of the leptin receptor (OB-Rb) were found to co-express AT1R protein, and IH increased the expression of only AT1R protein within the carotid body in both Capt- and non-Capt-treated animals. On the other hand, Los treatment did not modify AT1R protein expression to IH. Additionally, Capt and Los treatment eliminated the elevated carotid body leptin protein expression, and the changes in phosphorylated signal transducer and activator of transcription three protein, the short form of the leptin receptor (OB-R100), suppressor of cytokine signaling 3, and phosphorylated extracellular-signal-regulated kinase 1/2 protein expression induced by IH. However, Capt elevated the expression of OB-Rb protein, whereas Los abolished the changes in OB-Rb protein to IH. These findings, taken together with the previous observation that ANG II modifies carotid body chemosensitivity, suggest that the increased circulating levels of ANG II and leptin induced by IH act at the carotid body to alter leptin signaling within the carotid body which in turn may influence chemoreceptor function.

  17. A study of intermittent alternating drug program reinduction therapy on the frequency and duration of response in adult acute leukemia. (United States)

    McCredie, K B; Freireich, E J; Bodey, G P; Burgess, M A; Whitecar, J P; Smith, T L


    Of 41 adults with a diagnosis of acute leukemia that were randomized for induction therapy in combination with methotrexate, 6-MP, vincristine and prednisone (POMP) versus a combination of cytosine arabinoside, cytoxan, vincristine and prednisone (COAP), 23 (56%) patients achieved a complete remission. During remission, patients received consolidation therapy with the three courses of remission induction regimen that they had not received initially. They then received daunomycin (three courses) and L-asparaginase and were then maintained for two years with their induction therapy. The median duration of survival for all patients was 40 weeks; the median duration of survival of those patients that responded to chemotherapy was 80 weeks. There was no significant difference between the two induction regimens with regard to complete remission more than four and one half years from diagnosis and two and one half years from discontinuation of all therapy.

  18. 38 CFR 3.813 - Interim benefits for disability or death due to chloracne or porphyria cutanea tarda. (United States)


    ... disability or death due to chloracne or porphyria cutanea tarda. 3.813 Section 3.813 Pensions, Bonuses, and... porphyria cutanea tarda. (a) Disability benefits. Except as provided in paragraph (c) of this section, a... Vietnam era, and who suffers from chloracne or porphyria cutanea tarda which became manifest within...

  19. Clinical Evaluation of High-Volume Hemofiltration with Hemoperfusion Followed by Intermittent Hemodialysis in the Treatment of Acute Wasp Stings Complicated by Multiple Organ Dysfunction Syndrome.

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    Xiaoyun Si

    Full Text Available Multiple organ dysfunction syndrome (MODS is a rare complication of wasp stings. Currently, there is no standardized treatment for MODS secondary to multiple wasp stings, although blood purification techniques are often used. This study aimed to analyze our experiences of using intermittent hemodialysis (IHD with or without high-volume hemofiltration (HVHF for treating acute wasp stings complicated by MODS. In this retrospective study, 36 patients with wasp stings complicated by MODS received either IHD combined with hemoperfusion, or HVHF (ultrafiltration flow rate, 70 mL/kg/h combined with hemoperfusion for 5 days followed by IHD. Clinical symptoms, blood biochemical parameters, duration of mechanical ventilation, use of vasoactive agents, duration of hospital stay and survival rate were recorded, and Acute Physiology and Chronic Health Evaluation II (APACHE II and multiple organ dysfunction (MOD scores estimated. Patients treated with HVHF followed by IHD appeared to exhibit a faster recovery than those receiving IHD alone, as evidenced by superior improvements in MOD (4.29±1.08 vs. 2.27±1.07 and APACHE II (7.09±2.62 vs. 4.20±1.69 scores (P < 0.05. Patients treated with HVHF had significantly lower myoglobin, creatine kinase-MB, lactate dehydrogenase, bilirubin and creatinine levels than patients treated with IHD alone. In addition, the durations of hospital stay (13.15±2.77 vs. 27.92±3.18 days, vasopressor use (1.76±0.24 vs. 3.43 ± 1.01 days, mechanical ventilation (3.02±1.63 vs. 5.94 ± 2.11 days and oliguria (6.57±2.45 vs. 15.29 ± 3.51 days were reduced, and renal function more often recovered (85.1% vs. 53.1%, in the HVHF group compared with the IHD group (P < 0.05. These results raise the possibility that HVHF plus IHD may be superior to IHD alone for the treatment of acute wasp stings complicated by MODS; additional prospective studies are merited to explore this further.

  20. Treatment of Metformin Intoxication Complicated by Lactic Acidosis and Acute Kidney Injury: The Role of Prolonged Intermittent Hemodialysis. (United States)

    Regolisti, Giuseppe; Antoniotti, Riccardo; Fani, Filippo; Greco, Paolo; Fiaccadori, Enrico


    Metformin intoxication with lactic acidosis, a potentially lethal condition, may develop in diabetic patients when the drug dose is inappropriate and/or its clearance is reduced. Diagnosis and therapy may be delayed due to nonspecific symptoms at presentation, with severe anion gap metabolic acidosis and elevated serum creatinine values being the most prominent laboratory findings. Confirmation requires measurement of serum metformin by high-performance liquid chromatography-tandem mass spectrometry, but this technique is available only at specialized institutions and cannot be relied on as a guide to immediate treatment. Thus, based on strong clinical suspicion, renal replacement therapy must be started promptly to achieve efficient drug clearance and correct the metabolic acidosis. However, because metformin accumulates in the intracellular compartment with prolonged treatment, a rebound in serum concentrations due to redistribution is expected at the end of dialysis. We report a case of metformin intoxication, severe lactic acidosis, and acute kidney injury in a diabetic patient with pre-existing chronic kidney disease stage 3, treated effectively with sustained low-efficiency dialysis. We discuss the pathophysiology, differential diagnosis, and treatment options and highlight specific pharmacokinetic issues that should be considered in selecting the appropriate modality of renal replacement therapy.

  1. Butafenacil: A positive control for identifying anemia- and variegate porphyria-inducing chemicals

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    Jessica K. Leet


    Full Text Available Butafenacil is an herbicide that inhibits protoporphyrinogen oxidase (PPOX, an enzyme that catalyzes oxidation of protoporphyrinogen IX to protoporphyrin IX during chlorophyll and heme biosynthesis. Based on a high-content screen, we previously identified butafenacil as a potent inducer of anemia in zebrafish embryos. Therefore, the objective of this study was to begin investigating the utility of butafenacil as a positive control for identifying anemia- and variegate porphyria-inducing chemicals. Static exposure to butafenacil from 5 to 72 h post-fertilization (hpf in glass beakers resulted in a concentration-dependent decrease in arterial circulation at low micromolar concentrations. At 72 hpf, the magnitude of butafenacil-induced anemia was similar when embryos were exposed in the presence or absence of light, whereas protoporphyrin accumulation and acute toxicity were significantly lower or absent when embryos were exposed under dark conditions. To identify sensitive developmental windows, we treated embryos to butafenacil from 5, 10, 24, or 48 hpf to 72 hpf in the presence of light, and found that anemia and protoporphyrin accumulation were present at 72 hpf following initiation of exposure at 5 and 10 hpf. On the contrary, protoporphyrin accumulation – but not anemia – was present following initiation of exposure at 24 hpf. Lastly, protoporphyrin accumulation at 72 hpf after exposure from 24 to 48 hpf suggests that protoporphyrin was not eliminated over a 24-h recovery period. Collectively, our data suggests that butafenacil may be a reliable positive control for identifying anemia- and variegate porphyria-inducing chemicals.

  2. [Successful gene therapy of mice with congenital erythropoietic porphyria]. (United States)

    de Verneuil, Hubert; Robert-Richard, Elodie; Ged, Cécile; Mazurier, Frédéric; Richard, Emmanuel; Moreau-Gaudry, François


    Porphyrias are a group of disorders due to a genetic deficiency in one of the heme biosynthetic pathway enzymes. Congenital erythropoietic porphyria (CEP) is the most severe type characterized by a deficiency in uroporphyrinogen III synthase (UROS) activity. Bone marrow transplantation represents a curative treatment for patients, as long as human leucocyte antigen-compatible donor is available. We used a recently obtained murine model to check the feasibility of gene therapy in this disease. Lentivirus-mediated transfer of the human UROS cDNA into hematopoietic stem cells (HSCs) from Uros(mut 248) mice resulted in a complete and long-term enzymatic, metabolic and phenotypic correction of the disease, favored by a survival advantage of corrected red blood cells. These results demonstrate for the first time that the cure of this mouse model of CEP at moderate transduction level supports the proof of concept of a gene therapy in this disease by transplantation of genetically modified HSCs.

  3. Melatonin formation in pineal gland from rats with hexachlorobenzene experimental porphyria. (United States)

    Llambías, Elena B C; Mazzetti, Marta B; Lelli, Sandra M; Aldonatti, Carmen; San Martín de Viale, Leonor C


    Hexachlorobenzene produces an experimental hepatic porphyria in rats, which is similar to human porphyria cutanea tarda, with hyperpigmentation as one of its characteristic features. Alterations in tryptophan metabolism have been previously observed in this chronic porphyria. Melatonin formation from tryptophan via serotonin shows diurnal rhythmicity in the pineal gland, and higher values are observed during the dark phase of an imposed light-dark cycle. The purpose of this study was to determine the contents of tryptophan and its metabolites in pineal gland of normal and hexachlorobenzene-treated rats in order to find alterations potentially related to porphyria cutanea tarda. Results show that in animals with this experimental porphyria some tryptophan metabolite levels (serotonin and 5-hydroxyindoleacetic acid) increase only during the light period, whereas tryptophan content remained equal to the controls. Hydroxyindole-O-methyltransferase activity also increases by light in pineal gland from hexachlorobenzene-treated rats. On the other hand, tryptophan is converted to melatonin in the dark period, but this route is not exacerbated in hexachlorobenzene porphyria. The relevance of these alterations is discussed in relation to hyperpigmentation, neoplastic and oxidative stress processes associated with this porphyria.

  4. Porfiria cutânea tardia Porphyria cutanea tarda

    Directory of Open Access Journals (Sweden)

    Fátima Mendonça Jorge Vieira


    Full Text Available Trata-se de revisão sobre a porfiria cutânea tardia em que são abordados a fisiopatogenia, as características clínicas, as doenças associadas, os fatores desencadeantes, a bioquímica, a histopatologia, a microscopia eletrônica, a microscopia de imunofluorescência e o tratamento da doença.This is a review article of porphyria cutanea tarda addressing pathophysiology, clinical features, associated conditions, triggering factors, biochemistry, histopathology, electronic microscopy, immunofluorescence microscopy and treatment of the disease.

  5. Porfiria cutânea tardia Porphyria cutanea tarda



    Trata-se de revisão sobre a porfiria cutânea tardia em que são abordados a fisiopatogenia, as características clínicas, as doenças associadas, os fatores desencadeantes, a bioquímica, a histopatologia, a microscopia eletrônica, a microscopia de imunofluorescência e o tratamento da doença.This is a review article of porphyria cutanea tarda addressing pathophysiology, clinical features, associated conditions, triggering factors, biochemistry, histopathology, electronic microscopy, immunofluores...

  6. Dialysis complications in acute kidney injury patients treated with prolonged intermittent renal replacement therapy sessions lasting 10 versus 6 hours: results of a randomized clinical trial. (United States)

    Albino, Bianca Ballarin; Balbi, André Luis; Abrão, Juliana Maria Gera; Ponce, Daniela


    Prolonged intermittent renal replacement therapy (PIRRT) has emerged as an alternative to continuous renal replacement therapy in the management of acute kidney injury (AKI) patients. This trial aimed to compare the dialysis complications occurring during different durations of PIRRT sessions in critically ill AKI patients. We included patients older than 18 years with AKI associated with sepsis admitted to the intensive care unit and using noradrenaline doses ranging from 0.3 to 0.7 µg/kg/min. Patients were divided into two groups randomly: in G1, 6-h sessions were performed, and in G2, 10-h sessions were performed. Seventy-five patients were treated with 195 PIRRT sessions for 18 consecutive months. The prevalence of hypotension, filter clotting, hypokalemia, and hypophosphatemia was 82.6, 25.3, 20, and 10.6%, respectively. G1 was composed of 38 patients treated with 100 sessions, whereas G2 consisted of 37 patients treated with 95 sessions. G1 and G2 were similar in male predominance (65.7 vs. 75.6%, P = 0.34), age (63.6 ± 14 vs. 59.9 ± 15.5 years, P = 0.28) and Sequential Organ Failure Assessment score (SOFA; 13.1 ± 2.4 vs. 14.2 ± 3.0, P = 0.2). There was no significant difference between the two groups in hypotension (81.5 vs. 83.7%, P = 0.8), filter clotting (23.6 vs. 27%, P = 0.73), hypokalemia (13.1 vs. 8.1%, P = 0.71), and hypophosphatemia (18.4 vs. 21.6%, P = 0.72). However, the group treated with sessions of 10 h were refractory to clinical measures for hypotension, and dialysis sessions were interrupted more often (9.5 vs. 30.1%, P = 0.03). Metabolic control and fluid balance were similar between G1 and G2 (blood urea nitrogen [BUN]: 81 ± 30 vs. 73 ± 33 mg/dL, P = 1.0; delivered Kt/V: 1.09 ± 0.24 vs. 1.26 ± 0.26, P = 0.09; actual ultrafiltration: 1731 ± 818 vs. 2332 ± 947 mL, P = 0.13) and fluid balance (-731 ± 125 vs. -652 ± 141

  7. Advances in understanding the pathogenesis of congenital erythropoietic porphyria. (United States)

    Di Pierro, Elena; Brancaleoni, Valentina; Granata, Francesca


    Congenital erythropoietic porphyria (CEP) is a rare genetic disease resulting from the remarkable deficient activity of uroporphyrinogen III synthase, the fourth enzyme of the haem biosynthetic pathway. This enzyme defect results in overproduction of the non-physiological and pathogenic porphyrin isomers, uroporphyrin I and coproporphyrin I. The predominant clinical characteristics of CEP include bullous cutaneous photosensitivity to visible light from early infancy, progressive photomutilation and chronic haemolytic anaemia. The severity of clinical manifestations is markedly heterogeneous among patients; and interdependence between disease severity and porphyrin amount in the tissues has been pointed out. A more pronounced endogenous production of porphyrins concomitant to activation of ALAS2, the first and rate-limiting of the haem synthesis enzymes in erythroid cells, has also been reported. CEP is inherited as autosomal recessive or X-linked trait due to mutations in UROS or GATA1 genes; however an involvement of other causative or modifier genes cannot be ruled out.

  8. A molecular study of congenital erythropoietic porphyria in cattle. (United States)

    Agerholm, J S; Thulstrup, P W; Bjerrum, M J; Bendixen, C; Jørgensen, C B; Fredholm, M


    Previous studies have shown that congenital erythropoietic porphyria (CEP) in cattle is caused by an inherited deficiency of the enzyme uroporphyrinogen III synthase (UROS) encoded by the UROS gene. In this study, we have established the pedigree of an extended Holstein family in which the disease is segregating in a manner consistent with autosomal recessive inheritance. Biochemical analyses demonstrated accumulation of uroporphyrin, thus confirming that it is indeed insufficient activity of UROS which is the cause of the disease. We have therefore sequenced all nine exons of UROS in affected and non-affected individuals without detecting any potential causative mutations. However, a single nucleotide polymorphism (SNP) located within the spliceosome attachment region in intron 8 of UROS is shown to segregate with the disease allele. Our study supports the hypothesis that CEP in cattle is caused by a mutation affecting UROS; however, additional functional studies are needed to identify the causative mutation.

  9. A molecular study of congenital erythropoietic porphyria in cattle

    DEFF Research Database (Denmark)

    Agerholm, Jørgen Steen; Thulstrup, Peter Waaben; Bjerrum, Morten Jannik


    Previous studies have shown that congenital erythropoietic porphyria (CEP) in cattle is caused by an inherited deficiency of the enzyme uroporphyrinogen III synthase (UROS) encoded by the UROS gene. In this study, we have established the pedigree of an extended Holstein family in which the disease...... is segregating in a manner consistent with autosomal recessive inheritance. Biochemical analyses demonstrated accumulation of uroporphyrin, thus confirming that it is indeed insufficient activity of UROS which is the cause of the disease. We have therefore sequenced all nine exons of UROS in affected and non......-affected individuals without detecting any potential causative mutations. However, a single nucleotide polymorphism (SNP) located within the spliceosome attachment region in intron 8 of UROS is shown to segregate with the disease allele. Our study supports the hypothesis that CEP in cattle is caused by a mutation...

  10. Fluorescence microscopy test in porphyrias, photodermatoses and lead exposed persons. (United States)

    Kansky, A


    Fluorescence microscopy tests were carried out in different groups of patients Peripheral blood diluted with saline was used and 200 high power fields were inspected in every case. The results were presented as the number of fluorescing erythrocytes (FE) per 100000 red blood cells (or 200 fields). In the controls, porphyria cutanea tarda patients and patients with photodermatoses other than erythopoietic protoporphyria and pellagra almost no FE were detected. In erythropoietic protoporphyria the mean value was 10600, in lead poisoning 1032, in patients exposed to lead 48.2, in sideropenic anaemia 123 and in patients with pellagra 8.1 FE/100000 red blood cells. The conclusion is made that one has to take care, when using this test for detection of latent carriers in genetic studies of the relatives of patients with erythropoietic protoporphyria. The test is useful for the confirmation of the diagnosis of erythropoietic protoporphyria.

  11. The severity of hereditary porphyria is modulated by the porphyrin exporter and Lan antigen ABCB6. (United States)

    Fukuda, Yu; Cheong, Pak Leng; Lynch, John; Brighton, Cheryl; Frase, Sharon; Kargas, Vasileios; Rampersaud, Evadnie; Wang, Yao; Sankaran, Vijay G; Yu, Bing; Ney, Paul A; Weiss, Mitchell J; Vogel, Peter; Bond, Peter J; Ford, Robert C; Trent, Ronald J; Schuetz, John D


    Hereditary porphyrias are caused by mutations in genes that encode haem biosynthetic enzymes with resultant buildup of cytotoxic metabolic porphyrin intermediates. A long-standing open question is why the same causal porphyria mutations exhibit widely variable penetrance and expressivity in different individuals. Here we show that severely affected porphyria patients harbour variant alleles in the ABCB6 gene, also known as Lan, which encodes an ATP-binding cassette (ABC) transporter. Plasma membrane ABCB6 exports a variety of disease-related porphyrins. Functional studies show that most of these ABCB6 variants are expressed poorly and/or have impaired function. Accordingly, homozygous disruption of the Abcb6 gene in mice exacerbates porphyria phenotypes in the Fech(m1Pas) mouse model, as evidenced by increased porphyrin accumulation, and marked liver injury. Collectively, these studies support ABCB6 role as a genetic modifier of porphyria and suggest that porphyrin-inducing drugs may produce excessive toxicities in individuals with the rare Lan(-) blood type.

  12. Partial protoporphyrinogen oxidase (PPOX gene deletions, due to different Alu-mediated mechanisms, identified by MLPA analysis in patients with variegate porphyria

    Directory of Open Access Journals (Sweden)

    Barbaro Michela


    Full Text Available Abstract Variegate porphyria (VP is an autosomal dominantly inherited hepatic porphyria. The genetic defect in the PPOX gene leads to a partial defect of protoporphyrinogen oxidase, the penultimate enzyme of heme biosynthesis. Affected individuals can develop cutaneous symptoms in sun-exposed areas of the skin and/or neuropsychiatric acute attacks. The identification of the genetic defect in VP families is of crucial importance to detect the carrier status which allows counseling to prevent potentially life threatening neurovisceral attacks, usually triggered by factors such as certain drugs, alcohol or fasting. In a total of 31 Swedish VP families sequence analysis had identified a genetic defect in 26. In the remaining five families an extended genetic investigation was necessary. After the development of a synthetic probe set, MLPA analysis to screen for single exon deletions/duplications was performed. We describe here, for the first time, two partial deletions within the PPOX gene detected by MLPA analysis. One deletion affects exon 5 and 6 (c.339-197_616+320del1099 and has been identified in four families, most probably after a founder effect. The other extends from exon 5 to exon 9 (c.339-350_987+229del2609 and was found in one family. We show that both deletions are mediated by Alu repeats. Our findings emphasize the usefulness of MLPA analysis as a complement to PPOX gene sequencing analysis for comprehensive genetic diagnostics in patients with VP.

  13. The effects of ryanodine receptor (RYR1) mutation on natural killer cell cytotoxicity, plasma cytokines and stress hormones during acute intermittent exercise in pigs. (United States)

    Ciepielewski, Z M; Stojek, W; Borman, A; Myślińska, D; Pałczyńska, P; Kamyczek, M


    Stress susceptibility has been mapped to a single recessive gene, the ryanodine receptor 1 (RYR1) gene or halothane (Hal) gene. Homozygous (Hal(nn)), mutated pigs are sensitive to halothane and susceptible to Porcine Stress Syndrome (PSS). Previous studies have shown that stress-susceptible RYR1 gene mutated homozygotes in response to restraint stress showed an increase in natural killer cell cytotoxicity (NKCC) accompanied by more pronounced stress-related hormone and anti-inflammatory cytokine changes. In order to determine the relationship of a RYR1 gene mutation with NKCC, plasma cytokines and stress-related hormones following a different stress model - exercise - 36 male pigs (representing different genotypes according to RYR1 gene mutation: NN, homozygous dominant; Nn, heterozygous; nn, homozygous recessive) were submitted to an intermittent treadmill walking. During the entire experiment the greatest level of NKCC and the greatest concentrations of interleukin (IL-) 6, IL-10, IL-12, interferon (IFN-)γ and tumor necrosis factor-α and stress-related hormones (adrenaline, prolactin, beta-endorphin) were observed in nn pigs, and the greatest concentration of IL-1 and growth hormone in NN pigs. Immunostimulatory effects of intermittent exercise on NKCC in nn pigs were concomitant with increases in IL-2, IL-12 and IFN-γ, the potent NKCC activators. Our findings suggest that stress-susceptible pigs RYR1 gene mutated pigs develop a greater level of NKCC and cytokine production in response to exercise stress. These results suggest that the heterogeneity of immunological and neuroendocrine response to exercise stress in pigs could be influenced by RYR1 gene mutation.

  14. A knock-in mouse model of congenital erythropoietic porphyria. (United States)

    Ged, C; Mendez, M; Robert, E; Lalanne, M; Lamrissi-Garcia, I; Costet, P; Daniel, J Y; Dubus, P; Mazurier, F; Moreau-Gaudry, F; de Verneuil, H


    Congenital erythropoietic porphyria (CEP) is a recessive autosomal disorder characterized by a deficiency in uroporphyrinogen III synthase (UROS), the fourth enzyme of the heme biosynthetic pathway. The severity of the disease, the lack of specific treatment except for allogeneic bone marrow transplantation, and the knowledge of the molecular lesions are strong arguments for gene therapy. An animal model of CEP has been designed to evaluate the feasibility of retroviral gene transfer in hematopoietic stem cells. We have previously demonstrated that the knockout of the Uros gene is lethal in mice (Uros(del) model). This work describes the achievement of a knock-in model, which reproduces a mutation of the UROS gene responsible for a severe UROS deficiency in humans (P248Q missense mutant). Homozygous mice display erythrodontia, moderate photosensitivity, hepatosplenomegaly, and hemolytic anemia. Uroporphyrin (99% type I isomer) accumulates in urine. Total porphyrins are increased in erythrocytes and feces, while Uros enzymatic activity is below 1% of the normal level in the different tissues analyzed. These pathological findings closely mimic the CEP disease in humans and demonstrate that the Uros(mut248) mouse represents a suitable model of the human disease for pathophysiological, pharmaceutical, and therapeutic purposes.

  15. Porphyria cutanea tarda in a chronic hemodialysis patient

    Directory of Open Access Journals (Sweden)

    Labidi Jannet


    Full Text Available End-stage renal failure and long-term hemodialysis (HD treatment promote the development of genetically conditioned porphyria cutanea tarda (PCT. Iron overload is often asso-ciated with this disease and is thought to play a role in its pathogenesis. We report a case of HD-related PCT, which improved with deferoxamine treatment. A 33-year-old woman, with end-stage renal failure on HD since 1998, presented with a history of blisters on the face and dorsum of the hands, of several months duration. Laboratory analysis showed: hemoglobin 10.4 g/dL; a moderate hepatic cytolysis; ferritin 1300 μg/L (Nl: 8-120 μg/L and negative serology for HIV, HBV and HCV. Porphyrin analyses showed a PCT pattern. Skin biopsy findings and direct immunofluo-rescence were consistent with PCT. The patient received deferoxamine (40 mg/kg intravenously every week for 6 weeks which led to dramatic improvement of the symptoms. Several treatments are proposed in the management of dialysis-related PCT. This case confirms that deferoxamine can induce rapid and prolonged remission.

  16. ROTURA DEL SEPTO INTERVENTRICULAR DESPUÉS DE INFARTO AGUDO DE MIOCARDIO CON APERTURA Y CIERRE INTERMITENTES / Interventricular septal rupture after acute myocardial infarction with intermittent opening and closing

    Directory of Open Access Journals (Sweden)

    Jorge L. Alonso Freire


    Full Text Available Resumen La rotura del septo interventricular es una grave complicación en pacientes que sufren infarto agudo de miocardio. Se presenta aproximadamente en el 1 % de los pacientes infartados, su mortalidad es elevada y el tratamiento de elección es la reparación quirúrgica. Se presenta un paciente anciano que ingresó en la Unidad de Cuidados Intensivos por infarto agudo de miocardio de cara anterior, que recibió tratamiento trombolítico con estreptokinasa recombinante cubana y 24 horas más tarde, presentó deterioro hemodinámico con cambios electrocardiográficos y aparición de soplo sistólico en la punta. Se realizó una ecocardiografía que mostró un defecto del septo interventricular con apertura y cierre intermitentes. Horas más tarde el paciente falleció por insuficiencia cardiocirculatoria, a pesar del tratamiento. Se presentan las imágenes ecocardiográficas y la pieza anatómica. Lo inusual del presente caso fue la apertura y el cierre intermitentes del defecto interventricular. No se encontró ningún informe similar a en las bases de datos bibliográficas consultadas. / Abstract Ventricular septum rupture is a serious complication in patients with acute myocardial infarction. It occurs in approximately 1% of heart attack patients; its mortality rate is high and surgical repair is the treatment of choice. The case of an elderly male patient who was admitted to the Intensive Care Unit for acute anterior myocardial infarction is reported. This patient received thrombolytic therapy with Cuban recombinant streptokinase and 24 hours later presented hemodynamic deterioration with electrocardiographic changes and appearance of systolic murmur at the apex. Echocardiography was performed which showed a ventricular septal defect with intermittent opening and closing. Despite treatment, the patient died of circulatory failure hours later. Echocardiographic images and the anatomical specimen are shown. What was unusual in this case was

  17. Intermittent degradation and schizotypy

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    Matthew W. Roché


    Full Text Available Intermittent degradation refers to transient detrimental disruptions in task performance. This phenomenon has been repeatedly observed in the performance data of patients with schizophrenia. Whether intermittent degradation is a feature of the liability for schizophrenia (i.e., schizotypy is an open question. Further, the specificity of intermittent degradation to schizotypy has yet to be investigated. To address these questions, 92 undergraduate participants completed a battery of self-report questionnaires assessing schizotypy and psychological state variables (e.g., anxiety, depression, and their reaction times were recorded as they did so. Intermittent degradation was defined as the number of times a subject’s reaction time for questionnaire items met or exceeded three standard deviations from his or her mean reaction time after controlling for each item’s information processing load. Intermittent degradation scores were correlated with questionnaire scores. Our results indicate that intermittent degradation is associated with total scores on measures of positive and disorganized schizotypy, but unrelated to total scores on measures of negative schizotypy and psychological state variables. Intermittent degradation is interpreted as potentially derivative of schizotypy and a candidate endophenotypic marker worthy of continued research.

  18. Defining "intermittent UVR exposure"

    DEFF Research Database (Denmark)

    Bodekær, Mette; Philipsen, Peter Alshede; Petersen, Bibi Øager;


    to define and quantify “intermittent UVR exposure” by an objective measure. Methods: A broad study population of adults and children had data collected during a summer period. Data were personal UVR dosimetry measurements, from which the number of “intermittent days” was derived, sun behaviour diaries.......001). The corresponding numbers for prediction of nevi and lentigo density by retrospective questionnaire data was lower (R2 = 0.11, R2 = 0.26, p defined objective measure of intermittent UVR exposure. This measure may provide a better prediction of solar skin damage and CMM...

  19. Congenital erythropoietic porphyria due to a mutation in GATA1: the first trans-acting mutation causative for a human porphyria. (United States)

    Phillips, John D; Steensma, David P; Pulsipher, Michael A; Spangrude, Gerald J; Kushner, James P


    Congenital erythropoietic porphyria (CEP), an autosomal recessive disorder, is due to mutations of uroporphyrinogen III synthase (UROS). Deficiency of UROS results in excess uroporphyrin I, which causes photosensitization. We evaluated a 3-year-old boy with CEP. A hypochromic, microcytic anemia was present from birth, and platelet counts averaged 70 x 10(9)/L (70,000/microL). Erythrocyte UROS activity was 21% of controls. Red cell morphology and globin chain labeling studies were compatible with beta-thalassemia. Hb electrophoresis revealed 36.3% A, 2.4% A(2), 59.5% F, and 1.8% of an unidentified peak. No UROS or alpha- and beta-globin mutations were found in the child or the parents. The molecular basis of the phenotype proved to be a mutation of GATA1, an X-linked transcription factor common to globin genes and heme biosynthetic enzymes in erythrocytes. A mutation at codon 216 in the child and on one allele of his mother changed arginine to tryptophan (R216W). This is the first report of a human porphyria due to a mutation in a trans-acting factor and the first association of CEP with thalassemia and thrombocytopenia. The Hb F level of 59.5% suggests a role for GATA-1 in globin switching. A bone marrow allograft corrected both the porphyria and the thalassemia.

  20. Intermittent Explosive Disorder

    Directory of Open Access Journals (Sweden)

    Lut Tamam


    Full Text Available Intermittent explosive disorder is an impulse control disorder characterized by the occurrence of discrete episodes of failure to resist aggressive impulses that result in violent assault or destruction of property. Though the prevalence intermittent explosive disorder has been reported to be relatively rare in frontier studies on the field, it is now common opinion that intermittent explosive disorder is far more common than previously thought especially in clinical psychiatry settings. Etiological studies displayed the role of both psychosocial factors like childhood traumas and biological factors like dysfunctional neurotransmitter systems and genetics. In differential diagnosis of the disorder, disorders involving agression as a symptom such as alcohol and drug intoxication, antisocial and borderline personality disorders, personality changes due to general medical conditions and behavioral disorder should be considered. A combination of pharmacological and psychotherapeutic approaches are suggested in the treatment of the disorder. This article briefly reviews the historical background, diagnostic criteria, epidemiology, etiology and treatment of intermittent explosive disorder.

  1. Therapeutic potential of proteasome inhibitors in congenital erythropoietic porphyria. (United States)

    Blouin, Jean-Marc; Duchartre, Yann; Costet, Pierre; Lalanne, Magalie; Ged, Cécile; Lain, Ana; Millet, Oscar; de Verneuil, Hubert; Richard, Emmanuel


    Congenital erythropoietic porphyria (CEP) is a rare autosomal recessive disorder characterized by uroporphyrinogen III synthase (UROS) deficiency resulting in massive porphyrin accumulation in blood cells, which is responsible for hemolytic anemia and skin photosensitivity. Among the missense mutations actually described up to now in CEP patients, the C73R and the P248Q mutations lead to a profound UROS deficiency and are usually associated with a severe clinical phenotype. We previously demonstrated that the UROS(C73R) mutant protein conserves intrinsic enzymatic activity but triggers premature degradation in cellular systems that could be prevented by proteasome inhibitors. We show evidence that the reduced kinetic stability of the UROS(P248Q) mutant is also responsible for increased protein turnover in human erythroid cells. Through the analysis of EGFP-tagged versions of UROS enzyme, we demonstrate that both UROS(C73R) and UROS(P248Q) are equally destabilized in mammalian cells and targeted to the proteasomal pathway for degradation. We show that a treatment with proteasomal inhibitors, but not with lysosomal inhibitors, could rescue the expression of both EGFP-UROS mutants. Finally, in CEP mice (Uros(P248Q/P248Q)) treated with bortezomib (Velcade), a clinically approved proteasome inhibitor, we observed reduced porphyrin accumulation in circulating RBCs and urine, as well as reversion of skin photosensitivity on bortezomib treatment. These results of medical importance pave the way for pharmacologic treatment of CEP disease by preventing certain enzymatically active UROS mutants from early degradation by using proteasome inhibitors or chemical chaperones.

  2. Renal function in tyrosinaemia type I after liver transplantation : A long-term follow-up

    NARCIS (Netherlands)

    Pierik, LJWM; van Spronsen, FJ; Bijleveld, CMA; van Dael, CML


    Hereditary tyrosinaemia type I is an autosomal recessive inborn error of tyrosine catabolism caused by a deficiency of the enzyme fumarylacetoacetase that results in liver failure, hepatocellular carcinoma, renal tubular dysfunction and acute intermittent porphyria. When treated with liver transplan

  3. Intermittency and exotic channels

    CERN Document Server

    Bialas, A


    It is pointed out that accurate measurements of short-range two-particle correlations in like-charge K\\pi and in \\pi^ 0\\pi^ 0 channels should be very helpful in determining the origin of the \\lq\\lq intermittency\\rq\\rq\\ phenomenon observed recently for the like-charge pion pairs.

  4. Mutational analysis of uroporphyrinogen III cosynthase gene in Iranian families with congenital erythropoietic porphyria. (United States)

    Moghbeli, Meysam; Maleknejad, Mahmood; Arabi, Azadeh; Abbaszadegan, Mohammad Reza


    Porphyrias are rare metabolic hereditary diseases originating from defects in specific enzymes involved in the heme biosynthesis pathway. Congenital erythropoietic porphyria (CEP) is the rarest autosomal recessive porphyria resulting from a deficiency of uroporphyrinogen III cosynthase (UROS), the fourth enzyme in heme biosynthesis. CEP leads to an excessive production and accumulation of type Ι porphyrins in bone marrow, skin and several other tissues. Clinical manifestations are presented in childhood with severe cutaneous photosensitivity, blistering, scarring and deformation of the hands and the loss of eyebrows and eyelashes. Less than 200 cases of CEP have been reported to date. Four CEP patients and their family members were studied for the first time in Iran. A missense mutation in the UROS gene was identified in this family. A, T to C change at nucleotide 34313, leading to a substitution of Leucine by Proline at codon 237, was observed in the homozygous state in these 4 patients and heterozygous state in their parents. Our data from the Iranian population emphasizes the importance of codon 237 alone, given the rarity of this disease. This fact can be taken into consideration in the mutational analysis of UROS. This work emphasizes the advantages of molecular genetic techniques as diagnostic tools for the detection of clinically asymptomatic heterozygous mutation carriers as well as CEP within families.

  5. Fate in intermittent claudication

    DEFF Research Database (Denmark)

    Jelnes, Rolf; Gaardsting, O; Hougaard Jensen, K


    The fate of 257 consecutive patients (100 women) aged 36-85 years (mean 65) first seen with intermittent claudication in 1977 was analysed after a mean of 6.5 (SD 0.5) years. When first seen none of the patients complained of rest pain or had ulcers or gangrenous lesions on the feet. At follow up....... The rate of clinical progression of the arteriosclerotic disease (that is, rest pain or gangrene) of the worst affected leg was 7.5% in the first year after referral. Thereafter the rate was 2.2% a year. An ankle systolic blood pressure below 70 mm Hg, a toe systolic blood pressure below 40 mm Hg......, or an ankle/arm pressure index below 50% were individually significantly associated with progression of the arteriosclerotic disease. These findings show the importance of peripheral blood pressure measurements in the management of patients with intermittent claudication due to arteriosclerotic disease....

  6. Desferrioxamine treatment of porphyria cutanea tarda in a patient with HIV and chronic renal failure. (United States)

    Vasconcelos, Pedro; Luz-Rodrigues, H; Santos, Carla; Filipe, Paulo


    Porphyria cutanea tarda (PCT) can occur in HIV patients. Current evidence suggests that HIV infection may interfere with the hepatic cytochrome oxidase system, leading to porphyrin metabolism impairment. Moreover, chronic hemodialysis in renal failure may be a risk factor for PCT. In addition to the contributory factors for PCT associated to HIV infection, it is possible that porphyrin accumulation secondary to renal failure may play a role in the expression of this disease. We report a case of PCT in an HIV-1 infected patient under blood dialysis, refractory to antimalarials and controlled with desferrioxamine.

  7. Comment on "Intermittent plate tectonics?". (United States)

    Korenaga, Jun


    Silver and Behn (Reports, 4 January 2008, p. 85) proposed that intermittent plate tectonics may resolve a long-standing paradox in Earth's thermal evolution. However, their analysis misses one important term, which subsequently brings their main conclusion into question. In addition, the Phanerozoic eustasy record indicates that the claimed effect of intermittency is probably weak.

  8. Porphyria cutanea tarda. Clinical features and laboratory findings in 40 patients. (United States)

    Grossman, M E; Bickers, D R; Poh-Fitzpatrick, M B; Deleo, V A; Harber, L C


    Porphyria cutanea tarda is the most common disorder of porphyrin metabolism in the United States and Europe. This report presents the clinical, laboratory and pathologic features of 40 patients with porphyria cutanea tarda. Each patient was followed up for variable times during 1960-76 at the Clinical Research Center and the Dermatology Service of the Columbia-Presbyterian Medical Center; at the New York University Medical Center; or at the Rockefeller University Hospital. Earlier age at onset; diminution of alcohol ingestion as the major etiologic factor; and, an increased incidence in females indicate new environmental influences. The most frequently associated etiologic factor, aside from alcohol intake, was use of estrogens for contraception; postmenopausal syndrome; or treatment of prostatic carcinoma. Cutaneous findings in the patients included bullae (85%); increased skin fragility (75%); facial hypertrichosis (63%); hyperpigmentation (55%); sclerodermoid changes (18%); and, dystrophic calcification with ulceration (8%). Diabetes mellitus was found in 15%; systemic lupus erythematosus in 5%; elevated serum iron level in 62%; and, abnormal liver function test results in 60%. Histologic abnormalities were seen in liver biopsies of 34 patients. Phlebotomy is the treatment of choice. In 32 patients so treated, clinical remissions averaged 30.9 months. 31% (10 patients) had a relapse but additional phlebotomies resulted in 2nd remissions. Chloroquine and plasmaphoresis treatments were also briefly discussed.

  9. Metabolic correction of congenital erythropoietic porphyria with iPSCs free of reprogramming factors. (United States)

    Bedel, Aurélie; Taillepierre, Miguel; Guyonnet-Duperat, Véronique; Lippert, Eric; Dubus, Pierre; Dabernat, Sandrine; Mautuit, Thibaud; Cardinaud, Bruno; Pain, Catherine; Rousseau, Benoît; Lalanne, Magalie; Ged, Cécile; Duchartre, Yann; Richard, Emmanuel; de Verneuil, Hubert; Moreau-Gaudry, François


    Congenital erythropoietic porphyria (CEP) is due to a deficiency in the enzymatic activity of uroporphyrinogen III synthase (UROS); such a deficiency leads to porphyrin accumulation and results in skin lesions and hemolytic anemia. CEP is a candidate for retrolentivirus-mediated gene therapy, but recent reports of insertional leukemogenesis underscore the need for safer methods. The discovery of induced pluripotent stem cells (iPSCs) has opened up new horizons in gene therapy because it might overcome the difficulty of obtaining sufficient amounts of autologous hematopoietic stem cells for transplantation and the risk of genotoxicity. In this study, we isolated keratinocytes from a CEP-affected individual and generated iPSCs with two excisable lentiviral vectors. Gene correction of CEP-derived iPSCs was obtained by lentiviral transduction of a therapeutic vector containing UROS cDNA under the control of an erythroid-specific promoter shielded by insulators. One iPSC clone, free of reprogramming genes, was obtained with a single proviral integration of the therapeutic vector in a genomic safe region. Metabolic correction of erythroblasts derived from iPSC clones was demonstrated by the disappearance of fluorocytes. This study reports the feasibility of porphyria gene therapy with the use of iPSCs.

  10. ALAS2 acts as a modifier gene in patients with congenital erythropoietic porphyria. (United States)

    To-Figueras, Jordi; Ducamp, Sarah; Clayton, Jerome; Badenas, Celia; Delaby, Constance; Ged, Cecile; Lyoumi, Said; Gouya, Laurent; de Verneuil, Hubert; Beaumont, Carole; Ferreira, Gloria C; Deybach, Jean-Charles; Herrero, Carmen; Puy, Herve


    Mutations in the uroporphyrinogen III synthase (UROS) gene cause congenital erythropoietic porphyria (CEP), an autosomal-recessive inborn error of erythroid heme biosynthesis. Clinical features of CEP include dermatologic and hematologic abnormalities of variable severity. The discovery of a new type of erythroid porphyria, X-linked dominant protoporphyria (XLDPP), which results from increased activity of 5-aminolevulinate synthase 2 (ALAS2), the rate-controlling enzyme of erythroid heme synthesis, led us to hypothesize that the CEP phenotype may be modulated by sequence variations in the ALAS2 gene. We genotyped ALAS2 in 4 unrelated CEP patients exhibiting the same C73R/P248Q UROS genotype. The most severe of the CEP patients, a young girl, proved to be heterozygous for a novel ALAS2 mutation: c.1757 A > T in exon 11. This mutation is predicted to affect the highly conserved and penultimate C-terminal amino acid of ALAS2 (Y586). The rate of 5-aminolevulinate release from Y586F was significantly increased over that of wild-type ALAS2. The contribution of the ALAS2 gain-of-function mutation to the CEP phenotype underscores the importance of modifier genes underlying CEP. We propose that ALAS2 gene mutations should be considered not only as causative of X-linked sideroblastic anemia (XLSA) and XLDPP but may also modulate gene function in other erythropoietic disorders.

  11. 连续性血液透析和间歇性血液透析治疗急性肾衰竭的疗效比较%Comparison of the Curative Effect of Continuous Hemodialysis and Intermittent Hemodialysis in the Treatment of Acute Renal Failure

    Institute of Scientific and Technical Information of China (English)



    ObjectiveTo compare the clinical effect of continuous hemodialysis and intermittent hemodialysis in the treatment of acute renal failure.Methods 80 cases of acute renal failure in our hospital were randomly divided into continuous hemodialysis group and intermittent hemodialysis group,40 cases in each group,the renal function of the two groups was recorded.ResultsDuring the course of treatment,the average number of hypotension and arrhythmia in the continuous hemodialysis group were less than that in the intermittent hemodialysis group(P<0.05).ConclusionClinical treatment of acute renal failure in the first choice for continuous hemodialysis,it can not only promote the recovery of renal function,but also reduce the risk of adverse reactions in patients during dialysis.%目的:对比分析连续性血液透析和间歇性血液透析治疗急性肾衰竭的临床效果。方法选取本院80例急性肾衰竭患者,随机分为连续性血液透析组和间歇性血液透析组,各40例,记录两组患者的肾功能恢复正常时间。结果连续性血液透析组在治疗过程中,发生的低血压平均次数及心律失常情况均少于间歇性血液透析组(P<0.05)。结论临床治疗急性肾衰竭首选连续性血液透析,既能促进患者肾功能的恢复,也能减少患者在透析过程中出现不良反应的几率。

  12. Intermedia and Intermittency

    Directory of Open Access Journals (Sweden)

    Veres Bálint


    Full Text Available It is commonly known that medial reflections have been initiated by attempts to secure the borders of discrete medial forms and to define the modus operandi of each essentialized medial area. Later on, the focus of study has shifted to plurimedial formations and the interactions between predefined medial genres. In the last few decades, taxonomic approaches to various multi-, inter-, and transmedial phenomena dominated the discussions, which offered invaluable support in mapping the terrain, but at the same time hindered the analysis of the ephemeral, time-dependent aspects of plurimedial operations. While we explore the properties of each medial configuration, we lose sight of the actual historical drivers that produce ever-new configurations. My thesis is that any discourse on intermediality should be paralleled by a discourse on cultural intermittency, and consequently, media studies should involve an approach that focuses on the “ecosystem” of the constantly renewing media configurations from the point of view of their vitalizing potential and capability to trigger heightened experiences. This approach draws much inspiration from K. Ludwig Pfeiffer’s media anthropology that gives orientation in my paper.

  13. Intermittency in spiral Poiseuille flow

    Energy Technology Data Exchange (ETDEWEB)

    Heise, M; Abshagen, J; Menck, A; Pflster, G [Institute of Experimental and Applied Physics, University of Kiel, 24098 Kiel (Germany)


    The results of an experimental study on intermittent spiral vortices observed in a counter-rotating Taylor-Couette system with an additional axial through flow, i.e. Spiral-Poiseuille flow, are presented. Convectively unstable upstream propagating spiral vortices appear in the laminar basic flow from an oscillatory instability and in general become absolutely unstable at higher inner cylinder Reynolds number. It is found that at Reynolds numbers above the absolute stability border the spiral vortices become unstable and a complex flow state showing intermittent bursts appears. The intermittent flow state is characterised by an irregular alternation between clearly distinguishable 'laminar' phases corresponding to up-and downstream propagating spiral vortices as well as propagating Taylor vortices. For a sufficiently high rate of axial through flow it is found that intermittency can occur directly from the convectively unstable regime of the upstream propagating spiral vortices.

  14. Bandagem reversível do tronco pulmonar IV: análise da hipertrofia aguda do ventrículo direito em modelo experimental de sobrecarga intermitente IV Pulmonary trunk reversible banding: analysis of right ventricle acute hypertrophy in an intermittent loading experimental model

    Directory of Open Access Journals (Sweden)

    Acrisio Sales Valente


    Full Text Available OBJETIVO: A bandagem ajustável do tronco pulmonar (TP pode proporcionar treinamento ventricular mais fisiológico para cirurgia de Jatene em dois estágios. Este estudo experimental analisa a hipertrofia aguda (96 horas do ventrículo direito (VD submetido à sobrecarga sistólica intermitente. MÉTODOS: Cinco grupos de sete cabritos jovens foram dispostos conforme o tempo de sobrecarga sistólica do VD (0, 24, 48, 72 e 96 horas. O grupo zero hora funcionou como grupo controle. Avaliações ecocardiográficas e hemodinâmicas foram feitas diariamente. Os animais foram sacrificados para avaliação do conteúdo de água e pesagem das massas cardíacas. RESULTADOS: Houve aumento da espessura do VD a partir de 48 horas de treinamento (pOBJECTIVES: Adjustable pulmonary trunk (PT banding device may induce a more physiologic ventricle retraining for the two-stage Jatene operation. This experimental study evaluates the acute hypertrophy (96 hours of the right ventricle (RV submitted to an intermittent pressure overload. METHODS: Five groups of seven young goats were distributed according to RV intermittent systolic overload duration (0, 24, 48, 72 and 96 hours. The zero-hour group served as a control group. Echocardiographic and hemodynamic evaluations were performed daily. After completing the training program for each group, the animals were sacrificed for water content and cardiac masses evaluation. RESULTS: There was a significant increase in RV free wall thickness starting with the 48-hour group (p<0.05. However, a decreased RV ejection fraction, associated with an important RV dilation and a significant increase in the RV volume to mass ratio was observed at 24-hour training period, when compared to 96-hour period (p=0.003, with subsequent recovery throughout the protocol. A 104.7% increase in RV mass was observed in the 96-hour group, as compared to the control group, with no differences in water content between these two groups. The daily mean

  15. High-Intensity Intermittent Exercise: Effect on Young People's Cardiometabolic Health and Cognition. (United States)

    Cooper, Simon B; Dring, Karah J; Nevill, Mary E


    With only a quarter of young people currently meeting physical activity guidelines, two key areas of concern are the effects of exercise on cardiometabolic health and cognition. Despite the fact that physical activity in young people is typically high intensity and intermittent in nature, much of the literature examines traditional endurance-type exercise. This review provides an update on the effects of high-intensity intermittent exercise on young people's cardiometabolic health and cognition. High-intensity intermittent exercise has acute beneficial effects on endothelial function and postprandial lipemia and chronic positive effects on weight management. In addition, there is emerging evidence regarding chronic benefits on the blood lipid profile, blood pressure, and proinflammatory and anti-inflammatory cytokines. Furthermore, emerging evidence suggests beneficial acute and chronic effects of high-intensity intermittent exercise on cognition. However, further research is required in both cardiometabolic health and cognition, particularly regarding the impact of school-based interventions in adolescents.

  16. [Intermittent compression of the subclavian vein]. (United States)

    Maraval, M


    The pathology of the cervico-thoracic channel is now well understood. Intermittent venous compression in the costo-clavicular space by the subclavian muscle can lead to acute occlusion of the venous trunk. It is important to make an early diagnosis of such compression before the stage of occlusive phlebitis. Clinical examination and dynamic phlebography allow the diagnosis to be made. Resection of the first rib is the ideal treatment. The mode of approach to the first rib is debatable since it seems that when venous symptomatology is dominant, the axillary method of Roos is not the best approach. A combined sub- and supra-clavicular approach permits a wide decompression of the vein and a more complete excision of the rib.

  17. Porphyria cutanea tarda as a complication of therapy for chronic hepatitis C

    Institute of Scientific and Technical Information of China (English)

    James Azim; Heather McCurdy; Richard H Moseley


    There is a strong association between porphyria cutanea tarda (PCT) and chronic viral hepatitis C. Therapy for chronic viral hepatitis C may improve PCT. However, there are only a few reports of the de novo development of PCT during therapy for chronic viral hepatitis C. We describe the development of PCT in a 56-year-old patient with chronic viral hepatitis C after 12 wk of peginterferon/ribavirin therapy. In addition, the patient was homozygous for the H63D hereditary hemochromatosis gene (HFE) mutation. The association of PCT with chronic viral hepatitis C and the possible role of hepatic iron overload and ribavirin-induced hemolytic anemia in the development of PCT during therapy for chronic viral hepatitis C are discussed.

  18. A rare case of puberty onset congenital erythropoietic porphyria with ophthalmological manifestations

    Directory of Open Access Journals (Sweden)

    Debjani Mishra


    Full Text Available A 27-year-old male patient was presented with foreign body sensation in both the eyes for 2 years duration and blisters followed by scarring and pigmentation in the photo-exposed areas of the body over the previous 12 years. His urine was reddish colored for the previous year. On examination, there was scarring, hyper-pigmentation of photo-exposed parts of the body along with resorption of the distal phalanges of fingers in both hands except the smallest digit which had onycholysis. Ocular examination indicated scleral necrosis in the interpalpebral areas in both eyes and bilateral dry eye. Hematological examination indicated a picture suggestive of hemolytic anemia. Abdominal ultrasonography indicated an enlarged spleen. These clinical features are suggestive of puberty onset congenital erythropoietic porphyria with ophthalmological manifestations.

  19. Late-onset cutaneous porphyria in a patient heterozygous for a uroporphyrinogen III synthase gene mutation. (United States)

    Aguilera, P; Badenas, C; Whatley, S D; To-Figueras, J


    Deficiency of uroporphyrinogen III synthase (UROS) causes congenital erythropoietic porphyria (CEP). The disease, originating from the inheritance of mutations within the UROS gene, presents a recessive form of transmission. In a few patients, a late-onset CEP-like phenotype without UROS mutations appears to be associated with a myelodysplastic syndrome. We report a 60-year-old man with late-onset signs of cutaneous porphyria and accumulation in urine, plasma and faeces of type I porphyrin isomers characteristic of CEP. Analysis of DNA from peripheral leucocytes, skin and bone marrow aspirate showed that he was a heterozygous carrier of a Cys73Arg (c.217 T>C) mutation within UROS. Sequencing of cDNA from peripheral blood confirmed heterozygosity and expression of the normal allele. Measurement of UROS enzymatic activity in erythrocytes showed values ~70% of normal, indirectly indicating expression of the normal allele. Differently from other cases of late-onset uroporphyria, the patient did not present thrombocytopenia or any evidence of a myelodysplastic syndrome. Five years of clinical follow-up showed persistence of skin signs and increased excretion of porphyrins, independently of lifestyle factors or changes in medication regimes. We hypothesize acquired mosaicism (in the bone marrow) affecting the UROS gene. Thus, unstable cellular clones initiated overproduction of isomer I porphyrins leading to a CEP phenotype. This could be explained either by a clonal expansion of the porphyric (Cys73Arg) allele or by loss of function of the normal allele. Cellular turnover would facilitate release of uroporphyrins into circulation and subsequent skin lesions. This is the first case of a CEP heterozygous carrier presenting clinical manifestations.

  20. Bursts in intermittent aeolian saltation

    CERN Document Server

    Carneiro, M V; Herrmann, H J


    Close to the onset of Aeolian particle transport through saltation we find in wind tunnel experiments a regime of intermittent flux characterized by bursts of activity. Scaling laws are observed in the time delay between each burst and in the measurements of the wind fluctuations at the critical Shields number $\\theta_c$. The time delay between each burst decreases on average with the increase of the Shields number until saltation becomes non-intermittent and the sand flux becomes continuous. A numerical model for saltation including the wind-entrainment from the turbulent fluctuations can reproduce these observations and gives insight about their origin. We present here also for the first time measurements showing that with feeding it becomes possible to sustain intermittent flux even below the threshold $\\theta_c$ for natural saltation initiation.

  1. Intermittency in spherical Couette dynamos

    CERN Document Server

    Raynaud, Raphaël; 10.1103/PhysRevE.87.033011


    We investigate dynamo action in three-dimensional numerical simulations of turbulent spherical Couette flows. Close to the onset of dynamo action, the magnetic field exhibits an intermittent behavior, characterized by a series of short bursts of the magnetic energy separated by low-energy phases. We show that this behavior corresponds to the so-called on-off intermittency. This behavior is here reported for dynamo action with realistic boundary conditions. We investigate the role of magnetic boundary conditions in this phenomenon.

  2. Hexachlorobenzene impairs glucose metabolism in a rat model of porphyria cutanea tarda: a mechanistic approach

    Energy Technology Data Exchange (ETDEWEB)

    Mazzetti, Marta Blanca; Taira, Maria Cristina; Lelli, Sandra Marcela; Viale, Leonor Carmen San Martin de [Departamento de Quimica Biologica, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Ciudad Universitaria, C1428BGA, Ciudad Autonoma Buenos Aires (Argentina); Dascal, Eduardo; Basabe, Juan Carlos [Centro de Investigaciones Endocrinologicas (CEDIE). Hospital de Ninos, Dr. Ricardo Gutierrez, C1425EDF, Ciudad Autonoma Buenos Aires (Argentina)


    Hexachlobenzene (HCB), one of the most persistent environmental pollutants, induces porphyria cutanea tarda (PCT). The aim of this work was to analyze the effect of HCB on some aspects of glucose metabolism, particularly those related to its neosynthesis in vivo. For this purpose, a time-course study on gluconeogenic enzymes, pyruvate carboxylase (PC), phosphoenolpyruvate carboxykinase (PEPCK), glucose-6-phosphatase (G-6-Pase) and on pyruvate kinase (PK), a glycolytic enzyme, was carried out. Plasma glucose and insulin levels, hepatic glycogen, tryptophan contents, and the pancreatic insulin secretion pattern stimulated by glucose were investigated. Oxidative stress and heme pathway parameters were also evaluated. HCB treatment decreased PC, PEPCK, and G-6-Pase activities. The effect was observed at an early time point and grew as the treatment progressed. Loss of 60, 56, and 37%, respectively, was noted at the end of the treatment when a considerable amount of porphyrins had accumulated in the liver as a result of drastic blockage of uroporphyrinogen decarboxylase (URO-D) (95% inhibition). The plasma glucose level was reduced (one-third loss), while storage of hepatic glucose was stimulated in a time-dependent way by HCB treatment. A decay in the normal plasma insulin level was observed as fungicide intoxication progressed (twice to four times lower). However, normal insulin secretion of perifused pancreatic Langerhans islets stimulated by glucose during the 3rd and 6th weeks of treatment did not prove to be significantly affected. HCB promoted a time-dependent increase in urinary chemiluminiscence (fourfold) and hepatic malondialdehide (MDA) content (fivefold), while the liver tryptophan level was only raised at the longest intoxication times. These results would suggest that HCB treatment does not cause a primary alteration in the mechanism of pancreatic insulin secretion and that the changes induced by the fungicide on insulin levels would be an adaptative

  3. Intermittent exotropia: Surgical treatment strategies

    Directory of Open Access Journals (Sweden)

    Jai Aditya Kelkar


    Full Text Available Surgical management of intermittent exotropias (IXTs is ambiguous, with techniques of management varying widely between institutions. This review aims to examine available literature on the surgical management of IXT. A literature search was performed using PubMed, Web of Knowledge, LILACS, and the University of Liverpool Orthoptic Journals and Conference Transactions Database. All English-language papers published between 1958 and the present day were considered.

  4. Power-constrained intermittent control


    Gawthrop, P.; Wagg, D.; Neild, S.; Wang, L


    In this article, input power, as opposed to the usual input amplitude, constraints are introduced in the context of intermittent control. They are shown to result in a combination of quadratic optimisation and quadratic constraints. The main motivation for considering input power constraints is its similarity with semi-active control. Such methods are commonly used to provide damping in mechanical systems and structures. It is shown that semi-active control can be re-expressed and generalised...

  5. Successful cord blood stem cell transplantation for congenital erythropoietic porphyria (Gunther's disease). (United States)

    Zix-Kieffer, I; Langer, B; Eyer, D; Acar, G; Racadot, E; Schlaeder, G; Oberlin, F; Lutz, P


    Congenital erythropoietic porphyria (Gunther's disease, GD) is a rare autosomal recessive disease. It results from the deficiency of uroporphyrinogen III synthase, the fourth enzyme on the metabolic pathway of heme synthesis. GD leads to severe scarring of the face and hands as a result of photosensitivity and fragility of the skin due to uroporphyrin I and coproporphyrin I accumulation. It also causes erythrocyte fragility leading to haemolytic anaemia. The other clinical features include hirsutism, red discolouration of teeth, finger-nails and urine and stunted growth. The outcome is poor, and the disfiguring nature of GD may partly explain the legend of the werewolf. No curative treatment was known until 1991, when the first case of BMT in GD was reported. The clinical and biological outcome after transplantation was encouraging, with an important regression of the symptoms of the disease, but the child died of CMV-infection 11 months after BMT. We report the second case of GD treated successfully by stem cell transplantation using umbilical cord blood from an HLA-identical brother in a 4-year-old girl suffering from severe GD. Our patient is very well 10 months after transplantation. We confirm that stem cell transplantation is curative for GD.

  6. Successful treatment of congenital erythropoietic porphyria using matched unrelated hematopoietic stem cell transplantation. (United States)

    Martinez Peinado, Carmen; Díaz de Heredia, Cristina; To-Figueras, Jordi; Arias-Santiago, Salvador; Nogueras, Paloma; Elorza, Izaskun; Olivé, Teresa; Bádenas, Célia; Moreno, M José; Tercedor, Jesús; Herrero, Carmen


    Congenital erythropoietic porphyria (CEP), or Günther's disease, is an inborn error of metabolism produced by a deficiency of uroporphyrinogen III synthase (UROS), the fourth enzyme of the heme biosynthesis pathway. This enzymatic defect induces the accumulation of isomer I porphyrins in erythrocytes, skin, and tissues, producing various clinical manifestations. Severe cases are characterized by extreme photosensitivity, causing scarring and mutilations, and by hemolytic anemia, reducing life expectancy. CEP is caused by mutations in the UROS gene, and one of the most severe forms of the disease is associated with a cysteine to arginine substitution at residue 73 of the protein (C73R). CEP has been successfully treated only by the transplantation of hematopoietic precursors. We report the case of a male infant with severe postdelivery symptoms diagnosed with CEP and found to be homozygous for the C73R mutation. He underwent successful allogeneic bone marrow transplantation from a matched unrelated donor at 7 months of age. The hemolytic anemia was corrected and the porphyrin overproduction was significantly reduced. The patient remained asymptomatic after 1 year. This new case confirms that patients with severe CEP can benefit from early postnatal hematopoietic stem cell transplantation.

  7. Congenital Erythropoietic Porphyria: Mutation of the Uroporphyrinogen III Cosynthase Gene in a Vietnamese Patient

    Directory of Open Access Journals (Sweden)

    Dao Hoang Thien Kim


    Full Text Available Congenital erythropoietic porphyria (CEP arises from an autosomal recessive inherited disorder of the porphyrin metabolism, which leads to the accumulation of uroporphyrinogen I in bone marrow, skin and several other tissues by a deficiency of uroporphyrinogen III cosynthase (UROS. We studied a Vietnamese patient and her family suffering from severe cutaneous photosensitivity with skin fragility, bullous lesions and hypertrichosis on light-exposed areas. A missense mutation in the UROS gene was identified as a transversion of G to T at nucleotide 11,776, resulting in a substitution of valine by phenylalanine at codon 3 of exon 2. The patient showed a homozygous mutant profile, and the heterozygous state was observed in the parents. The activity of mutated UROS expressed in Escherichia coli was less than 16.1% that of the control, indicating that the markedly reduced activity of UROS is responsible for CEP. We described for the first time a mutation in the UROS gene in a Southeast Asian patient and a molecular diagnosis for the identification of clinically asymptomatic heterozygous mutation carriers and families with CEP.

  8. Congenital Erythropoietic Porphyria: Mutation of the Uroporphyrinogen III Cosynthase Gene in a Vietnamese Patient. (United States)

    Thien Kim, Dao Hoang; Kawazoe, Asako; Bang, Pham Dang; Thanh, Nguyen Tien; Taketani, Shigeru


    Congenital erythropoietic porphyria (CEP) arises from an autosomal recessive inherited disorder of the porphyrin metabolism, which leads to the accumulation of uroporphyrinogen I in bone marrow, skin and several other tissues by a deficiency of uroporphyrinogen III cosynthase (UROS). We studied a Vietnamese patient and her family suffering from severe cutaneous photosensitivity with skin fragility, bullous lesions and hypertrichosis on light-exposed areas. A missense mutation in the UROS gene was identified as a transversion of G to T at nucleotide 11,776, resulting in a substitution of valine by phenylalanine at codon 3 of exon 2. The patient showed a homozygous mutant profile, and the heterozygous state was observed in the parents. The activity of mutated UROS expressed in Escherichia coli was less than 16.1% that of the control, indicating that the markedly reduced activity of UROS is responsible for CEP. We described for the first time a mutation in the UROS gene in a Southeast Asian patient and a molecular diagnosis for the identification of clinically asymptomatic heterozygous mutation carriers and families with CEP.

  9. Effects of intermittent hemofiltration on the protein levels of plasma inflammatory cytokines of severe acute panreatitis patients%间断短时血液滤过对重症急性胰腺炎患者血浆炎性细胞因子的影响

    Institute of Scientific and Technical Information of China (English)



    Severe acute pancreatitis (SAP) is a severe disease, a threat to patients' life.During SAP, large amounts of inflammatory cytokines are released to the blood plasma, which subsequently cause systemic inflammatory response syndrome in patients.It has been shown that high flow hemofiltration strategy is beneficial to clear up the blood inflammatory cytokines.In this study, we try a new strategy, intermittent hemofiltration, to observe the efficiency of the clearance of blood inflammatory cytokines in SAP patients by measuring TNF-α, IL-6 and IL-8 by ELISA assay.We found that patients treated with intermittent hemofiltration method had significantly lower levels of TNF-α and IL-8 in plasma at 4 days post treatment, and markedly lower levels of TNF-α, IL-6 and IL-8 levels at day 10 post treatment, as compared with control group.Results indicate that this new strategy has an advantage over the currently established methods on the clearance of inflammatory cytokines in SAP patients, and suggest its potential extended application in the future.%目的 观察间断短时血液滤过对重症急性胰腺炎血浆炎性细胞因子的影响.方法 重症胰腺炎病人经过短时、重复血液滤过后,酶联免疫吸附法测定血浆TNF-α、IL-6和IL-8水平.结果 血滤组与非血滤组住院第4天TNF-α及IL-8评分差异有统计学意义(P<0.05或P<0.01),住院第10天2组IL-6、IL-8及A队CHEⅡ差异均有统计学意义(P<0.01).结论 间断血液滤过治疗在控制病情、减轻或缩短SIRS上较非血滤组优越,提示该方法 有推广应用潜力.

  10. [Unstable angina pectoris in intermittent left bundle branch block]. (United States)

    Albert, S; Flury, G


    We present a case report of a 57 year old woman with recurrent chest pain, initially exclusively at exercise and later also at rest. This led to an emergency hospitalization for suspected myocardial infarction. As there were no enzymatic and electrocardiographic signs of acute infarction she was treated, as unstable angina pectoris. Coronary angiography revealed but a modest coronary atheromatosis without significant coronary stenosis. Therefore her symptoms were interpreted as primary manifestation of an intermittant Left Bundle Branch Block (LBBB) with changing heart-rate dependency. A majority of patients with LBBB and chest pain have a relevant Coronary Artery Disease (CAD). There is a small number of reports in literature about patients with intermittant LBBB without significant CAD but with both typical (exercise-induced) and atypical (at rest) chest pain. Special features of our case are presentation of LBBB as unstable angina, documentation of an intermittant LBBB with changing heart-rate dependency and heart-rate-dependent supranormal conduction in the left bundle branch. We review some important aspects of LBBB with regard to this case.

  11. An unhappy triad: Hemochromatosis, porphyria cutanea tarda and hepatocellular carcinoma-A case report

    Institute of Scientific and Technical Information of China (English)

    Martina T Mogl; Andreas Pascher; Sabine J Presser; Michael Schwabe; Peter Neuhaus; Natascha C Nuessler


    Liver fibrosis and cirrhosis are predisposing factors for the development of hepatocellular carcinoma (HCC). Hemosiderosis has also been described to trigger carcinogenesis. A significant iron overload, as found in hereditary hemochromatosis (HHC), is a risk factor for HCC and may also promote the symptoms of porphyria cutanea tarda (PCT). A 68-year old male patient presented to our clinic with a suspected HCC,elevated alpha-fetoprotein but normal liver function tests. He reported a 25 year-old history of vitiligo upon exposure to sunlight. The patient underwent an extended left hemihepatectomy, and the recovery was uneventful, with the exception of a persistent hyperbilirubinemia. Perfusion problems and extrahepatic cholestasis were ruled out by CT-scan with angiography and MR-cholangiopancreatography. However, MRI showed an iron overload. Histology confirmed the HCC (pT3, pN0, G3, R0) and revealed a portal fibrosis and hemosiderosis. Based on the skin lesions we suspected a PCT that was confirmed by laboratory tests showing elevated porphyrin, uroporphyrin, coproporphyrin and porphobilinogen. Concurrently, molecular diagnostics revealed homozygosity for the C282Y mutation within the hemochromatosis HFE gene. After phlebotomy and normalization of liver function tests the patient was discharged. This is the first case ever showing the unusual combination of HCC in a fibrotic liver with HHC and PCT. This diagnosis not only warrants oncological follow-up but also symptomatic therapy to normalize iron metabolism and thereby improve liver function and alleviate the symptoms of HHC and PCT. Thus progression of fibrosis may be prevented and liver regeneration supported.

  12. Feline congenital erythropoietic porphyria: two homozygous UROS missense mutations cause the enzyme deficiency and porphyrin accumulation. (United States)

    Clavero, Sonia; Bishop, David F; Giger, Urs; Haskins, Mark E; Desnick, Robert J


    The first feline model of human congenital erythropoietic porphyria (CEP) due to deficient uroporphyrinogen III synthase (URO-synthase) activity was identified by its characteristic clinical phenotype, and confirmed by biochemical and molecular genetic studies. The proband, an adult domestic shorthair cat, had dark-red urine and brownish discolored teeth with red fluorescence under ultraviolet light. Biochemical studies demonstrated markedly increased uroporphyrinogen I in urine and plasma (2,650- and 10,700-fold greater than wild type, respectively), whereas urinary 5-aminolevulinic acid and porphobilinogen were lower than normal. Erythrocytic URO-synthase activity was UROS gene revealed two missense mutations, c.140C>T (p.S47F) in exon 3 and c.331G>A (p.G111S) in exon 6, both of which were homozygous, presumably owing to parental consanguinity. Neither was present in 100 normal cat alleles. Prokaryotic expression and thermostability studies of the purified monomeric wild-type, p.S47F, p.G111S, and p.S47F/G111S enzymes showed that the p.S47F enzyme had 100% of wild-type specific activity but ~50% decreased thermostability, whereas the p.G111S and p.S47F/G111S enzymes had about 60% and 20% of wild-type specific activity, respectively, and both were markedly thermolabile. Molecular modeling results indicated that the less active/less stable p.G111S enzyme was further functionally impaired by a structural interaction induced by the presence of the S47F substitution. Thus, the synergistic interaction of two rare amino acid substitutions in the URO-synthase polypeptide caused the feline model of human CEP.

  13. Long-term tolerability of telcagepant for acute treatment of migraine in a randomized trial

    DEFF Research Database (Denmark)

    Connor, Kathryn M; Aurora, Sheena K; Loeys, Tom


    To evaluate the long-term tolerability of telcagepant for acute treatment of intermittent migraine attacks. Background.- Telcagepant is a calcitonin gene-related peptide (CGRP) receptor antagonist being investigated for the acute treatment of migraine....

  14. Radiation characteristics of intermittence exhaust noise

    Institute of Scientific and Technical Information of China (English)

    ZHAO Shengdun; SHANG Chunyang; ZHAO Zhigang; SHI Weixiang


    Aerodynamic characteristics, the noise characteristics in the course of intermittence exhaust are investigated and the expressions for sound pressure level of the noise generated by single-pole source and quadrupole source in the intermittence exhaust noise are established. The effects of all parameters in pneumatic system on the noise are also comprehensively studied.


    In February 2006, the US Supreme Court heard cases that may affect whether intermittent streams are jurisdictional waters under the Clean Water Act. In June 2006, however, the cases were remanded to the circuit court, leaving the status of intermittent streams uncertain once agai...

  16. The truth is in the water: metastatic prostate cancer presenting as an intermittent facial nerve palsy. (United States)

    Wooles, N; Gupta, S; Wilkin-Crowe, H; Juratli, A


    An elderly man presented to the acute ear, nose and throat (ENT) services with a history of intermittent, self-limiting facial nerve palsy. Full ENT examination was normal, with all cranial nerves and peripheral neurology intact. Multiple imaging modalities suggested an aggressive bony lesion, secondary to locally advanced prostate malignancy with extensive metastatic infiltration. Prostate cancer is known to preferentially metastasise to bone and has been known to cause multiple cranial nerve palsies and ophthalmoplegia. This is the first case described in the literature of metastatic prostate cancer presenting with intermittent facial nerve palsy.

  17. Characteristic Relations of Type-III Intermittency in an Electronic Circuit

    CERN Document Server

    Kim, C M; Ryu, J W; Park, Y J; Kim, Chil-Min; Yim, Geo-Su; Ryu, Jung-Wan; Park, Young-Jai


    It is reported that the characteristic relations of type-II and type-III intermittencies, with respective local Poincar$\\acute{e}$ maps of $x_{n+1}= (1+\\epsilon)x_n + a x^3_n$ and $x_{n+1}= - (1+\\epsilon)x_n - a x^3_n$, are both $- ln (\\epsilon)$ under the assumption of uniform reinjection probability. However, the intermittencies have various characteristic relations such as probability. In this Letters the various characteristic relations are discussed, and the $\\epsilon^{-1/2}$ characteristic relation is obtained experimentally in an electronic circuit, with uniform reinjection probability.

  18. Kinetic intermittency in magnetized plasma turbulence

    CERN Document Server

    Teaca, Bogdan; Told, Daniel; Jenko, Frank


    We employ magnetized plasma turbulence, described by a gyrokinetic formalism in an interval ranging from the end of the fluid scales to the electron gyroradius, to introduce the first study of kinetic intermittency, in which nonlinear structures formed directly in the distribution functions are analyzed by accounting for velocity space correlations generated by linear (Landau resonance) and nonlinear phase mixing. Electron structures are found to be strongly intermittent and dominated by linear phase mixing, while nonlinear phase mixing dominates the weakly intermittent ions. This is the first time spatial intermittency and linear phase mixing are shown to be self-consistently linked for the electrons and, as the magnetic field follows the intermittency of the electrons at small scales, explain why magnetic islands are places dominated by Landau damping in steady state turbulence.

  19. Optical diagnostics of intermittent flows

    DEFF Research Database (Denmark)

    Okulov, V.L.; Naumov, I.V.; Sørensen, Jens Nørkær


    The efficiency of combined use of different optical techniques for flow diagnostics is demonstrated with the practically important case of intense swirling flows. It is shown that, when applied separately, commonly used optical measuring techniques, such as laser Doppler anemometry and particle...... image velocimetry, frequently give erroneous results, especially for the transition flow and developed nonstationary flow. However, their combined use in diagnostics of unsteady (intermittent) flows significantly improves both the temporal and spatial resolution of measurements. Such a complex approach...... is for the first time applied for diagnostics of the flow pattern in a closed cylinder with a rotating end face with the aim of studying the changeover from the steady axisymmetric to unsteady asymmetric flow over a wide range of flow parameters. It is found that such a transition is notable for azimuthal...

  20. Lattice splitting under intermittent flows

    CERN Document Server

    Schläpfer, Markus


    We study the splitting of regular square lattices subject to stochastic intermittent flows. By extensive Monte Carlo simulations we reveal how the time span until the occurence of a splitting depends on various flow patterns imposed on the lattices. Increasing the flow fluctuation frequencies shortens this time span which reaches a minimum before rising again due to inertia effects incorporated in the model. The size of the largest connected component after the splitting is rather independent of the flow fluctuations but sligthly decreases with the link capacities. Our results are relevant for assessing the robustness of real-life systems, such as electric power grids with a large share of renewable energy sources including wind turbines and photovoltaic systems.

  1. Intermittent transport in edge plasmas

    Energy Technology Data Exchange (ETDEWEB)

    Garcia, O.E.; Naulin, V.; Nielsen, A.H.; Juul Rasmussen, J. [Association EURATOM-Riso National Laboratory, Optics and Plasma Research, Roskilde (Denmark)


    The properties of low-frequency convective fluctuations and transport are investigated for the boundary region of magnetized plasmas. We employ a two-dimensional fluid model for the evolution of the global plasma quantities in a geometry and with parameters relevant to the scrape-off layer of confined toroidal plasmas. Strongly intermittent plasma transport is regulated by self-consistently generated sheared poloidal flows and is mediated by burst ejection of particles and heat from the bulk plasma in the form of blobs. Coarse grained probe signals reveal a highly skewed and flat distribution on short time scales, but tends towards a normal distribution at large time scales. Conditionally averaged signals are in perfect agreement with experimental measurements. (authors)

  2. Cooperative controls with intermittent communication (United States)

    Shen, Dan; Chen, Genshe; Cruz, Jose B., Jr.; Pham, Khanh; Blasch, Erik; Lynch, Robert


    In this paper, we propose a solution to the cooperative path planning with limited communication problem in two phases. In the first (offline) phase, a Pareto-optimal path problem is formulated to find a reference path and the graph cuts minimization method is used to speedily calculate the optimal solution. In the second (online) phase, a foraging algorithm is used to dynamically refine the reference path to meet the dynamic constraints of unmanned aerial vehicle (UAVs), during which an open-loop feedback optimal (OLFO) controller is used to estimate the states which may be unavailable due to infrequent battlefield information updates. Furthermore, an adaptive Markov decision process is proposed to deal with intermittent asynchronous information flow. The method is demonstrated in a simulation for a swarm of Unmanned Air Vehicle (UAV) teams with various communication ranges.

  3. Long-term tolerability of telcagepant for acute treatment of migraine in a randomized trial

    DEFF Research Database (Denmark)

    Connor, Kathryn M; Aurora, Sheena K; Loeys, Tom


    To evaluate the long-term tolerability of telcagepant for acute treatment of intermittent migraine attacks. Background.- Telcagepant is a calcitonin gene-related peptide (CGRP) receptor antagonist being investigated for the acute treatment of migraine.......To evaluate the long-term tolerability of telcagepant for acute treatment of intermittent migraine attacks. Background.- Telcagepant is a calcitonin gene-related peptide (CGRP) receptor antagonist being investigated for the acute treatment of migraine....

  4. Analytical approach to continuous and intermittent bottleneck flows

    DEFF Research Database (Denmark)

    Helbing, D.; Johansson, A.; Mathiesen, Joachim Kaj;


    Many-particle-inspired theory, Continuous and Intermittent Bottleneck Flows Udgivelsesdato: Oct. 20......Many-particle-inspired theory, Continuous and Intermittent Bottleneck Flows Udgivelsesdato: Oct. 20...

  5. Short-term intermittent peritoneal fluid loop peritoneal lavage in the clinical observation of early treatment of severe acute pancreatitis%腹膜透析液短期间歇性闭合式腹腔灌洗治疗早期重症急性胰腺炎

    Institute of Scientific and Technical Information of China (English)

    郭志松; 冯凌霄; 代荣钦; 邵换璋; 张慧峰; 刘卫青; 秦秉玉


    目的 探讨早期重症急性胰腺炎(SAP)治疗中,腹膜透析液短期间歇性闭合式腹腔灌洗的临床效果.方法 将54例SAP患者随机分为两组,对照组采用常规基础治疗,灌洗组采用腹膜透析液短期间歇性闭合式腹腔灌洗治疗;观测两组患者治疗前与治疗后第3、7天C反应蛋白(CRP)、系统性炎性反应综合征(SIRS)持续时间、中性粒细胞计数(NUE)水平以及急性生理功能和慢性健康状况评分系统Ⅱ(APACHE-Ⅱ)、出现多器官功能障碍综合征(MODS)器官数和死亡人数.结果 灌洗组治疗后第7天CRP为(42.30 ±23.78) mg/L,APACHE-Ⅱ为(3.31 ±1.81)分,NUE为(4.79±1.82)×109/L,SIRS持续时间为(4.07 ±2.00)d,出现MODS器官数为(0.23±0.43)个,无死亡病例;对照组治疗后第7天CRP为(89.19 ±58.21) mg/L,APACHE-Ⅱ为(4.67±1.72)分,NUE为(9.85±3.27)×109/L,SIRS持续时间为(7.83 ±4.62)d,出现MODS器官数为(0.85±0.94)个,2例死亡;结论 腹膜透析液短期间歇性闭合式腹腔灌洗可有效改善早期SAP的临床症状,控制病死率和MODS的发生率,阻断SIRS的发展.%Objective to study the early severe acute pancreatitis (SAP) treatment, peritoneal dialysate short-term clinical effect of closed type peritoneal lavage intermittently.Methods by randomized controlled study, from our selection of 54 patients with SAP were randomly divided into two groups,control group using conventional foundation treatment, lavage group adopt short-term intermittent peritoneal fluid loop peritoneal lavage treatment;Observed two groups of patients before and after treatment, 3,7 d C reactive protein (CRP), duration of systemic inflammatory response syndrome (SIRS) and neutrophil counts (NUE) levels and Acute Physiology and Chronic Health Evaluation (APACHE)-Ⅱ, multiple organ dysfunction syndrome (MODS) organs and deaths.Results CRP for 7 d after lavage treatment group (42.30 ±23.78) mg/L, APACHE-Ⅱ is (3.31 ± 1.81) points, NUE for 109/L (4.79 ± 1

  6. Assessing Relative Volatility/Intermittency/Energy Dissipation

    DEFF Research Database (Denmark)

    Barndorff-Nielsen, Ole E.; Pakkanen, Mikko; Schmiegel, Jürgen

    We introduce the notion of relative volatility/intermittency and demonstrate how relative volatility statistics can be used to estimate consistently the temporal variation of volatility/intermittency even when the data of interest are generated by a non-semimartingale, or a Brownian semistationary...... process in particular. While this estimation method is motivated by the assessment of relative energy dissipation in empirical data of turbulence, we apply it also to energy price data. Moreover, we develop a probabilistic asymptotic theory for relative power variations of Brownian semistationary...... processes and Ito semimartingales and discuss how it can be used for inference on relative volatility/intermittency....

  7. Congenital erythropoietic porphyria with two mutations of the uroporphyrinogen III synthase gene (Cys73Arg, Thr228Met). (United States)

    Gucev, Zoran; Slavevska, Nevenka; Tasic, Velibor; Laban, Nevenka; Pop-Jordanova, Nada; Danilovski, Dragan; Woolf, Jacqueline; Cole, Duncan


    Congenital erythropoietic porphyria (CEP) is an autosomal recessive inborn error of metabolism that results from the markedly deficient activity of uroporphyrinogen III synthase (UROS). We describe a 14-year-old girl with red urine since infancy, progressive blistering and scarring of the skin, and moderate hemolytic anemia. After years of skin damage, her face is mutilated; she has a bald patch on the scalp, hypertrichosis of the neck, areas of skin darkening, and limited joint movements of the hands. Total urine excretion and fecal total porphyrin were both markedly raised above normal levels. Sequencing of the UROS gene identified two mutations causing CEP (Cys73Arg, Thr228Met). The patient lesions are progressing. Bone marrow transplantation and/or gene therapy are proposed as the next steps in her treatment. In brief, we describe a CEP with confirmed two pathogenic mutations, severe phenotype and discuss the various treatment options available.

  8. Novel point mutation in the uroporphyrinogen III synthase gene causes congenital erythropoietic porphyria of a Japanese family. (United States)

    Takamura, N; Hombrados, I; Tanigawa, K; Namba, H; Nagayama, Y; de Verneuil, H; Yamashita, S


    The molecular basis of the uroporphyrinogen III synthase (UROIIIS) deficiency was investigated in a member of a Japanese family. This defect in heme biosynthesis is responsible for a rare autosomal recessive disease: congenital erythropoietic porphyria (CEP) or Günther's disease. The patient was homozygous for a novel missense mutation: a G to T transition of nucleotide 7 that predicted a valine to phenylalanine substitution at residue 3 (V3F). The parents were heterozygous for the same mutation. The loss of UROIIIS activity was verified by an in vitro assay system. The corresponding mutated protein was expressed in Escherichia coli and no residual activity was observed. Further studies are needed to determine whether the mutations of the UROIIIS gene (UROS) have a specific profile in Japan compared to European or American countries.

  9. Effective gene therapy of mice with congenital erythropoietic porphyria is facilitated by a survival advantage of corrected erythroid cells. (United States)

    Robert-Richard, Elodie; Moreau-Gaudry, François; Lalanne, Magalie; Lamrissi-Garcia, Isabelle; Cario-André, Muriel; Guyonnet-Dupérat, Véronique; Taine, Laurence; Ged, Cécile; de Verneuil, Hubert


    Achieving long-term expression of a therapeutic gene in a given hematopoietic lineage remains an important goal of gene therapy. Congenital erythropoietic porphyria (CEP) is a severe autosomal-recessive disorder characterized by a deficiency in uroporphyrinogen III synthase (UROS), the fourth enzyme of the heme biosynthetic pathway. We used a recently obtained murine model to check the feasibility of gene therapy in this disease. Lentivirus-mediated transfer of the human UROS cDNA into hematopoietic stem cells (HSCs) from Uros(mut248) mice resulted in a complete and long-term enzymatic, metabolic, and phenotypic correction of the disease, favored by a survival advantage of corrected red blood cells. These results demonstrate that the cure of this mouse model of CEP at a moderate transduction level supports the proof of concept of a gene therapy in this disease by transplantation of genetically modified hematopoietic stem cells.

  10. Congenital erythropoietic porphyria with two mutations of the uroporphyrinogen III synthase gene (Cys73Arg, Thr228Met

    Directory of Open Access Journals (Sweden)

    Zoran Gucev


    Full Text Available Congenital erythropoietic porphyria (CEP is an autosomal recessive inborn error of metabolism that results from the markedly deficient activity of uroporphyrinogen III synthase (UROS. We describe a 14-year-old girl with red urine since infancy, progressive blistering and scarring of the skin, and moderate hemolytic anemia. After years of skin damage, her face is mutilated; she has a bald patch on the scalp, hypertrichosis of the neck, areas of skin darkening, and limited joint movements of the hands. Total urine excretion and fecal total porphyrin were both markedly raised above normal levels. Sequencing of the UROS gene identified two mutations causing CEP (Cys73Arg, Thr228Met. The patient lesions are progressing. Bone marrow transplantation and/or gene therapy are proposed as the next steps in her treatment. In brief, we describe a CEP with confirmed two pathogenic mutations, severe phenotype and discuss the various treatment options available.

  11. Congenital erythropoietic porphyria: report of a novel mutation with absence of clinical manifestations in a homozygous mutant sibling. (United States)

    Ged, Cécile; Mégarbané, Hala; Chouery, Eliane; Lalanne, Magalie; Mégarbané, André; de Verneuil, Hubert


    In a Palestinian family, four siblings were shown to express typical and severe congenital erythropoietic porphyria (CEP). A new mutation of the uroporphyrinogen III synthase (UROS) gene was evidenced by systematic sequencing of the UROS gene: the substitution of serine by proline at the amino acid residue 47 (S47P) was present at the homozygous state in the four patients. The mother was heterozygous, the father was not examined. Surprisingly, in one unaffected sister, UROS activity was markedly deficient and UROS gene analysis showed a homozygous mutant profile. The deleterious role of the mutant S47P protein on UROS activity was demonstrated by prokaryotic expression. This observation is the first report of a healthy status associated with homozygosity for a mutation of UROS gene in a severely affected family. We then draw hypotheses to explain the protective phenotype in the homozygous healthy subject.

  12. Sky dancer: an intermittent system (United States)

    Cros, Anne; Rodríguez Romero, Jesse Alexander; Damián Díaz Andrade, Oscar


    Sky dancers attract people sight to make advertising. What is the origin of those large vertical tubes fluctuations above an air blower? This study complements the previous one [1] about the system analysis from a dynamical system point of view. As a difference from the ``garden hose-instability'' [2], the tube shape has got ``break points''. Those ``break points'' separate the air-filled bottom tube portion from its deflated top portion. We record the tube dynamics with a high-speed videocamera simultaneously that we measure the pressure at the air blower exit. The intermittent pressure evolution displays picks when the tube fluctuates. We compare those overpressure values with the ones that appears in a rigid tube whose exit is partially obstructed. [1] F. Castillo Flores & A. Cros ``Transition to chaos of a vertical collapsible tube conveying air flow'' J. Phys.: Conf. Ser. 166, 012017 (2009). [2] A. S. Greenwald & J. Dungundji ``Static and dynamic instabilities of a propellant line'' MIT Aeroelastic and Structures Research Lab, AFOSR Sci. Report: AFOSR 67-1395 (1967).

  13. The Comparison of Continuous and Intermittent Enteral Nutrition In Cerebrovascular Patients

    Directory of Open Access Journals (Sweden)

    Levent Güngör


    Full Text Available OBJECTIVE: Dysphagia and malnutrition are not so rare in stroke patients, and have an unfavorable influence on recovery. Nutritional support may reduce infections, duration of hospital stay and mortality. However, there is no clear evidence about the modality of nasogastric nutrition. In this study, intermittent and continuous enteral nutrition is compared by means of pulmonary infections and gastrointestinal tolerance, among acute cerebrovascular patients. METHODS: Sixty two acute cerebrovascular patients with dysphagia were included the study. The same volume of nutrition product was infused 4 times daily to 31 patients, and continuously for 24 hours to the remaining 31. After 10 days of follow-up, the rates of pulmonary infections, diarrhea, increased gastric residual volumes, vomiting and tube occlusion were compared between two groups. RESULTS: Twenty patients developed pneumonia (32% and 8 diarrhea (13%. Mortality due to complications associated with tube feeding was 6%. Aspiration and related pneumonia was present in 11 patients in the intermittent nutrition group (35%, and in 9 patients in the continuous nutrition group (29%. The rate of pulmonary infection was not statistically different between two groups (p>0.05. Diarrhea was observed in 7 intermittently fed patients (23%, while was present only in 1 patient (3% in the continuously fed group. Diarrhea was more common in the intermittent nutrition group, just at the statistical border (p=0.05. None of the patients developed tube occlusion, vomiting and gastric retention. The rate of mortality and the interruption of feeding was not significantly different between two groups (p>0.05. CONCLUSION: Diarrhea and pulmonary infections are more prevalent with intermittent tube feeding with respect to continuous enteral nutrition, though the difference is not so conspicuous. The reason may be contamination of the equipments and the feeding solution because of frequent manipulation and

  14. On-line intermittent connector anomaly detection (United States)

    National Aeronautics and Space Administration — This paper investigates a non-traditional use of differential current sensor and current sensor to detect intermittent disconnection problems in connectors. An...

  15. Improved Intermittency Analysis of Single Event Data


    Janik, R. A.; Ziaja, B.


    The intermittency analysis of single event data (particle moments) in multiparticle production is improved, taking into account corrections due to the reconstruction of history of a particle cascade. This approach is tested within the framework of the $\\alpha$-model.

  16. Intermittent preventive treatment of malaria in pregnancy

    DEFF Research Database (Denmark)

    Mbonye, A.K.; Bygbjerg, Ib Christian; Magnussen, Pascal


    OBJECTIVE: To assess whether traditional birth attendants, drug-shop vendors, community reproductive-health workers, or adolescent peer mobilizers could administer intermittent preventive treatment (IPTp) for malaria with sulfadoxine-pyrimethamine to pregnant women. METHODS: A non-randomized comm......OBJECTIVE: To assess whether traditional birth attendants, drug-shop vendors, community reproductive-health workers, or adolescent peer mobilizers could administer intermittent preventive treatment (IPTp) for malaria with sulfadoxine-pyrimethamine to pregnant women. METHODS: A non...

  17. Porfiria cutânea tarda e lúpus eritematoso sistêmico Porphyria cutanea tarda and systemic lupus erythematosus

    Directory of Open Access Journals (Sweden)

    Leticia Haendchen


    Full Text Available A associação de lúpus eritematoso sistêmico e porfiria, embora rara, é conhecida de longa data. Ela obriga o médico a realizar um cuidadoso diagnóstico diferencial das lesões bolhosas nesses pacientes e tomar cuidados com a prescrição de certas drogas, como a cloroquina. Esta, nas doses habituais para tratamento do lúpus, pode causar hepatotoxicidade em pacientes com porfiria. Descreve-se o caso de uma paciente com lúpus que desenvolveu lesões bolhosas compatíveis com porfiria cutânea tardia.The co-existence of systemic lupus erythematosus and porphyria although rare has been known for a long time. This association forces the physician to make a careful differential diagnosis of the bullous lesions that might appear in such patients and to be careful when prescribing certain drugs such as chloroquine. This drug, when used in the regular doses for treating lupus, may cause hepatotoxicity in patients.suffering from porphyria. It is described here the case of a patient with lupus who developed bullous lesions compatible with porphyria cutanea tarda.

  18. Beneficial effects of intermittent suction and pressure treatment in intermittent claudication

    DEFF Research Database (Denmark)

    Mehlsen, J; Himmelstrup, H; Himmelstrup, Bodil;


    The present study reports on the effects of a physical treatment modality in patients with intermittent claudication. During this treatment a major part of the skin surface is subjected to intermittent suction and pressure. In a previous, preliminary study the authors found a beneficial effect of...

  19. Intermittent ephemeral river-breaching (United States)

    Reniers, A. J.; MacMahan, J. H.; Gallagher, E. L.; Shanks, A.; Morgan, S.; Jarvis, M.; Thornton, E. B.; Brown, J.; Fujimura, A.


    In the summer of 2011 we performed a field experiment in Carmel River State Beach, CA, at a time when the intermittent natural breaching of the ephemeral Carmel River occurred due to an unusually rainy period prior to the experiment associated with El Nino. At this time the river would fill the lagoon over the period of a number of days after which a breach would occur. This allowed us to document a number of breaches with unique pre- and post-breach topographic surveys, accompanying ocean and lagoon water elevations as well as extremely high flow (4m/s) velocities in the river mouth during the breaching event. The topographic surveys were obtained with a GPS-equipped backpack mounted on a walking human and show the evolution of the river breaching with a gradually widening and deepening river channel that cuts through the pre-existing beach and berm. The beach face is qualified as a steep with an average beach slope of 1:10 with significant reflection of the incident waves (MacMahan et al., 2012). The wave directions are generally shore normal as the waves refract over the deep canyon that is located offshore of the beach. The tide is mixed semi-diurnal with a range on the order of one meter. Breaching typically occurred during the low-low tide. Grain size is highly variable along the beach with layers of alternating fine and coarse material that could clearly be observed as the river exit channel was cutting through the beach. Large rocky outcroppings buried under the beach sand are also present along certain stretches of the beach controlling the depth of the breaching channel. The changes in the water level measured within the lagoon and the ocean side allows for an estimate of the volume flux associated with the breach as function of morphology, tidal elevation and wave conditions as well as an assessment of the conditions and mechanisms of breach closure, which occurred on the time scale of O(0.5 days). Exploratory model simulations will be presented at the

  20. Intermittent changing axis deviation with intermittent left anterior hemiblock during atrial flutter with subclinical hyperthyroidism. (United States)

    Patanè, Salvatore; Marte, Filippo


    Subclinical hyperthyroidism is an increasingly recognized entity that is defined as a normal serum free thyroxine and free triiodothyronine levels with a thyroid-stimulating hormone level suppressed below the normal range and usually undetectable. It has been reported that subclinical hyperthyroidism is not associated with CHD or mortality from cardiovascular causes but it is usually associated with a higher heart rate and a higher risk of supraventricular arrhythmias including atrial fibrillation and atrial flutter. Intermittent changing axis deviation during atrial fibrillation has also rarely been reported. We present a case of intermittent changing axis deviation with intermittent left anterior hemiblock in a 59-year-old Italian man with atrial flutter and subclinical hyperthyroidism. To our knowledge, this is the first report of intermittent changing axis deviation with intermittent left anterior hemiblock in a patient with atrial flutter.

  1. Intermittency in 2D soap film turbulence

    CERN Document Server

    Cerbus, R T


    The Reynolds number dependency of intermittency for 2D turbulence is studied in a flowing soap film. The Reynolds number used here is the Taylor microscale Reynolds number R_{\\lambda}, which ranges from 20 to 800. Strong intermittency is found for both the inverse energy and direct enstrophy cascades as measured by (a) the pdf of velocity differences P(\\delta u(r)) at inertial scales r, (b) the kurtosis of P(\\partial_x u), and (c) the scaling of the so-called intermittency exponent \\mu, which is zero if intermittency is absent. Measures (b) and (c) are quantitative, while (a) is qualitative. These measurements are in disagreement with some previous results but not all. The velocity derivatives are nongaussian at all R_{\\lambda} but show signs of becoming gaussian as R_{\\lambda} increases beyond the largest values that could be reached. The kurtosis of P(\\delta u(r)) at various r indicates that the intermittency is scale dependent. The structure function scaling exponents also deviate strongly from the Kraichn...

  2. Intermittency in Switching Power Converters: Theoretical Analysis

    Institute of Scientific and Technical Information of China (English)

    ZHOU Yu-fei; CHEN Jun-ning; TSE Chi K.; QIU Shui-sheng; KE Dao-ming; SHI Long-xing; SUN Wei-feng


    In view of reasonable explanation of intermittent subharmonics and chaos that can be gained from coupling filter between circuits,this paper discusses a method that maps time bifurcation with parameter bifurcation.Based on this mapping method,the general analysis method of characteristic multiplier,which is originally aimed at parameter bifurcation,can be used for the study of intermittency,i.e.,time bifurcation.In this paper,all researches coming from characteristic multipliers,parameter-bifurcation diagrams,and the largest Lyapunov exponent indicate the same results as those produced by simulation and experiment.Thus,it is proved theoretically that the intermittency in switching power converter can be explained in terms of coupling of spurious interference.

  3. Intermittent rainfall in dynamic multimedia fate modeling. (United States)

    Hertwich, E G


    It has been shown that steady-state multimedia models (level III fugacity models) lead to a substantial underestimate of air concentrations for chemicals with a low Henry's law constant (H multimedia models are used to estimate the spatial range or inhalation exposure. A dynamic model of pollutant fate is developed for conditions of intermittent rainfall to calculate the time profile of pollutant concentrations in different environmental compartments. The model utilizes a new, mathematically efficient approach to dynamic multimedia fate modeling that is based on the convolution of solutions to the initial conditions problem. For the first time, this approach is applied to intermittent conditions. The investigation indicates that the time-averaged pollutant concentrations under intermittent rainfall can be approximated by the appropriately weighted average of steady-state concentrations under conditions with and without rainfall.

  4. The Yo-Yo intermittent recovery test

    DEFF Research Database (Denmark)

    Bangsbo, Jens; Iaia, F. Marcello; Krustrup, Peter


    The two Yo-Yo intermittent recovery (IR) tests evaluate an individual's ability to repeatedly perform intense exercise. The Yo-Yo IR level 1 (Yo-Yo IR1) test focuses on the capacity to carry out intermittent exercise leading to a maximal activation of the aerobic system, whereas Yo-Yo IR level 2...... (Yo-Yo IR2) determines an individual's ability to recover from repeated exercise with a high contribution from the anaerobic system. Evaluations of elite athletes in various sports involving intermittent exercise showed that the higher the level of competition the better an athlete performs in the Yo-Yo...... IR tests. Performance in the Yo-Yo IR tests for young athletes increases with rising age. The Yo-Yo IR tests have shown to be a more sensitive measure of changes in performance than maximum oxygen uptake. The Yo-Yo IR tests provide a simple and valid way to obtain important information...

  5. Chaos synchronization based on intermittent state observer

    Institute of Scientific and Technical Information of China (English)

    Li Guo-Hui; Zhou Shi-Ping; Xu De-Ming


    This paper describes the method of synchronizing slave to the master trajectory using an intermittent state observer by constructing a synchronizer which drives the response system globally tracing the driving system asymptotically. It has been shown from the theory of synchronization error-analysis that a satisfactory result of chaos synchronization is expected under an appropriate intermittent period and state observer. Compared with continuous control method,the proposed intermittent method can target the desired orbit more efficiently. The application of the method is demonstrated on the hyperchaotic Rossler systems. Numerical simulations show that the length of the synchronization interval rs is of crucial importance for our scheme, and the method is robust with respect to parameter mismatch.

  6. Magnetic field generation by intermittent convection

    CERN Document Server

    Chertovskih, R; Chimanski, E V


    Magnetic field generation by convective flows in transition to weak turbulence is studied numerically. By fixing the Prandtl number at P=0.3 and varying the Rayleigh number (Ra) as a control parameter in three-dimensional Rayleigh-Benard convection of an electrically conducting fluid, a recently reported route to hyperchaos involving quasiperiodic regimes, crises and chaotic intermittent attractors is followed, and the critical magnetic Prandtl number ($P_m^c$) for dynamo action is determined as a function of Ra. A mechanism for the onset of on-off intermittency in the magnetic energy is described, the most beneficial convective regimes for dynamo action are identified, and how intermittency affects the dependence of $P_m^c$ on Ra is discussed.

  7. Synchronization of Intermittently Coupled Dynamical Networks

    Directory of Open Access Journals (Sweden)

    Gang Zhang


    Full Text Available This paper investigates the synchronization phenomenon of an intermittently coupled dynamical network in which the coupling among nodes can occur only at discrete instants and the coupling configuration of the network is time varying. A model of intermittently coupled dynamical network consisting of identical nodes is introduced. Based on the stability theory for impulsive differential equations, some synchronization criteria for intermittently coupled dynamical networks are derived. The network synchronizability is shown to be related to the second largest and the smallest eigenvalues of the coupling matrix, the coupling strength, and the impulsive intervals. Using the chaotic Chua system and Lorenz system as nodes of a dynamical network for simulation, respectively, the theoretical results are verified and illustrated.

  8. Assessing relative volatility/intermittency/energy dissipation

    DEFF Research Database (Denmark)

    Barndorff-Nielsen, Ole E.; Pakkanen, Mikko S.; Schmiegel, Jürgen


    We introduce the notion of relative volatility/intermittency and demonstrate how relative volatility statistics can be used to estimate consistently the temporal variation of volatility/intermittency when the data of interest are generated by a non-semimartingale, or a Brownian semistationary...... process in particular. This estimation method is motivated by the assessment of relative energy dissipation in empirical data of turbulence, but it is also applicable in other areas. We develop a probabilistic asymptotic theory for realised relative power variations of Brownian semistationary processes......, and introduce inference methods based on the theory. We also discuss how to extend the asymptotic theory to other classes of processes exhibiting stochastic volatility/intermittency. As an empirical application, we study relative energy dissipation in data of atmospheric turbulence....

  9. Porfiria cutánea tardía: Reporte de 5 casos Porphyria cutanea tarda: Five cases report

    Directory of Open Access Journals (Sweden)

    J L Iribas


    Full Text Available La PCT es la más común de las porfirias. Es una fotodermatosis que resulta de la deficiencia de la UPD, enzima perteneciente a la vía de síntesis del hemo. Presentamos la evolución de cinco casos de PCT; cuatro de PCT familiar y uno de PCT esporádica. En dos de los pacientes pertenecientes al grupo de PCT tipo II, encontramos como factor de riesgo, el consumo de alcohol, y en la paciente con PCT tipo I se detectó serología positiva para VHC. Todos los pacientes fueron tratados con cloroquina y flebotomías repetidas. Rápidamente se detectó mejoría clínica y bioquímica. Se observó que la porfirinuria continuó en descenso aún luego de suspendida la terapéutica. Tres de los pacientes con PCT familiar persisten en remisión clínica y con ausenciade recaídas tras más de 10 años de seguimiento. Aconsejamos en pacientes que padecen PCT la búsqueda de factores asociados (VHC, HIV, genes de HH y desencadenantes exógenos (consumo excesivo de alcohol, hierro en la dieta e ingesta de estrógenos que de ser controlados o evitados, junto con el tratamiento oportuno, contribuyen a un satisfactorio control de la enfermedad.The porphyria cutanea tarda is the most frequent porphyria, it is a photodermatosis secondary to uroporphyrinogen decarboxylase deficiency; this enzyme belongs to the haem synthesis pathway. We present on this paper the evolution of five cases of PCT, four of them with familiar type and one of them sporadic type. In two patients belonging to PCT type II, we found alcohol addiction as a serious risk, while on the other patients PCT type I we found HCV positive serology. All patients were treated with chloroquine and phlebotomies. We could observe a good response not only clinical but biochemical. We could also see that the porphyrins urinary level continued descending once the drug was withdrew. Three of the patients with familiar PCT remains in clinical remission without any relapses in ten years of control. We advice

  10. Intermittently connected mobile ad hoc networks

    CERN Document Server

    Jamalipour, Abbas


    In the last few years, there has been extensive research activity in the emerging area of Intermittently Connected Mobile Ad Hoc Networks (ICMANs). By considering the nature of intermittent connectivity in most real word mobile environments without any restrictions placed on users' behavior, ICMANs are eventually formed without any assumption with regard to the existence of a end-to-end path between two nodes wishing to communicate. It is different from the conventional Mobile Ad Hoc Networks (MANETs), which have been implicitly viewed as a connected graph with established complete paths betwe

  11. Current drive induced by intermittent trapping

    Energy Technology Data Exchange (ETDEWEB)

    Nakach, R. [Association Euratom-CEA, CEA/Cadarache, Dept. de Recherches sur la Fusion Controlee (DRFC), 13 - Saint-Paul-lez-Durance (France); Gell, Y. [CET, Israel (Israel)


    We propose a mechanism for driving a current in a dispersive plasma based on intermittent trapping of electrons in a ponderomotive well generated by two- counterpropagating electron cyclotron waves. By choosing properly the parameters of the system, this mechanism is expected to induce a high efficiency current drive. (authors)

  12. Intermittent demand : Linking forecasting to inventory obsolescence

    NARCIS (Netherlands)

    Teunter, Ruud H.; Syntetos, Aris A.; Babai, M. Zied


    The standard method to forecast intermittent demand is that by Croston. This method is available in ERP-type solutions such as SAP and specialised forecasting software packages (e.g. Forecast Pro), and often applied in practice. It uses exponential smoothing to separately update the estimated demand

  13. Intermittent resistive faults in digital cmos circuits

    NARCIS (Netherlands)

    Kerkhoff, Hans G.; Ebrahimi, H.


    A major threat in extremely dependable high-end process node integrated systems in e.g. Avionics are no failures found (NFF). One category of NFFs is the intermittent resistive fault, often originating from bad (e.g. Via or TSV-based) interconnections. This paper will show the impact of these faults

  14. Intermittent Swimming with a Flexible Propulsor (United States)

    Akoz, Emre; Zeyghami, Samane; Moored, Keith


    Some animals propel themselves by using an intermittent swimming gait known as a burst-and-glide or a burst-and-coast motion. These swimmers tend to have a more pronounced pitching of their caudal fins than heaving leading to low non-dimensional heave-to-pitch ratios. Recent work has shown that when this ratio is sufficiently low the efficiency of an intermittently heaving/pitching airfoil can be significantly improved over a continuously oscillating airfoil. However, fish that swim with an intermittent gait, such as cod and saithe, do not have rigid fins, but instead have highly flexible fins. To examine the performance and flow structures of an intermittent swimmer with a flexible propulsor, a fast boundary element method solver strongly coupled with a torsional-spring structural model was developed. A self-propelled virtual body combined with a flexible-hinged pitching airfoil is used to model a free-swimming animal and its flexible caudal fin. The duty cycle of the active to the coasting phase of motion, the torsional spring flexibility and the forcing frequency are all varied. The cost-of-transport and the swimming speed are measured and connected to the observed wake patterns. Supported by the Office of Naval Research under Program Director Dr. Bob Brizzolara, MURI Grant Number N00014-14-1-0533.

  15. Management of patients with intermittent claudication

    NARCIS (Netherlands)

    S. Spronk (Sandra)


    textabstractIntermittent claudication is the first and mildest manifestation of peripheral arterial disease, caused by the atherosclerotic process of progressive narrowing of one or more of the arteries of the peripheral circulation.1 If the arterial system fails, it results in a progressive oxygen

  16. Missense UROS mutations causing congenital erythropoietic porphyria reduce UROS homeostasis that can be rescued by proteasome inhibition. (United States)

    Blouin, Jean-Marc; Bernardo-Seisdedos, Ganeko; Sasso, Emma; Esteve, Julie; Ged, Cécile; Lalanne, Magalie; Sanz-Parra, Arantza; Urquiza, Pedro; de Verneuil, Hubert; Millet, Oscar; Richard, Emmanuel


    Congenital erythropoietic porphyria (CEP) is an inborn error of heme biosynthesis characterized by uroporphyrinogen III synthase (UROS) deficiency resulting in deleterious porphyrin accumulation in blood cells responsible for hemolytic anemia and cutaneous photosensitivity. We analyzed here the molecular basis of UROS impairment associated with twenty nine UROS missense mutations actually described in CEP patients. Using a computational and biophysical joint approach we predicted that most disease-causing mutations would affect UROS folding and stability. Through the analysis of enhanced green fluorescent protein-tagged versions of UROS enzyme we experimentally confirmed these data and showed that thermodynamic instability and premature protein degradation is a major mechanism accounting for the enzymatic deficiency associated with twenty UROS mutants in human cells. Since the intracellular loss in protein homeostasis is in excellent agreement with the in vitro destabilization, we used molecular dynamic simulation to rely structural 3D modification with UROS disability. We found that destabilizing mutations could be clustered within three types of mechanism according to side chain rearrangements or contact alterations within the pathogenic UROS enzyme so that the severity degree correlated with cellular protein instability. Furthermore, proteasome inhibition using bortezomib, a clinically available drug, significantly enhanced proteostasis of each unstable UROS mutant. Finally, we show evidence that abnormal protein homeostasis is a prevalent mechanism responsible for UROS deficiency and that modulators of UROS proteolysis such as proteasome inhibitors or chemical chaperones may represent an attractive therapeutic option to reduce porphyrin accumulation and prevent skin photosensitivity in CEP patients when the genotype includes a missense variant.

  17. Correction of deficient CD34+ cells from peripheral blood after mobilization in a patient with congenital erythropoietic porphyria. (United States)

    Mazurier, F; Géronimi, F; Lamrissi-Garcia, I; Morel, C; Richard, E; Ged, C; Fontanellas, A; Moreau-Gaudry, F; Morey, M; de Verneuil, H


    Congenital erythropoietic porphyria (CEP) is an inherited disease due to a deficiency in the uroporphyrinogen III synthase (UROS), the fourth enzyme of the heme pathway. It is characterized by accumulation of uroporphyrin I in the bone marrow, peripheral blood, and other organs. The onset of most cases occurs in infancy and the main symptoms are cutaneous photosensitivity and hemolysis. For severe transfusion-dependent cases, when allogeneic cell transplantation cannot be performed, autografting of genetically modified primitive/stem cells is the only alternative. In the present study, efficient mobilization of peripheral blood primitive CD34(+) cells was performed on a young adult CEP patient. Retroviral transduction of this cell population with the therapeutic human UROS (hUS) gene resulted in both enzymatic and metabolic correction of CD34(+)-derived cells, as demonstrated by the increase in UROS activity and by a 53% drop in porphyrin accumulation. A 10-24% gene transfer efficiency was achieved in the most primitive cells, as demonstrated by the expression of enhanced green fluorescent protein (EGFP) in long-term culture-initiating cells (LTC-IC). Furthermore, gene expression remained stable during in vitro erythroid differentiation. Therefore, these results are promising for the future treatment of CEP patients by gene therapy.

  18. Tuning intracellular homeostasis of human uroporphyrinogen III synthase by enzyme engineering at a single hotspot of congenital erythropoietic porphyria. (United States)

    ben Bdira, Fredj; González, Esperanza; Pluta, Paula; Laín, Ana; Sanz-Parra, Arantza; Falcon-Perez, Juan Manuel; Millet, Oscar


    Congenital erythropoietic porphyria (CEP) results from a deficiency in uroporphyrinogen III synthase enzyme (UROIIIS) activity that ultimately stems from deleterious mutations in the uroS gene. C73 is a hotspot for these mutations and a C73R substitution, which drastically reduces the enzyme activity and stability, is found in almost one-third of all reported CEP cases. Here, we have studied the structural basis, by which mutations in this hotspot lead to UROIIIS destabilization. First, a strong interdependency is observed between the volume of the side chain at position 73 and the folded protein. Moreover, there is a correlation between the in vitro half-life of the mutated proteins and their expression levels in eukaryotic cell lines. Molecular modelling was used to rationalize the results, showing that the mutation site is coupled to the hinge region separating the two domains. Namely, mutations at position 73 modulate the inter-domain closure and ultimately affect protein stability. By incorporating residues capable of interacting with R73 to stabilize the hinge region, catalytic activity was fully restored and a moderate increase in the kinetic stability of the enzyme was observed. These results provide an unprecedented rationale for a destabilizing missense mutation and pave the way for the effective design of molecular chaperones as a therapy against CEP.

  19. Uroporphyrinogen III synthase erythroid promoter mutations in adjacent GATA1 and CP2 elements cause congenital erythropoietic porphyria. (United States)

    Solis, C; Aizencang, G I; Astrin, K H; Bishop, D F; Desnick, R J


    Congenital erythropoietic porphyria, an autosomal recessive inborn error of heme biosynthesis, results from the markedly deficient activity of uroporphyrinogen III synthase. Extensive mutation analyses of 40 unrelated patients only identified approximately 90% of mutant alleles. Sequencing the recently discovered erythroid-specific promoter in six patients with a single undefined allele identified four novel mutations clustered in a 20-bp region: (a) a -70T to C transition in a putative GATA-1 consensus binding element, (b) a -76G to A transition, (c) a -86C to A transversion in three unrelated patients, and (d) a -90C to A transversion in a putative CP2 binding motif. Also, a -224T to C polymorphism was present in approximately 4% of 200 unrelated Caucasian alleles. We inserted these mutant sequences into luciferase reporter constructs. When transfected into K562 erythroid cells, these constructs yielded 3 +/- 1, 54 +/- 3, 43 +/- 6, and 8 +/- 1%, respectively, of the reporter activity conferred by the wild-type promoter. Electrophoretic mobility shift assays indicated that the -70C mutation altered GATA1 binding, whereas the adjacent -76A mutation did not. Similarly, the -90C mutation altered CP2 binding, whereas the -86A mutation did not. Thus, these four pathogenic erythroid promoter mutations impaired erythroid-specific transcription, caused CEP, and identified functionally important GATA1 and CP2 transcriptional binding elements for erythroid-specific heme biosynthesis.

  20. Intermittent Aeration in Biological Treatment of Wastewater

    Directory of Open Access Journals (Sweden)

    H. Doan


    Full Text Available Problem statement: E-coating process is widely used to provide a protective coating layer on metal parts in the automotive and metal finishing industry. The wastewater from the coating process contains organic compounds that are used in the cleaning, pretreatment and coating steps. Organic pollutants can be removed biologically. In the aerobic biological treatment, water aeration accounts for a significant portion of the total operating cost of the treatment process. Intermittent aeration is thus of benefit since it would reduce the energy consumption in the wastewater treatment. In the present study, wastewater from an electro-coating process was treated biologically using a packed column as an aerator where the wastewater was aerated by a countercurrent air flow. The objective was to obtain an optimum aeration cycle. Approach: Intermittent aeration time was varied at different preset cycles. An operational optimum of the aeration time (or air-water contacting time in the column was determined from the BOD5 removal after a certain treatment period. For continuous aeration of the wastewater, the air-liquid contacting time in the column was 52 min for 24 h of treatment. A unit energy consumption for pumping liquid and air, which was defined as the energy consumption per percent BOD5 removed, was used as a criterion to determine the optimum contacting time. Results: Optimum air-liquid contacting times were found to be about 38, 26 and 22 min for the treatment times of 24, 48 and 72 h, consecutively. This indicates that 27-58% saving on the unit energy consumption can be achieved using intermittent aeration of the wastewater. On the basis of the overall BOD5 removal, 17% and 23% savings in energy were observed with the intermittent aeration as compared to the continuous aeration of the wastewater for 48 and 72 h. Conclusion: The results obtained indicate that an appropriate intermittent aeration cycle can bring about a substantial energy saving

  1. Postprandial lipoprotein profile in two modes of high-intensity intermittent exercise (United States)

    Panissa, Valéria Leme Gonçalves; Julio, Ursula Ferreira; Diniz, Tiego Aparecido; de Moura Mello Antunes, Barbara; Lira, Fabio Santos; Takito, Monica Yuri; Franchini, Emerson


    The aim of present study was to compare blood lipid postprandial profile response in two modes of high-intensity intermittent exercise. Twelve individuals (6 men and 6 women) were submitted to a maximal incremental test (to determine maximal aerobic power [MAP] and V. O2peak [peak oxygen uptake]), high-intensity intermittent all-out exercise (60×8-sec bouts interspersed by 12-sec passive recovery) and fixed high-intensity intermittent exercise (100% maximal aerobic speed, consisted of 1-min repetitions at MAP [70 rpm] separated by 1-min of passive recovery). Blood samples were collected pre, immediately, 45 and 90-min postexercise. Serum was analyzed for total cholesterol and its ratio, high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterol (LDL-c), very low-density lipoprotein (VLDL) cholesterol, and triacylglycerol (TAG). For TAG there was a main effect of moment with higher values immediately postexercise compared to 45-min postexercise. For VLDL there was a main effect to moment with higher values immediately post exercise than pre and 45-min postexercise; higher values 90-min postexercise than 45-min postexercise. There was no effect for HDL-c, LDL-c, and cholesterol. For area under the curve there was no difference for any variable. Our results indicated that both kinds of acute exercise session lead to no improvement in the acute response of serum lipid profile of healthy young. PMID:27807528

  2. 40 CFR 51.119 - Intermittent control systems. (United States)


    ... 40 Protection of Environment 2 2010-07-01 2010-07-01 false Intermittent control systems. 51.119... Intermittent control systems. (a) The use of an intermittent control system (ICS) may be taken into account in... of any constant pollution control system which was in use before December 31, 1970, or the...

  3. The interactions of 2,3,7,8-tetrachlorodibenzo-p-dioxin(TCDD) and 6-methyl-1,3,8-trichlorodibenzofuran (MCDF) in TCDD-induced porphyria

    Energy Technology Data Exchange (ETDEWEB)

    Yao, Cheng Catsby.


    Halogenated aryl hydrocarbon(HAH)-induced porphyria is caused by alteration of porphyrin metabolism and results in the accumulation of hepatic and urinary porphyrins. 2,3,7,8-Tetrachlorodibenzo-p-dioxin (75 {mu}/kg) caused significant increases of hepatic porphyrin levels in C57BL/6 male, female and ovariectomized female, and C57BL/10 male mice 3 weeks after treatment. In contrast, 6-methyl-1,3,8-trichlorodibenzofuran (MCDF) was inactive at a dose of 750 {mu}mol/kg. Cotreatment with MCDF (750 {mu}mol/kg) and 2,3,7,8-TCDD (75 {mu}g/kg) resulted in partial antagonism of 2,3,7,8-TCDD-induced porphyrin accumulation in female but not in male mice. In female C57BL/6 mice, 2,3,7,8-TCDD-induced porphyria was accompanied by the induction of hepatic microsomal aryl hydrocarbon hydroxylase (AHH) and ethoxyresorufin O-deethylase (EROD) activities and the inhibition of uroporphyrinogen decarboxylase (UROD) activity. MCDF (750 {mu}mol/kg) did not significantly affect these enzyme activities. In coadministration studies, MCDF partially antagonized 2,3,7,8-TCDD-induced hepatic porphyrin accumulation but did not affect the activities of hepatic AHH, EROD or UROD. These results demonstrate that the induction of the monooxygenase enzyme activities and the inhibition of UROD activity by 2,3,7,8-TCDD and the development of porphyria are not coordinately regulated in C57BL/6 female mice. In cultured chick embryo hepatocytes, 2,3,7,8-TCDD caused a significant increase in porphyrin levels and induced AHH and EROD activities. MCDF and Aroclor 1254 partially antagonized the 2,3,7,8-TCDD induced AHH and EROD activities but not the porphyrin accumulation.

  4. Colonoscopic diagnosis of appendiceal intussusception in a patient with intermittent abdominal pain: A case report

    Institute of Scientific and Technical Information of China (English)

    Hamid Tavakkoli; Sayed Mohammad Sadrkabir; Parvin Mahzouni


    Intussusception of the appendix is a rare condition.Most cases are diagnosed during operation of the patients suspected to have appendicitis. In this report we present a seventy one year-old man with a history of periumbilical intermittent abdominal pain for several months. None of the paraclinical tests were useful for determining the diagnosis. Colonoscopy performed during the last episode of abdominal pain revealed the prolapsed appendix in the cecum and the patient was sent to the operating room. Macroscopic appearance of the appendix was normal and microscopic examination revealed follicular hyperplasia and acute focal appendicitis. Appendiceal intussusception should be considered in differential diagnosis of intermittent abdominal pain and colonoscopic diagnosis could be very important to avoid dangerous or unnecessary decision making.

  5. Insights from intermittent binocular rivalry and EEG

    Directory of Open Access Journals (Sweden)

    Michael A Pitts


    Full Text Available Novel stimulation and analytical approaches employed in EEG studies of ambiguous figures have recently been applied to binocular rivalry. The combination of intermittent stimulus presentation and EEG source imaging has begun to shed new light on the neural underpinnings of binocular rivalry. Here, we review the basics of the intermittent paradigm and highlight methodological issues important for interpreting previous results and designing future experiments. We then outline current analytical approaches, including EEG microstates, event-related potentials, and statistically-based source estimation, and propose a spatio-temporal model that integrates findings from several studies. Finally, we discuss the advantages and limitations of using binocular rivalry as a tool to investigate the neural basis of perceptual awareness.

  6. Towards an intermittency-friendly energy system

    DEFF Research Database (Denmark)

    Blarke, Morten


    Distributed cogeneration has played a key role in the implementation of sustainable energy policies for three decades. However, increasing penetration levels of intermittent renewables is challenging that position. The paradigmatic case of West Denmark indicates that distributed operators...... are capitulating as wind power penetration levels are moving above 25%; some operators are retiring cogeneration units entirely, while other operators are making way for heat-only boilers. This development is jeopardizing the system-wide energy, economic, and environmental benefits that distributed cogeneration....... However, well-designed heat pump concepts are more cost-effective than electric boilers, and in future markets where the gas/electricity price ratio is likely to increase, compression heat pumps in combination with intermediate thermal storages represent a superior potential for combining an intermittency...


    Institute of Scientific and Technical Information of China (English)

    Emily S. C. CHING


    Both the velocity and temperature measurements taken in turbulent Rayleigh-B'enard convection experiments have been analyzed. It is found that both the velocity and temperature fluctuations are intermittent and can be well-described by the She-Leveque hierarchical structure. A positive correlation between the vertical velocity and the temperature differences is found both at the center,near the sidewall and near the bottom of the convection cell, supporting that buoyancy is significant in the Bolgiano regime. Moreover, the intermittent nature of the temperature fluctuations in the Bolgiano regime can be attributed to the variations in the temperature dissipation rate. However, the relations between the velocity and temperature structure functions and their correlations implied by the Bolgiano-Obukhov scaling are not supported by experimental measurements.

  8. A simple model for turbulence intermittencies

    CERN Document Server

    Rimbert, Nicolas


    Whether turbulence intermittencies shall be described by a log-Poisson, a log-stable pdf or other distributions is still debated nowadays. In this paper, a bridge between polymer physics, self-avoiding walk and random vortex stretching is established which may help in getting a new insight on this topics. Actually a very simple relationship between stability index of the stable law and the well known Flory exponent stemming from polymer physics is established. Moreover the scaling of turbulence intermittencies with Reynolds number is also obtained and the overall picture is very close to Tennekes' simple model for the fine scale structure of turbulence [Phys. Fluids, 11, 3 (1968)] : vortex tubes of Kolmogorov length width are bend by bigger vortices of Taylor length scale. This thus results in both a simple and sound model with no fitting parameter needed.

  9. Scaling and Intermittency in Animal Behavior

    CERN Document Server

    Harnos, A; Lawrence, A B; Vattay, G


    Scale-invariant spatial or temporal patterns and Lévy flight motion have been observed in a large variety of biological systems. It has been argued that animals in general might perform Lévy flight motion with power law distribution of times between two changes of the direction of motion. Here we study the temporal behaviour of nesting gilts. The time spent by a gilt in a given form of activity has power law probability distribution without finite average. Further analysis reveals intermittent eruption of certain periodic behavioural sequences which are responsible for the scaling behaviour and indicates the existence of a critical state. We show that this behaviour is in close analogy with temporal sequences of velocity found in turbulent flows, where random and regular sequences alternate and form an intermittent sequence.

  10. Treatment of febrile seizures with intermittent clobazam



    Fifty children, 24 female and 26 male, with ages varying from 6 to 72 months (mean=23.7 m.) that experienced at least one febrile seizure (FS) entered a prospective study of intermittent therapy with clobazam. Cases with severe neurological abnormalities, progressive neurological disease, afebrile seizures, symptomatic seizures of other nature, or seizures during a central nervous system infection were excluded. Seizures were of the simple type in 25 patients, complex in 20 and unclassified i...

  11. Bladder calculi complicating intermittent clean catheterization. (United States)

    Amendola, M A; Sonda, L P; Diokno, A C; Vidyasagar, M


    Eight male patients on clean intermittent catheterization programs for neurogenic bladder dysfunction developed vesical calculi around pubic hairs inadvertently introduced into the bladder, acting as a nidus for incrustation. In three patients, the radiographic appearance of serpentine calcifications in the pelvis was highly consistent with calcareous deposits on strands of hair. Familiarity with this radiologic appearance should suggest the diagnosis in the appropriate clinical setting and help avoid misinterpretation of these calcifications, atypical of usual bladder stones.

  12. Intermittent chaotic chimeras for coupled rotators. (United States)

    Olmi, Simona; Martens, Erik A; Thutupalli, Shashi; Torcini, Alessandro


    Two symmetrically coupled populations of N oscillators with inertia m display chaotic solutions with broken symmetry similar to experimental observations with mechanical pendulums. In particular, we report evidence of intermittent chaotic chimeras, where one population is synchronized and the other jumps erratically between laminar and turbulent phases. These states have finite lifetimes diverging as a power law with N and m. Lyapunov analyses reveal chaotic properties in quantitative agreement with theoretical predictions for globally coupled dissipative systems.

  13. Intermittent radio galaxies and source statistics

    CERN Document Server

    Reynolds, C S


    We suggest that extragalactic radio sources are intermittent on timescales of 10^4-10^5 yr. Using a simple spherical model of a cocoon/shock system, it is found that inactive sources fade rapidly in radio luminosity but the shock in the ambient medium continues to expand supersonically, thereby keeping the whole source structure intact during the inactive phases. The fading of inactive sources, and the effect of the intermittency on the expansion velocity, can readily explain the observed over-abundance of small radio sources. In particular, the plateau in the observed distribution of sizes found by O'Dea & Baum (1997) can be interpreted as being due to intermittency. The model predicts that very young sources will be particularly radio luminous, once the effects of absorption have been accounted for. Furthermore, it predicts the existence of a significant number of faint `coasting' sources. These might be detectable in deep, low-frequency radio maps, or via the X-ray and optical emission line properties ...

  14. The D519G Polymorphism of Glyceronephosphate O-Acyltransferase Is a Risk Factor for Familial Porphyria Cutanea Tarda (United States)

    Farrell, Colin P.; Overbey, Jessica R.; Naik, Hetanshi; Nance, Danielle; McLaren, Gordon D.; McLaren, Christine E.; Zhou, Luming; Desnick, Robert J.; Parker, Charles J.


    Both familial and sporadic porphyria cutanea tarda (PCT) are iron dependent diseases. Symptoms of PCT resolve when iron stores are depleted by phlebotomy, and a sequence variant of HFE (C282Y, c.843G>A, rs1800562) that enhances iron aborption by reducing hepcidin expression is a risk factor for PCT. Recently, a polymorphic variant (D519G, c.1556A>G, rs11558492) of glyceronephosphate O-acyltransferase (GNPAT) was shown to be enriched in male patients with type I hereditary hemochromatosis (HFE C282Y homozygotes) who presented with a high iron phenotype, suggesting that GNPAT D519G, like HFE C282Y, is a modifier of iron homeostasis that favors iron absorption. To challenge this hypothesis, we investigated the frequency of GNPAT D519G in patients with both familial and sporadic PCT. Patients were screened for GNPAT D519G and allelic variants of HFE (both C282Y and H63D). Nucleotide sequencing of uroporphyrinogen decarboxylase (URO-D) identified mutant alleles. Patients with low erythrocyte URO-D activity or a damaging URO-D variant were classified as familial PCT (fPCT) and those with wild-type URO-D were classified as sporadic PCT (sPCT). GNPAT D519G was significantly enriched in the fPCT patient population (p = 0.0014) but not in the sPCT population (p = 0.4477). Both HFE C282Y and H63D (c.187C>G, rs1799945) were enriched in both PCT patient populations (p<0.0001) but showed no greater association with fPCT than with sPCT. Conclusion: GNPAT D519G is a risk factor for fPCT, but not for sPCT. PMID:27661980

  15. Infiltration Effects on Residential Pollutant Concentrations for Continuous and Intermittent Mechanical Ventilation Approaches

    Energy Technology Data Exchange (ETDEWEB)

    Sherman, Max; Logue, Jennifer; Singer, Brett


    The prevailing residential ventilation standard in North America, American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) Standard 62.2, specifies volumetric airflow requirements as a function of the overall size of the home and the number of bedrooms, assumes a fixed, minimal amount of infiltration, and requires mechanical ventilation to achieve the remainder. The standard allows for infiltration credits and intermittent ventilation patterns that can be shown to provide comparable performance. Whole-house ventilation methods have a substantial effect on time-varying indoor pollutant concentrations. If alternatives specified by Standard 62.2, such as intermittent ventilation, are used, short-term pollutant concentrations could exceed acute health standards even if chronic health standards are met.The authors present a methodology for comparing ASHRAE- and non-ASHRAE-specified ventilation scenarios on relative indoor pollutant concentrations. We use numerical modeling to compare the maximum time-averaged concentrations for acute exposure relevant (1-hour, 8-hour, 24-hour ) and chronic exposure relevant (1-year) time periods for four different ventilation scenarios in six climates with a range of normalized leakage values. The results suggest that long-term concentrations are the most important metric for assessing the effectiveness of whole-house ventilation systems in meeting exposure standards and that, if chronic health exposure standards are met, acute standards will also be met.

  16. Behavioural and neurochemical comparison of chronic intermittent cathinone, mephedrone and MDMA administration to the rat. (United States)

    Shortall, Sinead E; Macerola, Alice E; Swaby, Rabbi T R; Jayson, Rebecca; Korsah, Chantal; Pillidge, Katharine E; Wigmore, Peter M; Ebling, Francis J P; Richard Green, A; Fone, Kevin C F; King, Madeleine V


    The synthetic cathinone derivative, mephedrone, is a controlled substance across Europe. Its effects have been compared by users to 3,4-methylenedioxymethamphetamine (MDMA), but little data exist on its pharmacological properties. This study compared the behavioural and neurochemical effects of mephedrone with cathinone and MDMA in rats. Young-adult male Lister hooded rats received i.p. cathinone (1 or 4 mg/kg), mephedrone (1, 4 or 10mg/kg) or MDMA (10mg/kg) on two consecutive days weekly for 3 weeks or as a single acute injection (for neurochemical analysis). Locomotor activity (LMA), novel object discrimination (NOD), conditioned emotional response (CER) and prepulse inhibition of the acoustic startle response (PPI) were measured following intermittent drug administration. Dopamine, 5-hydroxytryptamine (5-HT) and their major metabolites were measured in striatum, frontal cortex and hippocampus by high performance liquid chromatography 7 days after intermittent dosing and 2h after acute injection. Cathinone (1, 4 mg/kg), mephedrone (10mg/kg) and MDMA (10mg/kg) induced hyperactivity following the first and sixth injections and sensitization to cathinone and mephedrone occurred with chronic dosing. All drugs impaired NOD and mephedrone (10mg/kg) reduced freezing in response to contextual re-exposure during the CER retention trial. Acute MDMA reduced hippocampal 5-HT and 5-HIAA but the only significant effect on dopamine, 5-HT and their metabolites following chronic dosing was altered hippocampal 3,4-dihydroxyphenylacetic acid (DOPAC), following mephedrone (4, 10mg/kg) and MDMA. At the doses examined, mephedrone, cathinone, and MDMA induced similar effects on behaviour and failed to induce neurotoxic damage when administered intermittently over 3 weeks.


    Institute of Scientific and Technical Information of China (English)

    YIN Jian-an; SHEN Xin-rong; CHEN Hua-jun; ZHANG Ben-zhao


    The effects of rotation and intermittent fre quency on the flow transition of secondary flow and, main flow were examined in detail. Certain hitherto unknown flow patterns were found. A numerical study was performed to study the characteristics of unsteady intermittent flow in a rotating curved pipe. Due to the rotation, both the Coriolis force and the centrifugal force could contribute to the unsteady intermittent flow and some complicated phenomena can be found. The results indicate that the unsteady intermittent flow are mainly characterized by five parameters: the Dean number Dn , the curvatureκ, the maximal force ratio F (of the Coriolis force to the centrifugal force in a cycle), the intermittent frequency parameter η(the ratio of a pulslating time to the cycle period), and the Womersley number α. Present works shows the natures of the unsteady intermittent flow in a rotating curved pipe.

  18. Soren Kierkegaard (1813-55): a bicentennial pathographical review. (United States)

    Schioldann, Johan; Søgaard, Ib


    Researchers in the fields of psychology, psychiatry, medicine and theology have made exhaustive efforts to shed light on the elusive biography/pathography of the great Danish philosopher Søren Kierkegaard (1813-55). This 'bicentennial' article reviews his main pathographical diagnoses of, respectively, possible manic-depressive [bipolar] disease, epilepsy, complex partial seizure disorder, Landry-Guillain-Barré's acute ascending paralysis, acute intermittent porphyria with possible psychiatric manifestations, and syphilidophobia.

  19. Clinical investigation of surgery for intermittent exotropia

    Institute of Scientific and Technical Information of China (English)

    Chong-qing YANG; Ye SHEN; Yang-shun GU; Wei HAN


    Objective: To investigate the time and postoperative binocular vision of strabismus surgery for children with intermittent exotropia (X (T)). Methods: A retrospective investigation was conducted in 80 child patients with intermittent exotropia. Pre- and postoperative angles of deviation fixating at near (33cm) and distant targets (6m) were measured with the prolonged alternate cover testing. The binocular function was assessed with synoptophore. Twenty-one patients took the postoperative synoptophore exercise. Results: (1) A week after surgery, 96.2% of the 80 patients had binocular normotopia, while a year after surgery, 91.3% of the 80 patients had binocular normotopia; (2) Preoperatively, 58 patients had near stereoacuity, while postoperatively, 72 patients achieved near stereoacuity (P<0.05); (3) Preoperatively, 64 patients had Grade I for the synoptophore evaluation and postoperatively, 76 patients achieved Grade I. Meanwhile, 55 patients had Grade Ⅱpreoperatively and 72 achieved Grade Ⅱ postoperatively. For Grade Ⅲ, there were 49 patients preoperatively and 64 patients postoperatively (P<0.05); (4) Patients of 5~8 years old had a significantly better recovery rate of binocular vision than those of 9~18 years old (P<0.05); (5)Patients taking postoperative synoptophore exercise had a better binocular vision than those taking no exercise (P<0.05). Conclusions: (1) Strabismus surgery can help to preserve or restore the binocular vision for intermittent exotropia; (2) Receiving the surgery at young ages may develop better postoperative binocular vision; (3) The postoperative synoptophore exercise can help to restore the binocular vision.

  20. Hovering and intermittent flight in birds

    Energy Technology Data Exchange (ETDEWEB)

    Tobalske, Bret W, E-mail: bret.tobalske@mso.umt.ed [Field Research Station at Fort Missoula, Division of Biological Sciences, University of Montana, Missoula, MT 59812 (United States)


    Two styles of bird locomotion, hovering and intermittent flight, have great potential to inform future development of autonomous flying vehicles. Hummingbirds are the smallest flying vertebrates, and they are the only birds that can sustain hovering. Their ability to hover is due to their small size, high wingbeat frequency, relatively large margin of mass-specific power available for flight and a suite of anatomical features that include proportionally massive major flight muscles (pectoralis and supracoracoideus) and wing anatomy that enables them to leave their wings extended yet turned over (supinated) during upstroke so that they can generate lift to support their weight. Hummingbirds generate three times more lift during downstroke compared with upstroke, with the disparity due to wing twist during upstroke. Much like insects, hummingbirds exploit unsteady mechanisms during hovering including delayed stall during wing translation that is manifest as a leading-edge vortex (LEV) on the wing and rotational circulation at the end of each half stroke. Intermittent flight is common in small- and medium-sized birds and consists of pauses during which the wings are flexed (bound) or extended (glide). Flap-bounding appears to be an energy-saving style when flying relatively fast, with the production of lift by the body and tail critical to this saving. Flap-gliding is thought to be less costly than continuous flapping during flight at most speeds. Some species are known to shift from flap-gliding at slow speeds to flap-bounding at fast speeds, but there is an upper size limit for the ability to bound ({approx}0.3 kg) and small birds with rounded wings do not use intermittent glides.

  1. Intermittent Microwave Drying of Wheat (Triticum aestivum L.) Seeds


    Yan Li; Tao Zhang; Chenglai Wu; Chunqing Zhang


    The purpose of present study was to characterize the intermittent microwave drying of wheat seeds. Results revealed that microwave on time percentage (MOTP) and initial moisture content were the main parameters which influenced the intermittent microwave drying rate and the germination capacity of dried seeds. Best intermittent microwave drying (power: 800 W; seed sample weight: 100 g, microwave on time in each cycle: 32 s) without significantly decreasing the germination rate was...

  2. Long term and transitional intermittent smokers: a longitudinal study.


    Lindström, Martin; Isacsson, Sven-Olof


    Objective: To investigate differences in snuff consumption, sociodemographic and psychosocial characteristics between baseline intermittent smokers that had become daily smokers, stopped smoking or remained intermittent smokers at the one year follow up. Design/setting/participants/measurements: A population of 12 507 individuals interviewed at baseline in 1992-94 and at a one year follow up, aged 45-69 years, was investigated in a longitudinal study. The three groups of baseline intermittent...

  3. Intermittent fasting: a "new" historical strategy for controlling seizures? (United States)

    Hartman, Adam L; Rubenstein, James E; Kossoff, Eric H


    In antiquity, fasting was a treatment for epilepsy and a rationale for the ketogenic diet (KD). Preclinical data indicate the KD and intermittent fasting do not share identical anticonvulsant mechanisms. We implemented an intermittent fasting regimen in six children with an incomplete response to a KD. Three patients adhered to the combined intermittent fasting/KD regimen for 2 months and four had transient improvement in seizure control, albeit with some hunger-related adverse reactions.

  4. Intermittent Atrioventricular Block following Fingolimod Initiation

    Directory of Open Access Journals (Sweden)

    E. Gialafos


    Full Text Available A 47-year-old female patient with multiple sclerosis (MS developed symptomatic intermittent 2nd degree atrioventricular block (AVB of five-hour duration, five hours after the first two doses of fingolimod, that resolved completely. Frequency domain analysis of heart rate variability (HRV revealed increased parasympathetic activity and decreased sympathetic tone, while modified Ewing tests were suggestive of impaired cardiac sympathetic function. We hypothesize that expression of this particular arrhythmia might be related to autonomic nervous system (ANS dysfunction due to demyelinating lesions in the upper thoracic spinal cord, possibly augmented by the parasympathetic effect of the drug.

  5. Transition to turbulence, intermittence, and vortex fluctuations

    Energy Technology Data Exchange (ETDEWEB)

    Bershadskii, A.G.


    A model is developed which describes the fluctuation coalescence of vortices at moderately high Reynolds numbers. The model is found to be in good agreement with experimental data on (1) flow intermittence in a boundary layer, a round jet, and a plane wake; (2) the effect of a magnetic field on the formation of a turbulent energy spectrum behind a grid and on turbulent fluctuations and friction in ducts; (3) formation of a turbulent energy spectrum in a boundary layer and in ducts. 12 references.

  6. Diagnosing Intermittent and Persistent Faults using Static Bayesian Networks (United States)

    Megshoel, Ole Jakob


    Both intermittent and persistent faults may occur in a wide range of systems. We present in this paper the introduction of intermittent fault handling techniques into ProDiagnose, an algorithm that previously only handled persistent faults. We discuss novel algorithmic techniques as well as how our static Bayesian networks help diagnose, in an integrated manner, a range of intermittent and persistent faults. Through experiments with data from the ADAPT electrical power system test bed, generated as part of the Second International Diagnostic Competition (DXC-10), we show that this novel variant of ProDiagnose diagnoses intermittent faults accurately and quickly, while maintaining strong performance on persistent faults.

  7. Intermittent lag synchronization in a driven system of coupled oscillators

    Indian Academy of Sciences (India)

    Alexander N Pisarchik; Rider Jaimes-Reátegui


    We study intermittent lag synchronization in a system of two identical mutually coupled Duffing oscillators with parametric modulation in one of them. This phenomenon in a periodically forced system can be seen as intermittent jump from phase to lag synchronization, during which the chaotic trajectory visits a periodic orbit closely. We demonstrate different types of intermittent lag synchronizations, that occur in the vicinity of saddle-node bifurcations where the system changes its dynamical state, and characterize the simplest case of period-one intermittent lag synchronization.

  8. Intermittent heat instabilities in an air plume (United States)

    Le Mouël, Jean-Louis; Kossobokov, Vladimir G.; Perrier, Frederic; Morat, Pierre


    We report the results of heating experiments carried out in an abandoned limestone quarry close to Paris, in an isolated room of a volume of about 400 m3. A heat source made of a metallic resistor of power 100 W was installed on the floor of the room, at distance from the walls. High-quality temperature sensors, with a response time of 20 s, were fixed on a 2 m long bar. In a series of 24 h heating experiments the bar had been set up horizontally at different heights or vertically along the axis of the plume to record changes in temperature distribution with a sampling time varying from 20 to 120 s. When taken in averages over 24 h, the temperatures present the classical shape of steady-state plumes, as described by classical models. On the contrary, the temperature time series show a rich dynamic plume flow with intermittent trains of oscillations, spatially coherent, of large amplitude and a period around 400 s, separated by intervals of relative quiescence whose duration can reach several hours. To our knowledge, no specific theory is available to explain this behavior, which appears to be a chaotic interaction between a turbulent plume and a stratified environment. The observed behavior, with first-order factorization of a smooth spatial function with a global temporal intermittent function, could be a universal feature of some turbulent plumes in geophysical environments.

  9. Influence of Dehydration on Intermittent Sprint Performance. (United States)

    Davis, Jon-Kyle; Laurent, C Matt; Allen, Kimberly E; Green, J Matt; Stolworthy, Nicola I; Welch, Taylor R; Nevett, Michael E


    This study examined the effects of dehydration on intermittent sprint performance and perceptual responses. Eight male collegiate baseball players completed intermittent sprints either dehydrated (DEHY) by 3% body mass or euhydrated (EU). Body mass was reduced through exercise in the heat with controlled fluid restriction occurring 1 day before the trial. Participants completed twenty-four 30-m sprints divided into 3 bouts of 8 sprints with 45 seconds of rest between each sprint and 3 minutes between each bout. Perceived recovery status (PRS) scale was recorded before the start of each trial. Heart rate (HR), ratings of perceived exertion (RPE) (0-10 OMNI scale), and perceived readiness (PR) scale were recorded after every sprint, and session RPE (SRPE) was recorded 20 minutes after completing the entire session. A 2 (condition) × 3 (bout of sprints) repeated-measures ANOVA revealed a significant main effect of condition on mean sprint time (p = 0.03), HR (p Dehydration impaired sprint performance, negatively altered perception of recovery status before exercise, and increased RPE and HR response.

  10. Acute pollution of recipients in urban areas

    DEFF Research Database (Denmark)

    Rauch, W.; Harremoës, P.


    Oxygen and ammonia concentration are key parameters of acute water pollution in urban rivers. These two abiotic parameters are statistically assessed for a historical rain series by means of a simplified deterministic model of the integrated drainage system. Continuous simulation of the system...... performance indicates that acute water pollution is caused by intermittent discharges from both sewer system and wastewater treatment plant. Neglecting one of them in the evaluation of the environmental impact gives a wrong impression of total system behavior. Detention basins and alternative operational...... modes in the treatment plant under wet weather loading have a limited positive effect for minimizing acute water pollution. (C) 1997 IAWQ. Published by Elsevier Science Ltd....

  11. Regionalization of patterns of flow intermittence from gauging station records (United States)

    Snelder, T. H.; Datry, T.; Lamouroux, N.; Larned, S. T.; Sauquet, E.; Pella, H.; Catalogne, C.


    Understanding large-scale patterns in flow intermittence is important for effective river management. The duration and frequency of zero-flow periods are associated with the ecological characteristics of rivers and have important implications for water resources management. We used daily flow records from 628 gauging stations on rivers with minimally modified flows distributed throughout France to predict regional patterns of flow intermittence. For each station we calculated two annual times series describing flow intermittence; the frequency of zero-flow periods (consecutive days of zero flow) in each year of record (FREQ; yr-1), and the total number of zero-flow days in each year of record (DUR; days). These time series were used to calculate two indices for each station, the mean annual frequency of zero-flow periods (mFREQ; yr-1), and the mean duration of zero-flow periods (mDUR; days). Approximately 20% of stations had recorded at least one zero-flow period in their record. Dissimilarities between pairs of gauges calculated from the annual times series (FREQ and DUR) and geographic distances were weakly correlated, indicating that there was little spatial synchronization of zero flow. A flow-regime classification for the gauging stations discriminated intermittent and perennial stations, and an intermittence classification grouped intermittent stations into three classes based on the values of mFREQ and mDUR. We used random forest (RF) models to relate the flow-regime and intermittence classifications to several environmental characteristics of the gauging station catchments. The RF model of the flow-regime classification had a cross-validated Cohen's kappa of 0.47, indicating fair performance and the intermittence classification had poor performance (cross-validated Cohen's kappa of 0.35). Both classification models identified significant environment-intermittence associations, in particular with regional-scale climate patterns and also catchment area, shape

  12. Chronic intermittent hypoxia and obstructive sleep apnea: an experimental and clinical approach

    Directory of Open Access Journals (Sweden)

    Sforza E


    Full Text Available Emilia Sforza, Fréderic Roche Service de Physiologie Clinique et de l'Exercice, Pole NOL, CHU, EA SNA-EPIS 4607, Faculté de Médecine J. Lisfranc, UJM Saint-Etienne, Université de Lyon, Saint-Etienne, France Abstract: Obstructive sleep apnea (OSA is a prevalent sleep disorder considered as an independent risk factor for cardiovascular consequences, such as systemic arterial hypertension, ischemic heart disease, cardiac arrhythmias, metabolic disorders, and cognitive dysfunction. The pathogenesis of OSA-related consequence is assumed to be chronic intermittent hypoxia (IH inducing alterations at the molecular level, oxidative stress, persistent systemic inflammation, oxygen sensor activation, and increase of sympathetic activity. Overall, these mechanisms have an effect on vessel permeability and are considered to be important factors for explaining vascular, metabolic, and cognitive OSA-related consequences. The present review attempts to examine together the research paradigms and clinical studies on the effect of acute and chronic IH and the potential link with OSA. We firstly describe the literature data on the mechanisms activated by acute and chronic IH at the experimental level, which are very helpful and beneficial to explaining OSA consequences. Then, we describe in detail the effect of IH in patients with OSA that we can consider "the human model" of chronic IH. In this way, we can better understand the specific pathophysiological mechanisms proposed to explain the consequences of IH in OSA. Keywords: hypoxia, intermittent hypoxia, experimental studies, obstructive sleep apnea

  13. 21 CFR 868.5955 - Intermittent mandatory ventilation attachment. (United States)


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Intermittent mandatory ventilation attachment. 868.5955 Section 868.5955 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... mandatory ventilation attachment. (a) Identification. An intermittent mandatory ventilation (IMV)...

  14. Intermittent versus Continuous Physiotherapy in Children with Cerebral Palsy (United States)

    Christiansen, Annette Sandahl; Lange, Christa


    The aim of this study was to compare the effect of the delivery of the same amount of intermittent versus continuous physiotherapy given to children with cerebral palsy (CP). This was organized either in an intermittent regime four times a week for 4 weeks alternating with a 6-week treatment pause, or a continuous once or twice a week regime, both…

  15. Environmental heat stress, hyperammonemia and nucleotide metabolism during intermittent exercise

    DEFF Research Database (Denmark)

    Mohr, Magni; Rasmussen, Peter; Drust, Barry


    Abstract  This study investigated the influence of environmental heat stress on ammonia (NH3) accumulation in relation to nucleotide metabolism and fatigue during intermittent exercise. Eight males performed 40 min of intermittent exercise (15 s at 306±22 W alternating with 15 s of unloaded cycli...

  16. On dual descriptions of intermittency in a jet

    CERN Document Server

    Peschanski, R


    Models of intermittent behaviour are usually formulated using a set of multiplicative random weights on a Cayley tree. However, intermittency in particle multiproduction from QCD jets is related to fragmentation of an additive quantum number, e.g. energy-momentum. We exhibit the non-trivial stochastic mapping between these {\\it additive} and {\\it multiplicative} cascading processes.

  17. Bound by Children: Intermittent Cohabitation and Living Together Apart (United States)

    Cross-Barnet, Caitlin; Cherlin, Andrew; Burton, Linda


    In this article, we examine variations in low-income mothers' patterns of intermittent cohabitation and the voluntary and involuntary nature of these unions. Intermittent cohabitation involves couples living together and separating in repeating cycles. Using Three-City Study ethnographic data, we identified 45 low-income mothers involved in these…

  18. Intermittent Behavior and Synchronization of Two Coupled Noisy Driven Oscillators

    Directory of Open Access Journals (Sweden)

    Ângela Maria dos Santos


    Full Text Available The coupled system of two forced Liénard-type oscillators has applications in diode-based electric circuits and phenomenological models for the heartbeat. These systems typically exhibit intermittent transitions between laminar and chaotic states; what affects their performance and, since noise is always present in such systems, dynamical models should include these effects. Accordingly, we investigated numerically the effect of noise in two intermittent phenomena: the intermittent transition to synchronized behavior for identical and unidirectionally coupled oscillators, and the intermittent transition to chaos near a periodic window of bidirectionally coupled oscillators. We found that the transition from a nonsynchronized to a synchronized state exhibits a power-law scaling with exponent 3/2 characterizing on-off intermittency. The inclusion of noise adds an exponential tail to this scaling.

  19. Scintillation-Induced Intermittency in SETI

    CERN Document Server

    Cordes, J M; Sagan, Carl Edward; Cordes, James M.; Sagan, Carl


    We consider interstellar scintillations as a cause of intermittency in radio signals from extraterrestrial intelligence (ETI). We demonstrate that scintillations are very likely to allow initial detections of narrowband signals from distant sources (> 100 pc), while making redetections improbable. We consider three models in order to assess the non-repeating, narrowband events found in recent SETI and to analyze large surveys in general: (I) Radiometer noise; (II) A population of constant Galactic sources undergoing interstellar scintillation,; and (III) Real, transient signals (or hardware errors) of either terrestrial or ET origin. We apply likelihood and Bayesian tests of the models to The Planetary Society/Harvard META data. We find that Models II and III are both highly preferred to Model I, but that Models II and III are about equally likely. Ruling out Model II in favor of Model III requires many more reobservations than were conducted in META *or* the reobservation threshold must be much lower than wa...

  20. Population dynamics in an intermittent refuge (United States)

    Colombo, E. H.; Anteneodo, C.


    Population dynamics is constrained by the environment, which needs to obey certain conditions to support population growth. We consider a standard model for the evolution of a single species population density, which includes reproduction, competition for resources, and spatial spreading, while subject to an external harmful effect. The habitat is spatially heterogeneous, there existing a refuge where the population can be protected. Temporal variability is introduced by the intermittent character of the refuge. This scenario can apply to a wide range of situations, from a laboratory setting where bacteria can be protected by a blinking mask from ultraviolet radiation, to large-scale ecosystems, like a marine reserve where there can be seasonal fishing prohibitions. Using analytical and numerical tools, we investigate the asymptotic behavior of the total population as a function of the size and characteristic time scales of the refuge. We obtain expressions for the minimal size required for population survival, in the slow and fast time scale limits.

  1. Scale Dependence of Spatiotemporal Intermittence of Rain (United States)

    Kundu, Prasun K.; Siddani, Ravi K.


    It is a common experience that rainfall is intermittent in space and time. This is reflected by the fact that the statistics of area- and/or time-averaged rain rate is described by a mixed distribution with a nonzero probability of having a sharp value zero. In this paper we have explored the dependence of the probability of zero rain on the averaging space and time scales in large multiyear data sets based on radar and rain gauge observations. A stretched exponential fannula fits the observed scale dependence of the zero-rain probability. The proposed formula makes it apparent that the space-time support of the rain field is not quite a set of measure zero as is sometimes supposed. We also give an ex.planation of the observed behavior in tenus of a simple probabilistic model based on the premise that rainfall process has an intrinsic memory.

  2. Turbulent flows and intermittency in laboratory experiments (United States)

    Anselmet, F.; Antonia, R. A.; Danaila, L.


    In turbulent flows, the transfer of energy from large to small scales is strongly intermittent, in contradiction with Kolmogorov's (Dokl. Akad. Nauk. SSSR 30 (1941) 299; hereafter K41) assumptions. The statistical properties associated with these energy transfer fluctuations at a given scale r have been widely studied theoretically, experimentally and numerically over the last 30 years or so. Such fluctuations are also encountered in various Planetary and Space Science domains. The present paper presents a review of laboratory experiments which clearly display the fractal nature of the (spatial or temporal) energy distribution at scale r, the departures from the K41 predictions being generally quantified through high-order moments of velocity increments.

  3. Voltage Stability Evaluation Incorporating Wind Power Intermittency

    Institute of Scientific and Technical Information of China (English)

    Libao SHI; Yang ZHAO; Yixin NI; Liangzhong YAO; Masoud BAZARGAN


    A simulation framework is proposed to evaluate the voltage stability of power systems incorporating wind power intermittency.Firstly,the power output modelings of three types of wind turbines are discussed.Secondly,the Jensen model is employed to simulate the wind farm with the wake effect.The Monte Carlo based technique is used to conduct the voltage stability evaluation incorporating the randomness of the wind speed based on the Weibull probability distribution.Thirdly,the relative sensitivity index (RSI) is calculated to identify weak buses during analysis.Finally,case studies with different simulation scenarios are carried out.Some statistical results involving weakness probability,expected value and variance of RSI as well as preliminary conclusions are drawn based on numerical simulation results.

  4. Treatment of febrile seizures with intermittent clobazam. (United States)

    Manreza, M L; Gherpelli, J L; Machado-Haertel, L R; Pedreira, C C; Heise, C O; Diament, A


    Fifty children, 24 female and 26 male, with ages varying from 6 to 72 months (mean = 23.7 m.) that experienced at least one febrile seizure (FS) entered a prospective study of intermittent therapy with clobazam. Cases with severe neurological abnormalities, progressive neurological disease, afebrile seizures, symptomatic seizures of other nature, or seizures during a central nervous system infection were excluded. Seizures were of the simple type in 25 patients, complex in 20 and unclassified in 5. The mean follow-up period was 7.9 months (range = 1 to 23 m.), and the age at the first seizure varied from 5 to 42 months (mean = 16.8 m.). Clobazam was administered orally during the febrile episode according to the child's weight: up to 5 kg, 5 mg/day; from 5 to 10 kg, 10 mg/day; from 11 to 15 kg, 15 mg/day, and over 15 kg, 20 mg/day. There were 219 febrile episodes, with temperature above 37.8 degrees C, in 40 children during the study period. Twelve children never received clobazam and 28 received the drug at least once. Drug efficacy was measured by comparing FS recurrence in the febrile episodes that were treated with clobazam with those in which only antipyretic measures were taken. Ten children (20%) experienced a FS during the study period. Of the 171 febrile episodes treated with clobazam there were only 3 recurrences (1.7%), while of the 48 episodes treated only with antipyretic measures there were 11 recurrences (22.9%), a difference highly significant (p diazepam in the intermittent treatment of FS recurrence.

  5. Acute pancreatitis (United States)

    ... its blood vessels. This problem is called acute pancreatitis. Acute pancreatitis affects men more often than women. Certain ... pancreatitis; Pancreas - inflammation Images Digestive system Endocrine glands Pancreatitis, acute - CT scan Pancreatitis - series References Forsmark CE. Pancreatitis. ...

  6. Cystitis - acute (United States)

    Uncomplicated urinary tract infection; UTI - acute cystitis; Acute bladder infection; Acute bacterial cystitis ... cause. Menopause also increases the risk for a urinary tract infection. The following also increase your chances of having ...

  7. Photoluminescence intermittency of semiconductor quantum dots in dielectric environments

    Energy Technology Data Exchange (ETDEWEB)

    Isaac, A.


    The experimental studies presented in this thesis deal with the photoluminescence intermittency of semiconductor quantum dots in different dielectric environments. Detailed analysis of intermittency statistics from single capped CdSe/ZnS, uncapped CdSe and water dispersed CdSe/ZnS QDs in different matrices provide experimental evidence for the model of photoionization with a charge ejected into the surrounding matrix as the source of PL intermittency phenomenon. We propose a self-trapping model to explain the increase of dark state lifetimes with the dielectric constant of the matrix. (orig.)

  8. Evaluation of continuous and intermittent myocardial topical negative pressure

    DEFF Research Database (Denmark)

    Lindstedt, Sandra; Malmsjö, Malin; Gesslein, Bodil;


    Topical negative pressure, commonly used in wound therapy, has been shown to increase blood flow and stimulate angiogenesis in subcutaneous tissue and skeletal muscle. In wound therapy, intermittent negative pressure is often preferred to continuous negative pressure as tissue exposed...... to intermittent therapy shows twice as much granulation tissue formation than that exposed to continuous pressure after 2 weeks of therapy. The present study was designed to elucidate the differences in microvascular blood flow in the left anterior descending artery area between continuous and intermittent...... myocardial topical negative pressure of -50 mmHg....

  9. Adaptations with intermittent exercise training in post- and premenopausal women

    DEFF Research Database (Denmark)

    Seidelin, Kåre; Nyberg, Michael Permin; Piil, Peter Bergmann


    INTRODUCTION: The purposes of the present study was to examine the effect of intermittent exercise training on musculoskeletal and metabolic health in postmenopausal (PM) and premenopausal (PRM) women and, furthermore, to evaluate whether the adaptations can be maintained with a reduced training......: Twelve weeks of intermittent exercise training increased BMD, intermittent exercise capacity, and V˙O2max in PM and PRM, with PM also having positive changes in body composition. Additional 40 wk of training with a reduced frequency was sufficient to preserve these physiological adaptations and also...

  10. Enhanced sarcoplasmic reticulum Ca(2+) release following intermittent sprint training

    DEFF Research Database (Denmark)

    Ørtenblad, Niels; Lunde, Per; Levin, Kasper


    To evaluate the effect of intermittent sprint training on sarcoplasmic reticulum (SR) function, nine young men performed a 5 wk high-intensity intermittent bicycle training, and six served as controls. SR function was evaluated from resting vastus lateralis muscle biopsies, before and after...... the training period. Intermittent sprint performance (ten 8-s all-out periods alternating with 32-s recovery) was enhanced 12% (P training. The 5-wk sprint training induced a significantly higher (P ...-977) arbitrary units Ca(2+). g protein(-1). min(-1) (after). The relative SR density of functional ryanodine receptors (RyR) remained unchanged after training; there was, however, a 48% (P

  11. Characterizing and Comparing Young Adult Intermittent and Daily Smokers


    Lenk, Kathleen M.; Chen, Vincent; Bernat, Debra H.; Forster, Jean L.; Rode, Peter A.


    To examine young adult smoking patterns, we interviewed 732 smokers (from five U.S. upper Midwestern states) via telephone in 2006. We first defined two groups of intermittent smokers—low (smoked 1–14 days in past 30) and high (smoked 15–29 days in past 30), and then analyzed differences between these two groups and daily smokers. Low intermittent smokers were much less likely than high intermittent smokers to consider themselves smokers, feel addicted, or smoke with friends. Daily smokers we...

  12. Exercise prescription using the heart of claudication pain onset in patients with intermittent claudication

    Directory of Open Access Journals (Sweden)

    Gabriel Grizzo Cucato


    Full Text Available OBJECTIVE: To assess the acute metabolic and cardiovascular responses to walking exercise at an intensity corresponding to the heart rate of claudication pain onset and to investigate the effects of a 12-week walking training program at this intensity on walking capacity. METHODS: Twenty-nine patients with intermittent claudication were randomly allocated to the walking training (n = 17 or control (CO, n = 12 group. The walking training group performed an acute exercise session comprising 15×2-min bouts of walking at the heart rate of claudication pain onset, with 2-min interpolated rest intervals. The claudication symptoms and cardiovascular and metabolic responses were evaluated. Walking training was then performed at the same intensity twice each week for 12 weeks, while the control group engaged in twice weekly stretching classes. The claudication onset distance and total walking distance were evaluated before and after the interventions. Brazilian Registry Clinical Trials: RBR-7M3D8W. RESULTS: During the acute exercise session, the heart rate was maintained within tight limits. The exercise intensity was above the anaerobic threshold and >80% of the heart rate peak and VO2peak. After the exercise training period, the walking exercise group (n = 13 showed increased claudication onset distance (309±153 vs. 413±201m and total walking distance (784±182 vs. 1,100±236m compared to the control group (n = 12 (p<0.05. CONCLUSION: Walking exercise prescribed at the heart rate of claudication pain onset enables patients with intermittent claudication to exercise with tolerable levels of pain and improves walking performance.

  13. Intermittent Renewable Management Pilot Phase 2

    Energy Technology Data Exchange (ETDEWEB)

    Kiliccote, Sila [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Homan, Gregory [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Anderson, Robert [Olivine, Inc., San Ramon, CA (United States); Hernandez, John [Pacific Gas & Electric Company, San Francisco, CA (United States)


    The Intermittent Renewable Management Pilot - Phase 2 (IRM2) was designed to study the feasibility of demand-side resources to participate into the California Independent System Operator (CAISO) wholesale market as proxy demand resources (PDR). The pilot study focused on understanding the issues related with direct participation of third-parties and customers including customer acceptance; market transformation challenges (wholesale market, technology); technical and operational feasibility; and value to the rate payers, DR resource owners and the utility on providing an enabling mechanism for DR resources into the wholesale markets. The customer had the option of committing to either three contiguous hour blocks for 24 days or six contiguous hours for 12 days a month with day-ahead notification that aligned with the CAISO integrated forward market. As a result of their being available, the customer was paid $10/ kilowatt (kW)-month for capacity in addition to CAISO energy settlements. The participants were limited to no more than a 2 megawatt (MW) capacity with a six-month commitment. Four participants successfully engaged in the pilot. In this report, we provide the description of the pilot, participant performance results, costs and value to participants as well as outline some of the issues encountered through the pilot. Results show that participants chose to participate with storage and the value of CAISO settlements were significantly lower than the capacity payments provided by the utility as incentive payments. In addition, this pilot revealed issues both on the participant side and system operations side. These issues are summarized in the report.The Intermittent Renewable Management Pilot - Phase 2 (IRM2) was designed to study the feasibility of demand-side resources to participate into the California Independent System Operator (CAISO) wholesale market as proxy demand resources (PDR). The pilot study focused on understanding the issues related with

  14. Cutaneous sporotrichosis. Intermittent treatment (pulses) with itraconazole. (United States)

    Bonifaz, Alexandro; Fierro, Leonel; Saúl, Amado; Ponce, Rosa María


    Sporotrichosis is a subcutaneous and exceptionally deep mycosis caused by a dimorphic fungus, Sporothrix schenckii. Itraconazole is a triazole derivative leading to good results in the treatment of sporotrichosis. Patients with cutaneous sporotrichosis proven with mycological tests (direct examination and culture) were enrolled. All patients underwent laboratory tests (at baseline and on a monthly basis) and received oral itraconazole 400 mg/day for one week with a 3-week break (pulses); thereafter the drug was administered as pulses until clinical and mycological cure was achieved. Five patients with sporotrichosis were enrolled, 4 with cutaneous lymphangitic form and one with fixed cutaneous form. Clinical and mycological cure was achieved in 4/5 cases (80%), with a mean number of pulses of 3.5. No patient had side effects and no laboratory test abnormalities occurred. Intermittent or pulsed itraconazole was effective in treating cutaneous sporotrichosis. It may be considered as a new treatment choice that entails an important reduction in total medication use.

  15. Sex differences associated with intermittent swim stress. (United States)

    Warner, Timothy A; Libman, Matthew K; Wooten, Katherine L; Drugan, Robert C


    Various animal models of depression have been used to seek a greater understanding of stress-related disorders. However, there is still a great need for novel research in this area, as many individuals suffering from depression are resistant to current treatment methods. Women have a higher rate of depression, highlighting the need to investigate mechanisms of sex differences. Therefore, we employed a new animal model to assess symptoms of depression, known as intermittent swim stress (ISS). In this model, the animal experiences 100 trials of cold water swim stress. ISS has already been shown to cause signs of behavioral depression in males, but has yet to be assessed in females. Following ISS exposure, we looked at sex differences in the Morris water maze and forced swim test. The results indicated a spatial learning effect only in the hidden platform task between male and female controls, and stressed and control males. A consistent spatial memory effect was only seen for males exposed to ISS. In the forced swim test, both sexes exposed to ISS exhibited greater immobility, and the same males and females also showed attenuated climbing and swimming, respectively. The sex differences could be due to different neural substrates for males and females. The goal of this study was to provide the first behavioral examination of sex differences following ISS exposure, so the stage of estrous cycle was not assessed for the females. This is a necessary future direction for subsequent experiments. The current article highlights the importance of sex differences in response to stress.

  16. Intermittent everolimus administration for malignant insulinoma (United States)

    Brizzi, Maria Pia; Tampellini, Marco; Scagliotti, Giorgio Vittorio; Priola, Adriano; Terzolo, Massimo; Pia, Anna; Berruti, Alfredo


    Summary Insulinoma is a rare form of insulin-secreting pancreatic islet cell neuroendocrine (NE) tumor. The medical treatment of the malignant NE disease of the pancreas deeply changed in the last years, thanks to the introduction of new target molecules, as everolimus. Even if the exact mechanism is not actually known, one of the side effects of everolimus, hyperglycemia, has been demonstrated to be useful to contrast the typical hypoglycemia of the insulinoma. We report the case of a patient with a metastatic malignant insulinoma treated with intermittent everolimus, obtaining an important improvement in the quality of life; this suggests the necessity of preclinical studies to analyze the cellular pathways involved in insulin-independent gluconeogenesis. Learning points Effect of somatostatin analogs is long-lasting in the control of functioning NE tumors.Persistent everolimus control of hypoglycemia despite serum insulin levels and disease progression.Open issue: are disease progression and the increase in serum markers the only valid criteria to reject a treatment? PMID:25298880

  17. Long-range forecasting of intermittent streamflow

    Directory of Open Access Journals (Sweden)

    F. F. van Ogtrop


    Full Text Available Long-range forecasting of intermittent streamflow in semi-arid Australia poses a number of major challenges. One of the challenges relates to modelling zero, skewed, non-stationary, and non-linear data. To address this, a probabilistic statistical model to forecast streamflow 12 months ahead is applied to five semi-arid catchments in South Western Queensland. The model uses logistic regression through Generalised Additive Models for Location, Scale and Shape (GAMLSS to determine the probability of flow occurring in any of the systems. We then use the same regression framework in combination with a right-skewed distribution, the Box-Cox t distribution, to model the intensity (depth of the non-zero streamflows. Time, seasonality and climate indices, describing the Pacific and Indian Ocean sea surface temperatures, are tested as covariates in the GAMLSS model to make probabilistic 12-month forecasts of the occurrence and intensity of streamflow. The output reveals that in the study region the occurrence and variability of flow is driven by sea surface temperatures and therefore forecasts can be made with some skill.

  18. Finite dissipation and intermittency in magnetohydrodynamics. (United States)

    Mininni, P D; Pouquet, A


    We present an analysis of data stemming from numerical simulations of decaying magnetohydrodynamic (MHD) turbulence up to grid resolution of 1536(3) points and up to Taylor Reynolds number of approximately 1200 . The initial conditions are such that the initial velocity and magnetic fields are helical and in equipartition, while their correlation is negligible. Analyzing the data at the peak of dissipation, we show that the dissipation in MHD seems to asymptote to a constant as the Reynolds number increases, thereby strengthening the possibility of fast reconnection events in the solar environment for very large Reynolds numbers. Furthermore, intermittency of MHD flows, as determined by the spectrum of anomalous exponents of structure functions of the velocity and the magnetic field, is stronger than that of fluids, confirming earlier results; however, we also find that there is a measurable difference between the exponents of the velocity and those of the magnetic field, reminiscent of recent solar wind observations. Finally, we discuss the spectral scaling laws that arise in this flow.

  19. Multifractality and intermittency in the solar wind

    Directory of Open Access Journals (Sweden)

    W. M. Macek


    Full Text Available Within the complex dynamics of the solar wind's fluctuating plasma parameters, there is a detectable, hidden order described by a chaotic strange attractor which has a multifractal structure. The multifractal spectrum has been investigated using Voyager (magnetic field data in the outer heliosphere and using Helios (plasma data in the inner heliosphere. We have also analyzed the spectrum for the solar wind attractor. The spectrum is found to be consistent with that for the multifractal measure of the self-similar one-scale weighted Cantor set with two parameters describing uniform compression and natural invariant probability measure of the attractor of the system. In order to further quantify the multifractality, we also consider a generalized weighted Cantor set with two different scales describing nonuniform compression. We investigate the resulting multifractal spectrum depending on two scaling parameters and one probability measure parameter, especially for asymmetric scaling. We hope that this generalized model will also be a useful tool for analysis of intermittent turbulence in space plasmas.

  20. Contraction stress test by intermittent nipple stimulation. (United States)

    Huddleston, J F; Sutliff, G; Robinson, D


    Although the nonstress test has generally supplanted the contraction stress test as the primary test for assessment of fetal well-being, the contraction stress test continues to be useful. Objectionable factors of the contraction stress test have included the time required to complete the test and the frequent necessity for intravenous oxytocin. The authors developed a contraction stress test protocol using contractions produced by intermittent nipple stimulation and used the method for 345 tests on 193 high-risk pregnancies during a 15-month period. The women were instructed to stimulate one breast, through their clothes, for two minutes and then to rest for five minutes. This cycle was repeated as necessary, but was interrupted whenever contractions began. Using this protocol, the authors were successful in achieving an adequate contraction frequency with every attempt, and hyperstimulation was not more frequent than previously reported with the standard contraction stress test. The average time requirement was 45 minutes. No unexplained stillbirths occurred after a negative test.

  1. Sensing and characterization of EMI during intermittent connector anomalies (United States)

    National Aeronautics and Space Administration — This paper presents a new on-line methodology for detecting intermittent disconnection failures. The detection principle operates on the fundamental Lorentz Law that...

  2. Revealing Intermittency in Nuclear Multifragmentation with 4$\\PI$ Detectors

    CERN Document Server

    Baldo, Marcello; Rapisarda, A


    The distortion on the intermittency signal, due to detection efficiency and to the presence of pre--equilibrium emitted particles, is studied in a schematic model of nuclear multi- fragmentation. The source of the intermittency signal is modeled with a percolating system. The efficiency is schematized by a simple function of the fragment size, and the presence of pre--equilibrium particles is simulated by an additional non--critical fragment source. No selection on the events is considered, and therefore all events are used to calculate the moments. It is found that, despite the absence of event selection, the intermittency signal is quite resistant to the distortion due to the apparatus efficiency, while the inclusion of pre--equilibrium particles in the moment calculation can substantially reduce the strength of the signal. Pre--equilibrium particles should be therefore carefully separated from the rest of the detected fragments, before the intermittency analysis on experimental charge or mass distributions...

  3. Characterizing and comparing young adult intermittent and daily smokers. (United States)

    Lenk, Kathleen M; Chen, Vincent; Bernat, Debra H; Forster, Jean L; Rode, Peter A


    We interviewed 732 smokers (from five US upper Midwestern states) via telephone in 2006 to examine young adult smoking patterns. We first defined two groups of intermittent smokers-low (who smoked for 1-14 days in the past 30 days) and high (who smoked for 15-29 days in the past 30 days), and then analyzed differences between these two groups and daily smokers. Low intermittent smokers were much less likely to consider themselves smokers, feel addicted, or smoke with friends than high intermittent smokers. Daily smokers were more likely to feel addicted and have trouble quitting smoking than high intermittent smokers. Implications, limitations, and ideas for future studies will be discussed.

  4. Porphyria Cutanea Tarda (PCT) (United States)

    ... HCV), HIV, estrogens (used, for example, in oral contraceptives and prostate cancer treatment) and possibly smoking, combine ... Populations PCT is a rare disorder that affects males and females. The disorder usually develops after the ...

  5. Critical velocity during continuous and intermittent exercises in children. (United States)

    Berthoin, Serge; Baquet, Georges; Dupont, Gregory; Van Praagh, Emmanuel


    The purpose of this study was to apply the "critical velocity" concept to short intermittent high-intensity running exercises in prepubescent girls and boys and to compare the running performances obtained either by intermittent or continuous exercise runs. Eleven 8 to 11-year-old children underwent a maximal graded field test to determine peak oxygen uptake (peakVO2) and maximal aerobic velocity (MAV). During the six following sessions, they randomly performed three continuous runs (90, 100, and 110% of MAV) and three intermittent runs (120, 130, and 140% of MAV) until exhaustion. Intermittent exercises consisted of repeated 15 s runs each one separated by a 15 s passive recovery interval. For continuous as well as intermittent exercises, distance versus time to exhaustion (TTE) relationships were calculated to determine continuous (CVc) and intermittent (CVi) critical velocities. Values for peakVO2 and MAV were 45.8 +/- 5.3 ml x kg(-1) x min(-1) and 10.5 +/- 1.0 km h(-1), respectively. For the whole population, a significant relationship was found between the distance to exhaustion (DTE) and TTE for continuous (r2= 0.99, P < 0.05) and intermittent exercises (r2 = 0.99, P < 0.05). Significant relationships were found between peakVO2 and both CVc (r2= 0.60, P < 0.01) and CVi (r2= 0.47, P < 0.05). In conclusion, as for continuous exercises, a linear relationship was found between DTE and TTE for short high-intensity intermittent exercises. CVc was significantly related to peakVO2, while a significant lower relationship was found between peakVO2 and CVi.

  6. Drift Intermittent Synchronization and Controllability in a Simple Model

    Institute of Scientific and Technical Information of China (English)

    XIE Bai-Song; YU Ming-Young


    A simple model of three coupled oscillators as an approximation of main modes behaviors in a spatial extended system is proposed. Multi-looping generalized synchronization and drift intermittent lag phase synchronization phenomena are found in this simple model. For a certain of parameters in which chaotic-like intermittent behavior exhibit the amplitudes and phases of three modes are controlled to be synchronized states via coupling them with an external periodic mode.

  7. Intermittent Turbulence in the Very Stable Ekman Layer

    Energy Technology Data Exchange (ETDEWEB)

    Barnard, James C.


    INTERMITTENT TURBULENCE IN THE VERY STABLE EKMAN LAYER This study describes a Direct Numerical Simulation (DNS) of a very stable Ekman layer in which a constant downward heat flux is applied at the lower boundary, thus cooling the fluid above. Numerical experiments were performed in which the strength of the imposed heat flux was varied. For downward heat fluxes above a certain critical value the turbulence becomes intermittent and, as the heat flux increases beyond this value, the flow tends to relaminarize because of the very strong ambient stratification. We adopt Mahrt?s (1999) definition of the very stable boundary layer as a boundary layer in which intermittent, rather than continuous turbulence, is observed. Numerical experiments were used to test various hypothesis of where in ?stability parameter space? the very stable boundary layer is found. These experiments support the findings of Howell and Sun (1999) that the boundary layer will exhibit intermittency and therefore be categorized as ?very stable?, when the stability parameter, z/L, exceeds unity. Another marker for the very stable boundary layer, Derbyshire?s (1990) maximum heat flux criterion, was also examined. Using a case study drawn from the simulations where turbulence intermittency was observed, the mechanism that causes the intermittence was investigated. It was found that patchy turbulence originates from a vigorous inflectional, Ekman-like instability -- a roll cell -- that lifts colder air over warmer air. The resulting convective instability causes an intense burst of turbulence. This turbulence is short-lived because the lifting motion of the roll cell, as well as the roll cell itself, is partially destroyed after the patchy turbulence is generated. Examples of intermittent turbulence obtained from the simulations appear to be consistent with observations of intermittency even though the Reynolds number of the DNS is relatively low (400).

  8. Intermittency and solitons in the driven dissipative nonlinear Schroedinger equation (United States)

    Moon, H. T.; Goldman, M. V.


    The cubic nonlinear Schroedinger equation, in the presence of driving and Landau damping, is studied numerically. As the pump intensity is increased, the system exhibits a transition from intermittency to a two-torus to chaos. The laminar phase of the intermittency is also a two-torus motion which corresponds in physical space to two identical solitons of amplitude determined by a power-balance equation.

  9. Decarbonizing electricity generation with intermittent sources of energy



    We examine the impact of public policies that aim to decarbonate electricity production by replacing fossil fuel energy by intermittent renewable sources, namely wind and solar power. We consider a model of energy investment and production with two sources of energy: one is clean but intermittent (e.g. wind), whereas the other one is reliable but polluting (e.g. coal). A carbon tax decreases electricity production while simultaneously increasing investment in wind power. This tax may however ...

  10. Acute Bronchitis (United States)

    ... Smoking also slows down the healing process. Acute bronchitis treatment Most cases of acute bronchitis can be treated at home.Drink fluids, but ... bronchial tree. Your doctor will decide if this treatment is right for you. Living with acute bronchitis Most cases of acute bronchitis go away on ...

  11. Run-Off Computed Tomography Angiography (CTA) for Discriminating the Underlying Causes of Intermittent Claudication (United States)

    Werncke, Thomas; Steffen, Ingo G.; Hamm, Bernd; Elgeti, Thomas


    Aim To evaluate run-off computed tomography angiography (CTA) of abdominal aorta and lower extremities for detecting musculoskeletal pathologies and clinically relevant extravascular incidental findings in patients with intermittent claudication (IC) and suspected peripheral arterial disease (PAD). Does run-off CTA allow image-based therapeutic decision making by discriminating the causes of intermittent claudication in patients with suspected peripheral arterial disease PAD? Material and Methods Retrospective re-evaluation of CTAs performed in patients with acute or chronic intermittent claudication (i.e., Fontaine stages I to IIB) between January 2005 and October 2013. Allocation to one of three categories of underlying causes of IC symptoms: vascular, musculoskeletal (MSK) or both. Clinically relevant extravascular incidental findings were evaluated. Medical records were reviewed to verify specific therapies as well as main and incidental findings. Results While focused on vascular imaging, CTA image quality was sufficient for evaluation of the MSK system in all cases. The underlying cause of IC was diagnosed in run-off CTA as vascular, MSK and a combination in n = 138 (65%), n = 10 (4%), and n = 66 (31%) cases, respectively. Specific vascular or MSK therapy was recorded in n = 123 and n = 9 cases. In n = 82, no follow-up was possible. Clinically relevant extravascular incidental findings were detected in n = 65 patients (30%) with neoplasia, ascites and pleural effusion being the most common findings. Discussion Run-off CTA allows identification of vascular, MSK, and combined causes of IC in patients with suspected PAD and can guide specific therapy. CTA also allowed confident detection of crEVIF although detection did not necessarily trigger workup or treatment. PMID:27054846

  12. Run-Off Computed Tomography Angiography (CTA for Discriminating the Underlying Causes of Intermittent Claudication.

    Directory of Open Access Journals (Sweden)

    Alexandra Preuß

    Full Text Available To evaluate run-off computed tomography angiography (CTA of abdominal aorta and lower extremities for detecting musculoskeletal pathologies and clinically relevant extravascular incidental findings in patients with intermittent claudication (IC and suspected peripheral arterial disease (PAD. Does run-off CTA allow image-based therapeutic decision making by discriminating the causes of intermittent claudication in patients with suspected peripheral arterial disease PAD?Retrospective re-evaluation of CTAs performed in patients with acute or chronic intermittent claudication (i.e., Fontaine stages I to IIB between January 2005 and October 2013. Allocation to one of three categories of underlying causes of IC symptoms: vascular, musculoskeletal (MSK or both. Clinically relevant extravascular incidental findings were evaluated. Medical records were reviewed to verify specific therapies as well as main and incidental findings.While focused on vascular imaging, CTA image quality was sufficient for evaluation of the MSK system in all cases. The underlying cause of IC was diagnosed in run-off CTA as vascular, MSK and a combination in n = 138 (65%, n = 10 (4%, and n = 66 (31% cases, respectively. Specific vascular or MSK therapy was recorded in n = 123 and n = 9 cases. In n = 82, no follow-up was possible. Clinically relevant extravascular incidental findings were detected in n = 65 patients (30% with neoplasia, ascites and pleural effusion being the most common findings.Run-off CTA allows identification of vascular, MSK, and combined causes of IC in patients with suspected PAD and can guide specific therapy. CTA also allowed confident detection of crEVIF although detection did not necessarily trigger workup or treatment.

  13. Neuroprotective Role of Intermittent Hypobaric Hypoxia in Unpredictable Chronic Mild Stress Induced Depression in Rats.

    Directory of Open Access Journals (Sweden)

    Neetu Kushwah

    Full Text Available Hypoxic exposure results in several pathophysiological conditions associated with nervous system, these include acute and chronic mountain sickness, loss of memory, and high altitude cerebral edema. Previous reports have also suggested the role of hypoxia in pathogenesis of depression and related psychological conditions. On the other hand, sub lethal intermittent hypoxic exposure induces protection against future lethal hypoxia and may have beneficial effect. Therefore, the present study was designed to explore the neuroprotective role of intermittent hypobaric hypoxia (IHH in Unpredictable Chronic Mild Stress (UCMS induced depression like behaviour in rats. The IHH refers to the periodic exposures to hypoxic conditions interrupted by the normoxic or lesser hypoxic conditions. The current study examines the effect of IHH against UCMS induced depression, using elevated plus maze (EPM, open field test (OFT, force swim test (FST, as behavioural paradigm and related histological and molecular approaches. The data indicated the UCMS induced depression like behaviour as evident from decreased exploration activity in OFT with increased anxiety levels in EPM, and increased immobility time in the FST; whereas on providing the IHH (5000m altitude, 4hrs/day for two weeks these behavioural changes were ameliorated. The morphological and molecular studies also validated the neuroprotective effect of IHH against UCMS induced neuronal loss and decreased neurogenesis. Here, we also explored the role of Brain-Derived Neurotrophic Factor (BDNF in anticipatory action of IHH against detrimental effect of UCMS as upon blocking of BDNF-TrkB signalling the beneficial effect of IHH was nullified. Taken together, the findings of our study demonstrate that the intermittent hypoxia has a therapeutic potential similar to an antidepressant in animal model of depression and could be developed as a preventive therapeutic option against this pathophysiological state.

  14. Uncoupling of Vascular Nitric Oxide Synthase Caused by Intermittent Hypoxia

    Directory of Open Access Journals (Sweden)

    Mohammad Badran


    Full Text Available Objective. Obstructive sleep apnea (OSA, characterized by chronic intermittent hypoxia (CIH, is often present in diabetic (DB patients. Both conditions are associated with endothelial dysfunction and cardiovascular disease. We hypothesized that diabetic endothelial dysfunction is further compromised by CIH. Methods. Adult male diabetic (BKS.Cg-Dock7m +/+ Leprdb/J (db/db mice (10 weeks old and their heterozygote littermates were subjected to CIH or intermittent air (IA for 8 weeks. Mice were separated into 4 groups: IA (intermittent air nondiabetic, IH (intermittent hypoxia nondiabetic, IADB (intermittent air diabetic, and IHDB (intermittent hypoxia diabetic groups. Endothelium-dependent and endothelium-independent relaxation and modulation by basal nitric oxide (NO were analyzed using wire myograph. Plasma 8-isoprostane, interleukin-6 (IL-6, and asymmetric dimethylarginine (ADMA were measured using ELISA. Uncoupling of eNOS was measured using dihydroethidium (DHE staining. Results. Endothelium-dependent vasodilation and basal NO production were significantly impaired in the IH and IADB group compared to IA group but was more pronounced in IHDB group. Levels of 8-isoprostane, IL-6, ADMA, and eNOS uncoupling were ≈2-fold higher in IH and IADB groups and were further increased in the IHDB group. Conclusion. Endothelial dysfunction is more pronounced in diabetic mice subjected to CIH compared to diabetic or CIH mice alone. Oxidative stress, ADMA, and eNOS uncoupling were exacerbated by CIH in diabetic mice.

  15. Suppression of methanogenesis in hydrogen fermentation by intermittent feeding. (United States)

    Yun, Jeonghee; Kim, Tae Gwan; Cho, Kyung-Suk


    This study investigated whether intermittent feeding by using a concentrated carbon source is an appropriate method for selective enrichment of hydrogenesis by means of methanogen suppression. In a conventional reactor fed continuously for 10 d, methanogens increased from 2.8 × 10(7) to 1.1 × 10(9) gene copy number (GCN)/mg-cell dry weight, and methane concentration in the resulting biogas was 5.8%. However, when a carbon source was intermittently supplied for 10 d to the reactor, the number of methanogens was reduced 98.9% from 2.77 × 10(7) to 1.2 × 10(3) GCN/mg-cell dry weight, and methane was not detected during this period of intermittent feeding. Intermittent feeding shifted the dominants in the reactor from Clostridiaceae (70.5%) and Lactobacillaceae (11.0%) to Acetobacteraceae (62.0%) and Clostridiaceae (38.0%). In the reactor operated in continuous feeding mode after intermittent feeding, methane concentration was below 0.3% and the portion of methanogens in the bacterial community was maintained below 0.2%. These results suggest that the intermittent feeding of a carbon source during hydrogen production processes is a suitable method to suppress the activity of methanogens.

  16. Análise de variáveis fisiológicas de adolescentes com diagnóstico clínico de asma leve intermitente ou leve persistente quando submetidos a hipóxia aguda e teste de esforço máximo Analysis of physiological variables during acute hypoxia and maximal stress test in adolescents clinically diagnosed with mild intermittent or mild persistent asthma

    Directory of Open Access Journals (Sweden)

    Martin Maldonado


    -sectional study involving 48 adolescents (12-14 years of age who were divided into three groups: mild intermittent asthma (MIA, n = 12; mild persistent asthma (MPA, n = 12; and control (n = 24. All subjects were induced to acute hypoxia and were submitted to maximal stress testing. Anthropometric data were collected, and functional variables were assessed before and after the maximal stress test. During acute hypoxia, the time to a decrease in SpO2 and the time to recovery of SpO2 (at rest were determined. RESULTS: No significant differences were found among the groups regarding the anthropometric variables or regarding the ventilatory variables during the stress test. Significant differences were found in oxygen half-saturation pressure of hemoglobin prior to the test and in PaO2 prior to the test between the MPA and control groups (p = 0.0279 and p = 0.0116, respectively, as was in the oxygen extraction tension prior to the test between the MIA and MPA groups (p = 0.0419. There were no significant differences in terms of the SpO2 times under any of the conditions studied. Oxygen consumption and respiratory efficiency were similar among the groups. The use of a bronchodilator provided no significant benefit during the hypoxia test. No correlations were found between the hypoxia test results and the physiological variables. CONCLUSIONS: Our findings suggest that adolescents with mild persistent asthma have a greater capacity to adapt to hypoxia than do those with other types of asthma.

  17. The 30-15 intermittent fitness test: accuracy for individualizing interval training of young intermittent sport players. (United States)

    Buchheit, Martin


    The objective of this study was to gather evidence supporting the accuracy of the 30-15 Intermittent Fitness Test (30-15IFT) for individualizing interval training of young intermittent sport players. In 59 young intermittent sport players (age, 16.2 +/- 2.3 years), we observed the relationships between the maximal running speed (MRS) reached at the end of the 30-15IFT (MRS30-15IFT) and physiological variables elicited by shuttle intermittent runs, including maximal oxygen uptake, explosive power of lower limbs, and the ability to repeat intense exercise bouts through cardiorespiratory recovery kinetics during exercise. To observe the capacity of the 30-15IFT to prescribe suitable running intensities for interval training sessions, we compared heart rates (HRs) reached during 3 series of intermittent runs, where distances were set according to the MRS30-15IFT and to MRS reached with 2 popular continuous field tests: the University of Montreal track test and the 20-m shuttle run test. The results show that the MRS30-15IFT is significantly correlated with all physiological variables elicited by shuttle intermittent runs (P intermittent runs, HR recorded during the runs based on MRS30-15IFT presented significantly less interindividual variation than when the continuously determined MRS were used as reference speeds. In conclusion, we can say that the 30-15IFT leads to an MRS that simultaneously takes into account various physiological qualities elicited when performing shuttle intermittent runs. For scheduling interval training sessions, the MRS30-15IFT appears to be an accurate reference speed for getting players with different physiological profiles to a similar level of cardiorespiratory demand and thus for standardizing training content.

  18. Congenital erythropoietic porphyria: characterization of murine models of the severe common (C73R/C73R) and later-onset genotypes. (United States)

    Bishop, David F; Clavero, Sonia; Mohandas, Narla; Desnick, Robert J


    Congenital erythropoietic porphyria (CEP) is an autosomal recessive disorder due to the deficient activity of uroporphyrinogen III synthase (UROS). Knock-in mouse models were generated for the common, hematologically severe human genotype, C73R/C73R, and milder genotypes (C73R/V99L and V99L/V99L). The specific activities of the UROS enzyme in the livers and erythrocytes of these mice averaged approximately 1.2%, 11% and 19% of normal, respectively. C73R/C73R mice that survived fetal life to weaning age (~12%) had a severe microcytic hypochromic anemia (hemoglobin 7.9 g/dL, mean cellular volume 26.6 fL, mean cellular hemoglobin content 27.4 g/dL, red cell distribution width 37.7%, reticulocytes 19%) and massively accumulated isomer I porphyrins (95, 183 and 44 μmol/L in erythrocytes, spleen and liver, respectively), but a nearly normal lifespan. In adult C73R/C73R mice, spleen and liver weights were 8.2- and 1.5-fold increased, respectively. C73R/V99L mice were mildly anemic (hemoglobin was 14.0 g/dL and mean cellular hemoglobin was 13.3), with minimally accumulated porphyrins (0.10, 5.54 and 0.58 μmol/L in erythrocytes, spleen and liver, respectively), whereas adult V99L/V99L mice were normal. Of note, even the mildest genotype, V99L/V99L, exhibited porphyria in utero, which disappeared by 2 months of age. These severe and mild mouse models inform therapeutic interventions and permit further investigation of the porphyrin-induced hematopathology, which leads to photo-induced cutaneous lesions. Of significance for therapeutic intervention, these mouse models suggest that only 11% of wild-type activity might be needed to reverse the pathology in CEP patients.

  19. Intermittency and Topology of Shock Induced Mixing (United States)

    Tellez, Jackson; Redondo, Jose M.; Ben Mahjoub, Otman; Malik, Nadeem; Vila, Teresa


    The advance of a Rayleigh-Taylor front is described in Linden & Redondo (1991),[1-3] and may be shown to follow a quadratic law in time where the width of the growing region of instability depends on the local mixing efficiency of the different density fluids that accelerate against each other g is the acceleration and A is the Atwood number defined as the diference of densities divided by their sum. This results show the independence of the large amplitude structures on the initial conditions the width of the mixing region depends also on the intermittency of the turbulence. Then dimensional analysis may also depend on the relevant reduced acceleration driven time and the molecular reactive time akin to Damkholer number and the fractal structure of the contact zone [2,4]. Detailed experiments and simulations on RT and RM shock induced fronts analized with respect to structure functions are able to determine which mechanisms are most effective in local mixing which increase the effective fractal dimension, as well as the effect of higher order geometrical parameters, such as the structure functions, in non-homogeneous fluids (Mahjoub et al 1998)[5]. The structure of a Mixing blob shows a relatively sharp head with most of the mixing taking place at the sides due to what seems to be shear instability very similar to the Kelvin-Helmholtz instabilities, but with sideways accelerations. The formation of the blobs and spikes with their secondary instabilities produces a turbulent cascade, evident just after about 1 non-dimensional time unit, from a virtual time origin that takes into account the linear growth phase, as can be seen by the growth of the fractal dimension for different volume fractions. Two-dimensional cuts of the 3D flow also show that vortex flows have closed or spiral streamlines around their core. Examples of such flows can be also seen in the laboratory, for example at the interface of atwo-layer stratified fluid in a tank in which case streamlines

  20. The Effects of Montmorency Tart Cherry Concentrate Supplementation on Recovery Following Prolonged, Intermittent Exercise. (United States)

    Bell, Phillip G; Stevenson, Emma; Davison, Gareth W; Howatson, Glyn


    This study investigated Montmorency tart cherry concentrate (MC) supplementation on markers of recovery following prolonged, intermittent sprint activity. Sixteen semi-professional, male soccer players, who had dietary restrictions imposed for the duration of the study, were divided into two equal groups and consumed either MC or placebo (PLA) supplementation for eight consecutive days (30 mL twice per day). On day 5, participants completed an adapted version of the Loughborough Intermittent Shuttle Test (LISTADAPT). Maximal voluntary isometric contraction (MVIC), 20 m Sprint, counter movement jump (CMJ), agility and muscle soreness (DOMS) were assessed at baseline, and 24, 48 and 72 h post-exercise. Measures of inflammation (IL-1-β, IL-6, IL-8, TNF-α, hsCRP), muscle damage (CK) and oxidative stress (LOOH) were analysed at baseline and 1, 3, 5, 24, 48 and 72 h post-exercise. Performance indices (MVIC, CMJ and agility) recovered faster and muscle soreness (DOMS) ratings were lower in the MC group (p < 0.05). Additionally, the acute inflammatory response (IL-6) was attenuated in the MC group. There were no effects for LOOH and CK. These findings suggest MC is efficacious in accelerating recovery following prolonged, repeat sprint activity, such as soccer and rugby, and lends further evidence that polyphenol-rich foods like MC are effective in accelerating recovery following various types of strenuous exercise.

  1. The Effects of Montmorency Tart Cherry Concentrate Supplementation on Recovery Following Prolonged, Intermittent Exercise

    Directory of Open Access Journals (Sweden)

    Phillip G. Bell


    Full Text Available This study investigated Montmorency tart cherry concentrate (MC supplementation on markers of recovery following prolonged, intermittent sprint activity. Sixteen semi-professional, male soccer players, who had dietary restrictions imposed for the duration of the study, were divided into two equal groups and consumed either MC or placebo (PLA supplementation for eight consecutive days (30 mL twice per day. On day 5, participants completed an adapted version of the Loughborough Intermittent Shuttle Test (LISTADAPT. Maximal voluntary isometric contraction (MVIC, 20 m Sprint, counter movement jump (CMJ, agility and muscle soreness (DOMS were assessed at baseline, and 24, 48 and 72 h post-exercise. Measures of inflammation (IL-1-β, IL-6, IL-8, TNF-α, hsCRP, muscle damage (CK and oxidative stress (LOOH were analysed at baseline and 1, 3, 5, 24, 48 and 72 h post-exercise. Performance indices (MVIC, CMJ and agility recovered faster and muscle soreness (DOMS ratings were lower in the MC group (p < 0.05. Additionally, the acute inflammatory response (IL-6 was attenuated in the MC group. There were no effects for LOOH and CK. These findings suggest MC is efficacious in accelerating recovery following prolonged, repeat sprint activity, such as soccer and rugby, and lends further evidence that polyphenol-rich foods like MC are effective in accelerating recovery following various types of strenuous exercise.

  2. Do continuous and intermittent exercises sets induce similar cardiovascular responses in the elderly women?

    Directory of Open Access Journals (Sweden)

    Úrsula Veloso


    Full Text Available There is a lack of information about elderly acute cardiovascular responses in the elderly during exercise involving different muscle groups and strategies of load/repetition interaction (LRI in continuous and intermittent sets. The purpose of this study was to compare heart rate (HR, systolic blood pressure (SBP, rate-pressure product (RPP and quality of exercise performance (QEx of upper and lower body exercises (arms abduction and hip flexion in different situations of LRI. Twelve healthy women aged 65 to 85 years old volunteered to this study. The subjects performed both exercises at 12 maximal repetitions workload, continuously (2 sets of 12 reps and alternately (4 sets of 6 reps. HR was measured with a cardiotachometer and SBP through auscultation technique at the end of the last repetition of each set. The exercises were recorded in video to evaluate QEx. At least for the selected exercises, LRI did not influence QEx. However, SBP and RPP values for the intermittent sets were significantly higher than for continuous situations (p < 0.05. The authors concluded that continuous sets seem to be associated to greater cardiovascular stress in elder subjects, mainly because of SBP responses during the exercise.

  3. Spinal 5-HT7 Receptors and Protein Kinase A Constrain Intermittent Hypoxia-Induced Phrenic Long-term Facilitation


    Hoffman, M. S.; Mitchell, G. S.


    Phrenic long-term facilitation (pLTF) is a form of serotonin-dependent respiratory plasticity induced by acute intermittent hypoxia (AIH). pLTF requires spinal Gq protein-coupled serotonin-2 receptor (5-HT2) activation, new synthesis of brain-derived neurotrophic factor (BDNF) and activation of its high-affinity receptor, TrkB. Intrathecal injections of selective agonists for Gs protein-coupled receptors (adenosine 2A and serotonin-7; 5-HT7) also induce long-lasting phrenic motor facilitation...

  4. LES study of intermittency in soot formation in a model aircraft combustor (United States)

    Koo, Heeseok; Raman, Venkat; Mueller, Michael; Geigle, Klaus Peter


    Intermittent soot formation is one of the modeling challenges that prevent accurate predictions of soot concentration in a turbulent reacting flow. Due to the highly unsteady and irregular sooting behavior, formation of soot is acutely sensitive to the flow and gas phase history. Therefore, we need to accurately capture interactions between soot chemistry, particle dynamics, and turbulent flame as well as the turbulent reacting flow. In this study, large eddy simulation (LES) is used to understand the model sensitivity to the soot prediction. Hybrid method of moment (HMOM) soot model is used that accommodates detailed process of soot particle and soot precursor evolution. Gas phase chemistry uses flamelet progress variable approach with an additional enthalpy dimension to include soot radiation effect. The developed numerical model is tested on the DLR swirl combustor that emulates the rich-quench-lean (RQL) configuration using secondary oxidation air injection.

  5. Intermittent Turbulence in the Very Stable Ekman Layer

    Energy Technology Data Exchange (ETDEWEB)

    Barnard, James C [Univ. of Washington, Seattle, WA (United States)


    This study describes a Direct Numerical Simulation (DNS) of a very stable Ekman layer in which a constant downward heat flux is applied at the lower boundary, thus cooling the fluid above. Numerical experiments were performed in which the strength of the imposed heat flux was varied. For downward heat fluxes above a certain critical value the turbulence becomes intermittent and, as the heat flux increases beyond this value, the flow tends to relaminarize because of the very strong ambient stratification. We adopt Mahrt?s (1999) definition of the very stable boundary layer as a boundary layer in which intermittent, rather than continuous turbulence, is observed. Numerical experiments were used to test various hypothesis of where in ?stability parameter space? the very stable boundary layer is found. These experiments support the findings of Howell and Sun (1999) that the boundary layer will exhibit intermittency and therefore be categorized as ?very stable?, when the stability parameter, z/L, exceeds unity. Another marker for the very stable boundary layer, Derbyshire?s (1990) maximum heat flux criterion, was also examined. Using a case study drawn from the simulations where turbulence intermittency was observed, the mechanism that causes the intermittence was investigated. It was found that patchy turbulence originates from a vigorous inflectional, Ekman-like instability -- a roll cell -- that lifts colder air over warmer air. The resulting convective instability causes an intense burst of turbulence. This turbulence is short-lived because the lifting motion of the roll cell, as well as the roll cell itself, is partially destroyed after the patchy turbulence is generated. Examples of intermittent turbulence obtained from the simulations appear to be consistent with observations of intermittency even though the Reynolds number of the DNS is relatively low (400).

  6. Prevention of rectal SHIV transmission in macaques by daily or intermittent prophylaxis with emtricitabine and tenofovir.

    Directory of Open Access Journals (Sweden)

    J Gerardo García-Lerma


    Full Text Available BACKGROUND: In the absence of an effective vaccine, HIV continues to spread globally, emphasizing the need for novel strategies to limit its transmission. Pre-exposure prophylaxis (PrEP with antiretroviral drugs could prove to be an effective intervention strategy if highly efficacious and cost-effective PrEP modalities are identified. We evaluated daily and intermittent PrEP regimens of increasing antiviral activity in a macaque model that closely resembles human transmission. METHODS AND FINDINGS: We used a repeat-exposure macaque model with 14 weekly rectal virus challenges. Three drug treatments were given once daily, each to a different group of six rhesus macaques. Group 1 was treated subcutaneously with a human-equivalent dose of emtricitabine (FTC, group 2 received orally the human-equivalent dosing of both FTC and tenofovir-disoproxil fumarate (TDF, and group 3 received subcutaneously a similar dosing of FTC and a higher dose of tenofovir. A fourth group of six rhesus macaques (group 4 received intermittently a PrEP regimen similar to group 3 only 2 h before and 24 h after each weekly virus challenge. Results were compared to 18 control macaques that did not receive any drug treatment. The risk of infection in macaques treated in groups 1 and 2 was 3.8- and 7.8-fold lower than in untreated macaques (p = 0.02 and p = 0.008, respectively. All six macaques in group 3 were protected. Breakthrough infections had blunted acute viremias; drug resistance was seen in two of six animals. All six animals in group 4 that received intermittent PrEP were protected. CONCLUSIONS: This model suggests that single drugs for daily PrEP can be protective but a combination of antiretroviral drugs may be required to increase the level of protection. Short but potent intermittent PrEP can provide protection comparable to that of daily PrEP in this SHIV/macaque model. These findings support PrEP trials for HIV prevention in humans and identify promising Pr

  7. Continuous versus intermittent administration of piperacillin-tazobactam in intensive care unit patients with ventilator-associated pneumonia

    Directory of Open Access Journals (Sweden)

    Fanak Fahimi


    Full Text Available Background and Aims: Ventilator-associated pneumonia (VAP is one of the most common Intensive Care Unit (ICU-acquired infection. The aim of this study was to compare the clinical outcome of continuous and intermittent administration of piperacillin-tazobactam by serial measurements of the Clinical Pulmonary Infection Score (CPIS. Subjects and Methods: Groups were designed as parallel and the study was designed as quasi-experimental and conducted at a semi-closed ICU between September 2008 and May 2010. Patients received 3.375 g (piperacillin 3 g/tazobactam 0.375 g either through intermittent infusion every 6 h for 30 min [Intermittent Infusion (II group; n = 30] or through continuous infusion every 8 h for 4 h [Continuous Infusion (CI group; n = 31]. CPIS was used to assess the clinical diagnosis and outcome of VAP patients. Results: Sex, age, Acute Physiology and Chronic Health Evaluation II II score on ICU admission, diagnosis and underlying disease of VAP patients were not significantly different in the CI (n = 31 and II (n = 30 groups. Duration of mechanical ventilation, length of stay, total number of antibiotics used per patient and duration of piperacillin/tazobactam treatment were similar in both groups. Mortality rates of VAP patients were similar between both groups during hospitalization. Conclusion: There was no significant difference in clinical outcomes of patients receiving piperacillin-tazobactam via CI or II when measured by serial CPIS score.

  8. Intermittency on simultaneous observations of riometer at several Antarctic locations (United States)

    Ovalle, E. M.; Foppiano, A. J.; Stepanova, M. V.; Weatherwax, A. T.


    It is well known that auroral radio wave absorption, as measured by riometers, consists of periods of relative quiescence which are interrupted by short bursts of activity. Such patterns in activity are observed in systems ranging from the stock market to turbulence, i.e. they exhibit intermittency. In the case of the auroral absorption it has also been found that intermittency strongly depends on the magnetic local time, being largest in the night-time sector. This can be interpreted as indicating that the precipitating particles responsible of the absorption exhibit intermittency, especially near the substorm eye, where the level of turbulence increases. Here, we analyse simultaneous observations of riometer absorption at seven Antarctic locations, to determine whether they exhibit intermittency. We determine the Probability Distribution Functions of the fluctuations of riometer absorption for absorption events larger than 0.1 dB, as well as those for the time-intervals between absorption events. Observations are for locations within the austral auroral absorption zone and on the polar cap. It is found that the parameters of a power law used to describe the calculated PDFs are consistent with the formation of coherent structures being more frequent within the auroral zone, as a manifestation of intermittency.

  9. Entropic-Skins Geometry to Describe Wall Turbulence Intermittency

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    Diogo Queiros-Conde


    Full Text Available In order to describe the phenomenon of intermittency in wall turbulence and, more particularly, the behaviour of moments  and and intermittency exponents ζP with the order p and distance to the wall, we developed a new geometrical framework called “entropic-skins geometry” based on the notion of scale-entropy which is here applied to an experimental database of boundary layer flows. Each moment has its own spatial multi-scale support Ωp (“skin”. The model assumes the existence of a hierarchy of multi-scale sets Ωp ranged from the “bulk” to the “crest”. The crest noted characterizes the geometrical support where the most intermittent (the highest fluctuations in energy dissipation occur; the bulk is the geometrical support for the whole range of fluctuations. The model assumes then the existence of a dynamical flux through the hierarchy of skins. The specific case where skins display a fractal structure is investigated. Bulk fractal dimension  and crest dimension  are linked by a scale-entropy flux defining a reversibility efficiency  (d is the embedding dimension. The model, initially developed for homogeneous and isotropic turbulent flows, is applied here to wall bounded turbulence where intermittency exponents are measured by extended self-similarity. We obtained for intermittency exponents the analytical expression with γ ≈ 0.36 in agreement with experimental results.

  10. Study on Intermittent Irrigation for Paddy Rice: II. Crop Responses

    Institute of Scientific and Technical Information of China (English)


    Effect of intermittent irrigation on the production of paddy rice was studied in a well-puddled paddy field with four treatments and 2 replicates: continuous flooding irrigation (CFI), and intermittent irrigation II-0, II-1 and II-2, in which plants were re-irrigated when the soil water potential fell below 0, -10, and -20 kPa, respectively, at soil depth of about 5 cm. Results showed that the reduction in soil water potential to about -10 or -20 kPa did not significantly affect the number of grains and the percentage of ripened grains. While, a lower crop growth rate (CGR) resulted from a decrease in the net assimilation rate (NAR) during intermittent irrigation II-1 and II-2, and there was also a reduction in the leaf area index (LAI) during intermittent irrigation II-2. Senescence of lower leaves on stems was promoted in treatments II-1 and II-2 at the ripening stage. Early senescence at ripening stage and water stress around midday decreased the rate of photosynthesis in leaves, causing the lower NAR. These physiological responses of the plants were responsible for the reduction in the dry matter production and grain yield in the intermittent irrigation treatments.

  11. Subacute fulminant hepatic failure with intermittent fever

    Institute of Scientific and Technical Information of China (English)

    Cong-Xin Chen; Bo Liu; Yong Hu; Joyce E. Johnson; Yi-Wei Tang


    BACKGROUND:Viral hepatitis B accounts for over 80%of acute hepatic failures in China and the patients die mainly of its complications. A patient with hepatic failure and fever is not uncommon, whereas repeated fever is rare. METHODS:A 32-year-old female was diagnosed with subacute hepatic failure and hepatitis B viral infection because of hyperbilirubinemia, coagulopathy, hepatic encephalopathy, serum anti-HBs-positive without hepatitis B vaccination, and typical intrahepatic pathological features of chronic hepatitis B. Plasma exchange was administered twice and she awoke with hyperbilirubinemia and discontinuous fever. RESULTS:Urethritis was conifrmed and medication-induced fever and/or spontaneous bacterial peritonitis (Gram-negative bacillus infection) was suspected. The patient was treated with antibiotics, steroids and a Chinese herbal medicine, matrine, for three months and she recovered. CONCLUSION:The survival rate of patients with hepatic failure might be improved with comprehensive supporting measures and appropriate, timely management of com-plications.

  12. Intermittent Microwave Drying of Wheat (Triticum aestivum L. Seeds

    Directory of Open Access Journals (Sweden)

    Yan Li


    Full Text Available The purpose of present study was to characterize the intermittent microwave drying of wheat seeds. Results revealed that microwave on time percentage (MOTP and initial moisture content were the main parameters which influenced the intermittent microwave drying rate and the germination capacity of dried seeds. Best intermittent microwave drying (power: 800 W; seed sample weight: 100 g, microwave on time in each cycle: 32 s without significantly decreasing the germination rate was obtained at initial moisture content≤ 20.3% along with 20% MOTP. While, if initial moisture content of seeds was ≤ 16.7%, the seeds can be dried more rapidly using MOTP 30% without affecting germination capacity. The results obtained from this study would provide technical basis to select optimal wheat seed processing and design seed drying equipments.

  13. Generalized description of intermittency in turbulence via stochastic methods

    CERN Document Server

    Friedrich, J


    We present a generalized picture of intermittency in turbulence that is based on the theory of stochastic processes. To this end, we rely on the experimentally and numerically verified finding by R.~Friedrich and J.~Peinke [Phys. Rev. Lett. 78, 863 (1997)] that allows for an interpretation of the turbulent energy cascade as a Markov process of the velocity increments in scale. It is explicitly shown that all known phenomenological models of turbulence can be reproduced by the Kramers-Moyal expansion of the velocity increment probability density function that is associated to a Markov process. We compare the different sets of Kramers-Moyal coefficients of each phenomenology and deduce that an accurate description of intermittency should take into account an infinite number of coefficients. This is demonstrated in more detail for the case of Burgers turbulence that exhibits the strongest intermittency effects. Moreover, the influence of nonlocality on the Kramers-Moyal coefficients is investigated by direct num...

  14. Temporal intermittency of energy dissipation in magnetohydrodynamic turbulence. (United States)

    Zhdankin, Vladimir; Uzdensky, Dmitri A; Boldyrev, Stanislav


    Energy dissipation in magnetohydrodynamic (MHD) turbulence is known to be highly intermittent in space, being concentrated in sheetlike coherent structures. Much less is known about intermittency in time, another fundamental aspect of turbulence which has great importance for observations of solar flares and other space or astrophysical phenomena. In this Letter, we investigate the temporal intermittency of energy dissipation in numerical simulations of MHD turbulence. We consider four-dimensional spatiotemporal structures, "flare events," responsible for a large fraction of the energy dissipation. We find that although the flare events are often highly complex, they exhibit robust power-law distributions and scaling relations. We find that the probability distribution of dissipated energy has a power-law index close to α≈1.75, similar to observations of solar flares, indicating that intense dissipative events dominate the heating of the system. We also discuss the temporal asymmetry of flare events as a signature of the turbulent cascade.

  15. Intermittency in Hall-magnetohydrodynamics with a strong guide field

    CERN Document Server

    Imazio, P Rodriguez; Dmitruk, P; Mininni, P D


    We present a detailed study of intermittency in the velocity and magnetic field fluctuations of compressible Hall-magnetohydrodynamic turbulence with an external guide field. To solve the equations numerically, a reduced model valid when a strong guide field is present is used. Different values for the ion skin depth are considered in the simulations. The resulting data is analyzed computing field increments in several directions perpendicular to the guide field, and building structure functions and probability density functions. In the magnetohydrodynamic limit we recover the usual results with the magnetic field being more intermittent than the velocity field. In the presence of the Hall effect, field fluctuations at scales smaller than the ion skin depth show a substantial decrease in the level of intermittency, with close to monofractal scaling.

  16. Intermittency of riometer auroral absorption observed at South Pole (United States)

    Stepanova, M. V.; Antonova, E. E.; Foppiano, A. J.; Rosenberg, T. J.; Ovalle, E. M.


    Auroral radio-wave absorption values measured at South Pole for 3 years using a riometer are analyzed in order to test whether they show evidence of intermittency. The properties of the parameters of the probability density functions determined for several magnetic local time sectors are found to be significantly different. The probability density functions for the pre-midnight sector show the typical shape associated to intermittency. No results are given for the afternoon sector because few auroral absorption events meet the selection criteria to give statistically significant results. It is suggested that if the precipitating particle population responsible for the riometer auroral absorption shared the intermittency features of the absorption then the present results would allow the study of the properties of the induction component of magnetospheric turbulence.

  17. Sensitized nucleus accumbens dopamine terminal responses to methylphenidate and dopamine transporter releasers after intermittent-access self-administration. (United States)

    Calipari, Erin S; Jones, Sara R


    Long-access methylphenidate (MPH) self-administration has been shown to produce enhanced amphetamine potency at the dopamine transporter and concomitant changes in reinforcing efficacy, suggesting that MPH abuse may change the dopamine system in a way that promotes future drug abuse. While long-access self-administration paradigms have translational validity for cocaine, it may not be as relevant a model of MPH abuse, as it has been suggested that people often take MPH intermittently. Although previous work outlined the neurochemical and behavioral consequences of long-access MPH self-administration, it was not clear whether intermittent access (6 h session; 5 min access/30 min) would result in similar changes. For cocaine, long-access self-administration resulted in tolerance to cocaine's effects on dopamine and behavior while intermittent-access resulted in sensitization. Here we assessed the neurochemical consequences of intermittent-access MPH self-administration on dopamine terminal function. We found increased maximal rates of uptake, increased stimulated release, and subsensitive D2-like autoreceptors. Consistent with previous work using extended-access MPH paradigms, the potencies of amphetamine and MPH, but not cocaine, were increased, demonstrating that unlike cocaine, MPH effects were not altered by the pattern of intake. Although the potency results suggest that MPH may share properties with releasers, dopamine release was increased following acute application of MPH, similar to cocaine, and in contrast to the release decreasing effects of amphetamine. Taken together, these data demonstrate that MPH exhibits properties of both blockers and releasers, and that the compensatory changes produced by MPH self-administration may increase the abuse liability of amphetamines, independent of the pattern of administration.


    Institute of Scientific and Technical Information of China (English)

    佘振苏; 刘立


    Method of measuring physical parameters characterizing intermittency effects of energy cascade in turbulence is presented in the framework of the Hierarchical Structure model. The method of β-test and γ-test enables to verify the existence of hierarchical symmetry and to derive the degree of singularity for the most intermittent structures. The method is applied to analyze data for a high Reynolds number, low-temperature helium turbulent flow. Evidence for universal hierarchical symmetry constant β is reported. Effects of finite statistical sample size are discussed in detail.

  19. Intermittency-friendly and high-efficiency cogeneration

    DEFF Research Database (Denmark)

    Blarke, Morten; Dotzauer, Erik


    -efficiency and widely applicable option in distributed cogeneration better supporting the co-existence between cogenerators and intermittent renewables in the energy system. The concept involves integrating an efficient high-temperature compression heat pump that uses only waste heat recovered from flue gases as low....... It is found that CHP-HP-FG-CS offers significant reductions in fuel consumption (−8.9%) and operational production costs (−11.4%). The plant’s fuel-to-energy efficiency increases from 88.9 to 95.5%, which is state-of-the-art. The plant’s intermittency-friendliness coefficient Rc improves only marginally due...

  20. Additional parameter in evaluating the performance of intermittent solar refrigerators

    Energy Technology Data Exchange (ETDEWEB)

    El-Shaarawi, M.A.I.; Ramadan, R.A.


    The parameters which have been considered by previous investigators in evaluating the performance of intermittent solar refrigerators are: the maximum attainable generator temperature, the condensing temperature and the initial solution conditions. The present investigation shows that an additional parameter, viz. the temperature of the condensate at the beginning of the absorption process, should be taken into consideration. Results of a thermodynamic analysis for the theoretical constant-temperature-absorption refrigeration cycle reveal that this parameter has considerable influence on the performance of intermittent solar refrigerators utilizing an ammonia-water solution as the working fluid.

  1. Acute pancreatitis

    Directory of Open Access Journals (Sweden)

    Bo-Guang Fan


    Full Text Available Background : Acute pancreatitis continues to be a serious illness, and the patients with acute pancreatitis are at risk to develop different complications from ongoing pancreatic inflammation. Aims : The present review is to highlight the classification, treatment and prognosis of acute pancreatitis. Material & Methods : We reviewed the English-language literature (Medline addressing pancreatitis. Results : Acute pancreatitis is frequently caused by gallstone disease or excess alcohol ingestion. There are a number of important issues regarding clinical highlights in the classification, treatment and prognosis of acute pancreatitis, and treatment options for complications of acute pancreatitis including pancreatic pseudocysts. Conclusions : Multidisciplinary approach should be used for the management of the patient with acute pancreatitis.

  2. Acute pancreatitis

    Directory of Open Access Journals (Sweden)

    Bo-Guang Fan


    Full Text Available Background: Acute pancreatitis continues to be a serious illness, and the patients with acute pancreatitis are at risk to develop different complications from ongoing pancreatic inflammation. Aims: The present review is to highlight the classification, treatment and prognosis of acute pancreatitis. Material & Methods: We reviewed the English-language literature (Medline addressing pancreatitis. Results: Acute pancreatitis is frequently caused by gallstone disease or excess alcohol ingestion. There are a number of important issues regarding clinical highlights in the classification, treatment and prognosis of acute pancreatitis, and treatment options for complications of acute pancreatitis including pancreatic pseudocysts. Conclusions: Multidisciplinary approach should be used for the management of the patient with acute pancreatitis.

  3. [A case of sustained cholestasis caused by acute A viral hepatitis in Dubin-Johnson syndrome]. (United States)

    Ra, Sang Ho; Sung, Se Yong; Jung, Ho Yeon; Cha, Jae Hwang; Baik, Soon Koo; Cho, Mee Yon; Kim, Moon Young


    Dubin-Johnson syndrome is a rare clinical entity. It shows intermittent symptoms such as chronic or intermittent jaundice, abdominal pain, weakness, nausea, vomiting, anorexia and diarrhea. Symptoms are precipitated or aggravated by pregnancy, alcoholism, surgical procedures and intercurrent disease. Chronic idiopathic jaundice is typical of Dubin-Johnson syndrome and its prognosis is good. We describe a case of prolonged cholestasis for more than 10 months caused by acute A viral hepatitis in a patient with Dubin-Johnson syndrome. It is a first report of cholestasis complicated by acute A viral hepatitis in a patient with Dubin-Johnson syndrome.

  4. Effects of Intermittent Fasting, Caloric Restriction, and Ramadan Intermittent Fasting on Cognitive Performance at Rest and During Exercise in Adults. (United States)

    Cherif, Anissa; Roelands, Bart; Meeusen, Romain; Chamari, Karim


    The aim of this review was to highlight the potent effects of intermittent fasting on the cognitive performance of athletes at rest and during exercise. Exercise interacts with dietary factors and has a positive effect on brain functioning. Furthermore, physical activity and exercise can favorably influence brain plasticity. Mounting evidence indicates that exercise, in combination with diet, affects the management of energy metabolism and synaptic plasticity by affecting molecular mechanisms through brain-derived neurotrophic factor, an essential neurotrophin that acts at the interface of metabolism and plasticity. The literature has also shown that certain aspects of physical performance and mental health, such as coping and decision-making strategies, can be negatively affected by daylight fasting. However, there are several types of intermittent fasting. These include caloric restriction, which is distinct from fasting and allows subjects to drink water ad libitum while consuming a very low-calorie food intake. Another type is Ramadan intermittent fasting, which is a religious practice of Islam, where healthy adult Muslims do not eat or drink during daylight hours for 1 month. Other religious practices in Islam (Sunna) also encourage Muslims to practice intermittent fasting outside the month of Ramadan. Several cross-sectional and longitudinal studies have shown that intermittent fasting has crucial effects on physical and intellectual performance by affecting various aspects of bodily physiology and biochemistry that could be important for athletic success. Moreover, recent findings revealed that immunological variables are also involved in cognitive functioning and that intermittent fasting might impact the relationship between cytokine expression in the brain and cognitive deficits, including memory deficits.

  5. Intermittent screening and treatment versus intermittent preventive treatment of malaria in pregnancy: provider knowledge and acceptability.

    Directory of Open Access Journals (Sweden)

    Lucy Smith Paintain

    Full Text Available Malaria in pregnancy (MiP is associated with increased risks of maternal and foetal complications. The WHO recommends a package of interventions including intermittent preventive treatment (IPT with sulphadoxine-pyrimethamine (SP, insecticide-treated nets and effective case management. However, with increasing SP resistance, the effectiveness of SP-IPT has been questioned. Intermittent screening and treatment (IST has recently been shown in Ghana to be as efficacious as SP-IPT. This study investigates two important requirements for effective delivery of IST and SP-IPT: antenatal care (ANC provider knowledge, and acceptance of the different strategies. Structured interviews with 134 ANC providers at 67 public health facilities in Ashanti Region, Ghana collected information on knowledge of the risks and preventative and curative interventions against MiP. Composite indicators of knowledge of SP-IPT, and case management of MiP were developed. Log binomial regression of predictors of provider knowledge was explored. Qualitative data were collected through in-depth interviews with fourteen ANC providers with some knowledge of IST to gain an indication of the factors influencing acceptance of the IST approach. 88.1% of providers knew all elements of the SP-IPT policy, compared to 20.1% and 41.8% who knew the treatment policy for malaria in the first or second/third trimesters, respectively. Workshop attendance was a univariate predictor of each knowledge indicator. Qualitative findings suggest preference for prevention over cure, and increased workload may be barriers to IST implementation. However, a change in strategy in the face of SP resistance is likely to be supported; health of pregnant women is a strong motivation for ANC provider practice. If IST was to be introduced as part of routine ANC activities, attention would need to be given to improving the knowledge and practices of ANC staff in relation to appropriate treatment of MiP. Health

  6. Radial evolution of intermittency of density fluctuations in the fast solar wind

    CERN Document Server

    Bruno, R; Primavera, L; Pietropaolo, E; D'Amicis, R; Sorriso-Valvo, L; Carbone, V; Malara, F; Veltri, P


    We study the radial evolution of intermittency of density fluctuations in the fast solar wind. The study is performed analyzing the plasma density measurements provided by Helios 2 in the inner heliosphere between $0.3$ and $0.9$ AU. The analysis is carried out by means of a complete set of diagnostic tools, including the flatness factor at different time scales to estimate intermittency, the Kolmogorov-Smirnov test to estimate the degree of intermittency, and the Fourier transform to estimate the power spectral densities of these fluctuations. Density fluctuations within fast wind are rather intermittent and their level of intermittency, together with the amplitude of intermittent events, decreases with distance from the Sun, at odds with intermittency of both magnetic field and all the other plasma parameters. Furthermore, the intermittent events are strongly correlated, exhibiting temporal clustering. This indicates that the mechanism underlying their generation departs from a time-varying Poisson process....

  7. Intermittent versus continuous administration of growth hormone treatment.


    Hakeem, V; Hindmarsh, P C; Brook, C. G.


    Growth hormone treatment given by daily injection was compared with growth hormone given for three weeks of every four. All children had received recombinant human growth hormone for two years before randomisation. Growth velocity decreased in both groups in years one and two of the study but the effect was significantly greater in the group receiving intermittent growth hormone.

  8. Bochdalek Hernia As A Cause Of Intermittent AV Block


    Etsadashvili, Kakhaber; Rashid, Haroon Mohammed; Jalabadze, Khatuna; Melia, Anzor


    Congenital diaphragmatic hernia is very rare cause of AV block. We report such a patient with sick sinus node syndrome and previous AAIR pacemaker implantation, in which intermittent AV block was diagnosed by 24-hours ECG monitoring and upgrade of pacing system to DDDR was suggested.

  9. Dynamic droop scheme considering effect of intermittent renewable energy source

    DEFF Research Database (Denmark)

    Wang, Yanbo; Chen, Zhe; Deng, Fujin


    This paper presents a dynamic droop control scheme for islanded microgrids dominated by intermittent renewable energy sources, which is able to perform desirable power sharing in the presence of renewable energy source fluctuation. First, allowable maximum power points of wind generator and PV ge...

  10. Intermittency and multifractional Brownian character of geomagnetic time series

    Directory of Open Access Journals (Sweden)

    G. Consolini


    Full Text Available The Earth's magnetosphere exhibits a complex behavior in response to the solar wind conditions. This behavior, which is described in terms of mutifractional Brownian motions, could be the consequence of the occurrence of dynamical phase transitions. On the other hand, it has been shown that the dynamics of the geomagnetic signals is also characterized by intermittency at the smallest temporal scales. Here, we focus on the existence of a possible relationship in the geomagnetic time series between the multifractional Brownian motion character and the occurrence of intermittency. In detail, we investigate the multifractional nature of two long time series of the horizontal intensity of the Earth's magnetic field as measured at L'Aquila Geomagnetic Observatory during two years (2001 and 2008, which correspond to different conditions of solar activity. We propose a possible double origin of the intermittent character of the small-scale magnetic field fluctuations, which is related to both the multifractional nature of the geomagnetic field and the intermittent character of the disturbance level. Our results suggest a more complex nature of the geomagnetic response to solar wind changes than previously thought.

  11. Two-scale analysis of intermittency in fully developed turbulence

    Energy Technology Data Exchange (ETDEWEB)

    Badii, R.; Talkner, P. [Paul Scherrer Inst. (PSI), Villigen (Switzerland)


    A self-affinity test for turbulent time series is applied to experimental data for the estimation of intermittency exponents. The method employs exact relations satisfied by joint expectations of observables computed across two different length scales. One of these constitutes a verification tool for the existence and the extent of the inertial range. (author) 2 figs., 13 refs.

  12. Intermittent energy harvesting improves the performance of microbial fuel cells. (United States)

    Dewan, Alim; Beyenal, Haluk; Lewandowski, Zbigniew


    In this study, we compare the efficiencies of harvesting energy from microbial fuel cells (MFC) using two modes of operation: (1) continuous-passing the current through an electrical load-and (2) intermittent-first accumulating the energy in a capacitor and then discharging it through the load. Each of these two modes of operation has advantages and disadvantages: the first mode of operation allows the continuous powering of low-power-consuming devices, and the second mode of operation allows the intermittent powering of high-power-consuming devices. We used a two-compartment MFC: in the anodic compartment, Shewanella oneidensis MR-1 was grown using lactate as an electron donor, whereas in the cathodic compartment we used an electrode made of manganese-based catalyzed carbon bonded to a current-collecting screen made of platinum mesh and oxygen as the electron acceptor. The maximum power generated by harvesting energy intermittently was 152 microW, which is 111% higher than the 72 microW generated by harvesting the energy continuously. We conclude that in the operation of MFCs it is beneficial to harvest the energy intermittently. This not only allows the powering of external devices of high power consumption but also allows generating power with greater energy efficiency than does harvesting the energy continuously.

  13. Quasi-one-dimensional intermittent flux behavior in superconducting films

    DEFF Research Database (Denmark)

    Qviller, A. J.; Yurchenko, V. V.; Galperin, Y. M.


    . The intermittent behavior shows no threshold value in the applied field, in contrast to conventional flux jumping. The results strongly suggest that the quasi-one-dimensional flux jumps are of a different nature than the thermomagnetic dendritic (branching) avalanches that are commonly found in superconducting...

  14. Mathematical analysis of intermittent gas injection model in oil production (United States)

    Tasmi, Silvya, D. R.; Pudjo, S.; Leksono, M.; Edy, S.


    Intermittent gas injection is a method to help oil production process. Gas is injected through choke in surface and then gas into tubing. Gas forms three areas in tubing: gas column area, film area and slug area. Gas column is used to propel slug area until surface. A mathematical model of intermittent gas injection is developed in gas column area, film area and slug area. Model is expanding based on mass and momentum conservation. Using assume film thickness constant in tubing, model has been developed by Tasmi et. al. [14]. Model consists of 10 ordinary differential equations. In this paper, assumption of pressure in gas column is uniform. Model consist of 9 ordinary differential equations. Connection of several variables can be obtained from this model. Therefore, dynamics of all variables that affect to intermittent gas lift process can be seen from four equations. To study the behavior of variables can be analyzed numerically and mathematically. In this paper, simple mathematically analysis approach is used to study behavior of the variables. Variables that affect to intermittent gas injection are pressure in upstream valve and in gas column. Pressure in upstream valve will decrease when gas mass in valve greater than gas mass in choke. Dynamic of the pressure in the gas column will decrease and increase depending on pressure in upstream valve.

  15. Clean intermittent self-catheterisation - principles and practice

    Directory of Open Access Journals (Sweden)

    Arun Narayanaswamy


    Full Text Available This review of the literature on the principles and prac-tice of clean intermittent self-catheterisation includes the role of antiseptics/antibiotics, and outcome. It covers ac-ceptance of the technique, urinary tract infection, conti-nence, and preservation of upper urinary tract.

  16. Muscle Fatigue during Intermittent Exercise in Individuals with Mental Retardation (United States)

    Zafeiridis, Andreas; Giagazoglou, Paraskevi; Dipla, Konstantina; Salonikidis, Konstantinos; Karra, Chrisanthi; Kellis, Eleftherios


    This study examined fatigue profile during intermittent exercise in 10 men with mild to moderate mental retardation (MR) and 10 men without mental retardation (C). They performed 4 x 30 s maximal knee extensions and flexions with 1-min rest on an isokinetic dynamometer. Peak torque of flexors (PTFL) and extensors (PTEX), total work (TW), and…


    Directory of Open Access Journals (Sweden)



    Full Text Available ObjectiveTo evaluate the efficacy and common side effects of intermittent clonazepam in febrile  seizures.Materials & MethodsThis study was an experimental trial designed to determine the efficacy of intermittent clonazepam in febrile seizures .Thirty patients with an age range of 6 months to 5 years (60% male, 40% female were studied. Children with a history of psychomotor delay, abnormal  neurological examination, a history of antiepileptic drug consumption, and afebrile seizures were excluded from the study. Patients received a single dose of prophylactic Clonazepam (0.05 mg/kg/ day on the first day of febrile illness and twice daily during the course of fever.An antipyretic medication (Acetaminophen was advised if fever exceeded 38oC. Patients were followed up for one year after the study inclusion date.ResultsThree patients were excluded from study since they didnot follow the tritment and three patients experienced afebrile seizures. Twenty four patients had 162 febrile episodes during the course of the study and all patients were seizure-free after 1 year.ConclusionClonazepam was 100% effective but lethargy and ataxia were common side effects in patients. Fortunately, their parents continued treatment because they had prior awareness of the  possible side effects of clonazepam. Clonazepam is efficacious as an intermittent therapy for febrile seizures if parents are informed of its side effects.Keywords: recurrent febrile seizures, clonazepam, intermittent prophylaxis

  18. Randomized double-blind placebo-controlled crossover study of caffeine in patients with intermittent claudication

    DEFF Research Database (Denmark)

    Momsen, A H; Jensen, M B; Norager, C B;


    Intermittent claudication is a disabling symptom of peripheral arterial disease for which few medical treatments are available. This study investigated the effect of caffeine on physical capacity in patients with intermittent claudication.......Intermittent claudication is a disabling symptom of peripheral arterial disease for which few medical treatments are available. This study investigated the effect of caffeine on physical capacity in patients with intermittent claudication....

  19. Chronic Intermittent Fasting Improves Cognitive Functions and Brain Structures in Mice


    Liaoliao Li; Zhi Wang; Zhiyi Zuo


    Obesity is a major health issue. Obesity started from teenagers has become a major health concern in recent years. Intermittent fasting increases the life span. However, it is not known whether obesity and intermittent fasting affect brain functions and structures before brain aging. Here, we subjected 7-week old CD-1 wild type male mice to intermittent (alternate-day) fasting or high fat diet (45% caloric supplied by fat) for 11 months. Mice on intermittent fasting had better learning and me...

  20. Characterizing spatial and temporal patterns of intermittent rivers (United States)

    de Vries, Stefan B.; Hoeve, Jasper; Sauquet, Eric; Leigh, Catherine; Bonada, Núria; Fike, Kimberly; Dahm, Clifford; Booij, Martijn J.; Datry, Thibault


    Intermittent rivers (IRs) support high biodiversity due to their dynamic alternations between terrestrial and aquatic phases. They represent a large proportion of the river network. However the current knowledge on these ecosystems is limited. The international research project "Intermittent River Biodiversity Analysis and Synthesis" (IRBAS, aims to collect and analyze data on IR biodiversity from France, Spain, North America and Australia. These activities ultimately should help in identifying relationships between flow regime components and ecological responses. The IRBAS project will provide guidelines for policy-makers and resource managers for effective water and habitat management, restoration and preservation. This work examines one of the aspects in the IRBAS project: studying the large-scale spatial distribution of IRs as well as the year-to-year variability of zero-flow events. IRs were described by two variables: the frequency of periods without flow (FREQ) per time period (months or years) and the total number of zero-flow days (DUR) in a specified time window (month or year). Daily discharge data from more than 1700 gauging stations with no significant human influence on flow were collected from France, Spain, Australia and conterminous United States. A minimum length of 30 years of data starting from 1970 was required with less than 5% of missing data. Climate data for France and Australia were also collected. A classification of perennial versus intermittent rivers was defined, with 455 stations out of the 1684 considered "intermittent", i.e. the gauging station records had, on average, at least 5 zero-flow days per year. The analysis of the subset of IRs showed that: - Greater than 50% of the IRs in the database is located in Australia, where only 35% of the stations are considered perennial. In Spain the proportion of IRs reaches 25%. The proportion of intermittent rivers in France (7%) is certainly underestimated as a consequence of

  1. Demographics and frequency of the intermittently upturned omentum at CT

    Energy Technology Data Exchange (ETDEWEB)

    Penn, Alex; Wang, Wilbur; Wang, Zhen Jane; Yee, Judy; Webb, Emily M.; Yeh, Benjamin M., E-mail:


    Objectives: To describe the demographics and frequency of the intermittently upturned omentum at CT. Methods: We retrospectively reviewed abdominal CT scans of 336 consecutive patients (189 men and 147 women) who were imaged between June 1 and June 17, 2010 and who had prior comparison scans. Readers recorded the presence or absence of an intermittently upturned omentum, defined as a thick rind of fat interposed between the liver and the anterior abdominal wall seen on one but not the other scan. At chart review, we recorded patient demographics and other clinical characteristics (prior surgical history, presence of cirrhosis). Results: An intermittently upturned omentum was found in 10 of 336 (3.0%) patients. An intermittently upturned omentum was seen more commonly in men than in women (9 of 189 men, or 4.8% versus 1 of 147 women, or 0.7%, p = 0.047) and in cirrhotics (4 of 37 cirrhotics, or 10.8% versus 6 of 299 non-cirrhotics, or 2.0%, p = 0.023). In a sub-analysis of patients without prior abdominal surgery, this finding was again seen more commonly in men than women (7 of 163 men, or 4.3% versus 0 of 134 women, or 0%, p = 0.018) and in cirrhotics (3 of 33 cirrhotics, or 9.1% versus 4 of 264 non-cirrhotics, or 1.5%, p = 0.032). Conclusions: An intermittently upturned omentum is not uncommon and is more frequently seen in men and in patients with cirrhosis who may have a larger anterior hepatic space.

  2. Observation of intermittency in gene expression on cDNA microarrays

    CERN Document Server

    Peterson, L E


    We used scaled factorial moments to search for intermittency in the log expression ratios (LERs) for thousands of genes spotted on cDNA microarrays (gene chips). Results indicate varying levels of intermittency in gene expression. The observation of intermittency in the data analyzed provides a complimentary handle on moderately expressed genes, generally not tackled by conventional techniques.

  3. Acute cholecystitis


    Halpin, Valerie


    Acute cholecystitis causes unremitting right upper quadrant pain, anorexia, nausea, vomiting, and fever, and if untreated can lead to perforations, abscess formation, or fistulae. About 95% of people with acute cholecystitis have gallstones.It is thought that blockage of the cystic duct by a gallstone or local inflammation can lead to acute cholecystitis, but we don't know whether bacterial infection is also necessary.

  4. Estudo da imunofluorescência direta, imunomapeamento e microscopia ótica na porfiria cutânea tardia Study of direct immunofluorescence, immunofluorescence mapping and light microscopy in porphyria cutanea tarda

    Directory of Open Access Journals (Sweden)

    Fátima Mendonça Jorge Vieira


    Full Text Available FUNDAMENTO: Apesar de a porfiria cutânea tardia ser a mais frequente das porfirias, há poucos estudos que abordam sua fisiopatologia cutânea. OBJETIVO: Avaliar as alterações cutâneas na porfiria cutânea tardia utilizando a microscopia ótica e a imunofluorescência direta, antes e depois do tratamento com cloroquina. Realizar o imunomapeamento antigênico da bolha para estudo do seu nível de clivagem. MÉTODOS: Relata-se a microscopia ótica e imunofluorescência direta de 28 pacientes em três fases diferentes: 23 pacientes com porfiria ativa antes do tratamento (Fase A, sete pacientes com remissão clínica durante o tratamento (Fase B e oito pacientes com remissão bioquímica (Fase C. O imunomapeamento foi realizado em sete pacientes. RESULTADOS: Na porfiria ativa, a imunofluorescência direta demonstrou fluorescência homogênea e intensa no interior e na parede dos vasos e na junção dermoepidérmica. Na remissão clínica (Fase B e na remissão bioquímica (Fase C, o depósito de imunoglobulinas se manteve, mas o depósito de complemento apresentou diminuição na maioria. O imunomapeamento não demonstrou plano de clivagem fixo. CONCLUSÃO: Não houve correlação entre a resposta clínica e os depósitos de imunoglobulinas. A diminuição do complemento favorece a hipótese de que a ativação da cascata do complemento representa uma via adicional que leva à lesão endotelial.BACKGROUND: Even though porphyria cutanea tarda is the most frequent type of porphyria, there are few studies about its cutaneous physiopathology. OBJECTIVE: To evaluate skin changes in porphyria cutanea tarda using light microscopy and direct immunofluorescence before and after treatment with chloroquine. To perform antigen immunomapping of bullae to study their level of cleavage. METHODS: Light microscopy and direct immunofluorescence of 28 patients are reported in three different phases: 23 patients with active porphyria before treatment (Phase A, 7

  5. Synthesis of Intermittent-Motion Linkages with Slight Difference in Length Between Links

    Institute of Scientific and Technical Information of China (English)

    CHEN Xin-bo; YU Zhen


    The design of intermittent-motion linkages using traditional methods iS usually complicated.In this paper,(1)a new method for realizing intermittent motion,using linkages with a slight difference in length between links,is studied;(2)some new types of intermittent-motion linkages and their software for visual analysis and design are developed;and(3)influences of some design parameters on intermittent.motion characteristics are clarifled.Results confirmed that the theory and the software are useful,making the synthesis of intermittent-motion linkages clear and easy.

  6. Intermittency and correlations in hadronic $Z^0$ decays

    CERN Document Server

    Abbiendi, G; Alexander, Gideon; Allison, J; Altekamp, N; Anderson, K J; Anderson, S; Arcelli, S; Asai, S; Ashby, S F; Axen, D A; Azuelos, Georges; Ball, A H; Barberio, E; Barlow, R J; Batley, J Richard; Baumann, S; Bechtluft, J; Behnke, T; Bell, K W; Bella, G; Bellerive, A; Bentvelsen, Stanislaus Cornelius Maria; Bethke, Siegfried; Betts, S; Biebel, O; Biguzzi, A; Blobel, Volker; Bloodworth, Ian J; Bock, P; Böhme, J; Bonacorsi, D; Boutemeur, M; Braibant, S; Bright-Thomas, P G; Brigliadori, L; Brown, R M; Burckhart, Helfried J; Capiluppi, P; Carnegie, R K; Carter, A A; Carter, J R; Chang, C Y; Charlton, D G; Chrisman, D; Ciocca, C; Clarke, P E L; Clay, E; Cohen, I; Conboy, J E; Cooke, O C; Couyoumtzelis, C; Coxe, R L; Cuffiani, M; Dado, S; Dallavalle, G M; Davis, R; De Jong, S; de Roeck, A; Dervan, P J; Desch, Klaus; Dienes, B; Dixit, M S; Dubbert, J; Duchovni, E; Duckeck, G; Duerdoth, I P; Estabrooks, P G; Etzion, E; Fabbri, Franco Luigi; Fanfani, A; Fanti, M; Faust, A A; Fiedler, F; Fierro, M; Fleck, I; Folman, R; Frey, A; Fürtjes, A; Futyan, D I; Gagnon, P; Gary, J W; Gascon, J; Gascon-Shotkin, S M; Gaycken, G; Geich-Gimbel, C; Giacomelli, G; Giacomelli, P; Gibson, V; Gibson, W R; Gingrich, D M; Glenzinski, D A; Goldberg, J; Gorn, W; Grandi, C; Graham, K; Gross, E; Grunhaus, Jacob; Gruwé, M; Hanson, G G; Hansroul, M; Hapke, M; Harder, K; Harel, A; Hargrove, C K; Hauschild, M; Hawkes, C M; Hawkings, R; Hemingway, Richard J; Herndon, M; Herten, G; Heuer, R D; Hildreth, M D; Hill, J C; Hobson, P R; Hoch, M; Höcker, Andreas; Hoffman, K; Homer, R James; Honma, A K; Horváth, D; Hossain, K R; Howard, R; Hüntemeyer, P; Igo-Kemenes, P; Imrie, D C; Ishii, K; Jacob, F R; Jawahery, A; Jeremie, H; Jimack, Martin Paul; Jones, C R; Jovanovic, P; Junk, T R; Kanzaki, J I; Karlen, D A; Kartvelishvili, V G; Kawagoe, K; Kawamoto, T; Kayal, P I; Keeler, Richard K; Kellogg, R G; Kennedy, B W; Kim, D H; Klier, A; Kobayashi, T; Kobel, M; Kokott, T P; Kolrep, M; Komamiya, S; Kowalewski, R V; Kress, T; Krieger, P; Von Krogh, J; Kühl, T; Kyberd, P; Lafferty, G D; Landsman, Hagar Yaël; Lanske, D; Lauber, J; Lautenschlager, S R; Lawson, I; Layter, J G; Lazic, D; Lee, A M; Lellouch, Daniel; Letts, J; Levinson, L; Liebisch, R; List, B; Littlewood, C; Lloyd, A W; Lloyd, S L; Loebinger, F K; Long, G D; Losty, Michael J; Lü, J; Ludwig, J; Liu, D; Macchiolo, A; MacPherson, A L; Mader, W F; Mannelli, M; Marcellini, S; Markopoulos, C; Martin, A J; Martin, J P; Martínez, G; Mashimo, T; Mättig, P; McDonald, W J; McKenna, J A; McKigney, E A; McMahon, T J; McPherson, R A; Meijers, F; Menke, S; Merritt, F S; Mes, H; Meyer, J; Michelini, Aldo; Mihara, S; Mikenberg, G; Miller, D J; Mir, R; Mohr, W; Montanari, A; Mori, T; Nagai, K; Nakamura, I; Neal, H A; Nisius, R; O'Neale, S W; Oakham, F G; Odorici, F; Ögren, H O; Oreglia, M J; Orito, S; Pálinkás, J; Pásztor, G; Pater, J R; Patrick, G N; Patt, J; Pérez-Ochoa, R; Petzold, S; Pfeifenschneider, P; Pilcher, J E; Pinfold, James L; Plane, D E; Poffenberger, P R; Poli, B; Polok, J; Przybycien, M B; Rembser, C; Rick, Hartmut; Robertson, S; Robins, S A; Rodning, N L; Roney, J M; Rosati, S; Roscoe, K; Rossi, A M; Rozen, Y; Runge, K; Runólfsson, O; Rust, D R; Sachs, K; Saeki, T; Sahr, O; Sang, W M; Sarkisyan-Grinbaum, E; Sbarra, C; Schaile, A D; Schaile, O; Scharff-Hansen, P; Schieck, J; Schmitt, S; Schöning, A; Schröder, M; Schumacher, M; Schwick, C; Scott, W G; Seuster, R; Shears, T G; Shen, B C; Shepherd-Themistocleous, C H; Sherwood, P; Siroli, G P; Sittler, A; Skuja, A; Smith, A M; Snow, G A; Sobie, Randall J; Söldner-Rembold, S; Spagnolo, S; Sproston, M; Stahl, A; Stephens, K; Steuerer, J; Stoll, K; Strom, D; Ströhmer, R; Surrow, B; Talbot, S D; Taras, P; Tarem, S; Teuscher, R; Thiergen, M; Thomas, J; Thomson, M A; Torrence, E; Towers, S; Trigger, I; Trócsányi, Z L; Tsur, E; Turcot, A S; Turner-Watson, M F; Ueda, I; Van Kooten, R; Vannerem, P; Verzocchi, M; Voss, H; Wäckerle, F; Wagner, A; Ward, C P; Ward, D R; Watkins, P M; Watson, A T; Watson, N K; Wells, P S; Wermes, N; White, J S; Wilson, G W; Wilson, J A; Wyatt, T R; Yamashita, S; Yekutieli, G; Zacek, V; Zer-Zion, D


    A multidimensional study of local multiplicity fluctuations and multiparticle correlations of hadrons produced in Z decays is performed. The study is based on the data sample of more than 4 million events recorded with the OPAL detector at LEP. The fluctuations and correlations are analysed in terms of the normalized scaled factorial moments and cumulants up to the fifth order. The moments are observed to have intermittency-like behaviour, which is found to be more pronounced with increasing dimension. The large data sample allows for the first time a study of the factorial cumulants in e+e- annihilation. The analysis of the cumulants shows the existence of genuine multiparticle correlations with a strong intermittency rise up to higher orders. These correlations are found to be stronger in higher dimensions. The decomposition of the factorial moments into lower-order correlations that the dynamical fluctuations have important contributions from genuine many-particle correlations. The Monte Carlo models JETSE...

  7. Intermittency and local heating in the solar wind. (United States)

    Osman, K T; Matthaeus, W H; Wan, M; Rappazzo, A F


    Evidence for nonuniform heating in the solar wind plasma near current sheets dynamically generated by magnetohydrodynamic (MHD) turbulence is obtained using measurements from the ACE spacecraft. These coherent structures only constitute 19% of the data, but contribute 50% of the total plasma internal energy. Intermittent heating manifests as elevations in proton temperature near current sheets, resulting in regional heating and temperature enhancements extending over several hours. The number density of non-Gaussian structures is found to be proportional to the mean proton temperature and solar wind speed. These results suggest magnetofluid turbulence drives intermittent dissipation through a hierarchy of coherent structures, which collectively could be a significant source of coronal and solar wind heating.

  8. Positive effects of intermittent fasting in ischemic stroke. (United States)

    Fann, David Yang-Wei; Ng, Gavin Yong Quan; Poh, Luting; Arumugam, Thiruma V


    Intermittent fasting (IF) is a dietary protocol where energy restriction is induced by alternate periods of ad libitum feeding and fasting. Prophylactic intermittent fasting has been shown to extend lifespan and attenuate the progress and severity of age-related diseases such as cardiovascular (e.g. stroke and myocardial infarction), neurodegenerative (e.g. Alzheimer's disease and Parkinson's disease) and cancerous diseases in animal models. Stroke is the second leading cause of death, and lifestyle risk factors such as obesity and physical inactivity have been associated with elevated risks of stroke in humans. Recent studies have shown that prophylactic IF may mitigate tissue damage and neurological deficit following ischemic stroke by a mechanism(s) involving suppression of excitotoxicity, oxidative stress, inflammation and cell death pathways in animal stroke models. This review summarizes data supporting the potential hormesis mechanisms of prophylactic IF in animal models, and with a focus on findings from animal studies of prophylactic IF in stroke in our laboratory.

  9. [Intermittent thrombolytic treatment. Results during severe, chronic arterial diseases]. (United States)

    Fiessinger, J N; Aiach, M; Lagneau, P; Cormier, J M; Housset, E


    38 patients with severe chronic arteritis of the lower limbs were treated with streptokinase intermittently. All had been refused for surgical operation. One patient died, 4 others had early interruption of treatment. Eleven of the 38 patients had efficient thrombolysis confirmed by arteriography. The facts confirm the possibility of thrombolysis during chronic arterial disease. The fact that the aggravation was recent was favourable factor in prognosis. The eleven patients improved, had severe aggravation of symptomes for less than 2 months. Thus thrombolytic treatment has a place of choice in the treatment of severe arterial disease where surgery is impossible, or dangerous, owing to the uncertain state of the vascular bed below the lesion. Efficacious, it permits reconstructive surgery in cases where it had been at first refused. The use of intermittent treatment, apart from advantages of confort and cost, seems to increase the efficacy of treatment.

  10. Intermittent Bellerophon state in frequency-weighted Kuramoto model (United States)

    Zhou, Wenchang; Zou, Yong; Zhou, Jie; Liu, Zonghua; Guan, Shuguang


    Recently, the Bellerophon state, which is a quantized, time dependent, clustering state, was revealed in globally coupled oscillators [Bi et al., Phys. Rev. Lett. 117, 204101 (2016)]. The most important characteristic is that in such a state, the oscillators split into multiple clusters. Within each cluster, the instantaneous frequencies of the oscillators are not the same, but their average frequencies lock to a constant. In this work, we further characterize an intermittent Bellerophon state in the frequency-weighted Kuramoto model with a biased Lorentzian frequency distribution. It is shown that the evolution of oscillators exhibits periodical intermittency, following a synchronous pattern of bursting in a short period and resting in a long period. This result suggests that the Bellerophon state might be generic in Kuramoto-like models regardless of different arrangements of natural frequencies.

  11. Intermittent Testing and Training for High-Level Football Players

    DEFF Research Database (Denmark)

    Ingebrigtsen, Jørgen

    systematic differences between the playing positions can be detected. Lately, field tests have become more frequently used in football than the laboratory tests used in Study I. Study II therefore aims to assess the validity of one of them, the Yo-Yo Intermittent Recovery test level 2 (Yo-Yo IR2). Along...... with other field tests the Yo-Yo IR2 has become an important tool for monitoring the physical fitness of football players. However, the burden of testing, for players (physically and mentally) and the coaching staff (time consuming), is large and there is a probability that the tests may contain overlapping...... on the Yo-Yo IR2 test and other field- and laboratory tests of intermittent interval training performed as anaerobic speed-endurance production training is very limited for football players. Hence, this latter question is examined in Study IV.In Study I we find no differences in anthropometric...

  12. Acute Abdominal Pain Secondary to Chilaiditi Syndrome

    Directory of Open Access Journals (Sweden)

    David Kang


    Full Text Available Chilaiditi syndrome is a rare condition occurring in 0.025% to 0.28% of the population. In these patients, the colon is displaced and caught between the liver and the right hemidiaphragm. Patients' symptoms can range from asymptomatic to acute intermittent bowel obstruction. Diagnosis is best achieved with CT imaging. Identification of Chilaiditi syndrome is clinically significant as it can lead to many significant complications such as volvulus, perforation, and bowel obstruction. If the patient is symptomatic, treatment is usually conservative. Surgery is rarely indicated with indications including ischemia and failure of resolution with conservative management.

  13. Predicting intermittent running performance: critical velocity versus endurance index. (United States)

    Buchheit, M; Laursen, P B; Millet, G P; Pactat, F; Ahmaidi, S


    The aim of the present study was to examine the ability of the critical velocity (CV) and the endurance index (EI) to assess endurance performance during intermittent exercise. Thirteen subjects performed two intermittent runs: 15-s runs intersected with 15 s of passive recovery (15/15) and 30-s runs with 30-s rest (30/30). Runs were performed until exhaustion at three intensities (100, 95 and 90 % of the speed reached at the end of the 30 - 15 intermittent fitness test, V (IFT)) to calculate i) CV from the slope of the linear relationship between the total covered distance and exhaustion time (ET) (iCV); ii) anaerobic distance capacity from the Y-intercept of the distance/duration relationship (iADC); and iii) EI from the relationship between the fraction of V (IFT) at which the runs were performed and the log-transformed ET (iEI). Anaerobic capacity was indirectly assessed by the final velocity achieved during the Maximal Anaerobic Running Test (VMART). ET was longer for 15/15 than for 30/30 runs at similar intensities. iCV (15/15) and iCV (30/30) were not influenced by changes in ET and were highly dependent on V (IFT). Neither iADC (15/15) nor iADC (30/30) were related to VMART. In contrast, iEI (15/15) was higher than iEI (30/30), and corresponded with the higher ET. In conclusion, only iEI estimated endurance capacity during repeated intermittent running.

  14. Intermittent contact mode piezoresponse force microscopy in a liquid environment

    Energy Technology Data Exchange (ETDEWEB)

    Rodriguez, Brian J [Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Belfield, Dublin 4 (Ireland); Jesse, Stephen; Kalinin, Sergei V [Oak Ridge National Laboratory, Oak Ridge, TN 37831 (United States); Habelitz, Stefan [Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, CA 94143 (United States); Proksch, Roger [Asylum Research, Santa Barbara, CA 93117 (United States)], E-mail:, E-mail:


    Probing electromechanical coupling in biological systems and electroactive molecules requires high resolution functional imaging. Here, we investigate the feasibility of intermittent contact mode piezoresponse force microscopy based on simultaneous mechanical and electrical probe modulation. It is shown that imaging at frequencies corresponding to the first contact resonance in liquid allows contrast consistent with the electromechanical signal to be obtained for model ferroelectric systems and piezoelectric tooth dentin.

  15. Intermittent contact mode piezoresponse force microscopy in a liquid environment

    Energy Technology Data Exchange (ETDEWEB)

    Rodriguez, Brian [University College, Dublin; Jesse, Stephen [ORNL; Habelitz, S. [University of California, San Francisco; Proksch, Roger [Asylum Research, Santa Barbara, CA; Kalinin, Sergei V [ORNL


    Probing electromechanical coupling in biological systems and electroactive molecules requires high resolution functional imaging. Here, we investigate the feasibility of intermittent contact mode piezoresponse force microscopy based on simultaneous mechanical and electrical probe modulation. It is shown that imaging at frequencies corresponding to the first contact resonance in liquid allows contrast consistent with the electromechanical signal to be obtained for model ferroelectric systems and piezoelectric tooth dentin

  16. Prolapsed bilateral ureteroceles leading to intermittent outflow obstruction.

    LENUS (Irish Health Repository)

    Stunell, H


    A ureterocele refers to a cystic dilatation of the distal ureter. It may be unilateral or bilateral and may be associated with a duplex system in some cases. We present an unusual case where a young patient was found to have large bilateral ureteroceles which prolapsed into the urethra, causing intermittent incontinence and obstruction. We discuss the case and review the literature concerning this rare anomaly.

  17. Factors Influencing the Surgical Success in Patients with Intermittent Exotropia

    Directory of Open Access Journals (Sweden)

    Uğur Acar


    Full Text Available Pur po se: To determine the factors that influence surgical success in patients with intermittent exotropia. Ma te ri al and Met hod: We retrospectively evaluated the records of patients with intermittent exotropia who were diagnosed, operated, and followed up. Successful outcome was defined as alignment ≤10 prism diopters (PD esophoria or exophoria at the last follow-up visit. The clinical findings, exodeviation types, surgical ages, operation types, preoperative and postoperative deviation amounts, presence of anisometropia and amblyopia, presence of A- or V-pattern, and presence of binocular vision and stereoacuity of patients were evaluated. We investigated the independent variables that affected the surgical success in intermittent exotropia patients. Re sults: Among the 379 patients included in the study, 266 (70.18% underwent surgery, and the success rate was 68.05% (181 patients. In this successful surgery group, mean deviation was 25.82±11.27 PD at near and 30.80±10.59 PD at distance versus 30.93±12.47 PD and 34.92±11.02 PD, respectively, in the unsuccessful surgery group. There was a statistically significant difference between the two groups. Preoperative factors, such as presence of binocular vision preoperatively, and postoperative factors, such as followup period and the patients' deviation amount in the 1st week and 6th month, were found to affect the surgical outcome. Dis cus si on: The success rate of surgical treatment of intermittent exotropia increases in the patients with presence of fusion and low preoperative deviation amounts. Also, in the early postoperative period, orthophoric or ≤10 PD esophoric patients have a higher final surgical success rate. (Turk J Ophthalmol 2013; 43: 107-12

  18. Consensus of Multiagent Networks with Intermittent Interaction and Directed Topology

    Directory of Open Access Journals (Sweden)

    Li Xiao


    Full Text Available Intermittent interaction control is introduced to solve the consensus problem for second-order multiagent networks due to the limited sensing abilities and environmental changes periodically. And, we get some sufficient conditions for the agents to reach consensus with linear protocol from the theoretical findings by using the Lyapunov control approach. Finally, the validity of the theoretical results is validated through the numerical example.

  19. New advances on chaotic intermittency and its applications

    CERN Document Server

    Elaskar, Sergio


    One of the most important routes to chaos is the chaotic intermittency. However, there are many cases that do not agree with the classical theoretical predictions. In this book, an extended theory for intermittency in one-dimensional maps is presented. A new general methodology to evaluate the reinjection probability density function (RPD) is developed in Chapters 5 to 8. The key of this formulation is the introduction of a new function, called M(x), which is used to calculate the RPD function. The function M(x) depends on two integrals. This characteristic reduces the influence on the statistical fluctuations in the data series. Also, the function M(x) is easy to evaluate from the data series, even for a small number of numerical or experimental data. As a result, a more general form for the RPD is found; where the classical theory based on uniform reinjection is recovered as a particular case. The characteristic exponent traditionally used to characterize the intermittency type, is now a function depending ...

  20. Sulfide elimination by intermittent nitrate dosing in sewer sediments

    Institute of Scientific and Technical Information of China (English)

    Yanchen Liu; Chen Wu; Xiaohong Zhou; David Z.Zhu; Hanchang Shi


    The formation of hydrogen sulfide in biofilms and sediments in sewer systems can cause severe pipe corrosions and health hazards,and requires expensive programs for its prevention.The aim of this study is to propose a new control strategy and the optimal condition for sulfide elimination by intermittent nitrate dosing in sewer sediments.The study was carried out based on lab-scale experiments and batch tests using real sewer sediments.The intermittent nitrate dosing mode and the optimal control condition were investigated.The results indicated that the sulfide-intermittent-elimination strategy by nitrate dosing is advantageous for controlling sulfide accumulation in sewer sediment.The oxidation-reduction potential is a sensitive indicator parameter that can reflect the control effect and the minimum N/S (nitrate/sulfide)ratio with slight excess nitrate is necessary for optimal conditions ofefficient sulfide control with lower carbon source loss.The opth-nal control condition is feasible for the sulfide elimination in sewer systems.

  1. Intermittency and velocity fluctuations in hopper flows prone to clogging (United States)

    Thomas, C. C.; Durian, D. J.


    We study experimentally the dynamics of granular media in a discharging hopper. In such flows, there often appears to be a critical outlet size Dc such that the flow never clogs for D >Dc . We report on the time-averaged velocity distributions, as well as temporal intermittency in the ensemble-averaged velocity of grains in a viewing window, for both D Dc , near and far from the outlet. We characterize the velocity distributions by the standard deviation and the skewness of the distribution of vertical velocities. We propose a measure for intermittency based on the two-sample Kolmogorov-Smirnov DKS statistic for the velocity distributions as a function of time. We find that there is no discontinuity or kink in these various measures as a function of hole size. This result supports the proposition that there is no well-defined Dc and that clogging is always possible. Furthermore, the intermittency time scale of the flow is set by the speed of the grains at the hopper exit. This latter finding is consistent with a model of clogging as the independent sampling for stable configurations at the exit with a rate set by the exiting grain speed [C. C. Thomas and D. J. Durian, Phys. Rev. Lett. 114, 178001 (2015), 10.1103/PhysRevLett.114.178001].

  2. The influence of respiratory muscle training upon intermittent exercise performance. (United States)

    Nicks, C R; Morgan, D W; Fuller, D K; Caputo, J L


    The purpose of this study was to determine the effect of respiratory muscle training (RMT) on intermittent exercise performance, respiratory muscle strength (PI (max)), respiratory muscle fatigue (RMF), and dyspnea in soccer athletes. Collegiate soccer athletes (20 male, 7 female) were randomly divided into either a RMT or control condition during off-season conditioning. The RMT group performed a 30RM protocol (10 times weekly) for 5 weeks using a commercially-available training device, while the controls received no RMT. Performance was evaluated utilizing Level 1 of the Yo-Yo Intermittent Recovery Test (IRT) and dyspnea was assessed during and immediately following the IRT. RMF was quantified within 2 minutes (RMF2) and 10 minutes (RMF10) after completing the IRT. Following training, the RMT group significantly increased IRT performance by 216.6 +/- 231.0 meters (p = .008) while the 49.2 +/- 75.1 meter increase observed in the controls was not significant. PI (max) in the RMT group increased from 138.1 +/- 19.6 to 165.3 +/- 23.5 cmH (2)O (p RMT did not significantly affect RMF or dyspnea. In conclusion, RMT improved intermittent exercise performance in these soccer athletes. The mechanisms by which RMT improves performance warrant further study.

  3. Prevention of Stress Related Mucosal Disease with Intermittent

    Directory of Open Access Journals (Sweden)

    Farshid Rahimi-Bashar


    Full Text Available Background: This study aimed to compare intermittent intravenous (IV pantoprazole and ranitidine for control of gastric acid secretion and the possible prevention of Upper Gastrointestinal Bleeding (UGIB in critical care patients.Methods: This was a randomized, double blind clinical trial study of IV pantoprazole (40 mg every12 hour or intermittent IV ranitidine (50 mg bolus every 8 hour in patients at risk for UGIB. The primary endpoint was gastric pH. UGIB was measured as secondary endpoint.Results: ninety two Critical care patients were enrolled. Gastric pH was well controlled by two study drugs. Gastric pH increased in pantoprazole group than in the ranitidine group (4.40±0.39 versus 3.32±0.28; P=0.000. Upper GI bleeding was higher in ranitidine group than pantoprazole group (4/46 versus 2/46; P=0.404.Conclusion: This  study  indicates  that  intermittent  IV pantoprazole  compared  with  bolus  IV ranitidine, more effectively controls gastric pH and may prevent UGIB in high risk critical care patients without the development of tolerance.

  4. Neuromuscular Fatigue after Submaximal Intermittent Contractions in Motorcycle Riders. (United States)

    Torrado, P; Cabib, C; Morales, M; Valls-Sole, J; Marina, M


    Highly repetitive submaximal intermittent contractions of the forearm muscles during periods of 30-50 min partially explain why motorcycle races are so demanding for the neuromuscular system. This study investigated the contribution of central and peripheral mechanisms of fatigue on the exerted and contralateral extensor digitorum communis following an intermittent fatigue protocol (IFP) designed for motorcycle riders. 12 riders performed an IFP, which simulates the braking and throttle handle gesture. We examined the time course of recovery of maximal voluntary contraction (MVC), M-wave, motor evoked potential (MEP) to transcranial magnetic stimuli in relaxed and facilitated condition, and the cortical silent period (CSP) at time windows of 1, 3, 5, 10 and 20 min after the IFP. Whereas MVC, M-wave and MEP decreased, CSP lengthened significantly in the fatigued limb after completion of the IFP. Nevertheless, no differences were observed in the contralateral limb. All neurophysiological parameters reverted to baseline values in less than 20 min, while MVC remained lower in the exercised limb. No cross-over effects were observed in the contralateral non-exercised limb. Our results suggest that local factors are those mainly responsible for the incomplete MVC recovery after an intermittent muscle contraction protocol.

  5. Intermittent outgassing through a non-Newtonian fluid. (United States)

    Divoux, Thibaut; Bertin, Eric; Vidal, Valérie; Géminard, Jean-Christophe


    We report an experimental study of the intermittent dynamics of a gas flowing through a column of a non-Newtonian fluid. In a given range of the imposed constant flow rate, the system spontaneously alternates between two regimes: bubbles emitted at the bottom either rise independently one from the other or merge to create a winding flue which then connects the bottom air entrance to the free surface. The observations are reminiscent of the spontaneous changes in the degassing regime observed on volcanoes and suggest that, in the nature, such a phenomenon is likely to be governed by the non-Newtonian properties of the magma. We focus on the statistical distribution of the lifespans of the bubbling and flue regimes in the intermittent steady state. The bubbling regime exhibits a characteristic time whereas, interestingly, the flue lifespan displays a decaying power-law distribution. The associated exponent, which is significantly smaller than the value 1.5 often reported experimentally and predicted in some standard intermittency scenarios, depends on the fluid properties and can be interpreted as the ratio of two characteristic times of the system.

  6. Prolapsing Gastric Polyp Causing Intermittent Gastric Outlet Obstruction. (United States)

    Kosai, Nik Ritza; Gendeh, Hardip Singh; Norfaezan, Abdul Rashid; Razman, Jamin; Sutton, Paul Anthony; Das, Srijit


    Gastric polyps are often an incidental finding on upper gastrointestinal endoscopy, with an incidence up to 5%. The majority of gastric polyps are asymptomatic, occurring secondary to inflammation. Prior reviews discussed Helicobacter pylori (H pylori)-associated singular gastric polyposis; however, we present a rare and unusual case of recurrent multiple benign gastric polyposis post H pylori eradication resulting in intermittent gastric outlet obstruction. A 70-year-old independent male, Chinese in ethnicity, with a background of diabetes mellitus, hypertension, and a simple renal cyst presented with a combination of melena, anemia, and intermittent vomiting of partially digested food after meals. Initial gastroscopy was positive for H pylori; thus he was treated with H pylori eradication and proton pump inhibitors. Serial gastroscopy demonstrated multiple sessile gastric antral polyps, the largest measuring 4 cm. Histopathologic examination confirmed a benign hyperplastic lesion. Computed tomography identified a pyloric mass with absent surrounding infiltration or metastasis. A distal gastrectomy was performed, whereby multiple small pyloric polyps were found, the largest prolapsing into the pyloric opening, thus explaining the intermittent nature of gastric outlet obstruction. Such polyps often develop from gastric ulcers and, if left untreated, may undergo neoplasia to form malignant cells. A distal gastrectomy was an effective choice of treatment, taking into account the polyp size, quantity, and potential for malignancy as opposed to an endoscopic approach, which may not guarantee a complete removal of safer margins and depth. Therefore, surgical excision is favorable for multiple large gastric polyps with risk of malignancy.

  7. Acute Kidney Failure (United States)

    ... out of balance. Acute kidney failure — also called acute renal failure or acute kidney injury — develops rapidly over ... 2015. Palevsky PM. Definition of acute kidney injury (acute renal failure). Accessed April ...

  8. Acute Pancreatitis and Pregnancy (United States)

    ... Pancreatitis Acute Pancreatitis and Pregnancy Acute Pancreatitis and Pregnancy Timothy Gardner, MD Acute pancreatitis is defined as ... pancreatitis in pregnancy. Reasons for Acute Pancreatitis and Pregnancy While acute pancreatitis is responsible for almost 1 ...

  9. Spontaneous chylous peritonitis mimicking acute appendicitis: A case report and review of literature

    Institute of Scientific and Technical Information of China (English)

    Fu-Chi Fang; Sheng-Der Hsu; Chuang-Wei Chen; Teng-Wei Chen


    Acute abdominal pain with signs and symptoms of peritonitis due to sudden extravasation of chyle into the peritoneal cavity is a rare condition that is often mistaken for other disease processes. The diagnosis is rarely suspected preoperatively. We report a case of spontaneous chylous peritonitis that presented with typical symptoms of acute appendicitis such as intermittent fever and epigastric pain radiating to the lower right abdominal quadrant before admission.

  10. Continuous Venovenous Hemofiltration in Severely Burned Patients with Acute Kidney Injury: A Cohort Study (United States)


    FiO2: fraction of inspired oxygen; IHD: intermittent hemodialysis ; IQR: interquartile range; ISS: injury severity score; MODS: multiple organ...were compared. Definitions During the period after November 2005 our staff intensivists utilized the RIFLE (Risk, Injury, Failure, Loss, End-stage...for acute renal fail- ure which included: fluid resuscitation, minimization of nephro- toxic agents, and utilization of hemodialysis if classic

  11. Cost effectiveness of intermittent screening followed by treatment versus intermittent preventive treatment during pregnancy in West Africa

    DEFF Research Database (Denmark)

    Fernandes, Silke; Sicuri, Elisa; Halimatou, Diawara


    -to-pay threshold used.  Conclusions: At SP efficacy levels currently observed in the trial settings it would not be cost-effective to switch from IPTp-SP to ISTp-AL, mainly due to the substantially higher costs of ISTp-AL and limited difference in outcomes. The modelling results indicate thresholds below which IPT......Background: Emergence of high-grade sulfadoxine-pyrimethamine (SP) resistance in parts of Africa has led to growing concerns about the efficacy of intermittent preventive treatment of malaria during pregnancy (IPTp) with SP. The incremental cost-effectiveness of intermittent screening and treatment...... (ISTp) with artemether-lumefantrine (AL) as an alternative strategy to IPTp-SP was estimated followed by a simulation of the effects on cost-effectiveness of decreasing efficacy of IPTp-SP due to SP resistance. The analysis was based on results from a multi-centre, non-inferiority trial conducted...

  12. Congenital erythropoietic porphyria: prolonged high-level expression and correction of the heme biosynthetic defect by retroviral-mediated gene transfer into porphyric and erythroid cells. (United States)

    Kauppinen, R; Glass, I A; Aizencang, G; Astrin, K H; Atweh, G F; Desnick, R J


    Congenital erythropoietic porphyria (CEP) is an autosomal recessive disorder resulting from the deficient activity of the heme biosynthetic enzyme uroporphyrinogen III synthase (UROS). Severely affected patients are transfusion dependent and have mutilating cutaneous manifestations. Successful bone marrow transplantation has proven curative, providing the rationale for stem cell gene therapy. Toward this goal, two retroviral MFG vectors containing the UROS cDNA were constructed, one with the wild-type sequence (MFG-UROS-wt) and a second with an optimized Kozak consensus sequence (MFG-UROS-K). Following transduction of CEP fibroblasts, the MFG-UROS-wt and MFG-UROS-K vectors increased the endogenous activity without selection to levels that were 18- and 5-fold greater, respectively, than the mean activity in normal fibroblasts. Notably, the MFG-UROS-wt vector expressed UROS activity in CEP fibroblasts at these high levels for over 6 months without cell toxicity. Addition of either delta-aminolevulinic acid (ALA) or ferric chloride did not affect expression of the transduced UROS gene nor did the increased concentrations of uroporphyrin isomers or porphyrin intermediates affect cell viability. Similarly, transduction of CEP lymphoblasts with the MFG-UROS-wt vector without G418 selection increased the endogenous UROS activity by 7-fold or almost 2-fold greater than that in normal lymphoblasts. Transduction of K562 erythroleukemia cells by cocultivation with the MFG-UROS-wt producer cells increased their high endogenous UROS activity by 1.6-fold without selection. Clonally isolated K562 cells expressed UROS for over 4 months at mean levels 4.7-fold greater than the endogenous activity without cell toxicity. Thus, the prolonged, high-level expression of UROS in transduced CEP fibroblasts and lymphoblasts, as well as in transduced K562 erythroid cells, demonstrated that the enzymatic defect in CEP cells could be corrected by retroviral-mediated gene therapy without

  13. Characterization of wind power resource and its intermittency (United States)

    Gunturu, U. B.; Schlosser, C. A.


    Wind resource in the continental and offshore United States has been calculated and characterized using metrics that describe - apart from abundance - its availability, persistence and intermittency. The Modern Era Retrospective-Analysis for Research and Applications (MERRA) boundary layer flux data has been used to construct wind power density profiles at 50, 80, 100 and 120 m turbine hub heights. The wind power density estimates at 50 m are qualitatively similar to those in the US wind atlas developed by the National Renewable Energy Laboratory (NREL), but quantitatively a class less in some regions, but are within the limits of uncertainty. We also show that for long tailed distributions like those of the wind power density, the mean is an overestimation and median is a more robust metric for summary representation of wind power resource.Generally speaking, the largest and most available wind power density resources are found in off-shore regions of the Atlantic and Pacific coastline, and the largest on-shore resource potential lies in the central United States. However, the intermittency and widespread synchronicity of on-shore wind power density are substantial, and highlights areas where considerable back-up generation technologies will be required. Generation-duration curves are also presented for the independent systems operator (ISO) zones of the U.S. to highlight the regions with the largest capacity factor (MISO, ERCOT, and SWPP) as well as the periods and extent to which all ISOs contain no wind power and the potential benefits of aggregation on wind power intermittency in each region. The impact of raising the wind turbine hub height on metrics of abundance, persistence, variability and intermittency is analyzed. There is a general increase in availability and abundance of wind resource but there is also an increase in intermittency with respect to a 'usable wind power' crossing level in low resource regions. A similar perspective of wind resource for

  14. The Yo-Yo intermittent recovery test : a useful tool for evaluation of physical performance in intermittent sports. (United States)

    Bangsbo, Jens; Iaia, F Marcello; Krustrup, Peter


    The two Yo-Yo intermittent recovery (IR) tests evaluate an individual's ability to repeatedly perform intense exercise. The Yo-Yo IR level 1 (Yo-Yo IR1) test focuses on the capacity to carry out intermittent exercise leading to a maximal activation of the aerobic system, whereas Yo-Yo IR level 2 (Yo-Yo IR2) determines an individual's ability to recover from repeated exercise with a high contribution from the anaerobic system. Evaluations of elite athletes in various sports involving intermittent exercise showed that the higher the level of competition the better an athlete performs in the Yo-Yo IR tests. Performance in the Yo-Yo IR tests for young athletes increases with rising age. The Yo-Yo IR tests have shown to be a more sensitive measure of changes in performance than maximum oxygen uptake. The Yo-Yo IR tests provide a simple and valid way to obtain important information of an individual's capacity to perform repeated intense exercise and to examine changes in performance.

  15. Effect of intermittent sitting time on acute postprandial lipemia in children

    Directory of Open Access Journals (Sweden)

    Kara Ross


    Conclusion: When sitting was interrupted by short bouts of moderate intensity exercise there was a reduction in triglyceride concentrations in eight out of 12 participants. Possible reasons to account for the difference in response may include sexual maturation, gender differences, genetic conditions, or the rate of digestion and intestinal absorption.

  16. Changes in carotid body and nTS neuronal excitability following neonatal sustained and chronic intermittent hypoxia exposure. (United States)

    Mayer, C A; Wilson, C G; MacFarlane, P M


    We investigated whether pre-treatment with neonatal sustained hypoxia (SH) prior to chronic intermittent hypoxia (SH+CIH) would modify in vitro carotid body (CB) chemoreceptor activity and the excitability of neurons in the caudal nucleus of the solitary tract (nTS). Sustained hypoxia followed by CIH exposure simulates an oxygen paradigm experienced by extremely premature infants who developed persistent apnea. Rat pups were treated with 5 days of SH (11% O2) from postnatal age 1 (P1) followed by 10 days of subsequent chronic intermittent hypoxia (CIH, 5% O2/5 min, 8 h/day, between P6 and P15) as described previously (Mayer et al., Respir. Physiol. Neurobiol. 187(2): 167-75, 2013). At the end of SH+CIH exposure (P16), basal firing frequency was enhanced, and the hypoxic sensory response of single unit CB chemoafferents was attenuated. Further, basal firing frequency and the amplitude of evoked excitatory post-synaptic currents (ESPC's) of nTS neurons was augmented compared to age-matched rats raised in normoxia. These effects were unique to SH+CIH exposure as neither SH or CIH alone elicited any comparable effect on chemoafferent activity or nTS function. These data indicated that pre-treatment with neonatal SH prior to CIH exposure uniquely modified mechanisms of peripheral (CB) and central (nTS) neural function in a way that would be expected to disturb the ventilatory response to acute hypoxia.

  17. Regional responsiveness of the tibia to intermittent administration of parathyroid hormone as affected by skeletal unloading (United States)

    Halloran, B. P.; Bikle, D. D.; Harris, J.; Tanner, S.; Curren, T.; Morey-Holton, E.


    To determine whether the acute inhibition of bone formation and deficit in bone mineral induced by skeletal unloading can be prevented, we studied the effects of intermittent parathyroid hormone (PTH) administration (8 micrograms/100 g/day) on growing rats submitted to 8 days of skeletal unloading. Loss of weight bearing decreased periosteal bone formation by 34 and 51% at the tibiofibular junction and tibial midshaft, respectively, and reduced the normal gain in tibial mass by 35%. Treatment with PTH of normally loaded and unloaded animals increased mRNA for osteocalcin (+58 and +148%, respectively), cancellous bone volume in the proximal tibia (+41 and +42%, respectively), and bone formation at the tibiofibular junction (+27 and +27%, respectively). Formation was also stimulated at the midshaft in unloaded (+47%, p < 0.05), but not loaded animals (-3%, NS). Although cancellous bone volume was preserved in PTH-treated, unloaded animals, PTH did not restore periosteal bone formation to normal nor prevent the deficit in overall tibial mass induced by unloading. We conclude that the effects of PTH on bone formation are region specific and load dependent. PTH can prevent the decrease in cancellous bone volume and reduce the decrement in cortical bone formation induced by loss of weight bearing.

  18. Efficacious intermittent dosing of a novel JAK2 inhibitor in mouse models of polycythemia vera.

    Directory of Open Access Journals (Sweden)

    Manfred Kraus

    Full Text Available A high percentage of patients with the myeloproliferative disorder polycythemia vera (PV harbor a Val617→Phe activating mutation in the Janus kinase 2 (JAK2 gene, and both cell culture and mouse models have established a functional role for this mutation in the development of this disease. We describe the properties of MRLB-11055, a highly potent inhibitor of both the WT and V617F forms of JAK2, that has therapeutic efficacy in erythropoietin (EPO-driven and JAK2V617F-driven mouse models of PV. In cultured cells, MRLB-11055 blocked proliferation and induced apoptosis in a manner consistent with JAK2 pathway inhibition. MRLB-11055 effectively prevented EPO-induced STAT5 activation in the peripheral blood of acutely dosed mice, and could prevent EPO-induced splenomegaly and erythrocytosis in chronically dosed mice. In a bone marrow reconstituted JAK2V617F-luciferase murine PV model, MRLB-11055 rapidly reduced the burden of JAK2V617F-expressing cells from both the spleen and the bone marrow. Using real-time in vivo imaging, we examined the kinetics of disease regression and resurgence, enabling the development of an intermittent dosing schedule that achieved significant reductions in both erythroid and myeloid populations with minimal impact on lymphoid cells. Our studies provide a rationale for the use of non-continuous treatment to provide optimal therapy for PV patients.

  19. Renal replacement therapy for acute renal failure. (United States)

    Macedo, E; Bouchard, J; Mehta, R L


    Renal replacement therapy became a common clinical tool to treat patients with severe acute kidney injury (AKI) since the 1960s. During this time dialytic options have expanded considerably; biocompatible membranes, bicarbonate dialysate and dialysis machines with volumetric ultrafiltration control have improved the treatment for acute kidney injury. Along with advances in methods of intermittent hemodialysis, continuous renal replacement therapies have gained widespread acceptance in the treatment of dialysis-requiring AKI. However, many of the fundamental aspects of the renal replacement treatment such as indication, timing of dialytic intervention, and choice of dialysis modality are still controversial and may influence AKI patient's outcomes. This review outlines current concepts in the use of dialysis techniques for AKI and suggests an approach for selecting the optimal method of renal replacement therapy.


    Directory of Open Access Journals (Sweden)

    Treesa P. Varghese


    Full Text Available Renal failure is the loss of renal function, either acute or chronic, that results in azotemia and syndrome of uremia. Acute renal failure, is also known as acute kidney injury (AKI, is defined as an abrupt (within 48 hours reduction in kidney function. The initial management of acute kidney failure involves treating the underlying cause, stopping nephrotoxic drugs and ensuring that the patient is euvolaemic with an adequate mean arterial blood pressure. However, no specific treatments have been shown to reverse the course AKF so Renal Replacement Therapy (RRT is the cornerstone of further management. RRT therapy can be administrated either intermittently or continuously. Multiple modalities of RRT are currently available. The purpose of this review is to familiarize different modalities of RRT for blood purification.

  1. Meal pattern alterations associated with intermittent fasting for weight loss are normalized after high-fat diet re-feeding. (United States)

    Gotthardt, Juliet D; Bello, Nicholas T


    Alternate day, intermittent fasting (IMF) can be an effective weight loss strategy. However, the effects of IMF on eating behaviors are not well characterized. We investigated the acute and residual effects of IMF for weight loss on meal patterns in adult obese male C57BL/6 mice. After 8weeks of ad libitum high-fat diet to induce diet-induced obesity (DIO), mice were either continued on ad libitum high-fat diet (HFD) or placed on one of 5 diet strategies for weight loss: IMF of high-fat diet (IMF-HFD), pair-fed to IMF-HFD group (PF-HFD), ad libitum low-fat diet (LFD), IMF of low-fat diet (IMF-LFD), or pair-fed to IMF-LFD group (PF-LFD). After the 4-week diet period, all groups were refed the high-fat diet for 6weeks. By the end of the diet period, all 5 groups had lost weight compared with HFD group, but after 6weeks of HFD re-feeding all groups had similar body weights. On (Day 2) of the diet period, IMF-HFD had greater first meal size and faster eating rate compared with HFD. Also, first meal duration was greater in LFD and IMF-LFD compared with HFD. At the end of the diet period (Day 28), the intermittent fasting groups (IMF-HFD and IMF-LFD) had greater first meal sizes and faster first meal eating rate compared with their respective ad libitum fed groups on similar diets (HFD and LFD). Also, average meal duration was longer on Day 28 in the low-fat diet groups (LFD and IMF-LFD) compared with high-fat diet groups (HFD and IMF-HFD). After 6weeks of HFD re-feeding (Day 70), there were no differences in meal patterns in groups that had previously experienced intermittent fasting compared with ad libitum fed groups. These findings suggest that meal patterns are only transiently altered during alternate day intermittent fasting for weight loss in obese male mice.

  2. Intermittency in MHD turbulence and coronal nanoflares modelling

    Directory of Open Access Journals (Sweden)

    P. Veltri


    Full Text Available High resolution numerical simulations, solar wind data analysis, and measurements at the edges of laboratory plasma devices have allowed for a huge progress in our understanding of MHD turbulence. The high resolution of solar wind measurements has allowed to characterize the intermittency observed at small scales. We are now able to set up a consistent and convincing view of the main properties of MHD turbulence, which in turn constitutes an extremely efficient tool in understanding the behaviour of turbulent plasmas, like those in solar corona, where in situ observations are not available. Using this knowledge a model to describe injection, due to foot-point motions, storage and dissipation of MHD turbulence in coronal loops, is built where we assume strong longitudinal magnetic field, low beta and high aspect ratio, which allows us to use the set of reduced MHD equations (RMHD. The model is based on a shell technique in the wave vector space orthogonal to the strong magnetic field, while the dependence on the longitudinal coordinate is preserved. Numerical simulations show that injected energy is efficiently stored in the loop where a significant level of magnetic and velocity fluctuations is obtained. Nonlinear interactions give rise to an energy cascade towards smaller scales where energy is dissipated in an intermittent fashion. Due to the strong longitudinal magnetic field, dissipative structures propagate along the loop, with the typical speed of the Alfvén waves. The statistical analysis on the intermittent dissipative events compares well with all observed properties of nanoflare emission statistics. Moreover the recent observations of non thermal velocity measurements during flare occurrence are well described by the numerical results of the simulation model. All these results naturally emerge from the model dynamical evolution without any need of an ad-hoc hypothesis.

  3. Clean intermittent self-catheterization in neuro-urology. (United States)

    Di Benedetto, P


    Neurogenic lower urinary tract dysfunction (NLUTD) is commonly encountered in rehabilitation settings, and is caused by a variety of pathologies. The management of spinal cord injury (SCI) has been the model of reference for the management of other pathologies with NLUTD. The introduction of intermittent catheterization (IC) led to decline in renal related mortality in SCI patients and allowed an improvement of quality of life (QoL) in all neurogenic patients with NLUTD. IC could be sterile, aseptic or clean. Sterile intermittent catheterization (SIC) is the preferred method of bladder drainage in emergency medicine units and during spinal shock in SCI patients, but it is costly and time-consuming. Catheterizations performed in institutions, such as rehabilitation hospitals and nursing homes, are done aseptically. Clean intermittent catheterization (CIC), i.e. self-catheterization (CISC) or third party catheterization, represents the "gold standard" method for bladder emptying in all neuropathic patients with NLUTD: the technique is safe and effective and results in improved kidney and upper urinary tract status, lessening of vesico-ureteral reflux and amelioration of urinary continence. CISC is mandatory in patients with NLUTD secondary to detrusor areflexia/hypocontractility and in patients suffering from neurogenic detrusor overactivity with detrusor external sphincter dyssynergia and high post void residual of urine, often in combination with antimuscarinics/bladder relaxants. The review summarizes the most important aspects of IC and CISC. Attention was focused on the history of urethral catheterization, aims, materials, advantages, indications, and present-day techniques of CISC, emphasizing the importance of teaching in order to perform correctly the catheterization technique.

  4. Intermittent Hypoxia Impairs Endothelial Function in Early Preatherosclerosis. (United States)

    Tuleta, I; França, C N; Wenzel, D; Fleischmann, B; Nickenig, G; Werner, N; Skowasch, D


    Intermittent hypoxia seems to be a major pathomechanism of obstructive sleep apnea-associated progression of atherosclerosis. The goal of the present study was to assess the influence of hypoxia on endothelial function depending on the initial stage of vasculopathy. We used 16 ApoE-/- mice were exposed to a 6-week-intermittent hypoxia either immediately (early preatherosclerosis) or after 5 weeks of high-cholesterol diet (advanced preatherosclerosis). Another 16 ApoE-/- mice under normoxia served as corresponding controls. Endothelial function was measured by an organ bath technique. Blood plasma CD31+/annexin V+ endothelial microparticles as well as sca1/flk1+ endothelial progenitor cells in blood and bone marrow were analyzed by flow cytometry. The findings were that intermittent hypoxia impaired endothelial function (56.6±6.2% of maximal phenylephrine-induced vasoconstriction vs. 35.2±4.1% in control) and integrity (increased percentage of endothelial microparticles: 0.28±0.05% vs. 0.15±0.02% in control) in early preatherosclerosis. Peripheral repair capacity expressed as the number of endothelial progenitor cells in blood was attenuated under hypoxia (2.0±0.5% vs. 5.3±1.9% in control), despite the elevated number of these cells in the bone marrow (2.0±0.4% vs. 1.1±0.2% in control). In contrast, endothelial function, as well as microparticle and endothelial progenitor cell levels were similar under hypoxia vs. control in advanced preatherosclerosis. We conclude that hypoxia aggravates endothelial dysfunction and destruction in early preatherosclerosis.

  5. Studying the intermittent stable theorem and the synchronization of a delayed fractional nonlinear system

    Institute of Scientific and Technical Information of China (English)

    Hu Jian-Bing; Zhao Ling-Dong; Xie Zheng-Guang


    In this paper,an intermittent synchronizing delayed fractional nonlinear system is studied.We propose a novel intermittent stable theorem for the delayed fractional system and derive a new synchronization criterion for delayed fractional systems by means of fractional stable theorem and the differential inequality method.Intermittent synchronizing fractional delayed Newton-Leipnik system is taken as an illustrative example and numerical simulation of this example is presented to show the feasibility and effectiveness of the proposed theorem.

  6. Intermittent fasting: A “new” historical strategy for controlling seizures?


    Hartman, Adam L.; Rubenstein, James E.; Kossoff, Eric H.


    In antiquity, fasting was a treatment for epilepsy and a rationale for the ketogenic diet (KD). Preclinical data indicate the KD and intermittent fasting do not share identical anticonvulsant mechanisms. We implemented an intermittent fasting regimen in six children with an incomplete response to a KD. Three patients adhered to the combined intermittent fasting/KD regimen for 2 months and four had transient improvement in seizure control, albeit with some hunger-related adverse reactions.

  7. Atomistic Model of Fluorescence Intermittency of Colloidal Quantum Dots

    KAUST Repository

    Voznyy, O.


    Optoelectronic applications of colloidal quantum dots demand a high emission efficiency, stability in time, and narrow spectral bandwidth. Electronic trap states interfere with the above properties but understanding of their origin remains lacking, inhibiting the development of robust passivation techniques. Here we show that surface vacancies improve the fluorescence yield compared to vacancy-free surfaces, while dynamic vacancy aggregation can temporarily turn fluorescence off. We find that infilling with foreign cations can stabilize the vacancies, inhibiting intermittency and improving quantum yield, providing an explanation of recent experimental observations. © 2014 American Physical Society.

  8. Google matrix and Ulam networks of intermittency maps. (United States)

    Ermann, L; Shepelyansky, D L


    We study the properties of the Google matrix of an Ulam network generated by intermittency maps. This network is created by the Ulam method which gives a matrix approximant for the Perron-Frobenius operator of dynamical map. The spectral properties of eigenvalues and eigenvectors of this matrix are analyzed. We show that the PageRank of the system is characterized by a power law decay with the exponent beta dependent on map parameters and the Google damping factor alpha . Under certain conditions the PageRank is completely delocalized so that the Google search in such a situation becomes inefficient.

  9. Intermittent versus Continuous Incremental Field Tests: Are Maximal Variables Interchangeable? (United States)

    Carminatti, Lorival J; Possamai, Carlos A P; de Moraes, Marcelo; da Silva, Juliano F; de Lucas, Ricardo D; Dittrich, Naiandra; Guglielmo, Luiz G A


    The aim of the present study was to compare physiological responses derived from an incremental progressive field test with a constant speed test i.e. intermittent versus continuous protocol. Two progressive maximum tests (Carminatti`s test (T-CAR) and the Vameval test (T-VAM)), characterized by increasing speed were used. T-CAR is an intermittent incremental test, performed as shuttle runs; while T-VAM is a continuous incremental test performed on an athletic track. Eighteen physically active, healthy young subjects (21.9 ± 2.0 years; 76.5 ± 8.6 kg, 1.78 ± 0.08 m, 11.2 ± 5.4% body fat), volunteered for this study. Subjects performed four different maximum test sessions conducted in the field: two incremental tests and two time to exhaustion tests (TTE) at peak test velocities (PV). No significant differences were found for PV (T-CAR = 15.6 ± 1.2; T-VAM = 15.5 ± 1.3 km·h(-1)) and maximal HR (T-CAR = 195 ± 11; T- VAM = 194 ± 14 bpm). During TTE, there were no significant differences for HR (TTET-CAR and TTET-VAM = 192 ± 12 bpm). However, there was a significant difference in TTE (p = 0.04) (TTET-CAR = 379 ± 84, TTET-VAM = 338 ± 58 s) with a low correlation (r = 0.41). The blood lactate concentration measured at the end of the TTE tests, showed no significant difference (TTET-CAR = 13.2 ± 2.4 vs. TTET-VAM = 12.9 ± 2.4 mmol·l(-1)). Based on the present findings, it is suggested that the maximal variables derived from T-CAR and T-VAM can be interchangeable in the design of training programs. Key pointsT-CAR is an intermittent shuttle run test that predicts the maximal aerobic speed with accuracy, hence, test results could be interchangeable with continuous straight-line tests.T-CAR provides valid field data for evaluating aerobic fitness.In comparison with T-VAM, T-CAR may be a more favourable way to prescribe intermittent training using a shuttle-running protocol.

  10. Turbulence and intermittent transport at the boundary of magnetized plasmas

    DEFF Research Database (Denmark)

    Garcia, O.E.; Naulin, V.; Nielsen, A.H.


    a forcing region with spatially localized sources of particles and heat outside which losses due to the motion along open magnetic-field lines dominate, corresponding to the edge region and the scrape-off layer, respectively. Turbulent states reveal intermittent eruptions of hot plasma from the edge region......, propagating radially far into the scrape-off layer in the form of field-aligned filaments, or blobs. This results in positively skewed and flattened single-point probability distribution functions of particle density and temperature, reflecting the frequent appearance of large fluctuations. The conditional...

  11. Intermittent duty solar refrigerator assisted by heat pipes

    Energy Technology Data Exchange (ETDEWEB)

    Al-Hindi, R.R.; Khalifa, A.M.A.; Akyurt, M.


    The design of a solar operated intermittent-duty aqua-ammonia type of absorption refrigerator is described. The generator is heated by an integral acetone heat pipe, the evaporator of which is in the form of a low-thermal-mass flat plate collector. The condenser is air cooled. The absorber is likewise cooled via a second R22 heat-pipe system by convection/radiation panels. Initial test results for the collector-generator loop are reported for a single-glazed collector. A discussion of overall performance is presented.

  12. Oxidation processes and clogging in intermittent unsaturated infiltration. (United States)

    Bancolé, A; Brissaud, F; Gnagne, T


    Intermittent infiltration of wastewater through a non saturated sand bed is an extensive treatment process aimed at eliminating organic pollution, oxidizing ammonia and removing pathogens. A 1D numerical model, IPOX, has been worked out to simulate the transfer and oxidation of dissolved organic matter and nitrogen in unsaturated sand beds. IPOX was calibrated after real scale tests performed in Spain and Burkina Faso. Simulations allowed us to point out the influence of (i) kinetics on oxidation performances and (ii) biomass development on the process sustainability. These results brought a new light on the sizing and operation of infiltration percolation and soil aquifer treatment (SAT) plants.

  13. The intermittency of plasticity in an Al3%Mg alloy

    Energy Technology Data Exchange (ETDEWEB)

    Bougherira, Y; Entemeyer, D; Fressengeas, C; Lebyodkin, M A [Laboratoire de Physique et Mecanique des Materiaux, Universite Paul Verlaine-Metz, CNRS, Ile du Saulcy, 57045 Metz (France); Kobelev, N P; Lebedkina, T A, E-mail: Youcef.bougherira@univ-metz.f [Institute of Solid State Physics, Russian Ac. Sci., 142432 Chernogolovka (Russian Federation)


    Statistics of acoustic emission accompanying plastic deformation and of stress serrations caused by the Portevin-Le Chatelier effect are studied during tension of an Al3%Mg alloy at room temperature. Power-law distributions of acoustic emission reflecting self-organization of dislocations and intermittency of plastic flow are found, irrespective of the strain rate, both before and after the critical strain for the onset of the serrated flow. In contrast, several regimes including both power-law and peaked distributions are observed at the macroscopic scale of stress serrations, depending on the applied strain rate.

  14. Synchronization of Spatiotemporal Chaos The regime of coupled Spatiotemporal Intermittency

    CERN Document Server

    Amengual, A; Montagne, R; Miguel, M S


    Synchronization of spatiotemporally chaotic extended systems is considered in the context of coupled one-dimensional Complex Ginzburg-Landau equations (CGLE). A regime of coupled spatiotemporal intermittency (STI) is identified and described in terms of the space-time synchronized chaotic motion of localized structures. A quantitative measure of synchronization as a function of coupling parameter is given through distribution functions and information measures. The coupled STI regime is shown to dissapear into regular dynamics for situations of strong coupling, hence a description in terms of a single CGLE is not appropiate.

  15. Monitoring antifolate resistance in intermittent preventive therapy for malaria

    DEFF Research Database (Denmark)

    Venkatesan, Meera; Alifrangis, Michael; Roper, Cally;


    Mutations in the Plasmodium falciparum genes Pfdhfr and Pfdhps have rendered sulfadoxine-pyrimethamine (SP) ineffective for malaria treatment in most regions of the world. Yet, SP is efficacious as intermittent preventive therapy in pregnant women (IPTp) and infants (IPTi) and as seasonal malaria...... control in children (SMC). SP-IPTp is being widely implemented in sub-Saharan Africa. SP-IPTi is recommended where the prevalence of SP-resistant malaria parasites is low, whereas SMC is recommended for areas of intense seasonal malaria transmission. The continuing success of these interventions depends...

  16. Periodic versus Intermittent Adaptive Cycles in Quasispecies Coevolution (United States)

    Seeholzer, Alexander; Frey, Erwin; Obermayer, Benedikt


    We study an abstract model for the coevolution between mutating viruses and the adaptive immune system. In sequence space, these two populations are localized around transiently dominant strains. Delocalization or error thresholds exhibit a novel interdependence because immune response is conditional on the viral attack. An evolutionary chase is induced by stochastic fluctuations and can occur via periodic or intermittent cycles. Using simulations and stochastic analysis, we show how the transition between these two dynamic regimes depends on mutation rate, immune response, and population size.

  17. Soft Physics and Intermittency Open Question(s) in Krakow

    CERN Document Server

    Peschanski, R


    This contribution contains a summary of the Krakow meeting on Soft Physics and Fluctuations. It emphasizes both the experimental and the theoretical investigations on correlations/fluctuations and intermittency in multi-particle processes and discusses of the present status of this concept. A clarification of the main open questions in this field of research is now within reach, thanks to the studies presented at the meeting. Summary Talk of the Krakow Workshop on Multiparticle Physics, May, 4-7, 1993. E-mail contact:

  18. Intermittent contact atomic force microscopy in electrochemical environment

    Energy Technology Data Exchange (ETDEWEB)

    Haering, P.; Koetz, R. [Paul Scherrer Inst. (PSI), Villigen (Switzerland); Siegenthaler, H. [Bern Univ., Bern (Switzerland)


    In situ measurements with Atomic Force Microscopy may cause surface modifications due to the tip-surface interactions. As an alternative and less destructive method, Intermittent Contact Atomic Force Microscopy (ICAFM) has been tested in an electrolytic environment. In the ICAFM mode the tip is not constantly in contact with the surface under investigation but is tapping onto the surface with a certain frequency. A commercial Park Scientific Instruments Microscopy has been modified to enable in situ experiment with ICAFM. It was possible to image iridium oxide films with ICAFM in the electrolytic environment without any noticeable surface modifications. (author) 3 figs., 4 refs.

  19. Percutaneous transluminal angioplasty of infrarenal arteries in intermittent claudication

    DEFF Research Database (Denmark)

    Henriksen, L O; Jørgensen, B; Holstein, P E;


    Percutaneous transluminal angioplasty was performed on 55 iliac and 31 femoropopliteal arteries in 71 patients with intermittent claudication (23 women, 48 men). The two-year patency rate was 80% after iliac and 41% after femoropopliteal angioplasty. In 17 femoropopliteal cases with lesions greater...... than or equal to 5 cm the 2-year patency rate was only 32%, but the corresponding figure for shorter lesions was 53%. Complicating haematoma appeared in 10% of the cases and the arterial state deteriorated in one patient. There was no distal embolization. Percutaneous transluminal angioplasty...

  20. Volcano-like intermittent bleeding activity for seven years from an arterio-enteric fistula on a kidney graft site after pancreas-kidney transplantation: a case report

    Directory of Open Access Journals (Sweden)

    Schölmerich Jürgen


    Full Text Available Abstract Introduction We report the first case of a patient who underwent simultaneous kidney and pancreas transplantation and who then suffered from repeated episodes of severe gastrointestinal bleeding over a period of seven years. Locating the site of gastrointestinal bleeding is a challenging task. This case illustrates that detection of an arterio-enteric fistula can be very difficult, especially in technically-challenging situations such as cases of severe intra-abdominal adhesions. It is important to consider the possibility of arterio-enteric fistulas in cases of intermittent bleeding episodes, especially in transplant patients. Case presentation A 40-year-old Caucasian man received a combined pancreas-kidney transplantation as a result of complications from diabetes mellitus type I. Thereafter, he suffered from intermittent clinically-relevant episodes of gastrointestinal bleeding. Repeat endoscopic, surgical, scintigraphic, and angiographic investigations during his episodes of acute bleeding could not locate the bleeding site. He finally died in hemorrhagic shock due to arterio-enteric bleeding at the kidney graft site, which was diagnosed post-mortem. Conclusions In accordance with the literature, we suggest considering the removal of any rejected transplant organs in situations where arterio-enteric fistulas seem likely but cannot be excluded by repeat conventional or computed tomography-angiographic methods. Arterio-enteric fistulas may intermittently bleed over many years.

  1. Intermittent Demand Forecasting in a Tertiary Pediatric Intensive Care Unit. (United States)

    Cheng, Chen-Yang; Chiang, Kuo-Liang; Chen, Meng-Yin


    Forecasts of the demand for medical supplies both directly and indirectly affect the operating costs and the quality of the care provided by health care institutions. Specifically, overestimating demand induces an inventory surplus, whereas underestimating demand possibly compromises patient safety. Uncertainty in forecasting the consumption of medical supplies generates intermittent demand events. The intermittent demand patterns for medical supplies are generally classified as lumpy, erratic, smooth, and slow-moving demand. This study was conducted with the purpose of advancing a tertiary pediatric intensive care unit's efforts to achieve a high level of accuracy in its forecasting of the demand for medical supplies. On this point, several demand forecasting methods were compared in terms of the forecast accuracy of each. The results confirm that applying Croston's method combined with a single exponential smoothing method yields the most accurate results for forecasting lumpy, erratic, and slow-moving demand, whereas the Simple Moving Average (SMA) method is the most suitable for forecasting smooth demand. In addition, when the classification of demand consumption patterns were combined with the demand forecasting models, the forecasting errors were minimized, indicating that this classification framework can play a role in improving patient safety and reducing inventory management costs in health care institutions.

  2. Antral hyperplastic polyp causing intermittent gastric outlet obstruction: Case report

    Directory of Open Access Journals (Sweden)

    Kurtkaya-Yapicier Ozlem


    Full Text Available Abstract Background Hyperplastic polyps are the most common polypoid lesions of the stomach. Rarely, they cause gastric outlet obstruction by prolapsing through the pyloric channel, when they arise in the prepyloric antrum. Case presentation A 62-year-old woman presented with intermittent nausea and vomiting of 4 months duration. Upper gastrointestinal endoscopy revealed a 30 mm prepyloric sessile polyp causing intermittent gastric outlet obstruction. Following submucosal injection of diluted adrenaline solution, the polyp was removed with a snare. Multiple biopsies were taken from the greater curvature of the antrum and the corpus. Rapid urease test for Helicobacter pylori yielded a negative result. Histopathologic examination showed a hyperplastic polyp without any evidence of malignancy. Biopsies of the antrum and the corpus revealed gastritis with neither atrophic changes nor Helicobacter pylori infection. Follow-up endoscopy after a 12-week course of proton pomp inhibitor therapy showed a complete healing without any remnant tissue at the polypectomy site. The patient has been symptom-free during 8 months of follow-up. Conclusions Symptomatic gastric polyps should be removed preferentially when they are detected at the initial diagnostic endoscopy. Polypectomy not only provides tissue to determine the exact histopathologic type of the polyp, but also achieves radical treatment.


    Directory of Open Access Journals (Sweden)

    BAJOGHLI Shirin MD


    Full Text Available ObjectiveTo evaluate the efficacy and common side effects of intermittent clonazepamin febrile seizures.Materials & MethodsThis study was an experimental trial designed to determine the efficacy ofintermittent clonazepam in febrile seizures .Thirty patients with an age rangeof 6 months to 5 years (60% male, 40% female were studied. Children with ahistory of psychomotor delay, abnormal neurological examination, a history ofantiepileptic drug consumption, and afebrile seizures were excluded from thestudy. Patients received a single dose of prophylactic Clonazepam (0.05 mg/kg/day on the first day of febrile illness and twice daily during the course of fever.An antipyretic medication (Acetaminophen was advised if fever exceeded38oC. Patients were followed up for one year after the study inclusion date.ResultsThree patients were excluded from study since they didnot follow the tritmentand three patients experienced afebrile seizures. Twenty four patients had 162febrile episodes during the course of the study and all patients were seizure-freeafter 1 year.ConclusionClonazepam was 100% effective but lethargy and ataxia were common sideeffects in patients. Fortunately, their parents continued treatment because theyhad prior awareness of the possible side effects of clonazepam. Clonazepam isefficacious as an intermittent therapy for febrile seizures if parents are informedof its side effects.

  4. Intermittent bursts induced by double tearing mode reconnection

    Energy Technology Data Exchange (ETDEWEB)

    Wei, Lai; Wang, Zheng-Xiong, E-mail: [Key Laboratory of Materials Modification by Beams of the Ministry of Education, School of Physics and Optoelectronic Technology, Dalian University of Technology, Dalian 116024 (China)


    Reversed magnetic shear (RMS) configuration is assumed to be the steady-state operation scenario for the future advanced tokamaks like International Thermonuclear Experimental Reactor. In this work, we numerically discover a phenomenon of violent intermittent bursts induced by self-organized double tearing mode (DTM) reconnection in the RMS configuration during the very long evolution, which may continuously lead to annular sawtooth crashes and thus badly impact the desired steady-state operation of the future advanced RMS tokamaks. The key process of the intermittent bursts in the off-axis region is similar to that of the typical sawtooth relaxation oscillation in the positive magnetic shear configuration. It is interestingly found that in the decay phase of the DTM reconnection, the zonal field significantly counteracts equilibrium field to make the magnetic shear between the two rational surfaces so weak that the residual self-generated vortices of the previous DTM burst are able to trigger a reverse DTM reconnection by curling the field lines.

  5. Emission Enhancement and Intermittency in Polycrystalline Organolead Halide Perovskite Films

    Directory of Open Access Journals (Sweden)

    Cheng Li


    Full Text Available Inorganic-organic halide organometal perovskites have demonstrated very promising performance for opto-electronic applications, such as solar cells, light-emitting diodes, lasers, single-photon sources, etc. However, the little knowledge on the underlying photophysics, especially on a microscopic scale, hampers the further improvement of devices based on this material. In this communication, correlated conventional photoluminescence (PL characterization and wide-field PL imaging as a function of time are employed to investigate the spatially- and temporally-resolved PL in CH3NH3PbI3−xClx perovskite films. Along with a continuous increase of the PL intensity during light soaking, we also observe PL blinking or PL intermittency behavior in individual grains of these films. Combined with significant suppression of PL blinking in perovskite films coated with a phenyl-C61-butyric acid methyl ester (PCBM layer, it suggests that this PL intermittency is attributed to Auger recombination induced by photoionized defects/traps or mobile ions within grains. These defects/traps are detrimental for light conversion and can be effectively passivated by the PCBM layer. This finding paves the way to provide a guideline on the further improvement of perovskite opto-electronic devices.

  6. Intermittent filtration of bacteria and colloids in porous media (United States)

    Auset, Maria; Keller, Arturo A.; Brissaud, François; Lazarova, Valentina


    Intermittent filtration through porous media used for water and wastewater treatment can achieve high pathogen and colloid removal efficiencies. To predict the removal of bacteria, the effects of cyclic infiltration and draining events (transient unsaturated flow) were investigated. Using physical micromodels, we visualized the intermittent transport of bacteria and other colloids in unsaturated porous media. Column experiments provided quantitative measurements of the phenomena observed at the pore scale. Tagged Escherichia coli and a conservative tracer (NaI) were introduced in an initial pulse into a 1.5 m sand column. Subsequent hydraulic flushes without tagged bacteria or tracer were repeated every 4 hours for the next 4 days, during which outflow concentrations were monitored. Breakthrough behavior between colloids and dissolved tracer differed significantly, reflecting the differences in transport processes. Advancement of the wetting front remobilized bacteria which were held in thin water films, attached to the air-water interface (AWI), or entrapped in stagnant pore water between gas bubbles. In contrast, the tracer was only remobilized by diffusion from immobile to mobile water. Remobilization led to successive concentration peaks of bacteria and tracer in the effluent but with significant temporal differences. Observations at the pore-scale indicated that the colloids were essentially irreversibly attached to the solid-water interface, which explained to some extent the high removal efficiency of microbes in the porous media. Straining, cluster filtration, cell lysis, protozoa grazing, and bacteriophage parasitism could also contribute to the removal efficiency of bacteria.

  7. Tracking Intermittently Speaking Multiple Speakers Using a Particle Filter

    Directory of Open Access Journals (Sweden)

    Angela Quinlan


    Full Text Available The problem of tracking multiple intermittently speaking speakers is difficult as some distinct problems must be addressed. The number of active speakers must be estimated, these active speakers must be identified, and the locations of all speakers including inactive speakers must be tracked. In this paper we propose a method for tracking intermittently speaking multiple speakers using a particle filter. In the proposed algorithm the number of active speakers is firstly estimated based on the Exponential Fitting Test (EFT, a source number estimation technique which we have proposed. The locations of the speakers are then tracked using a particle filtering framework within which the decomposed likelihood is used in order to decouple the observed audio signal and associate each element of the decomposed signal with an active speaker. The tracking accuracy is then further improved by the inclusion of a silence region detection step and estimation of the noise-only covariance matrix. The method was evaluated using live recordings of 3 speakers and the results show that the method produces highly accurate tracking results.

  8. Intermittency measurement in two-dimensional bacterial turbulence (United States)

    Qiu, Xiang; Ding, Long; Huang, Yongxiang; Chen, Ming; Lu, Zhiming; Liu, Yulu; Zhou, Quan


    In this paper, an experimental velocity database of a bacterial collective motion, e.g., Bacillus subtilis, in turbulent phase with volume filling fraction 84 % provided by Professor Goldstein at Cambridge University (UK), was analyzed to emphasize the scaling behavior of this active turbulence system. This was accomplished by performing a Hilbert-based methodology analysis to retrieve the scaling property without the β -limitation. A dual-power-law behavior separated by the viscosity scale ℓν was observed for the q th -order Hilbert moment Lq(k ) . This dual-power-law belongs to an inverse-cascade since the scaling range is above the injection scale R , e.g., the bacterial body length. The measured scaling exponents ζ (q ) of both the small-scale (k >kν ) and large-scale (k intermittency parameters are μS=0.26 and μL=0.17 , respectively, for the small- and large-scale motions. It implies that the former cascade is more intermittent than the latter one, which is also confirmed by the corresponding singularity spectrum f (α ) versus α . Comparison with the conventional two-dimensional Ekman-Navier-Stokes equation, a continuum model indicates that the origin of the multifractality could be a result of some additional nonlinear interaction terms, which deservers a more careful investigation.

  9. Reconstructing the intermittent dynamics of the torque in wind turbines

    CERN Document Server

    Lind, Pedro G; Peinke, Joachim


    We apply a framework introduced in the late nineties to analyze load measurements in off-shore wind energy converters (WEC). The framework is borrowed from statistical physics and properly adapted to the analysis of multivariate data comprising wind velocity, power production and torque measurements, taken at one single WEC. In particular, we assume that wind statistics drives the fluctuations of the torque produced in the wind turbine and show how to extract an evolution equation of the Langevin type for the torque driven by the wind velocity. It is known that the intermittent nature of the atmosphere, i.e. of the wind field, is transferred to the power production of a wind energy converter and consequently to the shaft torque. We show that the derived stochastic differential equation quantifies the dynamical coupling of the measured fluctuating properties as well as it reproduces the intermittency observed in the data. Finally, we discuss our approach in the light of turbine monitoring, a particular importa...

  10. Reconstructing the intermittent dynamics of the torque in wind turbines (United States)

    Lind, Pedro G.; Wächter, Matthias; Peinke, Joachim


    We apply a framework introduced in the late nineties to analyze load measurements in off-shore wind energy converters (WEC). The framework is borrowed from statistical physics and properly adapted to the analysis of multivariate data comprising wind velocity, power production and torque measurements, taken at one single WEC. In particular, we assume that wind statistics drives the fluctuations of the torque produced in the wind turbine and show how to extract an evolution equation of the Langevin type for the torque driven by the wind velocity. It is known that the intermittent nature of the atmosphere, i.e. of the wind field, is transferred to the power production of a wind energy converter and consequently to the shaft torque. We show that the derived stochastic differential equation quantifies the dynamical coupling of the measured fluctuating properties as well as it reproduces the intermittency observed in the data. Finally, we discuss our approach in the light of turbine monitoring, a particular important issue in off-shore wind farms.

  11. Twist-induced Magnetosphere Reconfiguration for Intermittent Pulsars

    CERN Document Server

    Huang, Lei; Tong, Hao


    We propose that the magnetosphere reconfiguration induced by magnetic twists in the closed field line region can account for the mode-switching of intermittent pulsars. We carefully investigate the properties of axisymmetric force-free pulsar magnetospheres with magnetic twists in closed field line region around the polar caps. The magnetosphere with twisted closed lines leads to enhanced spin-down rates. The enhancement in spin-down rate depends on the size of region with twisted closed lines. Typically, it is increased by a factor of $\\sim2$, which is consistent with the intermittent pulsars' spin down behavior during the `off' and `on' states. We find there is a threshold of maximal twist angle $\\Delta\\phi_{\\rm thres}\\sim1$. The magnetosphere is stable only if the closed line twist angle is less than $\\Delta\\phi_{\\rm thres}$. Beyond this value, the magnetosphere becomes unstable and gets untwisted. The spin-down rate would reduce to its off-state value. The quasi-periodicity in spin-down rate change can be...

  12. Intermittent Water Supply: Prevalence, Practice, and Microbial Water Quality. (United States)

    Kumpel, Emily; Nelson, Kara L


    Intermittent water supplies (IWS), in which water is provided through pipes for only limited durations, serve at least 300 million people around the world. However, providing water intermittently can compromise water quality in the distribution system. In IWS systems, the pipes do not supply water for periods of time, supply periods are shortened, and pipes experience regular flow restarting and draining. These unique behaviors affect distribution system water quality in ways that are different than during normal operations in continuous water supplies (CWS). A better understanding of the influence of IWS on mechanisms causing contamination can help lead to incremental steps that protect water quality and minimize health risks. This review examines the status and nature of IWS practices throughout the world, the evidence of the effect of IWS on water quality, and how the typical contexts in which IWS systems often exist-low-income countries with under-resourced utilities and inadequate sanitation infrastructure-can exacerbate mechanisms causing contamination. We then highlight knowledge gaps for further research to improve our understanding of water quality in IWS.

  13. Removal of Pharmaceuticals from Wastewater by Intermittent Electrocoagulation

    Directory of Open Access Journals (Sweden)

    Benny Marie B. Ensano


    Full Text Available The continuous release of emerging contaminants (ECs in the aquatic environment, as a result of the inadequate removal by conventional treatment methods, has prompted research to explore viable solutions to this rising global problem. One promising alternative is the use of electrochemical processes since they represent a simple and highly efficient technology with less footprint. In this paper, the feasibility of treating ECs (i.e., pharmaceuticals using an intermittent electrocoagulation process, a known electrochemical technology, has been investigated. Diclofenac (DCF, carbamazepine (CBZ and amoxicillin (AMX were chosen as being representative of highly consumed drugs that are frequently detected in our water resources and were added in synthetic municipal wastewater. The removal efficiencies of both individual and combined pharmaceuticals were determined under different experimental conditions: hydraulic retention time (HRT (6, 19 and 38 h, initial concentration (0.01, 4 and 10 mg/L and intermittent application (5 min ON/20 min OFF of current density (0.5, 1.15 and 1.8 mA/cm2. Results have shown that these parameters have significant effects on pharmaceutical degradation. Maximum removals (DCF = 90%, CBZ = 70% and AMX = 77% were obtained at a current density of 0.5 mA/cm2, an initial concentration of 10 mg/L and HRT of 38 h.

  14. Intermittent flow regimes near the convection threshold in ferromagnetic nanofluids. (United States)

    Krauzina, Marina T; Bozhko, Alexandra A; Putin, Gennady F; Suslov, Sergey A


    The onset and decay of convection in a spherical cavity filled with ferromagnetic nanofluid and heated from below are investigated experimentally. It is found that, unlike in a single-component Newtonian fluid where stationary convection sets in as a result of supercritical bifurcation and where convection intensity increases continuously with the degree of supercriticality, convection in a multicomponent ferromagnetic nanofluid starts abruptly and has an oscillatory nature. The hysteresis is observed in the transition between conduction and convection states. In moderately supercritical regimes, the arising fluid motion observed at a fixed temperature difference intermittently transitions from quasiharmonic to essentially irregular oscillations that are followed by periods of a quasistationary convection. The observed oscillations are shown to result from the precession of the axis of a convection vortex in the equatorial plane. When the vertical temperature difference exceeds the convection onset value by a factor of 2.5, the initially oscillatory convection settles to a steady-state regime with no intermittent behavior detected afterward. The performed wavelet and Fourier analyses of thermocouple readings indicate the presence of various oscillatory modes with characteristic periods ranging from one hour to several days.

  15. Horizontal visibility graphs generated by type-I intermittency (United States)

    Núñez, Ángel M.; Luque, Bartolo; Lacasa, Lucas; Gómez, Jose Patricio; Robledo, Alberto


    The type-I intermittency route to (or out of) chaos is investigated within the horizontal visibility (HV) graph theory. For that purpose, we address the trajectories generated by unimodal maps close to an inverse tangent bifurcation and construct their associated HV graphs. We show how the alternation of laminar episodes and chaotic bursts imprints a fingerprint in the resulting graph structure. Accordingly, we derive a phenomenological theory that predicts quantitative values for several network parameters. In particular, we predict that the characteristic power-law scaling of the mean length of laminar trend sizes is fully inherited by the variance of the graph degree distribution, in good agreement with the numerics. We also report numerical evidence on how the characteristic power-law scaling of the Lyapunov exponent as a function of the distance to the tangent bifurcation is inherited in the graph by an analogous scaling of block entropy functionals defined on the graph. Furthermore, we are able to recast the full set of HV graphs generated by intermittent dynamics into a renormalization-group framework, where the fixed points of its graph-theoretical renormalization-group flow account for the different types of dynamics. We also establish that the nontrivial fixed point of this flow coincides with the tangency condition and that the corresponding invariant graph exhibits extremal entropic properties.

  16. Low Dose Intermittent Isotretinoin Therapy in Moderate Acne Vulgaris

    Directory of Open Access Journals (Sweden)

    Belçın İzol


    Full Text Available Objective: In this study, we aimed to investigate the efficiency and side effects of intermittent low dose isotretinoin therapy in moderate acne. Materials and Methods: Patients followed up at our acne outpatient clinic between September 2007 and April 2009 were evaluated. Those treated with 20 mg/day isotretinoin three times a week were included in the study. Relevant data were recorded from patient files. We recorded the age and weight of the cases, duration of acne, previous treatments, acne grading based on global acne scoring system, side effects and pretreatment and posttreatment Dermatology Life Quality Index scores. Hemogram, liver function tests, lipid profiles at baseline and monthly follow-ups were noted. Results: Global acne scoring of complete response rate in 94.3% of 35 patients was achieved after one year of therapy. The partial response rate was 5.7%. The earliest clinical response was observed after four weeks. The Dermatology Life Quality Index was 7.8 at baseline and 1.8 at the end of the treatment. Cheilitis was the only side effect observed. We observed mild degree relapses in 5 cases in the evaluation 17 months after the end of the treatment.Conclusion: Our results show that low dose intermittent isotretinoin therapy is an effective and tolerable treatment in moderate acne.

  17. Assessment of intermittent trace element pollution by moss bags

    Energy Technology Data Exchange (ETDEWEB)

    Cesa, M. [Dipartimento di Biologia, Universita di Trieste, Via Giorgieri 10, I-34127 Trieste (Italy)]. E-mail:; Bizzotto, A. [ARPAV Dipartimento di Vicenza, Servizio Territoriale di Bassano del Grappa, Via Cereria 15, I-36061 Bassano del Grappa (VI) (Italy); Ferraro, C. [ARPAV Dipartimento di Vicenza, Servizio Territoriale di Bassano del Grappa, Via Cereria 15, I-36061 Bassano del Grappa (VI) (Italy); Fumagalli, F. [Dipartimento di Biologia, Universita di Trieste, Via Giorgieri 10, I-34127 Trieste (Italy); Nimis, P.L. [Dipartimento di Biologia, Universita di Trieste, Via Giorgieri 10, I-34127 Trieste (Italy)


    Moss bags of the aquatic bryophyte Rhynchostegium riparioides (Hedw.) C. Jens. were transplanted into an irrigation ditch in the Province of Vicenza (NE Italy), affected by intermittent trace element contamination due to galvanics. The study aimed at: (a) testing the ability of mosses to detect different patterns of pollution (b) providing information about intensity and temporal extension of pollution events, and (c) localising the main sources. Moss bags were collected after 20, 34, 48 and 62 days of exposure. The concentrations of As, Cd, Cr, Cu, Hg, Mn, Ni, Pb and Zn in the desiccated apical shoots of mosses were determined by atomic absorption spectrophotometry. The mean concentrations measured in non-contaminated stations of a previous work were adopted as background values, to calculate the contamination factor (CF). Transplants were able to: (a) detect spatial patterns of bioaccumulation (b) reveal chronic contamination by Pb and Cu, intermittent contamination by Cr, Zn, and Ni, and a release of Cd by moss bags, and (c) localise the main emission sources. - Transplanted bryophytes are able to detect accidental trace element pollution in freshwaters of industrial areas.

  18. Distinct mechanisms underlying tolerance to intermittent and constant hypoxia in Drosophila melanogaster.

    Directory of Open Access Journals (Sweden)

    Priti Azad

    Full Text Available BACKGROUND: Constant hypoxia (CH and intermittent hypoxia (IH occur during several pathological conditions such as asthma and obstructive sleep apnea. Our research is focused on understanding the molecular mechanisms that lead to injury or adaptation to hypoxic stress using Drosophila as a model system. Our current genome-wide study is designed to investigate gene expression changes and identify protective mechanism(s in D. melanogaster after exposure to severe (1% O(2 intermittent or constant hypoxia. METHODOLOGY/PRINCIPAL FINDINGS: Our microarray analysis has identified multiple gene families that are up- or down-regulated in response to acute CH or IH. We observed distinct responses to IH and CH in gene expression that varied in the number of genes and type of gene families. We then studied the role of candidate genes (up-or down-regulated in hypoxia tolerance (adult survival for longer periods (CH-7 days, IH-10 days under severe CH or IH. Heat shock proteins up-regulation (specifically Hsp23 and Hsp70 led to a significant increase in adult survival (as compared to controls of P-element lines during CH. In contrast, during IH treatment the up-regulation of Mdr49 and l(208717 genes (P-element lines provided survival advantage over controls. This suggests that the increased transcript levels following treatment with either paradigm play an important role in tolerance to severe hypoxia. Furthermore, by over-expressing Hsp70 in specific tissues, we found that up-regulation of Hsp70 in heart and brain play critical role in tolerance to CH in flies. CONCLUSIONS/SIGNIFICANCE: We observed that the gene expression response to IH or CH is specific and paradigm-dependent. We have identified several genes Hsp23, Hsp70, CG1600, l(208717 and Mdr49 that play an important role in hypoxia tolerance whether it is in CH or IH. These data provide further clues about the mechanisms by which IH or CH lead to cell injury and morbidity or adaptation and survival.

  19. Hippocampal impairments are associated with intermittent hypoxia of obstructive sleep apnea

    Institute of Scientific and Technical Information of China (English)

    FENG Jing; WU Qi; ZHANG Dan; CHEN Bao-yuan


    Obstructive sleep apnea (OSA),which is the most common sleep-related breathing disorder,is characterized as frequent upper airway collapse and obstruction.It is a treatable disorder but if left untreated is associated with complications in several organ systems.The health risk to OSA patients shows a strong association with acute cardiovascular events,and with chronic conditions.To the central nervous system,OSA causes behavioral and neuropsychologic deficits including daytime sleepiness,depression,impaired memory,mood disorders,cognition deficiencies,language comprehension and expression deficiencies,all of which are compatible with impaired hippocampal function.Furthermore,there exists a significant correlation between disease severity and cognitive deficits in OSA.Children with severe OSA have significantly lower intelligence quotient (IQ) and executive control functions compared to normal children matched for age,gender and ethnicity.This corroborates the findings of several pediatric studies of cognition in childhood OSA,where deficits are reported in general intelligence and some measures of executive function.In studies of OSA,it is difficult to differentiate the effects of its two main pathologic traits,intermittent hypoxia (IH) and sleep fragmentation.Many OSA studies,utilize IH as the only exposure factor in OSA studies.These approaches simplify research process and attain most of the academic goals.IH,continuous hypoxia and intermittent continuous hypoxia can all result in decreases in arterial O2.There are striking differences to them in the response of physiological systems.There are multiple studies showing that IH treatment in a rodent model of OSA can impair performance of standard water maze tests associated with deficits in spatial learning and memory which most likely are hippocampal-dependent.Cellular damage to the hippocampal cornuammonis 1 (CA1) region likely contributes to neuropsychological impairment among OSA patients,since neural circuits

  20. Treatment of prostatic cancer using daily intermittent multiportal therapy (DIMT) technique

    Energy Technology Data Exchange (ETDEWEB)

    Suzuki, Keishiro; Irie, Goro (Hokkaido Univ., Sapporo (Japan). School of Medicine); Shirato, Hiroki; Takayama, Naohisa; Sutoh, Susumu


    In the treatment of prostatic cancer using a newly proposed intermittent multiportal therapy (DIMT), acute reactions, change in tumor marker levels, and complications more than 6 months after treatment were evaluated. From June 1989 to September 1990, 26 patients with prostatic cancer (stage A2, 3 patients; B, 9; C, 2; D, 10; recurrence, 2) were treated. Fifteen patients were followed up for more than one year, with a mean period of 11.6 months. The treatment schedule is 52.5 Gy in 16 fractions in 4 weeks for radical treatment, and 30.0 Gy in 8 fractions in 2 weeks for palliative treatment. The 360 degree rotation about the patient was divided into 16 fractions, and 2 opposing fractions were used in one day as parallel opposed portals to treat the target volume. The fractions were serially treated one per day, so that 8 treatment days produced a total dose of distribution similar to that for conventional conformational therapy. The size of the irradiation field varied from 6 x 6 cm to 9 x 9 cm. No hormonal therapy was performed for stage A2 or B. Acute effect was minimal including skin erythema 2/26 (7%), pollakisuria 1/26 (4%), mild symptoms due to acute proctitis 9/26 (35%). Abnormality high PSA and/or PAP levels returned to the normal range after the treatment in 7 of 10 patients. Local recurrence was detected in 1 patient with stage D, 15 months after completion of therapy, but 21 other patients continued for more than 6 months with no clinical evidence of local recurrence. No residual disease was detected by biopsy undertaken in 10 patients after more than 6 months. No severe complication was detected after more than 6 months except in 1 patient who needed colostomy for the relief of rectal bleeding. DIMT can have the total dose distribution similar to that of conventional conformational therapy without specific devices. Initial results on prostatic cancer treatment were encouraging. (J.P.N.).

  1. Changes in the Adult GluN2B Associated Proteome following Adolescent Intermittent Ethanol Exposure.

    Directory of Open Access Journals (Sweden)

    H Scott Swartzwelder

    Full Text Available Adolescent alcohol use is the strongest predictor for alcohol use disorders. In rodents, adolescents have distinct responses to acute ethanol, and prolonged alcohol exposure during adolescence can maintain these phenotypes into adulthood. One brain region that is particularly sensitive to the effects of both acute and chronic ethanol exposure is the hippocampus. Adolescent intermittent ethanol exposure (AIE produces long lasting changes in hippocampal synaptic plasticity and dendritic morphology, as well as in the susceptibility to acute ethanol-induced spatial memory impairment. Given the pattern of changes in hippocampal structure and function, one potential target for these effects is the ethanol sensitive GluN2B subunit of the NMDA receptor, which is known to be involved in synaptic plasticity and dendritic morphology. Thus we sought to determine if there were persistent changes in hippocampal GluN2B signaling cascades following AIE. We employed a previously validated GluN2B-targeted proteomic strategy that was used to identify novel signaling mechanisms altered by chronic ethanol exposure in the adult hippocampus. We collected adult hippocampal tissue (P70 from rats that had been given 2 weeks of AIE from P30-45. Tissue extracts were fractionated into synaptic and non-synaptic pools, immuno-precipitated for GluN2B, and then analyzed using proteomic methods. We detected a large number of proteins associated with GluN2B. AIE produced significant changes in the association of many proteins with GluN2B in both synaptic and non-synaptic fractions. Intriguingly the number of proteins changed in the non-synaptic fraction was double that found in the synaptic fraction. Some of these proteins include those involved in glutamate signaling cytoskeleton rearrangement, calcium signaling, and plasticity. Disruptions in these pathways may contribute to the persistent cellular and behavioral changes found in the adult hippocampus following AIE. Further

  2. Continuous versus intermittent tamoxifen versus intermittent/alternated tamoxifen and medroxyprogesterone acetate as first line endocrine treatment in advanced breast cancer : An EORTC phase III study (10863)

    NARCIS (Netherlands)

    Beex, L.; Rose, C.; Mouridsen, H.; Jassem, J.; Nooij, M.; Estape, J.; Paridaens, R.; Piccart, M.; Gorlia, T.; Lardenoije, S.; Baila, L.


    Background: Continuous ligand depletion of endocrine responsive tumours may enhance resistance to therapy. Intermittent treatment with tamoxifen (T) was considered to mimic (incomplete) ligand depletion and reintroduction. Furthermore it was postulated that alternating tamoxifen with a non-cross res

  3. Continuous versus intermittent tamoxifen versus intermittent/alternated tamoxifen and medroxyprogesterone acetate as first line endocrine treatment in advanced breast cancer: an EORTC phase III study (10863).

    NARCIS (Netherlands)

    Beex, L.V.A.M.; Rose, C.; Mouridsen, H.; Jassem, J.; Nooij, M.; Estape, J.; Paridaens, R.; Piccart, M.; Gorlia, T.; Lardenoije, S.; Baila, L.


    BACKGROUND: Continuous ligand depletion of endocrine responsive tumours may enhance resistance to therapy. Intermittent treatment with tamoxifen (T) was considered to mimic (incomplete) ligand depletion and reintroduction. Furthermore it was postulated that alternating tamoxifen with a non-cross res

  4. Simultaneous Infrared Dry-Blanching and Dehydration of apple slices Controlled by Intermittent Heating Mode (United States)

    Infrared heating controlled by intermittent heating mode was found to be able to achieve simultaneous dry-blanching and dehydration of apple slices with a desirable quality. In order to better understand the performance of intermittent heating for simultaneous dry-blanching and dehydration (SIDBD),...

  5. Affecting Factors and Outcome on Intermittent Internet Pulling Behavior in Taiwan's Undergraduate Students (United States)

    Yang, Hui-Jen; Lay, Yun-Long


    Nowadays people's lives heavily rely on Internet facilities. Internet users generally have constant Internet connectivity and intermittently click on sites they want to access even amidst studying or working. In this study, we sought to examine the factors affecting intermittent Internet pulling behavior on undergraduate students. Furthermore, the…

  6. Intermittent turbulence and oscillations in the stable boundary layer over land

    NARCIS (Netherlands)

    Wiel, van de B.J.H.


    As the title of this thesis indicates, our main subject of interest is: "Intermittent turbulence and oscillation in the stable boundary layer over land". As such, this theme connects the different chapters. Here, intermittent turbulence is defined as a sequence of events were 'burst' of increased tu

  7. Linear response in aging glassy systems, intermittency and the Poisson statistics of record fluctuations

    DEFF Research Database (Denmark)

    Sibani, Paolo


    We study the intermittent behavior of the energy decay and the linear magnetic response of a glassy system during isothermal aging after a deep thermal quench, using the Edward-Anderson spin glass model as a paradigmatic example. The large intermittent changes in the two observables occur...

  8. Sound-wave coherence in atmospheric turbulence with intrinsic and global intermittency. (United States)

    Wilson, D Keith; Ostashev, Vladimir E; Goedecke, George H


    The coherence function of sound waves propagating through an intermittently turbulent atmosphere is calculated theoretically. Intermittency mechanisms due to both the turbulent energy cascade (intrinsic intermittency) and spatially uneven production (global intermittency) are modeled using ensembles of quasiwavelets (QWs), which are analogous to turbulent eddies. The intrinsic intermittency is associated with decreasing spatial density (packing fraction) of the QWs with decreasing size. Global intermittency is introduced by allowing the local strength of the turbulence, as manifested by the amplitudes of the QWs, to vary in space according to superimposed Markov processes. The resulting turbulence spectrum is then used to evaluate the coherence function of a plane sound wave undergoing line-of-sight propagation. Predictions are made by a general simulation method and by an analytical derivation valid in the limit of Gaussian fluctuations in signal phase. It is shown that the average coherence function increases as a result of both intrinsic and global intermittency. When global intermittency is very strong, signal phase fluctuations become highly non-Gaussian and the average coherence is dominated by episodes with weak turbulence.

  9. Finite size scaling analysis of intermittency moments in the two dimensional Ising model

    CERN Document Server

    Burda, Z; Peschanski, R; Wosiek, J


    Finite size scaling is shown to work very well for the block variables used in intermittency studies on a 2-d Ising lattice. The intermittency exponents so derived exhibit the expected relations to the magnetic critical exponent of the model. Email contact:

  10. 77 FR 67743 - Federal Employees Health Benefits Program Coverage for Certain Intermittent Employees (United States)


    ... RIN 3206-AM74 Federal Employees Health Benefits Program Coverage for Certain Intermittent Employees... Personnel Management (OPM) is issuing an interim final rule to amend the Federal Employees Health Benefits Program (FEHBP) regulations to make certain employees who work on intermittent schedules eligible to...

  11. 5 CFR 630.1204 - Intermittent leave or reduced leave schedule. (United States)


    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Intermittent leave or reduced leave schedule. 630.1204 Section 630.1204 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS ABSENCE AND LEAVE Family and Medical Leave § 630.1204 Intermittent leave or reduced leave...

  12. Persistence during Extinction: Examining the Effects of Continuous and Intermittent Reinforcement on Problem Behavior


    MacDonald, Jacquelyn M.; Ahearn, William H; Parry-Cruwys, Diana; Bancroft, Stacie; Dube, William V.


    This study examined behavioral persistence during extinction following continuous or intermittent reinforcement in the context of an analogue functional analysis of problem behavior. Participants were four children diagnosed with an autism spectrum disorder who engaged in problem behavior; and for whom functional analyses indicated sensitivity to social reinforcers. Experimental sessions included four successive 5-min components: No social interaction, continuous or intermittent reinforcement...

  13. Sodium bicarbonate intake improves high-intensity intermittent exercise performance in trained young men

    DEFF Research Database (Denmark)

    Krustrup, Peter; Ermidis, Georgios; Mohr, Magni


    Background Sodium bicarbonate intake has been shown to improve exercise tolerance, but the effects on high-intensity intermittent exercise are less clear. Thus, the aim of the present study was to determine the effect of sodium bicarbonate intake on Yo-Yo intermittent recovery level 2 test perfor...

  14. Intermittent Hypoxia Elicits Prolonged Restoration of Motor Function in Human SCI (United States)


    performed in rats with/without cervical injuries : 1) shelf controls; 2) sham; 3) daily treadmill training for five days; 4) intermittent hypoxia for...combining our results with parallel behavioral studies. 15. SUBJECT TERMS Spinal Injury , Treatment , Intermittent hypoxia, humans, rats, BDNF 16...the translational partnership award is to assess changes in ventral spinal protein expression in rats with cervical spinal injuries following

  15. The influence of basketball dribbling on repeated high-intensity intermittent runs

    Directory of Open Access Journals (Sweden)

    Zhaowei Kong


    Conclusion: The results suggest that the Yo-Yo IE2 test could reflect the repeatability of high-intensity intermittent basketball dribbling performance, while dribbling skills may have different influences on high-intensity intermittent exercise capacity in adolescent players at different ages.

  16. Acute calcium homeostasis in MHS swine. (United States)

    Harrison, G G; Morrell, D F; Brain, V; Jaros, G G


    To elucidate a pathogenesis for the reduction in bone calcium content observed in MHS individuals, we studied the acute calcium homeostasis of MHS swine. This was achieved by the serial measurement, with a calcium selective electrode, of calcium transients in Landrace MHS (five) and control Landrace/large white cross MH negative (five) swine following IV bolus injection of calcium gluconate 0.1 mmol X kg-1--a dose which induced an acute 45 per cent increase in plasma ionised calcium. Experimental animals were anaesthetised with ketamine 10 mg X kg-1 IM, thiopentone (intermittent divided doses) 15-25 mg X kg-1 (total) IV and N2O/O2 (FIO2 0.3) by IPPV to maintain a normal blood gas, acid/base state. The plasma ionised calcium decay curve observed in MHS swine did not differ from that of control normal swine. Further it was noted that the induced acute rise in plasma ionised calcium failed to trigger the MH syndrome in any MHS swine. It is concluded that the mechanisms of acute calcium homeostasis in MHS swine are normal. An explanation for the reduction in bone calcium content observed in MHS individuals must be sought, therefore, through study of the slow long-term component of the calcium regulatory process. In addition, the conventional strictures placed on the use, in MHS patients, of calcium gluconate are called in question.

  17. Intermittent Fasting Modulation of the Diabetic Syndrome in Streptozotocin-Injected Rats

    Directory of Open Access Journals (Sweden)

    Louiza Belkacemi


    Full Text Available This study investigates the effects of intermittent overnight fasting in streptozotocin-induced diabetic rats (STZ rats. Over 30 days, groups of 5-6 control or STZ rats were allowed free food access, starved overnight, or exposed to a restricted food supply comparable to that ingested by the intermittently fasting animals. Intermittent fasting improved glucose tolerance, increased plasma insulin, and lowered Homeostatis Model Assessment index. Caloric restriction failed to cause such beneficial effects. The β-cell mass, as well as individual β-cell and islet area, was higher in intermittently fasting than in nonfasting STZ rats, whilst the percentage of apoptotic β-cells appeared lower in the former than latter STZ rats. In the calorie-restricted STZ rats, comparable findings were restricted to individual islet area and percentage of apoptotic cells. Hence, it is proposed that intermittent fasting could represent a possible approach to prevent or minimize disturbances of glucose homeostasis in human subjects.

  18. Intermittent Domestic Water Supply: A Critical Review and Analysis of Causal-Consequential Pathways

    Directory of Open Access Journals (Sweden)

    S. E. Galaitsi


    Full Text Available Communities in many parts of the world, especially in developing countries, face obstacles in supplying continuous water to household consumers. Authorities often cite water scarcity as the cause, but we demonstrate that environmental constraints constitute only one aspect of a multi-dimensional problem. By asking what causes intermittent domestic water supply, this literature review (129 articles identifies 47 conditions of intermittent systems and the causal-consequential pathways between them that can reinforce intermittency. These pathways span several disciplines including engineering, government administration and anthropology, and when viewed together they (1 emphasize the human drivers of intermittency; (2 suggest generalized interventions; and (3 reveal a gap in the literature in terms of meaningful categorizations of the reliability of intermittent supplies. Based on the reliability of consumers’ water access, we propose three categories of intermittency—predictable, irregular, and unreliable—to facilitate comparisons between case studies and transfers of solutions.

  19. Robust, low-cost data loggers for stream temperature, flow intermittency, and relative conductivity monitoring (United States)

    Chapin, Thomas; Todd, Andrew S.; Zeigler, Matthew P.


    Water temperature and streamflow intermittency are critical parameters influencing aquatic ecosystem health. Low-cost temperature loggers have made continuous water temperature monitoring relatively simple but determining streamflow timing and intermittency using temperature data alone requires significant and subjective data interpretation. Electrical resistance (ER) sensors have recently been developed to overcome the major limitations of temperature-based methods for the assessment of streamflow intermittency. This technical note introduces the STIC (Stream Temperature, Intermittency, and Conductivity logger); a robust, low-cost, simple to build instrument that provides long-duration, high-resolution monitoring of both relative conductivity (RC) and temperature. Simultaneously collected temperature and RC data provide unambiguous water temperature and streamflow intermittency information that is crucial for monitoring aquatic ecosystem health and assessing regulatory compliance. With proper calibration, the STIC relative conductivity data can be used to monitor specific conductivity.

  20. Effects of intermittent aeration on pollutants removal in subsurface wastewater infiltration system. (United States)

    Pan, Jing; Fei, Hexin; Song, Siyu; Yuan, Fang; Yu, Long


    In this study, the pollutant removal performances in two pilot-scale subsurface wastewater infiltration systems (SWISs) with and without intermittent aeration were investigated. Matrix oxidation reduction potential (ORP) results showed that intermittent aeration well developed aerobic conditions in upper matrix and anoxic or anaerobic conditions in the subsequent sections, which resulted in high NH4(+)-N and TN removal. Moreover, intermittent aeration increased removal rates of COD and TP. Microbial populations and enzyme activities analysis proved that intermittent aeration not only obviously boosted the growth and reproduction of bacteria, fungus, actinomyces, nitrifying bacteria and denitrifying bacteria, but also successfully increased nitrate reductase (NR) and nitrite reductase (NIR) in the depth of 80 and 110 cm. The results suggest that the intermittent aeration could be a widespread research and application strategy for achieving the high removal performance in SWISs.

  1. Intermittency, nonlinear dynamics and dissipation in the solar wind and astrophysical plasmas. (United States)

    Matthaeus, W H; Wan, Minping; Servidio, S; Greco, A; Osman, K T; Oughton, S; Dmitruk, P


    An overview is given of important properties of spatial and temporal intermittency, including evidence of its appearance in fluids, magnetofluids and plasmas, and its implications for understanding of heliospheric plasmas. Spatial intermittency is generally associated with formation of sharp gradients and coherent structures. The basic physics of structure generation is ideal, but when dissipation is present it is usually concentrated in regions of strong gradients. This essential feature of spatial intermittency in fluids has been shown recently to carry over to the realm of kinetic plasma, where the dissipation function is not known from first principles. Spatial structures produced in intermittent plasma influence dissipation, heating, and transport and acceleration of charged particles. Temporal intermittency can give rise to very long time correlations or a delayed approach to steady-state conditions, and has been associated with inverse cascade or quasi-inverse cascade systems, with possible implications for heliospheric prediction.

  2. Intermittency of the turbulent processes in the Earth's magnetosphere detected from the ground-based measurements (United States)

    Stepanova, Marina; Foppiano, Alberto; Ovalle, Elias; Antonova, Elizavieta; Troshichev, Oleg


    Turbulent processes in the Earth's magnetosphere are reflected in the dynamical behavior of the geomagnetic indices and other parameters determined from ground based observations. Intermittent properties of one minute Polar Cap (PC) index and auroral radio wave absorption are studied using 1995-2000 data sets. It was found that the probability distribution functions (PDFs) of both PC-index and absorption fluctuations display a strong non-Gaussian shape. This indicates that they are not characterized by a global time self-similarity but rather exhibit intermittency, as previously reported for solar wind velocity and auroral electrojet index values. In the case of the auroral absorption it was also found that intermittency strongly depends on the magnetic local time, being largest in the nighttime sector. This shows that the acceleration of precipitating particles is intermittent, especially near the substorm eye, where the level of turbulence increases. Application of the Local Intermittency Measure (LIM) technique confirms the aforementioned results to a better precision.

  3. Circuit implementation and multiform intermittency in a hyper-chaotic model extended from the Lorenz system

    Institute of Scientific and Technical Information of China (English)

    Cang Shi-Jian; Chen Zeng-Qiang; Wu Wen-Juan


    This paper presents a non-autonomous hyper-chaotic system, which is formed by adding a periodic driving signal to a four-dimensional chaotic model extended from the Lorenz system. The resulting non-autonomous hyper-chaotic system can display any dynamic behaviour among the periodic orbits, intermittency, chaos and hyper-chaos by controlling the frequency of the periodic signal. The phenomenon has been well demonstrated by numerical simulations, bifurcation analysis and electronic circuit realization. Moreover, the system is concrete evidence for the presence of Pomeau-Manneville Type-Ⅰ intermittency and crisis-induced intermittency. The emergence of a different type of intermittency is similarly subjected to the frequency of periodic forcing. By statistical analysis, power scaling laws consisting in different intermittency are obtained for the lifetime in the laminar state between burst states.

  4. Acute abdomen

    Directory of Open Access Journals (Sweden)

    Wig J


    Full Text Available 550 cases of acute abdomen have been analysed in detail includ-ing their clinical presentation and operative findings. Males are more frequently affected than females in a ratio of 3: 1. More than 45% of patients presented after 48 hours of onset of symptoms. Intestinal obstruction was the commonest cause of acute abdomen (47.6%. External hernia was responsible for 26% of cases of intestinal obstruction. Perforated peptic ulcer was the commonest cause of peritonitis in the present series (31.7% while incidence of biliary peritonitis was only 2.4%.. The clinical accuracy rate was 87%. The mortality in operated cases was high (10% while the over-all mortality rate was 7.5%.

  5. Comparison Between the Continuous and Intermittent Heating Methods for Simultaneous Infrared Dry-Blanching and Dehydration of Apple Slices (United States)

    Simultaneous infrared dry-blanching and dehydration (SIRDBD) can be operated in two heating modes, continuous and intermittent heating. Under continuous heating, infrared radiation intensity was kept constant while the product temperature remained constant under intermittent heating in this study. ...

  6. Kinetic Signatures and Intermittent Turbulence in the Solar Wind Plasma

    CERN Document Server

    Osman, K T; Hnat, B; Chapman, S C


    A connection between kinetic processes and intermittent turbulence is observed in the solar wind plasma using measurements from the Wind spacecraft at 1 AU. In particular, kinetic effects such as temperature anisotropy and plasma heating are concentrated near coherent structures, such as current sheets, which are non-uniformly distributed in space. Furthermore, these coherent structures are preferentially found in plasma unstable to the mirror and firehose instabilities. The inhomogeneous heating in these regions, which is present in both the magnetic field parallel and perpendicular temperature components, results in protons at least 3--4 times hotter than under typical stable plasma conditions. These results offer a new understanding of kinetic processes in a turbulent regime, where linear Vlasov theory is not sufficient to explain the inhomogeneous plasma dynamics operating near non-Gaussian structures.

  7. Intermittent Flow of Granular Matter in an Annular Geometry (United States)

    Brzinski, Ted; Daniels, Karen E.

    Granular solids can be subjected to a finite stress below which the response is elastic. Above this yield stress, however, the material fails catastrophically, undergoing a rapid plastic deformation. In the case of a monotonically increasing stress the material exhibits a characteristic stick-slip response. We investigate the statistics of this intermittent failure in an annular shear geometry, driven with a linear-ramp torque in order to generate the stick-slip behavior. The apparatus is designed to allow visual access to particle trajectories and inter-particle forces (through the use of photoelastic materials). Additionally, twelve piezoelectric sensors at the outer wall measure acoustic emissions due to the plastic deformation of the material. We vary volume fraction, and use both fixed and deformable boundaries. We measure how the distribution of slip size and duration are related to the bulk properties of the packing, and compare to systems with similar governing statistics.

  8. Inhomogeneous kinetic effects related to intermittent magnetic discontinuities. (United States)

    Greco, A; Valentini, F; Servidio, S; Matthaeus, W H


    A connection between kinetic processes and two-dimensional intermittent plasma turbulence is observed using direct numerical simulations of a hybrid Vlasov-Maxwell model, in which the Vlasov equation is solved for protons, while the electrons are described as a massless fluid. During the development of turbulence, the proton distribution functions depart from the typical configuration of local thermodynamic equilibrium, displaying statistically significant non-Maxwellian features. In particular, temperature anisotropy and distortions are concentrated near coherent structures, generated as the result of the turbulent cascade, such as current sheets, which are nonuniformly distributed in space. Here, the partial variance of increments (PVI) method has been employed to identify high magnetic stress regions within a two-dimensional turbulent pattern. A quantitative association between non-Maxwellian features and coherent structures is established.

  9. Intermittent Jolts of Galactic UV Radiation Mutagenetic Effects

    CERN Document Server

    Scalo, J M; Williams, P; Scalo, John M.; Williams, Peter


    We estimate the frequency of intermittent hypermutation events and disruptions of planetary/satellite photochemistry due to ultraviolet radiation from core collapse supernova explosions. Calculations are presented for planetary systems in the local Milky Way, including the important moderating effects of vertical Galactic structure and UV absorption by interstellar dust. The events are particularly frequent for satellites of giant gas planets at \\gtrsim 5-10 AU distance from solar-type parent stars, or in the conventional habitable zones for planets orbiting spectral type K and M parent stars, with rates of significant jolts about 10^3 - 10^4 per Gyr. The steep source spectra and existing data on UVA and longer-wavelength radiation damage in terrestrial organisms suggest that the mutational effects may operate even on planets with ozone shields. We argue that the mutation doubling dose for UV radiation should be much smaller than the mean lethal dose, using terrestrial prokaryotic organisms as our model, and ...

  10. Modeling integrated water user decisions in intermittent supply systems (United States)

    Rosenberg, David E.; Tarawneh, Tarek; Abdel-Khaleq, Rania; Lund, Jay R.


    We apply systems analysis to estimate household water use in an intermittent supply system considering numerous interdependent water user behaviors. Some 39 household actions include conservation; improving local storage or water quality; and accessing sources having variable costs, availabilities, reliabilities, and qualities. A stochastic optimization program with recourse decisions identifies the infrastructure investments and short-term coping actions a customer can adopt to cost-effectively respond to a probability distribution of piped water availability. Monte Carlo simulations show effects for a population of customers. Model calibration reproduces the distribution of billed residential water use in Amman, Jordan. Parametric analyses suggest economic and demand responses to increased availability and alternative pricing. It also suggests potential market penetration for conservation actions, associated water savings, and subsidies to entice further adoption. We discuss new insights to size, target, and finance conservation.

  11. Intermittent inhaled corticosteroids in infants with episodic wheezing

    DEFF Research Database (Denmark)

    Bisgaard, Hans; Hermansen, Mette Northman; Loland, Lotte;


    BACKGROUND: We hypothesized that asthma is preceded by a stage of recurrent episodes of wheezing during the first years of life and that inhaled corticosteroid therapy during symptomatic episodes in this early phase may delay progression to persistent wheezing. METHODS: We assigned one-month-old ......BACKGROUND: We hypothesized that asthma is preceded by a stage of recurrent episodes of wheezing during the first years of life and that inhaled corticosteroid therapy during symptomatic episodes in this early phase may delay progression to persistent wheezing. METHODS: We assigned one...... not affected by treatment. CONCLUSIONS: Intermittent inhaled corticosteroid therapy had no effect on the progression from episodic to persistent wheezing and no short-term benefit during episodes of wheezing in the first three years of life. ( number, NCT00234390.)....

  12. Suppression of spiral waves using intermittent local electric shock

    Institute of Scientific and Technical Information of China (English)

    Ma Jun; Ying He-Ping; Li Yan-Long


    In this paper, an intermittent local electric shock scheme is proposed to suppress stable spiral waves in the Barkley model by a weak electric shock (about 0.4 to 0.7) imposed on a random selected n × n grids (n = 1-5, compared with the original 256×256 lattice) and monitored synchronically the evolutions of the activator on the grids as the sampled signal of the activator steps out a given threshold (i.e., the electric shock works on the n × n grids if the activator u (≤) 0.4 or u (≥) 0.8). The numerical simulations show that a breakup of spiral is observed in the media state evolution to finally obtain homogeneous states if the electric shock with appropriate intensity is imposed.

  13. Dynamic intermittency in discrete erodible-bed avalanches (United States)

    Arran, Matthew; Vriend, Nathalie


    The coexistence of fluid-like and solid-like behaviour in granular matter allows avalanches of grains to flow on the surface of a static but erodible bed. For sufficiently slow inflow, these avalanches are discrete, with previous experimentalists reporting that avalanche fronts pass a given point quasi-periodically. We report instead observations of dynamic intermittency between two regimes, one in which avalanches occur quasi-periodically and another in which the intervals between them are irregular. Finding the first regime consistent with existing models, we introduce a model for the second regime within the framework of Self-Organised Criticality, and describe the transition between the regimes with reference to the state of the erodible bed.

  14. Optimizing intermittent water supply in urban pipe distribution networks

    CERN Document Server

    Lieb, Anna M; Wilkening, Jon


    In many urban areas of the developing world, piped water is supplied only intermittently, as valves direct water to different parts of the water distribution system at different times. The flow is transient, and may transition between free-surface and pressurized, resulting in complex dynamical features with important consequences for water suppliers and users. Here, we develop a computational model of transition, transient pipe flow in a network, accounting for a wide variety of realistic boundary conditions. We validate the model against several published data sets, and demonstrate its use on a real pipe network. The model is extended to consider several optimization problems motivated by realistic scenarios. We demonstrate how to infer water flow in a small pipe network from a single pressure sensor, and show how to control water inflow to minimize damaging pressure gradients.

  15. BCR Routing for Intermittently Connected Mobile Ad hoc Networks

    Directory of Open Access Journals (Sweden)



    Full Text Available The Wireless and the Mobile Networks appear to provide a wide range of applications. Following these, the Mobile Ad hoc Networks (MANET aid in wide development of many applications. The achievement of the real world applications are attained through effective routing. The Intermittently Connected Mobile Ad hoc Network (ICMANET is a sparse network where a full connectivity is never possible. ICMANET is a disconnected MANET and is also a Delay Tolerant Network (DTN that sustains for higher delays. The routing in a disseminated network is a difficult task. A new routing scheme called Bee Colony Routing (BCR is been proposed with a motto of achieving optimal result in delivering the data packet towards the destined node. BCR is proposed with the basis of Bee Colony Optimization technique (BCO. The routing in ICMNAET is done by means of Bee routing protocol. This paper enchants a novel routing methodology for data transmission in ICMANET.

  16. Kinetic signatures and intermittent turbulence in the solar wind plasma. (United States)

    Osman, K T; Matthaeus, W H; Hnat, B; Chapman, S C


    A connection between kinetic processes and intermittent turbulence is observed in the solar wind plasma using measurements from the Wind spacecraft at 1 A.U. In particular, kinetic effects such as temperature anisotropy and plasma heating are concentrated near coherent structures, such as current sheets, which are nonuniformly distributed in space. Furthermore, these coherent structures are preferentially found in plasma unstable to the mirror and firehose instabilities. The inhomogeneous heating in these regions, which is present in both the magnetic field parallel and perpendicular temperature components, results in protons at least 3-4 times hotter than under typical stable plasma conditions. These results offer a new understanding of kinetic processes in a turbulent regime, where linear Vlasov theory is not sufficient to explain the inhomogeneous plasma dynamics operating near non-Gaussian structures.

  17. Modeling Integrated Water-User Decisions with Intermittent Supplies (United States)

    Lund, J. R.; Rosenberg, D.


    We present an economic-engineering method to estimate urban water use demands with intermittent water supplies. A two-stage, probabilistic optimization formulation includes a wide variety of water supply enhancement and conservation actions that individual households can adopt to meet multiple water quality uses with uncertain water availability. We embed the optimization in Monte-Carlo simulations to show aggregate effects at a utility (citywide) scale for a population of user conditions and decisions. Parametric analysis provides derivations of supply curves to subsidize conservation, demand responses to alternative pricing, and customer willingness-to-pay to avoid shortages. Results show a good empirical fit for the average and distribution of billed residential water use in Amman, Jordan. Additional outputs give likely market penetration rates for household conservation actions, associated water savings, and subsidies required to entice further adoption. We discuss new insights to size, target, market, and finance conservation programs and interpret a demand curve with block pricing.

  18. Distributed Particle Filter Implementation with Intermittent/Irregular Consensus Convergence

    CERN Document Server

    Mohammadi, Arash


    Motivated by non-linear, non-Gaussian, distributed multi-sensor/agent navigation and tracking applications, we propose a multi-rate consensus/fusion based framework for distributed implementation of the particle filter (CF/DPF). The CF/DPF framework is based on running localized particle filters to estimate the overall state vector at each observation node. Separate fusion filters are designed to consistently assimilate the local filtering distributions into the global posterior by compensating for the common past information between neighbouring nodes. The CF/DPF offers two distinct advantages over its counterparts. First, the CF/DPF framework is suitable for scenarios where network connectivity is intermittent and consensus can not be reached between two consecutive observations. Second, the CF/DPF is not limited to the Gaussian approximation for the global posterior density. A third contribution of the paper is the derivation of the optimal posterior Cram\\'er-Rao lower bound (PCRLB) for the distributed arc...


    Directory of Open Access Journals (Sweden)

    S. L. Gutorov


    Full Text Available The immediate and late results of treating patients with renal metastases with a new intermittent interferon-α (IFN-α use regimen are presented.Subjects and methods. The study included 131 patients receiving IFN-α as 3106 IU subcutaneously, days 1—10 at a further 2-week inter- val.Results. Complete and partial effects were achieved in 11 (8.4% and 18 (13.7% patients, respectively; stable disease (≥6 months was observed in 35 (26.7%. The median time to progression was 23.3 months. The sizes and number of lung metastases were found to have a great impact on survival: with metastases sizing ≤2 cm and their number of ≤10, the median overall survival was 29.9 months. These patients are the most promising candidates for the effective first-line IFN-α therapy.

  20. Intermittency and transient chaos from simple frequency-dependent selection. (United States)

    Gavrilets, S; Hastings, A


    Frequency-dependent selection is an important determinant of the evolution of gametophytic self-incompatibility systems in plants, aposematic (warning) and cryptic coloration, systems of mimicry, competitive interactions among members of a population, mating preferences, predator-prey and host-parasite interactions, aggression and other behavioural traits. Past theoretical studies of frequency-dependent selection have shown it to be a plausible mechanism for the maintenance of genetic variability in natural populations. Here, through an analysis of a simple deterministic model for frequency-dependent selection, we demonstrate that complex dynamic behaviour is possible under a broad range of parameter values. In particular we show that the model exhibits not only cycles and chaos but also, for a more restricted set of parameters, transient chaos and intermittency: alterations between an apparently deterministic behaviour and apparently chaotic fluctuations. This behaviour, which has not been stressed within the population genetics literature, provides an explanation for erratic dynamics of gene frequencies.

  1. Hyperchaotic Intermittent Convection in a Magnetized Viscous Fluid

    CERN Document Server

    Macek, Wieslaw M


    We consider a low-dimensional model of convection in a horizontally magnetized layer of a viscous fluid heated from below. We analyze in detail the stability of hydromagnetic convection for a wide range of two control parameters. Namely, when changing the initially applied temperature difference or magnetic field strength, one can see transitions from regular to irregular long-term behavior of the system, switching between chaotic, periodic, and equilibrium asymptotic solutions. It is worth noting that owing to the induced magnetic field a transition to hyperchaotic dynamics is possible for some parameters of the model. We also reveal new features of the generalized Lorenz model, including both type I and III intermittency.

  2. Emotional intelligence and impulsive aggression in Intermittent Explosive Disorder. (United States)

    Coccaro, Emil F; Solis, Oscar; Fanning, Jennifer; Lee, Royce


    Emotional intelligence (EI) relates to one's ability to recognize and understand emotional information and then, to use it for planning and self-management. Given evidence of abnormalities of emotional processing in impulsively aggressive individuals, we hypothesized that EI would be reduced in subjects with Intermittent Explosive Disorder (IED: n = 43) compared with healthy (n = 44) and psychiatric (n = 44) controls. The Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) was used to assess both Experiential EI and Strategic EI. Strategic, but not Experiential, EI was lower in IED compared with control subjects. These differences were not accounted for demographic characteristics, cognitive intelligence, or the presence of clinical syndromes or personality disorder. In contrast, the relationship between IED and Strategic EI was fully accounted for by a dimension of hostile cognition defined by hostile attribution and hostile automatic thoughts. Interventions targeted at improving Strategic EI and reducing hostile cognition will be key to reducing aggressive behavior in individuals with IED.

  3. Kalman Filtering with Intermittent Observations: Weak Convergence and Moderate Deviations

    CERN Document Server

    Kar, Soummya


    The paper considers the problem of Kalman filtering with intermittent observations, where the observation packet arrival process is modeled as a Bernoulli process. We start by extending the results of \\cite{Riccati-weakconv} to show that the sequence of random conditional error covariance matrices converges in distribution to a unique invariant distribution $\\mathbb{\\mu}^{\\bar{\\gamma}}$, as long as the packet arrival probability $\\bar{\\gamma}>0$. We completely characterize the sequence ${\\mathbb{\\mu}^{\\bar{\\gamma}}}$ of invariant distributions as $\\bar{\\gamma}\\uparrow 1$, by showing that the sequence ${\\mathbb{\\mu}^{\\bar{\\gamma}}}$ satisfies a moderate deviations principle (MDP) with a good rate function $I$, which is explicitly characterized. We then study the sequence of invariant distributions ${\\mathbb{\\mu}^{\\bar{\\gamma}}}$ as $\\bar{\\gamma}\\uparrow 1$. We show that, as $\\bar{\\gamma}\\uparrow 1$, ...

  4. Implementing intermittent preventive treatment for malaria in pregnancy

    DEFF Research Database (Denmark)

    Mubyazi, Godfrey Martin; Magnussen, Pascal; Goodman, Catherine;


    INTRODUCTION: Implementing Intermittent Preventive Treatment for malaria in Pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP) through antenatal care (ANC) clinics is recommended for malaria endemic countries. Vast biomedical literature on malaria prevention focuses more on the epidemiological...... of the recommended interventions. OBJECTIVE: To review literature on policy advances, achievements, constraints and challenges to malaria IPTp implementation, emphasising on its operational feasibility in the context of health-care financing, provision and uptake, resource constraints and psychosocial factors...... and other discriminatory socio-cultural values on pregnancy; target users, perceptions and attitudes towards SP, malaria, and quality of ANC; supply and cost of SP at health facilities; understaffing and demoralised staff; ambiguity and impracticability of user-fee exemption policy guidelines on essential...

  5. Insulin production hampered by intermittent hypoxia via impaired zinc homeostasis.

    Directory of Open Access Journals (Sweden)

    Eung-Kwon Pae

    Full Text Available Without zinc, pancreatic beta cells cannot either assemble insulin molecules or precipitate insulin crystals; thus, a lack of zinc concentration in the beta cells would result in a decreased insulin production. ZIP8 is one of the zinc uptake transporters involved in zinc influx into the cytosol of beta cells. Thus, if ZIP8 is down-regulated, a decreased insulin production would result. We assumed that intermittent hypoxic exposure to the beta cells may result in a decreased production of insulin due to a lack of zinc. To test this hypothesis we harvested pancreatic islets from the rats conditioned under intermittent hypoxia (IH (fluctuating between 20.5% and 10% every 4 min for 1 h and compared the results with those from control animals and islets. We also compared their insulin and glucose homeostasis using glucose tolerance tests (GTT after 3 weeks. GTT results show a significant delay (P<0.05 in recovery of the blood glucose level in IH treated pups. ZIP8 expression in the beta cell membrane was down-regulated. The zinc concentration in the cell as well as insulin production was significantly decreased in the islets harvested from IH animals. However, mRNA for insulin and C-peptide/insulin protein levels in the total cell lysates remained the same as those of controls. When we treated the beta cells using siRNA mediated ZIP8, we observed the commensurate results from the IH-treated islets. We conclude that a transient IH exposure could knockdown ZIP8 transporters at mRNA as well as protein levels in the beta cells, which would decrease the level of blood insulin. However, the transcriptional activity of insulin remains the same. We conclude that the precipitation process of insulin crystal may be disturbed by a lack of zinc in the cytosol that is modulated by mainly ZIP8 after IH exposure.

  6. Hook Phenomenon: Intermittent distal ureteral obstruction following reimplantation

    Directory of Open Access Journals (Sweden)

    M. Mehdizadeh "


    Full Text Available Background/Objectives: To evaluate the child with intermittent ureteral obstruction following antireflux surgery and to introduce a new imaging technique for diagnosis of the socalled “hook” phenomenon, the most serious complication of antireflux surgery. Patients and Methods: Twenty-five children with a history of antireflux surgery who were referred for either persistent urinary tract infection (UTI or progressive hydronephrosis were included in the study. All the children with signs and symptoms of voiding dysfunction or persistent reflux were excluded. A new imaging technique was devised to evaluate these patients for the presence of “hook phenomenon”, in which a renal ultrasound was performed both on a full bladder and after voiding. If dilatation of the urinary tract was detected on full bladder, and this dilatation decreased dramatically following micturition, then a catheter was passed into the bladder and was filled with normal saline (based on the estimated bladder capacity in order to avoid over-distension. An intravenous urogram and saline cystogram were performed simultaneously. After 20 minutes, 2 abdominal radiographs were obtained on full and emptied bladder, both. Results: On the intravenous urogram, some children showed typical “J- hook-shaped” ureters. In all the cases marked hydronephrosis was noted, with no contrast material seen entering the bladder on the 20 minute radiogram. Upon evacuation of the bladder, both ureters promptly drained into the bladder and the”J-hooking” of the ureters and hydronephrosis resolved. Conclusion: "J- hook phenomenon” is one of the most common causes of hydronephrosis and hydroureter following ureteral re-implantation is intermittent ureteral obstruction from creation of the new ureteral hiatus at an inappropriate site. This complication is frequently misdiagnosed as irreversible uretero-vesical junction obstruction from ischemia or fibrosis. Once the diagnosis of “J- hook


    Directory of Open Access Journals (Sweden)

    Lorival J. Carminatti


    Full Text Available The aim of the present study was to compare physiological responses derived from an incremental progressive field test with a constant speed test i.e. intermittent versus continuous protocol. Two progressive maximum tests (Carminatti`s test (T-CAR and the Vameval test (T-VAM, characterized by increasing speed were used. T-CAR is an intermittent incremental test, performed as shuttle runs; while T-VAM is a continuous incremental test performed on an athletic track. Eighteen physically active, healthy young subjects (21.9 ± 2.0 years; 76.5 ± 8.6 kg, 1.78 ± 0.08 m, 11.2 ± 5.4% body fat, volunteered for this study. Subjects performed four different maximum test sessions conducted in the field: two incremental tests and two time to exhaustion tests (TTE at peak test velocities (PV. No significant differences were found for PV (T-CAR = 15.6 ± 1.2; T-VAM = 15.5 ± 1.3 km·h-1 and maximal HR (T-CAR = 195 ± 11; T- VAM = 194 ± 14 bpm. During TTE, there were no significant differences for HR (TTET-CAR and TTET-VAM = 192 ± 12 bpm. However, there was a significant difference in TTE (p = 0.04 (TTET-CAR = 379 ± 84, TTET-VAM = 338 ± 58 s with a low correlation (r = 0.41. The blood lactate concentration measured at the end of the TTE tests, showed no significant difference (TTET-CAR = 13.2 ± 2.4 vs. TTET-VAM = 12.9 ± 2.4 mmol·l-1. Based on the present findings, it is suggested that the maximal variables derived from T-CAR and T-VAM can be interchangeable in the design of training programs.

  8. Biotrickling filtration of isopropanol under intermittent loading conditions. (United States)

    San-Valero, Pau; Penya-Roja, Josep M; Sempere, Feliu; Gabaldón, Carmen


    This paper investigates the removal of isopropanol by gas-phase biotrickling filtration. Two plastic packing materials, one structured and one random, have been evaluated in terms of oxygen mass transfer and isopropanol removal efficiency. Oxygen mass transfer experiments were performed at gas velocities of 104 and 312 m h⁻¹ and liquid velocities between 3 and 33 m h⁻¹. Both materials showed similar mass transfer coefficients up to liquid velocities of 15 m h⁻¹. At greater liquid velocities, the structured packing exhibited greater oxygen mass transfer coefficients. Biotrickling filtration experiments were carried out at inlet loads (IL) from 20 to 65 g C m⁻³ h⁻¹ and empty bed residence times (EBRT) from 14 to 160 s. To simulate typical industrial emissions, intermittent isopropanol loading (16 h/day, 5 day/week) and intermittent spraying frequency (15 min/1.5 h) were applied. Maximum elimination capacity of 51 g C m⁻³ h⁻¹ has been obtained for the random packing (IL of 65 g C m⁻³ h⁻¹, EBRT of 50 s). The decrease in irrigation frequency to 15 min every 3 h caused a decrease in the outlet emissions from 86 to 59 mg C Nm⁻³ (inlet of 500 mg C Nm⁻³). The expansion of spraying to night and weekend periods promoted the degradation of the isopropanol accumulated in the water tank during the day, reaching effluent concentrations as low as 44 mg C Nm⁻³. After a 7-week starvation period, the performance was recovered in less than 10 days, proving the robustness of the process.

  9. ImOSM: intermittent evolution and robustness of phylogenetic methods. (United States)

    Thi Nguyen, Minh Anh; Gesell, Tanja; von Haeseler, Arndt


    Among the criteria to evaluate the performance of a phylogenetic method, robustness to model violation is of particular practical importance as complete a priori knowledge of evolutionary processes is typically unavailable. For studies of robustness in phylogenetic inference, a utility to add well-defined model violations to the simulated data would be helpful. We therefore introduce ImOSM, a tool to imbed intermittent evolution as model violation into an alignment. Intermittent evolution refers to extra substitutions occurring randomly on branches of a tree, thus changing alignment site patterns. This means that the extra substitutions are placed on the tree after the typical process of sequence evolution is completed. We then study the robustness of widely used phylogenetic methods: maximum likelihood (ML), maximum parsimony (MP), and a distance-based method (BIONJ) to various scenarios of model violation. Violation of rates across sites (RaS) heterogeneity and simultaneous violation of RaS and the transition/transversion ratio on two nonadjacent external branches hinder all the methods recovery of the true topology for a four-taxon tree. For an eight-taxon balanced tree, the violations cause each of the three methods to infer a different topology. Both ML and MP fail, whereas BIONJ, which calculates the distances based on the ML estimated parameters, reconstructs the true tree. Finally, we report that a test of model homogeneity and goodness of fit tests have enough power to detect such model violations. The outcome of the tests can help to actually gain confidence in the inferred trees. Therefore, we recommend using these tests in practical phylogenetic analyses.

  10. Response to Switch from Intermittent Therapy to Daily Therapy for Refractory Nodular Bronchiectatic Mycobacterium avium Complex Lung Disease


    Koh, Won-Jung; Jeong, Byeong-Ho; Jeon, Kyeongman; Park, Hye Yun; Kim, Su-Young; Huh, Hee Jae; Ki, Chang-Seok; Lee, Nam Yong; Shin, Sung Jae; Daley, Charles L.


    Intermittent three-times-weekly antibiotic therapy is recommended for the initial treatment of patients with noncavitary nodular bronchiectatic Mycobacterium avium complex lung disease. Although some experts recommend switching from intermittent to daily therapy for patients whose sputum has persistent positive cultures after intermittent therapy, the clinical efficacy of these modifications is unknown. Of 20 patients whose sputum had persistent positive cultures after 12 months of intermitte...

  11. Acute Pancreatitis Concomitant Acute Coronary Syndrome

    Directory of Open Access Journals (Sweden)

    Okay Abacı


    Full Text Available Acute pancreatitis is an inflammatory syndrome with unpredictable progression to systemic inflammation and multi-organ dysfunction. As in our case rarely, acute pancreatitis can be presented with the coexistance of acute coronary syndrome. To prevent a misdiagnosis of acute situation presented with chest or abdominal pain, physicians must be aware for coexisting pathophysiologies and take into account the differential diagnosis of all life-threatening causes such as cardiac ischemia or acute abdominal situations.

  12. Hiatus Hernia: A Rare Cause of Acute Pancreatitis

    Directory of Open Access Journals (Sweden)

    Shruti Patel


    Full Text Available Hiatal hernia (HH is the herniation of elements of the abdominal cavity through the esophageal hiatus of the diaphragm. A giant HH with pancreatic prolapse is very rare and its causing pancreatitis is an even more extraordinary condition. We describe a case of a 65-year-old man diagnosed with acute pancreatitis secondary to pancreatic herniation. In these cases, acute pancreatitis may be caused by the diaphragmatic crura impinging upon the pancreas and leading to repetitive trauma as it crosses the hernia; intermittent folding of the main pancreatic duct; ischemia associated with stretching at its vascular pedicle; or total pancreatic incarceration. Asymptomatic hernia may not require any treatment, while multiple studies have supported the recommendation of early elective repair as a safer route in symptomatic patients. In summary, though rare, pancreatic herniation should be considered as a cause of acute pancreatitis. A high index of suspicion for complications is warranted in cases like these.


    Directory of Open Access Journals (Sweden)

    Clare E. Humberstone-Gough


    Full Text Available Live High:Train Low (LHTL altitude training is a popular ergogenic aid amongst athletes. An alternative hypoxia protocol, acute (60-90 min daily Intermittent Hypoxic Exposure (IHE, has shown potential for improving athletic performance. The aim of this study was to compare directly the effects of LHTL and IHE on the running and blood characteristics of elite triathletes. Changes in total haemoglobin mass (Hbmass, maximal oxygen consumption (VO2max, velocity at VO2max (vVO2max, time to exhaustion (TTE, running economy, maximal blood lactate concentration ([La] and 3 mM [La] running speed were compared following 17 days of LHTL (240 h of hypoxia, IHE (10.2 h of hypoxia or Placebo treatment in 24 Australian National Team triathletes (7 female, 17 male. There was a clear 3.2 ± 4.8% (mean ± 90% confidence limits increase in Hbmass following LHTL compared with Placebo, whereas the corresponding change of -1.4 ± 4.5% in IHE was unclear. Following LHTL, running economy was 2.8 ± 4.4% improved compared to IHE and 3mM [La] running speed was 4.4 ± 4.5% improved compared to Placebo. After IHE, there were no beneficial changes in running economy or 3mM [La] running speed compared to Placebo. There were no clear changes in VO2max, vVO2max and TTE following either method of hypoxia. The clear difference in Hbmass response between LHTL and IHE indicated that the dose of hypoxia in IHE was insufficient to induce accelerated erythropoiesis. Improved running economy and 3mM [La] running speed following LHTL suggested that this method of hypoxic exposure may enhance performance at submaximal running speeds. Overall, there was no evidence to support the use of IHE in elite triathletes

  14. Adrenergic β2-receptors mediates visceral hypersensitivity induced by heterotypic intermittent stress in rats.

    Directory of Open Access Journals (Sweden)

    Chunhua Zhang

    Full Text Available Chronic visceral pain in patients with irritable bowel syndrome (IBS has been difficult to treat effectively partially because its pathophysiology is not fully understood. Recent studies show that norepinephrine (NE plays an important role in the development of visceral hypersensitivity. In this study, we designed to investigate the role of adrenergic signaling in visceral hypersensitivity induced by heterotypical intermittent stress (HIS. Abdominal withdrawal reflex scores (AWRs used as visceral sensitivity were determined by measuring the visceromoter responses to colorectal distension. Colon-specific dorsal root ganglia neurons (DRGs were labeled by injection of DiI into the colon wall and were acutely dissociated for whole-cell patch-clamp recordings. Blood plasma level of NE was measured using radioimmunoassay kits. The expression of β2-adrenoceptors was measured by western blotting. We showed that HIS-induced visceral hypersensitivity was attenuated by systemic administration of a β-adrenoceptor antagonist propranolol, in a dose-dependent manner, but not by a α-adrenoceptor antagonist phentolamine. Using specific β-adrenoceptor antagonists, HIS-induced visceral hypersensitivity was alleviated by β2 adrenoceptor antagonist but not by β1- or β3-adrenoceptor antagonist. Administration of a selective β2-adrenoceptor antagonist also normalized hyperexcitability of colon-innervating DRG neurons of HIS rats. Furthermore, administration of β-adrenoceptor antagonist suppressed sustained potassium current density (IK without any alteration of fast-inactivating potassium current density (IA. Conversely, administration of NE enhanced the neuronal excitability and produced visceral hypersensitivity in healthy control rats, and blocked by β2-adrenoceptor antagonists. In addition, HIS significantly enhanced the NE concentration in the blood plasma but did not change the expression of β2-adrenoceptor in DRGs and the muscularis externa of the

  15. Vortioxetine restores reversal learning impaired by 5-HT depletion or chronic intermittent cold stress in rats. (United States)

    Wallace, Ashley; Pehrson, Alan L; Sánchez, Connie; Morilak, David A


    Current treatments for depression, including serotonin-specific reuptake inhibitors (SSRIs), are only partially effective, with a high incidence of residual symptoms, relapse, and treatment resistance. Loss of cognitive flexibility, a component of depression, is associated with dysregulation of the prefrontal cortex. Reversal learning, a form of cognitive flexibility, is impaired by chronic stress, a risk factor for depression, and the stress-induced impairment in reversal learning is sensitive to chronic SSRI treatment, and is mimicked by serotonin (5-HT) depletion. Vortioxetine, a novel, multimodal-acting antidepressant, is a 5-HT3, 5-HT7 and 5-HT1D receptor antagonist, a 5-HT1B receptor partial agonist, a 5-HT1A receptor agonist, and inhibits the 5-HT transporter. Using adult male rats, we first investigated the direct effects of vortioxetine, acting at post-synaptic 5-HT receptors, on reversal learning that was compromised by 5-HT depletion using 4-chloro-DL-phenylalanine methyl ester hydrochloride (PCPA), effectively eliminating any contribution of 5-HT reuptake blockade. PCPA induced a reversal learning impairment that was alleviated by acute or sub-chronic vortioxetine administration, suggesting that post-synaptic 5-HT receptor activation contributes to the effects of vortioxetine. We then investigated the effects of chronic dietary administration of vortioxetine on reversal learning that had been compromised in intact animals exposed to chronic intermittent cold (CIC) stress, to assess vortioxetine's total pharmacological effect. CIC stress impaired reversal learning, and chronic vortioxetine administration prevented the reversal-learning deficit. Together, these results suggest that the direct effect of vortioxetine at 5-HT receptors may contribute to positive effects on cognitive flexibility deficits, and may enhance the effect of 5-HT reuptake blockade.

  16. Maximal intermittent handgrip strategy: design and evaluation of an exercise protocol and a grip tool. (United States)

    Bentley, Danielle Christine; Thomas, Scott Gordon


    Handgrip (HG) exercise has been prescribed as a lifestyle intervention to successfully reduce resting blood pressure (BP) among heterogeneous groups of participants. Current HG protocols have limited accessibility due to complicated exercise prescriptions and sophisticated required equipment. Therefore, this research describes the design and evaluation of the maximal intermittent (MINT) HG exercise strategy, consisting of both a novel exercise protocol (32×5 seconds maximal grip squeezes separated by 5 seconds of rest between sets) and an original grip tool. This research was a multistep progressive design that included 51 postmenopausal women as participants in three separate research studies. Part 1 of this research focuses on the MINT exercise protocol. A literature-informed rationale for the design of the protocol is described. This includes exercise intensity, work-to-rest ratio, and total exercise duration with reference to the unique physiology (mechanoreflex and metaboreflex) of postmenopausal women. Subsequent experimental analyses of acute responses to the MINT protocol revealed that women produced 50% of their maximum grip force with moderate cardiovascular responses (increases of systolic BP: 41.6 mmHg, diastolic BP: 20.1 mmHg, heart rate: 35.1 bpm) that remained far below the thresholds of concern identified by the American College of Sports Medicine. Part 2 of this research describes the creation of a novel grip tool, beginning with a mixed-methods assessment of participant opinions regarding two distinct in-laboratory grip tools, leading to the creation of four prototype MINT tools. Structured focus groups revealed a strong preference for MINT prototype 1 for all tool design features, including color, shape, size, and foam grip. Collectively, the result of this multistep research is a novel HG exercise strategy with enhanced accessibility by being easy to understand and simple to execute. The long-term training effectiveness of MINT as an exercise

  17. Intermittent Hypoxia-Induced Carotid Body Chemosensory Potentiation and Hypertension Are Critically Dependent on Peroxynitrite Formation

    Directory of Open Access Journals (Sweden)

    Esteban A. Moya


    Full Text Available Oxidative stress is involved in the development of carotid body (CB chemosensory potentiation and systemic hypertension induced by chronic intermittent hypoxia (CIH, the main feature of obstructive sleep apnea. We tested whether peroxynitrite (ONOO−, a highly reactive nitrogen species, is involved in the enhanced CB oxygen chemosensitivity and the hypertension during CIH. Accordingly, we studied effects of Ebselen, an ONOO− scavenger, on 3-nitrotyrosine immunoreactivity (3-NT-ir in the CB, the CB chemosensory discharge, and arterial blood pressure (BP in rats exposed to CIH. Male Sprague-Dawley rats were exposed to CIH (5% O2, 12 times/h, 8 h/day for 7 days. Ebselen (10 mg/kg/day was administrated using osmotic minipumps and BP measured with radiotelemetry. Compared to the sham animals, CIH-treated rats showed increased 3-NT-ir within the CB, enhanced CB chemosensory responses to hypoxia, increased BP response to acute hypoxia, and hypertension. Rats treated with Ebselen and exposed to CIH displayed a significant reduction in 3-NT-ir levels (60.8 ± 14.9 versus 22.9 ± 4.2 a.u., reduced CB chemosensory response to 5% O2 (266.5 ± 13.4 versus 168.6 ± 16.8 Hz, and decreased mean BP (116.9 ± 13.2 versus 82.1 ± 5.1 mmHg. Our results suggest that CIH-induced CB chemosensory potentiation and hypertension are critically dependent on ONOO− formation.

  18. Ecoulements intermittents de gaz et de liquide en conduite verticale Intermittent Gas and Liquid Flows in a Vertical Pipe.

    Directory of Open Access Journals (Sweden)

    Line A.


    Full Text Available Le modèle présenté ici permet la pré-détermination du gradient de pression, du taux global de gaz, et de grandeurs caractéristiques de l'intermittence, dans un écoulement à poches et bouchons en conduite verticale. L'écriture des lois de conservation en moyenne phasique conditionnelle conduit à la définition d'une cellule moyenne équivalente. La fermeture du modèle est assurée par des lois de contrainte de cisaillement film-paroi, film-poche, bouchon-paroi, par une loi d'arrachage du gaz au culot de la poche, une loi de glissement du gaz dans les bouchons et par une loi de la vitesse moyenne de propagation des fronts de poches. Le calibrage et la qualification du modèle s'appuient sur deux banques de données, dont l'une a été obtenue avec des fluides pétroliers dans des conditions proches des situations industrielles (boucle diphasique de Boussens. The model described here can be used to predetermine the pressure gradient, the overall gas rate and the characteristic intermittence magnitudes in pocket and slug flow in a vertical pipe. The way governing equations in the conditional phase average are written defines an equivalent average cell. The model is closed by film/wall, film/pocket and slug/wall shear-stress laws, by a pulloff law for the gas at the bottom of the pocket, a slippage law for the gas in the slugs, and a mean propagation velocity law for the pocket fronts. The calibration and qualification of the model are based on two data banks, one of which contains data on petroleum fluids under conditions close to industrial situations (two-phase loop at Boussens.

  19. Human adipocytes are highly sensitive to intermittent hypoxia induced NF-kappaB activity and subsequent inflammatory gene expression

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, Cormac T. [School of Medicine and Medical Science, The Conway Institute, University College Dublin (Ireland); Kent, Brian D.; Crinion, Sophie J.; McNicholas, Walter T. [School of Medicine and Medical Science, The Conway Institute, University College Dublin (Ireland); Pulmonary and Sleep Disorders Unit, St. Vincent’s University Hospital, Dublin (Ireland); Ryan, Silke, E-mail: [School of Medicine and Medical Science, The Conway Institute, University College Dublin (Ireland); Pulmonary and Sleep Disorders Unit, St. Vincent’s University Hospital, Dublin (Ireland)


    Highlights: • Intermittent hypoxia (IH) leads to NF-κB activation in human primary adipocytes. • Adipocytes bear higher pro-inflammatory potential than other human primary cells. • IH leads to upregulation of multiple pro-inflammatory genes in human adipocytes. - Abstract: Introduction: Intermittent hypoxia (IH)-induced activation of pro-inflammatory pathways is a major contributing factor to the cardiovascular pathophysiology associated with obstructive sleep apnea (OSA). Obesity is commonly associated with OSA although it remains unknown whether adipose tissue is a major source of inflammatory mediators in response to IH. The aim of this study was to test the hypothesis that IH leads to augmented inflammatory responses in human adipocytes when compared to cells of non-adipocyte lineages. Methods and results: Human primary subcutaneous and visceral adipocytes, human primary microvascular pulmonary endothelial cells (HUMEC-L) and human primary small airway epithelial cells (SAEC) were exposed to 0, 6 or 12 cycles of IH or stimulated with tumor necrosis factor (TNF)-α. IH led to a robust increase in NF-κB DNA-binding activity in adipocytes compared with normoxic controls regardless of whether the source of adipocytes was visceral or subcutaneous. Notably, the NF-κB response of adipocytes to both IH and TNF-α was significantly greater than that in HUMEC-L and SAEC. Western blotting confirmed enhanced nuclear translocation of p65 in adipocytes in response to IH, accompanied by phosphorylation of I-κB. Parallel to p65 activation, we observed a significant increase in secretion of the adipokines interleukin (IL)-8, IL-6 and TNF-α with IH in adipocytes accompanied by significant upregulation of mRNA expression. PCR-array suggested profound influence of IH on pro-inflammatory gene expression in adipocytes. Conclusion: Human adipocytes demonstrate strong sensitivity to inflammatory gene expression in response to acute IH and hence, adipose tissue may be a key

  20. Detection of the type of intermittency using characteristic patterns in recurrence plots. (United States)

    Klimaszewska, Katarzyna; Zebrowski, Jan J


    One of the common routes to chaos is intermittency. Identification of the intermittency type is usually made using the properties of the probability distribution of laminar phases and of the average length of the laminar phases. Both have a statistical character and to obtain them a long time series has to be examined. Here, we present a recurrence plot method applicable to the analysis of short time series and through which the type of intermittency may be identified. The three types of intermittency introduced by Pomeau and Manneville and a chaos-chaos intermittency induced by interior crisis were examined. The identification of the type of intermittency is equivalent to the identification of the bifurcation associated with it. Our result seems particularly interesting as our method allows the analysis of short time series. The effect of the measurement noise on the effectiveness of the method is also discussed. An application of the method to the detection of type I intermittency in measured heart rate variability data is discussed.

  1. In-out intermittency in partial differential equation and ordinary differential equation models. (United States)

    Covas, Eurico; Tavakol, Reza; Ashwin, Peter; Tworkowski, Andrew; Brooke, John M.


    We find concrete evidence for a recently discovered form of intermittency, referred to as in-out intermittency, in both partial differential equation (PDE) and ordinary differential equation (ODE) models of mean field dynamos. This type of intermittency [introduced in P. Ashwin, E. Covas, and R. Tavakol, Nonlinearity 9, 563 (1999)] occurs in systems with invariant submanifolds and, as opposed to on-off intermittency which can also occur in skew product systems, it requires an absence of skew product structure. By this we mean that the dynamics on the attractor intermittent to the invariant manifold cannot be expressed simply as the dynamics on the invariant subspace forcing the transverse dynamics; the transverse dynamics will alter that tangential to the invariant subspace when one is far enough away from the invariant manifold. Since general systems with invariant submanifolds are not likely to have skew product structure, this type of behavior may be of physical relevance in a variety of dynamical settings. The models employed here to demonstrate in-out intermittency are axisymmetric mean-field dynamo models which are often used to study the observed large-scale magnetic variability in the Sun and solar-type stars. The occurrence of this type of intermittency in such models may be of interest in understanding some aspects of such variabilities. (c) 2001 American Institute of Physics.

  2. Intermittent aeration to improve wastewater treatment efficiency in pilot-scale constructed wetland. (United States)

    Uggetti, Enrica; Hughes-Riley, Theodore; Morris, Robert H; Newton, Michael I; Trabi, Christophe L; Hawes, Patrick; Puigagut, Jaume; García, Joan


    Forced aeration of horizontal subsurface flow constructed wetlands (HSSF CWs) is nowadays a recognized method to improve treatment efficiency, mainly in terms of ammonium removal. While numerous investigations have been reported testing constant aeration, scarce information can be found about the efficiency of intermittent aeration. This study aims at comparing continuous and intermittent aeration, establishing if there is an optimal regime that will increase treatment efficiency of HSSF CWs whilst minimizing the energy requirement. Full and intermittent aeration were tested in a pilot plant of three HSSF CWs (2.64m(2) each) fed with primary treated wastewater. One unit was fully aerated; one intermittently aerated (i.e. by setting a limit of 0.5mg/L dissolved oxygen within the bed) with the remaining unit not aerated as a control. Results indicated that intermittent aeration was the most successful operating method. Indeed, the coexistence of aerobic and anoxic conditions promoted by the intermittent aeration resulted in the highest COD (66%), ammonium (99%) and total nitrogen (79%) removals. On the other hand, continuous aeration promotes ammonium removal (99%), but resulted in nitrate concentrations in the effluent of up to 27mg/L. This study demonstrates the high potential of the intermittent aeration to increase wastewater treatment efficiency of CWs providing an extreme benefit in terms of the energy consumption.


    Energy Technology Data Exchange (ETDEWEB)

    Wawrzaszek, A.; Macek, W. M. [Space Research Centre, Polish Academy of Sciences, Warsaw (Poland); Echim, M. [The Belgian Institute for Space Aeronomy, Brussels (Belgium); Bruno, R., E-mail:, E-mail:, E-mail:, E-mail: [Institute for Space Astrophysics and Planetology, Roma (Italy)


    We study intermittency as a departure from self-similarity of the solar wind magnetic turbulence and investigate the evolution with the heliocentric distance and latitude. We use data from the Ulysses spacecraft measured during two solar minima (1997–1998 and 2007–2008) and one solar maximum (1999–2001). In particular, by modeling a multifractal spectrum, we revealed the intermittent character of turbulence in the small-scale fluctuations of the magnetic field embedded in the slow and fast solar wind. Generally, at small distances from the Sun, in both the slow and fast solar wind, we observe the high degree of multifractality (intermittency) that decreases somewhat slowly with distance and slowly with latitude. The obtained results seem to suggest that generally intermittency in the solar wind has a solar origin. However, the fast and slow streams, shocks, and other nonlinear interactions can only be considered as the drivers of the intermittent turbulence. It seems that analysis shows that turbulence beyond the ecliptic plane evolves too slowly to maintain the intermittency with the distance and latitude. Moreover, we confirm that the multifractality and intermittency are at a lower level than in the ecliptic, as well as the existence of symmetry with respect to the ecliptic plane, suggesting that there are similar turbulent properties observed in the two hemispheres.

  4. Reliability and validity of a novel intermittent peak running speed test for Australian football. (United States)

    Mooney, Mitchell G; Hunter, Jayden R; O'Brien, Brendan J; Berry, Jason T; Young, Warren B


    Australian football requires frequent intermittent sprinting close to peak running speed. However, tests assessing the capability to maintain intermittent peak running speed are not reported in scientific literature. Therefore, our objective is to report the reliability and validity of a novel intermittent peak running speed test. The intermittent peak running speed test required footballers to perform 10 repetitions on 25-second intervals. Each repetition required 15-m jogging, 20-m acceleration to peak speed, 10 m to sustain peak speed, 20-m deceleration, and finally a 15-m jog. Intermittent peak running speed was determined by portable global positioning system. To assess reliability, 26 footballers performed the intermittent peak running speed test on 2 occasions 3-5 days apart. Our results revealed that average peak speed had a coefficient of variation of 2.2% and an intraclass correlation of 0.91. To assess construct validity, average peak speed was compared between elite, sub-elite, and regional footballers. The average peak speed of the elite footballers (28.6 ± 1.7 km · h(-1)) was higher than that of the sub-elite (27.4 ± 1.7 km · h(-1)) and regional (27 ± 1.9 km · h(-1)) competitors (p intermittent peak running speed test possesses acceptable reliability and distinguishes between elite and sub-elite footballers.

  5. Intermittent hypoxia and isoniazid plus rifampicin affect hepatic ultrastructure in mice

    Institute of Scientific and Technical Information of China (English)

    WU Run-hua; ZENG Yi-ming; CHEN Xiao-yang


    Background Chronic intermittent hypoxia is the most important pathophysiologic feature of sleep apnea syndrome.The present study aimed to determine whether chronic intermittent hypoxia,which is associated with sleep apnea syndrome,can cause or increase damage to liver cell ultrastructure induced by isoniazid and rifampicin in mice.Methods Based on a 2x2 full factorial design consisting of two factors of chronic intermittent hypoxia and isoniazid plus rifampicin,32 male C57B6J mice were randomized into the control group,the chronic intermittent hypoxia group,the isoniazid plus rifampicin group,and the chronic intermittent hypoxia + isoniazid plus rifampicin group.Twelve weeks after treatment,we examined the ultrastructure of liver cells and quantitatively analyzed mitochondrial morphology in C57B6J mice.Results Chronic intermittent hypoxia did not significantly affect the ultrastructure of liver cells.The main effect of chronic intermittent hypoxia did not lead to an increase of mean profile area or mean perimeter of mitochondria,and a decrease of numerical density on area of mitochondria (all P >0.05).Isoniazid plus rifampicin significantly affected liver cell ultrastructure.The main effect of isoniazid plus rifampicin resulted in an increase of mean profile area and mean perimeter of mitochondria,and a decrease of numerical density on area of mitochondria (all P <0.05).Moreover,there was a positive interaction among the chronic intermittent hypoxia and the isoniazid plus rifampicin groups for mean profile area,mean perimeter,and numerical density on area of mitochondria (all P<0.05).Conclusion Chronic intermittent hypoxia and isoniazid plus rifampicin treatment lead to synergistic liver cell ultrastructural injury.

  6. Intermittent hypoxia can aggravate motor neuronal loss and cognitive dysfunction in ALS mice.

    Directory of Open Access Journals (Sweden)

    Sung-Min Kim

    Full Text Available BACKGROUND: Patients with ALS may be exposed to variable degrees of chronic intermittent hypoxia. However, all previous experimental studies on the effects of hypoxia in ALS have only used a sustained hypoxia model and it is possible that chronic intermittent hypoxia exerts effects via a different molecular mechanism from that of sustained hypoxia. No study has yet shown that hypoxia (either chronic intermittent or sustained can affect the loss of motor neurons or cognitive function in an in vivo model of ALS. OBJECTIVE: To evaluate the effects of chronic intermittent hypoxia on motor and cognitive function in ALS mice. METHODS: Sixteen ALS mice and 16 wild-type mice were divided into 2 groups and subjected to either chronic intermittent hypoxia or normoxia for 2 weeks. The effects of chronic intermittent hypoxia on ALS mice were evaluated using the rotarod, Y-maze, and wire-hanging tests. In addition, numbers of motor neurons in the ventral horn of the spinal cord were counted and western blot analyses were performed for markers of oxidative stress and inflammatory pathway activation. RESULTS: Compared to ALS mice kept in normoxic conditions, ALS mice that experienced chronic intermittent hypoxia had poorer motor learning on the rotarod test, poorer spatial memory on the Y-maze test, shorter wire hanging time, and fewer motor neurons in the ventral spinal cord. Compared to ALS-normoxic and wild-type mice, ALS mice that experienced chronic intermittent hypoxia had higher levels of oxidative stress and inflammation. CONCLUSIONS: Chronic intermittent hypoxia can aggravate motor neuronal death, neuromuscular weakness, and probably cognitive dysfunction in ALS mice. The generation of oxidative stress with activation of inflammatory pathways may be associated with this mechanism. Our study will provide insight into the association of hypoxia with disease progression, and in turn, the rationale for an early non-invasive ventilation treatment in

  7. Effect of intermittent feeding, structural components and phytase on performance and behaviour of broiler chickens. (United States)

    Svihus, B; Lund, V B; Borjgen, B; Bedford, M R; Bakken, M


    1. Two experiments were conducted to study the effect of intermittent feeding on performance and the efficacy of an exogenous phytase, and to assess whether intermittent feeding changed the activity pattern of broiler chickens. 2. Broiler chickens were given, either ad libitum or intermittently, a phosphorus deficient pelleted diet containing either coarsely or finely ground oat hulls and either no enzyme or a phytase added from 10 d of age, in a 2 × 2 × 2 factorial arrangement. Ad libitum feeding consisted of continuous access to feed in a room with 18 h of light and 6 h of complete darkness, whereas birds on intermittent feeding had restricted access to feed from 7 d of age, with 4 1-h feeding bouts/d and one 2-h feeding bout/d from d 14. 3. Performance, characteristics of the anterior digestive tract and phosphorus retention were assessed in experiment 1, while in experiment 2, birds were observed during 4-h periods to quantify different behaviours. 4. Intermittent feeding and phytase improved performance, but intermittent feeding did not improve the efficacy of the enzyme added. Ad libitum fed broiler chickens ate and drank on average twice per hour, and spent close to three-quarters of their time resting. Apart from an increased standing and feed searching activity for intermittently fed birds compared to ad libitum fed birds during the last hour before feed was presented, no differences in activity was detected. 5. It was concluded that broiler chickens quickly adapt to intermittent feeding without reduction in final body weight and with improvements in feed efficiency, but without improving the efficacy of dietary phytase. Only small changes occur in the behaviour of intermittently fed birds compared to ad libitum fed birds.

  8. Midgut Malrotation Causing Intermittent Intestinal Obstruction in a Young Adult


    Huseyin Kazim Bektasoglu; Ufuk Oguz Idiz; Mustafa Hasbahceci; Erkan Yardimci; Yurdakul Deniz Firat; Oguzhan Karatepe; Mahmut Muslumanoglu


    Midgut malrotation is a congenital anomaly of intestinal rotation and fixation that is generally seen in neonatal population. Adult cases are rarely reported. Early diagnosis is crucial to avoid life threatening complications. Here, we present an adulthood case of midgut volvulus as a rare cause of acute abdomen.

  9. Midgut malrotation causing intermittent intestinal obstruction in a young adult. (United States)

    Bektasoglu, Huseyin Kazim; Idiz, Ufuk Oguz; Hasbahceci, Mustafa; Yardimci, Erkan; Firat, Yurdakul Deniz; Karatepe, Oguzhan; Muslumanoglu, Mahmut


    Midgut malrotation is a congenital anomaly of intestinal rotation and fixation that is generally seen in neonatal population. Adult cases are rarely reported. Early diagnosis is crucial to avoid life threatening complications. Here, we present an adulthood case of midgut volvulus as a rare cause of acute abdomen.

  10. Probabilistic signatures of spatiotemporal intermittency in the coupled sine circle map lattice

    Indian Academy of Sciences (India)

    Zahera Jabeen; Neelima Gupta


    The phase diagram of the coupled sine circle map system exhibits a variety of interesting phenomena including spreading regions with spatiotemporal intermittency, non-spreading regions with spatial intermittency, and coherent structures termed solitons. A spreading to non-spreading transition is seen in the system. A cellular automaton version of the coupled system maps the spreading to non-spreading transition to a transition from a probabilistic to a deterministic cellular automaton. The solitonic sector of the system shows spatiotemporal intermittency with soliton creation, propagation and absorption. A probabilistic cellular automaton mapping is set up for this sector which can identify each one of these phenomena.

  11. Distance stereo acuity improvement in intermittent exotropic patients following strabismus surgery. (United States)

    O'Neal, T D; Rosenbaum, A L; Stathacopoulos, R A


    To determine whether distance stereo acuity improved following strabismus surgery in patients with intermittent exotropia, we tested 20 patients (5 to 87 years old) preoperatively and postoperatively using the Mentor BVAT II Video acuity tester (Santa Barbara, Calif) and binocular visual system. Acuity improved in 75% as assessed by contour circles and in 45% as assessed by random dot E tests at distance. Our results suggest that surgical realignment of intermittent exotropia restores distance stereo acuity. We conclude that measuring distance stereo acuity offers valuable information in the evaluation of the intermittent exotropic patient.

  12. Intermittent magnetic field excitation by a turbulent flow of liquid sodium

    CERN Document Server

    Nornber, M D; Kendrick, R D; Jacobson, C M; Forest, C B


    The magnetic field measured in the Madison Dynamo Experiment shows intermittent periods of growth when an axial magnetic field is applied. The geometry of the intermittent field is consistent with the fastest growing magnetic eigenmode predicted by kinematic dynamo theory using a laminar model of the mean flow. Though the eigenmodes of the mean flow are decaying, it is postulated that turbulent fluctuations of the velocity field change the flow geometry such that the eigenmode growth rate is temporarily positive. Therefore, it is expected that a characteristic of the onset of a turbulent dynamo is magnetic intermittency.

  13. Synchronization analysis of coloured delayed networks under decentralized pinning intermittent control

    Indian Academy of Sciences (India)



    This paper investigates synchronization of coloured delayed networks under decentralized pinning intermittent control. To begin with, the time delays are taken into account in the coloured networks. In addition, we propose a decentralized pinning intermittent control for coloured delayed networks, which is different from that most of pinning intermittent controls are only appliedto the nodes from 1 to l or centralized nodes. Moreover, sufficient conditions are derived to guarantee the synchronization of coloured delayed networks based on Lyapunov stability theorem. Finally, numerical simulations are provided to verify the validity of the obtained results.

  14. Solar system plasma Turbulence: Observations, inteRmittency and Multifractals (United States)

    Echim, Marius M.


    The FP7 project STORM is funded by the European Commission to "add value to existing data bases through a more comprehensive interpretation". STORM targets plasma and magnetic field databases collected in the solar wind (Ulysses and also some planetary missions), planetary magnetospheres (Venus Express, Cluster, a few orbits from Cassini), cometary magnetosheaths (e.g. Haley from Giotto observations). The project applies the same package of analysis methods on geomagnetic field observations from ground and on derived indices (e.g. AE, AL, AU, SYM-H). The analysis strategy adopted in STORM is built on the principle of increasing complexity, from lower (like, e.g., the Power Spectral Density - PSD) to higher order analyses (the Probability Distribution Functions - PDFs, Structure Functions - SFs, Fractals and Multifractals - MFs). Therefore STORM targets not only the spectral behavior of turbulent fluctuations but also their topology and scale behavior inferred from advanced mathematical algorithms and geometrical-like analogs. STORM started in January 2013 and ended in December 2015. We will report on a selection of scientific and technical achievements and will highlight: (1) the radial evolution of solar wind turbulence and intermittency based on Ulysses data with some contributions from Venus Express and Cluster; (2) comparative study of fast and slow wind turbulence and intermittency at solar minimum; (3) comparative study of the planetary response (Venus and Earth magnetosheaths) to turbulent solar wind; (4) the critical behavior of geomagnetic fluctuations and indices; (5) an integrated library for non-linear analysis of time series that includes all the approaches adopted in STORM to investigate solar system plasma turbulence. STORM delivers an unprecedented volume of analysed data for turbulence. The project made indeed a systematic survey, orbit by orbit, of data available from ESA repositories and Principal Investigators and provides results ordered as a

  15. Diffusion, intermittency and scaling in wave breaking turbulence (United States)

    Redondo, J. M.; Mosso, C.; Marino, R.


    Measurements of 3D turbulent velocity have been made near the coast for a variety of weather conditions in the wave breaking zone, and these values have been compared with flume measurements at a 100m long wave tank. There is a strong dependence of the integral lenthscales with the Wave Reynolds number as well as with the position and the wind, quantified through the friction velocity from wind profiles measured at the coastline. Earlier results have been published in Bezerra et al. (1998) and Rodriguez et al(1999). Several effects are important and give several decades of variation of eddy diffusivities measured near the coastline (between 0.0001 and 2 m2s-1)Inman et al.(1971), Zeitler(1976). Measurements of electromagnetic and ADV velocity measurements of the Coastal wave generated turbulence are compared in order to invest the scaling and intermittency of the turbulence produced by wave breaking. The velocity measurements were performed with an array of electromagnetic sensors that could be placed along the coastline in a stainless steel sledge. Rodriguez et al.(1994,1999) showed a parabolic shape of cross-shore diffusivity values but present analysis also shows the crosshore dependence of the intermittency as well as changes in the spectral slopes. Bezerra M.O., Diez M., Medeiros C., Rodriguez A., Bahia E. Sanchez-Arcilla A. y Redondo J.M. (1998) Study on the influence of waves on coastal diffusion using image analysis Applied Scientific Research. 59, 191-204. Rodriguez A., Sanchez-Arcilla A., Redondo J.M and C. Mosso (1999) Macroturbulence measurements with electromagnetic and ultrasonic sensors: a comparison under high-turbulent flows. Experiments in Fluids, 27, 31-42. Inman, D. L.; Tait, R.J.; Nordstrom, C.E. (1971). Mixing in the surf zone. Journal of Geophysical Research, vol 76, n° 15, 3493 - 3514. Zeidler, R. B. (1976) Coastal dispersion of pollutants, Journal of the Waterways Harbors and Coastal Engineering Division, 235 - 254 p. Rodriguez, A.; Bahia

  16. Intermittent prophylaxis of recurrent febrile seizures with clobazam versus diazepam. (United States)

    Sattar, S; Saha, S K; Parveen, F; Banu, L A; Momen, A; Ahmed, A U; Quddush, M R; Karim, M M; Begum, S A; Haque, M A; Hoque, M R


    Febrile seizures are the most common type of seizure among children that can be prevented by using prophylactic drugs like Clobazam and Diazepam. The present prospective study was conducted in the Department of Pediatrics, Mymensingh Medical College Hospital and Community Based Medical College Hospital, Bangladesh over a period of 1 year from July 2012 to June 2013 to compare the effectiveness of intermittent Clobazam versus Diazepam therapy in preventing the recurrence of febrile seizures and assessed adverse effects of each drug. A total of 65 patients (32 children administered Clobazam and rest 33 children received Diazepam) of simple and complex febrile seizures aged 6 months to 5 years of both sexes were the study population. Data were collected by interview of the patients, clinical examination and laboratory investigations using the research instrument. Data were analyzed by using Chi-square (χ2) Test, Student's 't' Test and Fisher's Exact Test. For all analytical tests, the level of significance was set at 0.05 and pClobazam and Diazepam groups. Over 31% of patients in Clobazam group who experienced episode of fever within 3 months, 40.6% within 6 months and 9.4% within 9 months compared to 36.4% in Diazepam group within 3 months, 45.5% within 6 months & 12.1% within 9 months after discharge from the hospital. Three (9.4%) patients in Clobazam group and 7(21.3%) in Diazepam group who experienced febrile convulsion during the follow up period. From the data adverse effects within 3 and 6 months experienced by the patient's drowsiness, sedation and ataxia were higher in Diazepam group than those in Clobazam group. However, within 9 months lethargy and irritability were somewhat higher in Clobazam group than those in Diazepam group. The mean duration of hospitalization was significantly higher in Diazepam group compared to Clobazam group (6.0±1.0 vs. 4.6±0.08 days, PDiazepam group had a history of recurrent seizures, whereas 3(9.4%) of 32 children in the

  17. Acute arterial occlusion - kidney (United States)

    Acute renal arterial thrombosis; Renal artery embolism; Acute renal artery occlusion; Embolism - renal artery ... kidney can often result in permanent kidney failure. Acute arterial occlusion of the renal artery can occur after injury or trauma to ...

  18. Acute cerebellar ataxia (United States)

    Cerebellar ataxia; Ataxia - acute cerebellar; Cerebellitis; Post-varicella acute cerebellar ataxia; PVACA ... Acute cerebellar ataxia in children, especially younger than age 3, may occur several weeks after an illness caused by a virus. ...

  19. Intermittent vs continuous operation of upflow anaerobic sludge bed reactors for dairy wastewater and related microbial changes. (United States)

    Nadais, H; Capela, I; Arroja, L


    This work compares continuous vs intermittent UASB reactors inoculated with flocculent sludge for the treatment of dairy effluents. The effects of effluent recirculation on the performance of intermittent reactors were assessed as well as the differences in specific methanogenic activity (SMA) with different substrates for the biomass from continuous and intermittent UASB reactors. Compared to the continuous operation the intermittent operation resulted in higher methanization of the removed COD (64-78% and 65-88%, respectively) whilst the effluent recirculation presented beneficial effects when applied during the stabilization period and was clearly detrimental when applied during the feed period of the intermittent operation. The SMA tests showed that the intermittent operation causes a shift in the microbial populations towards a better adaptation for the degradation of complex substrates confirmed by the meaningfull contribution of methane production through a pathway other than acetoclastic methanogenesis observed in the biomass taken from intermittent UASB reactors.

  20. Opinion Paper: 'Likelihood-ratio' and 'odds' applied to monitoring of patients as a supplement to 'reference change value' (RCV)

    DEFF Research Database (Denmark)

    Petersen, Per Hyltoft; Sandberg, Sverre; Iglesias, Natàlia


    of this concept. It is a dichotomised interpretation of continuous data using a fixed probability without any counter hypothesis. Therefore, a tool for better understanding and interpretation of measured differences in monitoring is needed. Theory: The concept of sensitivity, specificity, likelihood ratios...... is acute intermittent porphyria, where increasing excretion of porphobilinogen is characteristic for an attack. The within-subject biological variation is estimated to 25%, which for two measurements gives a variation of 35% for measured differences. Three pre-test probabilities are assumed and illustrate...

  1. Potential Benefits and Harms of Intermittent Energy Restriction and Intermittent Fasting Amongst Obese, Overweight and Normal Weight Subjects—A Narrative Review of Human and Animal Evidence (United States)

    Harvie, Michelle; Howell, Anthony


    Intermittent energy restriction (IER) has become popular as a means of weight control amongst people who are overweight and obese, and is also undertaken by normal weight people hoping spells of marked energy restriction will optimise their health. This review summarises randomised comparisons of intermittent and isoenergetic continuous energy restriction for weight loss to manage overweight and obesity. It also summarises the potential beneficial or adverse effects of IER on body composition, adipose stores and metabolic effects from human studies, including studies amongst normal weight subjects and relevant animal experimentation. Six small short term (animal models highlight the potential beneficial and adverse effects of intermittent compared to continuous energy restriction on ectopic and visceral fat stores, adipocyte size, insulin resistance, and metabolic flexibility. The longer term benefits or harms of IER amongst people who are overweight or obese, and particularly amongst normal weight subjects, is not known and is a priority for further investigation. PMID:28106818

  2. Top predator absence enhances leaf breakdown in an intermittent stream. (United States)

    Rodríguez-Lozano, Pablo; Rieradevall, Maria; Prat, Narcís


    Current biodiversity loss is characterized by the extinction of top predators, but small-bodied freshwater fish are often overlooked in research and conservation management even when threatened because they usually lack commercial value. Therefore, the ecosystem impacts of their possible loss remain mostly unknown. We assessed whether the presence/absence of an endangered predatory fish (Barbus meridionalis (A. Risso, 1827)) in an intermittent stream affects leaf fungal biomass and leaf quality (i.e. leaf carbon:nitrogen ratio and leaf toughness), macroinvertebrate assemblages colonizing leaf packs, and leaf breakdown rates. We conducted a leaf bag experiment comparing a control reach with a population of B. meridionalis with an adjacent upstream fishless reach. In the fishless reach, leaf fungal biomass and microbially mediated breakdown rate were lower compared to the control reach. This was probably caused by the lack of the bottom-up stimulation through nutrient recycling by fish. Shredders and scrapers were found at higher abundance and biomass in the fishless compared to the control reach, and the whole macroinvertebrate community composition changed with fish absence. Consequently, macroinvertebrate mediated leaf breakdown was faster in the fishless than in the control reach, not only compensating for the lower microbially mediated leaf breakdown in the fishless reach, but accelerating the overall leaf breakdown rate. Our study contributes to understand the potential cascading effects produced by the extirpation of endangered small-bodied fish.

  3. Intermittent Brugada Syndrome Presenting with Syncope in an Adult Female

    Directory of Open Access Journals (Sweden)

    Patricia Chavez


    Full Text Available Background. Brugada syndrome accounts for 4–12% of all sudden deaths worldwide and at least 20% of sudden deaths in patients with structurally normal hearts. Case Report. A 48-year-old female presented to the emergency department after two witnessed syncopal episodes. While awaiting discharge had a third collapse followed by cardiac arrest with shockable rhythm. Initial electrocardiogram showed wide QRS complex with left axis deviation, ST-segment elevation of 2 mm followed by a negative T wave with no isoelectric separation, suggestive of spontaneous intermittent Brugada type 1 pattern. Cardiac magnetic resonance imaging demonstrated neither structural heart disease nor abnormal myocardium. After placement of an implantable cardioverter defibrillator the patient was discharged. Why should an emergency physician be aware of this? Brugada syndrome is an infrequently encountered clinical entity which may have a fatal outcome. This syndrome primarily presents with syncope. It should be considered as a component of differential diagnosis in patients with family history of syncope and sudden cardiac death.

  4. Smoking patterns and stimulus control in intermittent and daily smokers.

    Directory of Open Access Journals (Sweden)

    Saul Shiffman

    Full Text Available Intermittent smokers (ITS - who smoke less than daily - comprise an increasing proportion of adult smokers. Their smoking patterns challenge theoretical models of smoking motivation, which emphasize regular and frequent smoking to maintain nicotine levels and avoid withdrawal, but yet have gone largely unexamined. We characterized smoking patterns among 212 ITS (smoking 4-27 days per month compared to 194 daily smokers (DS; smoking 5-30 cigarettes daily who monitored situational antecedents of smoking using ecological momentary assessment. Subjects recorded each cigarette on an electronic diary, and situational variables were assessed in a random subset (n=21,539 smoking episodes; parallel assessments were obtained by beeping subjects at random when they were not smoking (n=26,930 non-smoking occasions. Compared to DS, ITS' smoking was more strongly associated with being away from home, being in a bar, drinking alcohol, socializing, being with friends and acquaintances, and when others were smoking. Mood had only modest effects in either group. DS' and ITS' smoking were substantially and equally suppressed by smoking restrictions, although ITS more often cited self-imposed restrictions. ITS' smoking was consistently more associated with environmental cues and contexts, especially those associated with positive or "indulgent" smoking situations. Stimulus control may be an important influence in maintaining smoking and making quitting difficult among ITS.

  5. Tensor-Based Link Prediction in Intermittently Connected Wireless Networks

    CERN Document Server

    Zayani, Mohamed-Haykel; Slama, Ines; Zeghlache, Djamal


    Through several studies, it has been highlighted that mobility patterns in mobile networks are driven by human behaviors. This effect has been particularly observed in intermittently connected networks like DTN (Delay Tolerant Networks). Given that common social intentions generate similar human behavior, it is relevant to exploit this knowledge in the network protocols design, e.g. to identify the closeness degree between two nodes. In this paper, we propose a temporal link prediction technique for DTN which quantifies the behavior similarity between each pair of nodes and makes use of it to predict future links. Our prediction method keeps track of the spatio-temporal aspects of nodes behaviors organized as a third-order tensor that aims to records the evolution of the network topology. After collapsing the tensor information, we compute the degree of similarity for each pair of nodes using the Katz measure. This metric gives us an indication on the link occurrence between two nodes relying on their closene...

  6. Heterogeneous fluorescence intermittency in single layer reduced graphene oxide (United States)

    Si, Jixin; Volkan-Kacso, Sandor; Eltom, Ahmed; Morozov, Yurii; McDonald, Matthew P.; Ruth, Anthony; Kuno, Masaru; Janko, Boldizsar

    Fluorescence intermittency, or blinking, has been observed in a wide range of systems, including quantum dots, nanorods, and nanowires. Striking similarities have been documented in the optical response of these nanoscale emitters. However, the mechanism behind blinking still remains elusive. For the first time, blinking has been observed in a two-dimensional system in recent experiments on reduced graphene oxide (rGO). Here we reveal the power spectral density (PSD) of the blinking in rGO shares the same 1/f-like behavior of previously known blinking systems; meanwhile, the heterogeneous dynamic evolution and spatial correlation make rGO a unique blinking system. To investigate the origin of blinking, we self-consistently explain the evolution of rGO blinking using the phenomenological multiple recombination center (MRC) model that captures common features of nanoscale blinking. Furthermore, tight binding method and ab-initio method calculations of carbon nanodots are utilized to look for the microscopic structure corresponding to the RCs in the MRC model. M. K. thanks the American Chemical Society Petroleum Research Fund, the Army Research Office (W911NF-12-1-0578) for support. B.J. was supported in part by the U. S. DOE, Office of Science, Office of Basic Energy Sciences, under Contract W-31-109-Eng-38.

  7. Commercial and Industrial Base Intermittent Resource Management Pilot

    Energy Technology Data Exchange (ETDEWEB)

    Kiliccote, Sila; Sporborg, Pamela; Sheik, Imran; Huffaker, Erich; Piette, Mary Ann


    This scoping study summarizes the challenges with integrating wind and solar generation into the California's electricity grid. These challenges include: Smoothing intra-hour variability; - Absorbing excess renewable energy during over-generation periods; - Addressing morning and evening ramping periods. In addition, there are technical challenges to integrating retail demand response (DR) triggered by the wholesale conditions into the CAISO markets. The study describes the DR programs available to the consumers through the utilities in California and CAISO's ancillary services market because an integration of the wholesale and retail DR requires an understanding of these different offerings and the costs associated with acquiring them. Demand-side active and passive storage systems are proposed as technologies that may be used to mitigate the effects of intermittence due to renewable generation. Commercial building technologies as well as industrial facilities with storage capability are identified as targets for the field tests. Two systems used for ancillary services communications are identified as providing the triggers for DR enablement. Through the field tests, issues related to communication, automation and flexibility of demand-side resources will be explored and the performance of technologies that participate in the field tests will be evaluated. The major outcome of this research is identifying and defining flexibility of DR resources and optimized use of these resources to respond to grid conditions.

  8. Intermittent Oral Versus Intravenous Alfacalcidol in Dialysis Patients

    Directory of Open Access Journals (Sweden)

    Mitwalli Ahmed


    Full Text Available Patients with end-stage renal failure (ESRF on maintenance dialysis, commonly develop secondary hyperparathyroidism and renal osteodystrophy (ROD. Alfacalcidol, taken orally or administered intravenously, is known to reverse these complications. In this study, 19 ESRF patients, who were on dialysis (13 on hemodialysis and six on peritoneal dialysis for longer than six months and having serum parathormone levels at least four times normal and serum calcium less than 2.1 mmol/L, were randomly allocated to treatment with oral or intravenous (i.v. alfacalcidol for a period of 12 months. There were six patients on hemodialysis (HD and three on peritoneal dialysis (PD in the oral treatment group while in the i.v. group there were seven patients on HD and three on PD. Clinical and serial biochemical assessments showed no statistically significant difference between the orally- and i.v.-treated patients in terms of suppressing secondary hyperparathyroidism and osteodystrophy. However, patients with features of mild ROD on bone histology, had more satisfactory changes in biochemistry when compared to others. Our results further support the use of intermittent oral alfacalcidol in ESRF patients because of its cost effectiveness, ease of administration and convenience, especially for peritoneal dialysis patients.

  9. Intermittent motion in desert locusts: behavioural complexity in simple environments.

    Directory of Open Access Journals (Sweden)

    Sepideh Bazazi

    Full Text Available Animals can exhibit complex movement patterns that may be the result of interactions with their environment or may be directly the mechanism by which their behaviour is governed. In order to understand the drivers of these patterns we examine the movement behaviour of individual desert locusts in a homogenous experimental arena with minimal external cues. Locust motion is intermittent and we reveal that as pauses become longer, the probability that a locust changes direction from its previous direction of travel increases. Long pauses (of greater than 100 s can be considered reorientation bouts, while shorter pauses (of less than 6 s appear to act as periods of resting between displacements. We observe power-law behaviour in the distribution of move and pause lengths of over 1.5 orders of magnitude. While Lévy features do exist, locusts' movement patterns are more fully described by considering moves, pauses and turns in combination. Further analysis reveals that these combinations give rise to two behavioural modes that are organized in time: local search behaviour (long exploratory pauses with short moves and relocation behaviour (long displacement moves with shorter resting pauses. These findings offer a new perspective on how complex animal movement patterns emerge in nature.

  10. Nonlinear random optical waves: Integrable turbulence, rogue waves and intermittency (United States)

    Randoux, Stéphane; Walczak, Pierre; Onorato, Miguel; Suret, Pierre


    We examine the general question of statistical changes experienced by ensembles of nonlinear random waves propagating in systems ruled by integrable equations. In our study that enters within the framework of integrable turbulence, we specifically focus on optical fiber systems accurately described by the integrable one-dimensional nonlinear Schrödinger equation. We consider random complex fields having a Gaussian statistics and an infinite extension at initial stage. We use numerical simulations with periodic boundary conditions and optical fiber experiments to investigate spectral and statistical changes experienced by nonlinear waves in focusing and in defocusing propagation regimes. As a result of nonlinear propagation, the power spectrum of the random wave broadens and takes exponential wings both in focusing and in defocusing regimes. Heavy-tailed deviations from Gaussian statistics are observed in focusing regime while low-tailed deviations from Gaussian statistics are observed in defocusing regime. After some transient evolution, the wave system is found to exhibit a statistically stationary state in which neither the probability density function of the wave field nor the spectrum changes with the evolution variable. Separating fluctuations of small scale from fluctuations of large scale both in focusing and defocusing regimes, we reveal the phenomenon of intermittency; i.e., small scales are characterized by large heavy-tailed deviations from Gaussian statistics, while the large ones are almost Gaussian.

  11. Coherent structure and Intermittent Turbulence in the Solar Wind Plasma (United States)

    Sondhiya, Deepak Kumar; Gwal, Ashok Kumar; Kasde, Satish Kumar


    We analyze the coherent structures and intermittent turbulence in the solar wind plasma using measurements from the Wind spacecraft. Previously established novel wavelet and higher order statistics are used in this work. We analyze the wavelet power spectrum of various solar wind plasma parameters. We construct a statistical significance level in the wavelet power spectrum to quantify the interference effects arising from filling missing data in the time series, allowing extraction of significant power from the measured data. We analyze each wavelet power spectra for transient coherency, and global periodicities resulting from the superposition of repeating coherent structures. Furthermore, these coherent structures are preferentially found in plasma unstable to the mirror and firehose instabilities. These results offer a new understanding of various processes in a turbulent regime. Finally, we discuss the implications of our results for current theories of solar wind generation and describe future work for determining the relationship between the coherent structures in our ionic composition data and the structure of the coronal magnetic field. Keywords: Wavelet Power Spectrum, Coherent structure and Solar wind plasma

  12. Intermittent explosions of dissipative solitons and noise-induced crisis (United States)

    Cisternas, Jaime; Descalzi, Orazio


    Dissipative solitons show a variety of behaviors not exhibited by their conservative counterparts. For instance, a dissipative soliton can remain localized for a long period of time without major profile changes, then grow and become broader for a short time—explode—and return to the original spatial profile afterward. Here we consider the dynamics of dissipative solitons and the onset of explosions in detail. By using the one-dimensional complex Ginzburg-Landau model and adjusting a single parameter, we show how the appearance of explosions has the general signatures of intermittency: the periods of time between explosions are irregular even in the absence of noise, but their mean value is related to the distance to criticality by a power law. We conjecture that these explosions are a manifestation of attractor-merging crises, as the continuum of localized solitons induced by translation symmetry becomes connected by short-lived trajectories, forming a delocalized attractor. As additive noise is added, the extended system shows the same scaling found by low-dimensional systems exhibiting crises [J. Sommerer, E. Ott, and C. Grebogi, Phys. Rev. APLRAAN1050-294710.1103/PhysRevA.43.1754 43, 1754 (1991)], thus supporting the validity of the proposed picture.

  13. A stochastic space-time model for intermittent precipitation occurrences

    KAUST Repository

    Sun, Ying


    Modeling a precipitation field is challenging due to its intermittent and highly scale-dependent nature. Motivated by the features of high-frequency precipitation data from a network of rain gauges, we propose a threshold space-time t random field (tRF) model for 15-minute precipitation occurrences. This model is constructed through a space-time Gaussian random field (GRF) with random scaling varying along time or space and time. It can be viewed as a generalization of the purely spatial tRF, and has a hierarchical representation that allows for Bayesian interpretation. Developing appropriate tools for evaluating precipitation models is a crucial part of the model-building process, and we focus on evaluating whether models can produce the observed conditional dry and rain probabilities given that some set of neighboring sites all have rain or all have no rain. These conditional probabilities show that the proposed space-time model has noticeable improvements in some characteristics of joint rainfall occurrences for the data we have considered.

  14. Optimal Intermittent Dose Schedules for Chemotherapy Using Genetic Algorithm

    Directory of Open Access Journals (Sweden)

    Nadia ALAM


    Full Text Available In this paper, a design method for optimal cancer chemotherapy schedules via genetic algorithm (GA is presented. The design targets the key objective of chemotherapy to minimize the size of cancer tumor after a predefined time with keeping toxic side effects in limit. This is a difficult target to achieve using conventional clinical methods due to poor therapeutic indices of existing anti-cancer drugs. Moreover, there are clinical limitations in treatment administration to maintain continuous treatment. Besides, carefully decided rest periods are recommended to for patient’s comfort. Three intermittent drug scheduling schemes are presented in this paper where GA is used to optimize the dose quantities and timings by satisfying several treatment constraints. All three schemes are found to be effective in total elimination of cancer tumor after an agreed treatment length. The number of cancer cells is found zero at the end of the treatment for all three cases with tolerable toxicity. Finally, two of the schemes, “Fixed interval variable dose (FIVD and “Periodic dose” that are periodic in characteristic have been emphasized due to their additional simplicity in administration along with friendliness to patients. responses to the designed treatment schedules. Therefore the proposed design method is capable of planning effective, simple, patient friendly and acceptable chemotherapy schedules.

  15. Beneficial effects of intermittent hypobaric hypoxia on the body

    Institute of Scientific and Technical Information of China (English)

    Yi ZHANG; Zhao-nian ZHOU


    Myocardial ischemia and reperfusion (I/R) is a common problem in clinic and there is no satisfactory method for prevention or treatment of I/R injury so far.Chronic intermittent hypobaric hypoxia (CIHH),similar to the concept of ischemia preconditioning(IPC)or altitude hypoxia adaptation (AHA),has been recognized to confer a protective effect on heart against I/R injury with a longer protective effect than IPC and a less adverse effect than AHA.It has been proved that CIHH increases myocardial tolerance to ischemia or hypoxia,reserving cardiac function and preventing arrhythmia during I/R.Multiple mechanisms or pathway underlying the cardiac protection of ClHH have been proposed,such as induction of heatshock protein,enhancement of myocardial antioxidation capacity,increase of coronary flow and myocardial capillary angiogenesis,activation of adenosine triphosphate (ATP)-sensitive potassium channels,inhibition of mitochondrial permeability transition pores,and activation of protein kinase C (PKC) and induced nitric oxide synthase (iNOS).In addition,CIHH has been found having many beneficial effects on the body,such as promotion of health,increase of oxygen utilization,and prevention or treatment for some diseases.The beneficial effects of ClHH and potential mechanisms are reviewed mainly based on the researches performed by our group.

  16. Data analysis considerations in probing single quantum dot fluorescence intermittency (United States)

    Krogmeier, Jeffrey R.; Hwang, Jeeseong


    The fluorescence intermittency of single, bare, CdSe/ZnS quantum dots was probed using single molecule confocal microscopy and found to demonstrate power law kinetics. Various threshold values and line fitting parameters are employed in the data analysis and their effects on the extracted power law exponents, moff and mon, are presented. The threshold is found to be critical in determining moff while having no significant effect on mon. The mean plus 2σ threshold, calculated from the background noise in the measurement, results in a more negative moff slope in comparison to the mean plus 3σ or mean plus 4σ thresholds. This is likely due to the mean plus 2σ threshold lying within the background noise outliers which mimic short on events. In contrast, the mean plus 4σ threshold is above 99.99% of the background noise while adequately below the fluorescence signal. Additionally, it is found that fitting only the ten most probable data points rather than all the data points in the log-log probability density graphs results in no significant change in moff and mon.

  17. Phase locking of wind turbines leads to intermittent power production (United States)

    Anvari, M.; Wächter, M.; Peinke, J.


    Wind energy, inserted into the power grid by wind turbines, is strongly influenced by the turbulent fluctuations of wind speed in the atmospheric layer. Here we investigate the power production of a wind farm and show that due to the presence of large-scale and long-time correlation in wind velocity, turbines interact with each other. This interaction can result in phase locking in pairs of turbines. We show that there are time intervals during which some pairs of turbines are temporally phase locked. This intermediate phase locking leads to the statistical effect that the short-time fluctuations of the cumulative power output of the wind farm become non-Gaussian, i.e., intermittent power production occurs. Contrary to phase-locked states, there are some time intervals where all turbines are phase unlocking and consequently the probability density function of the temporal increment of cumulative power production of the wind farm has almost Gaussian distribution. The phase-locked states, which can be distinct from phase-unlocked states by their dynamical features, are evaluated by reconstructed stochastic differential equations.

  18. Intravesical oxybutinin chloride in children with intermittent catheterization: sonographic findings. (United States)

    Zerin, J M; DiPietro, M A; Ritchey, M L; Bloom, D A


    The sonographic findings in the bladder are presented in four children with myelomeningocele and neurogenic dysfunction of the bladder, who were treated with intermittent self-catheterization and intravesical oxybutinin chloride. All were referred for routine sonography of the urinary tract. Each had infused a crushed tablet of oxybutinin chloride intravesically 30-120 min before the examination. In two children, brightly echogenic, non-shadowing particles were suspended in the bladder urine. In one of these, the particles swirled giving the impression of a "snowstorm"; in the other, most of the particles gradually settled forming an irregular clump on the bladder base. In the remaining two children, the urine appeared diffusely hazy with innumerable tiny particles giving the impression of a fine mist filling the bladder. The sonographic appearance of the urine in the bladder after intravesical instillation of crushed tablets can be dramatic and can simulate pus, blood, fungus, or other debris in the bladder lumen. In the absence of clinical symptoms or hematuria, a history of recent infusion of medication into the bladder should be sought.

  19. Slow and Fast Escape for Open Intermittent Maps (United States)

    Demers, Mark F.; Todd, Mike


    If a system mixes too slowly, putting a hole in it can completely destroy the richness of the dynamics. Here we study this instability for a class of intermittent maps with a family of slowly mixing measures. We show that there are three regimes: (1) standard hyperbolic-like behavior where the rate of mixing is faster than the rate of escape through the hole, there is a unique limiting absolutely continuous conditionally invariant measure (accim) and there is a complete thermodynamic description of the dynamics on the survivor set; (2) an intermediate regime, where the rate of mixing and escape through the hole coincide, limiting accims exist, but much of the thermodynamic picture breaks down; (3) a subexponentially mixing regime where the slow mixing means that mass simply accumulates on the parabolic fixed point. We give a complete picture of the transitions and stability properties (in the size of the hole and as we move through the family) in this class of open systems. In particular, we are able to recover a form of stability in the third regime above via the dynamics on the survivor set, even when no limiting accim exists.

  20. Fotossensibilidade amplificada? Relato de porfiria cutânea tarda associada a lúpus eritematoso sistêmico Increased photosensitivity? Case report of porphyria cutanea tarda associated with systemic lupus erythematosus

    Directory of Open Access Journals (Sweden)

    Scheila Fritsch


    Full Text Available A associação de porfiria cutânea tarda (PCT e lúpus eritematoso sistêmico (LES é rara. O LES, de fisiopatologia complexa e manifestações clínicas pleomórficas, assemelha-se à PCT pela fotossensibilidade. Um achado que pode diferenciar as duas doenças são as lesões cutâneas bolhosas, raras no LES, mas características da PCT. Descrevemos um caso de associação de PCT e LES e revisamos a literatura, enfatizando questões fisiopatológicas, clínicas e terapêuticas. Um dado relevante para a prática clínica concerne ao tratamento do lúpus com antimaláricos, o que pode oferecer riscos para a PCT.The association of porphyria cutanea tarda (PCT and systemic lupus erythematosus (SLE is rare. Systemic lupus erythematosus, of complex pathophysiology and pleomorphic clinical manifestations, is similar to PCT regarding photosensitivity. One finding that can differentiate both diseases is the presence of cutaneous blisters, which are rare in SLE, but characteristic of PCT. We report one case of the association of PCT and SLE and revise the literature, emphasizing pathophysiological, clinical and therapeutic aspects. One relevant information for clinical practice relates to the treatment of SLE with antimalarials, which is a risk for PCT.