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Sample records for advanced continuous mild

  1. Development of an advanced, continuous mild gasification process for the production of co-products

    Energy Technology Data Exchange (ETDEWEB)

    Knight, R.A.; Gissy, J.; Onischak, M.; Kline, S.; Babu, S.P.

    1990-01-01

    Research continued on the production of co-products from mild gasification. This quarter, 10 mild gasification tests were conducted in the 8-inch-I.D. process research unit (PRU). Modifications to the PRU were made during this period to improve mixing and to overcome the caking tendency of the Illinois No. 6 coal. Six of the tests resulted in satisfactory operation at steady conditions for 2.25 to 3.25 hours. Samples of char, gas, water, and organic condensables were collected over a one-hour period from each of these successful tests and analyzed. The effects of process temperature over the range of 1025{degree} to 1390{degree} was studied during this quarter. Compositional effects on the oils and tars observed with increased temperature are increased light oil content, decreased pitch content, decreased oxygen content, increased nitrogen and sulfur content, and increasing aromaticity. Char upgrading studies continued during the quarter. Briquettes made in a laboratory press, using either a pitch binder or Illinois No. 6 coal to provide an in-situ binder, were calcined and tested for diametral compression strength. Char was also subjected to steam activation at a variety of conditions to determine the potential for use as a low-cost absorbent for water treatment. 2 refs., 15 figs., 11 tabs.

  2. Development of an advanced continuous mild gasification process for the production of coproducts

    Energy Technology Data Exchange (ETDEWEB)

    Jha, M.C.; McCormick, R.L.; Hogsett, R.F.; Rowe, R.M.; Anast, K.R.

    1991-12-01

    This document describes the results of Task 4 under which a 50 pound/hour char-to-carbon (CTC) process research unit (PRU) was designed in the second half of 1989, with construction completed in June 1990. The CTC PRU at Golden was operated for nearly one year during which 35 runs were completed for a total of nearly 800 hours of operation. Char methanation and carbon production reactor development activities are detailed in this report, as well as the results of integrated runs of the CTC process. Evaluation of the process and the carbon product produced is also included. It was concluded that carbon could be produced from mild gasification char utilizing the CTC process. Char methanation and membrane separation steps performed reasonably well and can scaled up with confidence. However, the novel directly heated reactor system for methane cracking did not work satisfactorily due to materials of construction and heat transfer problems, which adversely affected the quantity and quality of the carbon product. Alternative reactor designs are recommended.

  3. Development of an advanced, continuous mild gasification process for the production of co-products (Task 1), Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Knight, R.A.; Gissy, J.L.; Onischak, M.; Babu, S.P.; Carty, R.H. (Institute of Gas Technology, Chicago, IL (United States)); Duthie, R.G. (Bechtel Group, Inc., San Francisco, CA (United States)); Wootten, J.M. (Peabody Holding Co., Inc., St. Louis, MO (United States))

    1991-09-01

    Under US DOE sponsorship, a project team consisting of the Institute of Gas Technology, Peabody Holding Company, and Bechtel Group, Inc. has been developing an advanced, mild gasification process to process all types of coal and to produce solid and condensable liquid co-products that can open new markets for coal. The three and a half year program (September 1987 to June 1991) consisted of investigations in four main areas. These areas are: (1) Literature Survey of Mild Gasification Processes, Co-Product Upgrading and Utilization, and Market Assessment; (2) Mild Gasification Technology Development: Process Research Unit Tests Using Slipstream Sampling; (3) Bench-Scale Char Upgrading Study; (4) Mild Gasification Technology Development: System Integration Studies. In this report, the literature and market assessment of mild gasification processes are discussed.

  4. Development of an advanced, continuous mild gasification process for the production of co-products: Topical report

    Energy Technology Data Exchange (ETDEWEB)

    Cha, C.Y.; Merriam, N.W.; Jha, M.C.; Breault, R.W.

    1988-06-01

    Research on mild gasification is discussed. The report is divided into three sections: literature survey of mild gasification processes; literature survey of char, condensibles, and gas upgrading and utilization methods; and industrial market assessment of products of mild gasification. Recommendations are included in each section. (CBS) 248 refs., 58 figs., 62 tabs.

  5. Development of an advanced, continuous mild gasification process for the production of co-products technical evaluation. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Ness, R.O. Jr.; Runge, B.; Sharp, L.

    1992-11-01

    The University of North Dakota Energy and Environmental Research Center (EERC) and the AMAX Research and Development Center are cooperating in the development of a Mild Gasification process that will rapidly devolatilize coals of all ranks at relatively low temperatures between 930{degree} and 1470{degree}F (500{degree}and 800{degree}C) and near atmospheric pressure to produce primary products that include a reactive char, a hydrocarbon condensate, and a low-Btu gas. These will be upgraded in a ``coal refinery`` system having the flexibility to optimize products based on market demand. Task 2 of the four-task development sequence primarily covered bench-scale testing on a 10-gram thermogravimetric analyzer (TGA) and a 1 to 4-lb/hr continuous fluidized-bed reactor (CFBR). Tests were performed to determine product yields and qualities for the two major test coals-one a high-sulfur bituminous coal from the Illinois Basin (Indiana No. 3) and the other a low-sulfur subbituminous coal from the Powder River Basin (Wyodak). Results from Task 3, on product upgrading tests performed by AMAX Research and Development (R&D), are also reported. Task 4 included the construction, operation of a Process Research Unit (PRU), and the upgrading of the products. An economic evaluation of a commercial facility was made, based on the data produced in the PRU, CFBR, and the physical cleaning steps.

  6. Development of an advanced, continuous mild gasification process for the production of co-products technical evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Ness, R.O. Jr.; Runge, B.; Sharp, L.

    1992-11-01

    The University of North Dakota Energy and Environmental Research Center (EERC) and the AMAX Research and Development Center are cooperating in the development of a Mild Gasification process that will rapidly devolatilize coals of all ranks at relatively low temperatures between 930[degree] and 1470[degree]F (500[degree]and 800[degree]C) and near atmospheric pressure to produce primary products that include a reactive char, a hydrocarbon condensate, and a low-Btu gas. These will be upgraded in a coal refinery'' system having the flexibility to optimize products based on market demand. Task 2 of the four-task development sequence primarily covered bench-scale testing on a 10-gram thermogravimetric analyzer (TGA) and a 1 to 4-lb/hr continuous fluidized-bed reactor (CFBR). Tests were performed to determine product yields and qualities for the two major test coals-one a high-sulfur bituminous coal from the Illinois Basin (Indiana No. 3) and the other a low-sulfur subbituminous coal from the Powder River Basin (Wyodak). Results from Task 3, on product upgrading tests performed by AMAX Research and Development (R D), are also reported. Task 4 included the construction, operation of a Process Research Unit (PRU), and the upgrading of the products. An economic evaluation of a commercial facility was made, based on the data produced in the PRU, CFBR, and the physical cleaning steps.

  7. Development of an advanced continuous mild gasification process for the production of coproducts. Task 4, System integration studies: Char upgrading

    Energy Technology Data Exchange (ETDEWEB)

    Jha, M.C.; McCormick, R.L.; Hogsett, R.F.; Rowe, R.M.; Anast, K.R.

    1991-12-01

    This document describes the results of Task 4 under which a 50 pound/hour char-to-carbon (CTC) process research unit (PRU) was designed in the second half of 1989, with construction completed in June 1990. The CTC PRU at Golden was operated for nearly one year during which 35 runs were completed for a total of nearly 800 hours of operation. Char methanation and carbon production reactor development activities are detailed in this report, as well as the results of integrated runs of the CTC process. Evaluation of the process and the carbon product produced is also included. It was concluded that carbon could be produced from mild gasification char utilizing the CTC process. Char methanation and membrane separation steps performed reasonably well and can scaled up with confidence. However, the novel directly heated reactor system for methane cracking did not work satisfactorily due to materials of construction and heat transfer problems, which adversely affected the quantity and quality of the carbon product. Alternative reactor designs are recommended.

  8. Development of an advanced, continuous mild gasification process for the production of co-products (Task 1), Volume 1. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Knight, R.A.; Gissy, J.L.; Onischak, M.; Babu, S.P.; Carty, R.H. [Institute of Gas Technology, Chicago, IL (United States); Duthie, R.G. [Bechtel Group, Inc., San Francisco, CA (United States); Wootten, J.M. [Peabody Holding Co., Inc., St. Louis, MO (United States)

    1991-09-01

    Under US DOE sponsorship, a project team consisting of the Institute of Gas Technology, Peabody Holding Company, and Bechtel Group, Inc. has been developing an advanced, mild gasification process to process all types of coal and to produce solid and condensable liquid co-products that can open new markets for coal. The three and a half year program (September 1987 to June 1991) consisted of investigations in four main areas. These areas are: (1) Literature Survey of Mild Gasification Processes, Co-Product Upgrading and Utilization, and Market Assessment; (2) Mild Gasification Technology Development: Process Research Unit Tests Using Slipstream Sampling; (3) Bench-Scale Char Upgrading Study; (4) Mild Gasification Technology Development: System Integration Studies. In this report, the literature and market assessment of mild gasification processes are discussed.

  9. Existence of piecewise continuous mild solutions for impulsive functional differential equations with iterated deviating arguments

    Directory of Open Access Journals (Sweden)

    Pradeep Kumar

    2013-10-01

    Full Text Available The objective of this article is to prove the existence of piecewise continuous mild solutions to impulsive functional differential equation with iterated deviating arguments in a Banach space. The results are obtained by using the theory of analytic semigroups and fixed point theorems.

  10. Advanced continuous cultivation methods for systems microbiology.

    Science.gov (United States)

    Adamberg, Kaarel; Valgepea, Kaspar; Vilu, Raivo

    2015-09-01

    Increasing the throughput of systems biology-based experimental characterization of in silico-designed strains has great potential for accelerating the development of cell factories. For this, analysis of metabolism in the steady state is essential as only this enables the unequivocal definition of the physiological state of cells, which is needed for the complete description and in silico reconstruction of their phenotypes. In this review, we show that for a systems microbiology approach, high-resolution characterization of metabolism in the steady state--growth space analysis (GSA)--can be achieved by using advanced continuous cultivation methods termed changestats. In changestats, an environmental parameter is continuously changed at a constant rate within one experiment whilst maintaining cells in the physiological steady state similar to chemostats. This increases the resolution and throughput of GSA compared with chemostats, and, moreover, enables following of the dynamics of metabolism and detection of metabolic switch-points and optimal growth conditions. We also describe the concept, challenge and necessary criteria of the systematic analysis of steady-state metabolism. Finally, we propose that such systematic characterization of the steady-state growth space of cells using changestats has value not only for fundamental studies of metabolism, but also for systems biology-based metabolic engineering of cell factories. PMID:26220303

  11. Study on deformation and microstructure characterizations of mild steel joints by continuous drive friction welding

    Institute of Scientific and Technical Information of China (English)

    Li Wenya; Yu Min; Li Jinglong; Gao Dalu

    2009-01-01

    Macro-deformation characteristics of continuous drive friction welded mild steel joints were examined by using one deformable workpiece (objective) and the other undeformable one (rigid). The microstructure evolution and hardness change across the joint were studied. The results show that the axial shortening and radial increment of joints increase with increasing the friction time at 1 200rpm. The cementite particles of pearlites in the weld center are uniformly distributed on the ferrite matrix, while the cementites of the pearlite in the thermal-mechanically affected zone are broken and discontinuously dispersed in the pearlite. The hardness decreases rapidly from the weld center to the parent metal under the coupled effects of heat and deformation during the rapid heating and cooling processes.

  12. Existence of bounded uniformly continuous mild solutions on $\\Bbb{R}$ of evolution equations and some applications

    CERN Document Server

    Basit, Bolis

    2011-01-01

    We prove that there is $x_{\\phi}\\in X$ for which (*)$\\frac{d u(t)}{dt}= A u(t) + \\phi (t) $, $u(0)=x$ has on $\\r$ a mild solution $u\\in C_{ub} (\\r,X)$ (that is bounded and uniformly continuous) with $u(0)=x_{\\phi}$, where $A$ is the generator of a holomorphic $C_0$-semigroup $(T(t))_{t\\ge 0}$ on ${X}$ with sup $_{t\\ge 0} \\,||T(t)|| 0$, then $u\\in \

  13. Continuously variable transmission: Assessment of applicability to advance electric vehicles

    Science.gov (United States)

    Loewenthal, S. H.; Parker, R. J.

    1981-01-01

    A brief historical account of the evolution of continuously variable transmissions (CVT) for automotive use is given. The CVT concepts which are potentially suitable for application with electric and hybrid vehicles are discussed. The arrangement and function of several CVT concepts are cited along with their current developmental status. The results of preliminary design studies conducted on four CVT concepts for use in advanced electric vehicles are discussed.

  14. Advanced continuously variable transmissions for electric and hybrid vehicles

    Science.gov (United States)

    Loewenthal, S. H.

    1980-01-01

    A brief survey of past and present continuously variable transmissions (CVT) which are potentially suitable for application with electric and hybrid vehicles is presented. Discussion of general transmission requirements and benefits attainable with a CVT for electric vehicle use is given. The arrangement and function of several specific CVT concepts are cited along with their current development status. Lastly, the results of preliminary design studies conducted under a NASA contract for DOE on four CVT concepts for use in advanced electric vehicles are reviewed.

  15. [Advances in Biomarkers of Mild Traumatic Brain Injury in Cerebrospinal Fluid and Blood].

    Science.gov (United States)

    Huang, Wen; Li, Shang-xun; Li, Xue-jian; Xu, Hong-yun

    2015-12-01

    Mild traumatic brain injury (MTBI) is defined as a mild brain trauma resulting in a short loss of consciousness and alteration of mental status. It may also occasionally develop persistent and progressive symptoms. It has been confirmed that MTBI causes changes of anatomic structures in central nervous system and biomarkers in the body fluid. However, there is no sufficient research on relevance among threshold for the brain injury, individual vulnerability and duration of disturbance of consciousness. Furthermore, there are no reliable diagnostic methods to establish whether a blow to the head is sufficient to cause the brain injury. This review provides references for biomarkers in cerebrospinal fluid and blood associated with TBI. It also provides application status and potential prospects for further assessment and diagnosis of MTBI. PMID:27141807

  16. Existence of bounded uniformly continuous mild solutions on $\\Bbb{R}$ of evolution equations and their asymptotic behaviour

    CERN Document Server

    Basit, Bolis

    2011-01-01

    We prove that $u'= A u + \\phi $ has on $\\Bbb{R}$ a mild solution $u_{\\phi}\\in BUC (\\Bbb{R},X)$ (that is bounded and uniformly continuous), where $A$ is the generator of a $C_0$-semigroup on the Banach space ${X}$ with resolvent satisfying $||R(it,A)||= O(|t|^{-\\theta})$, $|t|\\to \\infty $, with some $\\theta > 1/2$, $\\phi\\in L^{\\infty} (\\Bbb{R},{X})$ and $i\\,sp (\\phi)\\cap \\sigma (A)=\\emptyset$. As a consequence it is shown that if ${\\Cal F}$ is the space of almost periodic, almost automorphic, bounded Levitan almost periodic or certain classes of recurrent functions and $\\phi$ as above is such that $M_h \\phi:=(1/h)\\int_0^h \\phi (\\cdot+s)\\, ds \\in \\Cal {F}$ for each $h >0$, then $u_{\\phi}\\in \\Cal {F}\\cap BUC (\\Bbb{R},X)$. These results seem new and strengthen several recent theorems.

  17. Development of an advanced, continuous mild gasification process for the production of co-products

    Energy Technology Data Exchange (ETDEWEB)

    Cohen, L.R. (Xytel-Bechtel, Inc. (United States)); Hogsett, R.F. (AMAX Research and Development Center, Golden, CO (United States)); Sinor, J.E. (Sinor (J.E.) Consultants, Inc., Niwot, CO (United States)); Ness, R.O. Jr.; Runge, B.D. (North Dakota Univ., Grand Forks, ND (United States). Energy and Environmental Research Center)

    1992-10-01

    The principal finding of this study was the high capital cost and poor financial performance predicted for the size and configuration of the plant design presented. The XBi financial assessment gave a disappointingly low base-case discounted cash flow rate of return (DCFRR) of only 8.1% based on a unit capital cost of $900 per ton year (tpy) for their 129,000 tpy design. This plant cost is in reasonable agreement with the preliminary estimates developed by J.E. Sinor Associates for a 117,000 tpy plant based on the FMC process with similar auxiliaries (Sinor, 1989), for which a unit capital costs of $938 tpy was predicted for a design that included char beneficiation and coal liquids upgrading--or about $779 tpy without the liquid upgrading facilities. The XBi assessment points out that a unit plant cost of $900 tpy is about three times the cost for a conventional coke oven, and therefore, outside the competitive range for commercialization. Modifications to improve process economics could involve increasing plant size, expanding the product slate that XBi has restricted to form coke and electricity, and simplifying the plant flow sheet by eliminating marginally effective cleaning steps and changing other key design parameters. Improving the financial performance of the proposed formed coke design to the level of a 20% DCFRR based on increased plant size alone would require a twenty-fold increase to a coal input of 20,000 tpd and a coke production of about 2.6 minion tpy--a scaling exponent of 0.70 to correct plant cost in relation to plant size.

  18. Antibiotics/antimicrobials: systemic and local administration in the therapy of mild to moderately advanced periodontitis.

    Science.gov (United States)

    Jepsen, Karin; Jepsen, Søren

    2016-06-01

    This review gives an update of the current scientific evidence on the efficacy of the adjunctive use of systemic and local antibiotics/antimicrobials in the treatment of periodontitis. In particular, it addresses whether their use can improve the results of nonsurgical mechanical therapy in mild-to-moderate forms of the disease. Large numbers of randomized clinical trials and systematic reviews with meta-analyses have clearly established that adjunctive systemic antibiotics, combined with mechanical debridement, offer clinical improvements additional to those obtained with scaling and root planing alone. These effects are more pronounced in aggressive periodontitis and in initially deep pockets, whereas more limited additional improvements, of 0.3 mm for additional pocket reduction and 0.2 mm for additional clinical attachment gain, have been documented for moderately deep sites (4-6 mm) in patients with chronic periodontitis. The marginal clinical benefit in patients with moderate disease has to be balanced against possible side effects. Notably, it has to be realized that an increasing number of warnings have been articulated against the unrestricted use of antibiotics in treating periodontal diseases because of the emerging global public health issue of bacterial resistance. The effects of the adjunctive local administration of antimicrobials have also been very well documented in several systematic reviews. Overall, in persistent or recurrent localized deep sites, the application of antimicrobials by sustained-delivery devices may offer a benefit of an additional 0.4 mm in pocket depth reduction and 0.3 mm in clinical attachment level gain. In conclusion, the slight additional benefits of adjunctive antimicrobials, which were shown for moderate forms of periodontitis, have to be balanced against their side effects and therefore their prescription should be limited as much as possible. PMID:27045432

  19. Continuity and change in gender relations in advanced old age

    OpenAIRE

    Wilson, Gail

    1997-01-01

    With greater numbers and a greater proportion of people reaching advanced old age, it is possible that a socially approved life stage may develop which older people can accept as their own. On the evidence presented in this survey, men will need to become more like women if they are to improve the quality of their lives.

  20. Advanced Age and Mild Thyrotoxicosis are Associated with Nodular Goiter in Graves Disease

    Directory of Open Access Journals (Sweden)

    Serkan Yener

    2009-06-01

    Full Text Available Objective: The primary goal of this study is to evaluate predictors of nodular goiter in Graves Disease (GD.Materials and Methods: A total of 202 consecutive patients (mean age: 45; 145 female, 57 male were enrolled. All patients were treated with antithyroid drugs as initial therapy. TSH, FT3, FT4, TRAb, ATPO, and ATG were measured. Radioactive iodine uptake and thyroid ultrasonography were performed, and thyroid volume and nodule diameter were assessed. Ultrasound-guided fine needle aspiration was performed on thyroid nodules ≥8mm. Results: Diffuse goiter was detected in 51% of patients. Solitary nodules were detected in 16%, and multi-nodular disease in 33%. Mean nodule diameter was 8.82 mm. Nodular disease was slightly more common in women (p=0.063. Patients with nodular GD were older (p=0.004, had lower levels of FT3 (p=0.016 and TRAB (p=0.002 when compared with subjects with diffuse GD. Age (OR:6.867 was the independent variable predicting nodular GD. Conclusion: Increased prevalence of nodules was associated with advanced age and milder thyrotoxicosis. Apoptosis of thyroid follicular cells due to excess iodine might interfere with nodule formation, and lead to diffuse goiter in severe thyrotoxicosis. Because of increased rate if malignancy in GD, comprehensive evaluation of thyroid nodules of any size is mandatory. Turk Jem 2009; 13: 1-4

  1. Advanced design cultures long-term perspective and continuous innovation

    CERN Document Server

    2015-01-01

    This book describes new thinking and practice in Advanced Design (ADD) – design that is not merely highly developed but anticipates the future by envisioning novel products and processes. The focus is especially on the front end of innovation and the search for solutions in complex pioneering processes using design-related tools and practices. The book opens by describing these tools, the approaches that characterize ADD, and its historical dimension. Specific fields in which ADD has flourished are then examined, exploring the dynamics between research and design. The coverage ranges from transportation, lighting, and electrical appliances through to business networks, technology parks, and the development of ground-breaking materials. AdvanceDesign is the name of the research group at the Politecnico di Milano (Italy’s largest technical university) of which the authors are members. It was chosen to reflect both the “advanced”, tangible dimension of design in terms of modern product development, mater...

  2. Advancing Public Health through Continuing Education of Health Care Professionals

    Science.gov (United States)

    Hudmon, Karen Suchanek; Addleton, Robert L.; Vitale, Frank M.; Christiansen, Bruce A.; Mejicano, George C.

    2011-01-01

    This article describes how the CS2day (Cease Smoking Today) initiative positioned continuing education (CE) in the intersection between medicine and public health. The authors suggest that most CE activities address the medical challenges that clinicians confront, often to the neglect of the public health issues that are key risk factors for the…

  3. Entanglement in continuous variable systems: Recent advances and current perspectives

    CERN Document Server

    Adesso, G; Adesso, Gerardo; Illuminati, Fabrizio

    2007-01-01

    We review the theory of continuous-variable entanglement with special emphasis on foundational aspects, conceptual structures, and mathematical methods. Much attention is devoted to the discussion of separability criteria and entanglement properties of Gaussian states, for their great practical relevance in applications to quantum optics and quantum information, as well as for the very clean framework that they allow for the study of the structure of nonlocal correlations. We give a self-contained introduction to phase-space and symplectic methods in the study of Gaussian states of infinite-dimensional bosonic systems. We review the most important results on the separability and distillability of Gaussian states and discuss the main properties of bipartite entanglement. These include the extremal entanglement, minimal and maximal, of two-mode mixed Gaussian states, the ordering of two-mode Gaussian states according to different measures of entanglement, the unitary (reversible) localization, and the scaling o...

  4. Punctuated continuity: The technological trajectory of advanced biomass gasifiers

    International Nuclear Information System (INIS)

    Recent interest in biofuels and bio-refineries has been building upon the technology of biomass gasification. This technology developed since the 1980s in three periods, but failed to break through. We try to explain this by studying the technological development from a quasi-evolutionary perspective, drawing upon the concepts of technological paradigms and technological trajectories. We show that the socio-economic context was most important, as it both offered windows of opportunity as well as provided direction to developments. Changes in this context resulted in paradigm shifts, characterized by a change in considered end-products and technologies, as well as a change in companies involved. Other influences on the technological trajectory were firm specific differences, like the focus on a specific feedstock, scale and more recently biofuels to be produced. These were strengthened by the national focus of supporting policies, as well as specific attention for multiple technologies in policies of the USA and European Commission. Over each period we see strong variation that likely benefitted the long term development of the technology. Despite policy efforts that included variation and institutionalization, our case shows that the large changes in socio-economic context and the technological challenges were hard to overcome. - Highlights: • Advanced biomass gasification, as important enabling technology for biofuels and the bio-based economy, has been lacking success despite decades of research and development. • We try to explain this by reconstructing its technological trajectory. • We focus on processes of variation and selection, and interaction between local demonstration projects and the upcoming technological field. • The development of the technology over each period shows strong variation. • Long RD and D times in combination with major changes in the socio-economic context have resulted in discontinuities that even affected premium

  5. Deep brain stimulation targeting the fornix for mild Alzheimer dementia: design of the ADvance randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Holroyd KB

    2015-07-01

    stimulation (DBS of memory circuits may improve symptoms and possibly slow disease progression. The ADvance trial was designed to examine DBS of the fornix as a treatment for mild AD. Methods: ADvance is a randomized, double-blind, placebo-controlled, delayed-start, multicenter clinical trial conducted at six sites in the US and one site in Canada. Eighty-five subjects initially consented to be screened for the trial. Of these, 42 subjects who met inclusion and exclusion criteria were implanted with DBS leads anterior to the columns of the fornix bilaterally. They were randomized 1:1 to DBS “off” or DBS “on” groups for the initial 12 months of follow-up. After 1 year, all subjects will have their devices turned “on” for the remainder of the study. Postimplantation, subjects will return for 13 follow-up visits over 48 months for cognitive and psychiatric assessments, brain imaging (up to 12 months, and safety monitoring. The primary outcome measures include Alzheimer's Disease Assessment Scale – cognitive component (ADAS-cog-13, Clinical Dementia Rating sum of boxes (CDR-SB, and cerebral glucose metabolism measured with positron emission tomography. This report details the study methods, baseline subject characteristics of screened and implanted participants, and screen-to-baseline test–retest reliability of the cognitive outcomes. Results: Implanted subjects had a mean age of 68.2 years, were mostly male (55%, and had baseline mean ADAS-cog-13 and CDR-SB scores of 28.9 (SD, 5.2 and 3.9 (SD, 1.6, respectively. There were no significant differences between screened and implanted or nonimplanted subjects on most demographic or clinical assessments. Implanted subjects had significantly lower (better ADAS-cog-11 (17.5 vs 21.1 scores, but did not differ on CDR-SB. Scores on the major outcome measures for the trial were consistent at screening and baseline. Conclusion: ADvance was successful in enrolling a substantial group of patients for this novel application of

  6. BEACON - An advanced continuous core monitoring and operational support system for pressurized water reactors

    International Nuclear Information System (INIS)

    An advanced continuous core monitoring and operational support system, BEACON, has been developed which combines a super fast nodal model, workstation based hardware, and existing instrumentation which can be used to improve plant availability and operating margin. (author). 6 refs, 8 figs

  7. Continued advancement of the programming language HAL to an operational status

    Science.gov (United States)

    1971-01-01

    The continued advancement of the programming language HAL to operational status is reported. It is demonstrated that the compiler itself can be written in HAL. A HAL-in-HAL experiment proves conclusively that HAL can be used successfully as a compiler implementation tool.

  8. 轻度胃肠炎伴良性婴幼儿惊厥研究进展%Research advances in benign infantile convulsions associated with mild gastroenteritis

    Institute of Scientific and Technical Information of China (English)

    汪丙松; 方续兰; 王佐

    2015-01-01

    Benign infantile convulsions associated with mild gastroenteritis (BICE),known as convulsions with mild gastroenteritis,is a kind of non-febrile convulsions disease associated with acute infantile gastroenteritis.Patients with BICE often have mild gastroenteritis and tonic-clonic seizure manifestation,but no apparent disturbance of water,electrolyte and acid base was observed.BICE,the main etiological agent of which is Rotavirus,is a kind of self-limited disease with favorable prognosis,and no requiring of continuous anticonvulsant treatment.%轻度胃肠炎伴良性婴幼儿惊厥又称轻度胃肠炎伴惊厥,是婴幼儿急性胃肠炎相关的一种无热惊厥.患儿表现为轻度胃肠炎,无明显水、电解质、酸碱平衡紊乱,惊厥多以强直-阵挛形式发作.本病多与轮状病毒感染有关,为自限性疾病,预后良好,无需持续抗惊厥治疗.

  9. Continued rise of the cloud advances and trends in cloud computing

    CERN Document Server

    Mahmood, Zaigham

    2014-01-01

    Cloud computing is no-longer a novel paradigm, but instead an increasingly robust and established technology, yet new developments continue to emerge in this area. Continued Rise of the Cloud: Advances and Trends in Cloud Computing captures the state of the art in cloud technologies, infrastructures, and service delivery and deployment models. The book provides guidance and case studies on the development of cloud-based services and infrastructures from an international selection of expert researchers and practitioners. A careful analysis is provided of relevant theoretical frameworks, prac

  10. Iso9000 Based Advanced Quality Approach for Continuous Improvement of Manufacturing Processes

    OpenAIRE

    Deeb, Salah; Iung, Benoît

    2006-01-01

    The continuous improvement in TQM is considered as the core value by which organisation could maintain a competitive edge. Several techniques and tools are known to support this core value but most of the time these techniques are informal and without modelling the interdependence between the core value and tools. Thus, technique formalisation is one of TQM challenges for increasing efficiency of quality process implementation. In that way, the paper proposes and experiments an advanced quali...

  11. Succession planning for advanced nursing practice; contingency or continuity? The Scottish experience

    OpenAIRE

    Currie, Kay

    2010-01-01

    Kay CurrieDepartment of Adult Nursing and Health, Glasgow Caledonian University, Glasgow, Scotland, UKAim: Succession planning involves identifying key posts within an organization and supporting the ongoing development of individuals ready to move into these roles, thus ensuring continuity of the service. This paper presents an analysis of the succession planning process and illustrates the ways in which key principles may by applied in the case of advanced nursing practice.Background: An ar...

  12. Advance prediction of mild cognitive impairment (MCI) using 99mTc-ECD SPECT brain blood flow imaging

    International Nuclear Information System (INIS)

    Mild Cognitive Impairment (MCI) is considered as a precursor state of Alzheimer disease (AD). Single photon emission computed tomography (SPECT) brain blood flow imaging was investigated in MCI and it's relevance to the prognosis of MCI was evaluated in an attempt define the characteristics of brain blood flow imaging of MCI (amnestic MCI; aMCI) converting to AD. Ninety-two patients over 60 years old with amnesia were studied. 99mTc-ethyl cysteinate dimer (ECD) SPECT brain blood flow examinations of the subject under drug-free conditions were conducted and imaging was analyzed according to the first clinical diagnosis. Patients given a diagnosis of MCI on the first clinical diagnosis, were examined again after 2 years and the SPECT imaging before 2 years previously was classified and analyzed. Of them, there were 35 MCI patients, converting of 13 AD patients (37.1%; aMCI), 10 MCI patients (28.6%; non-converter), 4 depression patients (11.4%; Depression type MCI (dMCI)), 1 Geriatric psychosis patient, but 7 patients dropped out. In the aMCI group, relative hypoperfusion was recognized in the posterior cingulate and the precuneus. In the dMCI group, relative hypoperfusion was recognized in the dorsolateral prefrontal cortex (DLPFC) and the anterior cingulate. In the non-converter group, relative hypoperfusion was recognized in the basal forebrain. The hypoperfusion of the precuneus in aMCI, and the hypoperfusion of the right frontal lobe (DLPFC, dorsal-anterior cingulate) in dMCI were characteristic brain blood-flow abnormalities. We believe 99mTc-ECD SPECT brain blood flow imaging to be useful in the diagnosis of aMCI and in the early detection of depression. (author)

  13. Meta-analysis of randomised controlled trials of oral mandibular advancement devices and continuous positive airway pressure for obstructive sleep apnoea-hypopnoea.

    Science.gov (United States)

    Sharples, Linda D; Clutterbuck-James, Abigail L; Glover, Matthew J; Bennett, Maxine S; Chadwick, Rebecca; Pittman, Marcus A; Quinnell, Timothy G

    2016-06-01

    Obstructive sleep apnoea-hypopnoea (OSAH) causes excessive daytime sleepiness, impairs quality-of-life, and increases cardiovascular disease and road traffic accident risks. Continuous positive airway pressure (CPAP) treatment and mandibular advancement devices (MAD) have been shown to be effective in individual trials but their effectiveness particularly relative to disease severity is unclear. A MEDLINE, Embase and Science Citation Index search updating two systematic reviews to August 2013 identified 77 RCTs in adult OSAH patients comparing: MAD with conservative management (CM); MAD with CPAP; or CPAP with CM. Overall MAD and CPAP significantly improved apnoea-hypopnoea index (AHI) (MAD -9.3/hr (p hr (p effective in the treatment of OSAH. Although CPAP has a greater treatment effect, MAD is an appropriate treatment for patients who are intolerant of CPAP and may be comparable to CPAP in mild disease. PMID:26163056

  14. Preoperative radiation with concurrent 5-fluorouracil continuous infusion for locally advanced unresectable rectal cancer

    International Nuclear Information System (INIS)

    Background and Purpose: To determine the percentage of complete responders and the resectability rate for patients with locally advanced carcinoma of the rectum treated by 5-fluorouracil (5-FU) infusional chemotherapy and pelvic radiation. Materials and Methods: Between October 1992 and June 1996, 29 patients with a diagnosis of locally advanced unresectable rectal cancer received preoperative 5 FU by continuous intravenous infusion at a dose of 225 mg/m2/day concurrent with pelvic radiation (median 54 Gy/28 fractions). All patients were clinical stage T4 on the bases of organ invasion or tumor fixation. Median time for surgical resection was 6 weeks. Results: Median follow-up for the group was 28 months (range 5-57 months). Six patients were felt to be persistently unresectable or developed distant metastases and did not undergo surgical resection. Of the 29 patients, 23 proceeded to surgery, 18 were resectable for cure, 13 by abdominoperineal resection, 3 by anterior resection and 2 by local excision. Of the 29 patients, 4 (13%) had a complete response, and 90% were clinically downstaged. Of the 18 resected patients, 1 has died of his disease, 17 are alive, and 15 disease-free. The regimen was well tolerated; there was only one treatment-related complication, a wound dehiscence. Conclusion: The combination of 5 FU infusion and pelvic radiation in the management of locally advanced rectal cancer is well tolerated and provides a baseline for comparison purposes with future combinations of newer systemic agents and radiation

  15. DYNAMIC MODELLING AND ADVANCED PREDICTIVE CONTROL OF A CONTINUOUS PROCESS OF ENZYME PURIFICATION

    Directory of Open Access Journals (Sweden)

    Dechechi E.C.

    1997-01-01

    Full Text Available A dynamic mathematical model, simulation and computer control of a Continuous Affinity Recycle Extraction (CARE process, a protein purification technique based on protein adsorption on solid-phase adsorbents is described in this work. This process, consisting of three reactors, is a multivariable process with considerable time delay in the on-line analyses of the controlled variable. An advanced predictive control configuration, specifically the Dynamic Matrix Control (DMC, was applied. The DMC algorithm was applied in process schemes where the aim was to maintain constant the enzyme concentration in the outlet of the third reactor. The performance of the DMC controller was analyzed in the feed-flow disturbances and the results are presented.

  16. A review on continuous-flow microfluidic PCR in droplets: Advances, challenges and future.

    Science.gov (United States)

    Zhang, Yonghao; Jiang, Hui-Rong

    2016-03-31

    Significant advances have been made in developing microfluidic polymerase chain reaction (PCR) devices in the last two decades. More recently, microfluidic microdroplet technology has been exploited to perform PCR in droplets because of its unique features. For example, it can prevent crossover contamination and PCR inhibition, is suitable for single-cell and single-molecule analyses, and has the potential for system integration and automation. This review will therefore focus on recent developments on droplet-based continuous-flow microfluidic PCR, and the major research challenges. This paper will also discuss a new way of on-chip flow control and a rational design simulation tool, which are required to underpin fully integrated and automated droplet-based microfluidic systems. We will conclude with a scientific speculation of future autonomous scientific discoveries enabled by microfluidic microdroplet technologies. PMID:26965323

  17. Entanglement in continuous-variable systems: recent advances and current perspectives

    International Nuclear Information System (INIS)

    We review the theory of continuous-variable entanglement with special emphasis on foundational aspects, conceptual structures and mathematical methods. Much attention is devoted to the discussion of separability criteria and entanglement properties of Gaussian states, for their great practical relevance in applications to quantum optics and quantum information, as well as for the very clean framework that they allow for the study of the structure of nonlocal correlations. We give a self-contained introduction to phase-space and symplectic methods in the study of Gaussian states of infinite-dimensional bosonic systems. We review the most important results on the separability and distillability of Gaussian states and discuss the main properties of bipartite entanglement. These include the extremal entanglement, minimal and maximal, of two-mode mixed Gaussian states, the ordering of two-mode Gaussian states according to different measures of entanglement, the unitary (reversible) localization and the scaling of bipartite entanglement in multimode Gaussian states. We then discuss recent advances in the understanding of entanglement sharing in multimode Gaussian states, including the proof of the monogamy inequality of distributed entanglement for all Gaussian states. Multipartite entanglement of Gaussian states is reviewed by discussing its qualification by different classes of separability, and the main consequences of the monogamy inequality, such as the quantification of genuine tripartite entanglement in three-mode Gaussian states, the promiscuous nature of entanglement sharing in symmetric Gaussian states and the possible coexistence of unlimited bipartite and multipartite entanglement. We finally review recent advances and discuss possible perspectives on the qualification and quantification of entanglement in non-Gaussian states, a field of research that is to a large extent yet to be explored

  18. Entanglement in continuous-variable systems: recent advances and current perspectives

    Energy Technology Data Exchange (ETDEWEB)

    Adesso, Gerardo [Dipartimento di Fisica, Universita degli Studi di Roma ' La Sapienza' , Piazzale Aldo Moro 5, I-00185 Rome (Italy); Illuminati, Fabrizio [Dipartimento di Matematica e Informatica, Universita degli Studi di Salerno, Via Ponte don Melillo, I-84084 Fisciano (Italy)

    2007-07-13

    We review the theory of continuous-variable entanglement with special emphasis on foundational aspects, conceptual structures and mathematical methods. Much attention is devoted to the discussion of separability criteria and entanglement properties of Gaussian states, for their great practical relevance in applications to quantum optics and quantum information, as well as for the very clean framework that they allow for the study of the structure of nonlocal correlations. We give a self-contained introduction to phase-space and symplectic methods in the study of Gaussian states of infinite-dimensional bosonic systems. We review the most important results on the separability and distillability of Gaussian states and discuss the main properties of bipartite entanglement. These include the extremal entanglement, minimal and maximal, of two-mode mixed Gaussian states, the ordering of two-mode Gaussian states according to different measures of entanglement, the unitary (reversible) localization and the scaling of bipartite entanglement in multimode Gaussian states. We then discuss recent advances in the understanding of entanglement sharing in multimode Gaussian states, including the proof of the monogamy inequality of distributed entanglement for all Gaussian states. Multipartite entanglement of Gaussian states is reviewed by discussing its qualification by different classes of separability, and the main consequences of the monogamy inequality, such as the quantification of genuine tripartite entanglement in three-mode Gaussian states, the promiscuous nature of entanglement sharing in symmetric Gaussian states and the possible coexistence of unlimited bipartite and multipartite entanglement. We finally review recent advances and discuss possible perspectives on the qualification and quantification of entanglement in non-Gaussian states, a field of research that is to a large extent yet to be explored.

  19. Spectra: the last advance of T-FLaP technology for in continuous oceanographic observations

    Science.gov (United States)

    Marcelli, Marco; Piermattei, Viviana; Madonia, Alice; Mainardi, Umberto

    2015-04-01

    Ocean models have become increasingly useful as computing capabilities and in situ measurement systems have been improved. An operational observing and forecasting system of the ocean properties needs effective data collection programs for model data assimilation and satellite calibration. However, the development of observational networks is strongly limited by the advances of reliable, user-friendly and low cost technologies. These requirements cannot be achieved with current marine measurement technologies, which are too expensive for extensive utilization. For all these reasons in the last decades the use of low cost instrumentations from ships of opportunity (promoted within VOS and SOOP international research programmes), is gaining more and more attention. In order to reduce operative costs and to enhance spatial resolution of data, stand-alone systems provide continuous real-time information about the physical and biological states of the surface waters by moving ships. Following this philosophy, T-FLaP evolution leds to the development of a new low-cost mini ferrybox system, called Spectra, suitable for continuous in situ measures of temperature, conductivity (salinity and density), chlorophyll a and chromophoric dissolved organic matter (CDOM) fluorescence. The philosophy that inspired this instrument is therefore that of Ferrybox, but with miniaturization of components and a considerable reduction in costs. Spectra is composed by an electronic unit, dedicated to the data acquisition, transmission and storage, equipped with a GPS and a hydraulic unit where the measures occur. The measuring cell is a flow-through tubular cell where the water flows. The measuring cell has a modular structure. The design of the measuring cell has been studied in order to ensure that the sensors are in direct contact with the volume of water passing through the probe. In this work a detailed description of Spectra system is given. Moreover, the results of the application of

  20. Continuous aerosol inhalation scintigraphy in the evaluation of early and advanced airways obstruction

    International Nuclear Information System (INIS)

    By means of continuous lung imaging, regional mucociliary removal rates of inhaled sup(99m)Tc-labeled human serum albumin minimicrospheres were determined over upper, middle, lower, central, and peripheral anterior lung areas. Additionally, an index was employed for analysis of initial pulmonary radioaerosol distribution in order to quantify the site of particle deposition in various degrees of airways obstruction. The study involved 15 volunter healthy subjects, 20 asymptomatic smokers with early small airways obstruction, and 30 patients with advanced chronic obstruction of large airways. The healthy group showed evenly distributed lung activity and (normal) clearance rates consistent with data from earlier work. While most uneven lung aerosol distribution was seen in the patients with large airways obstruction, slowest mucociliary clearance velocity was encountered in the smokers with small airways dysfunction. The aerosol technique, if carefully controlled, can be a useful supplement to pulmonary ventilatory function testing, showing reduction of bronchial mucous velocity to be one of the earliest sign of functional impairment in asymptomatic cigarette smokers. (orig.)

  1. Advanced intensity-modulation continuous-wave lidar techniques for ASCENDS CO2 column measurements

    Science.gov (United States)

    Campbell, Joel F.; Lin, Bing; Nehrir, Amin R.; Harrison, F. W.; Obland, Michael D.; Meadows, Byron

    2015-10-01

    Global atmospheric carbon dioxide (CO2) measurements for the NASA Active Sensing of CO2 Emissions over Nights, Days, and Seasons (ASCENDS) space mission are critical for improving our understanding of global CO2 sources and sinks. Advanced Intensity- Modulated Continuous-Wave (IM-CW) lidar techniques are investigated as a means of facilitating CO2 measurements from space to meet the ASCENDS measurement requirements. In recent numerical, laboratory and flight experiments we have successfully used the Binary Phase Shift Keying (BPSK) modulation technique to uniquely discriminate surface lidar returns from intermediate aerosol and cloud contamination. We demonstrate the utility of BPSK to eliminate sidelobes in the range profile as a means of making Integrated Path Differential Absorption (IPDA) column CO2 measurements in the presence of optically thin clouds, thereby eliminating the need to correct for sidelobe bias errors caused by the clouds. Furthermore, high accuracy and precision ranging to the surface as well as to the top of intermediate cloud layers, which is a requirement for the inversion of column CO2 number density measurements to column CO2 mixing ratios, has been demonstrated using new hyperfine interpolation techniques that takes advantage of the periodicity of the modulation waveforms. This approach works well for both BPSK and linear swept-frequency modulation techniques. The BPSK technique under investigation has excellent auto-correlation properties while possessing a finite bandwidth. A comparison of BPSK and linear swept-frequency is also discussed in this paper. These results are extended to include Richardson-Lucy deconvolution techniques to extend the resolution of the lidar beyond that implied by limit of the bandwidth of the modulation, where it is shown useful for making tree canopy measurements.

  2. A phase II study using vinorelbine and continuous 5-fluorouracil in patients with advanced head and neck cancer

    DEFF Research Database (Denmark)

    Larsen, Susanne; Serup-Hansen, Eva; Andersen, Lisbeth J;

    2007-01-01

    Seventy patients with advanced head and neck cancer were treated with vinorelbine and continuous 5-FU administered in a central venous catheter. Over all response was 36% with 9% complete responses. The most common grade 3 and 4 toxicities were stomatitis (13), infection (5), pain related to vino...

  3. Continuous Improvement in Education. Advancing Teaching--Improving Learning. White Paper

    Science.gov (United States)

    Park, Sandra; Hironaka, Stephanie; Carver, Penny; Nordstrum, Lee

    2013-01-01

    In recent years, "continuous improvement" has become a popular catchphrase in the field of education. However, while continuous improvement has become commonplace and well-documented in other industries, such as healthcare and manufacturing, little is known about how this work has manifested itself in education. This white paper attempts…

  4. Evaluation of an oral appliance in patients with mild to moderate obstructive sleep apnea syndrome intolerant to continuous positive airway pressure use: Preliminary results.

    Science.gov (United States)

    Cantore, S; Ballini, A; Farronato, D; Malcangi, G; Dipalma, G; Assandri, F; Garagiola, U; Inchingolo, F; De Vito, D; Cirulli, N

    2016-06-01

    Obstructive sleep apnea syndrome (OSAS) is a phenomenon of repeated, episodic reduction, or cessation of airflow (hypopnea/apnea) as a result of upper airways obstruction. First-line treatment in younger children is adenotonsillectomy, although other available treatment options in middle-aged adults include continuous positive airways pressure (CPAP) and airway adjuncts. Oral appliances (OA) are a viable treatment alternative in patients with OSAS.The objective of this study was to assess, in a 1-year follow-up study, an OA in OSAS patients. The participants were subjected to polysomnographic examination with a validated device (MicroMESAM). Eight participants were fitted with a Thornton Adjustable Positioner (TAP). The participants were asked to wear the test appliance for 7 nights, and in case of compliance, for 6 months. The selected patients record their usage of the appliance and any adverse effects in a treatment journal. The research focused on the following outcomes: sleep apnea (i.e. reduction in the apnea/hypopnea index) and the effect of oral appliances on daytime function.In conclusion, the results suggest that OA have a definite role in the treatment of snoring and sleep apnea. PMID:26684627

  5. Observations on the 2016 World Congress on Continuing Professional Development: Advancing Learning and Care in the Health Professions.

    Science.gov (United States)

    Turco, Mary G; Baron, Robert B

    2016-01-01

    The 2016 World Congress on Continuing Professional Development: Advancing Learning and Care in the Health Professions took place in San Diego, California, March 17-19, 2016. Hosts were the Association for Hospital Medical Education (AHME), Alliance for Continuing Education in the Health Professionals (ACEhp), and Society for Academic Continuing Medical Education (SACME). The target audience was the international community working to improve medical (CME), nursing (CNE), pharmacy (CPE), and interprofessional (CIPE) continuing education (CE) and continuing professional development (CPD). Goals included: addressing patients' concerns and needs; advancing global medical and interprofessional health sciences education; utilizing learning to address health disparities; and promoting international cooperation. The five keynote speakers were: patient advocate Alicia Cole ("Why What We Do Matters: The Patients Voice"); linguist Lorelei Lingard ("Myths about Healthcare Teamwork and Their Implications for How We Understand Competence"); futurist and philosopher Alex Jadad ("What Do We Need to Protect at All Costs in the 21st Century?"); ethicist and change agent Zeke Emanuel ("Learn to Change: Teaching Toward a Shifting Healthcare Horizon"); and technology innovator Stephen Downes ("From Individual to Community: The Learning Is in the Doing"). Organizers announced the new Dave Davis Distinguished Award for Excellence in Mentorship in Continuing Professional Development to honor the career of David Davis, MD, in CME/CPD scholarship in Canada, the United States, and beyond. Participants valued the emphasis on interprofessional education and practice, the importance of integrating the patient voice, the effectiveness of flipped classroom methods, and the power of collective competency theories. Attendee-respondents encouraged Congress planners to continue to strive for a broad global audience and themes of international interest. PMID:27584068

  6. Advanced lung cancer patients' experience with continuity of care and supportive care needs.

    Science.gov (United States)

    Husain, Amna; Barbera, Lisa; Howell, Doris; Moineddin, Rahim; Bezjak, Andrea; Sussman, Jonathan

    2013-05-01

    As cancer care becomes increasingly complex, the ability to coordinate this care is more difficult for health care providers, patients and their caregivers alike. Despite the widely recognized need for improving continuity and coordination of care, the relationship of continuity of care with patient outcomes has yet to be elucidated. Our study's main finding is that the Continuity and Coordination subscale of the widely used Picker System of Ambulatory Cancer Care Survey is able to distinguish between lung cancer patients with unmet supportive care needs and those without. Specifically, this study shows a new association between this widely implemented continuity and coordination survey and the 'psychological needs' domain, as well as the 'health system and information' domains of supportive care needs. The finding provides support for the idea that interventions to improve continuity may impact tangible indicators of patient care such as supportive care needs being met. The study focuses attention on continuity of care as an important aspect of optimizing outcomes in cancer care. PMID:23274923

  7. Profile control of advanced tokamak plasmas in view of continuous operation

    Energy Technology Data Exchange (ETDEWEB)

    Mazon, D., E-mail: Didier.Mazon@cea.fr

    2015-07-15

    The concept of the tokamak is a very good candidate to lead to a fusion reactor. In fact, certain regimes of functioning allow today the tokamaks to attain performances close to those requested by a reactor. Among the various scenarios of functioning nowadays considered for the reactor option, certain named ‘advanced scenarios’ are characterized by an improvement of the stability and confinement in the plasma core, as well as by a modification of the current profile, notably thank to an auto-generated ‘bootstrap’ current. The general frame of this paper treats the perspective of a real-time control of advanced regimes. Concrete examples will underline the impact of diagnostics on the identification of plasma models, from which the control algorithms are constructed. Several preliminary attempts will be described.

  8. Profile control of advanced tokamak plasmas in view of continuous operation

    Science.gov (United States)

    Mazon, D.

    2015-07-01

    The concept of the tokamak is a very good candidate to lead to a fusion reactor. In fact, certain regimes of functioning allow today the tokamaks to attain performances close to those requested by a reactor. Among the various scenarios of functioning nowadays considered for the reactor option, certain named 'advanced scenarios' are characterized by an improvement of the stability and confinement in the plasma core, as well as by a modification of the current profile, notably thank to an auto-generated 'bootstrap' current. The general frame of this paper treats the perspective of a real-time control of advanced regimes. Concrete examples will underline the impact of diagnostics on the identification of plasma models, from which the control algorithms are constructed. Several preliminary attempts will be described.

  9. Profile control of advanced tokamak plasmas in view of continuous operation

    International Nuclear Information System (INIS)

    The concept of the tokamak is a very good candidate to lead to a fusion reactor. In fact, certain regimes of functioning allow today the tokamaks to attain performances close to those requested by a reactor. Among the various scenarios of functioning nowadays considered for the reactor option, certain named ‘advanced scenarios’ are characterized by an improvement of the stability and confinement in the plasma core, as well as by a modification of the current profile, notably thank to an auto-generated ‘bootstrap’ current. The general frame of this paper treats the perspective of a real-time control of advanced regimes. Concrete examples will underline the impact of diagnostics on the identification of plasma models, from which the control algorithms are constructed. Several preliminary attempts will be described

  10. Advances in the continuous detection of significant cations and anions in the range of trace amounts

    International Nuclear Information System (INIS)

    The task of a continuous ion determination, the information contents of the ion concentration, the determination of the ion concentration by measuring the potential, the definition of the reference solution and the defined fluidized bed ion exchange as well as the physical-chemical sodium detection by reference fluidized bed exchanger are treated and clarified by examples of application for selective difference measurements. (HK)

  11. Continuous 5-fluorouracil infusion plus long acting octreotide in advanced well-differentiated neuroendocrine carcinomas. A phase II trial of the Piemonte Oncology Network

    International Nuclear Information System (INIS)

    Well-differentiated neuroendocrine carcinomas are highly vascularized and may be sensitive to drugs administered on a metronomic schedule that has shown antiangiogenic properties. A phase II study was designed to test the activity of protracted 5-fluorouracil (5FU) infusion plus long-acting release (LAR) octreotide in patients with neuroendocrine carcinoma. Twenty-nine patients with metastatic or locally advanced well-differentiated neuroendocrine carcinoma were treated with protracted 5FU intravenous infusion (200 mg/m2 daily) plus LAR octreotide (20 mg monthly). Patients were followed for toxicity, objective response, symptomatic and biochemical response, time to progression and survival. Assessment by Response Evaluation Criteria in Solid Tumors (RECIST) criteria showed partial response in 7 (24.1%), stable disease in 20 (69.0%), and disease progression in 2 patients. Response did not significantly differ when patients were stratified by primary tumor site and proliferative activity. A biochemical (chromogranin A) response was observed in 12/25 assessable patients (48.0%); symptom relief was obtained in 9/15 symptomatic patients (60.0%). There was non significant decrease in circulating vascular epithelial growth factor (VEGF) over time. Median time to progression was 22.6 months (range, 2.7-68.5); median overall survival was not reached yet. Toxicity was mild and manageable. Continuous/metronomic 5FU infusion plus LAR octreotide is well tolerated and shows activity in patients with well-differentiated neuroendocrine carcinoma. The potential synergism between metronomic chemotherapy and antiangiogenic drugs provides a rationale for exploring this association in the future. NCT00953394

  12. Development of an Advanced Ceramic Seal for Maintaining Continuity of Knowledge in Treaty Verification and Safeguards Applications

    International Nuclear Information System (INIS)

    Sandia National Laboratories and the Savannah River National Laboratory are collaborating on research and development of technologies for an advanced capability prototype tamper-indicating device known as the Ceramic Seal. Advanced capabilities include multiple levels of tamper indication such as a frangible seal body, surface coatings, and an active detection of seal status; and unique identification via electronics as well as non-reproducible surface features. The innovation of the Ceramic Seal is the inclusion of multiple advanced capabilities in a volume comparable to the ubiquitous metal cup seal. Our advanced capability small volume seal has application in treaty verification and safeguards regimes for maintaining continuity of knowledge. Once attached to a monitored item, the seal's identity and status can be verified in-situ rather than requiring removal and analysis at an inspectorate location. The Ceramic Seal has evolved from a first generation prototype constructed of alumina to a second generation prototype manufactured from low-temperature co-fired ceramic (LTCC). LTCC allows integration of passive electronic components into the seal construction material. Vulnerability reviews have been conducted periodically throughout the project and results used to guide the design. This paper will describe the capabilities of the current generation Ceramic Seal. Keywords: Tamper-indicating devices; seals; Containment and Surveillance

  13. 帕金森病轻度认知障碍研究进展%Advances in research of mild cognitive impairment in Parkinson's disease patients

    Institute of Scientific and Technical Information of China (English)

    刘建安

    2014-01-01

    在非痴呆帕金森病人中,轻度认知障碍(mild cognitive impairment,MCI)非常普遍.然而,由于研究方法不同和缺乏统一的诊断标准,目前对于帕金森病轻度认知障碍(mild cognitive impairment in Parkinson's disease,PD-MCI)的发病率和临床特征等方面的看法不尽相同.一般来讲,有MCI的帕金森病人所表现出的认知损害,其认知域包括执行功能、注意力、视觉功能等方面.PD-MCI实际的临床表现也是多种多样的,大多数表现为单一性非记忆功能损害.PD-MCI,尤其是后部皮质的病变,可能是帕金森病人最终发展为痴呆的高危因素.

  14. The Efficacy of Continued Sorafenib Treatment after Radiologic Confirmation of Progressive Disease in Patients with Advanced Hepatocellular Carcinoma.

    Directory of Open Access Journals (Sweden)

    Yoshiyuki Wada

    Full Text Available Whether radiologically detected progressive disease (PD is an accurate metric for discontinuing sorafenib treatment in patients with hepatocellular carcinoma (HCC is unclear. We investigated the efficacy of sorafenib treatment after radiologic confirmation of PD in patients with advanced HCC.We retrospectively analyzed HCC patients treated with sorafenib at Kyushu Medical Center. Six of the 92 patients with radiologically confirmed PD were excluded because they were classified as Child-Pugh C or had an Eastern Cooperative Oncology Group (ECOG performance status (PS ≥3; 86 patients were ultimately enrolled.Among the 86 patients, 47 continued sorafenib treatment after radiologic confirmation of PD (the continuous group, whereas 39 did not (the discontinuous group. The median survival time (MST in the continuous group after confirmation was 12.9 months compared with 4.5 months in the discontinuous group (p <0.01. The time to progression in the continuous group after confirmation was 2.6 months compared with 1.4 months in the discontinuous group (p <0.01; it was 4.2 months and 2.1 months in patients who had received sorafenib ≥4 months and <4 months, respectively, before confirmation (p = 0.03. In these subgroups, the post-PD MST was 16.7 months and 9.6 months, respectively (p < 0.01. Independent predictors of overall survival after radiologic detection of PD were (hazard ratio, confidence interval: ECOG PS <2 (0.290, 0.107-0.880, Barcelona Clinical Liver Cancer stage B (0.146, 0.047-0.457, serum α-fetoprotein level ≥400 ng/mL (2.801, 1.355-5.691, and post-PD sorafenib administration (0.279, 0.150-0.510.Continuing sorafenib treatment after radiologic confirmation of PD increased survival in patients with advanced HCC. Therefore, radiologically detected PD is not a metric for discontinuation of sorafenib treatment in such patients.

  15. Advanced Control and Automation Support – The Continued Development of the MFM Suite

    DEFF Research Database (Denmark)

    Thunem, Harald P - J; Zhang, Xinxin

    2014-01-01

    , developed at the Technical University of Denmark (DTU). However, a dedicated tool that combines these functionalities was considered essential to provide rapid design and analysis of MFM models. This report describes the continued development of the MFM Suite (formerly referred to as the MFM Editor), a tool...... a number of new features of the MFM Suite, additional attention has been given to describing the association between MFM functions and process components, by the introduction of process sensors where individual alarm limits are used to affect the states of associated MFM functions...

  16. Emerging tools for continuous nutrient monitoring networks: Sensors advancing science and water resources protection

    Science.gov (United States)

    Pellerin, Brian; Stauffer, Beth A; Young, Dwane A; Sullivan, Daniel J.; Bricker, Suzanne B.; Walbridge, Mark R; Clyde, Gerard A; Shaw, Denice M

    2016-01-01

    Sensors and enabling technologies are becoming increasingly important tools for water quality monitoring and associated water resource management decisions. In particular, nutrient sensors are of interest because of the well-known adverse effects of nutrient enrichment on coastal hypoxia, harmful algal blooms, and impacts to human health. Accurate and timely information on nutrient concentrations and loads is integral to strategies designed to minimize risk to humans and manage the underlying drivers of water quality impairment. Using nitrate sensors as an example, we highlight the types of applications in freshwater and coastal environments that are likely to benefit from continuous, real-time nutrient data. The concurrent emergence of new tools to integrate, manage and share large data sets is critical to the successful use of nutrient sensors and has made it possible for the field of continuous nutrient monitoring to rapidly move forward. We highlight several near-term opportunities for Federal agencies, as well as the broader scientific and management community, that will help accelerate sensor development, build and leverage sites within a national network, and develop open data standards and data management protocols that are key to realizing the benefits of a large-scale, integrated monitoring network. Investing in these opportunities will provide new information to guide management and policies designed to protect and restore our nation’s water resources.

  17. Development of an advanced, continuous mild gasification process for the production of co-products. Task 4.6, Economic evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Cohen, L.R. [Xytel-Bechtel, Inc. (United States); Hogsett, R.F. [AMAX Research and Development Center, Golden, CO (United States); Sinor, J.E. [Sinor (J.E.) Consultants, Inc., Niwot, CO (United States); Ness, R.O. Jr.; Runge, B.D. [North Dakota Univ., Grand Forks, ND (United States). Energy and Environmental Research Center

    1992-10-01

    The principal finding of this study was the high capital cost and poor financial performance predicted for the size and configuration of the plant design presented. The XBi financial assessment gave a disappointingly low base-case discounted cash flow rate of return (DCFRR) of only 8.1% based on a unit capital cost of $900 per ton year (tpy) for their 129,000 tpy design. This plant cost is in reasonable agreement with the preliminary estimates developed by J.E. Sinor Associates for a 117,000 tpy plant based on the FMC process with similar auxiliaries (Sinor, 1989), for which a unit capital costs of $938 tpy was predicted for a design that included char beneficiation and coal liquids upgrading--or about $779 tpy without the liquid upgrading facilities. The XBi assessment points out that a unit plant cost of $900 tpy is about three times the cost for a conventional coke oven, and therefore, outside the competitive range for commercialization. Modifications to improve process economics could involve increasing plant size, expanding the product slate that XBi has restricted to form coke and electricity, and simplifying the plant flow sheet by eliminating marginally effective cleaning steps and changing other key design parameters. Improving the financial performance of the proposed formed coke design to the level of a 20% DCFRR based on increased plant size alone would require a twenty-fold increase to a coal input of 20,000 tpd and a coke production of about 2.6 minion tpy--a scaling exponent of 0.70 to correct plant cost in relation to plant size.

  18. The Continued Need for Modeling and Scaled Testing to Advance the Hanford Tank Waste Mission

    Energy Technology Data Exchange (ETDEWEB)

    Peurrung, Loni M.; Fort, James A.; Rector, David R.

    2013-09-03

    Hanford tank wastes are chemically complex slurries of liquids and solids that can exhibit changes in rheological behavior during retrieval and processing. The Hanford Waste Treatment and Immobilization Plant (WTP) recently abandoned its planned approach to use computational fluid dynamics (CFD) supported by testing at less than full scale to verify the design of vessels that process these wastes within the plant. The commercial CFD tool selected was deemed too difficult to validate to the degree necessary for use in the design of a nuclear facility. Alternative, but somewhat immature, CFD tools are available that can simulate multiphase flow of non-Newtonian fluids. Yet both CFD and scaled testing can play an important role in advancing the Hanford tank waste mission—in supporting the new verification approach, which is to conduct testing in actual plant vessels; in supporting waste feed delivery, where scaled testing is ongoing; as a fallback approach to design verification if the Full Scale Vessel Testing Program is deemed too costly and time-consuming; to troubleshoot problems during commissioning and operation of the plant; and to evaluate the effects of any proposed changes in operating conditions in the future to optimize plant performance.

  19. Continued application of Endostar combined with chemotherapy in advanced hemangioendothelioma of bone

    Institute of Scientific and Technical Information of China (English)

    Ningrong Yang; Lin Wang; Xun Chen; Shukui Qin

    2011-01-01

    By one case of hemangioendothelioma of bone accompanying pulmonary metastasis was treated with rh-enostatin injection (Endostar) combined with chemotherapy. The patient got partial response (PR) for 3 years after the plication of Endostar maintenance therapy and Endostar combined with taxane-based chemotherapy. During the periousing Endostar as monotherapy, the patient got long-term disease control and good quality of life. There was no drug relaadverse event during the therapy of Endostar. Suggested continued using of Endostar combined with chemotherapy coachieve an convinced therapeutic effect. Then using Endostar as maintenance treatment after patient got the optimal efficwas feasible and profitable. This treatment strategy of long-term administration of Endostar was worthy of further observato explore the feasibility for long-term administration of combined with chemotherapy in the treatment of hemangioendoioma of bone accompanying pulmonary metastasis.

  20. Continuity and change in friendships in advanced old age: findings from the Berkeley older generation study.

    Science.gov (United States)

    Field, D

    1999-01-01

    A longitudinal study of friendships between young-old and old-old adults found far more continuity than change in amount of contact with friends. Nevertheless, activities with casual friends more often occurred in groups, whereas activities with close friends were more often concerned with exchanging confidences, with sharing interesting experiences and thoughts, and with helping each other. Gender differences are more pronounced than life-course differences. Men declined in number of new friends, in their desire for close friendships, in the less intimate nature of their interactions with friends, and in involvement in beyond-family activities, while women did not change. Questions about closest friends revealed only a trivial difference between men and women in young-old age; but in old-old age, men (but not women) had declined in many measures of friendship. PMID:10498019

  1. Advancements in the treatment of pediatric acute leukemia and brain tumor - continuous efforts for 100% cure.

    Science.gov (United States)

    Ju, Hee Young; Hong, Che Ry; Shin, Hee Young

    2014-10-01

    Treatment outcomes of pediatric cancers have improved greatly with the development of improved treatment protocols, new drugs, and better supportive measures, resulting in overall survival rates greater than 70%. Survival rates are highest in acute lymphoblastic leukemia, reaching more than 90%, owing to risk-based treatment through multicenter clinical trials and protocols developed to prevent central nervous system relapse and testicular relapse in boys. New drugs including clofarabine and nelarabine are currently being evaluated in clinical trials, and other targeted agents are continuously being developed. Chimeric antigen receptor-modified T cells are now attracting interest for the treatment of recurrent or refractory disease. Stem cell transplantation is still the most effective treatment for pediatric acute myeloid leukemia (AML). However, in order to reduce treatment-related death after stem cell transplantation, there is need for improved treatments. New drugs and targeted agents are also needed for improved outcome of AML. Surgery and radiation therapy have been the mainstay for brain tumor treatment. However, chemotherapy is becoming more important for patients who are not eligible for radiotherapy owing to age. Stem cell transplant as a means of high dose chemotherapy and stem cell rescue is a new treatment modality and is often repeated for improved survival. Drugs such as temozolomide are new chemotherapeutic options. In order to achieve 100% cure in children with pediatric cancer, every possible treatment modality and effort should be considered. PMID:25379043

  2. Advanced Sine Wave Modulation of Continuous Wave Laser System for Atmospheric CO2 Differential Absorption Measurements

    Science.gov (United States)

    Campbell, Joel F.; Lin, Bing; Nehrir, Amin R.

    2014-01-01

    NASA Langley Research Center in collaboration with ITT Exelis have been experimenting with Continuous Wave (CW) laser absorption spectrometer (LAS) as a means of performing atmospheric CO2 column measurements from space to support the Active Sensing of CO2 Emissions over Nights, Days, and Seasons (ASCENDS) mission.Because range resolving Intensity Modulated (IM) CW lidar techniques presented here rely on matched filter correlations, autocorrelation properties without side lobes or other artifacts are highly desirable since the autocorrelation function is critical for the measurements of lidar return powers, laser path lengths, and CO2 column amounts. In this paper modulation techniques are investigated that improve autocorrelation properties. The modulation techniques investigated in this paper include sine waves modulated by maximum length (ML) sequences in various hardware configurations. A CW lidar system using sine waves modulated by ML pseudo random noise codes is described, which uses a time shifting approach to separate channels and make multiple, simultaneous online/offline differential absorption measurements. Unlike the pure ML sequence, this technique is useful in hardware that is band pass filtered as the IM sine wave carrier shifts the main power band. Both amplitude and Phase Shift Keying (PSK) modulated IM carriers are investigated that exibit perfect autocorrelation properties down to one cycle per code bit. In addition, a method is presented to bandwidth limit the ML sequence based on a Gaussian filter implemented in terms of Jacobi theta functions that does not seriously degrade the resolution or introduce side lobes as a means of reducing aliasing and IM carrier bandwidth.

  3. 2D Flood Modelling Using Advanced Terrain Analysis Techniques And A Fully Continuous DEM-Based Rainfall-Runoff Algorithm

    Science.gov (United States)

    Nardi, F.; Grimaldi, S.; Petroselli, A.

    2012-12-01

    Remotely sensed Digital Elevation Models (DEMs), largely available at high resolution, and advanced terrain analysis techniques built in Geographic Information Systems (GIS), provide unique opportunities for DEM-based hydrologic and hydraulic modelling in data-scarce river basins paving the way for flood mapping at the global scale. This research is based on the implementation of a fully continuous hydrologic-hydraulic modelling optimized for ungauged basins with limited river flow measurements. The proposed procedure is characterized by a rainfall generator that feeds a continuous rainfall-runoff model producing flow time series that are routed along the channel using a bidimensional hydraulic model for the detailed representation of the inundation process. The main advantage of the proposed approach is the characterization of the entire physical process during hydrologic extreme events of channel runoff generation, propagation, and overland flow within the floodplain domain. This physically-based model neglects the need for synthetic design hyetograph and hydrograph estimation that constitute the main source of subjective analysis and uncertainty of standard methods for flood mapping. Selected case studies show results and performances of the proposed procedure as respect to standard event-based approaches.

  4. Mild traumatic brain injury.

    NARCIS (Netherlands)

    Vos, P.E.; Alekseenko, Y.; Battistin, L.; Ehler, E.; Gerstenbrand, F.; Muresanu, D.F.; Potapov, A.; Stepan, C.A.; Traubner, P.; Vecsei, L.; Wild, K. von

    2012-01-01

    Traumatic Brain Injury (TBI) is among the most frequent neurological disorders. Of all TBIs 90% are considered mild with an annual incidence of 100-300/100.000. Intracranial complications of Mild Traumatic Brain Injury (MTBI) are infrequent (10%), requiring neurosurgical intervention in a minority o

  5. Evaluation of the Efficacy of Combined Continuous Arterial Infusion and Systemic Chemotherapy for the Treatment of Advanced Pancreatic Carcinoma

    International Nuclear Information System (INIS)

    Purpose. To evaluate the effects of combined continuous transcatheter arterial infusion (CTAI) and systemic chemotherapy in patients with advanced pancreatic carcinoma. Methods. CTAI was performed in 17 patients with stage IV pancreatic cancer with (n = 11) or without (n = 6) liver metastasis. The reservoir was transcutaneously implanted with the help of angiography. The inferior pancreatic artery (IPA) was embolized to achieve delivery of the pancreatic blood supply through only the celiac artery. The systemic administration of gemcitabine was combined with the infusion of 5-fluorouracil via the reservoir. Treatment effects were evaluated based on the primary tumor size, liver metastasis, and survival time and factors such as tumor size, tumor location, and stage of pancreatic carcinoma; the embolized arteries were analyzed with respect to treatment effects and prognosis. Results. A catheter was fixed in the gastroduodenal artery and splenic artery in 10 and 7 patients, respectively. Complete peripancreatic arterial occlusion was successful in 10 patients. CT showed a decrease in tumor size in 6 of 17 (35%) patients and a decrease in liver metastases in 6 of 11 (55%) patients. The survival time ranged from 4 to 18 months (mean ± SD, 8.8 ± 1.5 months). Complete embolization of arteries surrounding the pancreas was achieved in 10 patients; they manifested superior treatment effects and prognoses (p < 0.05). Conclusion. In patients with advanced pancreatic cancer, long-term CTAI with systemic chemotherapy appeared to be effective not only against the primary tumor but also against liver metastases. Patients with successfully occluded peripancreatic arteries tended to survive longer

  6. Mild Cognitive Impairment

    Science.gov (United States)

    ... Research Portfolio (IADRP) AMP-AD Detecting Cognitive Impairment Database ... Mild cognitive impairment (MCI) is a condition in which people have more memory or other thinking problems than normal for their ...

  7. Mild induced hypothermia

    DEFF Research Database (Denmark)

    Johansen, Maria E; Jensen, Jens-Ulrik; Bestle, Morten H;

    2014-01-01

    trial; The Cooling And Surviving Septic shock (CASS) study. Patients suffering severe sepsis/septic shock are allocated to either mild induced hypothermia (cooling to 32-34°C for 24hours) or control (uncontrolled temperature). TRIAL REGISTRATION: NCT01455116. Thrombelastography (TEG) is performed three...

  8. Life disruption, life continuation: contrasting themes in the lives of African-American elders with advanced heart failure.

    Science.gov (United States)

    Hopp, Faith Pratt; Thornton, Nancy; Martin, Lindsey; Zalenski, Robert

    2012-01-01

    This study addresses the need for more information about how urban African-American elders experience advanced heart failure. Participants included 35 African Americans aged 60 and over with advanced heart failure, identified through records from a community hospital in Detroit, Michigan. Four focus groups (n = 13) and 22 individual interviews were conducted. We used thematic analysis to examine qualitative focus groups and interviews. Themes identified included life disruption, which encompassed the sub-themes of living scared, making sense of heart failure, and limiting activities. Resuming life was a contrasting theme involving culturally relevant coping strategies, and included the sub-themes of resiliency, spirituality, and self-care that helped patients regain and maintain a sense of self amid serious illness. Participants faced numerous challenges and invoked a variety of strategies to cope with their illness, and their stories of struggles, hardship, and resilience can serve as a model for others struggling with advanced illness. PMID:22352363

  9. Research Advances in Potato Continuous Cropping Obstacles%马铃薯连作障碍的研究进展

    Institute of Scientific and Technical Information of China (English)

    原霁虹

    2015-01-01

    采用文献检索、内容归类分析的方法,对连作后马铃薯的形态与生理的变化、连作时间与土壤微生态结构的变化、连作障碍发生的机理与调控措施等问题进行研究。结果表明,连作可引起马铃薯形态与生理,马铃薯土壤水分与养分、马铃薯土壤酶、马铃薯土壤微生物等因素发生显著变化。国内马铃薯连作障碍的研究起步晚、成果少,起点高。目前的研究成果多属于单因素试验,多因子特别是土壤微生态因子与连作障碍相关性的研究有待深入。%Literature search and content classification analysis were adopted to research the issues including morphological and physiological changes after potato continuous cropping, continuous cropping time and soil micro structure changes, the mechanism of disorder in continuous cropping and the corresponding control measures. The results showed that continuous cropping could cause significant changes in the shape and physiology of potato, the soil moisture and nutrients, planting soil enzyme, soil microbes and other factors. The results concluded that domestic potato continuous cropping obstacles research started late, made less achievement, but had a high starting point. The current findings are mostly based on single-factor test, and multi-factor test, especial y the research of the relationship between soil micro factors and continuous cropping obstacles, demands further study.

  10. Identifying factors significant to continuity in basic palliative hospital care-from the perspective of patients with advanced cancer

    DEFF Research Database (Denmark)

    Soelver, Lisbeth; Rydahl-Hansen, Susan; Oestergaard, Birte;

    2014-01-01

    . The interviews were based on selected problems that patients found significant. The results are distilled into the core category disheartening interactions and four categories: falling outside the professional framework, not being seen as a person, unidentified/unmet need for guidance and involvement......, and patient strategy-minimizing conflict. The categories are significant in generating and maintaining continuity in basic palliative care....

  11. Design of a prototype device for remote patient care with mild cognitive impairment

    Science.gov (United States)

    Sanchez-Ocampo, M.; Segura-Giraldo, B.; Floréz-Hurtado, R.; Cortés-Aguirre, C.

    2016-04-01

    This paper describes the design of a prototype telecare system, which allows to provide home care to patients with mild cognitive impairment and thus ensures their permanence in their usual environment. Telecare is oriented towards people who require constant attention due to conditions of advanced age, illness, physical risk or limited capabilities. Telecare offers these people a greater degree of independence. QFD methodology is used to develop electronic devices intended to monitor the environment and physiological state of the user continuously, providing communication between the telecare system and a monitoring center in order to take the most appropriate actions in any abnormal event.

  12. Dysexecutive syndrome in amnesic mild cognitive impairment: a multicenter study

    OpenAIRE

    Blanco Martín, E.; Ugarriza Serrano, I.; Elcoroaristizabal Martín, X.; Galdos Alcelay, L.; Molano Salazar, A.; Bereincua Gandarias, R.; Inglés Borda, S.; Uterga Valiente, J. M.; Indakoetxea Juanbeltz, M. B.; Moraza Lopez, J.; Barandiarán Amillano, M.; Fernández-Martínez, M.

    2016-01-01

    Background Executive functions (EF) in Alzheimer’s disease (AD), classically related to the prefrontal cortex, have been forgotten in mild stages, given more importance to temporal lobe associated disorders, such as memory. The study of disexecutive syndrome (DS) has been relegated to advanced stages of the disease. Our goal is to demonstrate that EF are already present in amnesic mild cognitive impairment (aMCI). Furthermore, we are interested in knowing whether poor scores in EF tests are r...

  13. Continuous 7-Days-A-Week External Beam Irradiation in Locally Advanced Cervical Cancer: Final Results of the Phase I/II Study

    International Nuclear Information System (INIS)

    Purpose: To evaluate the feasibility and efficacy of definitive continuous 7-days-a-week pelvic irradiation without breaks between external beam radiotherapy and brachytherapy in locally advanced cervical cancer. Methods and Materials: Between November 1998 and December 1999, 30 patients with International Federation of Obstetrics and Gynecology Stage IIB or IIIB cervical cancer were included in a prospective Phase I/II study of continuous 7-days-a-week pelvic irradiation, to the total Manchester point B dose of 40.0–57.6 Gy. The first 13 patients (Group A) were given a daily tumor dose of 1.6 Gy, and the remaining 17 patients (Group B) were given 1.8 Gy. One or two immediate brachytherapy applications (point A dose 10–20 Gy, each) were performed in 28 cases. Results: Two patients did not complete the irradiation because of apparent early progression of disease during the irradiation. Eleven of the 28 evaluable patients (39%; 45% and 35% in Groups A and B, respectively) completed their treatment within the prescribed overall treatment time. Acute toxicity (including severe European Organisation for Research and Treatment of Cancer/Radiation Therapy Oncology Group Grade 3 and 4 effects in 40%) was experienced by 83% of patients and resulted in unplanned treatment interruptions in 40% of all patients (31% and 47% of patients in Groups A and B, respectively). Severe intestinal side effects occurred in 31% and 41% of Patients in Groups A and B, respectively (p = 0.71). The 5-year overall survival probability was 33%. Cancer recurrence occurred in 63% of patients: 20% inside and 57% outside the pelvis. Cumulative incidence of late severe bowel and urinary bladder toxicity at 24 months was 15%. Conclusion: Continuous irradiation in locally advanced cervical cancer is associated with a high incidence of severe acute toxicity, resulting in unplanned treatment interruptions. Late severe effects and survival after continuous radiotherapy do not substantially differ from

  14. Designing and simulation smart multifunctional continuous logic device as a basic cell of advanced high-performance sensor systems with MIMO-structure

    Science.gov (United States)

    Krasilenko, Vladimir G.; Nikolskyy, Aleksandr I.; Lazarev, Alexander A.

    2015-01-01

    We have proposed a design and simulation of hardware realizations of smart multifunctional continuous logic devices (SMCLD) as advanced basic cells of the sensor systems with MIMO- structure for images processing and interconnection. The SMCLD realize function of two-valued, multi-valued and continuous logics with current inputs and current outputs. Such advanced basic cells realize function nonlinear time-pulse transformation, analog-to-digital converters and neural logic. We showed advantages of such elements. It's have a number of advantages: high speed and reliability, simplicity, small power consumption, high integration level. The conception of construction of SMCLD consists in the use of a current mirrors realized on 1.5μm technology CMOS transistors. Presence of 50÷70 transistors, 1 PD and 1 LED makes the offered circuits quite compact. The simulation results of NOT, MIN, MAX, equivalence (EQ), normalize summation, averaging and other functions, that implemented SMCLD, showed that the level of logical variables can change from 0.1μA to 10μA for low-power consumption variants. The SMCLD have low power consumption <1mW and processing time about 1÷11μS at supply voltage 2.4÷3.3V.

  15. Advance in research on leishmaniasis vaccines (continued)%利什曼病疫苗研究进展(续)

    Institute of Scientific and Technical Information of China (English)

    孙柯; 陈建平

    2013-01-01

    Leishmaniasis is a vector-borne parasitic disease caused by different species of the genus Leishmania,and is endemic in 88 countries on a global scale,threatening approximately 350 million people.Chemotherapy is a main mean to treat leishmaniasis at present,but the toxicity and drug resistance hamper its application.Therefore,it is urgent to develop safe and effective leishmaniasis vaccines.In the past decades,numerous antigen candidates of Leishmania have been found,but the research progress in clinical trial has been made only in a few vaccines.The advance in research on leishmaniasis vaccines is reviewed.%利什曼病是一种媒介传播的寄生虫病,由不同种属的利什曼原虫感染引起.利什曼病流行于全球88个国家,约3.5亿人受到威胁.目前治疗利什曼病的主要方法是化学疗法,但毒性和耐药性阻碍了其应用,因此急需开发出一种安全有效的利什曼病疫苗.尽管在过去的几十年,发现了许多利什曼原虫抗原,但仅少部分疫苗在临床试验阶段取得进展.此文就利什曼病疫苗的研究进展进行综述.

  16. Extended continuous infusion low-dose recombinant interleukin-2 in advanced cancer: prolonged immunomodulation without significant toxicity.

    Science.gov (United States)

    Caligiuri, M A; Murray, C; Soiffer, R J; Klumpp, T R; Seiden, M; Cochran, K; Cameron, C; Ish, C; Buchanan, L; Perillo, D

    1991-12-01

    In previous clinical trials, recombinant interleukin-2 (rIL-2) has been infused at high doses over short periods of time to generate lymphokine-activated killer (LAK) cells in vivo. These trials have been limited by severe toxicities, and the immunologic effects of rIL-2 have been transient. The present study was designed to assess the toxicity and immunologic effects of prolonged administration of low doses of rIL-2. In this phase I study, patients with advanced cancer were scheduled to receive intravenous (IV) infusion of rIL-2 without interruption for 3 months in an outpatient setting. Twenty-one patients received rIL-2 at doses ranging from 0.5 x 10(5) to 6.0 x 10(5) U/m2/d. Treatment was extremely well tolerated, and no patient experienced grade 3 or grade 4 toxicity. The lowest dose level (0.5 x 10(5) U/m2/d) did not have demonstrable immunologic activity. At doses of 1.5 x 10(5) and 4.5 x 10(5) U/m2/d, rIL-2 infusion resulted in the specific expansion of natural-killer (NK) cells (sixfold and ninefold increases, respectively, at these two dose levels) without any changes in B cells, T cells, neutrophils, or monocytes. Grade 2 toxicity was observed at the dose of 6.0 x 10(5) U/m2/d, as three patients required interruption of therapy and two patients who completed therapy developed transient hypothyroidism. In patients with increased NK cells, enhancement of non-major histocompatibility complex (MHC)-restricted cytotoxicity and increased generation of LAK cells in vitro were also demonstrated. Therapy with low-dose rIL-2 can be given safely in an uninterrupted fashion for prolonged periods of time in an outpatient setting. This results in selective expansion of NK cells in vivo with minimal toxicity. Further investigation of this schedule for immunomodulation in vivo should be pursued in phase II studies of both malignant and immunodeficient disease states. PMID:1960552

  17. Continuous or split-course combined external and intracavitary radiotherapy of locally advanced carcinoma of the uterine cervix

    International Nuclear Information System (INIS)

    From 1974 to 1984, 442 consecutive patients with carcinoma of the uterine cervix (FIGO IIB: 139, IIIA: 10, IIIB: 221, IVA: 72) were referred for combined intracavitary (IRT) and external radiotherapy (ERT). To improve local control and reduce late rectosigmoid morbidity the treatment strategy was changed from continuous (CRT) to split-course radiotherapy (SCRT) in 1978. Stage by stage the 5-year actuarial estimates of survival, local control, and late morbidity did not differ in relation to strategy. In the patients with tumours larger than 8 cm, the SCRT involved an increased dose in point B, a reduced dose in point A from the IRT, a lower total dose in point A, and a 34 day's prolongation of the total treatment time (TTT). The resulting 5-year actuarial local control rates were significantly lower compared with those after CRT. No difference of late severe morbidity was found except in IVA patients. In the patients with tumours between 4 and 8 cm, the SCRT involved a reduced dose in point A from the IRT, an increased total dose in point A and B, and a 50 day's prolongation of the TTT. In patients with stage IIB, the 5-year actuarial central local control rate was lower (p=0.06), and the 5-year estimate of late severe morbidity significantly higher after SCRT compared with CRT. It is concluded that the increase of the dose in point B in the SCRT was insufficient to prevent the deleterious effect on local tumour control of either the lower dose from IRT in point A, or the prolonged TTT. The increase of the total dose in the SCRT may explain why the late morbidity was not reduced, and may suggest that the TTT is of no significant importance for the risk of late normal tissue damage. (orig.)

  18. The design and fabrication of a toroidally continuous cryocondensation pump for the DIII-D Advanced Divertor

    International Nuclear Information System (INIS)

    A cryocondensation pump will be installed in the baffle chamber of the DIII-D tokamak in the spring of 1992. The design is complete and fabrication of this pump is in progress. The purpose of the pump is to study plasma density control by pumping the divertor. The pump is toroidally continuous, approximately 10 m long, in the lower outer corner of the vacuum vessel interior. It consists of a 1 m2 liquid helium cooled surface surrounded by a liquid nitrogen cooled shield to limit the heat load on the helium cooled surface. The stainless steel liquid nitrogen shell has a copper coating on it to enhance thermal conductivity, but the coating is broken to keep the toroidal electrical resistance high. The liquid nitrogen cooled surface is surrounded by a radiation/particle shield to prevent energetic particles from impacting and releasing condensed water molecules. The whole pump is supported off the water cooled vacuum vessel wall. Key design considerations were: how to accommodate the temperature differences between the various components, developing low heat leak paths for the various supports, and maintaining electrical insulation in a low pressure environment in the presence of induced voltage spikes. A single point ground for the system was used to limit disruption induced currents and the resulting electro-mechanical forces on the pump. A testing program was used to develop coating techniques to enhance heat transfer and emissivity of the various surfaces. Fabrication tests were done to determine the best method of attaching the liquid nitrogen flow tubes to their shield surfaces. A prototype sector of the pump was built to verify fabrication and assembly techniques

  19. Dose equivalence between continuous erythropoietin receptor activator (CERA), Darbepoetin and Epoetin in patients with advanced chronic kidney disease

    Science.gov (United States)

    Vega, A; Abad, S; Verdalles, U; Aragoncillo, I; Velazquez, K; Quiroga, B; Escudero, V; López-Gómez, JM

    2014-01-01

    Background: Anemia is a prevalent situation in patients with chronic kidney disease (CKD) and can be well managed with erythropoiesis-stimulating agents (ESAs). Continuous erythropoietin receptor activator (CERA) has a long half-life that allows to be administered once monthly. The lowest recommended dose for patients with non dialysis CKD is 120 μg per month. The objectives were to assess the efficacy of subcutaneous monthly dosing of CERA in CKD stages 4 and 5 not on dialysis, and to determine the equivalent dose to epoetin β and darbepoetin α. Methods: This is a cohort study. A 30-patient group that ESAs was changed to CERA (μg/month) was used as treatment group. We used the following clinically-based equivalent dosing: epoetin β (IU/week) and darbepoetin α (μg/week): 3000/15= 50; 4000/20=75; 6000/30=100; 8000/40=150. Another group of 30 patients with similar characteristics was used as control group and received the same epoetin β and darbepoetin α doses. Results: The mean CERA initial dose and at 6 months was 81.9 ± 35.2 and 82.0 ± 37.82 μg/month (p=0.37). The mean erythropoietin resistance index (ERI) and hemoglobin at baseline and at 6 months in the CERA group and in the control group were not statistically significant. Conclusion: Monthly dosing treatment with CERA is safe and effective. A dose of 75-100 μg/month is enough to maintain stable levels of hemoglobin. Hippokratia 2014; 18 (4): 315-318. PMID:26052197

  20. The role of pharmacotherapy in mild to moderate chronic obstructive pulmonary disease.

    Science.gov (United States)

    Raghavan, Natya; Guenette, Jordan A; O'Donnell, Denis E

    2011-08-01

    Chronic obstructive pulmonary disease (COPD) is a major health problem worldwide and most of those afflicted have mild to moderate disease as measured by spirometry. There is mounting evidence that even mild airway obstruction is associated with activity-related dyspnea, exercise limitation, impaired quality of life, increased hospitalization and mortality. As our understanding of the complex, heterogeneous pathophysiology and clinical consequences of milder COPD continues to grow, there is increasing interest in the potential impact of therapeutic interventions beyond smoking cessation. Unfortunately, few clinical trials have included patients with mild to moderate disease and the evidence base for pharmacological treatment in this subpopulation is currently lacking. Recent short-term mechanistic studies confirm that reversal of airway smooth muscle cholinergic tone consistently improves respiratory mechanics during rest and exercise in mild COPD but long-term clinical benefits remain to be evaluated. Secondary analysis of large, prospective studies designed to evaluate the efficacy of long-acting bronchodilators, inhaled corticosteroids and combination therapy indicate that patients with moderate COPD achieve comparable benefits to those with advanced disease. In the absence of evidence-based guidelines for the management of milder COPD, treatment choices are driven mainly by clinical presentation: for those with persistent and troublesome activity-related dyspnea a trial of inhaled bronchodilator therapy is justified; for those with a propensity for recurrent infective exacerbations, consideration of additional anti-inflammatory treatment seems reasonable. In this paper, we review the current knowledge base and emerging paradigm for the pharmacological treatment of mild to moderate COPD. PMID:21357348

  1. Fatigue in patients with advanced renal cell carcinoma receiving sunitinib on an intermittent versus continuous dosing schedule in a randomized phase II trial

    International Nuclear Information System (INIS)

    A phase II trial in advanced renal cell carcinoma (RCC) found no benefit in efficacy or safety between patients receiving oral sunitinib 50 mg/day for 4 weeks followed by 2-week off-treatment (Schedule 4/2) and those receiving 37.5 mg continuous daily sunitinib. We hypothesized that fatigue would have a more variable “on-off” effect with the 4/2 schedule. A total of 292 patients completed two fatigue-related items on Days 1 and 29 of each treatment cycle. Mean absolute slopes were compared across treatments. A planned analysis of item “I feel fatigued” demonstrated that the mean absolute slope was greater in Schedule 4/2 compared to continuous dosing (0.042 vs. 0.032, P = 0.003), and analysis based on the change from Day 1 to Day 29 (0.52 vs. 0.21, P = 0.002) and, separately, Day 29 to the next Day 1 (−0.38 vs. −0.05, P < 0.001) showed the changes to be significantly larger in Schedule 4/2 than continuous dosing. “I have a lack of energy” showed a similar pattern graphically, however, the planned analysis was not statistically significant based on the absolute slopes but was when Day 1 to Day 29 and Day 29 to Day 1 changes were analyzed separately. The 4/2 arm was associated with a greater degree of variability in fatigue reflecting a possible “on-off” effect whereby patients receiving the 4/2 schedule reported less fatigue at the beginning of each cycle compared to Day 29. The findings can inform care for individuals with advanced RCC receiving intermittent dosing of sunitinib

  2. Cognitive Processing in Mild Disabilities.

    Science.gov (United States)

    Al-Hilawani, Yasser A.; Poteet, James A.

    Research regarding the cognitive processing of students with learning disabilities, mild mental handicap, and emotional handicap is reviewed. In considering cognitive processing for students with mild mental handicap, research attention has been directed to the issues of memory and learning, acquisition and retrieval deficits, inefficient…

  3. Mild cognitive impairment

    Directory of Open Access Journals (Sweden)

    Pavlović Dragan M.

    2009-01-01

    Full Text Available Mild cognitive impairment (MCI is a syndrome that spans the area between normal ageing and dementia. It is classified into amnestic and non-amnestic types, both with two subtypes: single domain and multiple domains. Prevalence of MCI depends on criteria and population and can vary from 0.1 to 42% persons of older age. In contrast to dementia, cognitive deterioration is less severe and activities of daily living are preserved. Most impaired higher cognitive functions in MCI are memory, executive functions, language, visuospatial functions, attention etc. Also there are depression, apathy or psychomotor agitation, and signs of psychosis. Aetiology of MCI is multiple, mostly neurodegenerative, vascular, psychiatric, internistic, neurological, traumatic and iatrogenic. Persons with amnestic MCI are at a higher risk of converting to Alzheimer's disease, while those with a single non-memory domain are at risk of developing frontotemporal dementia. Some MCI patients also progress to other dementia types, vascular among others. In contrast, some patients have a stationary course, some improve, while others even normalize. Every suspicion of MCI warrants a detailed clinical exploration to discover underlying aetiology, laboratory analyses, neuroimaging methods and some cases require a detailed neuropsychological assessment. At the present time there is no efficacious therapy for cognitive decline in MCI or the one that could postpone conversion to dementia. The treatment of curable causes, application of preventive measures and risk factor control are reasonable measures in the absence of specific therapy.

  4. Eddy current inspection of mildly ferromagnetic tubing

    International Nuclear Information System (INIS)

    The past decade has seen the development of eddy current probes for inspection of the mildly ferromagnetic alloy Monel 400. Due to the rapid advances in permanent magnet technology similar probes have been upgraded to magnetically saturate, and hence inspect, the duplex stainless steel Sandvik 3RE60, which has saturation induction more than twice that of Monel 400. Prototypes of these probes have been tested in three ways: saturation capability, quality of typical eddy current data, and ability to eliminate permeability induced signals. Successful laboratory testing, potential applications, and limitations of these type probes are discussed

  5. Eddy current inspection of mildly ferromagnetic tubing

    International Nuclear Information System (INIS)

    The past decade has seen the development of eddy current probes for inspection of the mildly ferro-magnetic alloy Monel 400. Due to the rapid advances in permanent magnet technology similar probes have been upgraded to magnetically saturate, and hence inspect, the duplex stainless steel Sandvik 3RE60, which has saturation induction more than twice that of Monel 400. Prototypes of these probes have been tested in three ways: saturation capability, quality of typical eddy current data, and ability to eliminate permeability induced signals. Successful laboratory testing, potential applications, and limitations of these type probes are discussed

  6. A Massera-type criterion for almost periodic solutions of higher-order delay or advance abstract functional differential equations

    Directory of Open Access Journals (Sweden)

    Ha Binh Minh

    2004-11-01

    Full Text Available Let u be a given bounded uniformly continuous mild solution of a higher-order abstract functional differential equation of delay or advance type. We give a so-called Massera-type criterion for the existence of a mild solution, which is a “spectral component” of u with spectrum similar to the one of the forcing term f. Various spectral criteria for the existence of almost periodic and quasiperiodic mild solutions are given.

  7. The Influence of a Mandibular Advancement Plate on Polysomnography in Different Grades of Obstructive Sleep Apnea

    Directory of Open Access Journals (Sweden)

    Antti Raunio

    2015-03-01

    Full Text Available Objectives: The purpose of this study was to investigate the effect of a mandibular advancement device on different grades of obstructive sleep apnea using a relatively simple test for the apnea-hypopnea index to determine if a mandibular device will be effective. Material and Methods: A total of 68 patients with obstructive sleep apnea syndrome (OSAS including, 31 with mild, 23 with moderate and 14 with severe OSAS were treated with a mandibular advancement device (MAD and monitored with polysomnography. Results: 25 of the 31 mild, 15 of the 23 moderate and 2 of the 14 severe OSAS patients were cured of their OSAS if a post treatment apnea-hypopnea index of less than 5 is regarded as cured. The odds ratios for success with MAD therapy are 3 for women over men, 14.9 for mild obstructive sleep apnea, 5.42 for moderate obstructive sleep apnea if severe obstructive sleep apnea is assigned an odds ratio of 1. Conclusions: The use of the apnea-hypopnea index alone is useful in mild and moderate disease to predict the effectiveness of mandibular advancement device. Treatment with a mandibular advancement device is very effective in treating mild and moderate obstructive sleep apnea. Conservative treatment with a mandibular advancement device can be successful in less severe grades of sleep apnea and may be an alternative for non-surgical patients with severe obstructive sleep apnea intolerant of Continuous Positive Airway Pressure management.

  8. The Clinical Impact of Continuing to Prescribe Antiretroviral Therapy in Patients with Advanced AIDS Who Manifest No Virologic or Immunologic Benefit

    Science.gov (United States)

    Wohl, David A.; Kendall, Michelle A.; Feinberg, Judith; Alston-Smith, Beverly; Owens, Susan; Chafey, Suzette; Marco, Michael; Maxwell, Sharon; Benson, Constance; Keiser, Philip; van der Horst, Charles; Jacobson, Mark A.

    2013-01-01

    Introduction Despite the efficacy and tolerability of modern antiretroviral therapy (ART), many patients with advanced AIDS prescribed these regimens do not achieve viral suppression or immune reconstitution as a result of poor adherence, drug resistance, or both. The clinical outcomes of continued ART prescription for such patients have not been well characterized. Methods We examined the causes and predictors of all-cause mortality, AIDS-defining conditions, and serious non-AIDS-defining events among a cohort of participants in a clinical trial of pre-emptive therapy for CMV disease. We focused on participants who, despite ART had failed to achieve virologic suppression and substantive immune reconstitution. Results 233 ART-receiving participants entered with a median baseline CD4+ T cell count of 30/mm3 and plasma HIV RNA of 5 log10 copies/mL. During a median 96 weeks of follow-up, 24.0% died (a mortality rate of 10.7/100 patient-years); 27.5% reported a new AIDS-defining condition, and 22.3% a new serious non-AIDS event. Of the deaths, 42.8% were due to an AIDS-defining condition, 44.6% were due to a non-AIDS-defining condition, and 12.5% were of unknown etiology. Decreased risk of mortality was associated with baseline CD4+ T cell count ≥25/mm3 and lower baseline HIV RNA. Conclusions Among patients with advanced AIDS prescribed modern ART who achieve neither virologic suppression nor immune reconstitution, crude mortality percentages appear to be lower than reported in cohorts of patients studied a decade earlier. Also, in contrast to the era before modern ART became available, nearly half of the deaths in our modern-era study were caused by serious non-AIDS-defining events. Even among the most advanced AIDS patients who were not obtaining apparent immunologic and virologic benefit from ART, continued prescription of these medications appears to alter the natural history of AIDS—improving survival and shifting the causes of death from AIDS- to non

  9. The clinical impact of continuing to prescribe antiretroviral therapy in patients with advanced AIDS who manifest no virologic or immunologic benefit.

    Directory of Open Access Journals (Sweden)

    David A Wohl

    Full Text Available Despite the efficacy and tolerability of modern antiretroviral therapy (ART, many patients with advanced AIDS prescribed these regimens do not achieve viral suppression or immune reconstitution as a result of poor adherence, drug resistance, or both. The clinical outcomes of continued ART prescription for such patients have not been well characterized.We examined the causes and predictors of all-cause mortality, AIDS-defining conditions, and serious non-AIDS-defining events among a cohort of participants in a clinical trial of pre-emptive therapy for CMV disease. We focused on participants who, despite ART had failed to achieve virologic suppression and substantive immune reconstitution.233 ART-receiving participants entered with a median baseline CD4+ T cell count of 30/mm(3 and plasma HIV RNA of 5 log10 copies/mL. During a median 96 weeks of follow-up, 24.0% died (a mortality rate of 10.7/100 patient-years; 27.5% reported a new AIDS-defining condition, and 22.3% a new serious non-AIDS event. Of the deaths, 42.8% were due to an AIDS-defining condition, 44.6% were due to a non-AIDS-defining condition, and 12.5% were of unknown etiology. Decreased risk of mortality was associated with baseline CD4+ T cell count ≥25/mm(3 and lower baseline HIV RNA.Among patients with advanced AIDS prescribed modern ART who achieve neither virologic suppression nor immune reconstitution, crude mortality percentages appear to be lower than reported in cohorts of patients studied a decade earlier. Also, in contrast to the era before modern ART became available, nearly half of the deaths in our modern-era study were caused by serious non-AIDS-defining events. Even among the most advanced AIDS patients who were not obtaining apparent immunologic and virologic benefit from ART, continued prescription of these medications appears to alter the natural history of AIDS--improving survival and shifting the causes of death from AIDS- to non-AIDS-defining conditions.

  10. Mild obstructive sleep apnea: beyond the AHI

    Directory of Open Access Journals (Sweden)

    Lee-Iannotti J

    2014-07-01

    Full Text Available No abstract available. Article truncated at 150 words. A common conundrum faced by sleep medicine practitioners is how to manage the large group of patients with mild sleep apnea. Many patients are referred for sleep evaluation, with symptoms thought to be due to obstructive sleep apnea (OSA. Often polysomnography demonstrates only mild sleep apnea, and the clinician and patient are faced with the dilemma of whether to use continuous positive airway pressure (CPAP therapy or an oral appliance. In making this important decision the clinician incorporates the commonly used definition of mild sleep apnea as an apnea-hypopnea index of between 5 and 14 apneas or hypopneas per hour of sleep. Moderate sleep apnea is defined as 15-29 events per hour, and severe is 30 and above events per hour. These arbitrary thresholds originated in the early 1980s when knowledge of this condition was in its infancy and little was known about the long term health effects. The definition ...

  11. A pilot study of preoperative continuous infusion 5-fluorouracil, external microwave hyperthermia, and external beam radiotherapy for treatment of locally advanced, unresectable, or recurrent rectal cancer

    International Nuclear Information System (INIS)

    Purpose: To determine the feasibility of combining external beam radiotherapy, continuous infusion 5-fluorouracil (5-FU), and external microwave hyperthermia in patients with locally advanced, unresectable, or recurrent adenocarcinoma of the rectum. Methods and Materials: From 7/95 through 2/99, 15 patients were enrolled in the study. The treatment regimen consisted of continuous infusion 5-FU 250 mg/m2/d 7 days/week beginning on day 1, external beam radiotherapy to the pelvis, 4500 cGy, 180 cGy/d 5 days/week using a 3 or 4-field technique, and external microwave hyperthermia on days 3, 8, 15, 22, and 29. Chemotherapy was stopped on the last day of radiotherapy. Surgical resection, if feasible, was scheduled 3-6 weeks after completing thermochemoradiotherapy. For this regimen to be considered feasible, no more than 2 of the 15 patients should fail to complete therapy due to life-threatening toxicity. Toxicity was scored using National Cancer Institute Criteria. Results: All patients completed the chemoradiotherapy portion of the protocol. Eleven of the 15 patients completed all 5 hyperthermia treatments. Of the 4 patients who did not receive the full course of hyperthermia, only 1 patient had treatment stopped due to life-threatening toxicity. The other 3 patients did not complete hyperthermia due to scheduling errors (n = 2) or patient request (n = 1). Five of 15 patients required a treatment interruption due to toxicity no. >=no. Grade 3. Seven patients experienced lesser degrees of toxicity which did not require treatment interruption. Three patients experienced no side effects. The most common toxicities were dermatitis and diarrhea. Of the 14 patients in whom surgery was planned, 11 (79%) were resectable. There was one pathologic complete response. Conclusions: It is feasible to deliver thermochemoradiotherapy, as prescribed in this study, to patients with locally advanced, unresectable, or recurrent rectal cancer. The therapy is moderately toxic, with one

  12. Recovery of resources for advanced life support space applications: effect of retention time on biodegradation of two crop residues in a fed-batch, continuous stirred tank reactor

    Science.gov (United States)

    Strayer, R. F.; Finger, B. W.; Alazraki, M. P.; Cook, K.; Garland, J. L.

    2002-01-01

    Bioreactor retention time is a key process variable that will influence costs that are relevant to long distance space travel or long duration space habitation. However. little is known about the effects of this parameter on the microbiological treatment options that are being proposed for Advanced Life Support (ALS) systems. Two bioreactor studies were designed to examine this variable. In the first one, six retention times ranging from 1.3 to 21.3 days--were run in duplicate, 81 working-volume continuous stirred tank reactors (CSTR) that were fed ALS wheat residues. Ash-free dry weight loss, carbon mineralization, soluble TOC reduction, changes in fiber content (cellulose, hemicellulose, and lignin), bacterial numbers, and mineral recoveries were monitored. At short retention times--1.33 days--biodegradation was poor (total: 16-20%, cellulose - 12%, hemicellulose - 28%) but soluble TOC was decreased by 75-80% and recovery of major crop inorganic nutrients was adequate, except for phosphorus. A high proportion of the total bacteria (ca. 83%) was actively respiring. At the longest retention time tested, 21.3 days, biodegradation was good (total: 55-60%, cellulose ca. 70%, hemicellulose - ca. 55%) and soluble TOC was decreased by 80%. Recovery of major nutrients, except phosphorus, remained adequate. A very low proportion of total bacteria was actively respiring (ca. 16%). The second bioreactor study used potato residue to determine if even shorter retention times could be used (range 0.25-2.0 days). Although overall biodegradation deteriorated, the degradation of soluble TOC continued to be ca. 75%. We conclude that if the goal of ALS bioprocessing is maximal degradation of crop residues, including cellulose, then retention times of 10 days or longer will be needed. If the goal is to provide inorganic nutrients with the smallest volume/weight bioreactor possible, then a retention time of 1 day (or less) is sufficient.

  13. A mild Ito formula for SPDEs

    OpenAIRE

    Da Prato, Giuseppe; Jentzen, Arnulf; Roeckner, Michael

    2010-01-01

    This article introduces a certain class of stochastic processes, which we suggest to call mild Ito processes, and a new - somehow mild - Ito type formula for such processes. Examples of mild Ito processes are mild solutions of SPDEs and their numerical approximation processes.

  14. Ambrisentan: new drug. Too risky in mildly symptomatic pulmonary hypertension.

    Science.gov (United States)

    2009-04-01

    (1) In patients with mildly symptomatic pulmonary hypertension (stage III), there is no firm evidence that ambrisentan reduces mortality or slows disease progression. In contrast, ambrisentan has frequent and sometimes serious adverse effects; (2) In patients whose physical activity is markedly restricted by pulmonary hypertension, it is better to continue using bosentan, with which we have far more experience. PMID:19585715

  15. Mild mental stress in diabetes

    DEFF Research Database (Denmark)

    Hildebrandt, P; Mehlsen, J; Sestoft, L;

    1985-01-01

    A TV-game of tennis of 20 min duration was used to study the influence of mild mental stress on subcutaneous blood-flow (SBF), blood-pressure and heart rate in nine insulin-dependent diabetics and nine healthy subjects. SBF was measured on the thigh by local clearance of xenon-133. Measurements...

  16. Original P53 status predicts for pathological response in locally advanced breast cancer patients treated preoperatively with continuous infusion 5-fluorouracil and radiation therapy

    International Nuclear Information System (INIS)

    Purpose/Objective: 1) To test feasibility of preoperative continuous infusion (c.i.) 5-Fluorouracil (5-FU) and radiation (RT) in locally advanced breast cancer. 2) To study clinical and pathological response rates of 5-FU and radiation. 3) To attempt preliminary correlations between biological probes and pathological response. Methods and Materials: Previously untreated, locally advanced breast cancer patients were eligible: only patients who presented with T3/T4 tumors that could not be resected with primary wound closure were eligible, while inflammatory breast cancer patients were excluded. The protocol consisted of preoperative c.i. infusion 5-FU, 200 mg/m2/day with radiotherapy, 50 Gy at 2 Gy fractions to the breast and regional nodes. At mastectomy, pathological findings were classified based on persistence of invasive cancer: pathological complete response (pCR) = no residual invasive cells in the breast and axillary contents; pathological partial response (pPR) = presence of microscopic foci of invasive cells in either the breast or nodal specimens; no pathological response (pNR) = pathological persistence of tumor. For each patient pretreatment breast cancer biopsies were analyzed by immunohistochemistry for nuclear grade, ER/PR hormonal receptors, her2/neu and p53 overexpression. Results: Thirty-five women have completed the protocol and are available for analysis. 5-FU was interrupted during radiation in 10 of 35 patients because of oral mucositis in 8 patients, cellulitis in 1, and patient choice in another. Objective clinical response rate before mastectomy was 71% (25 of 35 patients): 4 CR, 21 PR. However, in all 35 patients tumor response was sufficient to make them resectable with primary wound closure. Accordingly, all patients underwent modified radical mastectomy: primary wound closure was achieved in all patients. At mastectomy there were 7 pCR (20%), 5 pPR (14%) and the remaining 23 patients (66%) had pathological persistence of cancer (p

  17. Atmospheric corrosion of mild steel

    OpenAIRE

    Morcillo, Manuel; Fuente, Daniel de la; Díaz Ocaña, Iván; Cano, Heidis

    2011-01-01

    The atmospheric corrosion of mild steel is an extensive topic that has been studied by many authors in different regions throughout the world. This compilation paper incorporates relevant publications on the subject, in particular about the nature of atmospheric corrosion products, mechanisms of atmospheric corrosion and kinetics of the atmospheric corrosion process, paying special attention to two matters upon which relatively less information has been published: a) the morpholog...

  18. Atmospheric corrosion of mild steel

    OpenAIRE

    Morcillo, M.; de la Fuente, D.; I. Díaz; Cano, H.

    2011-01-01

    The atmospheric corrosion of mild steel is an extensive topic that has been studied by many authors in different regions throughout the world. This compilation paper incorporates relevant publications on the subject, in particular about the nature of atmospheric corrosion products, mechanisms of atmospheric corrosion and kinetics of the atmospheric corrosion process, paying special attention to two matters upon which relatively less information has been published: a) the morphology of steel c...

  19. Mild Hypertransaminasemia in Primary Care

    OpenAIRE

    Al-Busafi, Said A; Hilzenrat, Nir

    2013-01-01

    The liver enzymes, alanine transaminase (ALT) or aspartate transaminase (AST), are commonly used in clinical practice as screening as well as diagnostic tests for liver diseases. ALT is more specific for liver injury than AST and has been shown to be a good predictor of liver related and all-cause mortality. Asymptomatic mild hypertransaminasemia (i.e., less than five times normal) is a common finding in primary care and this could be attributed to serious underlying condition or has transien...

  20. Evidence of a Mild Mutator Phenotype in Cambodian Plasmodium falciparum Malaria Parasites.

    Science.gov (United States)

    Lee, Andrew H; Fidock, David A

    2016-01-01

    Malaria control efforts have been continuously stymied by drug-resistant strains of Plasmodium falciparum, which typically originate in Southeast Asia prior to spreading into high-transmission settings in Africa. One earlier proposed explanation for Southeast Asia being a hotbed of resistance has been the hypermutability or "Accelerated Resistance to Multiple Drugs" (ARMD) phenotype, whereby multidrug-resistant Southeast Asian parasites were reported to exhibit 1,000-fold higher rates of resistance to unrelated antimalarial agents when compared to drug-sensitive parasites. However, three recent studies do not recapitulate this hypermutability phenotype. Intriguingly, genome sequencing of recently derived multidrug-resistant Cambodian isolates has identified a high proportion of DNA repair gene mutations in multidrug-resistant parasites, suggesting their potential role in shaping local parasite evolution. By adapting fluctuation assays for use in P. falciparum, we have examined the in vitro mutation rates of five recent Cambodian isolates and three reference laboratory strains. For these studies we also generated a knockout parasite line lacking the DNA repair factor Exonuclease I. In these assays, parasites were typed for their ability to acquire resistance to KAE609, currently in advanced clinical trials, yielding 13 novel mutations in the Na+/H+-ATPase PfATP4, the primary resistance determinant. We observed no evidence of hypermutability. Instead, we found evidence of a mild mutator (up to a 3.4-fold increase in mutation rate) phenotype in two artemisinin-resistant Cambodian isolates, which carry DNA repair gene mutations. We observed that one such mutation in the Mismatch Repair protein Mlh1 contributes to the mild mutator phenotype when modeled in yeast (scmlh1-P157S). Compared to basal rates of mutation, a mild mutator phenotype may provide a greater overall benefit for parasites in Southeast Asia in terms of generating drug resistance without incurring

  1. 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.

    2006-01-01

    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

  2. Understanding mild persistent asthma in children

    DEFF Research Database (Denmark)

    Bisgaard, Hans; Szefler, Stanley J

    2005-01-01

    Limitations in asthma prevalence studies and difficulties in diagnosing pediatric asthma lead to uncertainty over the full extent of mild persistent asthma in children and adolescents. Although recent surveys have reported that the majority of pediatric patients with asthma in the United States and...... Europe have symptoms consistent with mild disease, these surveys have limitations in design. Thus, the true prevalence of mild asthma remains unknown. It is unclear whether children with mild persistent asthma progress to more severe asthma, but the risk of severe asthma exacerbations seems to be...... unrelated to the symptom severity. Clinical studies restricted to pediatric patients with mild asthma are limited, but available data do suggest substantial morbidity of mild persistent asthma in this population and support inhaled corticosteroid intervention. There is a need for further investigation into...

  3. Neuropsychological evaluation of mild head injury.

    OpenAIRE

    Gentilini, M; Nichelli, P; Schoenhuber, R; Bortolotti, P.; Tonelli, L; Falasca, A; Merli, G A

    1985-01-01

    Neuropsychological deficits following mild head injury have been reported recently in the literature. The purpose of this study was to investigate this issue with a strict methodological approach. The neuropsychological performance of 50 mildly head injured patients was compared with that of 50 normal controls chosen with the case-control approach. No conclusive evidence was found that mild head injury causes cognitive impairment one month after the trauma.

  4. 轻度颅脑外伤患者提示性持续操作任务行为学及事件相关电位研究%Behavioral and neurophysiological abnormalities during cued continuous performance test in patients with mild traumatic brain injury

    Institute of Scientific and Technical Information of China (English)

    吴汝洪; 李跃池; 董博; 毛宇敏; 王苏弘; 屈洪涛; 王穗暖

    2015-01-01

    Objective To investigate the features and neural mechanisms of sustained attention and executive function in patients with acute mild traumatic brain injury (mTBI) by comparing and analyzing behavioral and event-related potentials of patients and healthy controls.Methods Seventeen patients with acute mTBI and seventeen healthy controls participated in a cued continuous performance test.Behavioral data and event-related potentials were collected and analyzed.Results 1.There were significant differences between the mTBI group and the control group in hitting number ((66.76±3.27), (69.12± 1.41)) ,reaction time((533.66±144.20) ms, (413.03±94.57) ms) and the number of errors of omission ((3.24±3.27), (0.88± 1.41)) (P<0.05), but no significant differences in the number of false errors ((0.35±1.00), (0.53±0.87)) (P>0.05).2.The amplitude of Go-N2 and Nogo-N2 were significantly smaller in mTBI group than that in control group (P<0.05).The main effect of group was significant of N2 amplitude (P<0.05), but main effect of condition and the interaction effect were not significant(P>0.05).Group and condition had no significant main effect and interaction effect on the latency of N2 (P>0.05).The amplitude of Go-P3 was significantly smaller in mTBI group than that in control group (P<0.05),while not on the amplitude of Nogo-P3(P>0.05).The main effect of group and condition were significant on P3 amplitude (P<0.05),but the interaction effect was not significant(P>0.05).Group and condition had no significant main effect and interaction effect on the amplitude of P3 (P>0.05).Conclusion Patients with mTBI show impairments in sustained attention and conflict monitoring, but not in response inhibition.%目的 通过对急性期轻度颅脑外伤(mild traumatic brain injury,mTBI)患者与健康对照者行为学及事件相关电位(event-related potentials,ERPs)比较分析,探索mTBI患者持续注意和执行控制的特征及神经机制.方法 选择

  5. Langvarigt forbrug af milde analgetika

    DEFF Research Database (Denmark)

    Hargreave, Marie; Nielsen, Ann; Plum, Christian Edinger Munk;

    2010-01-01

    In spite of the negative health effects associated with the use of analgesics, little is known about the prevalence of continuous regular use of analgesics or about the factors associated with their use. The objective of this article is to describe continuous regular use of acetaminophen, ibuprofen...

  6. Withdrawal of Continuous Positive Airway Pressure Therapy after Malar Advancement and Le Fort II Distraction in a Case of Apert Syndrome with Obstructive Sleep Apnea

    OpenAIRE

    Nobuto Onda; Shintaro Chiba; Hiroto Moriwaki; Rika Sawai; Akira Yoshigoe; Subaru Watanabe; Yuji Ando; Ryo Uchida; Takeshi Miyawaki; Kota Wada

    2015-01-01

    Apert syndrome is a congenital syndrome characterized by craniosynostosis and craniofacial dysostosis, among other features, and is reported to cause obstructive sleep apnea (OSA) because of upper airway narrowing associated with midfacial dysplasia. We recently encountered a case involving a patient with Apert syndrome complicated by OSA who began to receive continuous positive airway pressure (CPAP) therapy at the age of 4. OSA resolved after maxillofacial surgery performed at the age of 11...

  7. Atmospheric corrosion of mild steel

    Directory of Open Access Journals (Sweden)

    Morcillo, M.

    2011-10-01

    Full Text Available The atmospheric corrosion of mild steel is an extensive topic that has been studied by many authors in different regions throughout the world. This compilation paper incorporates relevant publications on the subject, in particular about the nature of atmospheric corrosion products, mechanisms of atmospheric corrosion and kinetics of the atmospheric corrosion process, paying special attention to two matters upon which relatively less information has been published: a the morphology of steel corrosion products and corrosion product layers; and b long-term atmospheric corrosion ( > 10 years.

    La corrosión atmosférica del acero suave es un tema de gran amplitud que ha sido tratado por muchos autores en numerosas regiones del mundo. Este artículo de compilación incorpora publicaciones relevantes sobre esta temática, en particular sobre la naturaleza de los productos de corrosión atmosférica, mecanismos y cinética de los procesos de corrosión atmosférica, prestando una atención especial a dos aspectos sobre los que la información publicada ha sido menos abundante: a morfología de los productos de corrosión del acero y capas de productos de corrosión, y b corrosión atmosférica a larga duración (> 10 años.

  8. Fractal Continuation

    OpenAIRE

    Barnsley, Michael F.; Vince, Andrew

    2012-01-01

    A fractal function is a function whose graph is the attractor of an iterated function system. This paper generalizes analytic continuation of an analytic function to continuation of a fractal function.

  9. Advance in research on leishmaniasis vaccines (to be continued)%利什曼病疫苗研究进展(待续)

    Institute of Scientific and Technical Information of China (English)

    孙柯; 陈建平

    2013-01-01

    Leishmaniasis is a vector-borne parasitic disease caused by different species of the genus Leishmania,and is endemic in 88 countries on a global scale,threatening approximately 350 million people.Chemotherapy is a main mean to treat leishmaniasis at present,but the toxicity and drug resistance hamper its application.Therefore,it is urgent to develop safe and effective leishmaniasis vaccines.In the past decades,numerous antigen candidates of Leishmania have been found,but the research progress in clinical trial has been made only in a few vaccines.The advance in research on leishmaniasis vaccines is reviewed.%利什曼病是一种媒介传播的寄生虫病,由不同种属的利什曼原虫感染引起.利什曼病流行于全球88个国家,约3.5亿人受到威胁.目前治疗利什曼病的主要方法是化学疗法,但毒性和耐药性阻碍了其应用,因此急需开发出一种安全有效的利什曼病疫苗.尽管在过去的几十年,发现了许多利什曼原虫抗原,但仅少部分疫苗在临床试验阶段取得进展.此文就利什曼病疫苗的研究进展进行综述.

  10. [Mild brain injuries in emergency medicine].

    Science.gov (United States)

    Liimatainen, Suvi; Niskakangas, Tero; Ohman, Juha

    2011-01-01

    Diagnostics and correct classification of mild brain injuries is challenging. Problems caused by insufficient documentation at the acute phase become more obvious in situations in which legal insurance issues are to be considered. A small proportion of patients with mild brain injury suffer from prolonged symptoms. Medical recording and classification of the brain injury at the initial phase should therefore be carried out in a structured manner. The review deals with the diagnostic problems of mild brain injuries and presents a treatment protocol for adult patients at the acute phase, aiming at avoiding prolonged problems. PMID:22238915

  11. Induction Chemotherapy and Continuous Hyperfractionated Accelerated Radiotherapy (CHART) for Patients With Locally Advanced Inoperable Non-Small-Cell Lung Cancer: The MRC INCH Randomized Trial

    International Nuclear Information System (INIS)

    Purpose: Recent clinical trials and meta-analyses have shown that both CHART (continuous hyperfractionated accelerated radiation therapy) and induction chemotherapy offer a survival advantage over conventional radical radiotherapy for patients with inoperable non-small cell-lung cancer (NSCLC). This multicenter randomized controlled trial (INCH) was set up to assess the value of giving induction chemotherapy before CHART. Methods and Materials: Patients with histologically confirmed, inoperable, Stage I-III NSCLC were randomized to induction chemotherapy (ICT) (three cycles of cisplatin-based chemotherapy followed by CHART) or CHART alone. Results: Forty-six patients were randomized (23 in each treatment arm) from 9 UK centers. As a result of poor accrual, the trial was closed in December 2007. Twenty-eight patients were male, 28 had squamous cell histology, 34 were Stage IIIA or IIIB, and all baseline characteristics were well balanced between the two treatment arms. Seventeen (74%) of the 23 ICT patients completed the three cycles of chemotherapy. All 42 (22 CHART + 20 ICT) patients who received CHART completed the prescribed treatment. Median survival was 17 months in the CHART arm and 25 months in the ICT arm (hazard ratio of 0.60 [95% CI 0.31-1.16], p = 0.127). Grade 3 or 4 adverse events (mainly fatigue, dysphagia, breathlessness, and anorexia) were reported for 13 (57%) CHART and 13 (65%) ICT patients. Conclusions: This small randomized trial indicates that ICT followed by CHART is feasible and well tolerated. Despite closing early because of poor accrual, and so failing to show clear evidence of a survival benefit for the additional chemotherapy, the results suggest that CHART, and ICT before CHART, remain important options for the treatment of inoperable NSCLC and deserve further study.

  12. Nonsurgical interventions after mild traumatic brain injury

    DEFF Research Database (Denmark)

    Nygren-de Boussard, Catharina; Holm, Lena W; Cancelliere, Carol;

    2014-01-01

    OBJECTIVE: To synthesize the best available evidence regarding the impact of nonsurgical interventions on persistent symptoms after mild traumatic brain injury (MTBI). DATA SOURCES: MEDLINE and other databases were searched (2001-2012) with terms including "rehabilitation." Inclusion criteria were...

  13. Mild Viral Gastroenteritis and Afebrile Seizures

    OpenAIRE

    J Gordon Millichap

    2007-01-01

    Ictal electroencephalograms (EEGs) were recorded in six patients (2 male, 4 female; ages 14 mo to 38 mo) with afebrile convulsions and mild gastroenteritis (CwG), in a study at Nagoya, Japan. None had febrile convulsions.

  14. ADHD Symptoms Associated with Mild Cognitive Delay

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap

    2007-05-01

    Full Text Available The relationship between ADHD symptoms and mild intellectual disability (ID was investigated and compared to subjects with average ability, in a study at King’s College London, Institute of Psychiatry, UK.

  15. Mild Air Pollution of Concern in Pregnancy

    Science.gov (United States)

    ... nih.gov/medlineplus/news/fullstory_158558.html Mild Air Pollution of Concern in Pregnancy Study found risk for ... Being exposed to just a small amount of air pollution during pregnancy ups the risk of a pregnancy ...

  16. Swimming and Persons with Mild Persistant Asthma

    OpenAIRE

    Mirjana Arandelovic; Ivana Stankovic; Maja Nikolic

    2007-01-01

    The aim of our study was to analyze the effect of recreational swimming on lung function and bronchial hyperresponsiveness (BHR) in patients with mild persistent asthma. This study included 65 patients with mild persistent asthma, who were divided into two groups: experimental group A (n = 45) and control group B (n = 20). Patients from both groups were treated with low doses of inhaled corticosteroids (ICS) and short-acting β2 agonists salbutamol as needed. Our program for patients in group ...

  17. Phase I-II trial of concomitant continuous carboplatin (CBDCA) infusion and radiotherapy in advanced nonsmall cell lung cancer with evaluation for surgery: final report

    International Nuclear Information System (INIS)

    Purpose: The goal of this trial was to determine the maximum tolerable dose when carboplatin (CBDCA) was administered in continuous infusion concurrently with radiotherapy in patients with nonsmall cell lung cancer. Methods and Materials: From October 1989 to July 1993, 54 patients were studied (male/female ratio: 44 to 10), median age was 62 years. Two patients had Stage II cancer, 22 had Stage IIIA, 24 had Stage IIIB, and 6 had Stage IV. Carboplatin was given for 96 h, starting at a dose of 30 mg/m2/day: 13 patients received 30 mg/m2/day (group A), 12 patients received 50 mg/m2/day (group B), 12 patients received 70 mg/m2/day (group C), 10 patients received 90 mg/m2/day (group D), and 7 patients 110 mg/m2/day (group E). The radiation dose was 50.40 Gy delivered to the target volume in 5.3 weeks. Results: Fifty-three of 54 patients were evaluable for toxicity and 52 out of 54 for response. Toxicity (Miller score): Myelotoxicity: in groups A and B it was almost absent; in groups C and D it was moderate (leukopenia G1-2: 45.4% patients; trombocytopenia G1-2: 22.7%, G3: 9%; anemia G1-2: 9%); only in group E was it severe (leukopenia G1 and G3 16.6% respectively; trombocytopenia G3: 33.3%, G4: 16.6%; anemia G1-2: 50%). Nephrotoxicity was present only in one patient of group E and was Grade 3. Nausea and vomiting were related to CBDCA dose. One patient in Group E died of intractable toxicity 3 days after the end of infusion; then the study was closed. The limiting toxicity dose was shown to be 110 mg/m2/day given for 96 h. Clinical response rate: Twenty-six of 52 patients had major response, 24 had minor response, and only 2 patients had progression of disease. Surgery: Twenty-one of 52 tumors were judged resectable: 18 patients had complete tumor resection, 1 had exploratory thoracotomy, and 2 patients refused surgery. Pathological response rate: Five patients had pathologic state T0 or Tis. Conclusions: These results indicate that the maximum tolerable dose of CBDCA

  18. Continuous Problem of Function Continuity

    Science.gov (United States)

    Jayakody, Gaya; Zazkis, Rina

    2015-01-01

    We examine different definitions presented in textbooks and other mathematical sources for "continuity of a function at a point" and "continuous function" in the context of introductory level Calculus. We then identify problematic issues related to definitions of continuity and discontinuity: inconsistency and absence of…

  19. Kinetics of atmospheric corrosion of mild steel in marine and rural environments

    Science.gov (United States)

    Palraj, S.; Selvaraj, M.; Maruthan, K.; Natesan, M.

    2015-03-01

    In continuation of the extensive studies carried out to update the corrosion map of India, in this study, the degradation of mild steel by air pollutants was studied at 16 different locations from Nagore to Ammanichatram along the east coast of Tamilnadu, India over a period of two years. The weight loss study showed that the mild steel corrosion was more at Nagapattinam site, when compared to Ammanichatram and Maravakadu sites. A linear regression analysis of the experimental data was attempted to predict the mechanism of the corrosion. The composition of the corrosion products formed on the mild steel surfaces was identified by XRD technique. The corrosion rate values obtained are discussed in the light of the weathering parameters, atmospheric pollutants such as salt content & SO2 levels in the atmosphere, corrosion products formed on the mild steel surfaces.

  20. Kinetics of Atmospheric Corrosion of Mild Steel in Marine and Rural Environments

    Institute of Scientific and Technical Information of China (English)

    S. Palraj; M.Selvaraj; K.Maruthan; M.Natesan

    2015-01-01

    In continuation of the extensive studies carried out to update the corrosion map of India, in this study, the degradation of mild steel by air pollutants was studied at 16 different locations from Nagore to Ammanichatram along the east coast of Tamilnadu, India over a period of two years. The weight loss study showed that the mild steel corrosion was more at Nagapattinam site, when compared to Ammanichatram and Maravakadu sites. A linear regression analysis of the experimental data was attempted to predict the mechanism of the corrosion. The composition of the corrosion products formed on the mild steel surfaces was identified by XRD technique. The corrosion rate values obtained are discussed in the light of the weathering parameters, atmospheric pollutants such as salt content & SO2 levels in the atmosphere, corrosion products formed on the mild steel surfaces.

  1. Continuous cofinal maps on ultrafilters

    CERN Document Server

    Dobrinen, Natasha

    2011-01-01

    An ultrafilter $\\mathcal{U}$ on a countable base {\\em has continuous Tukey reductions} if whenever an ultrafilter $\\mathcal{V}$ is Tukey reducible to $\\mathcal{U}$, then every monotone cofinal map $f:\\mathcal{U}\\ra\\mathcal{V}$ is continuous when restricted to some cofinal subset of $\\mathcal{U}$. In the first part of the paper, we give mild conditions under which the property of having continuous Tukey reductions is inherited under Tukey reducibility. In particular, if $\\mathcal{U}$ is Tukey reducible to a p-point then $\\mathcal{U}$ has continuous Tukey reductions. In the second part, we show that any countable iteration of Fubini products of p-points has Tukey reductions which are continuous with respect to its topological Ramsey space of $\\vec{\\mathcal{U}}$-trees.

  2. Stratigraphy -- The Fall of Continuity.

    Science.gov (United States)

    Byers, Charles W.

    1982-01-01

    Reviews advances in stratigraphy as illustrated in the current geological literature, discussing discontinuity and how the recognition of discontinuity in the stratigraphic record is changing views of Superposition and Original Lateral Continuity. (Author/JN)

  3. Continuing Care

    Science.gov (United States)

    ... Care Obesity at Midlife May Speed Alzheimer’s Onset Hello from my mom Easing the Behavior Problems of ... Managers Continuing Care FOR MORE ARTICLES CLICK HERE Hello from my mom Common Estate Planning Errors Alzheimer’s ...

  4. Business continuity

    International Nuclear Information System (INIS)

    This presentation deals with the following keypoints: Information Technology (IT) Business Continuity and Recovery essential for any business; lessons learned after Sept. 11 event; Detailed planning, redundancy and testing being the key elements for probability estimation of disasters

  5. Pilot study of continuous-infusion 5-fluorouracil, oral leucovorin, and upper-abdominal radiation therapy in patients with locally advanced residual or recurrent upper gastrointestinal or extrapelvic colon cancer

    International Nuclear Information System (INIS)

    Purpose: The purpose of this study was to develop a satisfactorily tolerated regimen of radiation therapy, continuous infusion 5-fluorouracil, and leucovorin in patients with locally advanced upper-abdominal gastrointestinal cancer. Methods and Materials: Patients with locally advanced or locally recurrent gastric, pancreatic, or extrapelvic colon cancer were eligible for this study. Radiation therapy consisted of 45 Gy in 25 fractions to the tumor and regional lymph nodes, followed by 5.4-9 Gy in three to five fractions to the tumor. Treatment with leucovorin, 10 mg orally daily, and continuous infusion 5-fluorouracil was initiated on the first day of radiation therapy. 5-Fluorouracil was administered at an initial daily dose of 125 mg/m2, with dose escalation planned in 25-mg increments, depending on patient tolerance. Results: Twenty-one evaluable patients participated in this study. Six were treated at the initial daily 5-fluorouracil dose of 125 mg/m2. One patient experienced Grade 4 anorexia and nausea. No other Grade ≥3 toxicity was observed at this dose. Fifteen evaluable patients were entered at a planned 5-fluorouracil dose of 150 mg/m2 daily; 6 of them experienced Grade 3 toxicity, and none experienced Grade ≥ 4 toxicity. Grade 3 toxicities and the number of patients who developed each were: vomiting (three patients); nausea (two patients); diarrhea (two patients); and skin toxicity, hand-foot syndrome, catheter-related infection, and stomatitis in one patient each. Four of the six patients who experienced Grade 3 toxicity developed more than one type of Grade 3 toxicity. Conclusions: In patients with upper-abdominal gastrointestinal cancer, continuous infusion 5-fluorouracil (150 mg/m2 daily), leucovorin (10 mg orally daily), and radiation therapy (50-54 Gy) resulted in a 40% rate of severe toxicity but no life-threatening toxicity. This clinical trial excludes, with 90% confidence, a 20% risk of Grade 4 toxicity with this combination. The 40% rate

  6. Neuropsychological function following mild exposure to pentaborane

    International Nuclear Information System (INIS)

    Neuropsychological tests and self-report personality inventories were administered to 14 workers and rescue squad personnel approximately 2 months following mild exposure to pentaborane, a highly toxic volatile liquid boron hydride. Performance decrements were evident on 5 of 11 neuropsychological tests, including Block Design and measures of sustained attention and recent memory. Neuropsychological deficits were not related to emotional changes reported on the Hopkins Symptom Checklist nor to the presence of CT scan abnormality. These results indicate mild residual brain dysfunction following pentaborane intoxication, including possible dysfunction in subcortical regions mediating memory processes and in cortical areas mediating visuo-spatial abilities

  7. Bilateral internuclear ophthalmoplegia following mild head injury.

    Science.gov (United States)

    Muthukumar, N; Veerarajkumar, N; Madeswaran, K

    2001-05-01

    A 7-year-old child presented with bilateral internuclear ophthalmoplegia (INO) following a trivial head injury. CT was normal. MRI revealed a pontine lesion. Two months after the injury the patient was neurologically normal. INO following head injury is rare. Rarer still is INO following mild head injury. To date, only four cases of INO had been reported following mild head injury; the present case is the fifth and the first in which the lesion was documented using MRI. The relevant literature is reviewed. PMID:11417420

  8. Continuity theory

    CERN Document Server

    Nel, Louis

    2016-01-01

    This book presents a detailed, self-contained theory of continuous mappings. It is mainly addressed to students who have already studied these mappings in the setting of metric spaces, as well as multidimensional differential calculus. The needed background facts about sets, metric spaces and linear algebra are developed in detail, so as to provide a seamless transition between students' previous studies and new material. In view of its many novel features, this book will be of interest also to mature readers who have studied continuous mappings from the subject's classical texts and wish to become acquainted with a new approach. The theory of continuous mappings serves as infrastructure for more specialized mathematical theories like differential equations, integral equations, operator theory, dynamical systems, global analysis, topological groups, topological rings and many more. In light of the centrality of the topic, a book of this kind fits a variety of applications, especially those that contribute to ...

  9. FLAIR images of mild head trauma with transient amnesia

    Energy Technology Data Exchange (ETDEWEB)

    Wakamoto, Hirooki; Miyazaki, Hiromichi; Inaba, Makoto; Ishiyama, Naomi [Hiratsuka City Hospital, Kanagawa (Japan); Kawase, Takeshi

    1998-11-01

    A newly advanced MRI pulse sequence, the FLAIR (fluid-attenuated inversion recovery) imaging, in which a long TE spin echo sequence is used with suppression of the CSF with an inversion pulse, displays the CSF space as a no signal intensity area. We examined 45 cases of mild head trauma with posttraumatic amnesia by FLAIR images and could detect some findings which could not be detected by CT scan and conventional MR images. These findings could be detected in many patients with long posttraumatic amnesia (over 2 hours), but they could not be detected in patients with short posttraumatic amnesia (within 30 mins). These findings existed surrounding lateral ventricles and we classified them into 3 types: type 1 is anterior horn of lateral ventricle, type 2 is the base of frontal lobe, and type 3 is cerebral deep white matter. Some of them were examined again by FLAIR images a month later, and these findings had disappeared. We suspect that these lesions were brain edema or mild contusion without hemorrhage. (author)

  10. FLAIR images of mild head trauma with transient amnesia

    International Nuclear Information System (INIS)

    A newly advanced MRI pulse sequence, the FLAIR (fluid-attenuated inversion recovery) imaging, in which a long TE spin echo sequence is used with suppression of the CSF with an inversion pulse, displays the CSF space as a no signal intensity area. We examined 45 cases of mild head trauma with posttraumatic amnesia by FLAIR images and could detect some findings which could not be detected by CT scan and conventional MR images. These findings could be detected in many patients with long posttraumatic amnesia (over 2 hours), but they could not be detected in patients with short posttraumatic amnesia (within 30 mins). These findings existed surrounding lateral ventricles and we classified them into 3 types: type 1 is anterior horn of lateral ventricle, type 2 is the base of frontal lobe, and type 3 is cerebral deep white matter. Some of them were examined again by FLAIR images a month later, and these findings had disappeared. We suspect that these lesions were brain edema or mild contusion without hemorrhage. (author)

  11. On Some Qualitative Properties of Mild Solutions of Nonlocal Semilinear Functional Differential Equations

    Directory of Open Access Journals (Sweden)

    Jain Rupali S.

    2014-12-01

    Full Text Available In the present paper, we investigate the qualitative properties such as existence, uniqueness and continuous dependence on initial data of mild solutions of first and second order nonlocal semilinear functional differential equations with delay in Banach spaces. Our analysis is based on semigroup theory and modified version of Banach contraction theorem.

  12. Mild Traumatic Brain Injury: Facilitating School Success.

    Science.gov (United States)

    Hux, Karen; Hacksley, Carolyn

    1996-01-01

    A case study is used to demonstrate the effects of mild traumatic brain injury on educational efforts. Discussion covers factors complicating school reintegration, ways to facilitate school reintegration, identification of cognitive and behavioral consequences, minimization of educators' discomfort, reintegration program design, and family…

  13. Learning Strategies for Adolescents with Mild Disabilities

    Science.gov (United States)

    Conderman, Greg; Koman, Kara; Schibelka, Mary; Higgin, Karen; Cooper, Cody; Butler, Jordyn

    2013-01-01

    Learning strategy instruction is an evidence-based practice for teaching adolescents with mild disabilities. However, researchers have not developed strategies for every content area or skill. Therefore, teachers need to be able develop strategies based on the needs of their students. This article reviews the process for developing and teaching…

  14. Mild hyperthermia influence on Herceptin (R) properties

    NARCIS (Netherlands)

    Escoffre, JM; Deckers, RHR; Sasaki, Noboru; Bos, Clemens; Moonen, Chrit

    2015-01-01

    Background. Mild hyperthermia (mHT) increases the tumor perfusion and vascular permeability, and reduces the interstitial fluid pressure, resulting in better intra-tumoral bioavailability of low molecular weight drugs. This approach is potentially also attractive for delivery of therapeutic macromol

  15. Effect of mild diarrhea on tacrolimus exposure

    NARCIS (Netherlands)

    Boekel, G.A.J van; Aarnoutse, R.E.; Heijden, J.J. van der; Hoogtanders, K.E.; Hilbrands, L.B.

    2012-01-01

    BACKGROUND: Diarrhea is a frequent adverse event in patients treated with the combination of tacrolimus and mycophenolate mofetil (MMF). In case of severe diarrhea, the total exposure to tacrolimus can substantially increase, which is reflected in a rise of the predose trough level (C0). In mild dia

  16. Postpartum Depression After Mild and Severe Preeclampsia

    NARCIS (Netherlands)

    Hoedjes, Meeke; Berks, Durk; Vogel, Ineke; Franx, Arie; Bangma, Meike; Darlington, Anne-Sophie E.; Visser, Willy; Duvekot, Johannes J.; Habbema, J. Dik F.; Steegers, Eric A. P.; Raat, Hein

    2011-01-01

    Objective: To describe the prevalence of postpartum depressive symptoms after preeclampsia, to assess the extent to which the prevalence of postpartum depressive symptoms differs after mild and severe preeclampsia, and to investigate which factors contribute to such differences. Methods: Women diagn

  17. Three sibs with mild variety of osteopetrosis.

    Directory of Open Access Journals (Sweden)

    Shah A

    1996-10-01

    Full Text Available We report three sibs with mild autosomal recessive variety of osteopetrosis. The prominent clinical features were short stature, malocclusion of teeth, hepatosplenomegaly and a typical facial appearance. The only atypical features were microcephaly, a normal upper segment to lower segment ratio and a normal arm span.

  18. Continuity check

    Energy Technology Data Exchange (ETDEWEB)

    Woof, M.

    2002-10-01

    This paper looks into both safety and technological developments in continuous mining. Manufacturers covered include Hydraphase, Eimco, Deilmann-Haniel, DBT and Joy. A recent Health and Safety Executive report mentioned three in incidents of frictional ignition of flammable gas by cutting equipment in a five year period to April 1999. 4 photos.

  19. Structural Neuroimaging Findings in Mild Traumatic Brain Injury.

    Science.gov (United States)

    Bigler, Erin D; Abildskov, Tracy J; Goodrich-Hunsaker, Naomi J; Black, Garrett; Christensen, Zachary P; Huff, Trevor; Wood, Dawn-Marie G; Hesselink, John R; Wilde, Elisabeth A; Max, Jeffrey E

    2016-09-01

    Common neuroimaging findings in mild traumatic brain injury (mTBI), including sport-related concussion (SRC), are reviewed based on computed tomography and magnetic resonance imaging (MRI). Common abnormalities radiologically identified on the day of injury, typically a computed tomographic scan, are in the form of contusions, small subarachnoid or intraparenchymal hemorrhages as well as subdural and epidural collections, edema, and skull fractures. Common follow-up neuroimaging findings with MRI include white matter hyperintensities, hypointense signal abnormalities that reflect prior hemorrhage, focal encephalomalacia, presence of atrophy and/or dilated Virchow-Robins perivascular space. The MRI findings from a large pediatric mTBI study show low frequency of positive MRI findings at 6 months postinjury. The review concludes with an examination of some of the advanced MRI-based image analysis methods that can be performed in the patient who has sustained an mTBI. PMID:27482782

  20. Comparison of Intrahepatic and Pancreatic Perfusion on Fusion Images Using a Combined SPECT/CT System and Assessment of Efficacy of Combined Continuous Arterial Infusion and Systemic Chemotherapy in Advanced Pancreatic Carcinoma

    International Nuclear Information System (INIS)

    Purpose. The purpose of this study was to compare intrahepatic and pancreatic perfusion on fusion images using a combined single-photon emission computed tomography (SPECT)/CT system and to evaluate the efficacy of combined continuous transcatheter arterial infusion (CTAI) and systemic chemotherapy in the treatment of advanced pancreatic carcinoma. Materials and Methods. CTAI was performed in 33 patients (22 men, 11 women; age range, 35-77 years; mean age, 60 years) with stage IV pancreatic cancer with liver metastasis. The reservoir was transcutaneously implanted with the help of angiography. The systemic administration of gemcitabine was combined with the infusion of 5-fluorouracil via the reservoir. In all patients we obtained fusion images using a combined SPECT/CT system. Pancreatic perfusion on fusion images was classified as perfusion presence or as perfusion absent in the pancreatic cancer. Using WHO criteria we recorded the tumor response after 3 months on multislice helical CT scans. Treatment effects were evaluated based on the pancreatic cancer, liver metastasis, and factors such as intrahepatic and pancreatic perfusion on fusion images. For statistical analysis we used the chi-square test; survival was evaluated by the Kaplan Meier method (log-rank test). Results. On fusion images, pancreatic and intrahepatic perfusion was recorded as hot spot and as homogeneous distribution, respectively, in 18 patients (55%) and as cold spot and heterogeneous distribution, respectively, in 15 (45%). Patients with hot spot in the pancreatic tumor and homogeneous distribution in the liver manifested better treatment results (p < 0.05 and p < 0.01, respectively). Patients with hot spot both in the pancreatic cancer and in the liver survived longer than those with cold spot in the pancreatic cancer and heterogeneous distribution in the liver (median ± SD, 16.0 ± 3.7 vs. 8.0 ± 1.4 months; p < 0.05). Conclusions. We conclude that in patients with advanced pancreatic

  1. Continuation calculus

    Directory of Open Access Journals (Sweden)

    Bram Geron

    2013-09-01

    Full Text Available Programs with control are usually modeled using lambda calculus extended with control operators. Instead of modifying lambda calculus, we consider a different model of computation. We introduce continuation calculus, or CC, a deterministic model of computation that is evaluated using only head reduction, and argue that it is suitable for modeling programs with control. It is demonstrated how to define programs, specify them, and prove them correct. This is shown in detail by presenting in CC a list multiplication program that prematurely returns when it encounters a zero. The correctness proof includes termination of the program. In continuation calculus we can model both call-by-name and call-by-value. In addition, call-by-name functions can be applied to call-by-value results, and conversely.

  2. Profile of Cognitive Complaints in Vascular Mild Cognitive Impairment and Mild Cognitive Impairment

    OpenAIRE

    Schweizer, Tom A.; Gustavo Saposnik; Corinne E. Fischer; Jenny Gu

    2013-01-01

    Objective. Vascular mild cognitive impairment (VaMCI) is differentiated from mild cognitive impairment (MCI) by the presence of vascular events such as stroke or small vessel disease. Typically, MCI and VaMCI patients present with subjective complaints regarding cognition; however, little is known about the specific nature of these complaints. We aimed to create a profile of subjective cognitive complaints in MCI and VaMCI patients with similar levels of objective cognitive performance. Metho...

  3. Writing Impairments in Japanese Patients with Mild Cognitive Impairment and with Mild Alzheimer's Disease

    OpenAIRE

    Hayashi, Atsuko; Nomura, Hiroshi; Mochizuki, Ruriko; Ohnuma, Ayumu; Kimpara, Teiko; SUZUKI, Kyoko; Mori, Etsuro

    2015-01-01

    Background/Aims We investigated writing abilities in patients with the amnestic type of mild cognitive impairment (aMCI) and mild Alzheimer's disease (AD). To examine the earliest changes in writing function, we used writing tests for both words and sentences with different types of Japanese characters (Hiragana, Katakana, and Kanji). Methods A total of 25 aMCI patients, 38 AD patients, and 22 healthy controls performed writing to dictation for Kana and Kanji words, copied Kanji words, and wr...

  4. An Extended Mild-Slope Equation

    Institute of Scientific and Technical Information of China (English)

    PAN Junning; HONG Guangwen; ZUO Qihua

    2000-01-01

    On the assumption that the vortex and the vertical velocity component of the current are small, a mild-slope equation for wave propagation on non-uniform flows is deduced from the basic hydrodynamic equations, with the terms of ( h h)2 and /2h h included in the equation. The terms of bottom friction, wind energy input and wave nonlinearity are also introduced into the equation. The wind energy input functions for wind waves and swells are separately considered by adopting Wen′s (1989) empirical formula for wind waves and Snyder′s observation results for swells. Thus, an extended mild-slope equation is obtained, in which the effects of refraction, diffraction, reflection, current, bottom friction, wind energy input and wave nonlinearity are considered synthetically.

  5. [Nonsurgical management of mild primary hyperparathyroidism].

    Science.gov (United States)

    Imanishi, Yasuo

    2016-06-01

    Primary hyperparathyroidism(PHPT)is one of the common endocrine disorders, which results clinically in nephrolithiasis, osteoporosis, muscle weakness, cardiac and psychiatric abnormalities even in a mild or asymptomatic disease. Parathyroidectomy(PTX)is the only definitive treatment for PHPT, however, some patients with sporadic PHPT refuse surgery, are medically unfit, or have residual or recurrent disease inaccessible to further surgery. These patients may require intervention for management of symptomatic or moderate to severe hypercalcemia, bone loss or kidney calculi. PMID:27230840

  6. Caffeine restriction: effect on mild hypertension.

    OpenAIRE

    MacDonald, T. M.; Sharpe, K; Fowler, G; Lyons, D; FREESTONE, S.; Lovell, H. G.; Webster, J.; Petrie, J C

    1991-01-01

    OBJECTIVE--To determine the effects on blood pressure of modifying dietary caffeine intake in patients with mild and borderline hypertension by monitoring ambulatory and clinic blood pressure. DESIGN--Four way, randomised, crossover trial of four consecutive two week dietary regimens: normal diet, caffeine free diet alone, caffeine free diet with decaffeinated instant coffee, caffeine free diet with caffeinated instant coffee (instant coffee phases conducted double blind). SETTING--Hospital h...

  7. Strange taste and mild lithium intoxication

    OpenAIRE

    Terao, Takeshi; Watanabe, Shosuke; Hoaki, Nobuhiko; Hoaki, Takayuki

    2011-01-01

    So far, it has not been emphasised that lithium can lose or change taste in some patients. This report addresses such side effect of lithium. A 61-year-old bipolar patient experienced taste changes while increasing lithium levels up to 1.28 mEq/l and the taste changes returned to normal after lithium discontinuation. The present findings suggest that changes in tastes may be a symptom of mild lithium intoxication.

  8. Home blood pressure monitoring for mild hypertensives.

    OpenAIRE

    Midanik, L T; Resnick, B; Hurley, L B; Smith, E J; Mccarthy, M.

    1991-01-01

    A clinical trial of 204 untreated patients with mild hypertension was conducted to assess the effect of home blood pressure monitoring on blood pressure level, pharmacologic treatment, reduction of risk factors, and use of health services. After 1 year, no statistically significant differences were found between the treatment and control groups. The findings indicate that, while home blood pressure monitoring may be useful, it has no measurable short-term impact on these aspects of blood pres...

  9. A mild form of Proteus syndrome

    International Nuclear Information System (INIS)

    Proteus syndrome is a rare congenital hamartomatous syndrome. We report on the clinical and radiological appearances of a boy in order to illustrate the typical signs which include subcutaneous masses, in mild forms partial gigantism of hands and feet, hemihypertrophy, and bony abnormalities. We discuss how to make the definitive diagnosis on the basis of using a known rating scale, important aspects of differential diagnosis and clinical features, and diagnostic management. (orig.)

  10. Mild Appendicitis Complication Rates Similar for Surgery, Antibiotics

    Science.gov (United States)

    ... nih.gov/medlineplus/news/fullstory_157975.html Mild Appendicitis Complication Rates Similar for Surgery, Antibiotics Decision not ... News) -- Antibiotics can be used to treat mild appendicitis, but the condition returns in some patients who ...

  11. Continuous Progress Schools See the "Whole Child"

    Science.gov (United States)

    Mack, Jamie

    2008-01-01

    It has been called many names: Continuous Progress Format, Advancement Based on Competency (ABC), Continuous Progress Schools, and Continuous Progress Education. The idea of "Continuous Progress" refers to academic and developmental growth of students in a multi-age program. Students learn new materials as they are ready, regardless of their age,…

  12. Physical Design of a Video Phone for People with Mild Dementia

    OpenAIRE

    Gloor, Mattias

    2010-01-01

    This thesis provides an explanation and description of a new technological product that will directly aid people with Mild Cognitive Impairment (MCI) and Alzheimer Disease (AD): a technologically advanced, yet easy-to-use video phone. If used as intended, this device will make the user’s life much easier and more pleasant. A previous study that will be mentioned later in the paper showed that people with dementia often have problems using ordinary telephones. These problems vary from the inab...

  13. Advanced calculus

    CERN Document Server

    Friedman, Avner

    2007-01-01

    This rigorous two-part treatment advances from functions of one variable to those of several variables. Intended for students who have already completed a one-year course in elementary calculus, it defers the introduction of functions of several variables for as long as possible, and adds clarity and simplicity by avoiding a mixture of heuristic and rigorous arguments.The first part explores functions of one variable, including numbers and sequences, continuous functions, differentiable functions, integration, and sequences and series of functions. The second part examines functions of several

  14. FDG-PET imaging in mild traumatic brain injury: A critical review

    Directory of Open Access Journals (Sweden)

    Kimberly R Byrnes

    2014-01-01

    Full Text Available Traumatic brain injury (TBI affects an estimated 1.7 million people in the United States and is a contributing factor to one third of all injury related deaths annually. According to the CDC, approximately 75% of all reported TBIs are concussions or considered mild in form, although the number of unreported mild TBIs and patients not seeking medical attention is unknown. Currently, classification of mild TBI (mTBI or concussion is a clinical assessment since diagnostic imaging is typically inconclusive due to subtle, obscure, or absent changes in anatomical or physiological parameters measured using standard magnetic resonance (MR or computed tomography (CT imaging protocols. Molecular imaging techniques that examine functional processes within the brain, such as measurement of glucose uptake and metabolism using [18F]fluorodeoxyglucose and positron emission tomography (FDG-PET, have the ability to detect changes after mild TBI. Recent technological improvements in the resolution of PET systems, the integration of PET with MRI, and the availability of normal healthy human databases and commercial image analysis software contribute to the growing use of molecular imaging in basic science research and advances in clinical imaging. This review will discuss the technological considerations and limitations of FDG-PET, including differentiation between glucose uptake and glucose metabolism and the significance of these measurements. In addition, the current state of FDG-PET imaging in assessing mild TBI in clinical and preclinical research will be considered. Finally, this review will provide insight into potential critical data elements and recommended standardization to improve the application of FDG-PET to mild TBI research and clinical practice.

  15. 动脉持续灌注化疗与静脉全身化疗治疗中晚期胰腺癌的疗效分析%A clinical study on continuous transarterial infusion chemotherapy and systemic venous chemotherapy with gemcitabine and 5-fiuorouracil in treating patients with advanced pancreatic carcinoma

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Objective: To compare the curative effectiveness of continuous transarterial infusion chemotherapy and systemic venous chemotherapy in treating patients with advanced pancreatic cancer, and to evaluate the value of selective continuous transarterial infusion chemotherapy in treating advanced pancreatic cancer. Methods: Of the 51 patients with advanced pancreatic cancer receiving chemotherapy with gemcitabine and 5-fluorouracil, 25 patients were treated with selective continuous transarterial infusion chemotherapy, 26 were treated with systemic venous chemotherapy, and curative effectiveness was analyzed retrospectively. Curative effectiveness included tumor volume, clinical benefit response (CBR), acute and subacute toxic reactions of antitumor drugs, survival rate and median survival time. Results: The objective effective rate in transarterial group was 32.0% versus 23.1% in systemic group without any significant difference (P = 0.475). Clinical benefit rates in transarterial group and systemic group were 80.0% and 50.0% respectively (P = 0.025). The 6-, 9- and 12-month accumulated survival rates and median survival time in transarterial group were higher than those of the systemic group (P = 0.002), the differences were statistically significant. However, the adverse reactions between the two groups were not statistically significant. Conclusion: Compared with systemic chemotherapy, continuous transarterial infusion chemotherapy with gemcitabine and 5-fluorouracil could improve clinical benefit rate and survival time of patients with advanced pancreatic cancer, it is safe and reliable, and the adverse reactions is less.

  16. Mild trigonocephaly. Report of 300 operative cases

    International Nuclear Information System (INIS)

    Since 1999, we have reported mild trigonocephaly with symptoms mainly accompanied with developmental delays. We would like to report the operative results of 300 patients. All patients had some kind of clinical symptoms. The diagnosis made recognizing ridge of the fused metopic suture by palpation and a three-dimensional computed tomography (3D-CT). Most patients (287 among 300) could not be diagnosed because of the mild changes of their facial features and their natural development as infants. They suffered from symptoms such as mental retardation, delayed language development, hyperactivity, autistic tendencies, panic and irritability, motor dysfunctions, self-mutilation and sleeping disturbances. Two hundred thirteen patients were recorded intracranial pressure (ICP). Developmental quotients (D.Q) were also measured. Two hundred fifteen (73.6%) of 292 patients with delays of language development were improved within a year after surgery. Other symptoms also improved: 91.6% in hyperactivity, 76.5% in autistic tendencies, 92% in panic, 90.4% in motor dysfunctions, 88.6% in self-mutilation and 93% in sleeping disturbances. The chronological scores in D.Q maintained parallel in most patients. Measurements of ICP resulted in 10 cases (5%) under mean 10 mmHg, 33 cases (15%) between 11 to 15 mmHg and 170 cases (80%) over 16 mmHg. The mean pulse pressure calculated around 9 mmHg in each group. Decompressive cranioplasty was applied to all patients. Patients with mild trigonocephaly may have a possibility to show clinical symptoms. Since the ICP seems to be high, decompressive cranioplasty may be a reasonable treatment for these patients. (author)

  17. Mild cognitive impairment is becoming more psychosocial.

    Science.gov (United States)

    Verhey, Frans; de Vugt, Marjolein

    2013-01-01

    In recent years, researchers have underlined the need for more studies of early psychosocial interventions for patients with mild cognitive impairment (MCI) and early dementia (Moniz-Cook, Vernooij-Dassen, Woods, & Orrell, 2011 ). In the last 10 years, MCI has become more 'psychosocial' and a starting point for professionals to help patients and their nearest ones to deal with their handicaps, to cope with a future that is insecure and gloomy, and to get prepared for the possibility of further decline and dependency. It is timely that Aging & Mental Health is devoting this paper, a special section in this issue with contributions dealing with psychological and social aspects of MCI. PMID:23402425

  18. Factors controlling nitrate cracking of mild steel

    International Nuclear Information System (INIS)

    Nitrite and hydroxide ions inhibit the growth of nitrate stress corrosion cracks in mild steel. Crack growth measurements showed that sufficient concentrations of nitrite and hydroxide ions can prevent crack growth; however, insufficient concentrations of these ions did not influence the Stage II growth rate or the threshold stress intensity, but extended the initiation time. Stage III growth was discontinuous. Oxide formed in the grain boundaries ahead of the crack tip and oxide dissolution (Stage II) and fracture (Stage III) are the proposed mechanisms of nitrate stress corrosion crack growth

  19. Thyroid disorders in mild iodine deficiency

    DEFF Research Database (Denmark)

    Laurberg, P; Nøhr, S B; Pedersen, K M;

    2000-01-01

    elderly subjects, especially women, with risk of cardiac arrhythmias, osteoporosis, and muscle wasting. The hyperthyroidism is caused by autonomous nodular growth and function of the thyroid gland and it is accompanied by a high frequency of goiter. Pregnant women and small children are not immediately...... endangered but the consequences of severe iodine deficiency for brain development are grave and a considerable safety margin is advisable. Moreover, a shift toward less malignant types of thyroid cancer and a lower radiation dose to the thyroid in case of nuclear fallout support that mild-to-moderate iodine...

  20. Original P53 status predicts for pathological response in locally advanced breast cancer treated pre-operatively with continuous infusion (C.I.) 5-fluorouracil (5FU) during radiotherapy

    International Nuclear Information System (INIS)

    Purpose/Objective: 1) To study the pathological response at mastectomy of women treated with a combination of continuous infusion (c.i.) 5Fu during radiotherapy. 2) to explore possible correlations between initial biological parameters (p53 status, Thymidylate Synthase (TS), Her 2/neu expression etc.) and pathological responses. Materials and Methods: Previously untreated locally advanced breast cancer patients were eligible for a preoperative protocol of c.i. 5FU (200 mg/m2) during radiotherapy (50 Gy) to the breast and regional nodes. Mastectomy followed and the pathological findings were quantified as: complete pathological response (pCR) = absence of residual tumor cells both in the removed breast and axillary contents specimens; partial pathological response (pPR) = no tumor mass identified but persistent microscopic cancer cells in either the breast or nodal specimens; no pathological response (pNR) = macroscopic persistence of tumor. Pre-treatment breast cancer biopsies from each patient were analyzed by immunohistochemistry for ER/PR hormonal receptors, her2/neu, TS expression and p53 mutation expression. Results: Twenty-six women completed the protocol and are available for analysis. The combined regimen was well tolerated except for grade I oral mucositis in (9(26)) patients and in field wet desquamation in (3(26)) patients. Clinical response rate before mastectomy was 69% ((18(26)) patients). At mastectomy primary wound closure (without requiring interposition of tissue flaps) was achieved in all patients: no increase post-operative morbidity was detected. At pathological evaluation there were 5 pCR (19%), 2 pPR (8%) and the remaining nineteen patients had macroscopic persistence of cancer (pNR). No correlation was found between clinical and pathological complete response (p=1.00, Fisher exact test). p53 mutation expression was present in (13(19)) (68%) of the pNR patients and in none of the 7 patients with pCR and pPR. All the tumors expressing p53

  1. Mild traumatic brain injuries in adults

    Directory of Open Access Journals (Sweden)

    Dhaval Shukla

    2010-01-01

    Full Text Available Mild traumatic brain injury (mTBI is the commonest form of TBI. Though the name implies, it may not be mild in certain cases. There is a lot of heterogeneity in nomenclature, classification, evaluation and outcome of mTBI. We have reviewed the relevant articles on mTBI in adults, particularly its definition, evaluation and outcome, published in the last decade. The aspects of mTBI like pediatric age group, sports concussion, and postconcussion syndrome were not reviewed. There is general agreement that Glasgow coma score (GCS of 13 should not be considered as mTBI as the risk of intracranial lesion is higher than in patients with GCS 14-15. All patients with GCS of <15 should be evaluated with a computed tomography (CT scan. Patients with GCS 15 and risk factors or neurological symptoms should also be evaluated with CT scan. The outcome of mTBI depends on the combination of preinjury, injury and postinjury factors. Overall outcome of mTBI is good with mortality around 0.1% and disability around 10%.

  2. Continuous twice-a-day radiotherapy and concomitant CDDP-5FU chemotherapy (BiRCF) for the treatment of locally advanced inoperable pharyngeal carcinomas: final results of a multicentric phase II study (FNCLCC)

    International Nuclear Information System (INIS)

    Purpose: French 'Federation Nationale des Centres de Lutte Contre le Cancer' has initiated a phase II study in advanced pharynx cancer, to assess feasibility, local control at 6 months (mo), and control, survival and rate of distant metastases at 1 and 3 yr, obtained by a combined radio/chemotherapy regimen. Rationale was to associate, at full dose, most effective known treatments: (i) hyperfractionated continuous irradiation; and (ii) concurrent CDDP-5FU cycles. The inclusion of 30 to 35 cases was intended. Material and methods: Regardless of lymph nodes status, stage IV, not previously treated, unresectable carcinomas of oro- and hypopharynx were included. Eligibility criteria were KPS≥70, age≤65, acceptable renal, cardiac, and biological parameters. Patients (pts) were hospitalized during the overall treatment (trt) time (7 weeks), with enteral nutritional support and mucositis prevention. Supportive care included morphinomimetics and anti5HT3 antiemetics, without Colony Stimulating Factor. Radiotherapy (RT): Primary tumor and satellite nodes RT: 2 coaxial opposed lateral fields, 60Co γrays or 5-6 MV photons, 2 fractions (fr.) of 1.2 Gy/d., 5 days a week, without any interruption (D1->D46). Total tumor doses: 80.4 Gy/46 d. (oropharynx), 75.6 Gy/44 d. (hypopharynx). Spinal cord reduction at 40.8 Gy (complement with 7-10 MeV e-, 1 fr./d., 2 Gy/fr.). Supra-clavicular RT: 1 anterior field, 1 fr./d., 2 Gy/fr., total dose 50 Gy + e-. Chemotherapy consisted of CDDP: 100 mg/m2 (D1); 5FU: 750 mg/m2/d., continuous infusion (D2->D6). Pharmacokinetically guided 5FU dose adaptation was performed at D4. 2nd cycle at D22; 3rd at D43. Results: For 30 included pts (06/03/95), acute toxicity was acceptable, with grade 3 mucositis in 23 cases, grade 4 mucositis in 5 cases (1 to 4 d. of duration), grade 4 transient neutropenia and/or thrombocytopenia in 6 cases, with no significant disturbance in trt course, i.e. no break > 5 d. during RT. Dose of 5FU was reduced at 2nd cycle

  3. Swimming and Persons with Mild Persistant Asthma

    Directory of Open Access Journals (Sweden)

    Mirjana Arandelovic

    2007-01-01

    Full Text Available The aim of our study was to analyze the effect of recreational swimming on lung function and bronchial hyperresponsiveness (BHR in patients with mild persistent asthma. This study included 65 patients with mild persistent asthma, who were divided into two groups: experimental group A (n = 45 and control group B (n = 20. Patients from both groups were treated with low doses of inhaled corticosteroids (ICS and short-acting β2 agonists salbutamol as needed. Our program for patients in group A was combined asthma education with swimming (twice a week on a 1-h basis for the following 6 months. At the end of the study, in Group A, we found a statistically significant increase of lung function parameters FEV1 (forced expiratory volume in 1 sec (3.55 vs. 3.65 (p < 0.01, FVC (forced vital capacity (4.27 vs. 4.37 (p < 0.05, PEF (peak expiratory flow (7.08 vs. 7.46 (p < 0.01, and statistically significant decrease of BHR (PD20 0.58 vs. 2.01 (p < 0.001. In Group B, there was a statistically significant improvement of FEV1 3.29 vs. 3.33 (p < 0.05 and although FVC, FEV1/FVC, and PEF were improved, it was not significant. When Groups A and B were compared at the end of the study, there was a statistically significant difference of FVC (4.01 vs. 4.37, FEV1 (3.33 vs. 3.55, PEF (6.79 vs.7.46, and variability (p <0.001, and statistically significantly decreased BHR in Group A (2.01 vs. 1.75 (p < 0.001. Engagement of patients with mild persistent asthma in recreational swimming in nonchlorinated pools, combined with regular medical treatment and education, leads to better improvement of their parameters of lung function and also to more significant decrease of their airway hyperresponsiveness compared to patients treated with traditional medicine

  4. Atmospheric corrosion of mild steel in Oman

    Science.gov (United States)

    Gismelseed, Abbasher; Al-Harthi, S. H.; Elzain, M.; Al-Rawas, A. D.; Yousif, A.; Al-Saadi, S.; Al-Omari, I.; Widatallah, H.; Bouziane, K.

    A systematic study has been made of the initial corrosion products which form on mild steel capons exposed near the coastal region of Oman and at some industrial areas. The phases and compositions of the products formed at different periods of exposure were examined by using Mossbauer spectroscopy (295 and 78 K) and X-ray diffraction (XRD) techniques. The results show that lepidocorcite and maghemite are early corrosion products and goethite starts to form after 2 months of metal exposure to the atmosphere. Akaganeite is an early corrosion product but it forms in marine environments only, which reflects the role of chlorine effect in the atmosphere. The 12 months coupons showed the presence of goethite, lepidocorcite and maghemite, but no akaganeite being seen in the products of one of the studied areas.

  5. Atmospheric corrosion of mild steel in Oman

    International Nuclear Information System (INIS)

    A systematic study has been made of the initial corrosion products which form on mild steel capons exposed near the coastal region of Oman and at some industrial areas. The phases and compositions of the products formed at different periods of exposure were examined by using Moessbauer spectroscopy (295 and 78 K) and X-ray diffraction (XRD) techniques. The results show that lepidocorcite and maghemite are early corrosion products and goethite starts to form after 2 months of metal exposure to the atmosphere. Akaganeite is an early corrosion product but it forms in marine environments only, which reflects the role of chlorine effect in the atmosphere. The 12 months coupons showed the presence of goethite, lepidocorcite and maghemite, but no akaganeite being seen in the products of one of the studied areas.

  6. Mild desalination of various raw water streams.

    Science.gov (United States)

    Groot, C K; van den Broek, W B P; Loewenberg, J; Koeman-Stein, N; Heidekamp, M; de Schepper, W

    2015-01-01

    For chemical industries, fresh water availability is a pre-requisite for sustainable operation. However, in many delta areas around the world, fresh water is scarce. Therefore, the E4 Water project (www.e4water.eu) comprises a case study at the Dow site in Terneuzen, The Netherlands, which is designed to develop commercial applications for mild desalination of brackish raw water streams from various origins to enable reuse in industry or agriculture. This study describes an effective two-stage work process, which was used to narrow down a broad spectrum of desalination technologies to a selection of the most promising techniques for a demonstration pilot at 2-4 m³/hour. Through literature study, laboratory experiments and multi-criteria analysis, nanofiltration and electrodialysis reversal were selected, both having the potential to attain the objectives of E4Water at full scale. PMID:26204068

  7. Delayed epidural hematoma after mild head injury

    Directory of Open Access Journals (Sweden)

    Radulović Danilo

    2005-01-01

    Full Text Available Background. Traumatic delayed epidural hematoma (DEH can be defined as insignificant or not seen on the initial CT scan performed after a trauma but seen on the subsequent CT scan as a “massive” epidural bleeding. Case report. We presented two cases of traumatic DEH after mild head injury. Both patients were conscious and without neurological deficit on the admission. Initial CT scan did not reveal intracranial hematoma. Repeated CT scan, that was performed after neurological deterioration, revealed epidural hematoma in both cases. The patients were operated with a favorable surgical outcome. Conclusion. Traumatic DEH could occur in the patients with head injuries who were conscious on the admission with a normal initial CT scan finding. Early detection of DEH and an urgent surgical evacuation were essential for a good outcome.

  8. Functional Hubs in Mild Cognitive Impairment

    Science.gov (United States)

    Navas, Adrián; Papo, David; Boccaletti, Stefano; Del-Pozo, F.; Bajo, Ricardo; Maestú, Fernando; Martínez, J. H.; Gil, Pablo; Sendiña-Nadal, Irene; Buldú, Javier M.

    We investigate how hubs of functional brain networks are modified as a result of mild cognitive impairment (MCI), a condition causing a slight but noticeable decline in cognitive abilities, which sometimes precedes the onset of Alzheimer's disease. We used magnetoencephalography (MEG) to investigate the functional brain networks of a group of patients suffering from MCI and a control group of healthy subjects, during the execution of a short-term memory task. Couplings between brain sites were evaluated using synchronization likelihood, from which a network of functional interdependencies was constructed and the centrality, i.e. importance, of their nodes was quantified. The results showed that, with respect to healthy controls, MCI patients were associated with decreases and increases in hub centrality respectively in occipital and central scalp regions, supporting the hypothesis that MCI modifies functional brain network topology, leading to more random structures.

  9. Accommodation in mild traumatic brain injury

    Directory of Open Access Journals (Sweden)

    Wesley Green, MS

    2010-05-01

    Full Text Available Accommodative dysfunction in individuals with mild traumatic brain injury (mTBI can have a negative impact on quality of life, functional abilities, and rehabilitative progress. In this study, we used a range of dynamic and static objective laboratory and clinical measurements of accommodation to assess 12 adult patients (ages 18-40 years with mTBI. The results were compared with either 10 control subjects with no visual impairment or normative literature values where available. Regarding the dynamic parameters, responses in those with mTBI were slowed and exhibited fatigue effects. With respect to static parameters, reduced accommodative amplitude and abnormal accommodative interactions were found in those with mTBI. These results provide further evidence for the substantial impact of mTBI on accommodative function. These findings suggest that a range of accommodative tests should be included in the comprehensive vision examination of individuals with mTBI.

  10. Atmospheric corrosion of mild steel in Oman

    Energy Technology Data Exchange (ETDEWEB)

    Gismelseed, Abbasher, E-mail: abbasher@squ.edu.om; Al-Harthi, S. H.; Elzain, M.; Al-Rawas, A. D.; Yousif, A.; Al-Saadi, S.; Al-Omari, I.; Widatallah, H.; Bouziane, K. [College of Science, Department of Physics (Oman)

    2006-01-15

    A systematic study has been made of the initial corrosion products which form on mild steel capons exposed near the coastal region of Oman and at some industrial areas. The phases and compositions of the products formed at different periods of exposure were examined by using Moessbauer spectroscopy (295 and 78 K) and X-ray diffraction (XRD) techniques. The results show that lepidocorcite and maghemite are early corrosion products and goethite starts to form after 2 months of metal exposure to the atmosphere. Akaganeite is an early corrosion product but it forms in marine environments only, which reflects the role of chlorine effect in the atmosphere. The 12 months coupons showed the presence of goethite, lepidocorcite and maghemite, but no akaganeite being seen in the products of one of the studied areas.

  11. Borderlines between sarcopenia and mild late-onset muscle disease

    Directory of Open Access Journals (Sweden)

    Johanna Palmio

    2014-09-01

    Full Text Available Numerous natural or disease-related alterations occur in different tissues of the body with advancing age. Sarcopenia is defined as age-related decrease of muscle mass and strength beginning in mid-adulthood and accelerating in people older than 60 years. Pathophysiology of sarcopenia involves both neural and muscle dependent mechanisms and is enhanced by multiple factors. Aged muscles show loss in fiber number, fiber atrophy and gradual increase in the number of ragged red fibers and cytochrome c oxidase-negative fibers. Generalized loss of muscle tissue and increased amount of intramuscular fat is seen on muscle imaging. However, the degree of these changes vary greatly between individuals and the distinction between normal age-related weakening of muscle strength and clinically significant muscle disease is not always obvious. Because some of the genetic myopathies can present at a very late age and be mild in severity, the correct diagnosis is easily missed. We highlight this difficult borderline zone between sarcopenia and muscle disease by two examples: LGMD1D and myotonic dystrophy type 2. Muscle MRI is a useful tool to help differentiate myopathies from sarcopenia and to reach the correct diagnosis also in the elderly.

  12. Pragmatic abilities of pupils with mild intellectual disabilities

    OpenAIRE

    Šilc, Mateja

    2015-01-01

    This master thesis examines characteristics of pragmatic abilities of pupils with mild intellectual disabilities. The research analyses the characteristics of vocabulary, grammatical and substantive structures of pupils with mild intellectual disabilities in storytelling, and concludes the characteristics of storytelling according to gender and age. Uncoincidental, scheduled pattern has been used in data collection of 60 pupils with mild intellectual disabilities, aging from 7 to 9 years. ...

  13. Mild Traumatic Brain Injuries : A 10-year follow-up

    OpenAIRE

    Elgmark Andersson, Elisabeth; Bedics, Beate Kärrdahl; Falkmer, Torbjörn

    2011-01-01

    Objective and design: Long-term consequences of mild traumatic brain injuries were investigated based on a 10-year follow-up of patients from a previously published randomized controlled study of mild traumatic brain injuries. One aim was to describe changes over time after mild traumatic brain injuries in terms of the extent of persisting post-concussion symptoms, life satisfaction, perceived health, activities of daily living, changes in life roles and sick leave. Another aim was to identif...

  14. The Characterization of Biological Rhythms in Mild Cognitive Impairment

    Directory of Open Access Journals (Sweden)

    Elisabet Ortiz-Tudela

    2014-01-01

    Full Text Available Introduction. Patients with dementia, especially Alzheimer’s disease, present several circadian impairments related to an accelerated perturbation of their biological clock that is caused by the illness itself and not merely age-related. Thus, the objective of this work was to elucidate whether these circadian system alterations were already present in patients with mild cognitive impairment (MCI, as compared to healthy age-matched subjects. Methods. 40 subjects (21 patients diagnosed with MCI, 74.1 ± 1.5 y.o., and 19 healthy subjects, 71.7 ± 1.4 y.o. were subjected to ambulatory monitoring, recording wrist skin temperature, motor activity, body position, and the integrated variable TAP (including temperature, activity, and position for one week. Nonparametrical analyses were then applied. Results. MCI patients exhibited a significant phase advance with respect to the healthy group for the following phase markers: temperature M5 (mean ± SEM: 04:20 ± 00:21 versus 02:52 ± 00:21 and L10 (14:35 ± 00:27 versus 13:24 ± 00:16 and TAP L5 (04:18 ± 00:14 versus 02:55 ± 00:30 and M10 (14:30 ± 00:18 versus 13:28 ± 00:23. Conclusions. These results suggest that significant advances in the biological clock begin to occur in MCI patients, evidenced by an accelerated aging of the circadian clock, as compared to a healthy population of the same age.

  15. Quality of Life in Adolescents With Mild Asthma

    OpenAIRE

    Hallstrand, Teal S.; Curtis, J. Randall; Aitken, Moira L.; Sullivan, Sean D.

    2003-01-01

    The majority of individuals with asthma have mild disease, often in conjunction with allergic rhinitis and exercise-induced bronchoconstriction (EIB). Although health-related quality-of-life (HRQoL) is reduced in moderate to severe asthma and allergic rhinitis, little is known about the effect of mild asthma, mild allergic rhinitis, and EIB on HRQoL outcomes. The objective of this study was to determine the effect of mild asthma, allergic rhinitis, and EIB on HRQoL. A cross-sectional study wa...

  16. Long-term neuropsychological outcomes following mild traumatic brain injury.

    Science.gov (United States)

    Vanderploeg, Rodney D; Curtiss, Glenn; Belanger, Heather G

    2005-05-01

    Mild traumatic brain injury (MTBI) is common, yet few studies have examined neuropsychological outcomes more than 1 year postinjury. Studies of nonreferred individuals with MTBI or studies with appropriate control groups are lacking, but necessary to draw conclusions regarding natural recovery from MTBI. We examined the long-term neuropsychological outcomes of a self-reported MTBI an average of 8 years postinjury in a nonreferred community-dwelling sample of male veterans. This was a cross-sectional cohort study derived from the Vietnam Experience Study. Three groups matched on premorbid cognitive ability were examined, those who (1) had not been injured in a MVA nor had a head injury (Normal Control; n = 3214), (2) had been injured in a motor vehicle accident (MVA) but did not have a head injury (MVA Control; n = 539), and (3) had a head injury with altered consciousness (MTBI; n = 254). A MANOVA found no group differences on a standard neuropsychological test battery of 15 measures. Across 15 measures, the average neuropsychological effect size of MTBI compared with either control group was -.03. Subtle aspects of attention and working memory also were examined by comparing groups on Paced Auditory Serial Addition Test (PASAT) continuation rate and California Verbal Learning Test (CVLT) proactive interference (PI). Compared with normal controls, the MTBI group evidenced attention problems in their lower rate of continuation to completion on the PASAT (odds ratio = 1.32, CI = 1.0-1.73) and in excessive PI (odds ratio = 1.66, CI = 1.11-2.47). Unique to the MTBI group, PASAT continuation problems were associated with left-sided visual imperceptions and excessive PI was associated with impaired tandem gait. These results show that MTBI can have adverse long-term neuropsychological outcomes on subtle aspects of complex attention and working memory. PMID:15892899

  17. Computed tomography and magnetic resonance imaging of mild head injury - is it appropriate to classify patients with glasgow coma scale score of 13 to 15 as 'mild injury'?

    International Nuclear Information System (INIS)

    Objective. The purpose of this study is to examine the relation between Glasgow coma scale (GCS) score and findings on computed tomography (CT) and magnetic resonance (MR) imaging of patients with mild head injury presenting GCS Scores between 13 and 15. Methods. Data were collected from all consecutive patients with mild head injury who were referred to our hospital between July 1 and October 31, 1999. All patients were recommended to undergo CT and MR imaging examinations. Patients younger than 14 years of age were excluded. Results. Ninety patients were recruited into this study. CT scans were obtained in 88 patients and MR imaging were obtained in 65 patients. Of those 90 patients, 2 patients scored 13 points, 5 scored 14 points and 83 (92.2 %) 15 points. Patients with GCS score of 13 points demonstrated parenchymal lesions an both CT and MR imaging. Those with 14 points revealed absence of parenchymal abnormality an CT, but presence of parenchymal lesions an MR imaging. Patients in advanced age (chi square test, p < 0.0001), and those with amnesia (p = 0005, not significant), although scoring 15 points, revealed a tendency to abnormal intracranial lesions on CT scans. Conclusion. It is doubtful whether patients with GCS score 13 should be included in the mild head injury category, due to obvious brain damage on CT scans. MR imaging should be performed on patients with GCS score 14, since the parenchymal lesions are not clearly demonstrated an CT scans. Even if patients scored GCS 15, patients which amnesia or of advanced age should undergo CT scans at minimum, and MR imaging when available. (author)

  18. Ecological assessment of executive functions in mild cognitive impairment and mild Alzheimer's disease

    OpenAIRE

    Espinosa, Ana; Alegret, Montserrat; Boada, Mercè; Vinyes, Georgina; Valero, Sergi; Martínez-Lage, Pablo; Peña-Casanova, Jordi; Becker, James T.; Wilson, Barbara A; Tárraga, Lluís

    2009-01-01

    Although memory deficits are typically the earliest and most profound symptoms of Alzheimer's disease (AD) and mild cognitive impairment (MCI), there is increasing recognition of subtle executive dysfunctions in these patients. The purpose of the present study was to determine the sensitivity of the Behavioral Assessment of the Dysexecutive Syndrome (BADS), and to detect early specific signs of the dysexecutive syndrome in the transition from normal cognition to dementia. The BADS was adminis...

  19. Generalized Continued Logarithms and Related Continued Fractions

    OpenAIRE

    Borwein, Jonathan M.; Hare, Kevin G.; Lynch, Jason G.

    2016-01-01

    We study continued logarithms as introduced by Bill Gosper and studied by J. Borwein et. al.. After providing an overview of the type I and type II generalizations of binary continued logarithms introduced by Borwein et. al., we focus on a new generalization to an arbitrary integer base $b$. We show that all of our so-called type III continued logarithms converge and all rational numbers have finite type III continued logarithms. As with simple continued fractions, we show that the continued ...

  20. Continued Growth on Graphene Edges

    Science.gov (United States)

    Luo, Zhengtang

    Previously, we have shown that the large-size single crystal graphene can be obtained by suppressing the nucleation density during Chemical Vapor Deposition (CVD) growth. Here we demonstrate that the graphene single crystal can be amplified by a continued growth method. In this process, we used a mild oxidation step after the first-growth, which lead to the observed fromation of oxides at the vicinity of graphene edges, which allows the graphene growth at seed edges due to reduced activation energy. Consequently, we successful grown a secondary single-crystal graphene structures with the same lattice structure, orientation on the graphene edges. This amplification method would enable the production of graphene electronics with controlled properties.

  1. Continuous Culture Microbioreactors

    DEFF Research Database (Denmark)

    Schäpper, Daniel

    investigated. The advance of miniature online measuring techniques makes it possible to measure at least the basic culture variables such as dissolved oxygen (DO), cell density (OD) and pH continuously and without disturbing the cultivation. Online measurements are at this scale very susceptible to the...... mm diameter and 4.2 mm height. The reactor chamber is a cylinder with 8 mm diameter and 2 mm height resulting in a culture volume of 100 L. The uidic connections are done by piercing the reactor side walls with needles|the PDMS will tightly enclose the needle to prevent leakage. The reactor chamber...... culture broth is measured by a transmittance measurement|light is shone through 0.5 mm of culture broth, and the intensity of the transmitted light is measured. This gives an indication of the amount of cells in the broth. Both DO and pH are measured with uorescent sensor spots: Oscillating light is shone...

  2. Effect of montelukast as monotherapy in mild persistent asthma

    Directory of Open Access Journals (Sweden)

    Bharathi Senthilvelan

    2015-12-01

    Conclusions: Montelukast provides significant symptom control and improvement in PEFR in mild persistent asthma compared to placebo. It is effective as monotherapy in mild persistent asthma in children aged 2-12 years. Symptom control is good during therapy and until three months after discontinuation of drug. [Int J Res Med Sci 2015; 3(12.000: 3786-3789

  3. Efficacy of psychosocial intervention in patients with mild Alzheimer's disease

    DEFF Research Database (Denmark)

    Waldorff, F B; Buss, D V; Eckermann, A; Rasmussen, M L H; Keiding, Niels; Rishøj, S; Siersma, Volkert; Sørensen, J; Sørensen, L V; Vogel, A; Waldemar, G

    2012-01-01

    To assess the efficacy at 12 months of an early psychosocial counselling and support programme for outpatients with mild Alzheimer's disease and their primary care givers.......To assess the efficacy at 12 months of an early psychosocial counselling and support programme for outpatients with mild Alzheimer's disease and their primary care givers....

  4. Teaching Elementary Social Studies to Students with Mild Disabilities.

    Science.gov (United States)

    Taylor, Howard E.; Larson, Susan M.

    2000-01-01

    Explains what mild disabilities are and discusses the issue of mainstreaming within the realm of elementary school social studies. Provides strategies for social studies teachers to use when addressing the needs of students with learning disabilities, emotional and behavioral disorders, mild mental retardation, and other health impairments. (CMK)

  5. Mild Aphasia: Is This the Place for an Argument?

    Science.gov (United States)

    Armstrong, Elizabeth; Fox, Sarah; Wilkinson, Ray

    2013-01-01

    Purpose: Individuals with mild aphasia often report significant disruption to their communication despite seemingly minor impairment. This study explored this phenomenon through examining conversations of a person with mild aphasia engaging in argumentation--a skill she felt had significantly deteriorated after her stroke. Method: A person with…

  6. Heterogeneity in executive impairment in patients with very mild Alzheimer's

    DEFF Research Database (Denmark)

    Stokholm, J.; Gade, Anders; Vogel, A.;

    2006-01-01

    The presence of executive impairment in mild Alzheimer's disease (AD) has primarily been demonstrated by means of group comparison. Whether executive dysfunction is a common feature of mild AD or only present in a subgroup of patients remains unclear. The aim of this study was to describe the...

  7. Impaired Verb Fluency: A Sign of Mild Cognitive Impairment

    Science.gov (United States)

    Ostberg, Per; Fernaeus, Sven-Erik; Hellstrom, Ake; Bogdanovic, Nenad; Wahlund, Lars Olof

    2005-01-01

    We assessed verb fluency vs. noun and letter-based fluency in 199 subjects referred for cognitive complaints including Subjective Cognitive Impairment, Mild Cognitive Impairment, and Alzheimer's disease. ANCOVAs and factor analyses identified verb, noun, and letter-based fluency as distinct tasks. Verb fluency performance in Mild Cognitive…

  8. Mild-split SUSY with flavor

    CERN Document Server

    Eliaz, Latif; Gudnason, Sven Bjarke; Tsuk, Eitan

    2013-01-01

    In the framework of a gauge mediated quiver-like model, the standard model flavor texture can be naturally generated. The model - like the MSSM - has furthermore a region in parameter space where the lightest Higgs mass is fed by heavy stop loops, which in turn sets the average squark mass scale near 10-20 TeV. We perform a careful flavor analysis to check whether this type of mild-split SUSY passes all flavor constraints as easily as envisioned in the original type of split SUSY. Interestingly, it turns out to be on the border of several constraints, in particular, the branching ratio of mu -> e gamma and, if order one complex phases are assumed, also epsilon_K neutron and electron EDM. Furthermore, we consider unification as well as dark matter candidates, especially the gravitino. Finally, we provide a closed-form formula for the soft masses of matter in arbitrary representations of any of the gauge groups in a generic quiver-like model with a general messenger sector.

  9. Probabilistic Sequence Learning in Mild Cognitive Impairment

    Directory of Open Access Journals (Sweden)

    Dezso eNemeth

    2013-07-01

    Full Text Available Mild Cognitive Impairment (MCI causes slight but noticeable disruption in cognitive systems, primarily executive and memory functions. However, it is not clear if the development of sequence learning is affected by an impaired cognitive system and, if so, how. The goal of our study was to investigate the development of probabilistic sequence learning, from the initial acquisition to consolidation, in MCI and healthy elderly control groups. We used the Alternating Serial Reaction Time task (ASRT to measure probabilistic sequence learning. Individuals with MCI showed weaker learning performance than the healthy elderly group. However, using the reaction times only from the second half of each learning block – after the reactivation phase - we found intact learning in MCI. Based on the assumption that the first part of each learning block is related to reactivation/recall processes, we suggest that these processes are affected in MCI. The 24-hour offline period showed no effect on sequence-specific learning in either group but did on general skill learning: the healthy elderly group showed offline improvement in general reaction times while individuals with MCI did not. Our findings deepen our understanding regarding the underlying mechanisms and time course of sequence acquisition and consolidation.

  10. Mild hypothermia protects liver against ischemia and reperfusion injury

    Institute of Scientific and Technical Information of China (English)

    Cheng-You Wang; Yong Ni; Yan Liu; Zhi-Heng Huang; Min-Jie Zhang; Yong-Qiang Zhan; Hai-Bin Gao

    2005-01-01

    AIM: To determine whether mild hypothermia could protect liver against ischemia and reperfusion injury in pigs. METHODS: Twenty-four healthy pigs were randomly divided into normothermia, mild hypothermia and normal control groups. The experimental procedure consisted of temporary interruption of blood flow to total hepatic lobe for different lengths of time and subsequent reperfusion. Hepatic tissue oxygen pressure (PtiO2) and aspartate aminotransferase (AST) values were evaluated, and ultrastructural analysis was carried out for all samples.RESULTS: Serum AST was significantly lower, and hepatic P,O2 values were significantly higher in the mild hypothermia group than in the normothermia group during liver ischemiareperfusion periods (P = 0.032, P = 0.028). Meanwhile, the histopathologic injury of liver induced by ischemiareperfusion was significantly improved in the mild hypothermia group, compared with that in the normothermia group. CONCLUSION: Mild hypothermia can protect the liver from ischemia-reperfusion injury in pigs.

  11. Relation Between Open Circuit Potential and Polarization Resistance with Rust and Corrosion Monitoring of Mild Steel

    Science.gov (United States)

    Choudhary, S.; Garg, A.; Mondal, K.

    2016-07-01

    The present work discusses continuous corrosion assessment from a unique correlation of open circuit potential (OCP) and linear polarization resistance with rust formation on mild steel after prolong exposure in 3.5% NaCl salt fog environment. The OCP measurement and linear polarization tests were carried out of the rusted samples only without the removal of rust. It also discusses the strong influence of the composition, fraction, and morphology of the rust layers with OCP and linear polarization resistance. The rust characterization was done after the measurement of OCP and linear polarization resistance of the rusted steel samples. Therefore, monitoring of both the OCP and linear polarization resistance of the rusted mild steels coupled with rust characterization could be used for easy and dynamic assessment of the nature of corrosion.

  12. New corrosion inhibitor acrylamide methyl ether for mild steel in 1 M HCl

    Science.gov (United States)

    Ma, Xinyu; Jiang, Xiaohui; Xia, Shuwei; Shan, Mingli; Li, Xia; Yu, Liangmin; Tang, Qunwei

    2016-05-01

    Pursuit of good inhibition performance has been a persistent objective for advanced inhibitor industry. Here we demonstrate the experimental realization of a new corrosion inhibitor acrylamide methyl ether (AAME) from N-Methylol acrylamide (N-MAM) for mild steel in 1 M HCl. The resultant adsorption films have inhibition efficiency as high as 96.2%. Moreover, a theoretical investigation is also launched to demonstrate the potential mechanism behind the promising corrosion behaviors. This work represents a significant step forward, as it demonstrates how to make scalable AAME inhibitors as well as to enhance inhibition performances for high-efficiency and cost-effective corrosion inhibition platforms.

  13. Advances in Higher Education

    OpenAIRE

    Doménech i De Soria, Josep; LLORET ALOS, JAIME; Vincent Vela, Maria Cinta; ZURIAGA AGUSTÍ, ELENA; Poza Plaza, Elena de la

    2016-01-01

    Higher education institutions play an important role as leaders in knowledge creation and dissemination by setting the grounds for society to advance and to improve welfare. Despite the long-standing tradition of some higher education systems, Higher Education continuously evolves to adapt to the challenges that current societies open up to. The objective of this book is to capture some recent advances made in Higher Education by addressing these challenges. To do so, some specific topics...

  14. Arterial stiffness in mild primary hyperparathyroidism.

    Science.gov (United States)

    Rubin, Mishaela R; Maurer, Mathew S; McMahon, Donald J; Bilezikian, John P; Silverberg, Shonni J

    2005-06-01

    When primary hyperparathyroidism was a more symptomatic disease, it was often associated with increased cardiovascular risk. As the clinical manifestations of the disease have changed to a milder, more asymptomatic disorder, investigation is shifting to more subtle cardiovascular abnormalities. We measured arterial stiffness in 39 patients with mild primary hyperparathyroidism [serum calcium, 2.66 +/- 0.2 mmol/liter (10.7 +/- 0.6 mg/dl); PTH, 21.7 +/- 9.5 pmol/liter (89 +/- 39 pg/ml)] and in 134 controls. Arterial stiffness was measured mathematically at the radial artery with a noninvasive device as the "augmentation index" (AIx). The AIx measures the difference between the second and first systolic peaks in the pressure waveform and correlates with increased cardiovascular risk. When physiological variables affecting augmentation index and potentially confounding cardiovascular risk factors (age, gender, heart rate, height, blood pressure, diabetes mellitus, smoking, and hyperlipidemia) were adjusted for, primary hyperparathyroidism was an independent predictor of increased augmentation index (B = 3.37; P < 0.03). A matched-pair analysis showed that 15% of the variance in AIx was uniquely accounted for by the presence of primary hyperparathyroidism. The presence of primary hyperparathyroidism was a stronger predictor of elevated AIx than age, gender, smoking, hypertension, hyperlipidemia, or diabetes mellitus. AIx was also directly correlated with evidence of more active parathyroid disease, including higher PTH levels (r = +0.42; P < 0.05) and lower bone mineral density at the distal one-third radius (r = -0.33; P < 0.05). The diagnosis of primary hyperparathyroidism was therefore an independent predictor of increased AIx, an early measure of arterial stiffness, and the increase was associated with evidence of more active parathyroid disease. PMID:15769995

  15. Neuropathology of mild cognitive impairment (MCI)

    International Nuclear Information System (INIS)

    Described are retrospective pathological studies on mild cognitive impairment (MCI) of brain specimens in the brain bank of authors' institute and current clinical studies of outpatients for screening of MCI based on those pathological findings. The study projects, aided by Ministry of Health, Labour and Welfare (MHLW) from 2003 and from 2007, have aimed to develop the optimal way for prophylaxis of dementia. In the former autopsy, about 10% of the elderly dead registered in the institute are found to have pathological changes of the clinical dementia rating 0.5, in whom the early Alzheimer disease (AD), Lewy body dementia, argentaffin granular disease and neurofibrillary tangle dominant disease are involved in a similar ratio to each other. Clinically, new patients with memory complaint are first screened by neurological tests involving CT, and then those with suspicious dementia undergo the second screening (2-day hospitalization) involving MRI with VSRAD (Voxel-based Specific Regional Analysis System for AD), ECD single photon emission computed tomography (SPECT) with eZis (easy Z-score imaging system), myocardial scintigraphy with homovanillic acid (HVA)/m-iodobenzylguanidine (MIBG), and if necessary, PET with fluorodeoxyglucose (FDG), PIB (Pittsburgh Compound B, an amyloid prove) and/or 11C-CFT and 11C-raclopride. Further, new patients with suspicious Parkinson disease undergo the screening (3-day) of various tests involving MRI with voxel-based morphometry and VSRAD, cerebral blood flow ECD SPECT with eZis and MIBG myocardial scintigraphy. It is concluded that AD is the most important subject in MCI and systemic diseases can also affect the cognitive ability as well. (R.T.)

  16. Business Continuity Management in Banks

    OpenAIRE

    Sunil Rai; Lakshmi Mohan

    2006-01-01

    Advances in the banking sector have ushered in an era of multi-productand multi-services being delivered using multiple yet integratedchannels. The use of information and communication technology (ICT) ison the increase and encompasses nearly the entire gamut of bankingoperations. Rising competition and customer expectations havecompelled top management to implement, and continuously upgrade, agileand scalable ICT practices and solutions. The enormity and range ofbanking services combined wit...

  17. The evolution of mild parkinsonian signs in aging

    OpenAIRE

    Mahoney, Jeannette R.; Verghese, Joe; Holtzer, Roee; Allali, Gilles

    2014-01-01

    The progression of mild parkinsonian signs in the absence of idiopathic Parkinson’s disease in aging is unclear. This study aims to identify predictors of the evolution of mild parkinsonian signs in non-demented older adults. Two hundred ten participants (76.25 ± 7.10 years, 57 % women) were assessed at baseline and 1-year follow-up. Mild parkinsonian signs were defined as the presence of bradykinesia, rigidity and/or rest tremor. Depending upon the presence of these features at baseline and ...

  18. Serum C-reactive protein and thioredoxin levels in subjects with mildly reduced glomerular filtration rate

    Directory of Open Access Journals (Sweden)

    Ishimura Eiji

    2010-04-01

    Full Text Available Abstract Background Chronic kidney disease (CKD is a newly recognized high-risk condition for cardiovascular disease (CVD, and previous studies reported the changes in inflammation and oxidative stress in advanced stages of CKD. We compared the levels of serum biomarkers for inflammation and oxidative stress between subjects with normal and mildly reduced glomerular filtration rate (GFR. Methods The subjects were 182 participants of a health check-up program including those with normal (≥ 90 mL/min/1.73 m2, N = 79 and mildly reduced eGFR (60-89 mL/min/1.73 m2, N = 103 which was calculated based on serum creatinine, age and sex. We excluded those with reduced eGFR 2. No one had proteinuria. We measured serum levels of C-reactive protein (CRP and thioredoxin (TRX as the markers of inflammation and oxidative stress, respectively. Results As compared with subjects with normal eGFR, those with mildly reduced eGFR had increased levels of both CRP and TRX. Also, eGFR was inversely correlated with these biomarkers. The associations of eGFR with these biomarkers remained significant after adjustment for age and sex. When adjustment was done for eight possible confounders, CRP showed significant association with systolic blood pressure, high density lipoprotein cholesterol (HDL-C and non-HDL-C, whereas TRX was associated with sex significantly, and with eGFR and systolic blood pressure at borderline significance. Conclusions We showed the increased levels of CRP and TRX in subjects with mildly reduced eGFR. The eGFR-CRP link and the eGFR-TRX link appeared to be mediated, at least partly, by the alterations in blood pressure and plasma lipids in these subjects.

  19. Perspectives on Creating Clinically Relevant Blast Models for Mild Traumatic Brain Injury and Post Traumatic Stress Disorder Symptoms

    OpenAIRE

    Lisa eBrenner; Nazanin eBahraini; Hernández, Theresa D.

    2012-01-01

    Military personnel are returning from Iraq and Afghanistan and reporting non-specific physical (somatic), behavioral, psychological, and cognitive symptoms. Many of these symptoms are frequently associated with mild traumatic brain injury (mTBI) and/or post traumatic stress disorder (PTSD). Despite significant attention and advances in assessment and intervention for these two conditions, challenges persist. To address this, clinically relevant blast models are essential in the full character...

  20. Time estimation in mild Alzheimer's disease patients

    Directory of Open Access Journals (Sweden)

    Nichelli Paolo

    2009-07-01

    Full Text Available Abstract Background Time information processing relies on memory, which greatly supports the operations of hypothetical internal timekeepers. Scalar Expectancy Theory (SET postulates the existence of a memory component that is functionally separated from an internal clock and other processing stages. SET has devised several experimental procedures to map these cognitive stages onto cerebral regions and neurotransmitter systems. One of these, the time bisection procedure, has provided support for a dissociation between the clock stage, controlled by dopaminergic systems, and the memory stage, mainly supported by cholinergic neuronal networks. This study aimed at linking the specific memory processes predicted by SET to brain mechanisms, by submitting time bisection tasks to patients with probable Alzheimer's disease (AD, that are known to present substantial degeneration of the fronto-temporal regions underpinning memory. Methods Twelve mild AD patients were required to make temporal judgments about intervals either ranging from 100 to 600 ms (short time bisection task or from 1000 to 3000 ms (long time bisection task. Their performance was compared with that of a group of aged-matched control participants and a group of young control subjects. Results Long time bisection scores of AD patients were not significantly different from those of the two control groups. In contrast, AD patients showed increased variability (as indexed by increased WR values in timing millisecond durations and a generalized inconsistency of responses over the same interval in both the short and long bisection tasks. A similar, though milder, decreased millisecond interval sensitivity was found for elderly subjects. Conclusion The present results, that are consistent with those of previous timing studies in AD, are interpreted within the SET framework as not selectively dependent on working or reference memory disruptions but as possibly due to distortions in different

  1. Mild Cognitive Impairment: an update in Parkinson's Disease and lessons learned from Alzheimer's Disease

    Science.gov (United States)

    Goldman, Jennifer G.; Aggarwal, Neelum T.; Schroeder, Cynthia D.

    2016-01-01

    Summary Cognitive dysfunction is an important focus of research in Parkinson's disease (PD) and Alzheimer's disease (AD). While the concept of amnestic mild cognitive impairment (MCI) as a prodrome to AD has been recognized for many years, the construct of MCI in PD is a relative newcomer with recent development of diagnostic criteria, biomarker research programs, and treatment trials. Controversies and challenges, however, regarding PD-MCI's definition, application, heterogeneity, and different trajectories have arisen. This review will highlight current research advances and challenges in PD-MCI. Furthermore, lessons from the AD field, which has witnessed an evolution in MCI/AD definitions, relevant advances in biomarker research, and development of disease-modifying and targeted therapeutic trials will be discussed. PMID:26517759

  2. Development of mild steel exposure chart for neutron radiography application

    International Nuclear Information System (INIS)

    A neutron radiography exposure chart for mild steel was developed to facilitate the determination of exposure time when producing neutron radiographs for any given mild steel thickness. A mild steel sample in the form of step wedge (1-10 mm thick) was exposed to thermal neutron using Direct technique. This technique involves exposing x-ray film-Gadolinium converter housed in one film cassette simultaneously to thermal neutron beam. Gadolinium converters with thickness of 0.025 mm and 0.5 mm were used to observe the effect of converter thickness on radiographic density and exposure time. Collected radiographic density data is then calculated based on manufacturer's film characteristic chart and finally exposure chart for mild steel was plotted. This chart could later be used as a guide for estimating exposure time for any given sample thickness providing other conditions are similar (material, film processing, neutron flux, film density and converter thickness). (Author)

  3. Could Inducing Brief, Mild 'Fever' Help Ease Depression?

    Science.gov (United States)

    ... html Could Inducing Brief, Mild 'Fever' Help Ease Depression? Small study suggests heating the body might alter ... brain region is less active in people with depression, the researchers explained. "Our hope is to find ...

  4. Even Mild Football Head Hits Can Harm Vision

    Science.gov (United States)

    ... gov/medlineplus/news/fullstory_158807.html Even Mild Football Head Hits Can Harm Vision Study of college ... concussion, a new study says. During a regular football season, about two dozen college players developed a ...

  5. ALMOST AUTOMORPHIC MILD SOLUTIONS TO SOME FRACTIONAL DELAY DIFFERENTIAL EQUATIONS

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    In this paper,a new and general existence and uniqueness theorem of almost automorphic mild solutions is obtained for some fractional delay differential equations,using sectorial operators and the Banach contraction principle.

  6. Cognitive Profile of Elderly Patients with Mild Stroke

    Directory of Open Access Journals (Sweden)

    Arne Gramstad

    2011-11-01

    Full Text Available Background: A pattern characterizing cognitive deficits in mild stroke could help in differential diagnosis and rehabilitation planning. Methods: Fifty patients with mild stroke (modified Rankin scale ≤2 at discharge aged >60 years were given the Mini Mental State Examination (MMSE, the Hopkins Verbal Learning Test-Revised (HVLT-R and the Stroop test. Results: On HVLT-R, significant impairments were found in learning and recall, but not in delayed recall. The Stroop test revealed significant impairments in reading speed, but not in color-word interference. Using the MMSE, significant deficits were only found in the youngest age group. Conclusion: Elderly patients with mild stroke show deficits in verbal learning/recall and in reading speed, but not in the MMSE, delayed recall or color-word interference. The deficits are consistent with a mild-to-moderate brain dysfunction, with relative sparing of medial brain structures.

  7. Mild Cognitive Impairment and Progession to Dementia: New Findings

    Science.gov (United States)

    ... mild cognitive impairment cases who revert to normal. Neurology 2014;82:317 – 325. 2. Norton M, Breitner ... 42:1252 – 1256. e34 © 2014 American Academy of Neurology PATIENT PAGE Section Editors David C. Spencer, MD ...

  8. Physical aspects and modelling of turbulent MILD combustion

    OpenAIRE

    Minamoto, Yuki

    2014-01-01

    Moderate or Intense Low-oxygen Dilution (MILD) combustion is one of combustion technologies which can improve efficiency and reduce emissions simultaneously. This combustion type is characterised by the highly preheated reactant temperature and the relatively small temperature rise during combustion due to the intense dilution of the reactant mixture. These unique combustion conditions give MILD combustion very attractive features such as high combustion efficiency, reduction of pollutant emi...

  9. Predictable Chronic Mild Stress in Adolescence Increases Resilience in Adulthood

    OpenAIRE

    Suo, Lin; Zhao, Liyan; Si, Jijian; Liu, Jianfeng; Zhu, Weili; Chai, Baisheng; Zhang, Yan; Feng, Jiajia; Ding, Zengbo; Luo, Yixiao; Shi, Haishui; Shi, Jie; Lu, Lin

    2013-01-01

    Stress in adolescence has been widely demonstrated to have a lasting impact in humans and animal models. Developmental risk and protective factors play an important role in the responses to stress in adulthood. Mild-to-moderate stress in adolescence may resist the negative impacts of adverse events in adulthood. However, little research on resilience has been conducted. In this study, we used a predictable chronic mild stress (PCMS) procedure (5 min of daily restraint stress for 28 days) in a...

  10. Effect of montelukast as monotherapy in mild persistent asthma

    OpenAIRE

    Bharathi Senthilvelan; Harini Gopalakrishnan; Muthukumar Kunchithapatham

    2015-01-01

    Background: Leukotriene Receptor Antagonists (LTRAs) have a role in moderate and severe persistent asthma as a steroid sparing agent. The role of these agents as monotherapy in mild persistent asthma still needs to be determined. Montelukast is FDA approved for use in children >1 year of age. This study was done to assess the effect of montelukast as monotherapy in children with mild persistent asthma. Methods: A prospective interventional study was conducted in Department of Pediatrics i...

  11. Perforated Hepatic Hydatid Cyst into the Peritoneum with Mild Symptoms

    OpenAIRE

    Dirican, A.; Unal, B; Ozgor, D.; Piskin, T.; Aydin, C.; Sumer, F.; Kayaalp, C.

    2008-01-01

    Rupture into the abdominal cavity is a rare but serious complication of hydatid disease that necessitates emergency surgical intervention. We present herein a case with mild abdominal symptoms due to hydatid cyst rupture into the peritoneum after trauma. A 24-year-old man was admitted to the emergency room with mild abdominal pain. His symptoms had started after a fall four days earlier. Ultrasonography and computed tomography showed cystic lesions in the liver and peritoneum with intraabdomi...

  12. Mild carbon monoxide poisoning impairs left ventricular diastolic function

    OpenAIRE

    Özgür Çiftçi; Murat Günday; Mustafa Çaliskan; Hakan Güllü; Rafi Dogan; Aytekin Güven; Haldun Müderrisoglu

    2013-01-01

    Rationale: Carbon monoxide (CO) poisoning is associated with direct cardiovascular toxicity. In mild CO poisoning in which cardiovascular life support is not required, the effects of CO on left and right ventricular functions are unknown in patients without cardiac failure. Objectives: Echocardiography was used to determine whether or not mild CO poisoning impairs ventricular function. Twenty otherwise healthy patients with CO poisoning and 20 age- and gender-matched controls were studied. Ec...

  13. Sinalbin degradation products in mild yellow mustard paste

    OpenAIRE

    Paunović Dragana; Šolević-Knudsen Tatjana; Krivokapić Mirjana; Zlatković Branislav; Antić Mališa

    2012-01-01

    Sinalbin degradation products in mild yellow mustard paste were investigated. The analyzed material consisted of a mild yellow mustard paste condiment and ground white mustard seeds which were originally used in the mustard paste production process. The samples were extracted in a Soxhlet extraction system and analyzed by gas chromatography - mass spectrometry (GC-MS) technique. The only sinalbin degradation product in ground mustard seeds was 2-(4-hydroxyphenyl)acetonitrile. The most a...

  14. Mild Neurocognitive Disorder: An Old Wine in a New Bottle

    OpenAIRE

    Stokin, Gorazd B.; Krell-Roesch, Janina; Petersen, Ronald C.; Geda, Yonas E.

    2015-01-01

    Abstract The American Psychiatric Association has recently published the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The DSM-IV category “Dementia, Delirium, Amnestic, and Other Cognitive Disorders” has undergone extensive revision. DSM-5 has renamed this category as “Neurocognitive Disorders” (NCD), which now covers three entities: delirium, major NCD, and mild NCD. The DSM-IV version of mild NCD resembles the DSM-5 version in name only. DSM-IV defined...

  15. Does mild COPD affect prognosis in the elderly?

    OpenAIRE

    Forastiere Francesco; Sorino Claudio; Scarlata Simone; Pedone Claudio; Bellia Vincenzo; Antonelli Incalzi Raffaele

    2010-01-01

    Abstract Background Chronic obstructive pulmonary disease (COPD) affects independence and survival in the general population, but it is unknown to which extent this conclusion applies to elderly people with mild disease. The aim of this study was to verify whether mild COPD, defined according to different classification systems (ATS/ERS, BTS, GOLD) impacts independence and survival in elderly (aged 65 to 74 years) or very elderly (aged 75 years or older) patients. Methods We used data coming ...

  16. Phase transformation and cooling curves of the mild steel influenced by previous hot rolling

    Directory of Open Access Journals (Sweden)

    S. Rusz

    2016-10-01

    Full Text Available Rods from mild steel S235JR were intensively rolled in the laboratory continuous mill. Specifically defined temperature of phase transformation Ar was determined from the free cooling curves measured by the temperature scanner. The Ar value increased from 763 to 786 °C with rolling temperature descending from 1 200 to 800 °C. The value of Ar = 730 °C was obtained at free cooling of the non-deformed rod of the same diameter 9,8 mm from heating temperature 1 000 °C. The obtained results were compared with continuous cooling transformation (CCT and deformation continuous cooling transformation (DCCT diagrams based on the dilatometric tests.

  17. Continuous biodisel productions: A review

    Directory of Open Access Journals (Sweden)

    Stamenković Ivica S.

    2009-01-01

    Full Text Available Continuous biodiesel production on laboratory and industrial scale was analyzed, with focus on their advantages and disadvantages. Attention was paid to specific characteristics of industrial processes in order to point out the advanced technologies. The well-known base-catalyzed continuous biodiesel production processes are related to problems caused by the immiscibility of the reactants (alcohol and oil, application of relatively high operating temperature (usually the boiling temperature of alcohol or one near it and obtained yield of methyl ester yields lower than desired. One way to overcome these problems is to employ special reactor design favoring the emulsion process and increasing the overall rate of biodiesel production process, even at room temperature and atmospheric pressure. The second way is to apply heterogeneous catalysts in continuous processes, which will probably be the optimal approach to economically justified and environmentally friendly biodiesel production.

  18. A new disease? Persistent isolated beta.hydroxybutyrate ketosis and mild congenital hyperinsulinism

    DEFF Research Database (Denmark)

    Christesen, Henrik Thybo; Brusgaard, Klaus; Ditkovskaya, L;

    A new disease? Persistent isolated beta.hydroxybutyrate ketosis and mild congenital hyperinsulinism.......A new disease? Persistent isolated beta.hydroxybutyrate ketosis and mild congenital hyperinsulinism....

  19. Development of Zn50 Brazing Alloy for Joining Mild Steel to Mild Steel (SAE1018

    Directory of Open Access Journals (Sweden)

    S.C. Nwigbo

    2014-09-01

    Full Text Available This work has developed new brazing alloys for joining mild steel to mild steel (SAE1018 at a lower temperature. The alloys blends and error analysis were done by experimental design software (Design Expert 8.0.7.1. Design of experiments was done by Scheffe quadratic mixture method. The liquidus temperatures were predicted by calculation of phase diagrams of the alloying metals. The brazing alloys were produced by gravity technique and melted using silicon carbide graphite crucible. The quality of the brazing alloys was analyzed by optical microscopy (OM, atomic absorption spectroscopy (AAS and fourier transform infrared spectroscopy (FT-IR. Brazed joints were produced by torch method with a commercial flux. Brazing temperatures (liquidus were tracked by a digital infrared/laser pyrometer. Some mechanical properties studied were tensile strength and hardness. Finally, brazed joints produced from the developed brazing alloys were compared to that produced from muntz brass. Six (6 brazing alloys were successfully developed. Zinc and manganese were the main components, to which were added; 3 to 4 %wt silver and 11 to15 %wt modifying element. The microstructure showed a typical eutectic structure with zinc-rich phase distributed uniformly in the matrix with a combination of different sizes of dendrite, rounded blocks of compounds and hypoeutectic structures. AAS results indicated minimal out-gassing of zinc and FT-IR results indicated very low presence of atmospheric gas. The range of brazing temperature for best results was recorded from 690.90 to 735.10 0C. The joints produced from the developed brazing alloys had acceptable strengths with improved stress-strain behaviour compared to muntz brass.

  20. High-Intensity Intermittent Swimming Improves Cardiovascular Health Status for Women with Mild Hypertension

    OpenAIRE

    Magni Mohr; Nikolai Baastrup Nordsborg; Annika Lindenskov; Hildigunn Steinholm; Hans Petur Nielsen; Jann Mortensen; Pal Weihe; Peter Krustrup

    2014-01-01

    To test the hypothesis that high-intensity swim training improves cardiovascular health status in sedentary premenopausal women with mild hypertension, sixty-two women were randomized into high-intensity (n = 21; HIT), moderate-intensity (n = 21; MOD), and control groups (n = 20; CON). HIT performed 6–10 × 30 s all-out swimming interspersed by 2 min recovery and MOD swam continuously for 1 h at moderate intensity for a 15-week period completing in total 44 ± 1 and 43 ± 1 sessions, respectivel...

  1. Fibre laser piercing of mild steel: the effects of power intensity, gas type and pressure

    OpenAIRE

    M Hashemzadeh"; Powell, J.; Voisey, K.T.

    2014-01-01

    Laser piercing is used to generate a starting point for laser cutting. The pierced hole is normally larger than the kerf width, which means that it cannot lie on the cut line. An experimental program investigating the piercing process as a function of laser and assist gas parameters is presented. An Nd:YAG fibre laser with a maximum power of 2 kW was used in continuous wave mode to pierce holes in 2 mm thick mild steel. Oxygen and nitrogen were used as assist gases, with pressures ranging fro...

  2. Mild desalination demo pilot: New normalization approach to effectively evaluate electrodialysis reversal technology

    Directory of Open Access Journals (Sweden)

    Roel Bisselink

    2016-06-01

    Full Text Available Key performance indicators for characterization of nanofiltration performance are well developed, similar key performance indicators for electrodialysis reversal are however underdeveloped. Under the E4Water project Dow Benelux BV and Evides Industriewater BV operate a pilot facility to compare both technologies for their application to mildly desalinate a variety of brackish water streams. Normalized pressure drop, normalized current efficiency and normalized membrane resistance proved to be a useful tool to interpret process performance and to initiate a cleaning procedure if required. The availability of these normalized key performance indicators enables optimization and process monitoring and control of electrodialysis reversal independent of the continuously changing conditions of the feed water.

  3. Advanced Ceramics

    International Nuclear Information System (INIS)

    The First Florida-Brazil Seminar on Materials and the Second State Meeting about new materials in Rio de Janeiro State show the specific technical contribution in advanced ceramic sector. The others main topics discussed for the development of the country are the advanced ceramic programs the market, the national technic-scientific capacitation, the advanced ceramic patents, etc. (C.G.C.)

  4. Continuous and split-course radiotherapy in locally advanced carcinoma of the uterine cervix. Analyses of local control, distant metastases, crude survival, early and late morbidity and prognostic factors

    International Nuclear Information System (INIS)

    From 1974 to 1984, 442 consecutive patients with carcinoma of the uterine cervix were referred for combined intracavitary (IRT) and external radiotherapy (ERT). Dose prescriptions were performed based on the points A and B of the Manchester system. From 1978 the treatment strategy was changed from continuous (CRT) to split course radiotherapy (SCRT) with a higher total dose to point B, a lower dose to point A from the IRT, and a longer total treatment time (TTT). The purpose of the present thesis is: To evaluate local tumour control, distant metastases, survival and complications in the rectosigmoid and bladder in relation to treatment strategy (continuous and split course radiotherapy). To evaluate prognostic factors and importance of treatment strategy for local control, distant metastases, and survival by uni- and multivariate analyses. To develop a classification system (AADK, Aarhus, Denmark) for the recording of early and late radiation complications allowing and estimation of the importance of latency when reporting late radiotherapeutic morbidity and a rescoring of complication grade, and to compare results from AADK with those from the French-Italian glossary recording the maximal damage. To evaluate early and late radiotherapeutic morbidity and the importance of latency by comparing frequencies and actuarial estimates of late complications, to estimate the combined late organ morbidity and the probability of being alive, cured and without serious complications. (EG) (61 refs.)

  5. An Effect of Layer on Surface Morphology TiO2 Nanocoating Deposited on Mild Steel Surface

    Science.gov (United States)

    Bin Achoi, Mohd Faizal; Nor, Asiah Mohd; Abdullah, Saifollah; Mahmood, Mohamad Rusop

    2011-05-01

    Titanium dioxide (TiO2) Nanocoating is very useful materials and has wide applications especially in thin film applications [1]. Mild steel has tendency to corrode and lack of ductility but has an excellent of mechanical strength. Mild steel was used because of low cost and used as starting materials. TiO2 nanocoating was coated on low carbon mild steel surface with amount of carbon 0.16% to 0.19% [2]. The mild steel substrate coated TiO2 was prepared using sol-gel spin coating technique [3], layer by layer deposition which speed (rpm) of spin-coating and concentration of sol-gel solutions were fixed. The surface topography and roughness of coating were investigated by atomic force microscopy (AFM) while phase and structure of the coating was investigated by X-ray diffraction (XRD). The surface morphologies of coating were also measured through field emission scanning electron microscopy (FESEM). The suggested results were useful for coating of wall's operation room. TiO2 Nanocoating is very useful coating protection and high potential demand due to high effectiveness of corrosion protection. This laboratory results can be expended to bigger scale coating process. It will contribute new technique and advance corrosion protection.

  6. Routine and quantitative EEG in mild traumatic brain injury.

    Science.gov (United States)

    Nuwer, Marc R; Hovda, David A; Schrader, Lara M; Vespa, Paul M

    2005-09-01

    This article reviews the pathophysiology of mild traumatic brain injury, and the findings from EEG and quantitative EEG (QEEG) testing after such an injury. Research on the clinical presentation and pathophysiology of mild traumatic brain injury is reviewed with an emphasis on details that may pertain to EEG or QEEG and their interpretation. Research reports on EEG and QEEG in mild traumatic brain injury are reviewed in this setting, and conclusions are drawn about general diagnostic results that can be determined using these tests. QEEG strengths and weaknesses are reviewed in the context of factors used to determine the clinical usefulness of proposed diagnostic tests. Clinical signs, symptoms, and the pathophysiologic axonal injury and cytotoxicity tend to clear over weeks or months after a mild head injury. Loss of consciousness might be similar to a non-convulsive seizure and accompanied subsequently by postictal-like symptoms. EEG shows slowing of the posterior dominant rhythm and increased diffuse theta slowing, which may revert to normal within hours or may clear more slowly over many weeks. There are no clear EEG or QEEG features unique to mild traumatic brain injury. Late after head injury, the correspondence is poor between electrophysiologic findings and clinical symptoms. Complicating factors are reviewed for the proposed commercial uses of QEEG as a diagnostic test for brain injury after concussion or mild traumatic brain injury. The pathophysiology, clinical symptoms and electrophysiological features tend to clear over time after mild traumatic brain injury. There are no proven pathognomonic signatures useful for identifying head injury as the cause of signs and symptoms, especially late after the injury. PMID:16029958

  7. Advanced Infrared Technology and Applications

    OpenAIRE

    Ovidio Salvetti; Laura Abbozzo Ronchi; Carlo Corsi; Antoni Rogalski; Marija Strojnik

    2013-01-01

    Nowadays, advanced infrared techniques are a key ingredient in disparate applications, ranging from medical diagnostics and treatment to industrial inspection and environmental monitoring. We believe that the success of such infrared applications highly depends on a continuous exchange between scientific advances and technological progresses.

  8. Mild Lafora disease: clinical, neurophysiologic, and genetic findings.

    Science.gov (United States)

    Ferlazzo, Edoardo; Canafoglia, Laura; Michelucci, Roberto; Gambardella, Antonio; Gennaro, Elena; Pasini, Elena; Riguzzi, Patrizia; Plasmati, Rosaria; Volpi, Lilia; Labate, Angelo; Gasparini, Sara; Villani, Flavio; Casazza, Marina; Viri, Maurizio; Zara, Federico; Minassian, Berge A; Turnbull, Julie; Serratosa, Jose M; Guerrero-López, Rosa; Franceschetti, Silvana; Aguglia, Umberto

    2014-12-01

    We report clinical, neurophysiologic, and genetic features of an Italian series of patients with Lafora disease (LD) to identify distinguishing features of those with a slowly progressive course. Twenty-three patients with LD (17 female; 6 male) were recruited. Mean age (± SD) at the disease onset was 14.5 ± 3.9 years and mean follow-up duration was 13.2 ± 8.0 years. NHLRC1 mutations were detected in 18 patients; EPM2A mutations were identified in 5. Patients who maintained >10 years gait autonomy were labeled as "mild" and were compared with the remaining LD patients with a typical course. Six of 23 patients were mild and presented significantly delay in the age at onset, lower neurologic disability score at 4 years after the onset, less severe seizure phenotype, lower probability of showing both photoparoxysmal response on electroencephalography (EEG) and giant somatosensory evoked potentials, as compared to patients with typical LD. However, in both mild and typical LD patients, EEG showed disorganization of background activity and frequent epileptiform abnormalities. Mild LD patients had NHLRC1 mutations and five of six carried homozygous or compound heterozygous D146N mutation. This mutation was found in none of the patients with typical LD. The occurrence of specific NHLRC1 mutations in patients with mild LD should be taken into account in clinical practice for appropriate management and counseling. PMID:25270369

  9. Biomarkers for dementia and mild cognitive impairment in Parkinson's disease.

    Science.gov (United States)

    Delgado-Alvarado, Manuel; Gago, Belén; Navalpotro-Gomez, Irene; Jiménez-Urbieta, Haritz; Rodriguez-Oroz, María C

    2016-06-01

    Cognitive decline is one of the most frequent and disabling nonmotor features of Parkinson's disease. Around 30% of patients with Parkinson's disease experience mild cognitive impairment, a well-established risk factor for the development of dementia. However, mild cognitive impairment in patients with Parkinson's disease is a heterogeneous entity that involves different types and extents of cognitive deficits. Because it is not currently known which type of mild cognitive impairment confers a higher risk of progression to dementia, it would be useful to define biomarkers that could identify these patients to better study disease progression and possible interventions. In this sense, the identification among patients with Parkinson's disease and mild cognitive impairment of biomarkers associated with dementia would allow the early detection of this process. This review summarizes studies from the past 25 years that have assessed the potential biomarkers of dementia and mild cognitive impairment in Parkinson's disease patients. Despite the potential importance, no biomarker has as yet been validated. However, features such as low levels of epidermal and insulin-like growth factors or uric acid in plasma/serum and of Aß in CSF, reduction of cerebral cholinergic innervation and metabolism measured by PET mainly in posterior areas, and hippocampal atrophy in MRI might be indicative of distinct deficits with a distinct risk of dementia in subgroups of patients. Longitudinal studies combining the existing techniques and new approaches are needed to identify patients at higher risk of dementia. © 2016 International Parkinson and Movement Disorder Society. PMID:27193487

  10. Activity restriction in mild COPD: a challenging clinical problem.

    Science.gov (United States)

    O'Donnell, Denis E; Gebke, Kevin B

    2014-01-01

    Dyspnea, exercise intolerance, and activity restriction are already apparent in mild chronic obstructive pulmonary disease (COPD). However, patients may not seek medical help until their symptoms become troublesome and persistent and significant respiratory impairment is already present; as a consequence, further sustained physical inactivity may contribute to disease progression. Ventilatory and gas exchange impairment, cardiac dysfunction, and skeletal muscle dysfunction are present to a variable degree in patients with mild COPD, and collectively may contribute to exercise intolerance. As such, there is increasing interest in evaluating exercise tolerance and physical activity in symptomatic patients with COPD who have mild airway obstruction, as defined by spirometry. Simple questionnaires, eg, the modified British Medical Research Council dyspnea scale and the COPD Assessment Test, or exercise tests, eg, the 6-minute or incremental and endurance exercise tests can be used to assess exercise performance and functional status. Pedometers and accelerometers are used to evaluate physical activity, and endurance tests (cycle or treadmill) using constant work rate protocols are used to assess the effects of interventions such as pulmonary rehabilitation. In addition, alternative outcome measurements, such as tests of small airway dysfunction and laboratory-based exercise tests, are used to measure the extent of physiological impairment in individuals with persistent dyspnea. This review describes the mechanisms of exercise limitation in patients with mild COPD and the interventions that can potentially improve exercise tolerance. Also discussed are the benefits of pulmonary rehabilitation and the potential role of pharmacologic treatment in symptomatic patients with mild COPD. PMID:24940054

  11. Long-term effect of inhaled budesonide in mild and moderate chronic obstructive pulmonary disease: a randomised controlled trial

    DEFF Research Database (Denmark)

    Vestbo, Jørgen; Sørensen, T; Lange, Peter;

    1999-01-01

    . METHODS: We used a parallel-group, randomised, double-blind, placebo-controlled design in a singlecentre study, nested in a continuing epidemiological survey (the Copenhagen City Heart Study). Inclusion criteria were as follows: no asthma; a ratio of forced expiratory volume in 1 s (FEV1) and vital...... COPD patients recruited from the general population by screening. We question the role of long-term inhaled corticosteroids in the treatment of mild to moderate COPD....

  12. Nonprescription, padded, lightweight support socks in treatment of mild to moderate lower extremity venous insufficiency.

    Science.gov (United States)

    Brown, J R; Brown, A M

    1995-03-01

    Currently, strength greater than 20 mm Hg of compression is considered necessary for support hose used to treat symptomatic venous insufficiency in lower extremities. This strength is frequently uncomfortable, which reduces compliance and therefore clinical effectiveness. Whether more comfortable, nonprescription, light-compression support hose is effective in the treatment of mild to moderate venous insufficiency was investigated in 36 men with subjective complaints and objective signs (per Doppler ultrasound) of lower extremity venous insufficiency. All participants wore padded, light-compression (6 mm Hg), crew-height socks for 1 month. Then, participants were assigned to one of two groups on the basis of initial Doppler results. The half with the worst results wore stronger-compression (12 mm Hg) over-the-calf support socks, on the assumption that patients with worse venous insufficiency would require more support; those with the better Doppler results continued to wear the light-compression socks. Participants were retested at monthly intervals for 3 months. In each group, data indicated that the venous insufficiency for all patients improved objectively and subjectively. Many of the objective venous values improved with either statistical or highly statistical significance--specifically deep venous valve function, superficial venous valve functions, and venous capacity--without statistically altering arterial function. Improvement occurred in the first month of the trial and continued throughout the study. The use of light-compression support socks is effective and should be considered as a first line of therapy in treatment of mild to moderate venous insufficiency. PMID:7751167

  13. Continuous Time Markov Networks

    OpenAIRE

    El-Hay, Tal; Friedman, Nir; Koller, Daphne; Kupferman, Raz

    2012-01-01

    A central task in many applications is reasoning about processes that change in a continuous time. The mathematical framework of Continuous Time Markov Processes provides the basic foundations for modeling such systems. Recently, Nodelman et al introduced continuous time Bayesian networks (CTBNs), which allow a compact representation of continuous-time processes over a factored state space. In this paper, we introduce continuous time Markov networks (CTMNs), an alternative representation lang...

  14. Efficacy of psychosocial intervention in patients with mild Alzheimer's disease

    DEFF Research Database (Denmark)

    Waldorff, F B; Buss, D V; Eckermann, A;

    2012-01-01

    OBJECTIVE: To assess the efficacy at 12 months of an early psychosocial counselling and support programme for outpatients with mild Alzheimer's disease and their primary care givers. DESIGN: Multicentre, randomised, controlled, rater blinded trial. SETTING: Primary care and memory clinics in five...... Danish districts. PARTICIPANTS: 330 outpatients with mild Alzheimer's disease and their 330 primary care givers. INTERVENTIONS: Participating dyads (patient and primary care giver) were randomised to control support during follow-up or to control support plus DAISY intervention (multifaceted and semi...... attrition (P = 0.0146 and P = 0.0103 respectively). CONCLUSIONS: The multifaceted, semi-tailored intervention with counselling, education, and support for patients with mild Alzheimer's disease and their care givers did not have any significant effect beyond that with well structured follow-up support at 12...

  15. Effect of Pain and Mild Cognitive Impairment on Mobility

    DEFF Research Database (Denmark)

    Schepker, Caroline A; Leveille, Suzanne G; Pedersen, Mette Merete;

    2016-01-01

    OBJECTIVES: To examine the effect of pain and mild cognitive impairment (MCI)-together and separately-on performance-based and self-reported mobility outcomes in older adults in primary care with mild to moderate self-reported mobility limitations. DESIGN: Cross-sectional analysis. SETTING...... Inventory (BPI) were defined as having pain. MCI was defined using age-adjusted scores on a neuropsychological battery. Multivariable linear regression models assessed associations between pain and MCI, together and separately, and mobility performance (habitual gait speed, Short Physical Performance...... performed significantly worse than all others on all mobility outcomes (P < .001). Participants with MCI only or pain only also performed significantly worse on all mobility outcomes than those with neither (P < .001). CONCLUSION: Mild to moderate pain and MCI were independently associated with poor...

  16. Benchmarking Deep Reinforcement Learning for Continuous Control

    OpenAIRE

    Duan, Yan; Chen, Xi; Houthooft, Rein; Schulman, John; Abbeel, Pieter

    2016-01-01

    Recently, researchers have made significant progress combining the advances in deep learning for learning feature representations with reinforcement learning. Some notable examples include training agents to play Atari games based on raw pixel data and to acquire advanced manipulation skills using raw sensory inputs. However, it has been difficult to quantify progress in the domain of continuous control due to the lack of a commonly adopted benchmark. In this work, we present a benchmark suit...

  17. High Tap Density Spherical Li[Ni0.5Mn0.3Co0.2]O2 Cathode Material Synthesized via Continuous Hydroxide Coprecipitation Method for Advanced Lithium-Ion Batteries

    Directory of Open Access Journals (Sweden)

    Shunyi Yang

    2012-01-01

    Full Text Available Spherical [Ni0.5Mn0.3Co0.2](OH2 precursor with narrow size distribution and high tap density has been successfully synthesized by a continuous hydroxide coprecipitation, and Li[Ni0.5Mn0.3Co0.2]O2 is then prepared by mixing the precursor with 6% excess Li2CO3 followed by calcinations. The tap density of the obtained Li[Ni0.5Mn0.3Co0.2]O2 powder is as high as 2.61 g cm−3. The powders are characterized by X-ray diffraction (XRD, X-ray photoelectron spectroscopy (XPS, scanning electron microscope (SEM, particle size distribution (PSD, and charge/discharge cycling. The XRD studies show that the prepared Li[Ni0.5Mn0.3Co0.2]O2 has a well-ordered layered structure without any impurity phases. Good packing properties of spherical secondary particles (about 12 μm consisted of a large number of tiny-thin plate-shape primary particles (less than 1 μm, which can be identified from the SEM observations. In the voltage range of 3.0–4.3 V and 2.5–4.6 V, Li[Ni0.5Mn0.3Co0.2]O2 delivers the initial discharge capacity of approximately 175 and 214 mAh g−1 at a current density of 32 mA g−1, and the capacity retention after 50 cycles reaches 98.8% and 90.2%, respectively. Besides, it displays good high-temperature characteristics and excellent rate capability.

  18. Mild serotonin syndrome: A report of 12 cases

    Directory of Open Access Journals (Sweden)

    Sanjay Prakash

    2015-01-01

    Full Text Available Serotonin syndrome (SS is an under diagnosed and under reported condition. Mild SS is easily overlooked by physicians. Every patient with mild SS is a potential candidate for developing life-threatening severe SS because of inadvertent overdose or the addition of the second serotonergic drug. Herein, we describe 12 patients with mild SS observed over 12 months in neurology outpatient clinic. It is a retrospective chart review of 12 consecutive patients who had hyperreflexia with tremor (defined as mild SS Hunter′s criteria and had received serotonergic agents in the past 5 weeks. Only four patients (33% reported tremor as a presenting or main feature. The presenting features in another eight patients were: Dizziness, generalized body pain, headache, and seizure. Five patients responded to the removal of the offending agents and got a complete response in 2-7 days. There were no or minimal responses in another seven patients to the removal of the serotonergic drugs. Cyproheptadine was started in these patients, at the dose of 8 mg three times daily. Response started within 1-3 days of initiation of the drug and the complete responses were noted in 5-14 days. There were no side effects from cyproheptadine in any patient. We suggest that any patient on serotonergic drug developing new symptoms should be examined for the presence of tremor, hypertonia, hyperreflexia, and clonus to look for mild SS. In addition, every patient on any serotonergic drug should be examined for the presence of mild SS before escalating the dose or before adding a new one.

  19. Mild serotonin syndrome: A report of 12 cases.

    Science.gov (United States)

    Prakash, Sanjay; Patel, Varsha; Kakked, Siddharth; Patel, Indravadan; Yadav, Rahul

    2015-01-01

    Serotonin syndrome (SS) is an under diagnosed and under reported condition. Mild SS is easily overlooked by physicians. Every patient with mild SS is a potential candidate for developing life-threatening severe SS because of inadvertent overdose or the addition of the second serotonergic drug. Herein, we describe 12 patients with mild SS observed over 12 months in neurology outpatient clinic. It is a retrospective chart review of 12 consecutive patients who had hyperreflexia with tremor (defined as mild SS Hunter's criteria) and had received serotonergic agents in the past 5 weeks. Only four patients (33%) reported tremor as a presenting or main feature. The presenting features in another eight patients were: Dizziness, generalized body pain, headache, and seizure. Five patients responded to the removal of the offending agents and got a complete response in 2-7 days. There were no or minimal responses in another seven patients to the removal of the serotonergic drugs. Cyproheptadine was started in these patients, at the dose of 8 mg three times daily. Response started within 1-3 days of initiation of the drug and the complete responses were noted in 5-14 days. There were no side effects from cyproheptadine in any patient. We suggest that any patient on serotonergic drug developing new symptoms should be examined for the presence of tremor, hypertonia, hyperreflexia, and clonus to look for mild SS. In addition, every patient on any serotonergic drug should be examined for the presence of mild SS before escalating the dose or before adding a new one. PMID:26019424

  20. Comparison between characteristics of mild slope equations and Boussinesq equations

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Boussinesq-type equations and mild-slope equations are compared in terms of their basic forms and characteristics. It is concluded that linear mild-slope equations on dispersion relation are better than non-linear Boussinesq equations. In addition, Berkhoff experiments are computed and compared by the two models, and agreement between model results and available experimental data is found to be quite reasonable, which demonstrates the two models' capacity to simulate wave transformation. However they can deal with different physical processes respectively, and they have their own characteristics.

  1. Perforated Hepatic Hydatid Cyst into the Peritoneum with Mild Symptoms

    Directory of Open Access Journals (Sweden)

    A. Dirican

    2008-11-01

    Full Text Available Rupture into the abdominal cavity is a rare but serious complication of hydatid disease that necessitates emergency surgical intervention. We present herein a case with mild abdominal symptoms due to hydatid cyst rupture into the peritoneum after trauma. A 24-year-old man was admitted to the emergency room with mild abdominal pain. His symptoms had started after a fall four days earlier. Ultrasonography and computed tomography showed cystic lesions in the liver and peritoneum with intraabdominal free fluid. He was treated surgically with partial cystectomy and falciformoplasty. Postoperative albendazole therapy was given for two months. There was not recurrence four months postoperatively at control computed tomography.

  2. Recent Analysis of UCAPs in Mild Hybrids (Presentation)

    Energy Technology Data Exchange (ETDEWEB)

    Pesaran, A.; Gonder, J.

    2006-05-01

    This report presents the analysis of ultracapacitors for mild/moderate hybrid electric vehicle (HEV) performance. The objectives of this report are to: (1) review the fuel economy improvement trends of today's HEVs with respect to degree of hybridization; (2) perform analysis to see the extent of fuel economy improvement possible with various strategies in mild/moderate HEVs, with no engine downsizing, using either batteries or ultracapacitors; (3) identify energy requirements of various driving events/functions--what matches a limited ucap's energy; and (4) discuss potential roles for high-voltage ultracapacitors in HEVs, if any.

  3. Inhibition of mild steel corrosion using Jatropha Curcas leaf extract

    OpenAIRE

    OLORUNFEMI MICHAEL AJAYI; JAMIU KOLAWOLE ODUSOTE; RAHEEM ABOLORE YAHYA

    2014-01-01

    Jatropha Curcas leaf was investigated as a green inhibitor on the degradation of mild steel in 4 M HCl and 4 M H2SO4 aqueous solutions using gasometric technique. Mild steel coupons of dimension 2 × 1.5 cm were immersed in test solutions of uninhibited acid and also those with extract concentrations of 4 ml, 6 ml, 8 ml and 10 ml at 30 oC, for up to 30 minutes. The results showed that as the concentration of the extract increases, there was reduction in the corrosion rate. As the extract conce...

  4. R\\'edei symbols and arithmetical mild pro-2-groups

    OpenAIRE

    Gärtner, Jochen

    2013-01-01

    Generalizing results of Morishita and Vogel, an explicit description of the triple Massey product for the Galois group $G_S(2)$ of the maximal 2-extension of $\\mathbb{Q}$ unramified outside a finite set of prime numbers $S$ containing 2 is given in terms of R\\'edei symbols. We show that mild pro-2-groups with Zassenhaus invariant 3 occur as Galois groups of the form $G_S(2)$. Furthermore, a non-analytic mild fab pro-2-group having only 3 generators is constructed .

  5. Mild pro-p-groups with trivial cup-product

    OpenAIRE

    Gärtner, Jochen

    2011-01-01

    Generalizing previous results due to A. Schmidt and J. Labute, we prove sufficient criteria involving higher Massey products for finitely presented pro-p-groups to be mild and hence of cohomological dimension 2. Further investigations are pursued in the special case of one-relator pro-p-groups. We construct a class of mild pro-2-groups having trivial cup-product, which occur as Galois groups of the maximal 2-extensions of the rationals with ramification restricted to given finite sets of plac...

  6. Sinalbin degradation products in mild yellow mustard paste

    Directory of Open Access Journals (Sweden)

    Paunović Dragana

    2012-01-01

    Full Text Available Sinalbin degradation products in mild yellow mustard paste were investigated. The analyzed material consisted of a mild yellow mustard paste condiment and ground white mustard seeds which were originally used in the mustard paste production process. The samples were extracted in a Soxhlet extraction system and analyzed by gas chromatography - mass spectrometry (GC-MS technique. The only sinalbin degradation product in ground mustard seeds was 2-(4-hydroxyphenylacetonitrile. The most abundant sinalbin degradation product in yellow mustard paste was 4-(hydroxymethylphenol. Other compounds identified in this sample were: 4-methyl phenol, 4-ethyl phenol, 4-(2-hydroxyethylphenol and 2-(4-hydroxyphenyl ethanoic acid.

  7. THE EFFECT OF MILD SYMPTOMATIC PATELLAR TENDINOPATHY ON THE QUADRICEPS CONTRACTIONS AND THE FENTE MOTION IN ELITE FENCERS

    Directory of Open Access Journals (Sweden)

    Taegyu Kim

    2011-12-01

    Full Text Available To investigate how mild symptomatic patellar tendinopathy (PT affects quadriceps contractions and the Fente motion, this case-control study examined elite fencers who continue to train and play fully with mild tendon pains. Twenty-four elite fencers (10 women with mild symptomatic PT and 24 controls (10 women participated in the study. Concentric/eccentric isokinetic strength of the quadriceps was tested, and peak torque and total work were recorded. Kinematic data from the knee during the Fente motion were collected. The first analysis period (P1 was after heel contact to the maximal flexion of the knee, and the second (P2 was right after P1 to heel-off. Normalized peak torque and work of concentric/eccentric contractions were not significantly different. Affected fencers demonstrated significantly reduced angular velocities at P2 (p = 0.042. The male fencers did not demonstrate any differences. The affected female fencers demonstrated significantly weaker concentric peak torque at 60°·s-1 (p = 0. 009 and 180°·s-1 (p = 0.047 and less concentric work at 60°·s-1 (p = 0.020. They also demonstrated significantly reduced average angular velocities at P2 (p = 0.001. Therefore, mild symptomatic PT seems to have an effect on the isokinetic concentric contraction of the quadriceps and the angular velocity of the knee during the backward Fente motion in elite female fencers who are participating fully in training and competition.

  8. Do epigenetic events take place in the vastus lateralis of patients with mild chronic obstructive pulmonary disease?

    Directory of Open Access Journals (Sweden)

    Ester Puig-Vilanova

    Full Text Available Muscle dysfunction is a major comorbidity in Chronic Obstructive Pulmonary Disease (COPD. Several biological mechanisms including epigenetic events regulate muscle mass and function in models of muscle atrophy. Investigations conducted so far have focused on the elucidation of biological mechanisms involved in muscle dysfunction in advanced COPD. We assessed whether the epigenetic profile may be altered in the vastus lateralis of patients with mild COPD, normal body composition, and mildly impaired muscle function and exercise capacity. In vastus lateralis (VL of mild COPD patients with well-preserved body composition and in healthy age-matched controls, expression of DNA methylation, muscle-enriched microRNAs, histone acetyltransferases (HTAs and deacetylases (HDACs, protein acetylation, small ubiquitin-related modifier (SUMO ligases, and muscle structure were explored. All subjects were clinically evaluated. Compared to healthy controls, in the VL of mild COPD patients, muscle function and exercise capacity were moderately reduced, DNA methylation levels did not differ, miR-1 expression levels were increased and positively correlated with both forced expiratory volume in one second (FEV1 and quadriceps force, HDAC4 protein levels were increased, and muscle fiber types and sizes were not different. Moderate skeletal muscle dysfunction is a relevant feature in patients with mild COPD and preserved body composition. Several epigenetic events are differentially expressed in the limb muscles of these patients, probably as an attempt to counterbalance the underlying mechanisms that alter muscle function and mass. The study of patients at early stages of their disease is of interest as they are a target for timely therapeutic interventions that may slow down the course of the disease and prevent the deleterious effects of major comorbidities.

  9. Entropy rate of continuous-state hidden Markov chains

    OpenAIRE

    Han, G; Marcus, B

    2010-01-01

    We prove that under mild positivity assumptions, the entropy rate of a continuous-state hidden Markov chain, observed when passing a finite-state Markov chain through a discrete-time continuous-output channel, is analytic as a function of the transition probabilities of the underlying Markov chain. We further prove that the entropy rate of a continuous-state hidden Markov chain, observed when passing a mixing finite-type constrained Markov chain through a discrete-time Gaussian channel, is sm...

  10. Concurrent twice-a-day continuous radiotherapy and cisplatin-5Fluorouracil chemotherapy (BiRCF) in locally advanced unresectable pharyngeal squamous-cell carcinoma - final results of a French multicenteric phase II study

    International Nuclear Information System (INIS)

    Between September 1992 and January 1996, 54 following patients were enrolled in a prospective multicentric phase II study testing feasibility and efficacy of a combined regimen: twice-a-day continuous radiotherapy (RT) at 80.4 Gy and concomitant chemotherapy (CT) with Cisplatin and 5FU. Material and methods: Regardless of lymph nodes status, stage IV, not previously treated, unresectable carcinomas of oro- and hypopharynx were included. Eligibility criteria: KPS≥70, age≤65, acceptable renal, cardiac, and biological parameters. Patients (pts) were hospitalized during the overall treatment (trt) time (7 weeks), with enteral nutritional support and mucositis prevention. RT: Primary tumor and satellite nodes: 2 coaxial opposed lateral fields, 60Co γrays or 5-6 MV photons, 2 fractions (fr.) of 1.2 Gy/d., 5 d a week, with no split (D1->D46). Total tumor doses: 80.4 Gy/46 d. (oropharynx), 75.6 Gy/44 d. (hypopharynx). Spinal cord reduction at 40.8 Gy (complement with 7-10 MeV e-, 1 fr./d., 2 Gy/fr.). Supra-clavicular RT: 1 anterior field, 1 fr./d., 2 Gy/fr., total dose 50 Gy + e-. CT: Cisplatin 100 mg/m2 (D1); 5FU 750 mg/m2/d., continuous infusion (D2->D6). Cisplatin and 5FU pharmacokinetics were performed. Pharmacokinetically guided 5FU dose adaptation was used at D4. 2nd cycle at D22; 3rd at D43. Results: 54 pts included, all evaluable. 52 males, 2 females. Mean age: 55.5 yr. As of Febr. 15th 97: Mean follow-up: 26.8 mo (maximal follow-up: 53 mo). T4: (43(54)); panpharyngeal T3: (9(54)); T2N3: 2; (N2b(N2c)): (33(54)); N3: (14(54)); N0: 7 (UICC 88). No protocol disapproval, only one patient stopped his trt (at 49.1 Gy). Good feasibility of RT, with a total dose ≥ 75.6 Gy in 85.19% ((46(54))), duration ≤ 54 d in the same proportion. For CT, mean dose of Cisplatin 1st cycle: 91 mg/m2, 2nd cycle: 80 mg/m2; mean dose of 5FU 1st cycle: 630 mg/m2/d (5 d), 2nd cycle: 690 total dose/d (5 d). Pts with 3 cycles of CT: 35.18% ((19(54))). The 3rd cycle was not done if it

  11. Diagnosis advances in vascular cognitive impairment

    Institute of Scientific and Technical Information of China (English)

    Hua Zhou; Zhong Zhao

    2009-01-01

    Vascular cognitive impairment(VCI) encompasses the entire range of cognitive deficits associated with cerebrovascular disease(CVD), from mild deficits with little or no functional impairment, such as vascular cognitive impairment-no dementia(VCIND), to full-blown vascular dementia(VaD). Accurate diagnosis of vascular cognitive impairment is important but may be difficult. In this review we report advances in VCI in the following areas: etiology, subtypes, neuropsychology, biomarkers, neuroimaging, and diagnostic criteria.

  12. Anticipatory Grief in New Family Caregivers of Persons with Mild Cognitive Impairment and Dementia

    Science.gov (United States)

    Garand, Linda; Lingler, Jennifer H.; Deardorf, Kaitlyn E.; DeKosky, Steven T.; Schulz, Richard; Reynolds, Charles F.; Dew, Mary Amanda

    2011-01-01

    Anticipatory grief is the process of experiencing normal phases of bereavement in advance of the loss of a significant person. To date, anticipatory grief has been examined in family caregivers to individuals who have had Alzheimer’s Disease (AD) an average of 3 to 6 years. Whether such grief is manifested early in the disease trajectory (at diagnosis) is unknown. Using a cross-sectional design, we examined differences in the nature and extent of anticipatory grief between family caregivers of persons with a new diagnosis of mild cognitive impairment (MCI, n=43) or AD (n=30). We also determined whether anticipatory grief levels were associated with caregiver demographics, caregiving burden, depressive symptoms and marital quality. Mean anticipatory grief levels were high in the total sample, with AD caregivers endorsing significantly more anticipatory grief than MCI caregivers. In general, AD caregivers endorsed difficulty functioning whereas MCI caregivers focused on themes of “missing the person” they once knew. Being a female caregiver, reporting higher levels of objective caregiving burden and higher depression levels each bore independent, statistically significant relationships with anticipatory grief. Given these findings, family caregivers of individuals with mild cognitive deficits or a new AD diagnosis may benefit from interventions specifically addressing anticipatory grief. PMID:21946013

  13. Statistical parametric mapping in the detection of rCBF changes in mild Alzheimer's disease

    International Nuclear Information System (INIS)

    Full text: Reduction in temporoparietal regional cerebral blood flow (rCBF) is proportional to the degree of cognitive deficit in patients with Alzheimer's Disease (AD). The characteristic pattern is readily apparent in advanced disease but is often subtle in early stage AD, reducing the clinical value of SPECT in the management of this condition. We have previously reported that Statistical Parametric Mapping (SPM95) revealed significant temporoparietal hypoperfusion when 10 patients with mild AD (classified by the Clinical Dementia Rating Scale) were compared to 10 age matched normals. We have now begun to evaluate the sensitivity and specificity of SPM95 in individuals with mild AD by comparison to our bank of 39 normals (30 female, 9 male, age range 26 to 74, mean age 52). Preliminary results reveal low sensitivity (<40%) when the standard reference region for normalization (i.e. global brain counts) is used. Better results are expected from normalizing to the cerebellum or basal ganglia and this is under investigation. An objective method to improve the accuracy of rCBF imaging for the diagnosis of early AD would be very useful in clinical practice. This study will demonstrate whether SPM can fulfill this role

  14. Discretization of Continuous Frame

    Indian Academy of Sciences (India)

    A Fattahi; H Javanshiri

    2012-05-01

    In this paper we consider the notion of continuous frame of subspaces and define a new concept of continuous frame, entitled continuous atomic resolution of identity, for arbitrary Hilbert space $\\mathcal{H}$ which has a countable reconstruction formula. Among the other results, we characterize the relationship between this new concept and other known continuous frames. Finally, we state and prove the assertions of the stability of perturbation in this concept.

  15. Fuzzy $Z$ -Continuous Posets

    OpenAIRE

    Rao, S. P.; Li, Q G

    2013-01-01

    The aim of this paper is to generalize fuzzy continuous posets. The concept of fuzzy subset system on fuzzy posets is introduced; some elementary definitions such as fuzzy $Z$ -continuous posets and fuzzy $Z$ -algebraic posets are given. Furthermore, we try to find some natural classes of fuzzy $Z$ -continuous maps under which the images of such fuzzy algebraic structures can be preserved; we also think about fuzzy $Z$ -continuous closure operators in alternative ways. An extensio...

  16. COLIN: Planning with Continuous Linear Numeric Change

    OpenAIRE

    Coles, Amanda J.; Coles, Andrew I.; Fox, Maria; Long, Derek

    2014-01-01

    In this paper we describe COLIN, a forward-chaining heuristic search planner, capable of reasoning with COntinuous LINear numeric change, in addition to the full temporal semantics of PDDL. Through this work we make two advances to the state-of-the-art in terms of expressive reasoning capabilities of planners: the handling of continuous linear change, and the handling of duration-dependent effects in combination with duration inequalities, both of which require tightly coupled temporal and nu...

  17. Music Enhances Autobiographical Memory in Mild Alzheimer's Disease

    Science.gov (United States)

    El Haj, Mohamad; Postal, Virginie; Allain, Philippe

    2012-01-01

    Studies have shown that the "Four Seasons" music may enhance the autobiographical performance of Alzheimer's disease (AD) patients. We used a repeated measures design in which autobiographical recall of 12 mild AD patients was assessed using a free narrative method under three conditions: (a) in "Silence," (b) after being exposed to the opus "Four…

  18. Behavioral Syndromes in Mild Cognitive Impairment and Alzheimer's Disease

    NARCIS (Netherlands)

    Van der Mussele, Stefan; Marien, Peter; Saerens, Jos; Somers, Nore; Goeman, Johan; De Deyn, Peter P.; Engelborghs, Sebastiaan

    2014-01-01

    Background: Behavioral disturbances belong to the core symptoms of dementia and are also common in mild cognitive impairment (MCI). The identification of sets of symptoms is clinically interesting, as interventions targeting syndromes may be more effective than the management of individual symptoms.

  19. Mild carbon monoxide poisoning impairs left ventricular diastolic function

    Directory of Open Access Journals (Sweden)

    Özgür Çiftçi

    2013-01-01

    Full Text Available Rationale: Carbon monoxide (CO poisoning is associated with direct cardiovascular toxicity. In mild CO poisoning in which cardiovascular life support is not required, the effects of CO on left and right ventricular functions are unknown in patients without cardiac failure. Objectives: Echocardiography was used to determine whether or not mild CO poisoning impairs ventricular function. Twenty otherwise healthy patients with CO poisoning and 20 age- and gender-matched controls were studied. Echocardiographic examinations were performed at the time of admission and 1 week after poisoning. Results: The impairment observed in the left and right ventricular diastolic function at the time of admission was greater than the impairment 1 week after poisoning. Mild CO poisoning did not have a significant effect on systolic function. Carboxyhemoglobin levels were positively correlated with left ventricular diastolic dysfunction, whereas the levels were not correlated with right ventricular diastolic function. Conclusions: In CO intoxication, the development of left and right ventricular diastolic dysfunction precedes systolic abnormality. Patients with mild CO poisoning do not manifest cardiovascular symptoms; however, it should be borne in mind that most of these patients have myocardial involvement.

  20. Awareness of deficits in mild cognitive impairment and Alzheimer's disease

    DEFF Research Database (Denmark)

    Vogel, Asmus; Stokholm, Jette; Gade, Anders;

    2004-01-01

    In this study we investigated impaired awareness of cognitive deficits in patients with mild cognitive impairment (MCI) and Alzheimer's disease (AD). Very few studies have addressed this topic, and methodological inconsistencies make the comparison of previous studies difficult. From a prospective...

  1. Alcohol consumption and mortality in patients with mild Alzheimer's disease

    DEFF Research Database (Denmark)

    Berntsen, Sine; Kragstrup, Jakob; Siersma, Volkert Dirk;

    2015-01-01

    Objective: To investigate the association betweenalcohol consumption and mortality in patients recentlydiagnosed with mild Alzheimer’s disease (AD). Design: A post hoc analysis study based on a clinicaltrial population. Setting: The data reported were collected as part ofthe Danish Alzheimer’s...

  2. Depressive symptoms predict slow cognitive decline in mild dementia

    NARCIS (Netherlands)

    Janzing, J.; Naarding, P.; Eling, P.A.T.M.

    2005-01-01

    Depression may be a prognostic marker of subsequent cognitive decline in patients with dementia. Earlier investigations did not find support for this hypothesis but have mainly considered syndromal depression. In this prospective study thirty-two subjects with mild dementia were followed up for 12 m

  3. Proton MR spectroscopy in mild traumatic brain injury

    International Nuclear Information System (INIS)

    To assess the role of 1H MRS in the detection of changes in cerebral metabolite levels in pyramidal tracts after mild traumatic brain injury (MTBI) and to compare metabolite alterations to the clinical status (Glasgow Coma Scale). Study group consisted of 25 patients after mild traumatic brain injury, with a score of 11 to 15 in GCS. The MR studies were performed with a 1.5 T scanner. The results of spectra approximation (presented as metabolite ratios: NAA/Cr, NAA/Cho, Cho/Cr, lac/Cr, lip/Cr, Glx/Cr) were subjected to statistical analysis. MR spectra were recorded from a normal-appearing brain region: internal capsules and cerebral peduncles. Spectra from traumatic patients were compared with a control group including 34 healthy volunteers recorded with the same techniques. The statistical analysis revealed significant differences between the data obtained from various brain regions of the same patients after an MTBI and between the study and the control group. Proton MR spectroscopy detects changes in cerebral metabolite levels in apparently normal regions. In pyramidal tracts (internal capsules, cerebral peduncles), we noticed a significant reduction of NAA /Cho, lip/Cr, lac/Cr and Glx/Cr. In patients with mild brain injury, we can detect some metabolite abnormalities in normal-appearing brain structures. Proton MRS is a very useful tool for evaluation of major changes in metabolite levels in pyramidal tracts after mild traumatic brain injury

  4. Microbial corrosion inhibition of mild steel in salty water environment

    International Nuclear Information System (INIS)

    The use of antimicrobial corrosion inhibitor is increasingly being curtailed by recent corrosion restrictions. This paper represents the results of the study of new biocide, antimicrobial corrosion inhibitor named 8-hydroxy-N'-(2-(quinolin-8-yloxy)acetyl)quinoline-5-sulfonohydrazide (HQS) was used to inhibit corrosion causing sulphate reducing bacteria (SRB). The effects of the inhibitor on mild steel dissolution in salty water environment were studied through weight loss measurements, electrochemical and microorganism tests. The results obtained from this study show that, the new inhibitor can decrease corrosion and microbial growth under the conditions tested. The mass loss for the protected mild steel coupons shows lower corrosion rate compared to the unprotected once. Cyclic polarization test reveals that, the biocide minimizes the pitting area (hysteresis). The nature of protective film formed on mild steel was studied by scanning electron microscopy (SEM). SEM images revealed that, the corrosion inhibition by the HQS on the mild steel surface significantly improved in the presence of biocide

  5. Microbial corrosion inhibition of mild steel in salty water environment

    Energy Technology Data Exchange (ETDEWEB)

    El-Shamy, A.M. [Electrochemistry and Corrosion Lab., Department of Physical Chemistry, National Research Centre, Dokki, 12622 Cairo (Egypt); Soror, T.Y. [Chemistry Department, Faculty of Science, Cairo University, Cairo (Egypt); El-Dahan, H.A. [Electrochemistry and Corrosion Lab., Department of Physical Chemistry, National Research Centre, Dokki, 12622 Cairo (Egypt)], E-mail: hosnieldahan@yahoo.com; Ghazy, E.A. [Microbial Biotechnology Department, National Research Centre, Dokki, 12622 Cairo (Egypt); Eweas, A.F. [Medicinal Chemistry Department, National Research Centre, Dokki, 12622, Cairo (Egypt)

    2009-03-15

    The use of antimicrobial corrosion inhibitor is increasingly being curtailed by recent corrosion restrictions. This paper represents the results of the study of new biocide, antimicrobial corrosion inhibitor named 8-hydroxy-N'-(2-(quinolin-8-yloxy)acetyl)quinoline-5-sulfonohydrazide (HQS) was used to inhibit corrosion causing sulphate reducing bacteria (SRB). The effects of the inhibitor on mild steel dissolution in salty water environment were studied through weight loss measurements, electrochemical and microorganism tests. The results obtained from this study show that, the new inhibitor can decrease corrosion and microbial growth under the conditions tested. The mass loss for the protected mild steel coupons shows lower corrosion rate compared to the unprotected once. Cyclic polarization test reveals that, the biocide minimizes the pitting area (hysteresis). The nature of protective film formed on mild steel was studied by scanning electron microscopy (SEM). SEM images revealed that, the corrosion inhibition by the HQS on the mild steel surface significantly improved in the presence of biocide.

  6. Plesiomonas shigelloides bacteremia in a healthy girl with mild gastroenteritis.

    OpenAIRE

    Paul, R; Siitonen, A.; Kärkkäinen, P

    1990-01-01

    A previously healthy 15-year-old girl fell ill with febrile gastroenteritis; Plesiomonas shigelloides was isolated from the blood 6 h after she had received one tablet of trimethoprim-sulfadiazine on the third day of symptoms. She recovered uneventfully. P. shigelloides may be isolated from the blood in immunocompetent patients with mild, uncomplicated gastroenteritis.

  7. Learning capacity in adolescents with mild intellectual disabilities

    NARCIS (Netherlands)

    Tiekstra, Marlous; Hessels, Marco G P; Minnaert, Alexander E M G

    2009-01-01

    Scores on a learning potential test (the Hessels Analogical Reasoning Test) were examined to assess how to provide a better estimate of the learning capacity of students with mild intellectual disabilities compared to IQ scores. As a criterion, a dynamic test of chemistry learning was used. 46 adole

  8. SCANDIUM TRIFLATE CATALYZED ACETYLATION OF STARCH UNDER MILD CONDITIONS

    Science.gov (United States)

    Scandium (III) trifluoromethan sulfonate (Sc(OTf)3) was investigated as a catalyst for the acetylation of starch in order to determine the potential for preparing new types of starch esters under mild conditions. At room temperature, dry granular corn starch reacts with acetic anhydride in the pres...

  9. Care Partner Responses to the Onset of Mild Cognitive Impairment

    Science.gov (United States)

    Blieszner, Rosemary; Roberto, Karen A.

    2010-01-01

    Purpose: We examined characteristics, responses, and psychological well-being of care partners who support and assist older adults recently diagnosed with mild cognitive impairment (MCI). Design and Methods: Based on a sample of 106 care partners of community residents diagnosed with MCI at memory clinics, we conducted face-to-face interviews…

  10. Cholinergic Enhancement of Frontal Lobe Activity in Mild Cognitive Impairment

    Science.gov (United States)

    Saykin, Andrew J.; Wishart, Heather A.; Rabin, Laura A.; Flashman, Laura A.; McHugh, Tara L.; Mamourian, Alexander C.; Santulli, Robert B.

    2004-01-01

    Cholinesterase inhibitors positively affect cognition in Alzheimer's disease (AD) and other conditions, but no controlled functional MRI studies have examined where their effects occur in the brain. We examined the effects of donepezil hydrochloride (Aricept[Registered sign]) on cognition and brain activity in patients with amnestic mild cognitive…

  11. A Mild Method for the Cleavage of Ketals Using IBX

    OpenAIRE

    Raza, Abdul Rauf

    2009-01-01

    Investigation on the total synthesis of batrachotoxin 1 revealed that the cyclic ketals could be cleaved to ketone with IBX in DMSO at 70-81 °C under very mild conditions. A variety of functional groups showed no interference under these conditions except vinyl bromides, which, in fact, inhibits the single electron transfer to IBX.

  12. Subtle Symptoms Associated with Self-Reported Mild Head Injury.

    Science.gov (United States)

    Segalowitz, Sidney J.; Lawson, Sheila

    1995-01-01

    A survey of 1,345 high school students and 2,321 university students found that 30-37% reported having experienced a head injury, with 12-15% reporting loss of consciousness. Significant relationships were found between mild head injury incidence and gender; sleep difficulties; social difficulties; handedness pattern; and diagnoses of attention…

  13. Verbal Working Memory in Children with Mild Intellectual Disabilities

    Science.gov (United States)

    Van der Molen, M. J.; Van Luit, J. E. H.; Jongmans, M. J.; Van der Molen, M. W.

    2007-01-01

    Background: Previous research into working memory of individuals with intellectual disabilities (ID) has established clear deficits. The current study examined working memory in children with mild ID (IQ 55-85) within the framework of the Baddeley model, fractionating working memory into a central executive and two slave systems, the phonological…

  14. Balance features in Alzheimer's disease and amnestic mild cognitive impairment.

    Science.gov (United States)

    Leandri, Massimo; Cammisuli, Sharon; Cammarata, Sergio; Baratto, Luigi; Campbell, Jackie; Simonini, Marina; Tabaton, Massimo

    2009-01-01

    We evaluated alterations of balance by stabilometry in patients with amnestic mild cognitive impairment (aMCI) and with mild-moderate Alzheimer's disease (AD). Fifteen patients with aMCI and 15 with mild AD were recruited according to the current diagnostic criteria. Fifteen healthy subjects of the same age range were recruited as controls. Stabilometry was carried out using a commercial 4 load cell platform. Statistical analysis of between group differences was performed using one-way analysis of variance for parametric data and Kruskal-Wallis tests for non-parametric data. Spearman correlation coefficients were used to investigate the association between cognitive test scores and stabilometric data. All stabilometry measures were significantly altered in mild AD patients compared to normal controls. Antero-posterior sway was found to be the most sensitive parameter, since it correlated with the ADAS-cog orientation subscale in AD patients, and also discriminated between aMCI and normal controls. Our study shows that impairment in balance is a feature not only of AD, but also of aMCI. The alterations found suggest that a progressive failure of the vestibular system, possibly linked to reduced hippocampal performance, may be responsible for such a feature. Further research must be focused on studying the predictive value of stabilometry in the conversion of aMCI. PMID:19158427

  15. Project Based Learning for Children with Mild Mental Disabilities

    Science.gov (United States)

    Guven, Yildiz; Duman, Hulya Gulay

    2007-01-01

    The aim of this investigation was to determine the effectiveness of a project-based learning program delivered to children with mild mental disabilities. The 7 children (4 girls and 3 boys) selected for this experimental study were from an elementary school and attending a special class. The theme of the project was "Patisserie." At posttest the…

  16. Stressful Social Interactions Experienced by Adults with Mild Intellectual Disability

    Science.gov (United States)

    Hartley, Sigan L.; MacLean, William E., Jr.

    2009-01-01

    Adults with intellectual disability are vulnerable to stressful social interactions. We determined frequency and severity of various stressful social interactions, identified the social partners in these interactions, and examined the specific interpersonal skill difficulties of 114 adults with mild intellectual disability. Participants'…

  17. Mild Intellectual Deficits in a Child with 49,XXXXY.

    Science.gov (United States)

    Hersh, Joseph H.; And Others

    1988-01-01

    Although most males with a 49,XXXXY karyotype will have significant mental retardation, the case of an affected boy having mild-cognitive and motor delays and age-appropriate adaptive skills at 59 months is presented. Guarded optimism may be justified in affected males demonstrating close to or age-appropriate developmental skills through early…

  18. Continuity of transformations

    NARCIS (Netherlands)

    P.P. Wakker

    1991-01-01

    Let u be a continuous function from Re to Re. Let f be a transformation (which in our terminology does not have to be bijective) from the range of u to Re. v = f(u(.)) is the composition of f and u. It is well-known that continuity of f implies continuity of v. We consider the reversed question: Doe

  19. Advanced Remediation Technologies

    International Nuclear Information System (INIS)

    The United States Department of Energy (DOE), Office of Environmental Management (EM) is responsible for the cleanup of nation's nuclear weapons program legacy wastes, along with waste associated with nuclear energy programs and research. The EM cleanup efforts continue to progress, however the cleanup continues to be technologically complex, heavily regulated, long-term; and the effort also has a high life cycle cost estimate (LCCE) effort. Over the past few years, the EM program has undergone several changes to accelerate its cleanup efforts with varying degrees of success. This article will provide some insight into the Advanced Remediation Technologies (ART) projects that may enhance cleanup efforts and reduce life cycle costs. (authors)

  20. Implementation of Segmentation Methods for the Diagnosis and Prognosis of Mild Cognitive Impairment and Alzheimer Disease

    International Nuclear Information System (INIS)

    Alzheimer's disease (AD) is the most common form of dementia affecting seniors age 65 and over. When AD is suspected, the diagnosis is usually confirmed with behavioural assessments and cognitive tests, often followed by a brain scan. Advanced medical imaging is a good tool to predict conversion from prodromal stages (mild cognitive impairment) to Alzheimer's disease. Since volumetric MRI can detect changes in the size of brain regions, measuring those regions that atrophy during the progress of Alzheimer's disease can help the neurologist in his diagnostic. In the present investigation, we present an automatic tool that reads volumetric MRI and performs 2-dimensional (volume slices) and volumetric segmentation methods in order to segment gray matter, white matter and cerebrospinal fluid (CSF). We used the MRI data sets database from the Open Access Series of Imaging Studies (OASIS).

  1. Implementation of Segmentation Methods for the Diagnosis and Prognosis of Mild Cognitive Impairment and Alzheimer Disease

    Science.gov (United States)

    Matoug, S.; Abdel-Dayem, A.

    2012-02-01

    Alzheimer's disease (AD) is the most common form of dementia affecting seniors age 65 and over. When AD is suspected, the diagnosis is usually confirmed with behavioural assessments and cognitive tests, often followed by a brain scan. Advanced medical imaging is a good tool to predict conversion from prodromal stages (mild cognitive impairment) to Alzheimer's disease. Since volumetric MRI can detect changes in the size of brain regions, measuring those regions that atrophy during the progress of Alzheimer's disease can help the neurologist in his diagnostic. In the present investigation, we present an automatic tool that reads volumetric MRI and performs 2-dimensional (volume slices) and volumetric segmentation methods in order to segment gray matter, white matter and cerebrospinal fluid (CSF). We used the MRI data sets database from the Open Access Series of Imaging Studies (OASIS).

  2. Quantum engineering of continuous variable quantum states

    International Nuclear Information System (INIS)

    Quantum information with continuous variables is a field attracting increasing attention recently. In continuous variable quantum information one makes use of the continuous information encoded into the quadrature of a quantized light field instead of binary quantities such as the polarization state of a single photon. This brand new research area is witnessing exciting theoretical and experimental achievements such as teleportation, quantum computation and quantum error correction. The rapid development of the field is mainly due higher optical data rates and the availability of simple and efficient manipulation tools in continuous-variable quantum information processing. We in this thesis extend the work in continuous variable quantum information processing and report on novel experiments on amplification, cloning, minimal disturbance and noise erasure protocols. The promising results we obtain in these pioneering experiments indicate that the future of continuous variable quantum information is bright and many advances can be foreseen. (orig.)

  3. Continuous culture--making a comeback?

    Science.gov (United States)

    Hoskisson, Paul A; Hobbs, Glyn

    2005-10-01

    The heyday of continuous culture was in the 1960s, when its versatility and reproducibility were used to address fundamental problems in diverse microbiological fields such as biochemistry, ecology, genetics and physiology. The advent of molecular genetics in the 1970s and 1980s led to a decline in the popularity of continuous culture as a standard laboratory tool. The current trend of studying global proteomics, transcriptomics and metabolomics requires reproducible, reliable and biologically homogeneous datasets with which to approach a given problem. The use of continuous culture techniques can aid the acquisition of such data, and continuous cultures offer advantages over biologically heterogeneous batch cultures, where secondary growth and stress effects can often mask subtle physiological differences and trends. This review is intended to remind microbiologists of the value of continuous cultivation in a wide range of biological investigations, and describes some advantages and recent advances in applications of continuous culture in post-genomic studies. PMID:16207900

  4. Quantum engineering of continuous variable quantum states

    Energy Technology Data Exchange (ETDEWEB)

    Sabuncu, Metin

    2009-10-29

    Quantum information with continuous variables is a field attracting increasing attention recently. In continuous variable quantum information one makes use of the continuous information encoded into the quadrature of a quantized light field instead of binary quantities such as the polarization state of a single photon. This brand new research area is witnessing exciting theoretical and experimental achievements such as teleportation, quantum computation and quantum error correction. The rapid development of the field is mainly due higher optical data rates and the availability of simple and efficient manipulation tools in continuous-variable quantum information processing. We in this thesis extend the work in continuous variable quantum information processing and report on novel experiments on amplification, cloning, minimal disturbance and noise erasure protocols. The promising results we obtain in these pioneering experiments indicate that the future of continuous variable quantum information is bright and many advances can be foreseen. (orig.)

  5. ADVANCE PAYMENTS

    CERN Multimedia

    Human Resources Division

    2002-01-01

    Administrative Circular Nº 8 makes provision for the granting of advance payments, repayable in several monthly instalments, by the Organization to the members of its personnel. Members of the personnel are reminded that these advances are only authorized in exceptional circumstances and at the discretion of the Director-General. In view of the current financial situation of the Organization, and in particular the loans it will have to incur, the Directorate has decided to restrict the granting of such advances to exceptional or unforeseen circumstances entailing heavy expenditure and more specifically those pertaining to social issues. Human Resources Division Tel. 73962

  6. Advance payments

    CERN Multimedia

    Human Resources Division

    2003-01-01

    Administrative Circular N 8 makes provision for the granting of advance payments, repayable in several monthly instalments, by the Organization to the members of its personnel. Members of the personnel are reminded that these advances are only authorized in exceptional circumstances and at the discretion of the Director-General. In view of the current financial situation of the Organization, and in particular the loans it will have to incur, the Directorate has decided to restrict the granting of such advances to exceptional or unforeseen circumstances entailing heavy expenditure and more specifically those pertaining to social issues. Human Resources Division Tel. 73962

  7. Activity restriction in mild COPD: a challenging clinical problem

    Directory of Open Access Journals (Sweden)

    O'Donnell DE

    2014-06-01

    Full Text Available Denis E O'Donnell,1 Kevin B Gebke2 1Division of Respiratory and Critical Care Medicine, Respiratory Investigation Unit, Queen's University and Kingston General Hospital, Kingston, ON, Canada; 2Primary Care Sports Medicine Program, Indiana University School of Medicine, Indianapolis, IN, USA Abstract: Dyspnea, exercise intolerance, and activity restriction are already apparent in mild chronic obstructive pulmonary disease (COPD. However, patients may not seek medical help until their symptoms become troublesome and persistent and significant respiratory impairment is already present; as a consequence, further sustained physical inactivity may contribute to disease progression. Ventilatory and gas exchange impairment, cardiac dysfunction, and skeletal muscle dysfunction are present to a variable degree in patients with mild COPD, and collectively may contribute to exercise intolerance. As such, there is increasing interest in evaluating exercise tolerance and physical activity in symptomatic patients with COPD who have mild airway obstruction, as defined by spirometry. Simple questionnaires, eg, the modified British Medical Research Council dyspnea scale and the COPD Assessment Test, or exercise tests, eg, the 6-minute or incremental and endurance exercise tests can be used to assess exercise performance and functional status. Pedometers and accelerometers are used to evaluate physical activity, and endurance tests (cycle or treadmill using constant work rate protocols are used to assess the effects of interventions such as pulmonary rehabilitation. In addition, alternative outcome measurements, such as tests of small airway dysfunction and laboratory-based exercise tests, are used to measure the extent of physiological impairment in individuals with persistent dyspnea. This review describes the mechanisms of exercise limitation in patients with mild COPD and the interventions that can potentially improve exercise tolerance. Also discussed are the

  8. Advanced flip chip packaging

    CERN Document Server

    Lai, Yi-Shao; Wong, CP

    2013-01-01

    Advanced Flip Chip Packaging presents past, present and future advances and trends in areas such as substrate technology, material development, and assembly processes. Flip chip packaging is now in widespread use in computing, communications, consumer and automotive electronics, and the demand for flip chip technology is continuing to grow in order to meet the need for products that offer better performance, are smaller, and are environmentally sustainable. This book also: Offers broad-ranging chapters with a focus on IC-package-system integration Provides viewpoints from leading industry executives and experts Details state-of-the-art achievements in process technologies and scientific research Presents a clear development history and touches on trends in the industry while also discussing up-to-date technology information Advanced Flip Chip Packaging is an ideal book for engineers, researchers, and graduate students interested in the field of flip chip packaging.

  9. Advanced instrumentation for reprocessing.

    Energy Technology Data Exchange (ETDEWEB)

    Cipiti, Benjamin B.

    2005-10-01

    Recent interest in reprocessing nuclear fuel in the U.S. has led to advanced separations processes that employ continuous processing and multiple extraction steps. These advanced plants will need to be designed with state-of-the-art instrumentation for materials accountancy and control. This research examines the current and upcoming instrumentation for nuclear materials accountancy for those most suited to the reprocessing environment. Though this topic has received attention time and again in the past, new technologies and changing world conditions require a renewed look and this subject. The needs for the advanced UREX+ separations concept are first identified, and then a literature review of current and upcoming measuring techniques is presented. The report concludes with a preliminary list of recommended instruments and measurement locations.

  10. Reasoning training in veteran and civilian traumatic brain injury with persistent mild impairment.

    Science.gov (United States)

    Vas, Asha; Chapman, Sandra; Aslan, Sina; Spence, Jeffrey; Keebler, Molly; Rodriguez-Larrain, Gisella; Rodgers, Barry; Jantz, Tiffani; Martinez, David; Rakic, Jelena; Krawczyk, Daniel

    2016-08-01

    Traumatic brain injury (TBI) is a chronic health condition. The prevalence of TBI, combined with limited advances in protocols to mitigate persistent TBI-related impairments in higher order cognition, present a significant challenge. In this randomised study (n = 60), we compared the benefits of Strategic Memory Advanced Reasoning Training (SMART, n = 31), a strategy-based programme shown to improve cognitive control, versus an active learning programme called Brain Health Workshop (BHW, n = 29) in individuals with TBI with persistent mild functional deficits. Outcomes were measured on cognitive, psychological health, functional, and imaging measures. Repeated measures analyses of immediate post-training and 3-month post-training demonstrated gains on the cognitive control domain of gist reasoning (ability to abstract big ideas/goals from complex information/tasks) in the SMART group as compared to BHW. Gains following the SMART programme were also evident on improved executive function, memory, and daily function as well as reduced symptoms associated with depression and stress. The SMART group showed an increase in bilateral precuneus cerebral blood flow (CBF). Improvements in gist reasoning in the SMART group were also associated with an increase in CBF in the left inferior frontal region, the left insula and the bilateral anterior cingulate cortex. These results add to prior findings that the SMART programme provides an efficient set of strategies that have the potential to improve cognitive control performance and associated executive functions and daily function, to enhance psychological health, and facilitate positive neural plasticity in adults with persistent mild impairment after TBI. PMID:26018041

  11. Advances in Male Contraception

    OpenAIRE

    Page, Stephanie T; Amory, John K.; Bremner, William J.

    2008-01-01

    Despite significant advances in contraceptive options for women over the last 50 yr, world population continues to grow rapidly. Scientists and activists alike point to the devastating environmental impacts that population pressures have caused, including global warming from the developed world and hunger and disease in less developed areas. Moreover, almost half of all pregnancies are still unwanted or unplanned. Clearly, there is a need for expanded, reversible, contraceptive options. Multi...

  12. Intralimb Coordination Patterns in Absent, Mild, and Severe Stages of Diabetic Neuropathy: Looking Beyond Kinematic Analysis of Gait Cycle.

    Directory of Open Access Journals (Sweden)

    Liu Chiao Yi

    Full Text Available Diabetes Mellitus progressively leads to impairments in stability and joint motion and might affect coordination patterns, mainly due to neuropathy. This study aims to describe changes in intralimb joint coordination in healthy individuals and patients with absent, mild and, severe stages of neuropathy.Forty-seven diabetic patients were classified into three groups of neuropathic severity by a fuzzy model: 18 without neuropathy (DIAB, 7 with mild neuropathy (MILD, and 22 with moderate to severe neuropathy (SVRE. Thirteen healthy subjects were included as controls (CTRL. Continuous relative phase (CRP was calculated at each instant of the gait cycle for each pair of lower limb joints. Analysis of Variance compared each frame of the CRP time series and its standard deviation among groups (α = 5%.For the ankle-hip CRP, the SVRE group presented increased variability at the propulsion phase and a distinct pattern at the propulsion and initial swing phases compared to the DIAB and CTRL groups. For the ankle-knee CRP, the 3 diabetic groups presented more anti-phase ratios than the CTRL group at the midstance, propulsion, and terminal swing phases, with decreased variability at the early stance phase. For the knee-hip CRP, the MILD group showed more in-phase ratio at the early stance and terminal swing phases and lower variability compared to all other groups. All diabetic groups were more in-phase at early the midstance phase (with lower variability than the control group.The low variability and coordination differences of the MILD group showed that gait coordination might be altered not only when frank evidence of neuropathy is present, but also when neuropathy is still incipient. The ankle-knee CRP at the initial swing phase showed distinct patterns for groups from all degrees of neuropathic severity and CTRLs. The ankle-hip CRP pattern distinguished the SVRE patients from other diabetic groups, particularly in the transitional phase from stance to

  13. Advanced Microsensors

    Science.gov (United States)

    1991-01-01

    This video looks at a spinoff application of the technology from advanced microsensors -- those that monitor and determine conditions of spacecraft like the Space Shuttle. The application featured is concerned with the monitoring of the health of premature babies.

  14. Advanced nanoelectronics

    CERN Document Server

    Ismail, Razali

    2012-01-01

    While theories based on classical physics have been very successful in helping experimentalists design microelectronic devices, new approaches based on quantum mechanics are required to accurately model nanoscale transistors and to predict their characteristics even before they are fabricated. Advanced Nanoelectronics provides research information on advanced nanoelectronics concepts, with a focus on modeling and simulation. Featuring contributions by researchers actively engaged in nanoelectronics research, it develops and applies analytical formulations to investigate nanoscale devices. The

  15. LANL continuity of operations plan

    Energy Technology Data Exchange (ETDEWEB)

    Senutovitch, Diane M [Los Alamos National Laboratory

    2010-12-22

    The Los Alamos National Laboratory (LANL) is a premier national security research institution, delivering scientific and engineering solutions for the nation's most crucial and complex problems. Our primary responsibility is to ensure the safety, security, and reliability of the nation's nuclear stockpile. LANL emphasizes worker safety, effective operational safeguards and security, and environmental stewardship, outstanding science remains the foundation of work at the Laboratory. In addition to supporting the Laboratory's core national security mission, our work advances bioscience, chemistry, computer science, earth and environmental sciences, materials science, and physics disciplines. To accomplish LANL's mission, we must ensure that the Laboratory EFs continue to be performed during a continuity event, including localized acts of nature, accidents, technological or attack-related emergencies, and pandemic or epidemic events. The LANL Continuity of Operations (COOP) Plan documents the overall LANL COOP Program and provides the operational framework to implement continuity policies, requirements, and responsibilities at LANL, as required by DOE 0 150.1, Continuity Programs, May 2008. LANL must maintain its ability to perform the nation's PMEFs, which are: (1) maintain the safety and security of nuclear materials in the DOE Complex at fixed sites and in transit; (2) respond to a nuclear incident, both domestically and internationally, caused by terrorist activity, natural disaster, or accident, including mobilizing the resources to support these efforts; and (3) support the nation's energy infrastructure. This plan supports Continuity of Operations for Los Alamos National Laboratory (LANL). This plan issues LANL policy as directed by the DOE 0 150.1, Continuity Programs, and provides direction for the orderly continuation of LANL EFs for 30 days of closure or 60 days for a pandemic/epidemic event. Initiation of COOP operations may

  16. AdvancED Flex 4

    CERN Document Server

    Tiwari, Shashank; Schulze, Charlie

    2010-01-01

    AdvancED Flex 4 makes advanced Flex 4 concepts and techniques easy. Ajax, RIA, Web 2.0, mashups, mobile applications, the most sophisticated web tools, and the coolest interactive web applications are all covered with practical, visually oriented recipes. * Completely updated for the new tools in Flex 4* Demonstrates how to use Flex 4 to create robust and scalable enterprise-grade Rich Internet Applications.* Teaches you to build high-performance web applications with interactivity that really engages your users.* What you'll learn Practiced beginners and intermediate users of Flex, especially

  17. Continuity in Discrete Sets

    CERN Document Server

    Burgin, Mark

    2010-01-01

    Continuous models used in physics and other areas of mathematics applications become discrete when they are computerized, e.g., utilized for computations. Besides, computers are controlling processes in discrete spaces, such as films and television programs. At the same time, continuous models that are in the background of discrete representations use mathematical technology developed for continuous media. The most important example of such a technology is calculus, which is so useful in physics and other sciences. The main goal of this paper is to synthesize continuous features and powerful technology of the classical calculus with the discrete approach of numerical mathematics and computational physics. To do this, we further develop the theory of fuzzy continuous functions and apply this theory to functions defined on discrete sets. The main interest is the classical Intermediate Value theorem. Although the result of this theorem is completely based on continuity, utilization of a relaxed version of contin...

  18. Continuous Liquid Interface Production (CLIP)

    Science.gov (United States)

    Tumbleston, John

    Continuous liquid interface production (CLIP) can rapidly produce 3D parts using a range of polymeric materials. A DLP-based form of additive manufacturing, CLIP proceeds via projecting a sequence of UV images through an oxygen-permeable, UV-transparent window below a liquid resin bath. A thin uncured liquid layer, or dead zone, is created above the window and maintains a liquid interface below the advancing part. Above the dead zone, the curing part is drawn out of the resin bath creating suction forces that renew reactive liquid resin. The dead zone is created due to oxygen inhibition of photopolymerization, a process that is traditionally a nuisance in other photopolymerization applications. However, for CLIP oxygen inhibition and creation of the dead zone allows for a continuous mode of printing where UV exposure, resin renewal, and part elevation are conducted simultaneously. This continual process is fundamentally different from traditional bottom-up stereolithography printers where these steps must be conducted in separate and discrete steps. Furthermore, the relatively gentle nature of CLIP due to the established dead zone enables the use of unique materials with a wide range of mechanical properties. This presentation will showcase the CLIP technology and provide a detailed picture of interactions between different resin and process parameters. New applications for 3D printing that span the micro- to macro-scale enabled by CLIP's combination of unique materials and part production speed will also be presented.

  19. Advances in Modern Capacitive ECG Systems for Continuous Cardiovascular Monitoring

    OpenAIRE

    A. Schommartz; Eilebrecht, B.; Wartzek, T.; Walter, M.; Leonhardt, S

    2011-01-01

    The technique of capacitive electrocardiography (cECG) is very promising in a flexible manner. Already integrated into several everyday objects, the single lead cECG system has shown that easy-to-use measurements of electrocardiograms are possible without difficult preparation of the patients. Multi-channel cECG systems enable the extraction of ECG signals even in the presence of coupled interferences, due to the additional redundant information. Thus, this paper presents challenges for elect...

  20. Advances in Modern Capacitive ECG Systems for Continuous Cardiovascular Monitoring

    Directory of Open Access Journals (Sweden)

    A. Schommartz

    2011-01-01

    Full Text Available The technique of capacitive electrocardiography (cECG is very promising in a flexible manner. Already integrated into several everyday objects, the single lead cECG system has shown that easy-to-use measurements of electrocardiograms are possible without difficult preparation of the patients. Multi-channel cECG systems enable the extraction of ECG signals even in the presence of coupled interferences, due to the additional redundant information. Thus, this paper presents challenges for electronic hardware design to build on developments in recent years, going from the one-lead cECG system to multi-channel systems in order to provide robust measurements - e.g. even while driving an automobile.

  1. Advancing Electromyographic Continuous Speech Recognition: Signal Preprocessing and Modeling

    OpenAIRE

    Wand, Michael

    2014-01-01

    Speech is the natural medium of human communication, but audible speech can be overheard by bystanders and excludes speech-disabled people. This work presents a speech recognizer based on surface electromyography, where electric potentials of the facial muscles are captured by surface electrodes, allowing speech to be processed nonacoustically. A system which was state-of-the-art at the beginning of this thesis is substantially improved in terms of accuracy, flexibility, and robustness.

  2. Addressing Continuing Mathematical Deficiencies with Advanced Mathematical Diagnostic Testing

    Science.gov (United States)

    Carr, Michael; Murphy, Eoin; Bowe, Brian; Ni Fhloinn, Eabhnat

    2013-01-01

    Dublin Institute of Technology offers students a number of different routes into engineering, allowing many non-standard entrants the opportunity to study the discipline provided they fulfil certain criteria. The final aim of many of these students is to achieve an Honours Degree in Engineering, which takes a minimum of 4 years. Apart from the…

  3. Advanced Control of a Continuous Solution Copolymerization Process

    OpenAIRE

    Nádson Murilo Nascimento Lima; Lamia Zuñiga Liñan; Flavio Manenti; Rubens Maciel Filho; Marcelo Embiruçu; Maria Regina Wolf Maciel

    2011-01-01

    A model-based predictive control system is designed for a copolymerization reactor. These processes typically have such a high nonlinear dynamic behavior to make practically ineffective the conventional control techniques, still so widespread in process and polymer industries. A predictive controller is adopted in this work, given the success this family of controllers is having in many chemical processes and oil refineries, especially due to their possibility of including bounds on both mani...

  4. Manufacturing laser glass by continuous melting

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, J H; Suratwala, T; krenitsky, S; Takeuchi, K

    2000-07-01

    A novel, continuous melting process is being used to manufacture meter-sized plates of laser glass at a rate 20-times faster, 5-times cheaper, and with 2-3 times better optical quality than with previous one-at-a-time, ''discontinuous'' technology processes. This new technology for manufacturing laser glass, which is arguably the most difficult continuously-melted optical material ever produced, comes as a result of a $60 million, six-year joint R&D program between government and industry. The glasses manufactured by the new continuous melting process are Nd-doped phosphate-based glasses and are marketed under the product names LG-770 (Schott Glass Technologies) and LHG-8 (Hoya Corporation USA). With this advance in glass manufacturing technology, it is now possible to construct high-energy, high-peak-power lasers for use in fusion energy development, national defense, and basic physics research that would have been impractical to build using the old melting technology. The development of continuously melted laser glass required technological advances that have lead to improvements in the manufacture of other optical glass products as well. For example, advances in forming, annealing, and conditioning steps of the laser glass continuous melting process are now being used in manufacture of other large-size optical glasses.

  5. Recent Natural Corrosion Inhibitors for Mild Steel: An Overview

    Directory of Open Access Journals (Sweden)

    Marko Chigondo

    2016-01-01

    Full Text Available Traditionally, reduction of corrosion has been managed by various methods including cathodic protection, process control, reduction of the metal impurity content, and application of surface treatment techniques, as well as incorporation of suitable alloys. However, the use of corrosion inhibitors has proven to be the easiest and cheapest method for corrosion protection and prevention in acidic media. These inhibitors slow down the corrosion rate and thus prevent monetary losses due to metallic corrosion on industrial vessels, equipment, or surfaces. Inorganic and organic inhibitors are toxic and costly and thus recent focus has been turned to develop environmentally benign methods for corrosion retardation. Many researchers have recently focused on corrosion prevention methods using green inhibitors for mild steel in acidic solutions to mimic industrial processes. This paper provides an overview of types of corrosion, corrosion process, and mainly recent work done on the application of natural plant extracts as corrosion inhibitors for mild steel.

  6. [Mild cognitive impairment: could it be a sleep disorder?].

    Science.gov (United States)

    Bayard, Sophie

    2015-09-01

    The mild cognitive impairment (MCI) is described as an intermediate state of cognitive impairment whereby individuals present with mild clinical symptoms but with nearly normal daily living activities. These subjects do not meet the clinical criteria for dementia, yet their cognitive functioning is below what we would expect for age and education in healthy people. In the other hand, older adults are at risk for sleep disorders including obstructive sleep apnea syndrome, restless legs syndrome, REM sleep behavioral disorder and chronic insomnia, which could have an impact on cognitive functioning and are exclusion criteria for the MCI diagnosis. Moreover, REM sleep behavioral disorder represents a risk factor for the development of neurodegenerative diseases. In subjects more 65 years of age the association between chronic insomnia and cognitive changes is still debated. The main aim of this paper is to focus on identification of sleep disorders in the context of cognitive disturbances among professionals working with the elderly. PMID:26395305

  7. Evolution of cognitive deficit: mild and moderate cognitive impairments

    Directory of Open Access Journals (Sweden)

    V V Zakharov

    2012-06-01

    Full Text Available Both mild and moderate cognitive impairments (CIs that cause no professional and social disadaptation have recently been of interest to physicians and investigators. Epidemiological surveys suggest that CIs not progressing to the manifestations of dementia are noted in the majority of elderly neurological outpatients. Both dementia and non-dementia CIs is a multietiological syndrome; the clinical features of these impairments are therewith determined by their cause. The most sensitive neuropsychological tests, such as the Montreal Cognitive Assessment (MoCA test should be used to diagnose non-dementia CIs. Moderate CIs are associated with the high risk of dementia (10—15% yearly. As of now, the generally accepted management protocol for patients with mild and moderate CIs has not worked out. However, drugs with neuroprotective properties are of first-priority in treating CIs, by taking into account the high risk of their progression.

  8. Corrosion inhibition of mild steel in HCL solution by pectin

    International Nuclear Information System (INIS)

    Highlights: • Pectin is an efficient inhibitor for mild steel corrosion in HCl. • Inhibition results from surface geometric blocking by chemisorbed species. • UV–visible data point to the formation of a complex between pectin and Fe2+ ions. - Abstract: This work describes the successful performance of pectin as an eco-friendly corrosion inhibitor for mild steel in HCl solution. The inhibition mechanism is discussed considering thermodynamics of adsorption and kinetics of the electrochemical reactions. Inhibition efficiency increases with temperature while the activation energy for the corrosion rate decreases with the addition of pectin. Pectin is a mixed-type inhibitor and the mode of inhibition results from the geometric blocking effect of chemisorbed inhibitive species at the metal surface. Spectroscopic analysis points to the formation of a complex between pectin and Fe2+ ions released during the corrosion reaction

  9. Mild ovarian stimulation for IVF: 10 years later

    DEFF Research Database (Denmark)

    Fauser, Bart C J M; Nargund, Geeta; Andersen, Anders Nyboe; Norman, Robert; Tarlatzis, Basil; Boivin, Jacky; Ledger, William

    2010-01-01

    Ovarian stimulation to achieve multiple follicle development has been an integral part of IVF treatment. In the context of improved laboratory performance, the need for a large number of oocytes as an integral part of a successful IVF programme may be questioned. The aim of the current debate is to...... summarize the studies performed during the last decade to develop the concept of mild stimulation aiming to obtain fewer than eight oocytes. Here we examine the balance between IVF success and patient discomfort, and complications and cost, and how these might improve by simpler ovarian stimulation...... protocols aimed at retrieving fewer oocytes. We intend to analyse why progress has been rather slow and why there is much resistance to mild stimulation. Finally, presumed useful directions for future research will be discussed....

  10. Corrosion inhibition of mild steel by aerobic biofilm

    International Nuclear Information System (INIS)

    Mild steel electrodes were incubated in phosphate-buffered basal salt solution (BSS) having two different aerobic bacteria, viz. Pseudomonas alcaligenes and Pseudomonas cichorii. In the medium containing P. cichorii, significant reduction in the corrosion rate was observed due to the surface reaction leading to the formation of corrosion inhibiting bacterial biofilm. With a view to understand the mechanism of microbially influenced corrosion/corrosion inhibition, electrochemical and biological experiments such as electrochemical impedance spectroscopy (EIS) measurements and biochemical analysis were made. The exposed surfaces were examined using scanning electron micrographs (SEM), energy dispersive spectroscopy (EDS) and electron spectroscopy for chemical analysis (ESCA). The scraped surface film was also examined using FT-IR spectroscopy. The results suggested that mild steel surface contained iron oxide-phosphate layer covered with bacteria and exo polymeric substance (EPS)/iron-EPS complex for P. cichorii and iron oxides and iron phosphate for P. alcaligenes

  11. Bias-corrected estimation in potentially mildly explosive autoregressive models

    DEFF Research Database (Denmark)

    Haufmann, Hendrik; Kruse, Robinson

    This paper provides a comprehensive Monte Carlo comparison of different finite-sample bias-correction methods for autoregressive processes. We consider classic situations where the process is either stationary or exhibits a unit root. Importantly, the case of mildly explosive behaviour is studied...... indirect inference approach oers a valuable alternative to other existing techniques. Its performance (measured by its bias and root mean squared error) is balanced and highly competitive across many different settings. A clear advantage is its applicability for mildly explosive processes. In an empirical...... application to a long annual US Debt/GDP series we consider rolling window estimation of autoregressive models. We find substantial evidence for time-varying persistence and periods of explosiveness during the Civil War and World War II. During the recent years, the series is nearly explosive again. Further...

  12. Non-PKU mild hyperphenylalaninemia (MHP)--the dilemma.

    Science.gov (United States)

    Hanley, W B

    2011-01-01

    Recent reviews have suggested that some patients with "non-PKU mild hyperphenylalaninemia" (MHP) might display neuropsychological executive function deficits and should be considered for treatment with tetrahydrobipterin (BH4) and/or phenylalanine (Phe) restricted diet. Patients with phenylketonuria (PKU)--Classical and Mild/Atypical variants--appear to need "mean lifetime phenylalanine (Phe) levels" of 120-360 μmol/L for optimal results. MHP patients, on the other hand, have natural Phe levels of 200-600 μmol/L. Until recently this was thought to be a benign condition. The available literature has been reviewed in detail and no good evidence, to date, has been uncovered to support treatment of MHP. It is suggested that more MHP subjects be tested to confirm this. A plea is made to formulate a consistent world-wide classification of the PKU phenotypes. PMID:21632269

  13. Developing Personally Relevant Goals for People with Mild Dementia.

    Science.gov (United States)

    Khayum, Becky; Wynn, Rachel

    2015-08-01

    Many speech-language pathologists work in the skilled nursing facility setting and frequently treat patients in subacute rehabilitation who are experiencing mild cognitive deficits as a result of dementia. Treatment of these individuals needs to be carefully differentiated from rehabilitative treatment of a stroke or traumatic brain injury. A "habilitation" approach should be considered, focusing on an individual's preserved strengths and developing patient-centered goals that focus upon the integration of personally relevant stimuli into the care plan. Environmental modification, the use of visual memory aids, counseling, and ongoing family education are also essential components of this approach. This case study is a thorough example of how the habilitation approach can be used to provide intervention for a person with mild dementia. The case study will explain indication for treatment, assessment, goal selection, and research to support the treatment plan. PMID:26190510

  14. Mild Solutions for Fractional Differential Equations with Nonlocal Conditions

    Directory of Open Access Journals (Sweden)

    Fang Li

    2010-01-01

    Full Text Available This paper is concerned with the existence and uniqueness of mild solution of the fractional differential equations with nonlocal conditions dqx(t/dtq=−Ax(t+f(t,x(t,Gx(t,  t∈[0,T],   and  x(0+g(x=x0, in a Banach space X, where 0

  15. Outcome from Complicated versus Uncomplicated Mild Traumatic Brain Injury

    OpenAIRE

    Iverson, Grant L.; Lange, Rael T.; Minna Wäljas; Suvi Liimatainen; Prasun Dastidar; Hartikainen, Kaisa M.; Seppo Soimakallio; Juha Öhman

    2012-01-01

    Objective. To compare acute outcome following complicated versus uncomplicated mild traumatic brain injury (MTBI) using neurocognitive and self-report measures. Method. Participants were 47 patients who presented to the emergency department of Tampere University Hospital, Finland. All completed MRI scanning, self-report measures, and neurocognitive testing at 3-4 weeks after injury. Participants were classified into the complicated MTBI or uncomplicated MTBI group based on the presence/absenc...

  16. Investigation of Fecraly Coating on Corrosion Behaviour of Mild Steel

    OpenAIRE

    Joseph B. AGBOOLA

    2009-01-01

    Steel has found wide application in hot rolling equipments in the steel industry and the oil rig structures in sea water. These equipments are frequently subjected to corrosive and temperature condition which causes severe damage to them, hence the need to develop steel suitable to withstand these conditions in terms of surface treatment. This research work investigates the effect of FeCrAlY coating on mild steel under high temperature and aggressive environment. Iron based coatings are used ...

  17. Physiological and structural aspects of fruit and vegetable mild processing

    OpenAIRE

    Panarese, Valentina

    2013-01-01

    Over the past years fruit and vegetable industry has become interested in the application of both osmotic dehydration and vacuum impregnation as mild technologies because of their low temperature and energy requirements. Osmotic dehydration is a partial dewatering process by immersion of cellular tissue in hypertonic solution. The diffusion of water from the vegetable tissue to the solution is usually accompanied by the simultaneous solutes counter-diffusion into the tissue. Vacuum imp...

  18. Spatial navigation deficit in amnestic mild cognitive impairment

    Czech Academy of Sciences Publication Activity Database

    Hort, J.; Laczó, J.; Vyhnálek, M.; Bojar, M.; Bureš, Jan; Vlček, Kamil

    2007-01-01

    Roč. 104, č. 10 (2007), s. 4042-4047. ISSN 0027-8424 R&D Projects: GA ČR(CZ) GA309/06/1231; GA MŠk(CZ) 1M0517; GA ČR(CZ) GA309/05/0693 Institutional research plan: CEZ:AV0Z50110509 Keywords : Mild cognitive impairment * spatial navigation * Alzheimer’s Disease Subject RIV: FH - Neurology Impact factor: 9.598, year: 2007

  19. Predictable Chronic Mild Stress Improves Mood, Hippocampal Neurogenesis and Memory

    OpenAIRE

    Parihar, Vipan K; Hattiangady, Bharathi; Kuruba, Ramkumar; Shuai, Bing; Shetty, Ashok K.

    2009-01-01

    Maintenance of neurogenesis in the adult hippocampus is important for functions such as mood and memory. As exposure to unpredictable chronic stress (UCS) results in decreased hippocampal neurogenesis, enhanced depressive- and anxiety-like behaviors and memory dysfunction, it is believed that declined hippocampal neurogenesis mainly underlies the behavioral and cognitive abnormalities after UCS. However, the effects of predictable chronic mild stress (PCMS) such as the routine stress experien...

  20. Effect of hydrogenase on the corrosion of mild steel

    OpenAIRE

    Mehanna, Maha; Basséguy, Régine; Délia, Marie-Line; Bergel, Alain

    2007-01-01

    Losses due to corrosion are evaluated at 4% of the GDP of industrialised countries and biocorrosion may be responsible for 10% of these costs [1]. Whereas the general mechanism of anaerobic corrosion, involving iron sulphur deposits, seems now well agreed, the detailed mechanism is still unclear and the implication of hydrogenase is very controversial. The influence of a [Fe] hydrogenase from C. acetobutylicum on mild steel corrosion was studied using a galvanic cell and measuring the current...

  1. Gas Tungsten Arc Welding of Copper and Mild Steel

    OpenAIRE

    Daniel T; Timotius P; Maziar R

    2016-01-01

    In this paper, copper and mild steel were welded using a gas tungsten arc welding (GTAW) process. To determine the weldablity factor, tests are needed to provide information on mechanical strength, potential defects in structure, and nature of failure. Mechanical testing included transverse tensile tests, micro hardness tests, and bend tests. The results for the transverse tensile test revealed failure occurred at the copper heat affected zone (HAZ) with an ultimate tensile strength of 220MPa...

  2. How Do Children With Mild Intellectual Disabilities Perceive Loneliness?

    OpenAIRE

    Kalliopi Papoutsaki; Angeliki Gena; Efrosini Kalyva

    2013-01-01

    The present study examined 154 children with mild intellectual disability (MID) attending special schools with regard to their reports of loneliness. Semi-structured interviews revealed that more than half of the students with MID reported feelings of loneliness. They tend to have as friends children from their neighborhood, friends of their siblings, children of their parents’ friends and from their school. Lonely children with MID tend to attribute their isolation to interpersonal deficits,...

  3. Training self-advocacy skills to adults with mild handicaps.

    OpenAIRE

    Sievert, A L; Cuvo, A J; Davis, P K

    1988-01-01

    We developed and empirically evaluated an instructional program to teach self-advocacy skills to eight young adults with mild handicaps. Participants were taught to discriminate whether or not possible violations of legal rights occurred in socially validated scenarios and, if so, to role-play how to redress rights violations. Experimental control was demonstrated with a multiple probe design across four general legal rights categories for the discrimination component of training, and a multi...

  4. MICROBIAL CORROSION OF MILD AND MEDIUM CARBON STEELS

    OpenAIRE

    J. E.O. OVRI; S. I. OKEAHIALAM; O. O. ONYEMAOBI

    2013-01-01

    The role of bacteria in the corrosion of mild and medium carbon steels is reported. The steels were exposed to anaerobic and aerobic, and fresh water (control) environments. The corrosion rates were evaluated at intervals of seven days for a period of 42 days using weight loss and electrochemical methods. The corroded specimens were visually examined and majorities were found to have undergone general corrosion in the three environments (aerobic, anaerobic, and fresh water)....

  5. Is Mild Dementia Related to Unsafe Street-Crossing Decisions ?

    OpenAIRE

    Dommes, Aurélie; WU, Ya Wei; AQUINO, Jean Pierre; PITTI-FERRANDI, Hélène; SOLEILLE, Martine; MARTINEAU-FLEURY, Sophie; Samson, Michel; Rigaud, Anne-Sophie

    2015-01-01

    The overrepresentation of very old people (75 or older) in pedestrian crash statistics raises the issue of the effects of normal and pathologic ageing on gap-selection difficulties during street crossing. The present study focused on Alzheimer disease, a condition commonly associated with cognitive declines detrimental to daily life activities such as crossing the street. Twenty-five participants with mild dementia and 33 controls carried out a streetcrossing task in a simulated environment. ...

  6. Should mild stimulation be the order of the day?

    OpenAIRE

    Nalini Mahajan

    2013-01-01

    Mild stimulation protocols aim to reduce the physical, financial and emotional burden associated with the conventional IVF protocol without compromising the pregnancy rate. Such protocols help to decrease the complications and the discomfort related to the prolonged administration of agonist and large doses of gonadotrophins, by limiting the number of oocytes recruited to no more than eight. The per cycle pregnancy rates are lower though the cumulative pregnancy rate in a year is equivalent. ...

  7. Spatial Navigation and APOE in Amnestic Mild Cognitive Impairment

    Czech Academy of Sciences Publication Activity Database

    Laczó, J.; Andel, R.; Vlček, Kamil; Maťoška, V.; Vyhnálek, M.; Tolar, M.; Bojar, M.; Hort, J.

    2011-01-01

    Roč. 8, č. 4 (2011), s. 169-177. ISSN 1660-2854 R&D Projects: GA ČR(CZ) GA309/09/0286; GA ČR(CZ) GA309/09/1053; GA MŠk(CZ) 1M0517; GA MŠk(CZ) LC554 Institutional research plan: CEZ:AV0Z50110509 Keywords : mild cognitive impairment * spatial navigation * Alzheimer's disease Subject RIV: FH - Neurology Impact factor: 3.056, year: 2011

  8. Chronic post-traumatic headache after mild head injury

    DEFF Research Database (Denmark)

    Kjeldgaard, Dorte; Forchhammer, Hysse; Teasdale, Tom;

    2014-01-01

    BACKGROUND: The aetiology behind chronic post-traumatic headache (CPTH) after mild head injury is unclear and management is complicated. In order to optimize treatment strategies we aimed to characterize a CPTH population. METHODS: Ninety patients with CPTH and 45 patients with chronic primary he...... levels of disability for the CPTH patients suggests directions for further research into what important factors are embedded in the patients' PTSD symptoms and might explain their prolonged illness....

  9. Chronic mild cerebrovascular dysfunction as a cause for Alzheimer's disease?

    OpenAIRE

    Humpel, Christian

    2011-01-01

    Alzheimer's disease (AD) is a progressive chronic disorder and is characterized by β-amyloid plaques and angiopathy, tau pathology, neuronal cell death, and inflammatory responses. The reasons for this disease are not known. This review proposes the hypothesis that a chronic mild longlasting cerebrovascular dysfunction could initiate a cascade of events leading to AD. It is suggested that (vascular) risk factors (e.g. hypercholesterolemia, type 2 diabetes, hyperhomocysteinemia) causes either ...

  10. Visual Personal Familiarity in Amnestic Mild Cognitive Impairment

    OpenAIRE

    Luisa Jurjanz; Markus Donix; Amanatidis, Eva C.; Shirin Meyer; Katrin Poettrich; Thomas Huebner; Damaris Baeumler; Michael N Smolka; Vjera A. Holthoff

    2011-01-01

    BACKGROUND: Patients with amnestic mild cognitive impairment are at high risk for developing Alzheimer's disease. Besides episodic memory dysfunction they show deficits in accessing contextual knowledge that further specifies a general concept or helps to identify an object or a person. METHODOLOGY/PRINCIPAL FINDINGS: Using functional magnetic resonance imaging, we investigated the neural networks associated with the perception of personal familiar faces and places in patients with amnestic m...

  11. Mild pro-p-groups with 4 generators

    OpenAIRE

    Bush, Michael R.; Labute, John

    2006-01-01

    Let p be an odd prime and S a finite set of primes = 1 mod p. We give an effective criterion for determining when the Galois group G=G_S(p) of the maximal p-extension of Q unramified outside of S is mild when |S|=4 and the cup product H^1(G,Z/pZ) \\otimes H^1(G,Z/pZ) --> H^2(G,Z/pZ) is surjective.

  12. Clinical trials in mild cognitive impairment: lessons for the future

    OpenAIRE

    Jelic, V.; Kivipelto, M.; Winblad, B.

    2005-01-01

    Mild cognitive impairment (MCI) is an operational definition for a cognitive decline in individuals with a greater risk of developing dementia. The amnestic subtype of MCI is of particular interest because these individuals most likely progress to Alzheimer's disease (AD). Currently hypothesised therapeutic approaches in MCI are mainly based on AD treatment strategies. Long term secondary prevention randomised clinical trials have been completed in amnestic MCI populations, encompassing agent...

  13. Activity restriction in mild COPD: a challenging clinical problem

    OpenAIRE

    DE O'Donnell; Gebke KB

    2014-01-01

    Denis E O'Donnell,1 Kevin B Gebke2 1Division of Respiratory and Critical Care Medicine, Respiratory Investigation Unit, Queen's University and Kingston General Hospital, Kingston, ON, Canada; 2Primary Care Sports Medicine Program, Indiana University School of Medicine, Indianapolis, IN, USA Abstract: Dyspnea, exercise intolerance, and activity restriction are already apparent in mild chronic obstructive pulmonary disease (COPD). However, patients may not seek medical help unt...

  14. Amnestic mild cognitive impairment with low myocardial metaiodobenzylguanidine uptake

    OpenAIRE

    Sakakibara, Ryuji; Ogata, Takeshi; Haruta, Masayuki; Kishi, Masahiko; Tsuyusaki, Yohei; Tateno, Akihiko; Tateno, Fuyuki; Mouri, Takayuki

    2012-01-01

    Objectives: We reported cases of amnestic mild cognitive impairment (MCI) without the core clinical features of dementia with Lewy bodies (DLB) (dementia and spontaneous parkinsonism) with low uptake in 123I-metaiodobenzylguanidine (MIBG) myocardial scintigraphy. Methods: During a 3-year period at a university clinic, we had 254 patients with memory complaints; 106 men, 148 women; mean age 72.5 years (48-95 years). In all patients we performed neurologic examination; memory tests including th...

  15. Is surgery necessary for 'mild' or 'asymptomatic' hyperparathyroidism?

    Science.gov (United States)

    Niederle, Bruno; Wémeau, Jean-Louis

    2015-09-01

    A large majority of the currently diagnosed patients with hyperparathyroidism (PHPT) are mild or asymptomatic, mainly women after menopause. Following the debate held at the 16th European Congress of Endocrinology in Wroclaw (Poland) from May 3-7, 2014, arguments are here presented by a surgeon and a medical practitioner considering these situations rather have to profit from surgery, or simply from survey. For the trained endocrine surgeon, it is evident that parathyroidectomy confirms the diagnosis and undoubtedly reduces the discomfort felt by certain patients, prevents all risks of complications, removes patients and medical teams from the monitoring and represents a real individual financial benefit. On the other hand, the medical practitioner considers that mild or asymptomatic PHPT is commonly stable, and very rare are the subjects at risk of complications, particularly of fractures; prevention of vascular and metabolic disorders, nephrolithiasis and bone rarefaction justify regular physical exercise, a safe alimentation, a sufficient calcium and high water intake, the correction of the frequent deficit in vitamin D; finally has also to be considered the impossibility to refer to specialized (endocrine) surgeons, the enormous cohort of subjects more than 50 years with 'mild' or 'asymptomatic' PHPT. The surgeon and the medical practitioner agree to consider that in patients with 'mild' or 'asymptomatic' disease, there is no place for medical treatments, in particular calcimimetics and bisphophonates. Both agree that further studies are needed to clarify the long-term prognosis of operated and non-operated PHPT in term of fractures, cardiovascular risk and mortality. Individual and collective cost/benefit ratios of surgery or survey are also still imperfectly evaluated. PMID:26101370

  16. STUDY OF ENZYMATIC HYDROLYSIS OF MILD PRETREATED LIGNOCELLULOSIC BIOMASSES

    OpenAIRE

    Michael Ioelovich; Ely Morag

    2012-01-01

    The effect of mild acidic and alkaline pretreatments of various plant biomasses on their enzymatic hydrolysis has been studied. The yield of reducing sugars and utilization rate of the biomass were used as reliable characteristics of enzymatic digestibility of the biomasses. The experiments showed that alkaline pretreatment was more efficient than acidic pretreatment. As a result of alkaline pretreatment, a more efficient delignification of the biomasses and considerable improvement of the di...

  17. Impaired glycemia increases disease progression in mild cognitive impairment

    OpenAIRE

    Morris, Jill K.; Vidoni, Eric D.; Honea, Robyn A.; Burns, Jeffrey M.

    2013-01-01

    Insulin resistance and Type 2 Diabetes are associated with cognitive decline and increased risk for Alzheimer’s disease (AD). Relatively few studies have assessed the impact of metabolic dysfunction on conversion to AD in mild cognitive impairment (MCI), and it is unclear whether glycemic status is associated with clinically-relevant measures of cognitive decline and brain structure in MCI. This study used the Alzheimer’s Disease Neuroimaging Initiative (ADNI) database to examine the relation...

  18. Functional capillary rarefaction in mild blood pressure elevation

    OpenAIRE

    Cheng, Cynthia; Diamond, James J.; Falkner, Bonita

    2008-01-01

    Capillary rarefaction is described in patients with moderate to severe hypertension. The study objective was to determine if structural and/or functional capillary rarefaction is detectable and associated with endothelial dysfunction in patients with mild blood pressure elevation (HBP: Systolic blood pressure 130 – 160 mm Hg). Capillary density was quantified by direct capillaroscopy in 110 nondiabetic black and non-black subjects. Endothelial function was quantified by plethysmographic measu...

  19. Examination of a corroded mild steel support plate

    International Nuclear Information System (INIS)

    The following discussion describes a metallographic examination of a portion of the corroded support plate section removed from Steam Generator No. 23 at Indian Point 2. Rapid corrosion of the mild steel in the annular crevices between tubes and support plate holes had caused denting. The denting caused the narrow ligaments between the flow holes and support holes to fracture. As a result, the support plate fragmented when removed from the steam generator. One of the fragments was used for the examination

  20. Beyond mild cognitive impairment: vascular cognitive impairment, no dementia (VCIND)

    OpenAIRE

    Stephan, Blossom CM; Matthews, Fiona E; Khaw, Kay-Tee; Dufouil, Carole; Brayne, Carol

    2009-01-01

    Identifying the causes of dementia is important in the search for effective preventative and treatment strategies. The concept of mild cognitive impairment (MCI), as prodromal dementia, has been useful but remains controversial since in population-based studies it appears to be a limited predictor of progression to dementia. Recognising the relative contribution of neurodegenerative and vascular causes, as well as their interrelationship, may enhance predictive accuracy. The concept of vascul...

  1. Melt refining of uranium contaminated copper, nickel, and mild steel

    International Nuclear Information System (INIS)

    This paper presents the experiment results on melt refining of uranium contaminated metallic discards such as copper, nickel, and mild steel. Based on recommended processes, uranium contents in ingots shall decrease below 1 ppm; metal recovery is higher than 96%; and slag production is below 5% in weight of the metal to be refined. The uranium in the slag is homogeneously distributed. The slag seems to be hard ceramics, insoluble in water, and can be directly disposed of after proper packaging

  2. Reading Ability in Children with Mild and Moderate Hearing Imairment

    OpenAIRE

    Gustafsson, Fredrik

    2008-01-01

    While reading in deaf children has been the object of a number of studies, the reading abilitiesof children with mild and moderate hearing impairment and their relation to cognitiveprocessing have not received very much attention. Predictive factors of reading ability inhearing children are well known, with phonological and working memory abilities beingnecessary prerequisites for reading development. Existing studies suggest, however, thatcertain hearing-impaired children achieve a reading l...

  3. The relationship between eosinophilia and airway remodelling in mild asthma

    OpenAIRE

    Wilson, S J; Rigden, H.M.; Ward, J. A.; Laviolette, M.; Jarjour, N N; Djukanović, R.

    2013-01-01

    Background Eosinophilia is a marker of corticosteroid responsiveness and risk of exacerbation in asthma; although it has been linked to submucosal matrix deposition, its relationship with other features of airway remodelling is less clear. Objective The aim of this study was to investigate the relationship between airway eosinophilia and airway remodelling. Methods Bronchial biopsies from subjects (n = 20 in each group) with mild steroid-naïve asthma, with either low (0–0....

  4. Cutting Out Continuations

    DEFF Research Database (Denmark)

    Bahr, Patrick; Hutton, Graham

    2016-01-01

    In the field of program transformation, one often transforms programs into continuation-passing style to make their flow of control explicit, and then immediately removes the resulting continuations using defunctionalisation to make the programs first-order. In this article, we show how these two...

  5. On continued fraction algorithms

    OpenAIRE

    Smeets, Ionica

    2010-01-01

    Is there a good continued fraction approximation between every two bad ones? What is the entropy of the natural extension for alpha-Rosen fractions? How do you find multi-dimensional continued fractions with a guaranteed quality in polynomial time? These, and many more, questions are answered in this thesis.

  6. Organocatalysis in continuous flow

    NARCIS (Netherlands)

    Berg, van den S.A.

    2016-01-01

    Continuous flow chemistry is an enabling technique in organic chemistry. Advantages include extremely fast mixing and heat transfer capabilities as well as rapid screening of reaction conditions. Combining continuous flow chemistry with solid-supported organocatalysis presents challenges that have b

  7. Mild Epicureanism: notes toward the definition of a therapeutic attitude.

    Science.gov (United States)

    Strenger, Carlo

    2008-01-01

    Psychotherapists generally feel uncomfortable addressing patients' beliefs, particularly religious beliefs, because of the desire to respect client subjectivity and to avoid the abuse of therapeutic authority. This paper's first contention is that at some junctures, investigation of the client's belief structure can be an important catalyst for change, as exemplified by an extended case example. This stance assumes that much of the individual and collective damage rigid belief systems inflict derives from their function as a defense against death awareness, as described by terror management theory. The paper develops the concept of a therapeutic meta-attitude towards belief mild Epicureanism, related to the classical Greek philosopher Epicurus (341-270 BC). Mild Epicureanism means to soften attachments to all belief systems, even therapeutic theories, to lower their potential inhibition of personal growth. The paper presents the argument that mild Epicureanism is consistent with most therapeutic approaches, and allows addressing clients' belief without interfering with their right to make up their own minds. PMID:18605130

  8. Inhibition of mild steel corrosion using Jatropha Curcas leaf extract

    Directory of Open Access Journals (Sweden)

    OLORUNFEMI MICHAEL AJAYI

    2014-05-01

    Full Text Available Jatropha Curcas leaf was investigated as a green inhibitor on the degradation of mild steel in 4 M HCl and 4 M H2SO4 aqueous solutions using gasometric technique. Mild steel coupons of dimension 2 × 1.5 cm were immersed in test solutions of uninhibited acid and also those with extract concentrations of 4 ml, 6 ml, 8 ml and 10 ml at 30 oC, for up to 30 minutes. The results showed that as the concentration of the extract increases, there was reduction in the corrosion rate. As the extract concentration increased from 4 ml to 10 ml at 30 minutes exposure, the volume of hydrogen gas evolved decreased from 19.1 cm3 to 11.2 cm3 in H2SO4 medium, while it reduced to 5 cm3 from 9 cm3 in HCl medium. Also, the metal surface-phytoconstituent interaction mechanism showed that 6 minutes is the best exposure time for the adsorption of the extract in both acidic media. The Jatropha Curcas leaf extract was adsorbed on the mild steel surface to inhibit corrosion, while the experimental data obtained at 30 minutes exposure in both acidic media were well fitted with the Langmuir adsorption isotherm. Hence, Jatropha Curcas leaf extract is a good and safe inhibitor in both acidic solutions.

  9. The color choice of students with mild mental retardation

    Directory of Open Access Journals (Sweden)

    Ahmet Serkan Ece

    2008-02-01

    Full Text Available In this study, a pilot study was conducted on the students with mild mental retardation and the colour choice of these students. A study group which was thought to be the representative of the universe was used in the study in which general scanning model was taken as the basis. 25 mentally retarded students ranging from 10 to 12 years old, enrolled at Bolu Emine Mehmet Baysal Education Practice and Workshop Training Center, informed consents were taken from their parents, capable of understanding the instructions, having hand and eye coordination, and diagnosed as mild down syndrome, epilepsy, attention deficit and hyperactivity disorder and learning disability composed this study group. In the light of the data obtained, it was found that hot colours (red, orange, yellow are more than the cold colours (blue, green, purple in the choices of the students with mild mental retardation; they choose hot colour again when the relationship between the health conditions and colour choices are examined; the students with learning disabilities and attention deficit and hyperactivity disorder choose red colour; the students with down syndrome choose orange colour; and the students with epilepsy choose blue which is among the cold colours.

  10. MICROBIAL CORROSION OF MILD AND MEDIUM CARBON STEELS

    Directory of Open Access Journals (Sweden)

    J. E. O. OVRI

    2013-10-01

    Full Text Available The role of bacteria in the corrosion of mild and medium carbon steels is reported. The steels were exposed to anaerobic and aerobic, and fresh water (control environments. The corrosion rates were evaluated at intervals of seven days for a period of 42 days using weight loss and electrochemical methods. The corroded specimens were visually examined and majorities were found to have undergone general corrosion in the three environments (aerobic, anaerobic, and fresh water. The mild steel was found to corrode more than the medium carbon steel in anaerobic environment-mild steel: 6.43×10-4 mpy and -0.93 mV, due to limited available oxygen whilst it had -0.89 mV in aerobic and -0.77 mV in the fresh water. The medium carbon steel had -5.30×10-4 mpy and -0.91 mV in anaerobic: -0.84mV in aerobic and -0.74mV in freshwater.

  11. Brain imaging of mild cognitive impairment and Alzheimer's disease

    Institute of Scientific and Technical Information of China (English)

    Changhao Yin; Siou Li; Weina Zhao; Jiachun Feng

    2013-01-01

    The rapidly increasing prevalence of cognitive impairment and Alzheimer's disease has the potential to create a major worldwide healthcare crisis. Structural MRI studies in patients with Alzheimer's disease and mild cognitive impairment are currently attracting considerable interest. It is extremely important to study early structural and metabolic changes, such as those in the hippocampus, entorhinal cortex, and gray matter structures in the medial temporal lobe, to allow the early detection of mild cognitive impairment and Alzheimer's disease. The microstructural integrity of white matter can be studied with diffusion tensor imaging. Increased mean diffusivity and decreased fractional anisotropy are found in subjects with white matter damage. Functional imaging studies with positron emission tomography tracer compounds enable detection of amyloid plaques in the living brain in patients with Alzheimer's disease. In this review, we will focus on key findings from brain imaging studies in mild cognitive impairment and Alzheimer's disease, including structural brain changes studied with MRI and white matter changes seen with diffusion tensor imaging, and other specific imaging methodologies will also be discussed.

  12. Attention and inhibition in Mild Cognitive Impairment and Alzheimer's Disease

    Directory of Open Access Journals (Sweden)

    Clara Zancada-Menéndez

    2013-12-01

    Full Text Available Mild cognitive impairment is understood as a cognitive deficit of insufficient severity to fulfil the criteria for Alzheimer’s disease. Many studies have attempted to identify which cognitive functions are most affected by this type of impairment and which is the most sensitive neuropsychological test for early detection. This study investigated sustained and selective attention, processing speed, and the inhibition process using a sample of people divided into three groups mild cognitive impairment, Alzheimer disease and cognitively healthy controls selected and grouped based on their scores in the Mini Mental State Examination and Cambridge Cognitive Examination-revised. Three tests from the Cambridge Neuropsychological Test Automated Battery (Motor Screening Task, Stop Signal Task and Reaction time were used as well as the d2 attention test. The results show that that participants with mild cognitive impairment and Alzheimer disease showed lower levels of concentration compared with the cognitively healthy controls group in the d2 test and longer reaction times in the Cambridge Neuropsychological Test Automated Battery, although the differences were not marked in the latter test. The impairments in basic cognitive processes, such as reaction time and sustained attention, indicate the need to take these functions into account in the test protocols when discriminating between normal aging and early and preclinical dementia processes.

  13. Magnetic resonance imaging (MRI) in mild and moderate head injuries

    Energy Technology Data Exchange (ETDEWEB)

    Yokota, Hiroyuki; Nakazawa, Shozo; Okada, Takurou; Kobayashi, Shiro; Yajima, Kouzo (Nippon Medical School, Tokyo (Japan)); Tsuji, Yukihide

    1991-02-01

    One hundred and fifty-nine patients admitted for mild or moderate head injuries were studied in order to establish the advantage of magnetic resonance imaging (MRI) over computerized tomography (CT) in the acute stage. One hundred and twenty-three lesions were demonstrated by MRI in 106 patients. In contrast, CT demonstrated only 74 lesions in 76 patients. The advantage of MRI over CT in the imaging of these lesions was remarkable in cases of basal skull fractures or lesions in the cerebral parenchyma, especially in case of non-hemorrhagic contusions or focal brain edemas. MRI was superior to CT in demonstrating these lesions in 64 patients of our series. However, in 6 cases of subarachnoid hemorrhage located in the Sylvian fissure, CT was superior to MRI. It was thought that lesions were less commonly demonstrated by CT in cases of mild or moderate head injuries. However, many lesions were confirmed by MRI in these cases. MRI was thus found to be far superior to CT in demonstrating intracranial lesions in mild or moderate head injuries. (author).

  14. Magnetic resonance imaging (MRI) in mild and moderate head injuries

    International Nuclear Information System (INIS)

    One hundred and fifty-nine patients admitted for mild or moderate head injuries were studied in order to establish the advantage of magnetic resonance imaging (MRI) over computerized tomography (CT) in the acute stage. One hundred and twenty-three lesions were demonstrated by MRI in 106 patients. In contrast, CT demonstrated only 74 lesions in 76 patients. The advantage of MRI over CT in the imaging of these lesions was remarkable in cases of basal skull fractures or lesions in the cerebral parenchyma, especially in case of non-hemorrhagic contusions or focal brain edemas. MRI was superior to CT in demonstrating these lesions in 64 patients of our series. However, in 6 cases of subarachnoid hemorrhage located in the Sylvian fissure, CT was superior to MRI. It was thought that lesions were less commonly demonstrated by CT in cases of mild or moderate head injuries. However, many lesions were confirmed by MRI in these cases. MRI was thus found to be far superior to CT in demonstrating intracranial lesions in mild or moderate head injuries. (author)

  15. Abundance analysis of barium and mild barium stars

    CERN Document Server

    Smiljanic, R; Silva, L

    2007-01-01

    High signal to noise, high resolution spectra were obtained for a sample of normal, mild barium, and barium giants. Atmospheric parameters were determined from the FeI and FeII lines. Abundances for Na, Mg, Al, Si, Ca, Sc, Ti, V, Cr, Mn, Fe, Co, Ni, Cu, Zn, Sr, Y, Zr, Ba, La, Ce, Nd, Sm, Eu, and Gd, were determined from equivalent widths and model atmospheres in a differential analysis, with the red giant Eps Vir as the standard star. The different levels of s-process overabundances of barium and mild barium stars were earlier suggested to be related to the stellar metallicity. Contrary to this suggestion, we found in this work no evidence for barium and mild barium to have a different range in metallicity. However, comparing the ratio of abundances of heavy to light s-process elements, we found some evidence that they do not share the same neutron exposure parameter. The exact mechanism controlling this difference is still not clear. As a by-product of this analysis we identify two normal red giants misclass...

  16. Corrosion of mild steel, copper and brass in crude oil / seawater mixture

    Digital Repository Service at National Institute of Oceanography (India)

    PrabhaDevi, S.; Sawant, S.S.; Wagh, A.B.

    Mild steel, copper and brass coupons were introduced in natural seawater containing varying amount of crude oil. Mild steel showed higher rate of corrosion in seawater containing oil and lower corrosion rate in natural as well as artificial seawater...

  17. Cognitive and functional neuroimaging correlate for anosognosia in mild cognitive impairment and Alzheimer's disease

    DEFF Research Database (Denmark)

    Vogel, Asmus; Hasselbalch, Steen G; Gade, Anders;

    2005-01-01

    To investigate the correlation between anosognosia and behavioural symptoms, performance on executive tests, and frontal cortex regional cerebral blood flow (rCBF) in patients with 'amnestic mild cognitive impairment' (MCI) and mild Alzheimer's disease (AD)....

  18. Advanced calculus

    CERN Document Server

    Nickerson, HK; Steenrod, NE

    2011-01-01

    ""This book is a radical departure from all previous concepts of advanced calculus,"" declared the Bulletin of the American Mathematics Society, ""and the nature of this departure merits serious study of the book by everyone interested in undergraduate education in mathematics."" Classroom-tested in a Princeton University honors course, it offers students a unified introduction to advanced calculus. Starting with an abstract treatment of vector spaces and linear transforms, the authors introduce a single basic derivative in an invariant form. All other derivatives - gradient, divergent, curl,

  19. Clinical Management of a Patient with Chronic Recurrent Vertigo Following a Mild Traumatic Brain Injury

    Directory of Open Access Journals (Sweden)

    Eric G. Johnson

    2009-01-01

    Full Text Available Vertigo, was provoked and right torsional up-beat nystagmus was observed in a 47-year-old patient when she was placed into the right Hallpike-Dix test position using infrared goggle technology. The clinical diagnosis was benign paroxysmal positional vertigo (BPPV, specifically right posterior canalithiasis, resulting from a mild traumatic brain injury (TBI suffered approximately six-months earlier. Previous medical consultations did not include vestibular system examination, and Meclizine was prescribed to suppress her chief complaint of vertigo. Ultimately, the patient was successfully managed by performing two canalith repositioning maneuvers during a single clinical session. The patient reported 100% resolution of symptoms upon reexamination the following day, and the Hallpike-Dix test was negative. Continued symptom resolution was subjectively reported 10 days postintervention via telephone consultation. This case report supports previous publications concerning the presence of BPPV following TBI and the need for inclusion of vestibular system examination during medical consultation.

  20. The Antivascular Actions of Mild Intensity Ultrasound on a Murine Neoplasm

    Science.gov (United States)

    Wood, Andrew K. W.; Bunte, Ralph M.; Ansaloni, Sara; Lee, William M.-F.; Sehgal, Chandra M.

    2006-05-01

    This study was aimed at determining whether mild intensity ultrasound affected the fragile and leaky angiogenic blood vessels in a tumor. In 27 mice (C3HV/HeN strain) a subcutaneous melanoma (K173522) was insonated with continuous physiotherapy ultrasound (1 MHz; spatial-average-temporal-average = 2.3 W cm-2). Analyses of contrast enhanced power Doppler observations showed that insonation significantly increased the avascular area in the neoplasm. A linear regression analysis demonstrated that each min of insonation lead to a 25% reduction in tumor vascularity. The predominant acute effect of insonation was an apparently irreparable dilation of the tumor capillaries; liquefactive necrosis of neoplastic cells, related to a secondary ischemia, was a delayed effect.

  1. Atrophy-specific MRI brain template for Alzheimer's disease and mild cognitive impairment

    DEFF Research Database (Denmark)

    Fonov, Vladimir; Coupe, Pierrick; Eskildsen, Simon Fristed;

    and MCI makes use of a single disease-specific template challenging. We propose a novel approach to generate a continuous four-dimensional template, where the 4th dimension is a surrogate measure of overall brain atrophy. Methods We used MRI scans obtained from the ADNI database (www......Background Rapid brain loss is characteristic for the patients with mild cognitive impairment (MCI) and Alzheimer disease (AD) [1]. Increase of the lateral ventricular volume is strongly correlated with the progression of the disease. High variability in the degree of atrophy for subjects with AD.......loni.ucla.edu/ADNI). Automated methods to estimate intracranial capacity (ICC) and lateral ventricles volume (LVV) [2] was applied to all available datasets at base line. The ratio between LVV and ICC (RLVV) was used as a surrogate measure of overall brain atrophy with mean(standard deviation) value of 2.46(0.87)%. Subsets from...

  2. Mild Clinical Course of Severe Fever with Thrombocytopenia Syndrome Virus Infection in an Elderly Japanese Patient

    Directory of Open Access Journals (Sweden)

    Yuko Ohagi

    2014-01-01

    Full Text Available Severe fever with thrombocytopenia syndrome (SFTS is an emerging infectious and hemorrhagic disease recently described in China and western Japan. A 71-year-old healthy Japanese woman noticed a tick biting her after harvesting in an orchard and removed it herself. She developed diarrhea, anorexia, and chills eight days later. Because these symptoms continued, she visited a primary care physician 6 days after the onset. Laboratory data revealed thrombocytopenia, leukocytopenia, and elevated liver enzymes. She was then referred to our hospital. Although not completely fulfilling the diagnostic criteria used in a retrospective study in Japan, SFTS was suspected, and we detected SFTS virus in the patient’s blood using RT-PCR. However, she recovered without intensive treatment and severe complications 13 days after the onset. In this report, we present a mild clinical course of SFTS virus infection in Japan in detail.

  3. Cognitive and functional neuroimaging correlate for anosognosia in mild cognitive impairment and Alzheimer's disease

    DEFF Research Database (Denmark)

    Vogel, Asmus; Hasselbalch, Steen G; Gade, Anders;

    2005-01-01

    To investigate the correlation between anosognosia and behavioural symptoms, performance on executive tests, and frontal cortex regional cerebral blood flow (rCBF) in patients with 'amnestic mild cognitive impairment' (MCI) and mild Alzheimer's disease (AD).......To investigate the correlation between anosognosia and behavioural symptoms, performance on executive tests, and frontal cortex regional cerebral blood flow (rCBF) in patients with 'amnestic mild cognitive impairment' (MCI) and mild Alzheimer's disease (AD)....

  4. Randomised controlled trial of short bursts of a potent topical corticosteroid versus prolonged use of a mild preparation for children with mild or moderate atopic eczema

    OpenAIRE

    Thomas, K.S.; Armstrong, S J; Avery, A J; Li Wan Po, A; O'Neill, C; Young, S.; Williams, H C

    2002-01-01

    Objective To determine whether a three day burst of a potent corticosteroid is more effective than a mild preparation used for seven days in children with mild or moderate atopic eczema. Design Randomised, double blind, parallel group study of 18 weeks' duration. Setting 13 general practices and a teaching hospital in the Nottingham area. Participants 174 children with mild or moderate atopic eczema recruited from general practices and 33 from a hospital outpatie...

  5. Advanced ferroelectricity

    CERN Document Server

    Blinc, R

    2011-01-01

    Advances in the field of ferroelectricity have implications both for basic physics and for technological applications such as memory devices, spintronic applications and electro-optic devices, as well as in acoustics, robotics, telecommunications and medicine. This book provides an account of recent developments in the field.

  6. Advanced Microturbine Systems

    Energy Technology Data Exchange (ETDEWEB)

    Lindberg, Laura [Honeywell International Inc., Phoenix, AZ (United States)

    2005-04-29

    Dept. of Energy (DOE) Cooperative Agreement DE-FC02-00-CH11061 was originally awarded to Honeywell International, Inc. Honeywell Power Systems Inc. (HPSI) division located in Albuquerque, NM in October 2000 to conduct a program titled Advanced Microturbine Systems (AMS). The DOE Advanced Microturbines Systems Program was originally proposed as a five-year program to design and develop a high efficiency, low emissions, durable microturbine system. The period of performance was to be October 2000 through September 2005. Program efforts were underway, when one year into the program Honeywell sold the intellectual property of Honeywell Power Systems Inc. and HPSI ceased business operations. Honeywell made an internal decision to restructure the existing program due to the HPSI shutdown and submitted a formal request to DOE on September 24, 2001 to transfer the Cooperative Agreement to Honeywell Engines, Systems and Services (HES&S) in Phoenix, AZ in order to continue to offer support for DOE's Advanced Microturbine Program. Work continued on the descoped program under Cooperative Agreement No. DE-FC26-00-CH11061 and has been completed.

  7. The effect of organic matter associated with the corrosion products on the corrosion of mild steel in the Arabian Sea

    Digital Repository Service at National Institute of Oceanography (India)

    Bhosle, N.B.; Wagh, A.B.

    the corrosion of mild steel and the temperature and dissolved oxygen of seawater. In contrast to this, the corrosion and mild steel was inversely related to the organic carbon and water extractable carbohydrates associated with the corrosion products of mild...

  8. Personalised continuous software engineering

    OpenAIRE

    Papatheocharous, Efi; Belk, Marios; Nyfjord, Jaana; Germanakos, Panagiotis; Samaras, George

    2014-01-01

    This work describes how human factors can influence continuous software engineering. The reasoning begins from the Agile Manifesto promoting individuals and interactions over processes and tools. The organisational need to continuously develop, release and learn from software development in rapid cycles requires empowered and self-organised agile teams. However, these teams are formed without necessarily considering the members’ individual characteristics towards effective teamwork, from the ...

  9. Long-term evolution and predictive factors of mild inflammatory bowel disease.

    Science.gov (United States)

    Reenaers, C; Pirard, C; Vankemseke, C; Latour, P; Belaiche, J; Louis, E

    2016-06-01

    Background Crohn's disease (CD) and ulcerative colitis (UC) are potentially progressive diseases. Few data are available on the prevalence and the factors associated with mild inflammatory bowel diseases (IBD). Aim Our aim was to assess the natural history of mild CD and mild UC and to identify predictive factors of mild evolution over the long term. Methods Retrospective study of IBD patients registered in the database of the university hospital CHU of Liège, Belgium. Mild CD was defined as an inflammatory luminal disease (no stricture, abdominal or perianal fistulae) requiring no immunomodulator (IM), anti-TNF and no surgery. Mild UC was defined as no requirement for IM, anti-TNF and no colectomy. Results Four hundred and seventy-three CD and 189 UC were included (median follow-up: 13 and 11 years respectively). At 1 year, 147 patients had mild CD. At 5 years and the maximum follow-up, 56% and 13% patients still had mild CD, respectively. At 1 year, 142 patients had mild UC. At 5 years and the maximum follow-up, 72% and 44% still had a mild UC, respectively. Factors associated with long-term mild CD and UC were older age at diagnosis and absence of corticosteroids in the first year. In UC proctitis location was associated with mild UC. Conclusions In this cohort, 90% of CD patients and 3/4 of UC with mild disease at 1 year lost their mild disease status over time. An old age at diagnosis was predictive of the persistence of a mild CD and UC. PMID:26815198

  10. Continuous parallel coordinates.

    Science.gov (United States)

    Heinrich, Julian; Weiskopf, Daniel

    2009-01-01

    Typical scientific data is represented on a grid with appropriate interpolation or approximation schemes,defined on a continuous domain. The visualization of such data in parallel coordinates may reveal patterns latently contained in the data and thus can improve the understanding of multidimensional relations. In this paper, we adopt the concept of continuous scatterplots for the visualization of spatially continuous input data to derive a density model for parallel coordinates. Based on the point-line duality between scatterplots and parallel coordinates, we propose a mathematical model that maps density from a continuous scatterplot to parallel coordinates and present different algorithms for both numerical and analytical computation of the resulting density field. In addition, we show how the 2-D model can be used to successively construct continuous parallel coordinates with an arbitrary number of dimensions. Since continuous parallel coordinates interpolate data values within grid cells, a scalable and dense visualization is achieved, which will be demonstrated for typical multi-variate scientific data. PMID:19834230

  11. Therapeutic efficacy of a hybrid mandibular advancement device in the management of obstructive sleep apnea assessed with acoustic reflection technique

    Directory of Open Access Journals (Sweden)

    S S Agarwal

    2015-01-01

    Full Text Available Obstructive sleep apnea (OSA is one of the most common forms of sleep-disordered breathing. Various treatment modalities include behavior modification therapy, nasal continuous positive airway pressure (CPAP, oral appliance therapy, and various surgical modalities. Oral appliances are noninvasive and recommended treatment modality for snoring, mild to moderate OSA cases and severe OSA cases when patient is not compliant to CPAP therapy and unwilling for surgery. Acoustic reflection technique (ART is a relatively new modality for three-dimensional assessment of airway caliber in various clinical situations. The accuracy and reproducibility of acoustic rhinometry and acoustic pharyngometry assessment are comparable to computerized tomography and magnetic resonance imaging. This case report highlights the therapeutic efficacy of an innovative customized acrylic hybrid mandibular advancement device in the management of polysomnography diagnosed OSA cases, and the treatment results were assessed by ART.

  12. Advancing the technologies of CANDU

    International Nuclear Information System (INIS)

    CANDU standard product design will continue to evolve, building upon the success of current operating units. Progressive improvements and enhancements will continue to be made to the CANDU system with heavy water moderated, pressure tube reactor technology of high neutron efficiency, based on the results of advanced technology R and D and operational experience from operating CANDU stations. The directions of development will respond to customer's requirements for economical, reliable and safe generating stations

  13. Advanced CCD camera developments

    Energy Technology Data Exchange (ETDEWEB)

    Condor, A. [Lawrence Livermore National Lab., CA (United States)

    1994-11-15

    Two charge coupled device (CCD) camera systems are introduced and discussed, describing briefly the hardware involved, and the data obtained in their various applications. The Advanced Development Group Defense Sciences Engineering Division has been actively designing, manufacturing, fielding state-of-the-art CCD camera systems for over a decade. These systems were originally developed for the nuclear test program to record data from underground nuclear tests. Today, new and interesting application for these systems have surfaced and development is continuing in the area of advanced CCD camera systems, with the new CCD camera that will allow experimenters to replace film for x-ray imaging at the JANUS, USP, and NOVA laser facilities.

  14. Advances in atomic spectroscopy

    CERN Document Server

    Sneddon, J

    1998-01-01

    This volume continues the series'' cutting-edge reviews on developments in this field. Since its invention in the 1920s, electrostatic precipitation has been extensively used in industrial hygiene to remove dust and particulate matter from gases before entering the atmosphere. This combination of electrostatic precipitation is reported upon in the first chapter. Following this, chapter two reviews recent advances in the area of chemical modification in electrothermal atomization. Chapter three consists of a review which deal with advances and uses of electrothermal atomization atomic absorption spectrometry. Flow injection atomic spectroscopy has developed rapidly in recent years and after a general introduction, various aspects of this technique are looked at in chapter four. Finally, in chapter five the use of various spectrometric techniques for the determination of mercury are described.

  15. Advanced Virgo

    CERN Multimedia

    Virgo, a first-generation interferometric gravitational wave (GW) detector, located in the European Gravitational Observatory, EGO, Cascina (Pisa-Italy) and constructed by the collaboration of French and Italian institutes (CNRS and INFN) has successfully completed its long-duration data taking runs. It is now undergoing a fundamental upgrade that exploits available cutting edges technology to open an exciting new window on the universe, with the first detection of a gravitational wave signal. Advanced Virgo (AdV) is the project to upgrade the Virgo detector to a second-generation instrument. AdV will be able to scan a volume of the Universe 1000 times larger than initial Virgo. AdV will be hosted in the same infrastructures as Virgo. The Advanced VIRGO project is funded and at present carried on by a larger collaboration of institutes belonging to CNRS- France , RMKI - Hungary, INFN- Italy, Nikhef - The Netherlands Polish Academy of Science - Poland.

  16. Advanced Nanoemulsions

    Science.gov (United States)

    Fryd, Michael M.; Mason, Thomas G.

    2012-05-01

    Recent advances in the growing field of nanoemulsions are opening up new applications in many areas such as pharmaceuticals, foods, and cosmetics. Moreover, highly controlled nanoemulsions can also serve as excellent model systems for investigating basic scientific questions about soft matter. Here, we highlight some of the most recent developments in nanoemulsions, focusing on methods of formation, surface modification, material properties, and characterization. These developments provide insight into the substantial advantages that nanoemulsions can offer over their microscale emulsion counterparts.

  17. Advanced LIGO

    OpenAIRE

    Aasi, J.; Abbott, B.; Abbott, R.; Abbott, T.; Abernathy, M; Ackley, K.; Adams, C.; Adams, T.; Addesso, P.; Adhikari, R.; Adya, V.; Affeldt, C.; Aggarwal, N.; Aguiar, O.; Ain, A.

    2014-01-01

    The Advanced LIGO gravitational wave detectors are second-generation instruments designed and built for the two LIGO observatories in Hanford, WA and Livingston, LA, USA. The two instruments are identical in design, and are specialized versions of a Michelson interferometer with 4 km long arms. As in Initial LIGO, Fabry–Perot cavities are used in the arms to increase the interaction time with a gravitational wave, and power recycling is used to increase the effective laser power. Signal recyc...

  18. Advanced Combustion

    Energy Technology Data Exchange (ETDEWEB)

    Holcomb, Gordon R. [NETL

    2013-03-11

    The activity reported in this presentation is to provide the mechanical and physical property information needed to allow rational design, development and/or choice of alloys, manufacturing approaches, and environmental exposure and component life models to enable oxy-fuel combustion boilers to operate at Ultra-Supercritical (up to 650{degrees}C & between 22-30 MPa) and/or Advanced Ultra-Supercritical conditions (760{degrees}C & 35 MPa).

  19. Daily versus as-needed inhaled corticosteroid for mild persistent asthma (The Helsinki early intervention childhood asthma study)

    OpenAIRE

    Turpeinen, M.; Nikander, K; Pelkonen, A S; Syvänen, P; Sorva, R; Raitio, H; Malmberg, P; Juntunen-Backman, K; Haahtela, T

    2007-01-01

    Objective: To compare the effect of inhaled budesonide given daily or as-needed on mild persistent childhood asthma. Patients, design and interventions: 176 children aged 5–10 years with newly detected asthma were randomly assigned to three treatment groups: (1) continuous budesonide (400 μg twice daily for 1 month, 200 μg twice daily for months 2–6, 100 μg twice daily for months 7–18); (2) budesonide, identical treatment to group 1 during months 1–6, then budesonide for exacerbations as need...

  20. Long-term atmospheric corrosion of mild steel

    International Nuclear Information System (INIS)

    Research highlights: → Atmospheric corrosion rate stabilises after the first 4-6 years of exposure. → Great compaction of the rust layers in rural and urban atmospheres. → Corrosion (in rural and urban) deviates from common behaviour of bilogarithmic law. → Typical structures of lepidocrocite, goethite and akaganeite are identified. → Formation of hematite (industrial atmosphere) and ferrihydrite (marine atmosphere). - Abstract: A great deal of information is available on the atmospheric corrosion of mild steel in the short, mid and even long term, but studies of the structure and morphology of corrosion layers are less abundant and generally deal with those formed in just a few years. The present study assesses the structure and morphology of corrosion product layers formed on mild steel after 13 years of exposure in five Spanish atmospheres of different types: rural, urban, industrial and marine (mild and severe). The corrosion layers have been characterised by X-ray diffraction (XRD) and scanning electron microscopy/energy dispersive X-ray spectroscopy (SEM/EDS). Long-term corrosion is seen to be more severe in the industrial and marine atmospheres, and less so in the rural and urban atmospheres. In all cases the corrosion rate is seen to decrease with exposure time, stabilising after the first 4-6 years of exposure. The most relevant aspects to be noted are (a) the great compaction of the rust layers formed in the rural and urban atmospheres, (b) the formation of hematite and ferrihydrite phases (not commonly found) in the industrial and marine atmospheres, respectively and (c) identification of the typical morphological structures of lepidocrocite (sandy crystals and flowery plates), goethite (cotton balls structures) and akaganeite (cotton balls structures and cigar-shaped crystals).

  1. Long-term atmospheric corrosion of mild steel

    Energy Technology Data Exchange (ETDEWEB)

    Fuente, D. de la; Diaz, I.; Simancas, J.; Chico, B. [National Centre for Metallurgical Research (CENIM-CSIC), Avda. Gregorio del Amo, 8, 28040 Madrid (Spain); Morcillo, M., E-mail: morcillo@cenim.csic.e [National Centre for Metallurgical Research (CENIM-CSIC), Avda. Gregorio del Amo, 8, 28040 Madrid (Spain)

    2011-02-15

    Research highlights: {yields} Atmospheric corrosion rate stabilises after the first 4-6 years of exposure. {yields} Great compaction of the rust layers in rural and urban atmospheres. {yields} Corrosion (in rural and urban) deviates from common behaviour of bilogarithmic law. {yields} Typical structures of lepidocrocite, goethite and akaganeite are identified. {yields} Formation of hematite (industrial atmosphere) and ferrihydrite (marine atmosphere). - Abstract: A great deal of information is available on the atmospheric corrosion of mild steel in the short, mid and even long term, but studies of the structure and morphology of corrosion layers are less abundant and generally deal with those formed in just a few years. The present study assesses the structure and morphology of corrosion product layers formed on mild steel after 13 years of exposure in five Spanish atmospheres of different types: rural, urban, industrial and marine (mild and severe). The corrosion layers have been characterised by X-ray diffraction (XRD) and scanning electron microscopy/energy dispersive X-ray spectroscopy (SEM/EDS). Long-term corrosion is seen to be more severe in the industrial and marine atmospheres, and less so in the rural and urban atmospheres. In all cases the corrosion rate is seen to decrease with exposure time, stabilising after the first 4-6 years of exposure. The most relevant aspects to be noted are (a) the great compaction of the rust layers formed in the rural and urban atmospheres, (b) the formation of hematite and ferrihydrite phases (not commonly found) in the industrial and marine atmospheres, respectively and (c) identification of the typical morphological structures of lepidocrocite (sandy crystals and flowery plates), goethite (cotton balls structures) and akaganeite (cotton balls structures and cigar-shaped crystals).

  2. Recovery from Mild Traumatic Brain Injury in Previously Healthy Adults.

    Science.gov (United States)

    Losoi, Heidi; Silverberg, Noah D; Wäljas, Minna; Turunen, Senni; Rosti-Otajärvi, Eija; Helminen, Mika; Luoto, Teemu M; Julkunen, Juhani; Öhman, Juha; Iverson, Grant L

    2016-04-15

    This prospective longitudinal study reports recovery from mild traumatic brain injury (MTBI) across multiple domains in a carefully selected consecutive sample of 74 previously healthy adults. The patients with MTBI and 40 orthopedic controls (i.e., ankle injuries) completed assessments at 1, 6, and 12 months after injury. Outcome measures included cognition, post-concussion symptoms, depression, traumatic stress, quality of life, satisfaction with life, resilience, and return to work. Patients with MTBI reported more post-concussion symptoms and fatigue than the controls at the beginning of recovery, but by 6 months after injury, did not differ as a group from nonhead injury trauma controls on cognition, fatigue, or mental health, and by 12 months, their level of post-concussion symptoms and quality of life was similar to that of controls. Almost all (96%) patients with MTBI returned to work/normal activities (RTW) within the follow-up of 1 year. A subgroup of those with MTBIs and controls reported mild post-concussion-like symptoms at 1 year. A large percentage of the subgroup who had persistent symptoms had a modifiable psychological risk factor at 1 month (i.e., depression, traumatic stress, and/or low resilience), and at 6 months, they had greater post-concussion symptoms, fatigue, insomnia, traumatic stress, and depression, and worse quality of life. All of the control subjects who had mild post-concussion-like symptoms at 12 months also had a mental health problem (i.e., depression, traumatic stress, or both). This illustrates the importance of providing evidence-supported treatment and rehabilitation services early in the recovery period. PMID:26437675

  3. Surface hardening of mild steel by pack chromizing

    International Nuclear Information System (INIS)

    A pack chromizing technique has been successfully applied to mild steel which resulted in significant improvement in surface hardness which is useful in improving the wear resistance. Chromizing mixtures using Chromite ore, Ferrochrome and chromium powder with NH/sub 4/CI were used. The hardness of the surface of the specimens increased from 63.5 VPN to 246 VPN when chromized in the Chromite ore - NH/sub 4/CI mixture which is the maximum as compared to the specimens chromized in other two mixtures. (author)

  4. Atmospheric corrosion of mild steel. Pt. II. Marine atmospheres

    International Nuclear Information System (INIS)

    This paper summarizes the results obtained in the MICAT project for mild steel specimens exposed for 1 to 4 years in 47 marine atmospheres in the Ibero-American region. All these atmospheres were characterized for climatology, pollution and corrosion rates according to ISO standards. Complementary morphological and chemical characterization of the steel corrosion product layers (SCPLs) formed in these atmospheres was carried out. The overall analysis of results contributes to understanding, in a systematic way, how atmospheric corrosivity categories can be correlated with corrosion mechanisms. Special aspects of the atmospheres, from pure to mixed marine, were considered. (orig.)

  5. Striation-free fibre laser cutting of mild steel sheets

    Energy Technology Data Exchange (ETDEWEB)

    Sobih, M.; Crouse, P.L.; Li, L. [University of Manchester, Laser Processing Research Centre, School of Mechanical, Aerospace and Civil Engineering, Sackville Street Building, P.O. Box 88, Manchester (United Kingdom)

    2008-01-15

    High-power laser cutting is extensively used in many industrial applications. An important weakness of this process is the formation of striations, i.e. regular lines on the cut surface, which lowers the quality of the surfaces produced. The elimination of striation formation is thus of considerable importance, since it could open a variety of novel high-precision applications. This study presents the initial results of a laser cutting study using a 1 kW single-mode fibre laser, a relative newcomer in the field of laser metal cutting. Striation-free laser cuts are demonstrated when cutting 1 mm thick mild steel sheets. (orig.)

  6. Mild ovarian stimulation for IVF: 10 years later

    DEFF Research Database (Denmark)

    Fauser, Bart C J M; Nargund, Geeta; Andersen, Anders Nyboe; Norman, Robert; Tarlatzis, Basil; Boivin, Jacky; Ledger, William

    2010-01-01

    Ovarian stimulation to achieve multiple follicle development has been an integral part of IVF treatment. In the context of improved laboratory performance, the need for a large number of oocytes as an integral part of a successful IVF programme may be questioned. The aim of the current debate is to...... summarize the studies performed during the last decade to develop the concept of mild stimulation aiming to obtain fewer than eight oocytes. Here we examine the balance between IVF success and patient discomfort, and complications and cost, and how these might improve by simpler ovarian stimulation...

  7. Dietary ketosis enhances memory in mild cognitive impairment

    OpenAIRE

    Krikorian, Robert; Shidler, Marcelle D; Dangelo, Krista; Couch, Sarah C.; Benoit, Stephen C.; Deborah J. Clegg

    2010-01-01

    We randomly assigned 23 older adults with Mild Cognitive Impairment to either a high carbohydrate or very low carbohydrate diet. Following the six-week intervention period, we observed improved verbal memory performance for the low carbohydrate subjects (p = 0.01) as well as reductions in weight (p < 0.0001), waist circumference (p < 0.0001), fasting glucose (p = 0.009), and fasting insulin (p = 0.005). Level of depressive symptoms was not affected. Change in calorie intake, insulin level, an...

  8. Applications of radionuclide imaging in mild cognitive impairment

    International Nuclear Information System (INIS)

    The risk for conversion to dementia is much higher in individuals with mild coghitived impairmaent (MCI). The early detection of MCI individuals who will later convert to Alzheimer disease is an important issue for both clinical and research interests. Radionuclide imaging has been broadly used to study cerebral metabolism and blood flow, as well as predicting the prognosis of MCI. This review summarizes the results of these studies assessing the predicting value of radionuclide imaging used alone and with other methods in recent years. (authors)

  9. Mild expression differences of MECP2 influencing aggressive social behavior

    OpenAIRE

    Tantra, Martesa; Hammer, Christian; Kästner, Anne; Dahm, Liane; Begemann, Martin; Bodda, Chiranjeevi; Hammerschmidt, Kurt; Giegling, Ina; Stepniak, Beata; Castillo Venzor, Aracely; Konte, Bettina; Erbaba, Begun; Hartmann, Annette; Tarami, Asieh; Schulz-Schaeffer, Walter

    2014-01-01

    The X-chromosomal MECP2/Mecp2 gene encodes methyl-CpG-binding protein 2, a transcriptional activator and repressor regulating many other genes. We discovered in male FVB/N mice that mild (~50%) transgenic overexpression of Mecp2 enhances aggression. Surprisingly, when the same transgene was expressed in C57BL/6N mice, transgenics showed reduced aggression and social interaction. This suggests that Mecp2 modulates aggressive social behavior. To test this hypothesis in humans, we performed a ph...

  10. Accuracy of prospective memory tests in mild Alzheimer's disease

    OpenAIRE

    Sergilaine Pereira Martins; Benito Pereira Damasceno

    2012-01-01

    OBJECTIVES: To verify the accuracy of prospective memory (ProM) tests in Alzheimer's disease (AD). METHODS: Twenty mild AD patients (CDR 1), and 20 controls underwent Digit Span (DS), Trail Making (TM) A and B, visual perception, Rey Auditory-Verbal Learning tests, and Cornell Scale for Depression. AD diagnosis was based on DSM-IV and NINCDS-ADRDA criteria. ProM was assessed with the appointment and belonging subtests of Rivermead Behavioral Memory Test (RBMT); and with two new tests (the clo...

  11. Ballistic Perforation of Surface Hardened Mild Steel Plates

    OpenAIRE

    Thorsen, Henrik; Orthe, Erlend

    2014-01-01

    The main objective with this thesis was to investigate experimentally and numerically the effect surface hardening has on the ballistic properties of monolithic and laminated mild steel plates. 300x300 mm^2 plates of thicknesses 12 mm, 6 mm, and 4 mm were made from a low carbon structural steel (NVE36) and combined in such a way that the total thickness always was 12 mm. Some of the plates were then surface hardened by the Kverneland Group to obtain different hardness profiles; (1) as-receive...

  12. Possibility of objective diagnosis in patients with mild Alzheimer-type dementia

    International Nuclear Information System (INIS)

    In this study, patients with mild Alzheimer-type dementia were compared with healthy elderly volunteers by means of 12 features to evaluate the possibility of objective diagnosis of mild dementia. The subjects included 9 patients with questionable dementia, 14 patients with mild dementia, and 30 healthy elderly volunteers as controls. In addition, the 23 patients with questionable or mild dementia were included in the mild Alzheimer-type dementia group. A statistically significant difference was found between the mild Alzheimer-type dementia group and the healthy volunteers in 4 of the 10 textural features. Discriminant analysis using these 4 features demonstrated a sensitivity of 87.0% and a specificity of 66.7%. These results suggest the possibility of objective diagnosis in patients with mild Alzheimer-type dementia. (author)

  13. (Continuous casting 1985)

    Energy Technology Data Exchange (ETDEWEB)

    Wilde, R.A.

    1985-06-12

    The report covers the Continuous Casting '85 Conference including informal discussions with conference attendees. In general, the papers presented at the conference concerned an overview of continuous steel casting worldwide, state-of-the-art aspects of steel continuous casting technology including caster startup problems, modifications, control system strategies, energy use profiles, quality control aspects, steel chemistry control, refractories, operational aspects of continuous casters, etc. No papers were presented in the development of thin section or thin strip casting of steel. Informal discussions were held with several conference attendees including (1) Bernard Trentini, Executive Director of the Association Technique De La Siderurgie Francaise in Paris, France (similar to the American Iron and Steel Institute); (2) Dr. Wolfgang Reichelt and Dr. Peter Voss-Spilker both of Mannesmann Demag Huttentechnik -a continuous casting and other steel making machine builder in-lieu of meeting at their plant in Duisburg, FRG on May 31; (3) Ewan C. Hewitt of Devote McKee Corp., Sheffield, England; (4) Wilfried Heinemann, head of R D Dept. at Concast Standard AG in Zurich, Switzerland; and (5) Hideo Ueno, engineer of melting section, Mitsubishi Steel Mfg. Co. Ltd, Tokyo Japan. A visit was made to the Teesside Laboratories of British Steel Corp. for discussions of their thin section casting research program in particular and R D program in general.

  14. Advances in dental materials.

    Science.gov (United States)

    Vaderhobli, Ram M

    2011-07-01

    The use of materials to rehabilitate tooth structures is constantly changing. Over the past decade, newer material processing techniques and technologies have significantly improved the dependability and predictability of dental material for clinicians. The greatest obstacle, however, is in choosing the right combination for continued success. Finding predictable approaches for successful restorative procedures has been the goal of clinical and material scientists. This article provides a broad perspective on the advances made in various classes of dental restorative materials in terms of their functionality with respect to pit and fissure sealants, glass ionomers, and dental composites. PMID:21726695

  15. Advanced Polymer Processing Facility

    Energy Technology Data Exchange (ETDEWEB)

    Muenchausen, Ross E. [Los Alamos National Laboratory

    2012-07-25

    Some conclusions of this presentation are: (1) Radiation-assisted nanotechnology applications will continue to grow; (2) The APPF will provide a unique focus for radiolytic processing of nanomaterials in support of DOE-DP, other DOE and advanced manufacturing initiatives; (3) {gamma}, X-ray, e-beam and ion beam processing will increasingly be applied for 'green' manufacturing of nanomaterials and nanocomposites; and (4) Biomedical science and engineering may ultimately be the biggest application area for radiation-assisted nanotechnology development.

  16. Advances in Computers

    CERN Document Server

    Zelkowitz, Marvin

    2010-01-01

    This is volume 79 of Advances in Computers. This series, which began publication in 1960, is the oldest continuously published anthology that chronicles the ever- changing information technology field. In these volumes we publish from 5 to 7 chapters, three times per year, that cover the latest changes to the design, development, use and implications of computer technology on society today. Covers the full breadth of innovations in hardware, software, theory, design, and applications.Many of the in-depth reviews have become standard references that co

  17. Advances in computers

    CERN Document Server

    Memon, Atif

    2012-01-01

    Since its first volume in 1960, Advances in Computers has presented detailed coverage of innovations in computer hardware, software, theory, design, and applications. It has also provided contributors with a medium in which they can explore their subjects in greater depth and breadth than journal articles usually allow. As a result, many articles have become standard references that continue to be of sugnificant, lasting value in this rapidly expanding field. In-depth surveys and tutorials on new computer technologyWell-known authors and researchers in the fieldExtensive bibliographies with m

  18. Advanced Control Engineering

    DEFF Research Database (Denmark)

    Zhou, Jianjun

    1999-01-01

    This book is developed as a textbook for the course Advanced Control Engineering. The book is intended for students in mechanical engineering and its aim is to provide an understanding of modern control theory as well as methodologies and applications for state space modeling and design. For this...... reason, the book puts emphasis on the state-space approach. The main contents of the book includes state-space representation of dynamic systems, analysis of linear control systems, feedback control and observer design. Both continuous-time and discrete-time systems have been addressed in this book....

  19. Advances in imaging and electron physics

    CERN Document Server

    Hawkes, Peter W

    1995-01-01

    Academic Press is pleased to announce the creation of Advances in Imaging and Electron Physics. This serial publication results from the merger of two long running serials--Advances in Electronics and Electron Physics and Advances in Optical & Electron Microscopy. Advances in Imaging & Electron Physics will feature extended articles on the physics of electron devices (especially semiconductor devices), particle optics at high and low energies,microlithography, image science and digital image processing, electromagnetic wave propagation, electron microscopy, and the computing methods used in all these domains. Continuation order customers for either of the original Advances will receiveVolume 90, the first combined volume.

  20. Advances in transport phenomena 2011

    CERN Document Server

    2014-01-01

    This new volume of the annual review “Advances in Transport Phenomena” series contains three in-depth review articles on the microfluidic fabrication of vesicles, the dielectrophoresis field-flow fractionation for continuous-flow separation of particles and cells in microfluidic devices, and the thermodynamic analysis and optimization of heat exchangers, respectively.

  1. Adult mitochondrial DNA depletion syndrome with mild manifestations

    Directory of Open Access Journals (Sweden)

    Josef Finsterer

    2013-06-01

    Full Text Available Mitochondrial DNA depletion syndrome (MDS is usually a severe disorder of infancy or childhood, due to a reduced copy number of mtDNA molecules. MDS with only mild, non-specific clinical manifestations and onset in adulthood has not been reported. A 47-year-old Caucasian female with short stature and a history of migraine, endometriosis, Crohn’s disease, C-cell carcinoma of the thyroid gland, and a family history positive for mitochondrial disorder (2 sisters, aunt, niece, developed day-time sleepiness, exercise intolerance, and myalgias in the lower-limb muscles since age 46y. She slept 9-10 hours during the night and 2 hours after lunch daily. Clinical exam revealed sore neck muscles, bilateral ptosis, and reduced Achilles tendon reflexes exclusively. Blood tests revealed hyperlipidemia exclusively. Nerve conduction studies, needle electromyography, and cerebral and spinal magnetic resonance imaging were non-informative. Muscle biopsy revealed detached lobulated fibers with subsarcolemmal accentuation of the NADH and SDH staining. Real-time polymerase chain reaction revealed depletion of the mtDNA down to 9% of normal. MDS may be associated with a mild phenotype in adults and may not significantly progress during the first year after onset. In an adult with hypersomnia, severe tiredness, exercise intolerance, and a family history positive for mitochondrial disorder, a MDS should be considered.

  2. Sex differences in the chronic mild stress model of depression.

    Science.gov (United States)

    Franceschelli, Anthony; Herchick, Samantha; Thelen, Connor; Papadopoulou-Daifoti, Zeta; Pitychoutis, Pothitos M

    2014-09-01

    A large volume of clinical and experimental evidence documents sex differences in brain anatomy, chemistry, and function, as well as in stress and drug responses. The chronic mild stress model (CMS) is one of the most extensively investigated animal models of chronic stress. However, only a limited number of studies have been conducted in female rodents despite the markedly higher prevalence of major depression among women. Herein, we review CMS studies conducted in rats and mice of both sexes and further discuss intriguing sex-dependent behavioral and neurobiological findings. The PubMed literature search engine was used to find and collect all relevant articles analyzed in this review. Specifically, a multitermed search was performed with 'chronic mild stress', 'chronic unpredictable stress' and 'chronic variable stress' as base terms and 'sex', 'gender', 'females' and 'depression' as secondary terms in various combinations. Male and female rodents appear to be differentially affected by CMS application, depending on the behavioral, physiological, and neurobiological indices that are being measured. Importantly, the CMS paradigm, despite its limitations, has been successfully used to assess a constellation of interdisciplinary research questions in the sex differences field and has served as a 'silver bullet' in assessing the role of sex in the neurobiology of major depression. PMID:25025701

  3. Neurosensory Symptom Complexes after Acute Mild Traumatic Brain Injury.

    Directory of Open Access Journals (Sweden)

    Michael E Hoffer

    Full Text Available Mild Traumatic Brain Injury (mTBI is a prominent public health issue. To date, subjective symptom complaints primarily dictate diagnostic and treatment approaches. As such, the description and qualification of these symptoms in the mTBI patient population is of great value. This manuscript describes the symptoms of mTBI patients as compared to controls in a larger study designed to examine the use of vestibular testing to diagnose mTBI. Five symptom clusters were identified: Post-Traumatic Headache/Migraine, Nausea, Emotional/Affective, Fatigue/Malaise, and Dizziness/Mild Cognitive Impairment. Our analysis indicates that individuals with mTBI have headache, dizziness, and cognitive dysfunction far out of proportion to those without mTBI. In addition, sleep disorders and emotional issues were significantly more common amongst mTBI patients than non-injured individuals. A simple set of questions inquiring about dizziness, headache, and cognitive issues may provide diagnostic accuracy. The consideration of other symptoms may be critical for providing prognostic value and treatment for best short-term outcomes or prevention of long-term complications.

  4. Neurosensory Symptom Complexes after Acute Mild Traumatic Brain Injury.

    Science.gov (United States)

    Hoffer, Michael E; Szczupak, Mikhaylo; Kiderman, Alexander; Crawford, James; Murphy, Sara; Marshall, Kathryn; Pelusso, Constanza; Balaban, Carey

    2016-01-01

    Mild Traumatic Brain Injury (mTBI) is a prominent public health issue. To date, subjective symptom complaints primarily dictate diagnostic and treatment approaches. As such, the description and qualification of these symptoms in the mTBI patient population is of great value. This manuscript describes the symptoms of mTBI patients as compared to controls in a larger study designed to examine the use of vestibular testing to diagnose mTBI. Five symptom clusters were identified: Post-Traumatic Headache/Migraine, Nausea, Emotional/Affective, Fatigue/Malaise, and Dizziness/Mild Cognitive Impairment. Our analysis indicates that individuals with mTBI have headache, dizziness, and cognitive dysfunction far out of proportion to those without mTBI. In addition, sleep disorders and emotional issues were significantly more common amongst mTBI patients than non-injured individuals. A simple set of questions inquiring about dizziness, headache, and cognitive issues may provide diagnostic accuracy. The consideration of other symptoms may be critical for providing prognostic value and treatment for best short-term outcomes or prevention of long-term complications. PMID:26727256

  5. Is Mild Dementia Related to Unsafe Street-Crossing Decisions?

    Science.gov (United States)

    Dommes, Aurélie; Wu, Ya-Huei; Aquino, Jean-Pierre; Pitti-Ferrandi, Hélène; Soleille, Martine; Martineau-Fleury, Sophie; Samson, Michel; Rigaud, Anne-Sophie

    2015-01-01

    The overrepresentation of very old people (75 or older) in pedestrian crash statistics raises the issue of the effects of normal and pathologic ageing on gap-selection difficulties during street crossing. The present study focused on Alzheimer disease, a condition commonly associated with cognitive declines detrimental to daily life activities such as crossing the street. Twenty-five participants with mild dementia and 33 controls carried out a street-crossing task in a simulated environment. They also took a battery of cognitive tests. The mild-dementia group was more likely than the control group to make decisions that led to collisions with approaching cars, especially when the traffic was coming from 2 directions and they were in the far lane. Regression analyses demonstrated that the increased likelihood of collisions in the dementia group was associated with impairments in processing-speed and visual-attention abilities assessed on the Useful Field of View test. This test has already proven useful for predicting driving outcomes, falls, and street-crossing difficulties in healthy old adults, and among drivers with Alzheimer disease. Clinicians are encouraged to use it to help estimate whether a patient can drive, walk, and cross a street safely. PMID:25494367

  6. Mild cognitive impairment: Conceptual, assessment, ethical, and social issues

    Directory of Open Access Journals (Sweden)

    Perla Werner

    2008-09-01

    Full Text Available Perla Werner1, Amos D Korczyn21Department of Gerontology, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel; 2Sieratzki Chair of Neurology, Department of Neurology, Tel Aviv University, Ramat-Aviv, IsraelAbstract: Mild cognitive impairment (MCI is defined as a condition characterized by newly acquired cognitive decline to an extent that is beyond that expected for age or educational background, yet not causing significant functional impairment. The concept of MCI has received considerable attention in the literature over the past few years, and aspects related to its definition, prevalence, and evolution have been extensively studied and reviewed. Here we attempt to synthesize the implications of the current status of this entity, focusing on the conceptual, methodological, and, in particular, the social and ethical aspects of MCI which have attracted less attention. We discuss the weaknesses of the concept of MCI, which is heterogeneous in etiology, manifestations, and outcomes, and suggest that the emergence of the syndrome at this stage reflects industrial interests related to possible development of drugs for this disorder. On the other hand, the formal diagnosis of MCI, with its implications that the person may develop dementia, may have a grave impact on the psychological state of the individual, at a stage when prediction of outcome is tenuous and possibilities of useful interventions are meager. We present suggestions for the direction of future research in these areas.Keywords: mild cognitive impairment, assessment issues, ethical issues, social issues, dementia

  7. Dynamic Yield Strength of Mild Steel under Impact Loading

    Directory of Open Access Journals (Sweden)

    Manjit Singh

    2008-03-01

    Full Text Available Dynamic yield strength of mild steel is estimated when impacted by the steel balls launchedby two stage-light gas gun in the velocity region 1900-5200 m/s. The ball impact provides a radialmomentum to the target material resulting in a crater which spreads out until it is stopped bythe target yield strength. The dynamic yield strength of target metal is calculated by incorporatingthe densities of ball and target material along with experimentally measured crater radius andimpact velocity in modified Bernoulli™s equation. The dynamic yield strength of mild steel hasbeen found to be around 2000 MPa under high velocity impact, causing the material to deformat strain rates > 106 s-1. Impact phenomenon was also simulated on Autodyn 2-D using Eulerprocessor. Simulation results reveal that the target material is subjected to the highest strain rateof 105 - 106 s-1 at the impact point and then decreases as the penetration progresses through thetarget. Predicted results of crater radius depth, and splash of material match with the experimentalmeasurements.

  8. Afterglows of Mildly Relativistic Supernovae: Baryon Loaded Blastwaves

    International Nuclear Information System (INIS)

    Relativistic supernovae have been discovered until recently only through their association with long duration Gamma Ray Bursts (GRB). As the ejecta mass is negligible in comparison to the swept up mass, the blastwaves of such explosions are well described by the Blandford-McKee (in the ultra relativistic regime) and Sedov-Taylor (in the non-relativistic regime) solutions during their afterglows. However, the recent discovery of the relativistic supernova SN 2009bb, without a detected GRB, has indicated the possibility of highly baryon loaded mildly relativistic outflows which remains in nearly free expansion phase during the radio afterglow. In this work, we consider the dynamics and emission from a massive, relativistic shell, launched by a Central Engine Driven EXplosion (CEDEX), decelerating adiabatically due to its collision with the pre-explosion circumstellar wind profile of the progenitor. We show that this model explains the observed radio evolution of the prototypical SN 2009bb and demonstrate that SN 2009bb had a highly baryon loaded, mildly relativistic outflow.

  9. Acetylcholine esterase activity in mild cognitive impairment and Alzheimer's disease

    International Nuclear Information System (INIS)

    Impairment of cholinergic neurotransmission is a well-established fact in Alzheimer's disease (AD), but there is controversy about its relevance at the early stages of the disease and in mild cognitive impairment (MCI). In vivo positron emission tomography imaging of cortical acetylcholine esterase (AChE) activity as a marker of cholinergic innervation that is expressed by cholinergic axons and cholinoceptive neurons has demonstrated a reduction of this enzyme activity in manifest AD. The technique is also useful to measure the inhibition of cerebral AChE induced by cholinesterase inhibitors for treatment of dementia symptoms. A reduction of cortical AchE activity was found consistently in all studies of AD and in few cases of MCI who later concerted to AD. The in vivo findings in MCI and very mild AD are still preliminary, and studies seem to suggest that cholinergic innervation and AChE as the main degrading enzyme are both reduced, which might result in partial compensation of their effect. (orig.)

  10. Numerical study of flame structure in the mild combustion regime

    Directory of Open Access Journals (Sweden)

    Mardani Amir

    2015-01-01

    Full Text Available In this paper, turbulent non-premixed CH4+H2 jet flame issuing into a hot and diluted co-flow air is studied numerically. This flame is under condition of the moderate or intense low-oxygen dilution (MILD combustion regime and related to published experimental data. The modelling is carried out using the EDC model to describe turbulence-chemistry interaction. The DRM-22 reduced mechanism and the GRI2.11 full mechanism are used to represent the chemical reactions of H2/methane jet flame. The flame structure for various O2 levels and jet Reynolds numbers are investigated. The results show that the flame entrainment increases by a decrease in O2 concentration at air side or jet Reynolds number. Local extinction is seen in the upstream and close to the fuel injection nozzle at the shear layer. It leads to the higher flame entertainment in MILD regime. The turbulence kinetic energy decay at centre line of jet decreases by an increase in O2 concentration at hot Co-flow. Also, increase in jet Reynolds or O2 level increases the mixing rate and rate of reactions.

  11. The Mild Space Weather in Solar Cycle 24

    CERN Document Server

    Gopalswamy, Nat; Yashiro, Seiji; Xie, Hong; Makela, Pertti; Michalek, Grzegorz

    2015-01-01

    The space weather is extremely mild during solar cycle 24: the number of major geomagnetic storms and high-energy solar energetic particle events are at the lowest since the dawn of the space age. Solar wind measurements at 1 AU using Wind and ACE instruments have shown that there is a significant drop in the density, magnetic field, total pressure, and Alfven speed in the inner heliosphere as a result of the low solar activity. The drop in large space weather events is disproportionately high because the number of energetic coronal mass ejections that cause these events has not decreased significantly. For example, the rate of halo CMEs, which is a good indicator of energetic CMEs, is similar to that in cycle 23, even though the sunspot number has declined by about 40%. The mild space weather seems to be a consequence of the anomalous expansion of CMEs due to the low ambient pressure in the heliosphere. The anomalous expansion results in the dilution of the magnetic contents of CMEs, so the geomagnetic storm...

  12. Mild expression differences of MECP2 influencing aggressive social behavior.

    Science.gov (United States)

    Tantra, Martesa; Hammer, Christian; Kästner, Anne; Dahm, Liane; Begemann, Martin; Bodda, Chiranjeevi; Hammerschmidt, Kurt; Giegling, Ina; Stepniak, Beata; Castillo Venzor, Aracely; Konte, Bettina; Erbaba, Begun; Hartmann, Annette; Tarami, Asieh; Schulz-Schaeffer, Walter; Rujescu, Dan; Mannan, Ashraf U; Ehrenreich, Hannelore

    2014-05-01

    The X-chromosomal MECP2/Mecp2 gene encodes methyl-CpG-binding protein 2, a transcriptional activator and repressor regulating many other genes. We discovered in male FVB/N mice that mild (~50%) transgenic overexpression of Mecp2 enhances aggression. Surprisingly, when the same transgene was expressed in C57BL/6N mice, transgenics showed reduced aggression and social interaction. This suggests that Mecp2 modulates aggressive social behavior. To test this hypothesis in humans, we performed a phenotype-based genetic association study (PGAS) in >1000 schizophrenic individuals. We found MECP2 SNPs rs2239464 (G/A) and rs2734647 (C/T; 3'UTR) associated with aggression, with the G and C carriers, respectively, being more aggressive. This finding was replicated in an independent schizophrenia cohort. Allele-specific MECP2 mRNA expression differs in peripheral blood mononuclear cells by ~50% (rs2734647: C > T). Notably, the brain-expressed, species-conserved miR-511 binds to MECP2 3'UTR only in T carriers, thereby suppressing gene expression. To conclude, subtle MECP2/Mecp2 expression alterations impact aggression. While the mouse data provides evidence of an interaction between genetic background and mild Mecp2 overexpression, the human data convey means by which genetic variation affects MECP2 expression and behavior. PMID:24648499

  13. Advanced DVI+

    Energy Technology Data Exchange (ETDEWEB)

    Kwon, Tae Soon; Lee, S. T.; Euh, D. J.; Chu, I. C.; Youn, Y. J. [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2012-10-15

    A new advanced safety feature of DVI+ (Direct Vessel Injection Plus) for the APR+ (Advanced Power Reactor Plus), to mitigate the ECC (Emergency Core Cooling) bypass fraction and to prevent switching an ECC outlet to a break flow inlet during a DVI line break, is presented for an advanced DVI system. In the current DVI system, the ECC water injected into the downcomer is easily shifted to the broken cold leg by a high steam cross flow which comes from the intact cold legs during the late reflood phase of a LBLOCA (Large Break Loss Of Coolant Accident). For the new DVI+ system, an ECBD (Emergency Core Barrel Duct) is installed on the outside of a core barrel cylinder. The ECBD has a gap (From the core barrel wall to the ECBD inner wall to the radial direction) of 3/25-7/25 of the downcomer annulus gap. The DVI nozzle and the ECBD are only connected by the ECC water jet, which is called a hydrodynamic water bridge, during the ECC injection period. Otherwise these two components are disconnected from each other without any pipes inside the downcomer. The ECBD is an ECC downward isolation flow sub-channel which protects the ECC water from the high speed steam crossflow in the downcomer annulus during a LOCA event. The injected ECC water flows downward into the lower downcomer through the ECBD without a strong entrainment to a steam cross flow. The outer downcomer annulus of the ECBD is the major steam flow zone coming from the intact cold leg during a LBLOCA. During a DVI line break, the separated DVI nozzle and ECBD have the effect of preventing the level of the cooling water from being lowered in the downcomer due to an inlet-outlet reverse phenomenon at the lowest position of the outlet of the ECBD.

  14. SERUM MAGNESIUM LEVELS IN MILD AND SEVERE PREECLAMPSIA AND NORMAL PREGNANT WOMEN

    Directory of Open Access Journals (Sweden)

    Sujatha

    2015-03-01

    Full Text Available OBJECTIVE: The aim of this study is to compare serum magnesium levels in women with mild, severe preeclampsia, and normal Pregnant women . MATERIALS AND METHODS : The present study was conducted in Victoria Government hospital and King George Hospi tal Visakhapatnam during the period July 2010 - June 2011. The study consists of 50 cases of normotensive uncomplicated pregnant women taken as control and 40 cases of mild preeclampsia, 10 cases severe preeclampsia. The samples were collected from the women attending the Antenatal outpatient clinics and from women who were admitted for treatment and delivery. SPECIMEN COLLECTION: On admission, venous serum samples were collected when the patients were in the supine position, prior to their commencement to int ravenous therapy. The venous blood was taken from the participant’s antecubital vein, placed in a plain vacuum tube. Serum magnesium was measured by colorimetric method by Roche Cobas Integra 800. Other parameters like serum calcium, creatinine, uric acid, fasting blood sugar, and urine sugar and albumin are also measured. The data was analyzed with the SPSS software package version 15.0 and expressed in terms of mean, standard deviation (SD. Continuous variables of serum magnesium concentrations of the th ree groups were compared by F - test. Maternal and perinatal outcome were analyzed. RESULTS: The serum magnesium levels in severe preeclamptic women was significantly lower (1.68 + 0.19 mg/dl vs. 2.1 + 0.206 mg/dl, p = 0.0001; and 1.55 + 0.190 mg/dl vs 1.68+0.19mg/dl, p = 0.059 . The study of biochemical parameters shows that, the mean serum magnesium levels in control group is 2.10 +/ - 0.21, (normal range 1.8 - 2.4 mg/dl, in mild cases 1.69 +/ - 0.19 and in severe cases1.58+/ - 0.20. CONCLUSION: Preeclampsi a is more common in primigravida, younger age group and in low socio economic group. Preeclampsia is associated with increased prematurity rate and low birth weight. Preeclampsia is

  15. NATO Advanced Study Institute on Advances in Chemical Reaction Dynamics

    CERN Document Server

    Capellos, Christos

    1986-01-01

    This book contains the formal lectures and contributed papers presented at the NATO Advanced Study Institute on. the Advances in Chemical Reaction Dynamics. The meeting convened at the city of Iraklion, Crete, Greece on 25 August 1985 and continued to 7 September 1985. The material presented describes the fundamental and recent advances in experimental and theoretical aspects of, reaction dynamics. A large section is devoted to electronically excited states, ionic species, and free radicals, relevant to chemical sys­ tems. In addition recent advances in gas phase polymerization, formation of clusters, and energy release processes in energetic materials were presented. Selected papers deal with topics such as the dynamics of electric field effects in low polar solutions, high electric field perturbations and relaxation of dipole equilibria, correlation in picosecond/laser pulse scattering, and applications to fast reaction dynamics. Picosecond transient Raman spectroscopy which has been used for the elucidati...

  16. Advanced mathematics

    CERN Document Server

    Gupta, CB; Kumar, V

    2009-01-01

    About the Book: This book `Advanced Mathematics` is primarily designed for B.Tech., IV Semester (EE and EC branch) students of Rajasthan Technical University. The subject matter is discussed in a lucid manner. The discussion is covered in five units: Unit I: deals with Numerical Analysis, Unit-II: gives different aspects of Numerical Analysis, Unit-III: Special Function, Unit-IV:Statistics and Probability, Calculus of Variation and Transforms are discussed in Unit V. All the theoretical concepts are explained through solved examples. Besides, a large number of unsolved problems on each top

  17. Equality : a continuing dialogue

    OpenAIRE

    Baker, John; Walsh, Judy; Cantillon, Sara; Lynch, Kathleen

    2007-01-01

    We reply to discussions of "Equality: From Theory to Action" by Harry Brighouse, Joanne Conaghan, Cillian McBride and Stuart White. We find many of their points helpful and treat them as a useful contribution to a continuing dialogue on egalitarianism.

  18. Continuous Reinforced Concrete Beams

    DEFF Research Database (Denmark)

    Hoang, Cao Linh; Nielsen, Mogens Peter

    1996-01-01

    This report deals with stress and stiffness estimates of continuous reinforced concrete beams with different stiffnesses for negative and positive moments e.g. corresponding to different reinforcement areas in top and bottom. Such conditions are often met in practice.The moment distribution at the...

  19. Continuing professional development

    NARCIS (Netherlands)

    Collin, K.; Heijden, van der B.I.J.M.; Lewis, P.

    2012-01-01

    Continuing professional development (CPD), when provided formally, is something that is easy to recognize but perhaps rather more difficult to define. Theoretical and empirical controversy surrounds the scope and understanding of the concept. Definition is made more elusive by the different conceptu

  20. Continuity bounds for entanglement

    OpenAIRE

    Nielsen, M. A.

    1999-01-01

    This Brief Report quantifies the continuity properties of entanglement: how much does entanglement vary if we change the entangled quantum state just a little? This question is studied for the pure state entanglement of a bipartite system and for the entanglement of formation of a bipartite system in a mixed state.

  1. A boy with mild mental retardation, mild sensorineural hearing loss and mild facial dysmorphism caused by a 19p13.2 deletion: a case report and review of the literature.

    Science.gov (United States)

    Schwemmle, Cornelia; Rost, Imma; Spranger, Stephanie; Jungheim, Michael; Ptok, Martin

    2014-07-01

    The investigation of patients with congenital anomalies and/or intellectual disability with modern genetic methods allows the recognition of an increasing number of cases with these chromosomal rearrangements. Here, we present a mildly mentally retarded boy with mild facial dysmorphism, language development delay, mild sensorineural hearing loss due to a deletion of 1,14 Mb on chromosome 19p 13.2. The deletion was de novo and familial history negative for this disorder. To our knowledge this is the first description of a patient with symptoms mentioned above associated with a 19p13.2-p13.2 deletion. PMID:24814572

  2. Interoceptive fear learning to mild breathlessness as a laboratory model for unexpected panic attacks.

    Science.gov (United States)

    Pappens, Meike; Vandenbossche, Evelien; Van den Bergh, Omer; Van Diest, Ilse

    2015-01-01

    Fear learning is thought to play an important role in panic disorder. Benign interoceptive sensations can become predictors (conditioned stimuli - CSs) of massive fear when experienced in the context of an initial panic attack (unconditioned stimulus - US). The mere encounter of these CSs on a later moment can induce anxiety and fear, and precipitate a new panic attack. It has been suggested that fear learning to interoceptive cues would result in unpredictable panic. The present study aimed to investigate whether fear learning to an interoceptive CS is possible without declarative knowledge of the CS-US contingency. The CS consisted of mild breathlessness (or: dyspnea), the US was a suffocation experience. During acquisition, the experimental group received six presentations of mild breathlessness immediately followed by suffocation; for the control group both experiences were always separated by an intertrial interval. In the subsequent extinction phase, participants received six unreinforced presentations of the CS. Expectancy of the US was rated continuously and startle eyeblink electromyographic, skin conductance, and respiration were measured. Declarative knowledge of the CS-US relationship was also assessed with a post-experimental questionnaire. At the end of acquisition, both groups displayed the same levels of US expectancy and skin conductance in response to the CS, but the experimental group showed a fear potentiated startle eyeblink and a different respiratory response to the CS compared to the control group. Further analyses on a subgroup of CS-US unaware participants confirmed the presence of startle eyeblink conditioning in the experimental group but not in the control group. Our findings suggest that interoceptive fear learning is not dependent on declarative knowledge of the CS-US relationship. The present interoceptive fear conditioning paradigm may serve as an ecologically valid laboratory model for unexpected panic attacks. PMID:26300830

  3. Interoceptive fear learning to mild breathlessness as a laboratory model for unexpected panic attacks

    Directory of Open Access Journals (Sweden)

    Meike ePappens

    2015-08-01

    Full Text Available Fear learning is thought to play an important role in panic disorder. Benign interoceptive sensations can become predictors (conditioned stimuli - CSs of massive fear when experienced in the context of an initial panic attack (unconditioned stimulus – US. The mere encounter of these CSs on a later moment can induce anxiety and fear, and precipitate a new panic attack. It has been suggested that fear learning to interoceptive cues would result in unpredictable panic. The present study aimed to investigate whether fear learning to an interoceptive CS is possible without declarative knowledge of the CS-US contingency. The CS consisted of mild breathlessness (or: dyspnea, the US was a suffocation experience. During acquisition, the experimental group received 6 presentations of mild breathlessness immediately followed by suffocation; for the control group both experiences were always separated by an intertrial interval. In the subsequent extinction phase, participants received 6 unreinforced presentations of the CS. Expectancy of the US was rated continuously and startle eyeblink EMG, skin conductance and respiration were measured. Declarative knowledge of the CS-US relationship was also assessed with a post-experimental questionnaire. At the end of acquisition, both groups displayed the same levels of US expectancy and skin conductance in response to the CS, but the experimental group showed a fear potentiated startle eyeblink and a different respiratory response to the CS compared to the control group. Further analyses on a subgroup of CS-US unaware participants confirmed the presence of startle eyeblink conditioning in the experimental group but not in the control group. Our findings suggest that interoceptive fear learning is not dependent on declarative knowledge of the CS-US relationship. The present interoceptive fear conditioning paradigm may serve as an ecologically valid laboratory model for unexpected panic attacks.

  4. High-Intensity Intermittent Swimming Improves Cardiovascular Health Status for Women with Mild Hypertension

    Science.gov (United States)

    Mohr, Magni; Nordsborg, Nikolai Baastrup; Lindenskov, Annika; Steinholm, Hildigunn; Nielsen, Hans Petur; Mortensen, Jann; Weihe, Pal; Krustrup, Peter

    2014-01-01

    To test the hypothesis that high-intensity swim training improves cardiovascular health status in sedentary premenopausal women with mild hypertension, sixty-two women were randomized into high-intensity (n = 21; HIT), moderate-intensity (n = 21; MOD), and control groups (n = 20; CON). HIT performed 6–10 × 30 s all-out swimming interspersed by 2 min recovery and MOD swam continuously for 1 h at moderate intensity for a 15-week period completing in total 44 ± 1 and 43 ± 1 sessions, respectively. In CON, all measured variables were similar before and after the intervention period. Systolic BP decreased (P < 0.05) by 6 ± 1 and 4 ± 1 mmHg in HIT and MOD; respectively. Resting heart rate declined (P < 0.05) by 5 ± 1 bpm both in HIT and MOD, fat mass decreased (P < 0.05) by 1.1 ± 0.2 and 2.2 ± 0.3 kg, respectively, while the blood lipid profile was unaltered. In HIT and MOD, performance improved (P < 0.05) for a maximal 10 min swim (13 ± 3% and 22 ± 3%), interval swimming (23 ± 3% and 8 ± 3%), and Yo-Yo IE1 running performance (58 ± 5% and 45 ± 4%). In conclusion, high-intensity intermittent swimming is an effective training strategy to improve cardiovascular health and physical performance in sedentary women with mild hypertension. Adaptations are similar with high- and moderate-intensity training, despite markedly less total time spent and distance covered in the high-intensity group. PMID:24812628

  5. High-Intensity Intermittent Swimming Improves Cardiovascular Health Status for Women with Mild Hypertension

    Directory of Open Access Journals (Sweden)

    Magni Mohr

    2014-01-01

    Full Text Available To test the hypothesis that high-intensity swim training improves cardiovascular health status in sedentary premenopausal women with mild hypertension, sixty-two women were randomized into high-intensity (n=21; HIT, moderate-intensity (n=21; MOD, and control groups (n=20; CON. HIT performed 6–10 × 30 s all-out swimming interspersed by 2 min recovery and MOD swam continuously for 1 h at moderate intensity for a 15-week period completing in total 44±1 and 43±1 sessions, respectively. In CON, all measured variables were similar before and after the intervention period. Systolic BP decreased (P<0.05 by 6±1 and 4±1 mmHg in HIT and MOD; respectively. Resting heart rate declined (P<0.05 by 5±1 bpm both in HIT and MOD, fat mass decreased (P<0.05 by 1.1±0.2 and 2.2±0.3 kg, respectively, while the blood lipid profile was unaltered. In HIT and MOD, performance improved (P<0.05 for a maximal 10 min swim (13±3% and 22±3%, interval swimming (23±3% and 8±3%, and Yo-Yo IE1 running performance (58±5% and 45±4%. In conclusion, high-intensity intermittent swimming is an effective training strategy to improve cardiovascular health and physical performance in sedentary women with mild hypertension. Adaptations are similar with high- and moderate-intensity training, despite markedly less total time spent and distance covered in the high-intensity group.

  6. Pain and sleep in post-concussion/mild traumatic brain injury.

    Science.gov (United States)

    Lavigne, Gilles; Khoury, Samar; Chauny, Jean-Marc; Desautels, Alex

    2015-04-01

    Concussion after a force to the head is called mild traumatic brain injury (mTBI). Approximately 1 in 5 patients with mTBI will develop chronic pain (headache and widespread pain, possibly of central origin) and/or sleep problems (insomnia, disordered breathing, periodic limb movements). However, the predisposing mechanisms for chronic pain in patients with mTBI are unknown. Mild traumatic brain injury is a rare model to prospectively assess the risk factors and mechanisms for pain chronification from the injury onset in the absence of pretrauma comorbidity or medication. In the acute phase, headaches and sleep disturbances seem to predict the poorest long-term cognitive and mood outcomes. Although recent studies suggest that certain brain biomarkers and mood alterations (eg, anxiety, depression) contribute, the causality of chronic pain remains unclear. In mTBI patients with pain, poor sleep quality was correlated with fast beta and gamma electroencephalographic activity in frontal, central, and occipital electroencephalographic (EEG) derivations in all sleep stages. Sleep recuperative function seems to be disturbed by persistent wake EEG activity, corroborating patient complaints such as feeling awake when asleep. Pain and sleep management in mTBI is not yet evidence-based. Treatments include cognitive behavioral and light therapies, medications, and continuous positive airway pressure (CPAP) or oral appliances for disordered sleep breathing. Customized approaches are indicated for mTBI, pain, and sleep complaints. Further studies in pediatric, sport, and transportation populations are needed to prevent TBI chronification. Improvements are emerging in biomarker sensitivity and specificity and management strategies for TBI, pain, and sleep comorbidities. PMID:25789439

  7. Advanced LIGO

    CERN Document Server

    ,

    2014-01-01

    The Advanced LIGO gravitational wave detectors are second generation instruments designed and built for the two LIGO observatories in Hanford, WA and Livingston, LA. The two instruments are identical in design, and are specialized versions of a Michelson interferometer with 4 km long arms. As in initial LIGO, Fabry-Perot cavities are used in the arms to increase the interaction time with a gravitational wave, and power recycling is used to increase the effective laser power. Signal recycling has been added in Advanced LIGO to improve the frequency response. In the most sensitive frequency region around 100 Hz, the design strain sensitivity is a factor of 10 better than initial LIGO. In addition, the low frequency end of the sensitivity band is moved from 40 Hz down to 10 Hz. All interferometer components have been replaced with improved technologies to achieve this sensitivity gain. Much better seismic isolation and test mass suspensions are responsible for the gains at lower frequencies. Higher laser power, ...

  8. Treatment of locally advanced rectal cancer

    NARCIS (Netherlands)

    Klaassen, RA; Nieuwenhuijzen, GAP; Martijn, H; Rutten, HJT; Hospers, GAP; Wiggers, T

    2004-01-01

    Historically, locally advanced rectal cancer is known for its dismal prognosis. The treatment of locally advanced rectal cancer is subject to continuous change due to development of new and better diagnostic tools, radiotherapeutic techniques, chemotherapeutic agents and understanding of the subject

  9. Solidification process control for advanced superalloys

    Science.gov (United States)

    Gray, H. R.; Dreshfield, R. L.

    1982-01-01

    The importance of understanding and controlling the basic solidification process in high temperature alloy technology as applied to gas turbine engine production is discussed. Resultant tailoring of the superalloy macro- and microstructure offers significant potential for continued advances in superalloy use temperatures in turbine engines. Atomized superalloy powders, rapidly solidified superalloys, microstructural control, and advanced superalloys are discussed.

  10. Metallurgical and mechanical characterization of mild steel-mild steel joint formed by microwave hybrid heating process

    Indian Academy of Sciences (India)

    Amit Bansal; Apurbba Kumar Sharma; Shantanu Das

    2013-08-01

    In this paper, mild steel–mild steel (MS-MS) joints fabricated through microwave hybrid heating (MHH) have been characterized using X-ray diffraction (XRD), scanning electron microscope (SEM), electron probe micro analyser (EPMA), Vicker’s microhardness measurement and tensile strength. The XRD spectrum of the developed joints shows substitution type of solid solution form in the joint zone. The back scattered electron (BSE) images of the joint obtained by SEM show complete melting of powder particle and consequently diffusion bonding takes place between the substrate and the powder particle. The electron probe micro analysis shows diffusion of element across the joint. The Vicker’s micro hardness of the joints was measured to be 420 ± 30 Hv, which is higher than that of substrate hardness 230 ± 10 Hv. The tensile strength of the sample was measured by an universal testing machine and found to be 240 MPa which is about 50% of base material strength. The SEM micrographs of the fractured sample indicate mixed modes of failure during fracture of the joint; both ductile and brittle modes of failures occurred as indicated by dimple and cleavage of the brittle faces, respectively.

  11. Cleaning Carbon Nanotubes by Use of Mild Oxygen Plasmas

    Science.gov (United States)

    Petkov, Mihail

    2006-01-01

    Experiments have shown that it is feasible to use oxygen radicals (specifically, monatomic oxygen) from mild oxygen plasmas to remove organic contaminants and chemical fabrication residues from the surfaces of carbon nanotubes (CNTs) and metal/CNT interfaces. A capability for such cleaning is essential to the manufacture of reproducible CNT-based electronic devices. The use of oxygen radicals to clean surfaces of other materials is fairly well established. However, previously, cleaning of CNTs and of graphite by use of oxygen plasmas had not been attempted because both of these forms of carbon were known to be vulnerable to destruction by oxygen plasmas. The key to success of the present technique is, apparently, to ensure that the plasma is mild . that is to say, that the kinetic and internal energies of the oxygen radicals in the plasma are as low as possible. The plasma oxygen-radical source used in the experiments was a commercial one marketed for use in removing hydrocarbons and other organic contaminants from vacuum systems and from electron microscopes and other objects placed inside vacuum systems. In use, the source is installed in a vacuum system and air is leaked into the system at such a rate as to maintain a background pressure of .0.56 torr (.75 Pa). In the source, oxygen from the air is decomposed into monatomic oxygen by radio-frequency excitation of a resonance of the O2 molecule (N2 is not affected). Hence, what is produced is a mild (non-energetic) oxygen plasma. The oxygen radicals are transported along with the air molecules in the flow created by the vacuum pump. In the experiments, exposure to the oxygen plasma in this system was shown to remove organic contaminants and chemical fabrication residues from several specimens. Many high-magnification scanning electron microscope (SEM) images of CNTs were taken before and after exposure to the oxygen plasma. As in the example shown in the figure, none of these images showed evidence of degradation

  12. The ENCOAL Mild Coal Gasification Project, A DOE Assessment

    Energy Technology Data Exchange (ETDEWEB)

    National Energy Technology Laboratory

    2002-03-15

    This report is a post-project assessment of the ENCOAL{reg_sign} Mild Coal Gasification Project, which was selected under Round III of the U.S. Department of Energy (DOE) Clean Coal Technology (CCT) Demonstration Program. The CCT Demonstration Program is a government and industry cofunded technology development effort to demonstrate a new generation of innovative coal utilization processes in a series of commercial-scale facilities. The ENCOAL{reg_sign} Corporation, a wholly-owned subsidiary of Bluegrass Coal Development Company (formerly SMC Mining Company), which is a subsidiary of Ziegler Coal Holding Company, submitted an application to the DOE in August 1989, soliciting joint funding of the project in the third round of the CCT Program. The project was selected by DOE in December 1989, and the Cooperative Agreement (CA) was approved in September 1990. Construction, commissioning, and start-up of the ENCOAL{reg_sign} mild coal gasification facility was completed in June 1992. In October 1994, ENCOAL{reg_sign} was granted a two-year extension of the CA with the DOE, that carried through to September 17, 1996. ENCOAL{reg_sign} was then granted a six-month, no-cost extension through March 17, 1997. Overall, DOE provided 50 percent of the total project cost of $90,664,000. ENCOAL{reg_sign} operated the 1,000-ton-per-day mild gasification demonstration plant at Triton Coal Company's Buckskin Mine near Gillette, Wyoming, for over four years. The process, using Liquids From Coal (LFC{trademark}) technology originally developed by SMC Mining Company and SGI International, utilizes low-sulfur Powder River Basin (PRB) coal to produce two new fuels, Process-Derived Fuel (PDF{trademark}) and Coal-Derived Liquids (CDL{trademark}). The products, as alternative fuel sources, are capable of significantly lowering current sulfur emissions at industrial and utility boiler sites throughout the nation thus reducing pollutants causing acid rain. In support of this overall

  13. Continuous reject analysis

    International Nuclear Information System (INIS)

    The results of continuous film reject analysis conducted within the Medical Imaging Department of the Prince Charles Hospital over a thirty month period are reported. A computer program to record reject films was installed as part of normal computerized operations of the Department. This required discarded films to be recorded according to site, reason and operator. Repeat/reject rates in chest examinations that differ significantly from reported acceptable reject rates are described. It is suggested that previously reported overall repeat rates of 10% to 14%, which are heavily influenced by the frequency of chest examinations, should not be regarded as normal. The findings from the survey provide data that is both consistent and inconsistent with previous studies. The implications of the results with respect to costs, radiation exposure, student training and the need to monitor continuously reject rates to maintain suitable standards are commented on. 8 figs

  14. Continuous venovenous haemodialysis

    DEFF Research Database (Denmark)

    Bistrup, C; Pedersen, R S; Jensen, Dorte Møller

    1996-01-01

    A simple three-pump-based system for the performance of continuous venovenous haemodialysis is described. The method employs access to the circulation via a double-lumen catheter, and by means of a standard extracorporeal peristaltic pump the blood is circulated through a haemofiltration filter....... Standard solutions for peritoneal dialysis are administered in a single-pass manner countercurrent to the blood flow. To control the dialysate flow through the filter, two separate pumps designed for intravenous infusion are used. Anticoagulation is achieved by means of continuous heparin infusion. This...... three-pump system is effective in controlling the fluid balance and the level of azotemia. Furthermore, this system makes haemodialysis possible in spite of severe haemodynamic instability. The system is easy to use and inexpensive. 3 patients participated in the study....

  15. Continuity and change

    DEFF Research Database (Denmark)

    Birch-Thomsen, Torben; Reenberg, Anette; Mertz, Ole;

    2010-01-01

    Traditional agricultural land use systems in the humid tropics of the Southwest Pacific are, as elsewhere, affected by globalization processes. This paper analyzes the directions of change in the land use system of Bellona, a small outer island in the Solomon Islands. We focus on the human...... is a supplement to a range of strategies supporting the increasing number of people on the island. This explains why land use patterns continue relatively unchanged while livelihood and food supply strategies have changed....

  16. Continuous Fiber Ceramic Composites

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-09-01

    Fiber-reinforced ceramic composites demonstrate the high-temperature stability of ceramics--with an increased fracture toughness resulting from the fiber reinforcement of the composite. The material optimization performed under the continuous fiber ceramic composites (CFCC) included a series of systematic optimizations. The overall goals were to define the processing window, to increase the robustinous of the process, to increase process yield while reducing costs, and to define the complexity of parts that could be fabricated.

  17. Continuing challenges in influenza

    OpenAIRE

    Robert G. Webster; Govorkova, Elena A.

    2014-01-01

    Influenza is an acute respiratory disease in mammals and domestic poultry that emerges from zoonotic reservoirs in aquatic birds and bats. Although influenza viruses are among the most intensively studied pathogens, existing control options require further improvement. Influenza vaccines must be regularly updated because of continuous antigenic drift and sporadic antigenic shifts in the viral surface glycoproteins. Currently, influenza therapeutics are limited to neuraminidase inhibitors; nov...

  18. A continuous Putonghua recognizer

    OpenAIRE

    Wong, PK; Chan, C.

    1997-01-01

    A multi-speaker continuous Putonghua recognizer has been developed composing of 20 speaker-dependent recognizer as sub-systems. Each sub-system is a network of hidden Markov models modeling triphones as the fundamental speech units. Over 3 GB of speech data have been collected for training from twenty native Putonghua speakers reading carefully designed tests trying to include all phone-to-phone transitions in Putonghua. A Viterbi path search yields the best speech unit sequence over the HMMn...

  19. Continuous software delivery

    OpenAIRE

    KRMAVNAR, NINA

    2015-01-01

    The main purpose of the thesis is the demonstration of one of the best possible approaches to an automated continuous delivery process as it relates to certain application types. In the introductory part, the main reason for choosing the subject is presented, along with a few examples of why nowadays - in order to keep pace with the competition - such an approach seems necessary. Following chapters discuss the basics of software delivery, starting with configuration and version control manage...

  20. Safety Campaign Continues

    CERN Multimedia

    2002-01-01

    If you see this poster, stop and read it! This is the third poster produced by TIS Division as part of its information campaign on health and safety in the workplace. It provides statistics on occupational accidents at CERN. You will see that, as in the rest of Europe, falls, slips and trips continue to be the main cause of accident. So, eyes open and take care! For more information : http://safety.cern.ch/

  1. Upgrading of raw oil into advanced fuel

    Energy Technology Data Exchange (ETDEWEB)

    1991-10-01

    The overall objective of the research effort is the determination of the minimum processing requirements to produce high energy density fuels (HEDF) having acceptable fuel specifications. The program encompasses assessing current technology capability; selecting acceptable processing and refining schemes; and generating samples of advanced test fuels. The Phase I Baseline Program is intended to explore the processing alternatives for producing advanced HEDF from two raw synfuel feedstocks, one from Mild Coal Gasification as exemplified by the COALITE process and one from Colorado shale oil. Eight key tasks have been identified as follows: (1) Planning and Environmental Permitting; (2) Transporting and Storage of Raw Fuel Sources and Products; (3) Screening of Processing and Upgrading Schemes; (4) Proposed Upgrading Schemes for Advanced Fuel; (5) Upgrading of Raw Oil into Advanced Fuel (6) Packaging and Shipment of Advanced Fuels; (7) Updated Technical and Economic Assessment; and, (8) Final Report of Phase I Efforts. This topical report summarizes the operations and results of the Phase I Task 5 sample preparation program. The specific objectives of Task 5 were to: Perform laboratory characterization tests on the raw COALITE feed, the intermediate liquids to the required hydroprocessing units and final advanced fuels and byproducts; and produce a minimum of 25-gal of Category I test fuel for evaluation by DOE and its contractors.

  2. 3, 4-methylenedioximethamphetamin reverses anxiety induced by chronic mild stress

    Directory of Open Access Journals (Sweden)

    Laura Andrea León A

    2013-01-01

    Full Text Available Here we report the effects of subchronic 3, 4 methylenedioximethamphetamine (MDMA on the elevated plusmaze, a widely used animal model of anxiety. Rats exposed to a mild chronic stress (MCS protocol received intracerebroventricular microinjections of the selective serotonin reuptake inhibitor (SSRI – fluoxetine (2.0 ug/ul or MDMA, (2.0 ug/ul for seven days. On the eighth day rats were tested in the elevated plus-maze. Our results showed that sub chronic MDMA interacted with MCS leading to a decrease in anxiety related behaviors including: percentage of open arms entries (F [2, 26] = 4.00; p = 0.031, time spent in the open arms (F [2, 26] = 3.656; p = 0.040 and time spent in the open arms extremities (F [2, 26] = 5.842; p = 0.008. These results suggest a potential effect of MDMA in the reversion of the emotional significance of aversive stimuli.

  3. Investigation of Fecraly Coating on Corrosion Behaviour of Mild Steel

    Directory of Open Access Journals (Sweden)

    Joseph B. AGBOOLA

    2009-07-01

    Full Text Available Steel has found wide application in hot rolling equipments in the steel industry and the oil rig structures in sea water. These equipments are frequently subjected to corrosive and temperature condition which causes severe damage to them, hence the need to develop steel suitable to withstand these conditions in terms of surface treatment. This research work investigates the effect of FeCrAlY coating on mild steel under high temperature and aggressive environment. Iron based coatings are used due to low cost among other properties such as good corrosion resistance, ease of machining and high ductility when compared to hard metals.Thermal spraying of the specimens was carried out using high velocity oxygen fuel (HVOF. Corrosion test was carried out on both coated and uncoated samples. All samples were subjected to the same high temperature treatment for oxidation test.

  4. Mild cognitive impairment%轻度认知障碍

    Institute of Scientific and Technical Information of China (English)

    陈晓春

    2003-01-01

    @@ 轻度认知障碍(mild cognitive impairment,MCI)是近年来在痴呆研究中采用的一个新术语.痴呆、轻度认知障碍和正常老化是出现在老年人中一系列不同阶段的认知状态,MCI是指介于正常老化与痴呆之间的一种过渡阶段的认知障碍.关于轻度认知障碍的特征、定义、转归尚存在着争议,对轻度认知障碍的研究目前主要集中在其自然发病史、生物学标记及与阿尔兹海默病(Alzheimer's disease)预防的关系等方面.

  5. How Do Children With Mild Intellectual Disabilities Perceive Loneliness?

    Directory of Open Access Journals (Sweden)

    Kalliopi Papoutsaki

    2013-02-01

    Full Text Available The present study examined 154 children with mild intellectual disability (MID attending special schools with regard to their reports of loneliness. Semi-structured interviews revealed that more than half of the students with MID reported feelings of loneliness. They tend to have as friends children from their neighborhood, friends of their siblings, children of their parents’ friends and from their school. Lonely children with MID tend to attribute their isolation to interpersonal deficits, lack of contact with peers and physical appearance, while one fourth cannot justify why they do not have any friends. Children with MID report that they withdraw from social interactions, engage in solitary activities and actively look for friends to cope with their feelings of loneliness and rejection, while very few resort to physical or verbal aggression. Moreover, boys and children living in smaller towns reported less feelings of loneliness than girls and children living in the capital.

  6. Should mild stimulation be the order of the day?

    Directory of Open Access Journals (Sweden)

    Nalini Mahajan

    2013-01-01

    Full Text Available Mild stimulation protocols aim to reduce the physical, financial and emotional burden associated with the conventional IVF protocol without compromising the pregnancy rate. Such protocols help to decrease the complications and the discomfort related to the prolonged administration of agonist and large doses of gonadotrophins, by limiting the number of oocytes recruited to no more than eight. The per cycle pregnancy rates are lower though the cumulative pregnancy rate in a year is equivalent. This CPR comes by going through earlier repeat cycles. Whether this reduces the physical, emotional or financial burden remains a matter of debate. There is need to standardize these protocol and do more trials to compare the two effectively. Till such time there is a clear benefit above the conventional protocol it will not be the protocol of choice with most physicians.

  7. DISSIPATION OF WAVE ENERGY ON VERY MILD SLOPE

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    This paper presents the analysis and calculation of wave attenuation when waves travel on sand bed, sand ripple bed and muddy bed, respectively. The study shows that (1) The dissipation of wave energy due to bottom percolation may be neglected on sand bed; (2) The wave attenuation due to the friction of sand ripples is one order higher than that of flat sand bed and (3) The energy loss of waves propagating on muddy bed is the largest. Then, the equivalent coefficients of friction are calculated in order to compare with the solution by the bottom-friction model. Wave attenuation are also computed by the Bingham-model and the principle of conservation of wave energy flux on very mild muddy slope. The results coincide well with the wave information from the Lianyungang Wave Observation Station. Theoretical prediction proves that the equivalent coefficients of friction strongly rely on water depth, which inerease with decreasing depth.

  8. Friction and source hardening in irradiated mild steel

    International Nuclear Information System (INIS)

    The effect of neutron fluence on stress-strain behavior of mild steel at ambient temperature revealed that Luders strain increases with fluence and at the highest fluence employed here namely 1.4x1019n/cm2 fracture occurred during Luders propagation. The lower yield stress increased as cube root of fluence and friction stress increased as square root of fluence. The interstitial impurity atoms (C and N) combine with irradiation induced defects thereby resulting in reduced net concentration of free C and N in solution and thus the source pinning effect decreases in irradiated steels as observed here. The increase in Luders strain with the corresponding decrease in source hardening resulted in reduced work-hardening in irradiated steels as expected

  9. Vergence in mild traumatic brain injury: A pilot study

    Directory of Open Access Journals (Sweden)

    Dora Szymanowicz, OD, MS

    2012-10-01

    Full Text Available Vergence dysfunction in individuals with mild traumatic brain injury (mTBI may have a negative effect on quality of life, functional abilities, and rehabilitative progress. In this study, we used a range of dynamic and static objective and subjective measures of vergence to assess 21 adult patients with mTBI and nearwork symptoms. The results were compared with 10 control adult subjects. With respect to dynamic parameters, responses in those with mTBI were slowed, variable, and delayed. With respect to static parameters, reduced near point of convergence and restricted near vergence ranges were found in those with mTBI. The present results provide evidence for the substantial adverse effect of mTBI on vergence function.

  10. Persistent vertigo and dizziness after mild traumatic brain injury.

    Science.gov (United States)

    Fife, Terry D; Kalra, Deepak

    2015-04-01

    Vertigo, dizziness, and disequilibrium are common symptoms following concussion or mild traumatic brain injury (mTBI). Dizziness and vertigo may be the result of trauma to the peripheral vestibular system or the central nervous system, or, in some cases, may be due to anxiety, depression, or posttraumatic stress disorder; these mechanisms are not mutually exclusive. While most peripheral vestibular disorders can be identified by testing and examination, those without inner-ear causes that have persisting complaints of dizziness and motion sickness are more difficult to understand and to manage. Some of these patients exhibit features compatible with vestibular migraine and may be treated successfully with migraine-preventative medications. This paper reviews the nonotogenic causes of persisting dizziness, the possible mechanisms, and the pathophysiology, as a framework for patient management and for future research. PMID:25728715

  11. NUMERICAL SIMULATION OF SKIMMING FLOW OVER MILD STEPPED CHANNEL

    Institute of Scientific and Technical Information of China (English)

    DONG Zhi-yong; LEE Joseph Hun-wei

    2006-01-01

    Numerical simulation of stepped channel flow was conducted using turbulence models based on the VOF technique. Stepped channel flow is a complicated air-water two-phase flow with free surface, which can be divided into three flow regimes: skimming flow, nappe flow and transition flow. The characteristics of skimming flow over mild stepped channel was investigated, including friction factors, air concentration profiles velocity field, clear-water and bulked depths, static pressure, etc. Smooth channel flow was also simulated to compare the hydraulic characteristics of the stepped channel flow with the smooth one. Comparisons between the computed and the measured were made. Furthermore, comparison of the computed air concentration with Straub and Anderson's data was also performed. The Fluent 6.1 software was employed to conduct this numerical simulation work.

  12. The Category Cued Recall test in very mild Alzheimer's disease

    DEFF Research Database (Denmark)

    Vogel, Asmus; Mortensen, E.L.; Gade, A.;

    2007-01-01

    Episodic memory tests that measure cued recall may be particularly effective in the diagnosis of early Alzheimer's disease (AD) because they examine both episodic and semantic memory functions. The Category Cued Recall (CCR) test provides superordinate semantic cues at encoding and retrieval, and...... high discriminative validity has been claimed for this test. The aim of this study was to investigate the discriminative validity for this test when compared with the 10-word memory list from Alzheimer's Disease Assessment Scale (ADAS-cog) that measures free recall. The clinical diagnosis of AD was...... taken as the standard. It was also investigated whether the two episodic memory tests correlated with measures of semantic memory. The tests were administered to 35 patients with very mild AD (Mini Mental State Examination score > 22) and 28 control subjects. Both tests had high sensitivity (>88%) with...

  13. Afterglows of Mildly Relativistic Supernovae: Baryon Loaded Blastwaves

    CERN Document Server

    Chakraborti, Sayan

    2011-01-01

    Relativistic supernovae have been discovered until recently only through their association with long duration Gamma Ray Bursts (GRB). As the ejecta mass is negligible in comparison to the swept up mass, the blastwaves of such explosions are well described by the Blandford-McKee (in the ultra relativistic regime) and Sedov-Taylor (in the non-relativistic regime) solutions during their afterglows. However, the recent discovery of the relativistic supernova SN 2009bb, without a detected GRB, has indicated the possibility of highly baryon loaded mildly relativistic outflows which remains in nearly free expansion phase during the radio afterglow. In this work, we consider the dynamics and emission from a massive, relativistic shell, launched by a Central Engine Driven EXplosion (CEDEX), decelerating adiabatically due to its collision with the pre-explosion circumstellar wind profile of the progenitor. We show that this model explains the observed radio evolution of the prototypical SN 2009bb and demonstrate that S...

  14. Mild cognitive impairment. Diagnostic value of different MR techniques

    International Nuclear Information System (INIS)

    In view of an increasingly aging population the prevalence of dementia is also expected to increase rapidly. As well as clinical, neuropsychological and laboratory procedures magnetic resonance imaging (MRI) plays an important role in the early diagnosis of dementia which is important in the precursor stage of mild cognitive impairment (MCI). On the one hand this stage is associated with an increased risk of dementia and on the other hand an early treatment in this stage could attenuate development of the disease. In addition to morphological changes different functional MRI techniques can help in the early diagnosis of dementia and the precursor stages. Moreover, it is important to detect those MCI patients who are at particularly risk for developing dementia. In the differentiation of converters to non-converters initial studies suggest that particularly voxel-based morphometry, MR spectroscopy and diffusion tensor imaging can provide important additional information. (orig.)

  15. Brain SPECT imaging of Alzheimer's disease and mild cognitive impairment

    International Nuclear Information System (INIS)

    Objective: To assess the early diagnostic and prognostic value of brain SPECT imaging in Alzheimer's disease (AD) and mild cognitive impairment (MCI). Methods: Brain SPECT imaging and follow-up study were performed in 33 AD patients, 17 MCI patients and 12 cognitive normal subjects. Results: The typical feature of AD was bilateral temporoparietal hypoperfusion. Compared with MCI and normal group, the regional cerebral blood flow (rCBF) of temporal lobe, parietal lobe, frontal lobe, thalamus and cingulum decreased significantly (P< 0.05). MCI had a significant lower rCBF in temporal lobe only than that in normal group (P<0.05). Besides, the rCBF in cingulum of instable MCI was much lower than that in cingulum of stable MCI (P<0.05). Conclusion: Brain SPECT imaging can provide useful information for the early diagnosis of AD and MCI, and also for the prognosis of MCI. (authors)

  16. Accuracy of prospective memory tests in mild Alzheimer's disease

    Directory of Open Access Journals (Sweden)

    Sergilaine Pereira Martins

    2012-01-01

    Full Text Available OBJECTIVES: To verify the accuracy of prospective memory (ProM tests in Alzheimer's disease (AD. METHODS: Twenty mild AD patients (CDR 1, and 20 controls underwent Digit Span (DS, Trail Making (TM A and B, visual perception, Rey Auditory-Verbal Learning tests, and Cornell Scale for Depression. AD diagnosis was based on DSM-IV and NINCDS-ADRDA criteria. ProM was assessed with the appointment and belonging subtests of Rivermead Behavioral Memory Test (RBMT; and with two new tests (the clock and animal tests. RESULTS: AD patients had a worse performance than controls on the majority of tests, except DS forward and TM-A. There was no correlation between RBMT and the new ProM tests. As for accuracy, the only significant difference concerned the higher sensitivity of our animal test versus the RBMT belonging test. CONCLUSIONS: The clock and the animal tests showed similar specificity, but higher sensitivity than the RBMT subtests.

  17. Patterns of Semantic Memory Impairment in Mild Cognitive Impairment

    Directory of Open Access Journals (Sweden)

    Sven Joubert

    2008-01-01

    Full Text Available Although the semantic memory impairment has been largely documented in Alzheimer's disease, little is known about semantic memory in the preclinical phase of the disease (Mild Cognitive Impairment. The purpose of this study was to document the nature of semantic breakdown using a battery of tests assessing different aspects of conceptual knowledge: knowledge about common objects, famous people and famous public events. Results indicate that all domains of semantic memory were impaired in MCI individuals but knowledge about famous people and famous events was affected to a greater extent than knowledge about objects. This pattern of results suggests that conceptual entities with distinctive and unique properties may be more prone to semantic breakdown in MCI. In summary, results of this study support the view that genuine semantic deficits are present in MCI. It could be useful to investigate the etiological outcome of patients failing or succeeding at such tests.

  18. Mild Diabetes Models and Their Maternal-Fetal Repercussions

    Directory of Open Access Journals (Sweden)

    D. C. Damasceno

    2013-01-01

    Full Text Available The presence of diabetes in pregnancy leads to hormonal and metabolic changes making inappropriate intrauterine environment, favoring the onset of maternal and fetal complications. Human studies that explore mechanisms responsible for changes caused by diabetes are limited not only for ethical reasons but also by the many uncontrollable variables. Thus, there is a need to develop appropriate experimental models. The diabetes induced in laboratory animals can be performed by different methods depending on dose, route of administration, and the strain and age of animal used. Many of these studies are carried out in neonatal period or during pregnancy, but the results presented are controversial. So this paper, addresses the review about the different models of mild diabetes induction using streptozotocin in pregnant rats and their repercussions on the maternal and fetal organisms to propose an adequate model for each approached issue.

  19. An Efficient Synthesis of Nitriles from Aldoximes Using Diethyl Phosphorocyanidate under Mild Conditions

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kieseung; An, Hyeonseong; Hwang, Chanyeon [Woosuk Univ.,Wanju (Korea, Republic of)

    2012-10-15

    Nitriles are valuable intermediates in organic synthesis not only because they serve as the appropriate precursors to various functional groups, but also because they are widely used as the key intermediates for pharmaceuticals, agrochemicals and various N-heterocyclic compounds. The cyano group itself is also frequently found in many biologically important molecules. Therefore, a variety of synthetic routes to nitriles from diverse chemical precursors have been developed. Among these routes, nitrile synthesis from aldoximes using an appropriate dehydrating agent has been a general and clean method. For this purpose, numerous reagents such as chlorosulfonyl isocyanate, di-2-pyridyl sulfite, Burgess reagent, [RuCl{sub 2}(p-cymene)]{sub 2}/MS, 4A, BOP, Pd(OAc){sub 2}/PPh{sub 3}, Cu(OAc){sub 2}/ultrasound have been developed. These reagents, however, may have limitations in some respects such as harsh reaction conditions, use of expensive or less readily available reagents, low yields, and lack of generality. Therefore, there is still a need to develop mild and general method for this conversion. Diethyl phosphorocyanidate (DEPC) was initially introduced as an efficient peptide coupling reagent, and has been utilized for useful organic reactions. Previously, we reported that 2-chloro-1-methylpyridinium iodide is an efficient and mild reagent for the dehydration of aldoximes to nitriles under mild conditions. In continuation of our interest in developing mild method for the conversion of aldoximes to nitriles, we herein wish to report the first application of DEPC to the efficient synthesis of nitriles from aldoximes under mild conditions (Scheme 1). In order to obtain the information regarding the optimum reaction conditions, 4-pyridine aldoxime (1a) was reacted with DEPC without base, and in presence of various base in CH{sub 2}Cl{sub 2} at rt for a prolonged reaction time (20 h) (Table 1). CH{sub 2}CI{sub 2} was chosen as reaction medium in this reaction due to the

  20. Continuous epidural block of the cervical vertebrae for cervicogenic headache

    Institute of Scientific and Technical Information of China (English)

    HE Ming-wei; NI Jia-xiang; GUO Yu-na; WANG Qi; YANG Li-qiang; LIU Jing-jie

    2009-01-01

    Background Cervicogenic headache (CEH) is caused by a structural abnormality in the cervical spine. Available treatments for CEH include medical therapy, local botulinum toxin injection, cervical epidural corticosteroid injection, and surgery. The objective of this study was to investigate the safety and efficacy of a continuous epidural block of the cervical vertebra.Methods Medical records were retrospectively analyzed for 37 patients diagnosed with CEH treated by a continuous epidural block of the cervical vertebra with lidocaine, dexamethasone, and saline (5 ml/min) for 3-4 weeks and triamcinolone acetonide 5 mg once weekly for 3-4 weeks. Pain was measured via the visual analogue scale (VAS) in combination with quality of life assessment. Outcome measures were patient-reported days with mild or moderate pain, occurrence of severe pain, and the daily oral dosages of non-steroidal anti-inflammatory drug use (NSAID).Results In the 3 months immediately preceding placement of the epidural catheter, the mean number of days with mild or moderate pain was 22.0±4.3. The mean occurrence of severe pain was (3.20±0.75) times and the mean oral dosage of NSAID was (1267±325) mg. During the first 6 months after epidural administration of lidocaine and corticosteroids, the mean number of days with mild or moderate pain, the mean occurrence of severe pain, and the mean daily oral dosages of NSAIDs were significantly decreased compared to 3-month period immediately preceding treatment (P <0.01). By 12 months post-treatment, no significant difference in these three outcome measures was noted.Conclusions Continuous epidural block of the cervical vertebra for patients with CEH is effective for at least six months. Further research is needed to elucidate mechanisms of action and to prolong this effect.

  1. Recovery of resting brain connectivity ensuing mild traumatic brain injury

    Directory of Open Access Journals (Sweden)

    Rose Dawn Bharath

    2015-09-01

    Full Text Available Brains reveal amplified plasticity as they recover from an injury. We aimed to define time dependent plasticity changes in patients recovering from mild traumatic brain injury (mTBI. 25 subjects with mild head injury were longitudinally evaluated within 36 hours, 3 and 6 months using resting state functional connectivity (RSFC. Region of interest (ROI based connectivity differences over time within the patient group and in comparison with a healthy control group were analyzed at p<0.005. We found 33 distinct ROI pairs that revealed significant changes in their connectivity strength with time. Within three months, the majority of the ROI pairs had decreased connectivity in mTBI population, which increased and became comparable to healthy controls at 6 months. Initial imaging within 36 hours of injury revealed hyper connectivity predominantly involving the salience network and default mode network, which reduced at 3 months when lingual, inferior frontal and fronto-parietal networks revealed hyper connectivity. At six months all the evaluated networks revealed hyper connectivity and became comparable to the healthy controls. Our findings in a fairly homogenous group of patients with mTBI evaluated during the 6 month window of recovery defines time varying brain connectivity changes as the brain recovers from an injury. A majority of these changes were seen in the frontal and parietal lobes between 3-6 months after injury. Hyper connectivity of several networks supported normal recovery in the first six months and it remains to be seen in future studies whether this can predict an early and efficient recovery of brain function.

  2. Indications for computed tomography in patients with mild head injury

    International Nuclear Information System (INIS)

    The factors affecting outcome were analyzed in 1,064 patients, 621 males and 443 females aged 10 to 104 years (mean 46±23 years), with mild head injury (Glasgow Coma Scale [GCS] score≥14) but no neurological signs presenting within 6 hours after injury. Intracranial lesion was found in 4.7% (50/1,064), and 0.66% (7/1,064) required surgical treatment. The Japan Coma Scale (JCS) and GCS assessments were well correlated (r=0.797). Multivariate analysis revealed significant correlations between computed tomography (CT) abnormality and age≥60 years, male sex, JCS score≥1, alcohol consumption, headache, nausea/vomiting, and transient loss of consciousness (LOC)/amnesia. Univariate analysis revealed that pedestrian in a motor vehicle accident, falling from height, and mechanisms of injuries except blows were correlated to intracranial injury. No significant correlations were found between craniofacial soft tissue injury and intracranial injury. Patients with occipital impact, nonfrontal impact, or skull fracture were more likely have intracranial lesions. Bleeding tendency was not correlated with CT abnormality. The following indications were proposed for CT: JCS score>0, presence of accessory symptoms (headache, nausea/vomiting, LOC/amnesia), and age≥60 years. These criteria would reduce the frequency of CT by 29% (309/1,064). Applying these indications to subsequent patients with GCS scores 14-15, 114 of 168 patients required CT, and intracranial lesions were found in 13. Two refused CT. Fifty-four of the 168 patients did not need CT according to the indications, but 38 of the 54 patients actually underwent CT because of social reasons (n=21) or patient request (n=17). These indications for CT including JCS may be useful in the management of patients with mild head injury. (author)

  3. Mild hypothermia reduces cardiac post-ischemic reactive hyperemia

    Directory of Open Access Journals (Sweden)

    Van der Pals Jesper

    2007-02-01

    Full Text Available Abstract Background In experimentally induced myocardial infarction, mild hypothermia (33–35°C is beneficial if applied prior to ischemia or reperfusion. Hypothermia, when applied after reperfusion seems to confer little or no benefit. The mechanism by which hypothermia exerts its cell-protective effect during cardiac ischemia remains unclear. It has been hypothesized that hypothermia reduces the reperfusion damage; the additional damage incurred upon the myocardium during reperfusion. Reperfusion results in a massive increase in blood flow, reactive hyperemia, which may contribute to reperfusion damage. We postulated that hypothermia could attenuate the post-ischemic reactive hyperemia. Methods Sixteen 25–30 kg pigs, in a closed chest model, were anesthetized and temperature was established in all pigs at 37°C using an intravascular cooling catheter. The 16 pigs were then randomized to hypothermia (34°C or control (37°C. The left main coronary artery was then catheterized with a PCI guiding catheter. A Doppler flow wire was placed in the mid part of the LAD and a PCI balloon was then positioned proximal to the Doppler wire but distal to the first diagonal branch. The LAD was then occluded for ten minutes in all pigs. Coronary blood flow was measured before, during and after ischemia/reperfusion. Results The peak flow seen during post-ischemic reactive hyperemia (during the first minutes of reperfusion was significantly reduced by 43 % (p Conclusion Mild hypothermia significantly reduces post-ischemic hyperemia in a closed chest pig model. The reduction of reactive hyperemia during reperfusion may have an impact on cardiac reperfusion injury.

  4. Improved multimodal biomarkers for Alzheimer's disease and mild cognitive impairment diagnosis: data from ADNI

    Science.gov (United States)

    Martinez-Torteya, Antonio; Treviño-Alvarado, Víctor; Tamez-Peña, José

    2013-02-01

    The accurate diagnosis of Alzheimer's disease (AD) and mild cognitive impairment (MCI) confers many clinical research and patient care benefits. Studies have shown that multimodal biomarkers provide better diagnosis accuracy of AD and MCI than unimodal biomarkers, but their construction has been based on traditional statistical approaches. The objective of this work was the creation of accurate AD and MCI diagnostic multimodal biomarkers using advanced bioinformatics tools. The biomarkers were created by exploring multimodal combinations of features using machine learning techniques. Data was obtained from the ADNI database. The baseline information (e.g. MRI analyses, PET analyses and laboratory essays) from AD, MCI and healthy control (HC) subjects with available diagnosis up to June 2012 was mined for case/controls candidates. The data mining yielded 47 HC, 83 MCI and 43 AD subjects for biomarker creation. Each subject was characterized by at least 980 ADNI features. A genetic algorithm feature selection strategy was used to obtain compact and accurate cross-validated nearest centroid biomarkers. The biomarkers achieved training classification accuracies of 0.983, 0.871 and 0.917 for HC vs. AD, HC vs. MCI and MCI vs. AD respectively. The constructed biomarkers were relatively compact: from 5 to 11 features. Those multimodal biomarkers included several widely accepted univariate biomarkers and novel image and biochemical features. Multimodal biomarkers constructed from previously and non-previously AD associated features showed improved diagnostic performance when compared to those based solely on previously AD associated features.

  5. Application of contemporary imaging methods in diagnostics of mild cognitive impairment

    International Nuclear Information System (INIS)

    Mild cognitive impairment (MCI) is defined as a heterogeneous clinical syndrome associated with high risk of the development of dementia, especially Alzheimer disease (AD). Owing to the recent advances in understanding of the molecular phenomena underlying AD there is a chance of introducing effective therapy for this disease in the near future. Therefore, improvement of early diagnostics methods and finding the markers of AD progression, especially in the high risk population of patients with MCI becomes a crucial issue. From the clinical point of view, great expectations are associated with neuroradiologic methods, which are hoped to make it possible to find the markers of conversion from MCI to dementia and the markers of dementia progression in subjects at risk of the development of AD. Growing interest in the problem of MCI diagnostics, reflected in numerous medical publications that have appeared during the recent few years, has prompted the authors to review and summarize the current knowledge concerning the application of modern neuroradiologic methods in the diagnostics of subjects with MCI. (author)

  6. Corrosion behavior of duplex polyaniline/epoxy coating on mild steel in 3% NaCl

    OpenAIRE

    Gvozdenović Milica M.; Grgur Branimir N.; Kačarević-Popović Zorica M.; Mišković-Stanković Vesna B.

    2005-01-01

    The corrosion behavior and thermal stability of epoxy coatings electrodeposited on mild steel and on mild steel with electrochemically deposited polyaniline (PANI) film were investigated by electrochemical impedance spectroscopy (EIS) and thermo gravimetric analysis (TGA). The aim of the paper was to present new findings on the corrosion protection of mild steel by a duplex PANI/-epoxy coating in 3% NaCI solution and to determine the effect of thin PANI film on the protective properties of th...

  7. 1993 guidelines for the management of mild hypertension: memorandum from a WHO/ISH meeting.

    OpenAIRE

    1993-01-01

    The present guidelines were prepared by the Guidelines Sub-Committee of the WHO/ISH (International Society of Hypertension) Mild Hypertension Liaison Committee. They represent the third revision of the WHO/ISH guidelines and were finalized after discussions at the Sixth WHO/ISH Meeting on Mild Hypertension in Chantilly, France, on 28-31 March 1993. The new guidelines discuss the cardiovascular risk in patients with hypertension, the definition and classification of mild hypertension, drug tre...

  8. FDG-PET imaging in mild traumatic brain injury: A critical review

    OpenAIRE

    Byrnes, Kimberly R.; Colin Wilson; Fiona Brabazon; Jennifer Jurgens; Oakes, Terrence R.

    2014-01-01

    Traumatic brain injury (TBI) affects an estimated 1.7 million people in the United States and is a contributing factor to one third of all injury related deaths annually. According to the CDC, approximately 75% of all reported TBIs are concussions or considered mild in form, although the number of unreported mild TBIs and patients not seeking medical attention is unknown. Currently, classification of mild TBI (mTBI) or concussion is a clinical assessment since diagnostic imaging is typically ...

  9. Preserved metamemorial ability in patients with mild Alzheimer’s disease: Shifting response bias

    OpenAIRE

    Waring, Jill D.; Chong, Hyemi; Wolk, David A.; Budson, Andrew E.

    2007-01-01

    Patients with mild Alzheimer’s disease (AD) display a greater tendency to endorse unstudied items as ‘old’ on memory tests than healthy older adults. This liberal response bias may result in mistaken beliefs about the completion of common tasks. This research attempted to determine whether it was possible to shift the response bias of mild AD patients to be more conservative on a recognition memory test through behavioral intervention. Patients with mild AD and matched controls were evaluated...

  10. Heterogeneity in executive impairment in patients with very mild Alzheimer's disease

    DEFF Research Database (Denmark)

    Stokholm, Jette; Vogel, Asmus; Gade, Anders;

    2006-01-01

    The presence of executive impairment in mild Alzheimer's disease (AD) has primarily been demonstrated by means of group comparison. Whether executive dysfunction is a common feature of mild AD or only present in a subgroup of patients remains unclear. The aim of this study was to describe the...... frequency of impairment on a set of internationally well-known executive tests in patients with very mild AD....

  11. Parenting with Mild Intellectual Deficits: Parental Expectations and the Educational Attainment of their Children

    OpenAIRE

    Taylor, Julie Lounds; Hurd, Heather Doescher; Seltzer, Marsha Mailick; Greenberg, Jan S.; Floyd, Frank J.

    2010-01-01

    This study examined how educational expectations parents with mild intellectual deficits had for their children shaped their children’s attainment, and how parents’ own intellectual limitations affected this process. We identified 612 parents with mild intellectual deficits and 2712 comparison parents from the Wisconsin Longitudinal Study, a prospective longitudinal study that followed participants from ages 18 to 64. Compared to the norm, parents with mild intellectual deficits expected thei...

  12. Audiological issues and hearing loss among Veterans with mild traumatic brain injury

    OpenAIRE

    Michael Oleksiak; Bridget M. Smith, PhD; Justin R. St. Andre, MA; Carly M. Caughlan, AuD; Monica Steiner, MD

    2012-01-01

    We examined the prevalence, severity, etiology, and treatment of audiology problems among Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) Veterans with mild traumatic brain injury (TBI). A retrospective chart review was performed of 250 Veterans with mild TBI. Results of a comprehensive second-level mild TBI evaluation and subsequent visits to audiology were evaluated. We found the vast majority (87%) of Veterans reported some level of hearing disturbance and those involved in bl...

  13. Oxidative stress and APO E polymorphisms in Alzheimer's disease and in mild cognitive impairment.

    Science.gov (United States)

    Chico, L; Simoncini, C; Lo Gerfo, A; Rocchi, A; Petrozzi, L; Carlesi, C; Volpi, L; Tognoni, G; Siciliano, G; Bonuccelli, U

    2013-08-01

    A number of evidences indicates oxidative stress as a relevant pathogenic factor in Alzheimer's disease (AD) and mild cognitive impairment (MCI). Considering its recognized major genetic risk factors in AD, apolipoprotein (APO E) has been investigated in several experimental settings regarding its role in the process of reactive oxygen species (ROS) generation. The aim of this work has been to evaluate possible relationships between APO E genotype and plasma levels of selected oxidative stress markers in both AD and MCI patients. APO E genotypes were determined using restriction enzyme analysis. Plasma levels of oxidative markers, advanced oxidation protein products, iron-reducing ability of plasma and, in MCI, activity of superoxide dismutases were evaluated using spectrophotometric analysis. We found, compared to controls, increased levels of oxidized proteins and decreased values of plasma-reducing capacity in both AD patients (p < 0.0001) and MCI patients (p < 0.001); the difference between AD and MCI patients was significant only for plasma-reducing capacity (p < 0.0001), the former showing the lowest values. Superoxide dismutase activity was reduced, although not at statistical level, in MCI compared with that in controls. E4 allele was statistically associated (p < 0.05) with AD patients. When comparing different APO E genotype subgroups, no difference was present, as far as advanced oxidation protein products and iron-reducing ability of plasma levels were concerned, between E4 and non-E4 carriers, in both AD and MCI; on the contrary, E4 carriers MCI patients showed significantly decreased (p < 0.05) superoxide dismutase activity with respect to non-E4 carriers. This study, in confirming the occurrence of oxidative stress in AD and MCI patients, shows how it can be related, at least for superoxide dismutase activity in MCI, to APO E4 allele risk factor. PMID:23668794

  14. Computing the continuous discretely

    CERN Document Server

    Beck, Matthias

    2015-01-01

    This richly illustrated textbook explores the amazing interaction between combinatorics, geometry, number theory, and analysis which arises in the interplay between polyhedra and lattices. Highly accessible to advanced undergraduates, as well as beginning graduate students, this second edition is perfect for a capstone course, and adds two new chapters, many new exercises, and updated open problems. For scientists, this text can be utilized as a self-contained tooling device. The topics include a friendly invitation to Ehrhart’s theory of counting lattice points in polytopes, finite Fourier analysis, the Frobenius coin-exchange problem, Dedekind sums, solid angles, Euler–Maclaurin summation for polytopes, computational geometry, magic squares, zonotopes, and more. With more than 300 exercises and open research problems, the reader is an active participant, carried through diverse but tightly woven mathematical fields that are inspired by an innocently elementary question: What are the relationships betwee...

  15. Does gender matter? Differences in social-emotional behavior among infants and toddlers before and after mild traumatic brain injury: a preliminary study.

    Science.gov (United States)

    Kaldoja, Mari-Liis; Kolk, Anneli

    2015-06-01

    Traumatic brain injury is a common cause of acquired disability in childhood. While much is known about cognitive sequelae of brain trauma, gender-specific social-emotional problems in children with mild traumatic brain injury is far less understood. The aims of the study were to investigate gender differences in social-emotional behavior before and after mild traumatic brain injury. Thirty-five 3- to 65-month-old children with mild traumatic brain injury and 70 controls were assessed with Ages and Stages Questionnaires: Social-Emotional. Nine months later, 27 of 35 patients and 54 of 70 controls were reassessed. We found that before injury, boys had more self-regulation and autonomy difficulties and girls had problems with adaptive functioning. Nine months after injury, boys continued to struggle with self-regulation and autonomy and new difficulties with interaction had emerged, whereas in girls, problems in interaction had evolved. Even mild traumatic brain injury in early childhood disrupts normal social-emotional development having especially devastating influence on interaction skills. PMID:25143483

  16. Remark on Regularity of Continuous Operators on AL-Spaces

    Institute of Scientific and Technical Information of China (English)

    冯勋省; 陈滋利

    2004-01-01

    Let E and F be Banach lattices. It is known that if every continuous linear operator from E into F is regular, then, under some mild assumptions on E or F, either E is lattice isomorphic to an AL-space or F is lattice isomorphic to an AM-space. Here we present a characterization on an AL-space E such that every bounded linear operator from E into a Banach lattice is regular. A counterexample is also provided, which shows that the results are unexpected even if the domain is an AL-space or the range space is an AM-space.

  17. Continuous ring furnaces

    Energy Technology Data Exchange (ETDEWEB)

    De Stefani, G.; Genevois, J.L.; Paolo, P.

    1981-01-06

    A smoke conducting apparatus for use particularly with continuous ring furnaces (e.g., Hoffman furnaces) wherein each furnace chamber is connected to the smoke channel, the latter being a metal pipe inclined slightly from horizontal and provided with one or more traps along the length of its bottom surface, each trap containing a removable receptacle, and heating means being disposed along the bottom of the channel to fluidize tarry deposits of combustion products so that such deposits will flow by gravity into the removable receptacle.

  18. Nocturnal continuous glucose monitoring

    DEFF Research Database (Denmark)

    Bay, Christiane; Kristensen, Peter Lommer; Pedersen-Bjergaard, Ulrik;

    2013-01-01

    Abstract Background: A reliable method to detect biochemical nocturnal hypoglycemia is highly needed, especially in patients with recurrent severe hypoglycemia. We evaluated reliability of nocturnal continuous glucose monitoring (CGM) in patients with type 1 diabetes at high risk of severe...... from 23:00 to 07:00 h for plasma glucose (PG) measurements (gold standard). Results: Valid data were obtained in 217 nights. The sensitivity of CGM was 65% (95% confidence interval, 53-77%) below 4 mmol/L, 40% (24-56%) below 3 mmol/L, and 17% (0-47%) below 2.2 mmol/L. PG and CGM readings correlated in...

  19. Continuous multivariate exponential extension

    International Nuclear Information System (INIS)

    The Freund-Weinman multivariate exponential extension is generalized to the case of nonidentically distributed marginal distributions. A fatal shock model is given for the resulting distribution. Results in the bivariate case and the concept of constant multivariate hazard rate lead to a continuous distribution related to the multivariate exponential distribution (MVE) of Marshall and Olkin. This distribution is shown to be a special case of the extended Freund-Weinman distribution. A generalization of the bivariate model of Proschan and Sullo leads to a distribution which contains both the extended Freund-Weinman distribution and the MVE

  20. Continuous Shearlet Tight Frames

    KAUST Repository

    Grohs, Philipp

    2010-10-22

    Based on the shearlet transform we present a general construction of continuous tight frames for L2(ℝ2) from any sufficiently smooth function with anisotropic moments. This includes for example compactly supported systems, piecewise polynomial systems, or both. From our earlier results in Grohs (Technical report, KAUST, 2009) it follows that these systems enjoy the same desirable approximation properties for directional data as the previous bandlimited and very specific constructions due to Kutyniok and Labate (Trans. Am. Math. Soc. 361:2719-2754, 2009). We also show that the representation formulas we derive are in a sense optimal for the shearlet transform. © 2010 Springer Science+Business Media, LLC.

  1. Continuity and consensus

    DEFF Research Database (Denmark)

    Abrahamson, Peter

    2010-01-01

    maternal leave. These changes can be explained as adjustments to post-industrial conditions within a political culture relying on class compromises and a broad consensus informed by expert advice coming from civil servants and ad hoc policy commissions. The paper concludes that changes in Danish family...... policy reflect changing conditions for employment and the minding of children and that there has been a high degree of continuity and consensus about the change, as indicated by the strong increase in female labour market involvement....

  2. Continuously adjustable Pulfrich spectacles

    Science.gov (United States)

    Jacobs, Ken; Karpf, Ron

    2011-03-01

    A number of Pulfrich 3-D movies and TV shows have been produced, but the standard implementation has inherent drawbacks. The movie and TV industries have correctly concluded that the standard Pulfrich 3-D implementation is not a useful 3-D technique. Continuously Adjustable Pulfrich Spectacles (CAPS) is a new implementation of the Pulfrich effect that allows any scene containing movement in a standard 2-D movie, which are most scenes, to be optionally viewed in 3-D using inexpensive viewing specs. Recent scientific results in the fields of human perception, optoelectronics, video compression and video format conversion are translated into a new implementation of Pulfrich 3- D. CAPS uses these results to continuously adjust to the movie so that the viewing spectacles always conform to the optical density that optimizes the Pulfrich stereoscopic illusion. CAPS instantly provides 3-D immersion to any moving scene in any 2-D movie. Without the glasses, the movie will appear as a normal 2-D image. CAPS work on any viewing device, and with any distribution medium. CAPS is appropriate for viewing Internet streamed movies in 3-D.

  3. Australia: a continuing genocide?

    Science.gov (United States)

    Short, Damien

    2010-01-01

    Debates about genocide in Australia have for the most part focussed on past frontier killings and child removal practices. This article, however, focuses on contemporary culturally destructive policies, and the colonial structures that produce them, through the analytical lens of the concept of genocide. The article begins with a discussion of the meaning of cultural genocide, locating the idea firmly in Lemkin's work before moving on to engage with the debates around Lemkin's distinction between genocide and cultural 'diffusion.' In contrast to those scholars who prefer the word 'ethnocide,' the underlying conceptual contention is that the term 'cultural genocide' simply describes a key method of genocide and should be viewed, without the need for qualification, as genocide. While direct physical killing and genocidal child removal practices may have ceased in Australia, some indigenous activists persuasively contend that genocide is a continuing process in an Australia that has failed to decolonise. Concurring with these views the article argues that the contemporary expression of continuing genocidal relations in Australia can be seen principally, and perversely, in the colonial state's official reconciliation process, native title land rights regime and the recent interventionist 'solutions' to indigenous 'problems' in the Northern Territory. PMID:20941881

  4. Continued fraction interpolation

    International Nuclear Information System (INIS)

    Interpolation by rational functions is especially useful for applications in which there are extended function ranges for abbreviated domains of definition. A particular case in point is the set of soil characteristic curves relating hydraulic conductivity, moisture content, and pressure head. In calculating the flow of fluids in unsaturated media, it is convenient to have values for both these curves and their derivatives. A relatively simple and accurate way to obtain both the curves and their derivatives from sparse data is via continued fraction interpolation. By defining the nth approximant F'/sub n/ of a continued fraction interpolant F/sub n/(x) = b1 + H/sub n-1/(x), where H1 - 1/b/sub n/; H/sub i/ = (x - x/sub n-1/)/(b/sub n-i+ H/sub i-1/); i = 2, ..., n-1; a very simple recursive for F'/sub n/(x) is derived as F/sub n/(x) = H'/sub n-1/

  5. Exploring Continuous Tensegrities

    CERN Document Server

    Ashton, Ted

    2007-01-01

    A discrete tensegrity framework can be thought of as a graph in Euclidean n-space where each edge is of one of three types: an edge with a fixed length (bar) or an edge with an upper (cable) or lower (strut) bound on its length. Roth and Whiteley, in their 1981 paper "Tensegrity Frameworks", showed that in certain cases, the struts and cables can be replaced with bars when analyzing the framework for infinitesimal rigidity. In that case we call the tensegrity "bar equivalent". In specific, they showed that if there exists a set of positive weights, called a positive "stress", on the edges such that the weighted sum of the edge vectors is zero at every vertex, then the tensegrity is bar equivalent. In this paper we consider an extended version of the tensegrity framework in which the vertex set is a (possibly infinite) set of points in Euclidean n-space and the edgeset is a compact set of unordered pairs of vertices. These are called "continuous tensegrities". We show that if a continuous tensegrity has a stri...

  6. Statistical parametric mapping in the detection of rCBF changes in mild Alzheimer`s disease

    Energy Technology Data Exchange (ETDEWEB)

    Rowe, C.; Barnden, L.; Boundy, K.; McKinnon, J.; Liptak, M. [The Queen Elizabeth Hospital, Adelaide, SA (Australia). Departments of Nuclear Medicine and Neurology

    1998-06-01

    Full text: Reduction in temporoparietal regional cerebral blood flow (rCBF) is proportional to the degree of cognitive deficit in patients with Alzheimer`s Disease (AD). The characteristic pattern is readily apparent in advanced disease but is often subtle in early stage AD, reducing the clinical value of SPECT in the management of this condition. We have previously reported that Statistical Parametric Mapping (SPM95) revealed significant temporoparietal hypoperfusion when 10 patients with mild AD (classified by the Clinical Dementia Rating Scale) were compared to 10 age matched normals. We have now begun to evaluate the sensitivity and specificity of SPM95 in individuals with mild AD by comparison to our bank of 39 normals (30 female, 9 male, age range 26 to 74, mean age 52). Preliminary results reveal low sensitivity (<40%) when the standard reference region for normalization (i.e. global brain counts) is used. Better results are expected from normalizing to the cerebellum or basal ganglia and this is under investigation. An objective method to improve the accuracy of rCBF imaging for the diagnosis of early AD would be very useful in clinical practice. This study will demonstrate whether SPM can fulfill this role

  7. Discussion on advanced manufacturing

    Institute of Scientific and Technical Information of China (English)

    WANG Xiankui

    2007-01-01

    Advanced manufacturing consists of continuity of manufacturing,its broad sense,and the core of the manufacturing process.The technology of continuous manufacturing is discussed according to both historical and modern perspectives.The relationship between human development and manufacturing technology is also discussed.Manufacturing is a continuously evolving topic.It is not only the foundation and means of imagination,conception,the science,and the technology of material change,but also the expression of national economy,national defense,and the support industries.The broad sense of manufacturing theory,which extends the concept of manufacturing,is an important development in the 20th century.The sense is analyzed in connection with design,material forming theory,synthesis of manufacturing technology,manufacturing modes,life cycle of product,hardware and sottware,and support environment,etc.At the same time,the core action and the development of the theory and technology of process is also discussed.At the end of this paper,the development directions of mechanical manufacturing science and technology are mentioned.

  8. Continuous steel production and apparatus

    Science.gov (United States)

    Peaslee, Kent D.; Peter, Jorg J.; Robertson, David G. C.; Thomas, Brian G.; Zhang, Lifeng

    2009-11-17

    A process for continuous refining of steel via multiple distinct reaction vessels for melting, oxidation, reduction, and refining for delivery of steel continuously to, for example, a tundish of a continuous caster system, and associated apparatus.

  9. Future advances.

    Science.gov (United States)

    Celesia, Gastone G; Hickok, Gregory

    2015-01-01

    Future advances in the auditory systems are difficult to predict, and only educated guesses are possible. It is expected that innovative technologies in the field of neuroscience will be applied to the auditory system. Optogenetics, Brainbow, and CLARITY will improve our knowledge of the working of neural auditory networks and the relationship between sound and language, providing a dynamic picture of the brain in action. CLARITY makes brain tissue transparent and offers a three-dimensional view of neural networks, which, combined with genetically labeling neurons with multiple, distinct colors (Optogenetics), will provide detailed information of the complex brain system. Molecular functional magnetic resonance imaging (MRI) will allow the study of neurotransmitters detectable by MRI and their function in the auditory pathways. The Human Connectome project will study the patterns of distributed brain activity that underlie virtually all aspects of cognition and behavior and determine if abnormalities in the distributed patterns of activity may result in hearing and behavior disorders. Similarly, the programs of Big Brain and ENIGMA will improve our understanding of auditory disorders. New stem-cell therapy and gene therapies therapy may bring about a partial restoration of hearing for impaired patients by inducing regeneration of cochlear hair cells. PMID:25726297

  10. Differences in the epidemiology and virology of mild, severe and fatal human infections with avian influenza A (H7N9) virus.

    Science.gov (United States)

    Sha, Jianping; Chen, Xiaowen; Ren, Yajin; Chen, Haijun; Wu, Zuqun; Ying, Dong; Zhang, Zhiruo; Liu, Shelan

    2016-05-01

    A novel avian influenza A (H7N9) virus caused 5-10 % mild and 30.5 % fatal human infections as of December 10, 2015. In order to investigate the reason for the higher rate of fatal outcome of this infection, this study compared the molecular epidemiology and virology of avian influenza A (H7N9) viruses from mild (N = 14), severe (N = 50) and fatal (N = 35) cases, as well as from non-human hosts (N = 73). The epidemiological results showed that the average age of the people in the mild, severe and fatal groups was 27.6, 52 and 62 years old, respectively (p < 0.001). Males accounted for 42.9 % (6/14), 58.0 % (29/50), and 74.3 % (26/35) of cases in the mild, severe and fatal group respectively (p = 0.094). Median days from onset to start of antiviral treatment were 2, 5 and 7 days in the mild, severe and fatal group, respectively (p = 0.002). The median time from onset to discharge/death was 12, 40 and 19 days in the mild, severe and fatal group, respectively (p < 0.001). Analysis of whole genome sequences showed that PB2 (E627K), NA (R294K) and PA (V100A) mutations were markedly associated with an increased fatality rate, while HA (N276D) and PB2 (N559T) mutations were clearly related to mild cases. There were no differences in the genotypes, adaptation to mammalian hosts, and genetic identity between the three types of infection. In conclusion, advanced age and delayed confirmation of diagnosis and antiviral intervention were risk factors for death. Furthermore, PB2 (E627K), NA (R294K) and PA (V100A) mutations might contribute to a fatal outcome in human H7N9 infection. PMID:26887968

  11. Functional Disorganization of Small-World Brain Networks in mild Alzheimer’s Disease and amnestic Mild Cognitive Impairment: An EEG Study using Relative Wavelet Entropy (RWE)

    OpenAIRE

    Frantzidis, Christos A.; Vivas, Ana B.; Anthoula eTsolaki; Klados, Manousos A.; Magda eTsolaki; Panagiotis D Bamidis

    2014-01-01

    Previous neuroscientific findings have linked Alzheimer's Disease (AD) with less efficient information processing and brain network disorganization. However, pathological alterations of the brain networks during the preclinical phase of amnestic Mild Cognitive Impairment (aMCI) remain largely unknown. The present study aimed at comparing patterns of the detection of functional disorganization in MCI relative to Mild Dementia (MD). Participants consisted of 23 cognitively healthy adults, 17 aM...

  12. Differences and the Relationship in Default Mode Network Intrinsic Activity and Functional Connectivity in Mild Alzheimer's Disease and Amnestic Mild Cognitive Impairment

    OpenAIRE

    Weiler, Marina; Teixeira, Camila Vieira Ligo; Nogueira, Mateus Henrique; de Campos, Brunno Machado; Damasceno, Benito Pereira; Cendes, Fernando; Balthazar, Marcio Luiz Figueredo

    2014-01-01

    There is evidence that the default mode network (DMN) functional connectivity is impaired in Alzheimer's disease (AD) and few studies also reported a decrease in DMN intrinsic activity, measured by the amplitude of low-frequency fluctuations (ALFFs). In this study, we analyzed the relationship between DMN intrinsic activity and functional connectivity, as well as their possible implications on cognition in patients with mild AD and amnestic mild cognitive impairment (aMCI) and healthy control...

  13. A Reanalysis of Cognitive-Functional Performance in Older Adults: Investigating the Interaction Between Normal Aging, Mild Cognitive Impairment, Mild Alzheimer's Disease Dementia, and Depression

    OpenAIRE

    Jonas J. de Paula; Bicalho, Maria A.; Ávila, Rafaela T.; Cintra, Marco T. G.; Breno S. Diniz; Romano-Silva, Marco A.; Leandro F. Malloy-Diniz

    2016-01-01

    Depressive symptoms are associated with cognitive-functional impairment in normal aging older adults (NA). However, less is known about this effect on people with mild Cognitive Impairment (MCI) and mild Alzheimer's disease dementia (AD). We investigated this relationship along with the NA-MCI-AD continuum by reanalyzing a previously published dataset. Participants (N = 274) underwent comprehensive neuropsychological assessment including measures of Executive Function, Language/Semantic Memor...

  14. The VRLA modular wound design for 42 V mild hybrid systems

    Science.gov (United States)

    Trinidad, F.; Gimeno, C.; Gutiérrez, J.; Ruiz, R.; Sainz, J.; Valenciano, J.

    Mild hybrid vehicles with 42 V electrical systems require advanced batteries with low cost, very high reliability and peak power performance. Valve-regulated lead-acid (VRLA) batteries could provide better performance/cost ratio than any other electrochemical couples, by improving their cycle life performance at partial state-of-charge (SoC), charge acceptance of the negative plate and thermal management under power assist conditions. Modular wound designs are being developed for this application, because they can combine the best attributes of the high power VRLA designs (low resistance and high compression) with a more efficient thermal management and could improve reliability by reducing the potential cell failures in manufacturing (better quality control could be assured for individual 3-cell modules than for complete 18-cell block batteries). Thermal management is an important issue for VRLA batteries in a power assist cycling profile. Although water cooling is very efficient, it is not economical and increases the weight of the complete storage system. The modular VRLA design allows air circulation around the external walls of every cell in order to maintain the temperature around 40 °C, even at very high power cycling profiles. In order to increase the life at higher depth-of-discharge (DoD) and consequently to optimise the weight of the complete battery systems, a new 6 V module has been designed with improved thermal management features. Cycle life performance under partial-SoC conditions (around 60% SoC) has been tested in both 6 and 12 V modules. The basic power assist profile as specified by the European car manufacturers is composed of a high power discharge (boost) period followed by a rest (cruise) and recharge in three steps (regenerative braking). Very good results have been obtained for 12 V VRLA spiral wound batteries under power assist profile (more than 200,000 cycles at 1.25% DoD, equivalent to 2500 times the nominal capacity), but smaller 6

  15. Knowledge and Continuous Innovation

    DEFF Research Database (Denmark)

    Boer, Harry; Caffyn, S.; Corso, M.;

    1999-01-01

    Competition today is forcing companies to increase their effectiveness through exploiting synergy and learning in product innovation. Literature, however, is still mainly focused on how product development projects, seen largely as isolated efforts, should be organised and managed. This article...... based on collaborative research by the authors, based on their involvement in the Euro-Australian co-operation project CIMA (Euro-Australian co-operation centre for Continuous Improvement and innovation MAnagement)....... proposes a model to describe and explain how companies can gain a substantive competitive advantage by extending their innovation efforts to other phases of the product life cycle and by facilitating knowledge transfer and learning both within the company and with other partner organisations. The model is...

  16. Continuous radioisotope infusion

    International Nuclear Information System (INIS)

    Continuous infusion of a radioactive marker was used instead of a conventional bolus injection to improve haemodynamic studies. Tc-99m was infused into the blood circulation at a constant rate for 100-300 seconds and the activity in the target structure was measured by a gamma camera with a computer system or by a single detector. The concentration of the marker increased linearly at the same rate throughout the circulating system. Due to variations in transport time from infusion site to different parts of the system the rise of activity occurred at different times. A theory for the calculations was presented and consequently confirmed in a model study. Blood flow patterns in artificial kidneys and alterations in renal blood flow induced by angiotensin were studied. The results are presented as time-function curves or as computer images. This technique can be used to evaluate distributions and alterations of flow in separate parts of a complex circulating system. (author)

  17. Spaces of continuous functions

    CERN Document Server

    Groenewegen, G L M

    2016-01-01

    The space C(X) of all continuous functions on a compact space X carries the structure of a normed vector space, an algebra and a lattice. On the one hand we study the relations between these structures and the topology of X, on the other hand we discuss a number of classical results according to which an algebra or a vector lattice can be represented as a C(X). Various applications of these theorems are given. Some attention is devoted to related theorems, e.g. the Stone Theorem for Boolean algebras and the Riesz Representation Theorem. The book is functional analytic in character. It does not presuppose much knowledge of functional analysis; it contains introductions into subjects such as the weak topology, vector lattices and (some) integration theory.

  18. Broader Considerations of Higher Doses of Donepezil in the Treatment of Mild, Moderate, and Severe Alzheimer's Disease

    Directory of Open Access Journals (Sweden)

    Camryn Berk

    2012-01-01

    Full Text Available Donepezil, a highly selective acetylcholinesterase inhibitor (AChEI, is approved as a symptomatic treatment mild, moderate, and severe Alzheimer's disease (AD. Donepezil exerts its treatment effect through multiple mechanisms of action including nicotinic receptor stimulation, mitigation of excitotoxicity, and influencing APP processing. The use of donepezil at higher doses is justified given the worsening cholinergic deficit as the disease advances. Donepezil has been investigated in several clinical trials of subjects with moderate-to-severe AD. While the side effects are class specific (cholinergically driven, demonstrable benefit has been shown at the 10 mg dose and the 23 mg doses. Here, we review the clinical justification, efficacy, safety, and tolerability of use of donepezil in the treatment of moderate-to-severe AD.

  19. Perspectives on creating clinically relevant blast models for mild traumatic brain injury and post traumatic stress disorder symptoms

    Directory of Open Access Journals (Sweden)

    Lisa eBrenner

    2012-03-01

    Full Text Available Military personnel are returning from Iraq and Afghanistan and reporting non-specific physical (somatic, behavioral, psychological, and cognitive symptoms. Many of these symptoms are frequently associated with mild traumatic brain injury (mTBI and/or post traumatic stress disorder (PTSD. Despite significant attention and advances in assessment and intervention for these two conditions, challenges persist. To address this, clinically relevant blast models are essential in the full characterization of this type of injury, as well as in the testing and identification of potential treatment strategies. In this publication, existing diagnostic challenges and current treatment practices for mTBI and/or PTSD will be summarized, along with suggestions regarding how what has been learned from existing models of PTSD and traditional mechanism (e.g., non-blast TBI can be used to facilitate the development of clinically relevant blast models.

  20. Methodological advances

    Directory of Open Access Journals (Sweden)

    Lebreton, J.-D.

    2004-06-01

    Full Text Available The study of population dynamics has long depended on methodological progress. Among many striking examples, continuous time models for populations structured in age (Sharpe & Lotka, 1911 were made possible by progress in the mathematics of integral equations. Therefore the relationship between population ecology and mathematical and statistical modelling in the broad sense raises a challenge in interdisciplinary research. After the impetus given in particular by Seber (1982, the regular biennial EURING conferences became a major vehicle to achieve this goal. It is thus not surprising that EURING 2003 included a session entitled “Methodological advances”. Even if at risk of heterogeneity in the topics covered and of overlap with other sessions, such a session was a logical way of ensuring that recent and exciting new developments were made available for discussion, further development by biometricians and use by population biologists. The topics covered included several to which full sessions were devoted at EURING 2000 (Anderson, 2001 such as: individual covariates, Bayesian methods, and multi–state models. Some other topics (heterogeneity models, exploited populations and integrated modelling had been addressed by contributed talks or posters. Their presence among “methodological advances”, as well as in other sessions of EURING 2003, was intended as a response to their rapid development and potential relevance to biological questions. We briefly review all talks here, including those not published in the proceedings. In the plenary talk, Pradel et al. (in prep. developed GOF tests for multi–state models. Until recently, the only goodness–of–fit procedures for multistate models were ad hoc, and non optimal, involving use of standard tests for single state models (Lebreton & Pradel, 2002. Pradel et al. (2003 proposed a general approach based in particular on mixtures of multinomial distributions. Pradel et al. (in prep. showed