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Sample records for alendronate improve metaphyseal

  1. Alendronate

    Science.gov (United States)

    ... follow these instructions: You must take alendronate just after you get out of bed in the morning, before ... cup (2 ounces [60 mL]) of plain water after you take alendronate solution. Never take alendronate tablets or ...

  2. Alendronate improves QOL of postmenopausal women with osteoporosis

    Directory of Open Access Journals (Sweden)

    Hisaya Kawate

    2010-04-01

    Full Text Available Hisaya Kawate1, Keizo Ohnaka2, Masahiro Adachi1, Suminori Kono3, Hideyuki Ikematsu4, Hisashi Matsuo5, Kazumi Higuchi6, Takehiko Takayama7, Ryoichi Takayanagi11Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; 2Department of Geriatric Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; 3Department of Preventive Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan; 4Internal Medicine, Haradoi Hospital, Fukuoka, Japan; 5Matsuo Naika Hospital, Fukuoka, Japan; 6Fukuoka Teishin Hospital, Fukuoka, Japan; 7Takayama Icho-ka and Naika Clinic, Fukuoka, JapanPurpose: Postmenopausal osteoporosis causes bone fracture as well as pain, physical, psychological and socially adverse effects, which affects a patient’s quality of life (QOL. The effect of alendronate on QOL was investigated compared with that of alfacalcidol in postmenopausal osteoporotic women.Patients and methods: A total of 44 postmenopausal osteoporotic women (mean age 69.8 years with back or joint pain, although capable of walking, were randomly assigned to two groups; group A (n = 25 received 5 mg/day of alendronate, and group B (n = 19 received 0.5 μg/day of alfacalcidol, for the first 4 months. For the following 2 months, the group A received 0.5 μg/day of alfacalcidol and the group B received 5 mg/day of alendronate in a crossover design. The patient’s QOL was evaluated by score of Japanese Osteoporosis Quality of Life Questionnaire (JOQOL, and pain intensity using a visual analog scale (VAS. Bone metabolism was measured by bone mineral density (BMD and a biomarker for bone resorption, urinary crosslinked N-terminal telopeptide of type I collagen (NTX.Results: With 4-month treatment, alendronate, but not alfacalcidol, improved pain-related QOL, reduced joint pain by VAS, and increased bone mineral density. Both treatments significantly reduced bone resorption, the

  3. Systemic alendronate treatment improves fixation of press-fit implants: a canine study using nonloaded implants

    DEFF Research Database (Denmark)

    Jensen, Thomas B; Bechtold, Joan E; Chen, Xinqian; Søballe, Kjeld

    2007-01-01

    Bone resorption associated with local trauma occurring during insertion of joint prostheses is recognized as an early event. Being an osteoclastic inhibitor, alendronate is a potential candidate means to decrease early periprosthetic bone resorption and thereby improve implant fixation. We...... investigated the influence of oral alendronate treatment on early implant fixation in two implant interface settings representing sites of an implant that are in contact with surrounding bone, and other sites without intimate bone contact. One plasma-sprayed cylindrical titanium implant (6 mm diameter) was...... inserted into each proximal tibia of 16 dogs. On one side the implant was inserted press-fit whereas on the contralateral side, the implants were surrounded by a 2 mm concentric gap. Oral alendronate (0.5 mg/kg/day) was given 2 weeks following surgery to eight dogs. The dogs were euthanized after 10 weeks...

  4. Improvement of cancellous bone microstructure in patients on teriparatide following alendronate pretreatment.

    Science.gov (United States)

    Fahrleitner-Pammer, Astrid; Burr, David; Dobnig, Harald; Stepan, Jan J; Petto, Helmut; Li, Jiliang; Krege, John H; Pavo, Imre

    2016-08-01

    An increase in procollagen type I amino-terminal propeptide (PINP) early after teriparatide initiation was shown to correlate with increased lumbar spine areal BMD and is a good predictor of the anabolic response to teriparatide. Few data exist correlating PINP and bone microstructure, and no data exist in patients on teriparatide following prior potent antiresorptive treatment. This exploratory analysis aimed to investigate the effects of teriparatide on cancellous bone microstructure and correlations of bone markers with microstructure in alendronate-pretreated patients. This was a post hoc analysis of changes in bone markers and three-dimensional indices of bone microstructure in paired iliac crest biopsies from a prospective teriparatide treatment study in postmenopausal women with osteoporosis who were either treatment-naïve (TN, n=16) or alendronate-pretreated (ALN, n=29) at teriparatide initiation. Teriparatide (20μg/day) was given for 24months; biopsies were taken at baseline and endpoint, and serum concentrations of PINP and type 1 collagen cross-linked C-telopeptide (βCTX) were measured at intervals up to 24months. In the TN and ALN groups, respectively, mean (SD) increases in three-dimensional bone volume/tissue volume were 105 (356)% (P=0.039) and 55 (139)% (P<0.005) and trabecular thickness 30.4 (30)% (P<0.001) and 30.8 (53)% (P<0.001). No significant changes were observed in trabecular number or separation. In the ALN patients, 3-month change of neither PINP nor βCTX correlated with indices of cancellous bone microstructure. However, 12-month changes in biochemical bone markers correlated significantly with improvements in bone volume/tissue volume, r=0.502 (P<0.01) and r=0.378 (P<0.05), trabecular number, r=0.559 (P<0.01) and r=0.515 (P<0.01), and reduction of trabecular separation, r=-0.432 (P<0.05) and r=-0.530 (P<0.01), for PINP and βCTX, respectively. We conclude that cancellous bone microstructure improved with teriparatide therapy

  5. Metaphysically Reductive Causation

    OpenAIRE

    Hall, Edward J; Paul, L. A.

    2013-01-01

    There are, by now, many rival, sophisticated philosophical accounts of causation that qualify as ‘metaphysically reductive’. A good thing: these collective efforts have vastly improved our understanding of causation over the last 30 years or so. They also put us in an excellent position to reflect on some central methodological questions: What exactly is the point of offering a metaphysical reduction of causation? What philosophical scruples ought to guide the pursuit of such a reduction? Fin...

  6. Linhas escleróticas metafisárias em crianças e adolescentes em uso de alendronato Sclerotic metaphyseal lines in children and adolescents treated with alendronate

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    Érika C.C. Silva

    2010-06-01

    Full Text Available INTRODUÇÃO: Os bisfosfonatos inibem a reabsorção óssea pela interferência na ação dos osteoclastos. Dentre os efeitos adversos, as linhas escleróticas em metáfise de ossos longos são descritas como principal alteração radiográfica na faixa etária pediátrica. OBJETIVO: Avaliar a frequência de alterações radiográficas causadas pelo alendronato utilizado em crianças e adolescentes com baixa densidade óssea ou calcinose. PACIENTES E MÉTODOS: Foi realizado um estudo do tipo coorte retrospectiva analisando-se prontuários de 21 pacientes que fizeram uso de alendronato semanal por no mínimo 10 meses. Os pacientes realizaram radiografias de ossos longos antes do início do alendronato e aproximadamente um ano após o seu uso. RESULTADOS: Onze pacientes (52,3% apresentaram linhas escleróticas em metáfise dos ossos longos. A localização mais frequente foi em tíbia (8/11 pacientes, seguida de fêmur (7/11, úmero (6/11, rádio (4/11, ulna (3/11 e fíbula (2/11. Nenhum paciente apresentou regress��o das alterações radiográficas durante o tempo de evolução (até 1,1 ano após a suspensão do alendronato. CONCLUSÃO: Se usado com critério, o alendronato é seguro e as alterações radiográficas não mostraram ter um significado mais importante.INTRODUCTION: Bisphosphonates inhibit bone resorption by interfering with the action of osteoclasts. Among the adverse effects, sclerotic lines observed in the metaphysis of long bones have been described as the main imaging finding in pediatric patients. OBJECTIVE: To evaluate the frequency of radiographic changes caused by alendronate in children and adolescents with low bone density or calcinosis. PATIENTS AND METHODS: We conducted a cross-sectional study with 21 patients who were treated with once-weekly alendronate for at least 10 months. Patients underwent x-rays of long bones before the start of alendronate and approximately one year after its use. RESULTS: Eleven patients

  7. On the absorption of alendronate in rats.

    Science.gov (United States)

    Lin, J H; Chen, I W; deLuna, F A

    1994-12-01

    Alendronate is an antiosteolytic agent under investigation for the treatment of a number of bone disorders. Since the compound is a zwitterion with five pKa values and is completely ionized in the intestine at the physiological pH, absorption is poor; less than 1% of an oral dose is available systemically in rats. In the present studies, absorption was found to be predominantly in the upper part of the small intestine. Administration of buffered solutions of alendronate (pH 2-11) did not improve absorption. Whereas food markedly impaired the absorption of alendronate, EDTA enhanced absorption in a dose-dependent manner. Pretreatment of rats with ulcerogenic agents, mepirizole, acetylsalicylic acid, or indomethacin, resulted in a 3-7-fold increase in the oral absorption of alendronate. The absorption of phenol red, added as an indicator of intestinal tissue damage, was also increased in rats with experimental peptic ulcers. The enhanced absorption of alendronate observed in rats with experimental peptic ulcers was attributed to the alteration of the integrity of the intestinal membrane. PMID:7891304

  8. Metaphysics of Logical Realism

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    Mohammadreza Abdollahnejad

    2015-08-01

    Full Text Available Despite the often false impression that the analytic philosophy as an anti-metaphysical movement has nothing to do with metaphysics, there can be found good reasons to grant the metaphysical dispositions of analytic philosophers, and thereby, to minimize the anti-metaphysical nature of analytic philosophy in its all phases. Since analytic philosophy is a historical movement the main nature of which developed through several stages, the very kinds of metaphysical dispositions within each one of its various stages can be easily portrayed. In the meantime, logical realism as the early stage of analytic philosophy contains plenty of metaphysical dispositions. Undoubtedly, one cannot say that analytic philosophy in this period was not committed to metaphysical theses about the plurality of entities, the ultimate nature of reality and the logical structure of the world. In this paper, then, after giving a relatively complete explanation of the logical realism, we claimed that although logical realists rejected the traditional speculative metaphysics of their predecessors, they also replaced it by the metaphysics of logic that pursues the metaphysical aims, this time, by logical means. So, we portrayed this kind of metaphysics as Bolzano’s Semantic Platonism, Frege’s and Russell’s Pluralistic Platonism, Russell’s Pluralistic Atomism, and Wittgenstein’s logical atomism.

  9. Metaphyseal giant cell tumor

    International Nuclear Information System (INIS)

    Three cases of metaphyseal giant cell tumor are presented. A review of the literature is done, demostrating the lesion is rare and that there are few articles about it. Age incidence and characteristics of the tumor are discussed. (Author)

  10. Metaphyseal giant cell tumor

    Energy Technology Data Exchange (ETDEWEB)

    Pereira, L.F.; Hemais, P.M.P.G.; Aymore, I.L.; Carmo, M.C.R. do; Cunha, M.E.P.R. da; Resende, C.M.C.

    Three cases of metaphyseal giant cell tumor are presented. A review of the literature is done, demostrating the lesion is rare and that there are few articles about it. Age incidence and characteristics of the tumor are discussed.

  11. On the Metaphysics of Management

    OpenAIRE

    Koskela, Lauri; Kagioglou, Mike

    2006-01-01

    The question about the metaphysics of management is considered especially from the point of view of the subject, acts and object of management. Management is understood holistically, in connection to production, rather than as an independent domain in itself. In terms of metaphysics, the time-honoured question about the superiority of thing (substance, matter) ontology or process ontology is addressed. The determination of metaphysical commitments is discussed. Empirical evidence on the appro...

  12. Effect of heparin and alendronate coating on titanium surfaces on inhibition of osteoclast and enhancement of osteoblast function

    International Nuclear Information System (INIS)

    Highlights: → We examine bone metabolism of engineered alendronate attached to Ti surfaces. → Alendronate-immobilized Ti enhances activation of osteoblast differentiation. → Alendronate-immobilized Ti inhibits osteoclast differentiation. → Alendronate-immobilized Ti may be a bioactive implant with dual functions. -- Abstract: The failure of orthopedic and dental implants has been attributed mainly to loosening of the implant from host bone, which may be due to weak bonding of the implant material to bone tissue. Titanium (Ti) is used in the field of orthopedic and dental implants because of its excellent biocompatibility and outstanding mechanical properties. Therefore, in the field of materials science and tissue engineering, there has been extensive research to immobilize bioactive molecules on the surface of implant materials in order to provide the implants with improved adhesion to the host bone tissue. In this study, chemically active functional groups were introduced on the surface of Ti by a grafting reaction with heparin and then the Ti was functionalized by immobilizing alendronate onto the heparin-grafted surface. In the MC3T3-E1 cell osteogenic differentiation study, the alendronate-immobilized Ti substrates significantly enhanced alkaline phosphatase activity (ALP) and calcium content. Additionally, nuclear factor kappa B ligand (RANKL)-induced osteoclast differentiation of RAW264.7 cells was inhibited with the alendronate-immobilized Ti as confirmed by TRAP analysis. Real time PCR analysis showed that mRNA expressions of osteocalcin and osteopontin, which are markers for osteogenesis, were upregulated in MC3T3-E1 cells cultured on alendronate-immobilized Ti. The mRNA expressions of TRAP and Cathepsin K, markers for osteoclastogenesis, in RAW264.7 cells cultured on alendronate-immobilized Ti were down-regulated. Our study suggests that alendronate-immobilized Ti may be a bioactive implant with dual functions to enhance osteoblast

  13. Effect of heparin and alendronate coating on titanium surfaces on inhibition of osteoclast and enhancement of osteoblast function

    Energy Technology Data Exchange (ETDEWEB)

    Moon, Ho-Jin; Yun, Young-Pil [Department of Maxillofacial Biomedical Engineering, School of Dentistry, Kyung Hee University, Seoul 130-701 (Korea, Republic of); Han, Choong-Wan; Kim, Min Sung [Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University, Seoul 130-701 (Korea, Republic of); Institute of Oral Biology, Kyung Hee University, Seoul 130-701 (Korea, Republic of); Kim, Sung Eun; Bae, Min Soo [Department of Maxillofacial Biomedical Engineering, School of Dentistry, Kyung Hee University, Seoul 130-701 (Korea, Republic of); Kim, Gyu-Tae; Choi, Yong-Suk; Hwang, Eui-Hwan [Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University, Seoul 130-701 (Korea, Republic of); Institute of Oral Biology, Kyung Hee University, Seoul 130-701 (Korea, Republic of); Lee, Joon Woo [Department of Technology Commercialization Information, Korea Institute of Science and Technology Information (KISTI), 66, Hoegi-ro, Dongdaemun-gu, Seoul 130-741 (Korea, Republic of); Lee, Jin-Moo; Lee, Chang-Hoon [Department of Oriental Gynecology, College of Oriental Medicine, Kyung Hee University, Seoul 130-701 (Korea, Republic of); Kim, Duck-Su [Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul 130-701 (Korea, Republic of); Kwon, Il Keun, E-mail: kwoni@khu.ac.kr [Department of Maxillofacial Biomedical Engineering, School of Dentistry, Kyung Hee University, Seoul 130-701 (Korea, Republic of); Institute of Oral Biology, Kyung Hee University, Seoul 130-701 (Korea, Republic of)

    2011-09-23

    Highlights: {yields} We examine bone metabolism of engineered alendronate attached to Ti surfaces. {yields} Alendronate-immobilized Ti enhances activation of osteoblast differentiation. {yields} Alendronate-immobilized Ti inhibits osteoclast differentiation. {yields} Alendronate-immobilized Ti may be a bioactive implant with dual functions. -- Abstract: The failure of orthopedic and dental implants has been attributed mainly to loosening of the implant from host bone, which may be due to weak bonding of the implant material to bone tissue. Titanium (Ti) is used in the field of orthopedic and dental implants because of its excellent biocompatibility and outstanding mechanical properties. Therefore, in the field of materials science and tissue engineering, there has been extensive research to immobilize bioactive molecules on the surface of implant materials in order to provide the implants with improved adhesion to the host bone tissue. In this study, chemically active functional groups were introduced on the surface of Ti by a grafting reaction with heparin and then the Ti was functionalized by immobilizing alendronate onto the heparin-grafted surface. In the MC3T3-E1 cell osteogenic differentiation study, the alendronate-immobilized Ti substrates significantly enhanced alkaline phosphatase activity (ALP) and calcium content. Additionally, nuclear factor kappa B ligand (RANKL)-induced osteoclast differentiation of RAW264.7 cells was inhibited with the alendronate-immobilized Ti as confirmed by TRAP analysis. Real time PCR analysis showed that mRNA expressions of osteocalcin and osteopontin, which are markers for osteogenesis, were upregulated in MC3T3-E1 cells cultured on alendronate-immobilized Ti. The mRNA expressions of TRAP and Cathepsin K, markers for osteoclastogenesis, in RAW264.7 cells cultured on alendronate-immobilized Ti were down-regulated. Our study suggests that alendronate-immobilized Ti may be a bioactive implant with dual functions to enhance

  14. On the Metaphysics of Production

    OpenAIRE

    Koskela, Lauri; Kagioglou, Mike

    2005-01-01

    Since the pre-Socratic period of philosophy, there have been two basic metaphysical views. One holds that there are substances or things, that is, atemporal entities in the world. The other insists that there are processes, that is, intrinsically temporal phenomena. These metaphysical assumptions tend to strongly influence how the subject of the inquiry or action is conceptualized. The thing-oriented view seems to lead to analytical decomposition, the requirement or assumption of cer...

  15. The Everyday Condition of Metaphysics

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    Ştefan Afloroaei

    2010-12-01

    Full Text Available The question I intend to answer is whether one can speak of a tacit metaphysics, not expressed conceptually, but nevertheless common. If the answer is positive and providing that it is specific to day-to-day life, such metaphysics may be called everyday metaphysics. To this end, I review the meaning of everyday life and its ambivalent character. Next, I present several milestones in the debate on the subject, from authors who have focused on a kind of usual, common or ‘natural’ metaphysics. Lastly, I formulate the idea under consideration, namely that everyday life implies or underlies a certain metaphysics. I note that it is an implicit metaphysics – not expressed formally – and rather free. Embraced in experience with a certain degree of freedom, it is recognisable by means of certain representations active in our mind, by the manner of speaking or of understanding and by the common forms of expression. Its vibrancy, concrete and relaxed character makes it highly evocative of the mental life of an era. It ensures a truly essential difference in our everyday mode of being.

  16. Temporal Platonic Metaphysics

    CERN Document Server

    Mikovic, A

    2009-01-01

    In this essay we describe a platonic metaphysics where time is a fundamental idea such that the passage of time is independent of observers and the laws of physics. Furthermore, time serves to distinguish between a real and an abstract universe, where a real universe is an appropriatelly ordered set of ideas in time, while an abstract universe is such a set outside of time. We allow for non-computable and non-mathematical ideas to be part of our model of the universe in order to include intelligent observers. The part of the universe which can be described by mathematics corresponds to a mathematical structure in Tegmark's sense, while the non-mathematical part can be described by a human language. We describe the mind-brain connection in our framework, and show that it resolves the problem of obtaining abstract knowledge in platonism. We briefly discuss how different interpretations of Quantum Mechanics can be implemented in our framework and point out some physics implications, most notably that the time tr...

  17. Godel's Incompleteness Theorems and Platonic Metaphysics

    CERN Document Server

    Mikovic, Aleksandar

    2015-01-01

    We argue by using Godel's incompletness theorems in logic that platonism is the best metaphysics for science. This is based on the fact that a natural law in a platonic metaphysics represents a timeless order in the motion of matter, while a natural law in a materialistic metaphysics can be only defined as a temporary order which appears at random in the chaotic motion of matter. Although a logical possibility, one can argue that this type of metaphysics is highly implausible. Given that mathematics fits naturally within platonism, we conclude that a platonic metaphysics is more preferable than a materialistic metaphysics.

  18. Ayer's critique of metaphysics: Metaphysics as dead end of philosophy

    OpenAIRE

    Altuner, İlyas

    2011-01-01

    Metaphysics, which is mentioned as the highest science by Aristotle, has lost its property of the queen of sciences more and more, afterwards it has been denied wherefore philosophy had been reduced to language analysis by philosophers in the Vienna Circle. Ayer has rejected metaphysics and he has argued that it had to be eliminated from philosophy because it was not be able to adapt to verifiability principle. Ayer’s purpose of verifiability is that to be proved something by experiment and o...

  19. Ayer's critique of metaphysics: Metaphysics as dead end of philosophy

    Directory of Open Access Journals (Sweden)

    İlyas Altuner

    2011-08-01

    Full Text Available Metaphysics, which is mentioned as the highest science by Aristotle, has lost its property of the queen of sciences more and more, afterwards it has been denied wherefore philosophy had been reduced to language analysis by philosophers in the Vienna Circle. Ayer has rejected metaphysics and he has argued that it had to be eliminated from philosophy because it was not be able to adapt to verifiability principle. Ayer’s purpose of verifiability is that to be proved something by experiment and observation. This, with Wittgensteinian statement, is to say drawing the picture of meaning or fact.

  20. The impact of alendronate on bone mineral density of osteoporotic patients.

    Directory of Open Access Journals (Sweden)

    Hamidreza Aghaei-Meybodi

    2013-12-01

    Full Text Available The present study assessed the real life therapeutic effects of weekly doses of alendronate in treating a group of osteoporotic patients in Iran. The present historical cohort was conducted on patients who had undergone two or more bone mineral densitometry within an interval of 1.5-2 years in Shariati Hospital bone mineral density department between 2002 and 2010.patients were asked by phone about consumption of alendronate. The mean increase in the BMD values at different sites was calculated. There was a significant increase in the body mass index (BMI values of both the individuals taking alendronate and the control group (P<0.001. Taking the weekly dosage of the drug was associated with a 7.67% increase in the BMD values at the femoral neck, 8.68% at the total hip, and 3.17% at the lumbar spine. Moreover, our results showed a significant difference between the height decline in the two groups (alendronate taking: 0.7±2.4 vs. control: -0.7±2.6, P<0.001. Comparing the results of the present study with that of previous ones revealed the drug is beneficial in improving bone mineral density in Iranians; as well alendronate is more effective in Iranian postmenopausal women when compared with the Americans.

  1. Alendronate

    Science.gov (United States)

    ... solution with tea, coffee, juice, milk, mineral water, sparkling water, or any liquid other than plain water. ... go away: nausea stomach pain constipation diarrhea gas bloating or fullness in the stomach change in ability ...

  2. The Scientific Metaphysics of Charles S. Peirce

    DEFF Research Database (Denmark)

    Sørensen, Bent; Thellefsen, Torkild Leo

    Charles S. Peirce (1839-1914) was, perhaps, first and foremost a practising or experimental scientist. However, Peirce was also a philosopher, and to him the relation between science and metaphysics was intimate. Peirce not only wanted to develop a metaphysical system consistent with the importan...... contemporary relevance. The essays fall under the different headings of ontology, psychical or religious metaphysics, and, finally, physical metaphysics...

  3. The comparison of effects of alendronate and raloxifene treatment in postmenauposal women with osteoporosis - Original Investigation

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    Gülcan Gürer

    2005-12-01

    Full Text Available This study was performed to compare and to research the effects of raloxifene and alendronate for the treatment of postmenopausal osteoporosis women. Thirty two women with postmenopausal osteoporosis (raloxifene group:16 patients, alendronate group: 16 patients were enrolled in this study. Bone mineral density (BMD was measured at the proximal femur and lumbar spine by using dual-photon absorptiometry. Patients were divided into two groups randomly. BMD was measured twice as before and one year later from the treatment. Significant improvement was found at the end the treatment in groups itself by lomber spine BMD (alendronate group: p0.05. (Osteoporoz Dünyasından 2005; 4: 145-147

  4. The Comparison of Effects of Alendronate and Raloxifene Treatment in Postmenopausal Women with Osteoporosis - Original Investigation

    Directory of Open Access Journals (Sweden)

    Gülcan Gürer

    2006-03-01

    Full Text Available This study was performed to assess and compare the effects of raloxifene and alendronate for the treatment of postmenopausal osteoporosis. Thirty-two women with postmenopausal osteoporosis (raloxifene group:16 patients, alendronate group: 16 patients were enrolled in this study. Bone mineral density (BMD was measured at the proximal femur and lumbar spine by using dual-photon absorptiometry. Patients were divided into two groups randomly. BMD was measured twice as before and one year after from the treatment. Significant improvement was found at the end the treatment in both groups at lomber spine BMD (alendronate group: p0.05. (Osteoporoz Dünyasından 2006; 12 (1: 12-14

  5. Metaphyseal bands in osteogenesis imperfecta

    International Nuclear Information System (INIS)

    An increasing number of patients with osteogenesis imperfecta are undergoing pamidronate therapy to prevent the incidence of fragility fractures. The authors herein report a child aged 3 years who received five cycles of pamidronate, resulting in metaphyseal bands, known as “zebra lines.”

  6. The Transformation of Metaphysics in Late Antiquity

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    O'Meara, Dominic

    2009-06-01

    Full Text Available The paper discusses the development of metaphysics understood as a philosophical discipline or science. I would like to propose that the last period of Greek philosophy, that going from about the 3rd to the 6th centuries A.D., made new and interesting contributions to metaphysics as a philosophical discipline, indeed made metaphysics into a metaphysical science, while also bringing out the limits of such a science. The paper has four parts. In part I, I introduce the way in which the great Aristotelian commentator of the early 3rd century, Alexander of Aphrodisias, in interpreting Aristotle's metaphysical treatise, sought to find in it a metaphysical science. In part II of the paper, I attempt to show how the Neoplatonist philosopher of the early 5th century Syrianus, not only adopted Alexander's reading of Aristotle, but was also inspired by it in finding this same metaphysical science already in Plato. In part III of the paper, I will show how all of this resulted in a masterpiece of metaphysics, the Elements of Theology written by Syrianus' pupil Proclus. Finally, in part IV, I would like to refer to what is perhaps the last great metaphysical work of Greek philosophy, the Treatise on First Principles written by Damascius, a work in which the limits of metaphysical science are explored with extraordinary subtlety and insistence. In adapting Alexander's formalization of Aristotelian metaphysical science to Platonism, Syrianus knew that such a science was a means towards, not the equivalent of, knowledge of the transcendent. Proclus knew it too, even if his Elements of Theology, in presenting metaphysical science with such systematic beauty, could give the impression of being a definitive statement. And, lest we have any illusions about the adequacy of our metaphysical science, Damascius could cure us of these, opening our minds to what lay behind, or above, our own metaphysical efforts.

  7. Hip fracture protection by alendronate treatment in postmenopausal women with osteoporosis: a review of the literature

    Directory of Open Access Journals (Sweden)

    Jun Iwamoto

    2008-10-01

    Full Text Available Jun Iwamoto1, Yoshihiro Sato2, Tsuyoshi Takeda1, Hideo Matsumoto21Department of Sports Medicine, Keio University School of Medicine, Tokyo, Japan; 2Department of Neurology, Mitate Hospital, Fukuoka, JapanAbstract: Osteoporosis most commonly affects postmenopausal women, placing them at a significant risk of fractures. In particular, hip fractures are an important cause of mortality and morbidity among postmenopausal women. Anti-resorptive therapies that produce greater decreases in bone turnover markers together with greater increases in bone mineral density (BMD are associated with greater reductions in fracture risk, especially at sites primarily composed of cortical bone such as the hip. Thus, treatment with potent anti-resorptive drugs like alendronate is a strategy for preventing hip fractures in postmenopausal women with osteoporosis. The purpose of this paper is to discuss the efficacy of alendronate against hip fractures and the mechanism for this anti-fracture efficacy in postmenopausal women with osteoporosis. A meta-analysis of randomized controlled trials has shown that alendronate reduces the risk of hip fractures by 55% in postmenopausal women with osteoporosis. According to the analyses of the Fracture Intervention Trial, each 1 standard deviation reduction in a 1-year change in bone-specific alkaline phosphatase (BSAP is associated with 39% fewer hip fractures in alendronate-treated postmenopausal women, and those with at least 30% reduction in BSAP have a 74% lower risk of hip fractures relative to those with less than 30%. Alendronate is effective in reducing the risk of hip fractures across a spectrum of ages. The mechanism for this anti-fracture efficacy has been clarified; alendronate strongly suppresses bone turnover and subsequently increases hip BMD, decreases cortical porosity, improves parameters of hip structure geometry (cortical thickness, cross-sectional area, section modulus, and buckling ratio, and produces more

  8. Musical Ontology: Critical, not Metaphysical

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    Jonathan A. Neufeld

    2014-01-01

    Full Text Available The ontology of musical works often sets the boundaries within which evaluation of musical works and performances takes place. Questions of ontology are therefore often taken to be prior to and apart from the evaluative questions considered by either performers as they present works to audiences or an audience’s critical reflection on a performance. In this paper I argue that, while the ontology of musical works may well set the boundaries of legitimate evaluation, ontological questions should not be considered as prior to or apart from critical evaluation. Rather, ontological claims are a type of critical evaluation made within musical practices. I argue that philosophers of music might learn from the debate in political philosophy about the difficulty of setting the limits of public reason in a way that remains open to a plurality of legitimate evaluative perspectives. Just as pre-political or metaphysical identification of the boundaries of public reason fail to accommodate the fact of pluralism in contemporary democratic politics, so too does a metaphysical identification of the boundaries of legitimate evaluation of musical works and performances fail to accommodate the fact of pluralism in contemporary musical practices. I apply John Rawls’s formulation of political liberalism, arguing that musical ontology should be critical, not metaphysical.

  9. On Darwin's 'metaphysical notebooks'. II: "Metaphysics" and final cause.

    Science.gov (United States)

    Calabi, L

    2001-01-01

    The first part of this paper was published in Rivista di Biologia/Biology Forum 94 (2001). In the second part below an examination is made of the meaning of the term Metaphysics in some passages of the Darwinian Notebooks for the years 1836-1844. Metaphysics no longer defines a field of philosophical enquiries mainly concerning the being and the essence after the manner of Aristotle; it now refers to a kind of philosophy of mind after the manner of J. Locke's criticism of the Hypokeimenon. However Aristotle's Metaphysics also encompasses a treatment of the idea of causes, and of final cause particularly, in the explanation of events, and in the explanation of natural phenomena especially. The criticism of the idea of final cause in the interpretation of the world of life is one of Darwin's foundational acts in his early years. When conceiving his Système du monde, in the last years of the XVIII Century, Laplace could think that God is a hypothesis not really needed by science, as we are told. For the knowledge of organic nature to attain the status of science, it remained to be shown that since--certain of the exemplariness of Newton's Principles as much as cautious before the mystery of life--did not need the hypothesis of final ends in order to understand and explain the productions of the living nature: not only in the form of that final cause (the First Cause, the Vera Causa) in which Natural Theology still rested, but also in the form of nature's inner finality which still moulded Whewell's Kantian philosophy. Such demonstration is a very important subject in Darwin's early enquiries, where he criticises finalism as a projection of self-conceiving Man, likely inherited from a knowing of causality in nuce to be found also in animals. PMID:11702652

  10. Alendronate increases BMD at appendicular and axial skeletons in patients with established osteoporosis

    Directory of Open Access Journals (Sweden)

    Au Szeki

    2007-05-01

    Full Text Available Abstract Background To identify high-risk patients and provide pharmacological treatment is one of the effective approaches in prevention of osteoporotic fractures. This study investigated the effect of 12-month Alendronate treatment on bone mineral density (BMD and bone turnover biochemical markers in postmenopausal women with one or more non-traumatic fractures, i.e. patients with established osteoporosis. Methods A total of 118 Hong Kong postmenopausal Chinese women aged 50 to 75 with low-energy fracture at distal radius (Colles' fracture were recruited for BMD measurement at lumbar spine and non-dominant hip using Dual-Energy X-ray Absorptiometry (DXA. 47 women with BMD T-score below -2 SD at either side were identified as patients with established osteoporosis and then randomized into Alendronate group (n = 22 and placebo control group (n = 25 for BMD measurement at spine and hip using DXA and distal radius of the non-fracture side by peripheral quantitative computed tomography (pQCT, and bone turnover markers, including bone forming alkaline phosphatase (BALP and bone resorbing urinary Deoxypyridinoline (DPD. All measurements were repeated at 6 and 12 months. Results Alendronate treatment significantly increased BMD, more in weight-bearing skeletons (5.1% at spine and 2.5% at hip than in non-weight bearing skeleton (0.9% at distal radius after 12 months treatment. Spine T-score was significant improved in Alendronate group (p Conclusion 12 months Alendronate treatment was effective to increase BMD at both axial and appendicular skeletons in postmenopausal women with established osteoporosis.

  11. Geographical, Sociological and Metaphysical Borders

    Directory of Open Access Journals (Sweden)

    Jacinto Choza Armenta

    2008-09-01

    Full Text Available During the different ages of history and prehistory, borders have possessed different kinds of natures. Sometimes they did not exist, at other times they have been very diffuse, while at others they have been impassable. There were no borders in the Paleolithic age, or during Greece’s Heroic Age. It was not until the creation of the city-states and the empires that borders began to be consolidated. Territorial demarcations were not very strict during the Middle Ages, either. It was in the modern age that borders acquired an impassable nature, following the birth of the modern State, and they began to weaken with the crisis of the modern State that began in the 20th century. Thus, the author claims, the construction of borders is not a fundamentally political-administrative event. Instead, it seems to be primarily a phenomenon of a cultural nature and, more specifically, of a metaphysical nature.

  12. Effect of heparin and alendronate coating on titanium surfaces on inhibition of osteoclast and enhancement of osteoblast function.

    Science.gov (United States)

    Moon, Ho-Jin; Yun, Young-Pil; Han, Choong-Wan; Kim, Min Sung; Kim, Sung Eun; Bae, Min Soo; Kim, Gyu-Tae; Choi, Yong-Suk; Hwang, Eui-Hwan; Lee, Joon Woo; Lee, Jin-Moo; Lee, Chang-Hoon; Kim, Duck-Su; Kwon, Il Keun

    2011-09-23

    The failure of orthopedic and dental implants has been attributed mainly to loosening of the implant from host bone, which may be due to weak bonding of the implant material to bone tissue. Titanium (Ti) is used in the field of orthopedic and dental implants because of its excellent biocompatibility and outstanding mechanical properties. Therefore, in the field of materials science and tissue engineering, there has been extensive research to immobilize bioactive molecules on the surface of implant materials in order to provide the implants with improved adhesion to the host bone tissue. In this study, chemically active functional groups were introduced on the surface of Ti by a grafting reaction with heparin and then the Ti was functionalized by immobilizing alendronate onto the heparin-grafted surface. In the MC3T3-E1 cell osteogenic differentiation study, the alendronate-immobilized Ti substrates significantly enhanced alkaline phosphatase activity (ALP) and calcium content. Additionally, nuclear factor kappa B ligand (RANKL)-induced osteoclast differentiation of RAW264.7 cells was inhibited with the alendronate-immobilized Ti as confirmed by TRAP analysis. Real time PCR analysis showed that mRNA expressions of osteocalcin and osteopontin, which are markers for osteogenesis, were upregulated in MC3T3-E1 cells cultured on alendronate-immobilized Ti. The mRNA expressions of TRAP and Cathepsin K, markers for osteoclastogenesis, in RAW264.7 cells cultured on alendronate-immobilized Ti were down-regulated. Our study suggests that alendronate-immobilized Ti may be a bioactive implant with dual functions to enhance osteoblast differentiation and to inhibit osteoclast differentiation simultaneously. PMID:21888898

  13. On the metaphysics of experimental physics

    CERN Document Server

    Rogers, Karl

    2005-01-01

    This provocative and critical work addresses the question of why scientific realists and positivists consider experimental physics to be a natural and empirical science. Taking insights from contemporary science studies, continental philosophy, and the history of physics, this book describes and analyses the metaphysical presuppositions that underwrite the technological use of experimental apparatus and instruments to explore, model, and understand nature. By revealing this metaphysical foundation, the author questions whether experimental physics is a natural and empirical science at all.

  14. The Efficacy of Alendronate in Children with Secondary Osteoporosis - Original Article

    Directory of Open Access Journals (Sweden)

    Halil Sağlam

    2010-12-01

    Full Text Available Introduction: Osteoporosis which is primarily known as an adult disease may be encountered secondarily due to chronic diseases in children. Biphosphonates can be safely used in treatment with proven benefits. Alendronate is often preferred because of its advantage of oral use. Here, the efficiency and safety of alendronate in children with secondary osteoporosis were evaluated. Materials and Method: A total of 46 children (28 boys; 60.9% and 18 girls; 39.1% with secondary osteoporosis were included. Alendronate was given orally at a dose of 5 mg once daily for children less than 30 kg and 10 mg once daily for those weighing 30 kg or more. Bone mineral density (BMD was evaluated with DEXA taken at baseline, at 6th month, at 12th month and at 24th month. Results: Mean standard deviation scores (SDS of height, weight and body mass index were -2.43, -2.82 and -1.72, respectively. Serum Ca, P and ALP levels were all normal. Mean BMD SDS at baseline, 6th month, 12th month and 24th month were -4.03±0.96 -3.51±1.02, -2.82±1.09 and -2.43±0.93, respectively. Improvements in BMD z-scores at 6th, 12th and 24th months compared to baseline were all statistically significant.Conclusion: Our results showed that oral alendronate treatment which is more comfortable and cheaper than parenteral ones results in significant improvements in BMD, can be safely used and easily tolerated in children with secondary osteoporosis, as in adults. Though a plenty of studies were performed in children, there is still no consensus on the preferred and safe dose of the drug and the duration of treatment, as well as from the beginning of what age can the drug be introduced to the children requiring osteoporosis treatment. (Journal of Current Pediatrics 2010; 8: 86-9

  15. Metaphyseal bone loss in revision knee arthroplasty.

    Science.gov (United States)

    Ponzio, Danielle Y; Austin, Matthew S

    2015-12-01

    The etiology of bone loss encountered during revision total knee arthroplasty (TKA) is often multifactorial and can include stress shielding, osteolysis, osteonecrosis, infection, mechanical loss due to a grossly loose implant, and iatrogenic loss at the time of implant resection. Selection of the reconstructive technique(s) to manage bone deficiency is determined by the location and magnitude of bone loss, ligament integrity, surgeon experience, and patient factors including the potential for additional revision, functional demand, and comorbidities. Smaller, contained defects are reliably managed with bone graft, cement augmented with screw fixation, or modular augments. Large metaphyseal defects require more extensive reconstruction such as impaction bone grafting with or without mesh augmentation, prosthetic augmentation, use of bulk structural allografts, or use of metaphyseal cones or sleeves. While each technique has advantages and disadvantages, the most optimal method for reconstruction of large metaphyseal bone defects during revision TKA is not clearly established. PMID:26362647

  16. Alendronate-coated long-circulating liposomes containing 99mtechnetium-ceftizoxime used to identify osteomyelitis

    Directory of Open Access Journals (Sweden)

    Ferreira DS

    2015-03-01

    Full Text Available Diego dos Santos Ferreira,1 Fernanda Alves Boratto,1 Valbert Nascimento Cardoso,2 Rogéria Serakides,3 Simone Odília Fernandes,2 Lucas Antônio Miranda Ferreira,1 Mônica Cristina Oliveira1 1Department of Pharmaceutical Products, Faculty of Pharmacy, 2Department of Clinical and Toxicological Analyses, Faculty of Pharmacy, 3Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil Abstract: Osteomyelitis is a progressive destruction of bones caused by microorganisms. ­Inadequate or absent treatment increases the risk of bone growth inhibition, fractures, and sepsis. Among the diagnostic techniques, functional images are the most sensitive in detecting osteomyelitis in its early stages. However, these techniques do not have adequate specificity. By contrast, radiolabeled antibiotics could improve selectivity, since they are specifically recognized by the bacteria. The incorporation of these radiopharmaceuticals in drug-delivery systems with high affinity for bones could improve the overall uptake. In this work, long-circulating and alendronate-coated liposomes containing 99mtechnetium-radiolabeled ceftizoxime were prepared and their ability to identify infectious foci (osteomyelitis in animal models was evaluated. The effect of the presence of PEGylated lipids and surface-attached alendronate was evaluated. The bone-targeted long-circulating liposomal 99mtechnetium–ceftizoxime showed higher uptake in regions of septic inflammation than did the non-long-circulating and/or alendronate-non-coated liposomes, showing that both the presence of PEGylated lipids and alendronate coating are important to optimize the bone targeting. Scintigraphic images of septic or aseptic inflammation-bearing Wistar rats, as well as healthy rats, were acquired at different time intervals after the intravenous administration of these liposomes. The target-to-non-target ratio proved to be significantly higher in the osteomyelitis

  17. Alendronate conjugated nanoparticles for calcification targeting.

    Science.gov (United States)

    Li, Nanying; Song, Juqing; Zhu, Guanglin; Shi, Xuetao; Wang, Yingjun

    2016-06-01

    In this article, the synthesis of a novel calcification-targeting nanoparticle (NP) is reported, which is realized through dopamine self-polymerization on the poly(lactic-co-glycolic acid) (PLGA) particle surface and subsequent alendronate conjugation. Cell viability and proliferation tests confirmed that such particle has low cytotoxicity and good biocompatibility. Experiments were designed to observe whether the synthesized NPs can pass through an obstructive hydrogel and directly bind themselves to hydroxyapatite (HA) NPs (mimicking calcified spots) and HA porous scaffolds (mimicking calcified tissues); and the result was positive, indicating ingenious targeting of NPs on calcifications. The calcification-targeting NPs are expected to be with promising applications on calcification-related disease diagnoses and therapies. PMID:26970822

  18. Treatment of osteoporosis after alendronate or risedronate

    DEFF Research Database (Denmark)

    Eiken, P; Vestergaard, P

    2016-01-01

    Alendronate (ALN) and risedronate (RIS) are ideal as first-choice therapy options in the treatment of postmenopausal osteoporosis. What to do for patients who do not respond adequately to bisphosphonates has not been conclusively determined, but transitioning to other therapies should be considered....... The aim of this article is to describe potential alternatives for patients switching from ALN or RIS to other therapies for osteoporosis. A systematic search of PubMed was conducted to find papers that evaluate the effects of switching therapies on fractures, bone mineral density (BMD), or bone...... turnover markers. Results from 11 studies that prospectively assessed treatment after ALN or RIS in women with postmenopausal osteoporosis were reviewed. All studies are of short duration (all 24 months or less) and assess the topic of transitioning therapy from ALN or RIS. None of the studies had the...

  19. Metaphysics after Metaphysics: The Limitative Conception of First Philosophy in Kant

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    Günter Zöller

    2003-12-01

    Full Text Available The essay examines Kant’s Enlightenment conception of metaphysics as a science (Wissenschaft to be kept free of ideological prejudice and extrarational cognitive resources and to be established under the conditions of public, intersubjectively valid discourse. I analyze Kant’s self-interpretation of his transcendental philosophy as “metaphysics of metaphysics” and argue for the extensional partial identity of the critique of metaphysics and the metaphysics so rendered possible. In particular, I identify the “future metaphysics” envisioned by Kant as the “metaphysics of nature in general” or the “physiology of pure reason,” which was projected by Kant but never carried out by himself and is not to be confused with the “metaphysics of material nature” presented by Kant in his Metaphysical Principles of Natural Science (1786. I further show how in Kant the “restriction” (Beschränkung of the understanding and its pure concepts (categories to sensible intuition is counterbalanced by the “bounding” (Begrenzung of sensibility and its formal conditions (space and time to the appearances, at the exclusion of the “empty space” of the non-sensory. In drawing on Kant’s distinction between “limit” (Schranke and “boundary” (Grenze, I establish the precise position of critical metaphysics “on the boundary” of the world of sense and the world of the understanding. In concluding, I argue that for Kant a “future metaphysics that will be possible as science” is restricted to transcendental philosophy, at the exclusion of the theoretical cognition of the supersensible, which is thereby delegated forever to the object domain of practically based rational but non-scientific belief or faith (Vernunftglaube.

  20. The Metaphysics of Chinese Information Philosophy

    DEFF Research Database (Denmark)

    Liqian, Zhou; Brier, Søren

    2015-01-01

    Compared with other transdisciplinary frames of information Wu Kun’s philosophy of information differs in its metaphysical framework in that it has a background in a conception of Dialectics of Nature coming from the old Stalin textbook system but also a part of the renewal of thinking in China a...

  1. Glucocorticoid Steroid and Alendronate Treatment Alleviates Dystrophic Phenotype with Enhanced Functional Glycosylation of α-Dystroglycan in Mouse Model of Limb-Girdle Muscular Dystrophy with FKRPP448L Mutation.

    Science.gov (United States)

    Wu, Bo; Shah, Sapana N; Lu, Peijuan; Richardson, Stephanie M; Bollinger, Lauren E; Blaeser, Anthony; Madden, Kyle L; Sun, Yubo; Luckie, Taylor M; Cox, Michael D; Sparks, Susan; Harper, Amy D; Lu, Qi Long

    2016-06-01

    Fukutin-related protein-muscular dystrophy is characterized by defects in glycosylation of α-dystroglycan with variable clinical phenotypes, most commonly as limb-girdle muscular dystrophy 2I. There is no effective therapy available. Glucocorticoid steroids have become the standard treatment for Duchenne and other muscular dystrophies with serious adverse effects, including excessive weight gain, immune suppression, and bone loss. Bisphosphonates have been used to treat Duchenne muscular dystrophy for prevention of osteoporosis. Herein, we evaluated prednisolone and alendronate for their therapeutic potential in the FKRPP448L-mutant mouse representing moderate limb-girdle muscular dystrophy 2I. Mice were treated with prednisolone, alendronate, and both in combination for up to 6 months. Prednisolone improved muscle pathology with significant reduction in muscle degeneration, but had no effect on serum creatine kinase levels and muscle strength. Alendronate treatment did not ameliorate muscle degeneration, but demonstrated a limited enhancement on muscle function test. Combined treatment of prednisolone and alendronate provided best improvement in muscle pathology with normalized fiber size distribution and significantly reduced serum creatine kinase levels, but had limited effect on muscle force generation. The use of alendronate significantly mitigated the bone loss. Prednisolone alone and in combination with alendronate enhance functionally glycosylated α-dystroglycan. These results, for the first time, demonstrate the efficacy and feasibility of this alliance treatment of the two drugs for fukutin-related protein-muscular dystrophy. PMID:27109613

  2. Ayer’s critique of metaphysics: Metaphysics as dead end of philosophy

    OpenAIRE

    İlyas Altuner

    2011-01-01

    Metaphysics, which is mentioned as the highest science by Aristotle, has lost its property of the queen of sciences more and more, afterwards it has been denied wherefore philosophy had been reduced to language analysis by philosophers in the Vienna Circle. Ayer has rejected metaphysics and he has argued that it had to be eliminated from philosophy because it was not be able to adapt to verifiability principle. Ayer’s purpose of verifiability is that to be proved something by experiment...

  3. Alendronate functionalized mesoporous hydroxyapatite nanoparticles for drug delivery

    Energy Technology Data Exchange (ETDEWEB)

    Li, Dongdong, E-mail: lidongchem@sina.cn [State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, College of Chemistry, Jilin University, Changchun 130012 (China); Zhu, Yuntao; Liang, Zhiqiang [State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, College of Chemistry, Jilin University, Changchun 130012 (China)

    2013-06-01

    Highlights: ► The synthesized mesoporous hydroxyapatite has nanostructure and bioactivity. ► The materials have high surface area and amino group. ► The materials show higher drug loading and slower release rate than pure HAP. - Abstract: Mesoporous nanosized hydroxyapatite (HAP) functionalized by alendronate (ALN) was synthesized using cationic surfactant CTAB as template. The structural, morphological and textural properties were fully characterized by X-ray diffraction (XRD), transmission electron microscopy (TEM), Fourier transform infrared spectroscopy (FT-IR) and N{sub 2} adsorption/desorption. Then the obtained materials were performed as drug delivery carriers using ibuprofen (IBU) as a model drug to investigate their drug storage/release properties in simulated body fluid (SBF). The materials showed relatively slower release rate compared with HAP due to the ionic interaction between -NH{sub 3}{sup +} on the matrix and -COO{sup −}belongs to IBU. The system provides a new concept for improving the drug loading or slowing down the release rate.

  4. ESWT and alendronate sodium demonstrate equal protective effects in osteoarthritis of the knee

    Science.gov (United States)

    Wang, Ching-Jen; Chou, Wen-Yi; Hsu, Shan-Ling; Huang, Chien-Yiu; Cheng, Jai-Hong

    2016-01-01

    This study compared the effects of extracorporeal shock wave therapy (ESWT) and alendronate sodium (alendronate) in osteoarthritis (OA) of rat knees. The control group was subjected to a sham surgery and did not receive either ESWT or alendronate treatment. The OA group underwent anterior cruciate ligament transection (ACLT) and medial meniscectomy (MM) surgery and did not receive either ESWT or alendronate. The ESWT group underwent ACLT and MM surgery and received ESWT after the surgery. The alendronate group received alendronate after ACLT and MM surgery. The evaluations included radiograph, bone mineral density (BMD), serum C-telopeptide collagen II (CTX-II), cartilage oligomeric protein (COMP), alkaline phosphatase and osteocalcin, histopathological examination and immunohistochemical analysis. Radiographs at 12 weeks showed pronounced OA changes in the OA group. The BMD values, CTX-II, COMP, alkaline phosphatase and osteocalcin showed no significant difference between ESWT and alendronate groups. In histopathology, the Mankin and Safranin O scores significantly increased in the OA, ESWT and alendronate groups, but without any significant difference between the ESWT and alendronate groups. In immunohistochemical analysis, the von Willebrand factor (vWF), vascular endothelial factor (VEGF), soluble vascular cell adhesion molecule (sVCAM), proliferating cell nuclear antigen (PCNA), bone morphogenetic protein 2 (BMP-2), and osteocalcin expressions in articular cartilage and subchondral bone showed a significant decrease in the OA group, but no difference was noted between the ESWT and alendronate groups. In conclusion, ESWT and alendronate sodium demonstrate equal protective effects from developing osteoarthritis of the knee in rats.

  5. Ayer’s critique of metaphysics: Metaphysics as dead end of philosophy

    Directory of Open Access Journals (Sweden)

    İlyas Altuner

    2011-08-01

    Full Text Available Metaphysics, which is mentioned as the highest science by Aristotle, has lost its property of the queen of sciences more and more, afterwards it has been denied wherefore philosophy had been reduced to language analysis by philosophers in the Vienna Circle. Ayer has rejected metaphysics and he has argued that it had to be eliminated from philosophy because it was not be able to adapt to verifiability principle. Ayer’s purpose of verifiability is that to be proved something by experiment and observation. This, with Wittgensteinian statement, is to say drawing the picture of meaning or fact

  6. Biocompatibility of alendronate-loaded acrylic cement for vertebroplasty

    Directory of Open Access Journals (Sweden)

    T Calvo-Fernández

    2010-10-01

    Full Text Available This paper reports a biological evaluation of a non-resorbable acrylic cement loaded with alendronate for the treatment of osteoporotic vertebral compression fractures. The cement formulation was based on polymethyl methacrylate and acrylic monomers; one of these had covalently linked vitamin E residues. The same cement in the absence of alendronate was used as a control. The setting of the charged cement presented a maximum polymerization temperature of 44ºC, a setting time of 24 min, a residual monomer content lower than 3 wt.%, a compressive strength of 99±10 MPa and an elastic modulus of 1.2±0.2 GPa. Cytotoxicity studies using human osteoblast cultures revealed that the leachable substances of the alendronate loaded cement collected between 1 and 7 days decreased cell viability to values lower than 80%. However, morphological changes and cellular damage in cells produced by the extracts decreased with the leak time. Cell adhesion and growth on charged cement was significantly lower than on the control. Implantation of the cement paste in the intra-femoral cavity of rabbits showed that initially the osteogenic activity was evident for the cement charged with alendronate, and the osteosynthesis process took place mainly in the trabeculae and was manifested by the presence of a non-mineralised osseous spicule. The interface between material and adjacent bone tissue was initially characterized by a variable fibrous response that in many cases it appeared reduced to thin connective tissue after a 24-week-period.

  7. Kantowska metafizyka percepcji (Kant’s Metaphysics of Perception

    Directory of Open Access Journals (Sweden)

    Paweł Sikora

    2009-06-01

    Full Text Available This article treats of an issue of Kant’s the metaphysics of perception as a specific sphere where concept of sense perception within transcendental philosophy seem to be rooted into a wider context of metaphysical presuppositions. The text is an epitome of a few Kant’s aporias which appear when he does not notice a metaphysical background which constitutes basic relation between subject and object in sense perception.

  8. Mendelssohn and Kant on Mathematics and Metaphysics

    OpenAIRE

    Callanan, John Joseph

    2014-01-01

    The difference between the method of metaphysics and the method of mathematics was an issue of central concern for Kant in both the Pre-Critical and Critical periods. I will argue that when Kant speaks of the ‘philosophical method’ in the Doctrine of Method in the Critique of Pure Reason (CPR), he frequently has in mind not his own methodology but rather the method of conceptual analysis associated with rationalism. The particular target is Moses Mendelssohn’s picture of analysis contained in...

  9. Alveolar bone dynamics in osteoporotic rats treated with raloxifene or alendronate: confocal microscopy analysis

    Science.gov (United States)

    Ramalho-Ferreira, Gabriel; Faverani, Leonardo Perez; Grossi-Oliveira, Gustavo Augusto; Okamoto, Tetuo; Okamoto, Roberta

    2015-03-01

    In this study, the characteristics of the alveolar bone of rats with induced osteoporosis were examined. Thirty-two rats were divided into four groups according to the induction of osteoporosis and drugs administered: OG, osteoporotic rats without treatment (negative control); SG, rats which underwent sham surgery ovariectomy (SHAM); alendronate (AG), osteoporotic rats treated with alendronate; and RG, osteoporotic rats treated with raloxifene (RG). On the 8th day after ovariectomy and SHAM surgeries, drug therapy was started with AG or RG. On the 52nd day, 20 mg/kg calcein was administered to all of the rats, and on the 80th day, 20 mg/kg alizarin red was administered. Euthanasia was performed on the 98th day. The bone area marked by fluorochromes was calculated and data were subjected to two-way ANOVA test and Tukey's post-hoc test (p<0.05). The comparison of the induced osteoporosis groups showed no statistically significant differences in bone turnover only between RG and SG (p=0.074) and AG and OG (p=0.138). All other comparisons showed significant differences (p<0.001). The largest bone turnover was observed in RG and SG groups. RG was the medication that improved the dynamics of the alveolar bone of rats with induced osteoporosis, resembling that of healthy rats.

  10. On John Donne g Metaphysical Poetry--Seen from Song

    Institute of Scientific and Technical Information of China (English)

    Zhang Yun

    2012-01-01

    John Donne is one of the most learned and witty? poet in seventeenth century. He created? a great deal of? metaphysical poetry during his whole life, in which Song is the very popular with? readers- In this paper, we study the features of John Donne's metaphysical poetry by analyzing? this poem.

  11. Alendronate and estrogen-progestin in the long-term prevention of bone loss

    DEFF Research Database (Denmark)

    Ravn, Pernille; Bidstrup, M; Wasnich, R D;

    1999-01-01

    alendronate to placebo than in those who continuously received placebo. In years 3 and 4, bone loss in participants who switched from alendronate to placebo was similar to that seen during years 1 and 2 in those who continuously received placebo. Compared with 5 mg of alendronate per day, estrogen-medroxyprogesterone...... acetate produced similar increases in bone mineral density and estradiol-norethisterone acetate produced increases that were substantially greater. CONCLUSIONS: Four years of treatment with alendronate or estrogen-progestin prevented postmenopausal bone loss. A residual effect was seen 2 years after...

  12. Alendronate treatment in the revision setting, with and without controlled implant motion

    DEFF Research Database (Denmark)

    Søballe, Kjeld; Chen, Xinqian; Jensen, Thomas B; Kidder, Louis; Bechtold, Joan E

    2007-01-01

    Introduction Bisphosphonates have been proposed to delay or prevent loosening of joint replacement implants by reducing bone resorption. It is known, however, that implant motion prevents the bone anchorage necessary to maintain secure implant fixation. Methods We used our experimental implant...... unstable conditions, even with alendronate. With alendronate and stabilized implants, increased bone was observed near the sclerotic shell of the revision cavity, but it was reduced with alendronate when the implant was unstable. Interpretation Our findings suggest that it may be difficult for alendronate...

  13. Observability, Visualizability and the Question of Metaphysical Neutrality

    Science.gov (United States)

    Wolff, Johanna

    2015-09-01

    Theories in fundamental physics are unlikely to be ontologically neutral, yet they may nonetheless fail to offer decisive empirical support for or against particular metaphysical positions. I illustrate this point by close examination of a particular objection raised by Wolfgang Pauli against Hermann Weyl. The exchange reveals that both parties to the dispute appeal to broader epistemological principles to defend their preferred metaphysical starting points. I suggest that this should make us hesitant to assume that in deriving metaphysical conclusions from physical theories we place our metaphysical theories on a purely empirical foundation. The metaphysics within a particular physical theory may well be the result of a priori assumptions in the background, not particular empirical findings.

  14. Proton Pump Inhibitor Use and the Antifracture Efficacy of Alendronate

    DEFF Research Database (Denmark)

    Abrahamsen, Bo; Eiken, Pia Agnete; Eastell, Richard

    2011-01-01

    Background: Proton pump inhibitors (PPIs) are widely used in elderly patients and are frequently coadministered in users of oral bisphosphonates. Biologically, PPIs could affect the absorption of calcium, vitamin B12, and bisphosphonates and could affect the osteoclast proton pump, thus interacting...... no significant impact of concurrent use of histamine H2 receptor blockers. Conclusions: Concurrent PPI use was associated with a dose-dependent loss of protection against hip fracture with alendronate in elderly patients. This is an observational study, so a formal proof of causality cannot be made...... with bisphosphonate antifracture efficacy. Moreover, PPIs themselves have been linked to osteoporotic fractures. Methods: Population-based, national register–based, open cohort study of 38 088 new alendronate sodium users with a mean duration of follow-up of 3.5 years. We related risk of hip fracture...

  15. The physics and metaphysics of primitive stuff

    CERN Document Server

    Esfeld, Michael; Lam, Vincent; Hubert, Mario

    2014-01-01

    The paper sets out a primitive ontology of the natural world in terms of primitive stuff, that is, stuff that has as such no physical properties at all, but that is not a bare substratum either, being individuated by metrical relations. We focus on quantum physics and employ identity-based Bohmian mechanics to illustrate this view, but point out that it applies all over physics. Properties then enter into the picture exclusively through the role that they play for the dynamics of the primitive stuff. We show that such properties can be local (classical mechanics), as well as holistic (quantum mechanics), and discuss two metaphysical options to conceive them, namely Humeanism and modal realism in the guise of dispositionalism.

  16. Metaphysics of the Principle of Least Action

    CERN Document Server

    Terekhovich, Vladislav

    2015-01-01

    Despite the importance of the variational principles of physics, there have been relatively few attempts to consider them for a realistic framework. In addition to the old teleological question, this paper continues the recent discussion regarding the modal involvement of the principle of least action and its relations with the Humean view of the laws of nature. The reality of the possible paths in the principle of least action is examined from the perspectives of the contemporary metaphysics of modality and Leibniz's concept of the possibles striving from essence to existence. This paper introduces a model of a two-level modality based on an intuition that deep ontological connections exist between the possible paths in the principle of least action and possible quantum histories in the Feynman path integral. The proposed modal interpretation of the principle of least action replaces the classical representation of the system's motion along a single history in the actual modality by the simultaneous motions ...

  17. Leibniz on the metaphysical foundation of physics

    Science.gov (United States)

    Temple, Daniel R.

    This thesis examines how and why Leibniz felt that physics must be grounded in metaphysics. I argue that one of the strongest motivation Leibniz had for attempting to ground physics in metaphysics was his concern over the problem of induction. Even in his early writings, Leibniz was well aware of the problem of induction and how this problem threatened the very possibility of physics. Both his early and later theories of truth are geared towards solving this deep problem in the philosophy of science. In his early theory of truth, all truths are ultimately grounded in (but not necessarily reducible to) an identity. Hence, all truths are ultimately based in logic. Consequently, the problem of induction is seemingly solved since everything that happens, happens with the force of logical necessity. Unfortunately, this theory is incompatible with Leibniz's theory of possible worlds and hence, jeopardizes the liberty of God. In Leibniz's later theory of truth, Leibniz tries to overcome this weakness by acknowledging truths that are grounded in the free but moral necessity of God's actions. Since God's benevolence is responsible for the actualization of this world, then this world must possess rational laws. Furthermore, since God's rationality ensures that everything obeys the principle of sufficient reason, then we can use this principle to determine the fundamental laws of the universe. Leibniz himself attempts to derive these laws using this principle. Kant attempted to continue this work of securing the possibility of science, and the problems he encountered helped to shape his critical philosophy. So I conclude by a comparative analysis of Leibniz and Kant on the foundations of physics.

  18. The abundant world: Paul Feyerabend's metaphysics of science.

    Science.gov (United States)

    Brown, Matthew J

    2016-06-01

    The goal of this paper is to provide an interpretation of Feyerabend's metaphysics of science as found in late works like Conquest of Abundance and Tyranny of Science. Feyerabend's late metaphysics consists of an attempt to criticize and provide a systematic alternative to traditional scientific realism, a package of views he sometimes referred to as "scientific materialism." Scientific materialism is objectionable not only on metaphysical grounds, nor because it provides a poor ground for understanding science, but because it implies problematic claims about the epistemic and cultural authority of science, claims incompatible with situating science properly in democratic societies. I show how Feyerabend's metaphysical view, which I call "the abundant world" or "abundant realism," constitute a sophisticated and challenging form of ontological pluralism that makes interesting connections with contemporary philosophy of science and issues of the political and policy role of science in a democratic society. PMID:27269274

  19. Alendronate prevents postmenopausal bone loss in women without osteoporosis. A double-blind, randomized, controlled trial. Alendronate Osteoporosis Prevention Study Group

    DEFF Research Database (Denmark)

    McClung, M; Clemmesen, B; Daifotis, A;

    1998-01-01

    to one of five regimens: oral placebo; oral alendronate, 1, 5, or 10 mg/d; or oral alendronate, 20 mg/d for 2 years followed by placebo during the third year (20/0 mg/d). MEASUREMENTS: Bone mineral density was measured by dual-energy x-ray absorptiometry. Bone turnover and bone quality were assessed...... with biochemical markers and bone histomorphometry. RESULTS: Alendronate at 5, 10, and 20/0 mg/d increased bone mineral density from baseline at the lumbar spine, femoral neck, and trochanter by 1% to 4% and in the total body by 0.3% to 1.0%; placebo led to losses of 2% to 4% at these sites....... Alendronate, 1 mg/d, attenuated losses relative to those seen with placebo. Alendronate decreased markers of bone resorption to a new steady state by 3 months and decreased markers of bone formation by 6 to 12 months. Bone quality remained normal. At all dosages studied, alendronate had a safety and...

  20. Minimally invasive plate osteosynthesis in metaphyseal fractures of tibia

    OpenAIRE

    K Ramesh Krishna; Mohammed Ibrahim; Koteshwara Surendra Shreekantha

    2015-01-01

    Introduction: Treating tibial metaphyseal fractures is still great challenge. However, two of most used techniques are locked intramedullary nail and minimally-invasive bridge plate. Minimally invasive plate osteosynthesis (MIPO) offers biological advantages. Reduced soft tissue dissection and exposition results in low surgical trauma and preservation of blood supply. Aim of study was to evaluate results of MIPO in treatment of metaphyseal fractures of tibia and to compare efficacy in treatin...

  1. Classic metaphyseal lesion following external cephalic version and cesarean section.

    Science.gov (United States)

    Lysack, John T; Soboleski, Don

    2003-06-01

    We report a case of an otherwise healthy neonate diagnosed at birth with a classic metaphyseal lesion of the proximal tibia following external cephalic version for frank breech presentation and a subsequent urgent cesarean section. Although the classic metaphyseal lesion is considered highly specific for infant abuse, this case demonstrates the importance of obtaining a history of obstetric trauma for neonates presenting to the imaging department for suspected non-accidental injury. PMID:12709748

  2. Classic metaphyseal lesion following external cephalic version and cesarean section

    Energy Technology Data Exchange (ETDEWEB)

    Lysack, John T.; Soboleski, Don [Department of Diagnostic Radiology, Queen' s University, Kingston General Hospital, 76 Stuart Street, K7L 2V7, Kingston, Ont. (Canada)

    2003-06-01

    We report a case of an otherwise healthy neonate diagnosed at birth with a classic metaphyseal lesion of the proximal tibia following external cephalic version for frank breech presentation and a subsequent urgent cesarean section. Although the classic metaphyseal lesion is considered highly specific for infant abuse, this case demonstrates the importance of obtaining a history of obstetric trauma for neonates presenting to the imaging department for suspected non-accidental injury. (orig.)

  3. Metaphyseal fractures mimicking abuse during treatment for clubfoot

    Energy Technology Data Exchange (ETDEWEB)

    Grayev, A.M.; Boal, D.K.B. [Milton S. Hershey Medical Center, Penn State University College of Medicine, Hershey, PA (United States); Wallach, D.M.; Segal, L.S. [Milton S. Hershey Medical Center, Penn State University College of Medicine, Hershey, PA (United States)

    2001-08-01

    Background. Metaphyseal injuries resembling the classic metaphyseal lesion (CML) of abuse may occur as the result of serial casting during treatment of clubfoot deformity. Mentioned in the orthopedic literature in 1972, this iatrogenic fracture has not been described in the radiologic literature nor has the similarity to injuries occurring with abuse been previously recognized. Objective. To describe the mechanism and radiographic appearance of metaphyseal injury observed during serial casting of clubfoot. Note similarities to the CML of abuse. Materials and methods. Eight children ranging in age from 1 to 4 months underwent casting for clubfoot. Five orthopedic surgeons from three different institutions performed the casting. Two patients had spina bifida and one, arthrogryposis. A complete skeletal survey was performed on one child who was abused; there was no suspicion of abuse in the remaining seven. Results. All children manifest injury with periosteal new bone. One child had clear evidence of abuse with 24 rib fractures. X-rays of lower extremities in short leg casts revealed bilateral tibial metaphyseal fractures. Four other children had metaphyseal fractures resembling the CML of abuse, and three developed an area of sclerosis within the metaphysis. Conclusion. In the setting of serial casting for equinovarus deformity, metaphyseal injury even the CML of abuse may be noted. Since inflicted injuries are almost always unobserved and explanations rarely offered, the fact that the CML occurs as a result of orthopedic manipulation may offer some further insight concerning the pathogenesis of this well-described abuse injury. (orig.)

  4. Metaphyseal fractures mimicking abuse during treatment for clubfoot

    International Nuclear Information System (INIS)

    Background. Metaphyseal injuries resembling the classic metaphyseal lesion (CML) of abuse may occur as the result of serial casting during treatment of clubfoot deformity. Mentioned in the orthopedic literature in 1972, this iatrogenic fracture has not been described in the radiologic literature nor has the similarity to injuries occurring with abuse been previously recognized. Objective. To describe the mechanism and radiographic appearance of metaphyseal injury observed during serial casting of clubfoot. Note similarities to the CML of abuse. Materials and methods. Eight children ranging in age from 1 to 4 months underwent casting for clubfoot. Five orthopedic surgeons from three different institutions performed the casting. Two patients had spina bifida and one, arthrogryposis. A complete skeletal survey was performed on one child who was abused; there was no suspicion of abuse in the remaining seven. Results. All children manifest injury with periosteal new bone. One child had clear evidence of abuse with 24 rib fractures. X-rays of lower extremities in short leg casts revealed bilateral tibial metaphyseal fractures. Four other children had metaphyseal fractures resembling the CML of abuse, and three developed an area of sclerosis within the metaphysis. Conclusion. In the setting of serial casting for equinovarus deformity, metaphyseal injury even the CML of abuse may be noted. Since inflicted injuries are almost always unobserved and explanations rarely offered, the fact that the CML occurs as a result of orthopedic manipulation may offer some further insight concerning the pathogenesis of this well-described abuse injury. (orig.)

  5. Preparation and biological studies of 68Ga-DOTA-alendronate

    OpenAIRE

    Ashraf Fakhari; Amir Jalilian; Fariba Johari-daha; Mehdi Shafiee-Ardestani; Ali Khalaj

    2016-01-01

    Objective(s): In line with previous research on the development of conjugated bisphosphonate ligands as new bone-avid agents, in this study, DOTA conjugated alendronate (DOTA-ALN) was synthesized and evaluated after labeling with gallium-68 (68Ga).Methods: DOTA-ALN was synthesized and characterized, followed by 68Ga-DOTA-ALN preparation, using DOTA-ALN and 68GaCl3 (pH: 4-5) at 92-95°C for 10 min. Stability tests, hydroxyapatite assay, partition coefficient calculation,biodistribution studies,...

  6. Benefit period using alendronate to increase bone mineral density in women with osteoporosis?

    Institute of Scientific and Technical Information of China (English)

    Ferda Ozdemir; Meliha Rodoplu

    2005-01-01

    Background Alendronate, a nitrogen-containing bisphosphonate is a specific inhibitor of bone resorption and now in the forefront of treatment of osteoporosis. In this study, we reported a significant increase in bone mineral density (BMD) of the spine and the hip in postmenopausal women taking alendronate at 10 mg/d for 1, 2 and 3 years. Methods Participants had received daily, oral, 10 mg dose of alendronate for one to three years and placed into one of three groups according to alendronate treatment duration: 41 women received alendronate for 1 year (group Ⅰ), 46 received alendronate for 2 years (group Ⅱ), and 30 received alendronate for 3 years (group Ⅲ). Measurements of bone density had been made by dual energy X-ray absorbtiometry once each year. Results The differences in L2-L4, L2, L4, femoral neck and trochanter BMD values before and after treatment for first group were significantly different. In second group, significant differences between initial and after treatment were found at the other sites except at the Ward's triangle. In the third group, only a significant increase in the L2-L4, L2, L3, L4, trochanter BMD values between before treatment and at the end of third year was found. Comparisons between groups were performed with Student's t test. ANOVA was used to test the age, menopause age, menopause duration and initial BMD values between the three groups. Calculated P values of less than 0.05 were considered statistically significant. Conclusions Alendronate had increased BMD significantly at the spine and hip in postmenopausal women over three years. Increases of BMD in third group were significant during the first and second years. However, continued therapy with alendronate had been required to maintain the gain in BMD over the third year.

  7. A critical introduction to the metaphysics of time

    CERN Document Server

    Curtis, Benjamin

    2016-01-01

    What is the nature of time? Does it flow? Do the past and future exist? Drawing connections between historical and present-day questions, A Critical Introduction to the Metaphysics of Time provides an up-to-date guide to one of the most central and debated topics in contemporary metaphysics. Introducing the views and arguments of Parmenides, Plato, Aristotle, Descartes, Newton and Leibniz, this accessible introduction covers the history of the philosophy of time from the Pre-Socratics to the beginning of the 20th Century. The historical survey presents the necessary background to understanding more recent developments, including McTaggart's 1908 argument for the unreality of time, the open future, the perdurance/endurance debate, the possibility of time travel, and the relevance of current physics to the philosophy of time. Informed by cutting-edge philosophical research, A Critical Introduction to the Metaphysics of Time evaluates influential historical arguments in the context of contemporary developments. ...

  8. Effect of alendronate on bone remodeling around implant in the rat

    OpenAIRE

    Park, Ran; Kim, Jee-Hwan; Choi, Hyunmin; Park, Young-Bum; Jung, Han-Sung; Moon, Hong-Seok

    2013-01-01

    PURPOSE The purpose of this study was to evaluate the effect of alendronates on bone remodeling around titanium implant in the maxilla of rats. MATERIALS AND METHODS The maxillary first molars were extracted and customized-titanium implants were placed immediately in thirty male Sprague-Dawley rats. The rats were divided into experimental (bisphosphonate) group and control group. At 4 weeks after implantation, the rats in the bisphosphonate group were subcutaneously injected with alendronate ...

  9. Odanacatib Restores Trabecular Bone of Skeletally Mature Female Rabbits With Osteopenia but Induces Brittleness of Cortical Bone: A Comparative Study of the Investigational Drug With PTH, Estrogen, and Alendronate.

    Science.gov (United States)

    Khan, Mohd Parvez; Singh, Atul Kumar; Singh, Abhishek Kumar; Shrivastava, Pragya; Tiwari, Mahesh Chandra; Nagar, Geet Kumar; Bora, Himangshu Kousik; Parameswaran, Venkitanarayanan; Sanyal, Sabyasachi; Bellare, Jayesh R; Chattopadhyay, Naibedya

    2016-03-01

    Cathepsin K (CK), a lysosomal cysteine protease, is highly expressed in mature osteoclasts and degrades type 1 collagen. Odanacatib (ODN) is a selective and reversible CK inhibitor that inhibits bone loss in preclinical and clinical studies. Although an antiresorptive, ODN does not suppress bone formation, which led us to hypothesize that ODN may display restorative effect on the osteopenic bones. In a curative study, skeletally mature New Zealand rabbits were ovarectomized (OVX) and after induction of bone loss were given a steady-state exposure of ODN (9 mM/d) for 14 weeks. Sham-operated and OVX rabbits treated with alendronate (ALD), 17b-estradiol (E2), or parathyroid hormone (PTH) served as various controls. Efficacy was evaluated by assessing bone mineral density (BMD), bone microarchitecture (using micro-computed tomography), fluorescent labeling of bone, and biomechanical strength. Skeletal Ca/P ratio was measured by scanning electron microscopy (SEM) with X-ray microanalysis, crystallinity by X-ray diffraction, and bone mineral density distribution (tissue mineralization) by backscattered SEM. Between the sham and ODN-treated osteopenic groups, lumbar and femur metaphyseal BMD, Ca/P ratio, trabecular microstructure and geometric indices, vertebral compressive strength, trabecular lining cells, cortical parameters (femoral area and thickness and periosteal deposition), and serum P1NP were largely comparable. Skeletal improvements in ALD-treated or E2-treated groups fell significantly short of the sham/ODN/PTH group. However, the ODN group displayed reduced ductility and enhanced brittleness of central femur, which might have been contributed by higher crytallinity and tissue mineralization. Rabbit bone marrow stromal cells expressed CK and when treated with ODN displayed increased formation of mineralized nodules and decreased apoptosis in serum-deficient medium compared with control. In vivo, ODN did not suppress remodeling but inhibited osteoclast activity

  10. [The mark of envy: metaphysics and embryology according to Descartes].

    Science.gov (United States)

    Gaudemard, Lynda

    2012-01-01

    This paper explores the interaction between medicine and metaphysics in modern natural philosophy and especially in Descartes' philosophy. I argue that Descartes hypothetical account of birthmarks in connection with his embryology provides an argumentative proof of the metaphysical necessity of a substantial union between mind and body, which however does not threaten his doctrine of the real distinction between these two substances. It would appear that his argument relies on a temporal conception of alethic modalities and provides a new answer to Henricus Regius who in 1641 claimed that, for Descartes, the human being is an ensper accidens. PMID:23035401

  11. A new type of spondylo-metaphyseal dysplasia - Algerian type

    International Nuclear Information System (INIS)

    A new, dominantly inherited, severe form of spondylometaphyseal dysplasia in five members of an Algerian family is reported. Another child, not investigated, was also probably affected. The disease is characterised by a unique clinical and radiological set of features: dwarfism, genu valgum deformity, progressive kypho-scoliosis, wrist deformity, myopia and severe metaphyseal dysplasia, with moderate spinal changes and minimal changes in the hands and feet. In view of the geographical localisation of the disorder and the anatomical distribution we propose the name Algerian type of spondylo-metaphyseal dysplasia. (orig.)

  12. One year of alendronate treatment lowers microstructural stresses associated with trabecular microdamage initiation.

    Science.gov (United States)

    O'Neal, Jessica M; Diab, Tamim; Allen, Matthew R; Vidakovic, Brani; Burr, David B; Guldberg, Robert E

    2010-08-01

    Alendronate, an anti-remodeling agent, is commonly used to treat patients suffering from osteoporosis by increasing bone mineral density. Though fracture risk is lowered, an increase in microdamage accumulation has been documented in patients receiving alendronate, leading to questions about the potentially detrimental effects of remodeling suppression on the local tissue (material) properties. In this study, trabecular bone cores from the distal femur of beagle dogs treated for one year with alendronate, at doses scaled by weight to approximate osteoporotic and Paget's disease treatment doses in humans, were subjected to uniaxial compression to induce microdamage. Tissue level von Mises stresses were computed for alendronate-treated and non-treated controls using finite element analysis and correlated to microdamage morphology. Using a modified version of the Moore and Gibson classification for damage morphology, we determined that the von Mises stress for trabeculae exhibiting severe and linear microcrack patterns was decreased by approximately 25% in samples treated with alendronate compared with non-treated controls (pbone's architecture and matrix properties associated with one year of alendronate administration reduce trabecular bone's ability to resist the formation of loading-induced severe and linear microcracks, both of which dissipate less energy prior to fracture than does diffuse damage. PMID:20483387

  13. Radiodensitometric and DXA analyses for the measurement of bone mineral density after systemic alendronate therapy

    Energy Technology Data Exchange (ETDEWEB)

    Lucisano, Marilia Pacifico; Nelson-Filho, Paulo; Silva, Raquel Assed Bezerra da; Silva, Lea Assed Bezerra da, E-mail: nelson@forp.usp.br [Universidade de Sao Paulo (USP), Ribeirao Preto, SP (Brazil). Fac. de Odontologia. Dept. de Clinica Pediatrica, Preventiva e Odontologia Comunitaria; Morse, Leslie [Department of Physical Medicine and Rehabilitation, School of Medicine, Harvard Univ., Boston, MA (United States); Battaglino, Ricardo [Department of Skeletal Biology, Forsyth Institute, Cambridge, MA (United States); Watanabe, Plauto Christopher Aranha [Universidade de Sao Paulo (USP), Ribeirao Preto, SP (Brazil). Fac. de Odontologia. Dept. de Morfologia, Estomacologia e Fisiologia

    2013-05-15

    Precise techniques for the measurement of maxillary bone mineral density (BMD) are useful for the early diagnosis of systemic diseases. The aim of this study was to compare in vivo the efficacy of dual energy x-ray absorptiometry (DXA) and radiographic densitometry for the measurement of BMD after systemic administration of sodium alendronate. Wistar rats were randomly allocated to a control group (n = 5), which received distilled water, and a sodium alendronate group (n = 8), which received two doses of chemically pure sodium alendronate (1 mg/kg) per week. After 8 weeks, the animals were euthanized, the tibias were removed, and the BMD of the proximal tibial metaphysis was analyzed radiographically and by DXA. The data were subjected to statistical analysis by the Kruskal-Wallis test at a significance level of 5%. Both of the techniques revealed that the alendronate-treated group had a significantly higher BMD (p < 0.05) than the control group after 8 weeks of treatment. Comparing the groups with and without alendronate therapy revealed increases of 14.9% and 29.6% in BMD, as detected radiographically and by DXA, respectively. In conclusion, both of the methods were able to detect an increase in BMD of the proximal tibial metaphysis after alendronate therapy. (author)

  14. Radiodensitometric and DXA analyses for the measurement of bone mineral density after systemic alendronate therapy

    International Nuclear Information System (INIS)

    Precise techniques for the measurement of maxillary bone mineral density (BMD) are useful for the early diagnosis of systemic diseases. The aim of this study was to compare in vivo the efficacy of dual energy x-ray absorptiometry (DXA) and radiographic densitometry for the measurement of BMD after systemic administration of sodium alendronate. Wistar rats were randomly allocated to a control group (n = 5), which received distilled water, and a sodium alendronate group (n = 8), which received two doses of chemically pure sodium alendronate (1 mg/kg) per week. After 8 weeks, the animals were euthanized, the tibias were removed, and the BMD of the proximal tibial metaphysis was analyzed radiographically and by DXA. The data were subjected to statistical analysis by the Kruskal-Wallis test at a significance level of 5%. Both of the techniques revealed that the alendronate-treated group had a significantly higher BMD (p < 0.05) than the control group after 8 weeks of treatment. Comparing the groups with and without alendronate therapy revealed increases of 14.9% and 29.6% in BMD, as detected radiographically and by DXA, respectively. In conclusion, both of the methods were able to detect an increase in BMD of the proximal tibial metaphysis after alendronate therapy. (author)

  15. Metaphysical and anthropological measurements sporting life as the basis of self-identity

    OpenAIRE

    Білогур, Влада Євгеніївна

    2014-01-01

    The article describes the theoretical concept of sport as a measure of the optimum being in the context of metaphysical and anthropological bases. Revealed the term "metaphysics" and the metaphysical foundations of sport as being the optimum expression of personality, for which there is a characteristic game character, competitiveness, education, orientation, physical activity, aimed at mapping the physical and spiritual spobnostey person. The substantiation of metaphysics in the context of t...

  16. The problem of personality development in consideration of domestic theories of personalty belonging to metaphysical tradition

    Directory of Open Access Journals (Sweden)

    Александр Анатольевич Бреусенко-Кузнецов

    2014-08-01

    Full Text Available The article is devoted to the domestic metaphysical tradition in personology. The importance of the tradition for development of modern psychology of personality is revealed. Domestic metaphysical theories are reconstructed on the author's structural model and considered in the aspect of their understanding of development of personality. The basic tendencies defining the uniform approach to development of personality of domestic metaphysical tradition in personology are determined. Metaphysical models of periodization of personality development are presented.

  17. The problem of personality development in consideration of domestic theories of personalty belonging to metaphysical tradition

    OpenAIRE

    Александр Анатольевич Бреусенко-Кузнецов

    2014-01-01

    The article is devoted to the domestic metaphysical tradition in personology. The importance of the tradition for development of modern psychology of personality is revealed. Domestic metaphysical theories are reconstructed on the author's structural model and considered in the aspect of their understanding of development of personality. The basic tendencies defining the uniform approach to development of personality of domestic metaphysical tradition in personology are determined. Metaphysic...

  18. Time trends for alendronate prescription practices in women with chronic obstructive pulmonary disease and women exposed to systemic glucocorticoids

    DEFF Research Database (Denmark)

    Brask-Lindemann, Dorthe; Eiken, P; Eskildsen, P; Abrahamsen, B

    2013-01-01

    aims to evaluate alendronate prescription practices related to COPD and/or to exposure to systemic glucocorticoids among Danish women. Methods A total of 388,314 female subjects >50 years old, 64,719 of whom initiated treatment with alendronate, and 323,595 age- and gender-matched controls were...... diagnosis of COPD was associated with an increased likelihood of using alendronate (odds ratio (OR) 1.4, 95 % confidence interval (CI) 1.4–1.5, p < 0.001). Further, a diagnosis of COPD was associated with an increasing tendency of initiating alendronate treatment in the study period (OR 1.3 (95 % CI 1...

  19. Fall and Rise of Aristotelian Metaphysics in the Philosophy of Science

    Science.gov (United States)

    Lamont, John

    2009-01-01

    The paper examines the fortunes of Aristotelian metaphysics in science and the philosophy of science. It considers the Enlightenment claim that such a metaphysics is fundamentally unscientific, and that its abandonment was essential to the scientific revolution. The history of the scientific revolution and the metaphysical debates involved in it…

  20. The Metaphysical Structure of Education in the 20th Century.

    Science.gov (United States)

    Winchester, Ian

    1999-01-01

    Lists presuppositions or assumptions that have been fundamental to educational thought in this century. Explores the "metaphysics of education" through a historical comparison and contrast of Eastern and Western educational thought and development. Discusses universal schooling as necessary for economic success and industrialization in the…

  1. Real-Life and RCT Participants: Alendronate Users Versus FITs' Trial Eligibility Criterion.

    Science.gov (United States)

    Reyes, Carlen; Pottegård, Anton; Schwarz, Peter; Javaid, M Kassim; Van Staa, Tjeerd P; Cooper, Cyrus; Diez-Perez, Adolfo; Abrahamsen, Bo; Prieto-Alhambra, Daniel

    2016-09-01

    We aimed to characterize incident users of alendronate from Denmark and Spain, and investigate their eligibility for participation in the pivotal Fracture Intervention Trial (FIT). This is an international cross-sectional study, where the data were obtained from the SIDIAP database (Sistema d'Informació per al Desenvolupament de l'Investigació en Atenció Primària) from Catalonia (Spain) and the Danish Health Registries (DHR). This study included patients who were incident users of alendronate, ≥40 years old with no history of Paget's disease. Our measurements were the proportion of incident users of alendronate who were not eligible to participate in FIT. 14,316 and 21,221 subjects initiated alendronate in 2006-2007 (SIDIAP) and 2005-2006 (DHR), respectively. SIDIAP and DHR alendronate user cohorts had 2347 (16.4 %) and 5275 (24.9 %) subjects aged >80 years old, reported 9 (0.1 %) and 91 (0.4 %) diagnoses of myocardial infarction, 423 (3 %) and 368 (1.7 %) of erosive gastro-intestinal disease, 200 (1.4 %) and 1109 (5.2 %) of dyspepsia, and 349 (2.4 %) and 149 (0.7 %) of metabolic bone disease, all of which were exclusion criteria in FIT. Men [3818 (26.7 %) in SIDIAP and 3885 (18.3 %) in DHR] and glucocorticoid users [1229 (8.6 %) in SIDIAP and 4716 (22.2 %) in DHR] were also excluded from the FIT trial. Overall, 3447 (35.4 %) SIDIAP and 6228 (44.5 %) (when not considering men and glucocorticoid users) DHR of incident alendronate users would have been excluded from FIT. One in two real-life users of alendronate exhibited one or more clinical characteristics that would have led to them being excluded from the FIT trial. PMID:27099132

  2. A fast and simple spectrofluorometric method for the determination of alendronate sodium in pharmaceuticals

    Directory of Open Access Journals (Sweden)

    Jafar Ezzati Nazhad Dolatabadi

    2014-03-01

    Full Text Available Introduction: Alendronate sodium enhances bone formation and increases osteoblast proliferation and maturation and leads to the inhibition of osteoblast apoptosis. Therefore, a rapid and simple spectrofluorometric method has been developed and validated for the quantitative determination of it. Methods: The procedure is based on the reaction of primary amino group of alendronate with o-phthalaldehyde (OPA in sodium hydroxide solution. Results: The calibration graph was linear over the concentration range of 0.0-2.4 μM and limit of detection and limit of quantification of the method was 8.89 and 29 nanomolar, respectively.The enthalpy and entropy of the reaction between alendronate sodium and OPA showed that the reaction is endothermic and entropy favored (ΔH = 154.08 kJ/mol; ΔS = 567.36 J/mol K which indicates that OPA interaction with alendronate is increased at elevated temperature. Conclusion: This simple method can be used as a practical technique for the analysis of alendronate in various samples.

  3. Histomorphometry of the organic matrix of the femur in ovariectomized rats treated with sodium alendronate

    Directory of Open Access Journals (Sweden)

    Patricia Tanios Haddad

    2015-02-01

    Full Text Available OBJECTIVE: To evaluate the effect of two different concentrations of sodium alendronate on the quantity of organic matrix in the femur of rats with estrogen suppression caused by ovariectomy.METHODS: Sixty-days-old Wistar rats (Rattus norvegicus were subjected to bilateral laparotomy to remove the ovaries. The animals were divided into a control group, in which they only underwent laparotomy; an ovariectomized group (OVX; an ovariectomized group treated with 1 mg/kg of alendronate (OVX 1 mg; and an ovariectomized group treated with 2 mg/kg of alendronate (OVX 2 mg. The rats received alendronate twice a week for 90 days. The left femur was then removed, fixed and processed for embedding in paraffin. Semi-serial sections stained with hematoxylin and eosin were used to determine the area occupied by organic bone matrix, by means of image analysis software. The animals' weights were obtained at the beginning and end of the experiment.RESULTS: The ovariectomized animals and those treated with 1 mg/kg of alendronate presented significant increases in body weight (p 0.05 to that of the non-ovariectomized control animals (2,04,800 ± 9590, which indicates that this medication had a preventive effect with regard to bone mass loss.CONCLUSION: The higher concentration of the medication, administered twice a week for 90 days, was more effective than the dose of 1 mg/kg over the same period.

  4. Alendronate increases skeletal mass of growing rats during unloading by inhibiting resorption of calcified cartilage

    Science.gov (United States)

    Bikle, D. D.; Morey-Holton, E. R.; Doty, S. B.; Currier, P. A.; Tanner, S. J.; Halloran, B. P.

    1994-01-01

    Loss of bone mass during periods of skeletal unloading remains an important clinical problem. To determine the extent to which resorption contributes to the relative loss of bone during skeletal unloading of the growing rat and to explore potential means of preventing such bone loss, 0.1 mg P/kg alendronate was administered to rats before unloading of the hindquarters. Skeletal unloading markedly reduced the normal increase in tibial mass and calcium content during the 9 day period of observation, primarily by decreasing bone formation, although bone resorption was also modestly stimulated. Alendronate not only prevented the relative loss of skeletal mass during unloading but led to a dramatic increase in calcified tissue in the proximal tibia compared with the vehicle-treated unloaded or normally loaded controls. Bone formation, however, assessed both by tetracycline labeling and by [3H]proline and 45Ca incorporation, was suppressed by alendronate treatment and further decreased by skeletal unloading. Total osteoclast number increased in alendronate-treated animals, but values were similar to those in controls when corrected for the increased bone area. However, the osteoclasts had poorly developed brush borders and appeared not to engage the bone surface when examined at the ultrastructural level. We conclude that alendronate prevents the relative loss of mineralized tissue in growing rats subjected to skeletal unloading, but it does so primarily by inhibiting the resorption of the primary and secondary spongiosa, leading to altered bone modeling in the metaphysis.

  5. Preparation of collagen/hydroxyapatite/alendronate hybrid hydrogels as potential scaffolds for bone regeneration.

    Science.gov (United States)

    Ma, Xin; He, Zhiwei; Han, Fengxuan; Zhong, Zhiyuan; Chen, Liang; Li, Bin

    2016-07-01

    Development of biomimetic scaffolds represents a promising direction in bone tissue engineering. In this study, we designed a two-step process to prepare a type of biomimetic hybrid hydrogels that were composed of collagen, hydroxyapatite (HAP) and alendronate (ALN), an anti-osteoporosis drug. First, water-soluble ALN-conjugated HAP (HAP-ALN) containing 4.0wt.% of ALN was synthesized by treating HAP particles with ALN. Hydrogels were then formed from HAP-ALN conjugate and collagen under physiological conditions using genipin (GNP) as the crosslinker. Depending on the ALN/collagen molar ratio and GNP concentration, the gelation time of hydrogels ranged from 5 to 37min. Notably, these hybrid hydrogels exhibited markedly improved mechanical property (storage modulus G'=38-187kPa), higher gel contents, and lower swelling ratios compared to the hydrogels prepared from collagen alone under similar conditions. Moreover, they showed tunable degradation behaviors against collagenase. The collagen/HAP-ALN hybrid hydrogels supported the adhesion and growth of murine MC3T3-E1 osteoblastic cells well. Such tough yet enzymatically degradable hybrid hydrogels hold potential as scaffolds for bone tissue engineering. PMID:26998869

  6. Alendronate reduced peri-tunnel bone loss and enhanced tendon graft to bone tunnel healing in anterior cruciate ligament reconstruction

    Directory of Open Access Journals (Sweden)

    PPY Lui

    2013-01-01

    Full Text Available Peri-tunnel bone loss after anterior cruciate ligament (ACL reconstruction is commonly observed, both clinically and experimentally. We aimed to study the effect and mechanisms of different doses of alendronate in the reduction of peri-tunnel bone loss and promotion of graft-bone tunnel healing in ACL reconstruction. Eighty-four ACL-reconstructed rats were divided into 4 groups. Alendronate at different dosages, or saline, were injected subcutaneously weekly, for 2 or 6 weeks post-reconstruction, for vivaCT (computed tomography imaging, biomechanical tests, histology and immunohistochemistry. Alendronate significantly increased bone mass and density of tissue inside bone tunnels except at the epiphyseal region of tibial tunnel. The femoral tunnel diameter decreased significantly in the mid-dose and high-dose alendronate groups compared to that in the saline group at week 6. Alendronate significantly increased the peri-tunnel bone mass and density along all tunnel regions at week 6. Better graft-bone tunnel integration and intra-tunnel graft integrity were observed in the alendronate groups. The ultimate load was significantly higher in the mid-dose and high-dose alendronate groups at week 2, but not at week 6. There was a reduction in matrix metalloprotein (MMP1, MMP13 and CD68-positive cells at the peri-tunnel region and graft-bone interface in the alendronate-treated group compared to the saline group. Alendronate reduced peri-tunnel bone resorption, increased mineralised tissue inside bone tunnel as well as histologically and biomechanically promoted graft-bone tunnel healing, probably by reducing the expression of MMP1, MMP13 and CD68-positive cells. Alendronate might be used for reducing peri-tunnel bone loss and promoting graft-bone tunnel healing at early stage post-ACL reconstruction.

  7. Can classic metaphyseal lesions follow uncomplicated caesarean section?

    Energy Technology Data Exchange (ETDEWEB)

    O' Connell, AnnaMarie [Children' s University Hospital, Radiology Department, Dublin 1 (Ireland); Donoghue, Veronica B. [Children' s University Hospital, Radiology Department, Dublin 1 (Ireland); National Maternity Hospital, Radiology Department, Dublin (Ireland)

    2007-05-15

    Classic metaphyseal lesion (CML) is the term given to a fracture that most often occurs in the posteromedial aspect of the distal femur, proximal tibia, distal tibia, and proximal humerus in infants; this finding is strongly associated with non-accidental injury. To demonstrate that the CML may occur following simple lower segment caesarean section (LSCS). A review of 22 years of an obstetric practice that delivers 8,500 babies per year. We identified three neonates born by elective LSCS, each with distal femoral metaphyseal fractures on postpartum radiographs. All caesarean sections were elective and uncomplicated. External cephalic version was not employed preoperatively. Postpartum radiographs demonstrated a fracture of the distal femoral metaphysis in each neonate, typical of a CML. We propose that a CML can occur in the setting of a simple, elective and uncomplicated LSCS where no external cephalic version is employed. (orig.)

  8. Internal Realism: Putnam\\'s Alternative to Metaphysical Realism

    Directory of Open Access Journals (Sweden)

    J Akbari Takhtameshlou

    2014-03-01

    Having introduced and reviewed Putnam's arguments in rejecting metaphysical realism, this article explains and examines the basic elements of internal realism. The results of this article show that Putnam's objections against metaphysical realism lack the necessary credibility and strength and at the same time his proposed alternative (internal realism has serious problems that made to be addressed. By his chosen conception of truth, internal realism, cannot touch its stated purpose i.e. the removal of a huge gap between the truth of a statement and our knowledge of it. The ontological claims of internal realism are not, indeed, the reliable and true consequences of the thesis of conceptual relativity, which is considered as Putnam’s main base in this regard, but rather it is more a consequence of mistaking the linguistic issues with ontological ones.

  9. Minimally invasive plate osteosynthesis in metaphyseal fractures of tibia

    Directory of Open Access Journals (Sweden)

    K Ramesh Krishna

    2015-01-01

    Full Text Available Introduction: Treating tibial metaphyseal fractures is still great challenge. However, two of most used techniques are locked intramedullary nail and minimally-invasive bridge plate. Minimally invasive plate osteosynthesis (MIPO offers biological advantages. Reduced soft tissue dissection and exposition results in low surgical trauma and preservation of blood supply. Aim of study was to evaluate results of MIPO in treatment of metaphyseal fractures of tibia and to compare efficacy in treating metaphyseal fractures of tibia with other similar studies. Materials and Methods: This study was performed with 30 metaphyseal fractures of tibia with MIPO in hospitals attached to BMCRI. All cases were fresh fractures and traumatic. There were 12 proximal tibial and 18 distal tibial fractures. Temporary joint spanning external fixation was used for severe soft tissue injuries in 6 patients. All the fractures were stabilized by minimally invasive plating. Cases were followed up for an average of 14.1 months. Results: All fractures united. Proximal and disal tibia fractures united after an average of 6.3 and 6.6 months respectively. In proximal and distal tibia fractures, average range of motion achieved was 81.75° and 48.8° respectively. One patient with distal tibia fracture had a malunion with valgus alignment of more than 5°. Conclusion: Minimally invasive percutaneous plating facilitates in early mobilization of the patient which helps in healing of the fracture and prevents joint stiffness. It promotes early union as it does not disturb anatomy and physiology of vascularity at fracture site. There is minimal risk of infection and minimal blood loss.

  10. Science and Metaphysics in the Three Religions of the Book

    OpenAIRE

    Toby E. Huff

    2000-01-01

    The three religions of the Book trace their origins back to the same Abrahamic experience, but only one, Christianity, developed a metaphysical framework consistent with that of modern science. Both Judaism and Islam during their formative years, and continuously up to modern times, considered Greek philosophy and science alien wisdom, jeopardizing their sacred scriptures. The different path followed by Christianity is due to the influence of Hellenistic thought during Christianity's early fo...

  11. High encapsulation efficiency of sodium alendronate in eudragit S100/HPMC blend microparticles

    Directory of Open Access Journals (Sweden)

    Letícia Cruz

    2009-01-01

    Full Text Available The hydrophilic drug sodium alendronate was encapsulated in blended microparticles of Eudragit® S100 and Methocel® F4M or Methocel® K100LV. Both formulations prepared by spray-drying showed spherical collapsed shape and smooth surface, encapsulation efficiencies of 85 and 82% and mean diameters of 11.7 and 8.4 µm, respectively. At pH 1.2, in vitro dissolution studies showed good gastro-resistance for both formulations. At pH 6.8, the sodium alendronate release from the microparticles was delayed and was controlled by Fickian diffusion. In conclusion, the prepared microparticles showed high encapsulation efficiency of sodium alendronate presenting gastro-resistance and sustained release suitable for its oral administration.

  12. Preparation and biological studies of 68Ga-DOTA-alendronate

    Directory of Open Access Journals (Sweden)

    Ashraf Fakhari

    2016-07-01

    Full Text Available Objective(s: In line with previous research on the development of conjugated bisphosphonate ligands as new bone-avid agents, in this study, DOTA conjugated alendronate (DOTA-ALN was synthesized and evaluated after labeling with gallium-68 (68Ga.Methods: DOTA-ALN was synthesized and characterized, followed by 68Ga-DOTA-ALN preparation, using DOTA-ALN and 68GaCl3 (pH: 4-5 at 92-95°C for 10 min. Stability tests, hydroxyapatite assay, partition coefficient calculation,biodistribution studies, and imaging were performed on the developed agent in normal rats.Results: The complex was prepared with high radiochemical purity (>99% as depicted by radio thin-layer chromatography; specific activity: 310-320GBq/mmol after solid phase purification and was stabilized for up to 90 min with a logP value of -2.91. Maximum ligand binding (65% was observed in the presence of 50 mg of hydroxyapatite; a major portion of the activity was excreted through the kidneys. With the exception of excretory organs, gastrointestinal tract organs, including the liver, intestine, and colon, showed significant uptake; however, the bone uptake was low (

  13. Preparation and Biological Study of 68Ga-DOTA-alendronate

    Science.gov (United States)

    Fakhari, Ashraf; Jalilian, Amir R.; Johari-Daha, Fariba; Shafiee-Ardestani, Mehdi; Khalaj, Ali

    2016-01-01

    Objective(s): In line with previous research on the development of conjugated bisphosphonate ligands as new bone-avid agents, in this study, DOTA-conjugated alendronate (DOTA-ALN) was synthesized and evaluated after labeling with gallium-68 (68Ga). Methods: DOTA-ALN was synthesized and characterized, followed by 68Ga-DOTA-ALN preparation, using DOTA-ALN and 68GaCl3 (pH: 4-5) at 92-95° C for 10 min. Stability tests, hydroxyapatite assay, partition coefficient calculation, biodistribution studies, and imaging were performed on the developed agent in normal rats. Results: The complex was prepared with high radiochemical purity (>99% as depicted by radio thin-layer chromatography; specific activity: 310-320 GBq/mmol) after solid phase purification and was stabilized for up to 90 min with a log P value of -2.91. Maximum ligand binding (65%) was observed in the presence of 50 mg of hydroxyapatite; a major portion of the activity was excreted through the kidneys. With the exception of excretory organs, gastrointestinal tract organs, including the liver, intestine, and colon, showed significant uptake; however, the bone uptake was low (<1%) at 30 min after the injection. The data were also confirmed by sequential imaging at 30-90 min following the intravenous injection. Conclusion: The high solubility and anionic properties of the complex led to major renal excretion and low hydroxyapatite uptake; therefore, the complex failed to demonstrate bone imaging behaviors. PMID:27408898

  14. Langerhans cell histiocytosis case with dense metaphyseal band sign.

    Science.gov (United States)

    Kikkawa, Ichiro; Aihara, Toshinori; Morimoto, Akira; Watanabe, Hideaki; Furukawa, Rieko

    2013-02-01

    Eosinophilic granuloma, a type of Langerhans cell histiocytosis, exhibits a classic vertebral collapse, which is called vertebra plana (Calve's disease) and it manifests as a solitary bony lesion. Vertebra plana can cause severe pain in patients. Bisphosphonates (clodronate, pamidronate and zoledronic acid) have been recently used to treat osteolytic bone lesions of LCH. Zoledronic acid has 100 times relative potency that of pamidronate. We report a case of a 10-year-old girl who had zoledronic acid treatment for severe back pain due to vertebra plana. X-ray photographs of the patient's body showed dense metaphyseal band sign, which can be found in lead poisoning, treated leukemia, healing rickets, recovery from scurvy, vitamin D hypervitaminosis, congenital hypothyroidism and hypoparathyroidism. Increased biological potent zoledronic acid deprived her of severe back pain due to vertebra plana and might cause dense metaphyseal band sign of her skeleton. Conclusion; We have cured the severe back pain of a 10-year-old girl case of eosinophilic granuloma with zoledronic acid. After that treatment, X-ray photographs of the patient's body showed dense metaphyseal band sign. There have been few such cases reported until now. PMID:23409985

  15. Metaphysics in China and in the West:Common Origin and Later Divergence

    Institute of Scientific and Technical Information of China (English)

    Zhao Dunhua

    2006-01-01

    There are two tendencies in the arguments of the legitimacy of metaphysics in ancient China:the tendency to argue that there was no metaphysics in ancient China and the tendency to argue that ancient Chinese metaphysics is totally different from that of the West.In this article,the author counters these tendencies and argues that Chinese and western metaphysics both originated from a dynamic cosmology and shared objects of investigation and characteristics of thinking in terms of Becoming.However,in their later development,due to the difference in the problems of their focus,traditions of "moral metaphysics" and "(natural) metaphysics of Being" were formed in China and in the West,respectively.The author also explores the reasons for the rise of modem science in the West and its lack of progress in China.

  16. Johann Christoph Sturm's universal mathematics and metaphysics (German Title: Universalmathematik und Metaphysik bei Johann Christoph Sturm)

    Science.gov (United States)

    Leinsle, Ulrich G.

    In order to understand Sturm's concept of a universal mathematics as a replacement or complement of metaphysics, one first has to examine the evolution of the idea of a mathesis universalis up to Sturm, and his concept of metaphysics. According to the understanding of those times, natural theology belongs to metaphysics. The last section is concerned with Sturm's statements on the existence of God and his assessments for a physico-theology.

  17. Some aspects of the metaphysics of chemistry and the nature of the elements

    OpenAIRE

    Scerri, E R

    2005-01-01

    There is now a considerable body of published work on the epistemology of modern chemistry, especially with regard to the nature of quantum chemistry. In addition, the question of the metaphysical underpinnings of chemistry has received a good deal of attention. The present article concentrates on metaphysical considerations including the question of whether elements and groups of elements are natural kinds. It is also argued that an appeal to the metaphysical nature of elements can help clar...

  18. Some Aspects of the Metaphysics of Chemistry and the Nature of the Elements

    OpenAIRE

    Scerri, Eric R.

    2005-01-01

    There is now a considerable body of published work on the epistemology of modern chemistry, especially with regard to the nature of quantum chemistry. In addition, the question of the metaphysical underpinnings of chemistry has received a good deal of attention. The present article concentrates on metaphysical considerations including the question of whether elements and groups of elements are natural kinds. It is also argued that an appeal to the metaphysical nature of elements can help clar...

  19. African Metaphysics and Theocracy: A Case Study of Theocratic Politics in Ogba Land, Rivers State, Nigeria

    OpenAIRE

    Uche A. Dike

    2013-01-01

    The modus operandi of this paper is centered on governance and the metaphysical forces in Ogba Land. In other words the main focus of the article is that theocracy is concomitant with Ogba metaphysics. The salient points discussed include Maduabuchi Dukor’s reflection on African cosmic environment as posited in Dukor’s four great works on African philosophy. Others include Jewish theocratic tradition, Islamic theocratic tradition and Ogba theocracy and metaphysics in the light of Dukor’s phil...

  20. The Evolution of Galaxies: A Metaphysics Viewpoint

    CERN Document Server

    Schombert, J M

    2004-01-01

    This is the written version of an invited review talk for the 13 Feb 2004 AAAS Meeting in Seattle. The talk's goal is to present a philosophical view of extragalactic astronomy as it applies to the sub-field of galaxy evolution. The talk is divided into three parts: 1) How we got to where we are (technology drivers to our science goals), 2) What's new and special (how that technology has achieved our recent science results) and 3) How an improved worldview will help us in the near future. The intended audience for this talk is a generally knowledgeable scientist, but not an astronomer by training. This talk is also not intended to be a complete review of the field of galaxy evolution and only includes a few recent results extracted from the astro-ph archives to present the current state of our field.

  1. Formulation of gastroresistant tablets containing sodium alendronate-loaded blend microparticles

    Directory of Open Access Journals (Sweden)

    Luana Mota Ferreira

    2015-06-01

    Full Text Available Sodium alendronate is an antiresorptive drug used for the treatment of postmenopausal osteoporosis. However, its oral administration is associated with low bioavailability and gastroesophageal irritation. This work aimed at developing tablets containing sodium alendronate-loaded microparticles by direct compression to achieve a safe and effective form. The parameters evaluated were average weight, hardness, thickness and drug content. In vitro release tests were carried out using simulated gastric and intestinal fluids, and the profiles were analyzed through the Korsmeyer-Peppas mono- or biexponential dependent approaches. Tablets presented adequate average weight, thickness, good mechanical properties and drug content close to 100%. Moreover, the formulation released less than 11% of sodium alendronate in gastric fluid, exhibiting a good gastroresistance. At pH 6.8, almost 100% of the drug was released in 12h, showing a prolonged profile. The mathematical modeling indicated that the experimental data was better fitted to the biexponential equation. Furthermore, a good correlation coefficient was obtained for the Korsmeyer-Peppas model and the release exponent suggested that the drug dissolution was driven by anomalous transport. In conclusion, the microparticulated tablets can be considered a promising alternative for oral delivery of sodium alendronate.

  2. Healing properties of allograft from alendronate-treated animal in lumbar spine interbody cage fusion.

    Science.gov (United States)

    Xue, Qingyun; Li, Haisheng; Zou, Xuenong; Bünger, Mathias; Egund, Niels; Lind, Martin; Christensen, Finn Bjarke; Bünger, Cody

    2005-04-01

    This study investigated the healing potential of allograft from bisphosphonate-treated animals in anterior lumbar spine interbody fusion. Three levels of anterior lumbar interbody fusion with Brantigan cages were performed in two groups of five landrace pigs. Empty Brantigan cages or cages filled with either autograft or allograft were located randomly at different levels. The allograft materials for the treatment group were taken from the pigs that had been fed with alendronate, 10 mg daily for 3 months. The histological fusion rate was 2/5 in alendronate-treated allograft and 3/5 in non-treated allograft. The mean bone volume was 39% and 37.2% in alendronate-treated or non-treated allograft (NS), respectively. No statistical difference was found between the same grafted cage comparing two groups. The histological fusion rate was 7/10 in all autograft cage levels and 5/10 in combined allograft cage levels. No fusion was found at all in empty cage levels. With the numbers available, no statistically significant difference was found in histological fusion between autograft and allograft applications. There was a significant difference of mean bone volume between autograft (49.2%) and empty cage (27.5%) (P<0.01). In conclusion, this study did not demonstrate different healing properties of alendronate-treated and non-treated allograft for anterior lumbar interbody fusion in pigs. PMID:15248057

  3. Characteristics of patients who suffer major osteoporotic fractures despite adhering to alendronate treatment

    DEFF Research Database (Denmark)

    Abrahamsen, B; Rubin, Katrine Hass; Eiken, Pia Agnete;

    2013-01-01

    Antiresorptive treatment reduces the risk of fractures, but most patients remain at elevated risk. We used health registers to identify predictors of new major osteoporotic fractures in patients adhering to alendronate. Risk factors showed a different pattern than in the general population and in...

  4. Injectable nanoparticle-loaded hydrogel system for local delivery of sodium alendronate

    Czech Academy of Sciences Publication Activity Database

    Posadowska, U.; Pařízek, Martin; Filová, Elena; Wlodarczyk-Biegun, M.; Kamperman, M.; Bačáková, Lucie; Pamula, E.

    2015-01-01

    Roč. 485, 1-2 (2015), s. 31-40. ISSN 0378-5173 R&D Projects: GA MZd(CZ) NT13297 Institutional support: RVO:67985823 Keywords : sodium alendronate * PLGA * nanoparticles Subject RIV: EI - Biotechnology ; Bionics Impact factor: 3.650, year: 2014

  5. The Bone Resorption Inhibitors Odanacatib and Alendronate Affect Post-Osteoclastic Events Differently in Ovariectomized Rabbits

    DEFF Research Database (Denmark)

    Jensen, Pia Rosgaard; Andersen, Thomas Levin; Pennypacker, Brenda L;

    2014-01-01

    Odanacatib (ODN) is a bone resorption inhibitor which differs from standard antiresorptives by its ability to reduce bone resorption without decreasing bone formation. What is the reason for this difference? In contrast with other antiresorptives, such as alendronate (ALN), ODN targets only the...

  6. Like an Image: Sensibility and Reflexivity in Descartes’ Metaphysics

    Directory of Open Access Journals (Sweden)

    Augustin Dumont

    2014-06-01

    Full Text Available This paper aims at questioning the role of image and imagination in Descartes’ Metaphysics, especially in the Meditations on First Philosophy, by holding both a certain doctrinal or theoretical discourse on image/imagination and the Cartesian use of images/imagination. Besides the fact that this rarely considered perspective prevents from freezing the original text, this strategy allows to highlight the ambiguity of theses notions, revealed through what is doing by the act of imagining compared to the act of conceiving with the understanding.

  7. Science and Metaphysics in the Three Religions of the Book

    Directory of Open Access Journals (Sweden)

    Toby E. Huff

    2000-12-01

    Full Text Available The three religions of the Book trace their origins back to the same Abrahamic experience, but only one, Christianity, developed a metaphysical framework consistent with that of modern science. Both Judaism and Islam during their formative years, and continuously up to modern times, considered Greek philosophy and science alien wisdom, jeopardizing their sacred scriptures. The different path followed by Christianity is due to the influence of Hellenistic thought during Christianity's early formative period. Both Judaism and Islam were spared the direct mediation of Greek culture and ideas because both Judaism and Islam developed geographically and linguistically isolated from the Greek influences during the reception of their scriptures.

  8. Effects of Alendronate, Calcitonin and Raloxifene Used in the Treatment of Postmenopausal Osteoporosis On Serum No Levels

    Directory of Open Access Journals (Sweden)

    Saliha Karatay

    2005-03-01

    Full Text Available The aim of the present study was to evaluate the effects of alendronate, calcitonin and raloxifene used in the treatment of postmenopausal osteoporosis on serum nitric oxide (NO levels. One hundred women with postmenopausal osteoporosis were enrolled and treated during the 6 months in this study. Patients were equally randomized into four groups: calcitonin, alendronate, raloxifene and control groups. All patients in these three groups and in the control group were supplemented with calcium 500 mg/day elemental calcium. Serum NO levels were determined at baseline and at 6 months. There were not significant changes on serum NO levels after the calcitonin, alendronate, raloxifene and calcium treatment. Also, no significant difference was found among any group comparisons in terms NO levels (p> 0.05. In conclusion, alendronate, calcitonin and raloxifene treatments may not cause to significant changes on serum NO levels.

  9. Serial MR findings of metaphyseal cyst in Legg-Calve-Perthes disease: a case report

    International Nuclear Information System (INIS)

    Metaphyseal cysts are common findings in Lee-Calve-Perthes(LCP) disease, though usually disappear within 6-12 months several studies have described the MR imaging findings of these cysts, though serial MRI findings have not been documented. In this report, therefore, we report the serial MRI results of metaphyseal cyst in LCP patients

  10. Metaphyseal cortical irregularities in children: A new perspective on a multi-focal growth variant

    International Nuclear Information System (INIS)

    The occurrence of metaphyseal cortical irregularities in adolescents in many different bones indicates a commonality of these lesions as a variation of normal growth, rater than a stress or avulsive by-product. The histologically recognized incomplete nature of the metaphysical cortex in children offers an attractive explanation for this phenomenon. (orig.)

  11. The parody in Death and the Compass by Jorge Luis Borges as a Metaphysical Detective Novel

    Institute of Scientific and Technical Information of China (English)

    李胜楠

    2014-01-01

    The emergence of metaphysical detective novels changed the situation that traditional detective novels are often criticized as vulgar literature for its escaping from reality and its purpose of recreation and stimulus. Jorge Luis Borges is one of the forerunners of metaphysical detective fiction. Especially, some of his short novels become the classics of metaphysical detective novels. In this thesis, I will try to analyze the parody of one of Jorge Luis Borges’ representative metaphysical detective novels -“Death and the Compass” to see the main differences between metaphysical detective novels and traditional detective novels. This thesis is divided into three parts. Chapter one gives brief introduction about traditional detective novels. Chapter two discusses the parody in this novel. And chapter three comes to the conclusion which gives the reason for this change.

  12. Alendronate Sodium as Enteric Coated Solid Lipid Nanoparticles; Preparation, Optimization, and In Vivo Evaluation to Enhance Its Oral Bioavailability

    Science.gov (United States)

    Hosny, Khaled Mohamed

    2016-01-01

    Treatment of osteoporosis with alendronate sodium has several challenges. The first challenge is the low bioavailability. The second main challenge is side effects, which include oesophageal ulceration. The aim of this research was to reformulate alendronate sodium as enteric coated solid lipid nanoparticles in order to enhance its bioavailability, and preventing the free alendronate sodium from coming into direct contact with the gastrointestinal mucosa, and thereby reducing the possibility of side effects. Enteric coated solid lipid nanoparticles were prepared according to the Box-Behnken design employing Design expert® software, and characterized for size, morphology, and entrapment efficiency. The optimized formula was coated with an Eudragit S100 and evaluated for drug release in acidic and basic media, stability studies and pharmacokinetic evaluations on rabbits. The results indicated that, using Derringer's desirability functional tool for optimization, the highest entrapment efficiency value of 74.3% and the smallest size value of 98 nm were predicted under optimum conditions with a desirability value of 0.917. The optimized nanoparticles released alendronate sodium only at an alkaline pH. The pharmacokinetic evaluation revealed that alendronate sodium bioavailability was enhanced by more than 7.4-fold in rabbits. In conclusion, enteric coated solid lipid nanoparticles is a promising formula for the delivery of alendronate sodium, eliminating its oesophageal side effects and enhancing its bioavailability. PMID:27148747

  13. Pragmatism, metaphysics, and bioethics: beyond a theory of moral deliberation.

    Science.gov (United States)

    Pamental, Matthew

    2013-12-01

    Pragmatism has been understood by bioethicists as yet another rival in the "methods wars," as yet another theory of moral deliberation. This has led to criticism of pragmatic bioethics as both theoretically and practically inadequate. Pragmatists' responses to these objections have focused mainly on misunderstandings of pragmatism's epistemology. These responses are insufficient. Pragmatism's commitment to radical empiricism gives it theoretical resources unappreciated by critics and defenders alike. Radical empiricism, unlike its more traditional ancestors, undercuts the gaps between theory and practice, and subjective and objective accounts of experience, and in so doing provides the metaphysical and epistemological basis for a thoroughgoing empirical naturalism in ethics. Pragmatism's strength as an approach to moral problems thus emerges as a result of a much wider array of resources than contemporary interpreters have acknowledged, which makes it a richer, deeper framework for understanding moral deliberation in general and bioethical decision making in particular. PMID:23878348

  14. Risk of hip, subtrochanteric, and femoral shaft fractures among mid and long term users of alendronate

    DEFF Research Database (Denmark)

    Abrahamsen, Bo; Eiken, Pia; Prieto-Alhambra, Daniel;

    2016-01-01

    OBJECTIVES: To determine the skeletal safety and efficacy of long term (≥10 years) alendronate use in patients with osteoporosis. DESIGN: Open register based cohort study containing two nested case control studies. SETTING: Nationwide study of population of Denmark. PARTICIPANTS: 61 990 men and...... fracture cases by sex, year of birth, and year of initiation of alendronate treatment. Conditional logistic regression models were fitted to calculate odds ratios with and without adjustment for comorbidity and comedications. Sensitivity analyses investigated subsequent treatment with other drugs for...... ratio (MPR, a proxy for compliance) >80%) compared with poor adherence (MPR <50%; odds ratio 0.88, 0.77 to 0.99; P=0.05). Multivariable adjustment attenuated this association (adjusted odds ratio 0.88, 0.77 to 1.01; P=0.08). The risk was no higher in long term users (≥10 dose years; 0.70, 0.44 to 1...

  15. Modulation of adhesion-dependent cAMP signaling by echistatin and alendronate

    Science.gov (United States)

    Fong, J. H.; Ingber, D. E.

    1996-01-01

    We measured intracellular cAMP levels in cells during attachment and spreading on different extracellular matrix (ECM) proteins. Increases in cAMP were observed within minutes when cells attached to fibronectin, vitronectin, and a synthetic RGD-containing fibronectin peptide (Petite 2000), but not when they adhered to another integrin alpha nu beta 3 ligand, echistatin. Because echistatin also inhibits bone resorption, we measured the effects of adding another osteoporosis inhibitor, alendronate, in this system. Alendronate inhibited the cAMP increase induced by ligands that primarily utilize integrin alpha nu beta 3 (vitronectin, Peptite 2000), but not by fibronectin which can also use integrin alpha 5 beta 1. These results show that cell adhesion to ECM can increase intracellular cAPM levels and raise the possibility that inhibitors of osteoporosis may act, in part, by preventing activation of this pathway by integrins.

  16. MR evaluation of 'Metaphyseal' change in Legg-Calve-Perthes disease

    International Nuclear Information System (INIS)

    To determine the metaphyseal changes occurring in Legg-Calve-Perthes(LCP) disease using MRI. Between 1992 to 1999, 80 LCP patients (87 hips) underwent MR imaging and plain radiography. All MR images were reviewed, bone marrow signal intensity, the size and locatiion of the metaphyseal cyst and its epiphyseal necrosis grade determined. Metaphyses were abnormal in 43hips (49%), while bone marrow edema was present in 28 (32%) and a metaphyseal cyst in 30 (34%). Metaphyseal cysts were classified as either 'true' (n=9) or 'false' (n=21) according to the enhancement pattern. The maximum diameters of true and false cysts were 1.1±0.3 cm and 1.1±0.4 cm, respectively. Their most commom location was the anterior column; a true cyst occurred there in 7cases (78%), and false cyst in 16 (76%). Using the Waldenstrom classification, seven of the nine hips wih a true cyst (78%), were found to be at the avascular stage and 15 of the 21 with a false cyst (71%) were at the fragmentation stage. Seven of these nine (78%) and 19 of these 21 (90%) were Catterall grade IV. According to the findings of MR imaging, the metaphyseal changes occurring in LCP disease were bone marrow edema and metaphyseal cyst. This latter was visualized mainly in the anterior column and severely affected hip, and was classified as 'true' or 'false'

  17. Ulceração de anastomose esôfago-entérica causada por alendronato Esophagus-enteric anastomosis ulceration caused by alendronate

    Directory of Open Access Journals (Sweden)

    Pedro DUQUES

    2001-04-01

    could be present. Objective — Report a case of a patient who underwent total gastrectomy with Y-en-Roux anastomosis for a gastric carcinoid tumor and developed an esophagus-enteric anastomosis ulceration after the use of alendronate. Patient and Method — A 63-year-old woman started medical therapy with alendronate in a dose of 10 mg daily. After a period of one month of medical treatment with this drug she began to complain of dysphagic symptoms and abdominal pain. She was submitted to endoscopic examination that showed an esophageal ulceration, an enteric ulceration of the anastomosis and an esophageal stenosis. Results - Medical treatment with alendronate was discontinued and the symptom of abdominal pain desapeared. The intensity of dysphagia has decreased. The ulcerated lesion remitted although esophageal stenosis did not. The patient was subsequently treated with esophagus-enteric anastomosis dilation. She improved in her general state and nowadays she is free of symptoms. Conclusion — Alendronate sodium could cause lesions of the inferior esophageal portion or in distal segments of the gastrointestinal tube, in patients with a fast gastrointestinal transit. Special attention must be given to gastrectomized patients that use this drug because of the possibility to develop mucosal lesions in the enteric anastomosed part and its fearfull complications as stenosis.

  18. The cost-effectiveness of alendronate in the management of osteoporosis.

    Science.gov (United States)

    Kanis, John A; Adams, Judith; Borgström, Fred; Cooper, Cyrus; Jönsson, Bengt; Preedy, Danielle; Selby, Peter; Compston, Juliet

    2008-01-01

    The National Institute for Health and Clinical Excellence (NICE) in the UK has recently issued health economic appraisals for the primary and secondary prevention of osteoporotic fracture that are more restrictive than previous guidelines for the management of osteoporosis despite a marked reduction of the cost of intervention. The aim of the present study was to examine the cost-effectiveness of the bisphosphonate, alendronate for the prevention and treatment of fractures associated with osteoporosis. A second aim was to investigate reasons for any disparities in cost-effectiveness between our findings and the NICE appraisals. We compared the effects of alendronate 70 mg weekly by mouth for 5 years with no treatment in postmenopausal women with clinical risk factors for fracture and computed the incremental cost-effectiveness ratio (ICER) using a lifetime simulation model based on Markov cohort methodology. A sensitivity analysis examined other common interventions. Using a threshold of pound sterling 30,000 and pound sterling 20,000 per quality of life-year (QALY) gained to determine cost-effectiveness, alendronate was cost-effective for the primary prevention of fracture in women with osteoporosis irrespective of age as was treatment of women with a prior fragility fracture irrespective of BMD. Cost-effective scenarios were also found in women with strong risk factors for fracture with a bone mineral density value above the threshold for osteoporosis. The results were robust over reasonable assumptions in sensitivity analysis. We conclude that alendronate is a cost-effective agent for the prevention and treatment of fractures associated with osteoporosis. These findings, suitable for informing practice guidance, contrast with recent appraisals from NICE. PMID:18156107

  19. Synergistic Antiosteoporotic Effect of Lepidium Sativum and Alendronate in Glucocorticoid-Induced Osteoporosis in Wistar Rats

    OpenAIRE

    Elshal, Mohamed F; Almalki, Abdulrahman L; Hussein, Hussein K; Khan, Jalal A

    2013-01-01

    Alendronate belongs to a class of drugs called bisphosphonates. Bisphosphonates (BP) therapy is a vital option to reduce the risk of bone fracture in people who suffer from osteoporosis. Yet, bisphosphonate have displayed several side effects. Lepidium sativum (LS) seeds have been used in traditional folk medicine to heal fractured bones. However, there is a dearth of information on the impact of LS on bone metabolism especially in cases of glucocorticoids induced osteoporosis. Therefore, the...

  20. Development and characterization of a gastroretentive dosage form composed of chitosan and hydroxyethyl cellulose for alendronate

    OpenAIRE

    Chen YC; Ho HO; Chiu CC; Sheu MT

    2013-01-01

    Ying-Chen Chen,1,* Hsiu-O Ho,1,* Chiao-Chi Chiu,1 Ming-Thau Sheu1,2 1School of Pharmacy, College of Pharmacy, Taipei Medical University, 2Clinical Research Center and Traditional Herbal Medicine Research Center, Taipei Medical University Hospital, Taipei, Taiwan*These authors contributed equally to this workAbstract: In this study, alendronate, the most commonly used biphosphonate for treating osteoporosis, was formulated as gastroretentive dosage form (GRDF) tablets to enhance its oral bioav...

  1. Healing properties of allograft from alendronate-treated animal in lumbar spine interbody cage fusion

    OpenAIRE

    Xue, Qingyun; Li, Haisheng; Zou, Xuenong; Bünger, Mathias; Egund, Niels; Lind, Martin; Christensen, Finn Bjarke; Bünger, Cody

    2004-01-01

    This study investigated the healing potential of allograft from bisphosphonate-treated animals in anterior lumbar spine interbody fusion. Three levels of anterior lumbar interbody fusion with Brantigan cages were performed in two groups of five landrace pigs. Empty Brantigan cages or cages filled with either autograft or allograft were located randomly at different levels. The allograft materials for the treatment group were taken from the pigs that had been fed with alendronate, 10 mg daily ...

  2. Effect of alendronate on endochondral ossification in mandibular condyles of growing rats

    Directory of Open Access Journals (Sweden)

    V. Bradaschia-Correa

    2012-05-01

    Full Text Available The replacement of the calcified cartilage by bone tissue during the endochondral ossification of the mandibular condyle is dependent of the resorbing activity of osteoclats. After partial resorption, calcified cartilage septa are covered by a primary bone matrix secreted by osteoblasts. Osteoadherin (OSAD is a small proteoglycan present in bone matrix but absent in cartilage during the endochondral ossification. The aim of this study was to analyze the effect of alendronate, a drug known to inhibit bone resorption by osteoclasts, on the endochondral ossification of the mandibular condyle of young rats, by evaluating the distribution of osteoclasts and the presence of OSAD in the bone matrix deposited. Wistar newborn rats (n=45 received daily injections of alendronate (n=27 or sterile saline solution as control (n=18 from the day of birth until the ages of 4, 14 and 30 days. At the days mentioned, the mandibular condyles were collected and processed for transmission electron microscopy analysis. Specimens were also submitted to tartrate resistant acid phosphatase (TRAP histochemistry and ultrastructural immunodetection of OSAD. Alendronate treatment did not impede the recruitment and fusion of osteoclasts at the ossification zone during condyle growth, but they presented inactivated phenotype. The trabeculae at the ossification area consisted of cartilage matrix covered by a layer of primary bone matrix that was immunopositive to OSAD at all time points studied. Apparently, alendronate impeded the removal of calcified cartilage and maturation of bone trabeculae in the mandibular ramus, while in controls they occurred normally. These findings highlight for giving attention to the potential side-effects of bisphosphonates administered to young patients once it may represent a risk of disturbing maxillofacial development.

  3. The Bone Resorption Inhibitors Odanacatib and Alendronate Affect Post-Osteoclastic Events Differently in Ovariectomized Rabbits

    OpenAIRE

    Jensen, Pia Rosgaard; Andersen, Thomas Levin; Pennypacker, Brenda L; Duong, Le T.; Delaissé, Jean-Marie

    2013-01-01

    Odanacatib (ODN) is a bone resorption inhibitor which differs from standard antiresorptives by its ability to reduce bone resorption without decreasing bone formation. What is the reason for this difference? In contrast with other antiresorptives, such as alendronate (ALN), ODN targets only the very last step of the resorption process. We hypothesize that ODN may therefore modify the remodeling events immediately following osteoclastic resorption. These events belong to the reversal phase and...

  4. Protein-tyrosine phosphatase activity regulates osteoclast formation and function: inhibition by alendronate.

    OpenAIRE

    Schmidt, A.; Rutledge, S J; Endo, N; Opas, E E; Tanaka, H; Wesolowski, G.; Leu, C T; Huang, Z; Ramachandaran, C; Rodan, S B; Rodan, G A

    1996-01-01

    Alendronate (ALN), an aminobisphosphonate used in the treatment of osteoporosis, is a potent inhibitor of bone resorption. Its molecular target is still unknown. This study examines the effects of ALN on the activity of osteoclast protein-tyrosine phosphatase (PTP; protein-tyrosine-phosphate phosphohydrolase, EC 3.1.3.48), called PTPepsilon. Using osteoclast-like cells generated by coculturing mouse bone marrow cells with mouse calvaria osteoblasts, we found by molecular cloning and RNA blot ...

  5. 阿仑膦酸钠普通片和肠溶片对绝经后女性骨质疏松骨代谢作用的比较%Comparison of bone metabolism in Chinese women with postmenopausal osteoporosis after alendronate sodium compressed tablets and alendronate enteric-coated tablets treatment

    Institute of Scientific and Technical Information of China (English)

    李朋梅; 刘晓; 崔刚; 车慧; 张相林

    2012-01-01

    Objective:To compare the effects of alendronate compressed tablets and alendronate enteric-coated tablets on bone metabolism in Chinese women with postmenopausal osteoporosis. Methods;In a randomized trial, 240 women with postmenopausal osteoporosis were enrolled, and divided into 2 groups. The patients in compressed tablets group ( n = 99 ) were treated with alendronate sodium compressed tablets combined with calcium for 6 months. The patients in enteric-coated tablets group (n = 102) were treated with alendronate sodium enteric-coated tablets combined with calcium for 6 months. Chang rate of total bone mineral density in lumbar spine 6 months later after alendronate treatment was assessed by DEXA. The serum levels of OC and CTX were measured and analyzed before and 6 months after treatment to evaluate the difference between the 2 alendronate preparations. Results ; In compressed tablets group, the change rate of total bone mineral density in lumbar spine 6 months after alendronate treatment was (4.03 ±8.21)% , and serum levels of OC and CTX significantly reduced (3.42 ±7.20) and (0.24 ±0.33) ng-mL , respectively. In enteric-coated tablets group,the change rate of total bone mineral density in lumbar spine 6 months after alendronate treatment was (4. 90 ±7. 41)% , and serum levels of OC andCTX significantly reduced (4. 33 ± 5. 54 ) and (0.26 ±0.28) ng·mL-1, respectively. Conclusions; The two alendronate preparations can significantly improve the bone metabolism in Chinese women with postmenopausal osteoporosis. No differences were observed in values of the 3 indicators including change rate of total bone mineral density in lumbar spine, serum levels of OC and CTX between the two groups.prove%目的:比较阿仑膦酸钠( ALN)普通片和肠溶片对绝经期后女性骨质疏松骨代谢的作用.方法:计划入组240例绝经后女性患者,1:1随机分成两组,分别以ALN普通片和肠溶片联合钙剂治疗6个月,用DEXA测定治疗

  6. Effect of alendronate on skeletal uptake of technetium-99m MDP in a rat model

    International Nuclear Information System (INIS)

    Full text: Bisphosphonate compounds are now commonly used in the treatment of osteoporosis and their use is increasing in both myeloma and breast cancer patients. Whether bisphosphonates interfere with the uptake of bone seeking radiopharmaceuticals which have a similar chemical structure remains controversial. The effect of Alendronate on the uptake of methylene diphosphonate (MDP) was assessed in a group of 20 Wistar rats; 10 were given oral Alendronate approximately 1mg/kg/day for seven days against 10 controls. Four MBq 99Tcm-MDP was administered into a central vein under barbiturate anaesthesia. Four hours later samples of blood, thigh muscle and both femurs were obtained. These samples were weighed and the activity measured using a gamma counter then expressed as percent dose per gram of tissue. Mean activity, standard deviation and statistical significance were calculated for the blood, muscle and femurs. No significant difference was present in femoral activity, on comparison of the test and control groups at a significance level of 5%. In conclusion, oral Alendronate administration does not cause a significant reduction in the skeletal uptake of 99Tcm-MDP in rats, based on the sample size and dose used. A further 20 animals will be studied using a higher test dose of approximately 5mg/kg/day. Copyright (2000) The Australian and New Zealand Society of Nuclear Medicine Inc

  7. Relations between metaphysics and art? ¿Relaciones entre metafisica y arte?

    OpenAIRE

    Vélez León, Paulo

    2013-01-01

    International audience In this paper we intend to make visible a possible relationship between metaphysics and art, from the presuppose, in absolute terms they are the same, so that what you say is true of the metaphysical arts. However, the distinction between metaphysics and art is not feasible to show the world, especially in an artistic event such as a concert or show, but because the distinctions of the world. Try to address this issue since the concept of Sorge (cure, care) and metap...

  8. Effects of black cohosh (Cimicifuga racemosa) and estrogen on metaphyseal fracture healing in the early stage of osteoporosis in ovariectomized rats.

    Science.gov (United States)

    Kolios, Leila; Schumann, Jacob; Sehmisch, Stephan; Rack, Thomas; Tezval, Mohammed; Seidlova-Wuttke, Dana; Frosch, Karl-Heinz; Stuermer, Klaus Michael; Stuermer, Ewa Klara

    2010-06-01

    Osteoporosis and its accompanying, predominantly metaphyseal, fractures are a major health problem. Black cohosh (Cimicifuga racemosa) and estrogen positively influence osteoporotic bone. Both substances may improve fracture healing in early osteoporosis as well. In 48 twelve-week-old ovariectomized or, respectively, sham-operated (SHAM) rats, a standardized metaphyseal tibia osteotomy with bridging T-plate fixation was performed. During the healing process of 35 days, rats received soy-free (SHAM, osteopenic C), estrogen- (E) or Cimicifuga racemosa- (CR) supplemented diets. After sacrifice, the callus formation was analyzed with regard to biomechanical quality, morphology, quantity, time course of new bone built and gene expression. CR induced a high rate of metaphyseal callus formation. The biomechanical properties and the amount of new callus formation indicated that fracture healing was still in progress. Therefore, gene expression of osteoblasts was comparatively high. Body weight and the trabecular structure were influenced little by CR. Estrogen improved the biomechanical properties of the callus. Resistance to microfracturing was significantly enhanced in the E group and even superior to SHAM. Remodeling of the callus formation had already begun. The trabecular network and the typical endosteal fracture healing were especially improved. Osteoporotic metaphyseal fracture healing was improved by estrogen more than by Cimicifuga racemosa. The process of fracture healing occurred nearly physiologically. The generation of callus formation was supported by Cimicifuga racemosa as well, but the five-week duration of application was too short for Cimicifuga racemosa to show its complete potential. Already-initiated Cimicifuga racemosa therapy for menopausal symptoms could be continued during fracture healing without hesitation. PMID:20104444

  9. Effect of Weekly Alendronate on Knee Symptoms in Patients with Osteoporosis and Knee Osteoarthritis Coexistence - Original Investigation

    Directory of Open Access Journals (Sweden)

    Levent Ediz

    2010-04-01

    Full Text Available Aim: The aim of this study was to examine the effect of alendronate 70 mg weekly on knee symptoms in elderly women with osteoporosis and knee OA coexistence. Material and Methods: Elderly women who diagnosed as osteoporosis between 60-75 years old, underwent radiography of the knee if they reported symptoms of knee OA. Radiographs were read for Kellgren and Lawrence grade and individual features of OA. Osteoporotic patients with Knee OA treated with 70 mg alendronate once weekly for one year. Knee symptoms were assessed by interview before the treatment and 6 and 12 months after the treatment, and knee pain severity was evaluated using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC, Lequense index, VAS at rest and at movement. Results: Alendronate 70 mg once weekly use was associated with less severity of knee pain as assessed by WOMAC scores, Lequense index, VAS at rest and at movement at 6th and 12th month assessments. Conclusion: This current study has shown that Alendronate 70 mg once weekly use was associated with less severity of knee symptoms in elderly women with osteoporosis and knee OA coexistence. Additional long-term randomised, placebo controlled clinical trials are needed to confirm this effect of weekly Alendronate. (From the World of Osteoporosis 2010;16:17-21

  10. Fibrous metaphyseal defects - determination of their origin and natural history using a radiomorphological study

    International Nuclear Information System (INIS)

    The radiomorphological appearance of fibrous metaphyseal defects (FMDs) is demonstrated by long-term follow-up studies. A characteristic radiomorphological course rather than a typical single appearance can be established. These findings correlate well with the duration of these tumor-like lesions; therefore, the radiological findings allow conclusions to be made about the age of a fibrous metaphyseal defect. In addition, the characteristic locations of FMDs will be explained in respect of theier origins at insertions of tendons and ligaments. (orig.)

  11. Metaphysical conspiracism: UFOs as discursive object between popular millennial and conspiracist fields

    OpenAIRE

    Robertson, David George

    2014-01-01

    This thesis argues that narratives about Unidentified Flying Objects (UFOs) act as the central point of contact between conspiracist and popular millennial fields. Their confluence has come to form a field here termed ‘metaphysical conspiracism’, combining teleological narratives, the promise of soteriological knowledge and the threat of occluded malevolent agencies. I argue that metaphysical conspiracism offers a unique perspective on the interplay of knowledge, power and the ...

  12. On Kinds of Indiscernibility in Logic and Metaphysics

    CERN Document Server

    Caulton, Adam

    2011-01-01

    Using the Hilbert-Bernays account as a spring-board, we first define four ways in which two objects can be discerned from one another, using the non-logical vocabulary of the language concerned. (These definitions are based on definitions made by Quine and Saunders.) Because of our use of the Hilbert-Bernays account, these definitions are in terms of the syntax of the language. But we also relate our definitions to the idea of permutations on the domain of quantification, and their being symmetries. These relations turn out to be subtle---some natural conjectures about them are false. We will see in particular that the idea of symmetry meshes with a species of indiscernibility that we will call `absolute indiscernibility'. We then report all the logical implications between our four kinds of discernibility. We use these four kinds as a resource for stating four metaphysical theses about identity. Three of these theses articulate two traditional philosophical themes: viz. the principle of the identity of indis...

  13. Fundamental awareness: A framework for integrating science, philosophy and metaphysics.

    Science.gov (United States)

    Theise, Neil D; Kafatos, Menas C

    2016-01-01

    The ontologic framework of Fundamental Awareness proposed here assumes that non-dual Awareness is foundational to the universe, not arising from the interactions or structures of higher level phenomena. The framework allows comparison and integration of views from the three investigative domains concerned with understanding the nature of consciousness: science, philosophy, and metaphysics. In this framework, Awareness is the underlying reality, not reducible to anything else. Awareness and existence are the same. As such, the universe is non-material, self-organizing throughout, a holarchy of complementary, process driven, recursive interactions. The universe is both its own first observer and subject. Considering the world to be non-material and comprised, a priori, of Awareness is to privilege information over materiality, action over agency and to understand that qualia are not a "hard problem," but the foundational elements of all existence. These views fully reflect main stream Western philosophical traditions, insights from culturally diverse contemplative and mystical traditions, and are in keeping with current scientific thinking, expressible mathematically. PMID:27489576

  14. THE CONTRADICTIONS OF THE JUSTICE. THE METAPHYSICAL PRINCIPLES OF LAW

    Directory of Open Access Journals (Sweden)

    Marius ANDREESCU

    2014-05-01

    Full Text Available This essay represents an attempt to highlight, from a philosophical perspective, the most significant contradictions that can affect the justice throughout a period of social crisis. The object of our analysis consists of the contradictions between: the law and justice; the justice and society and the act to fulfill the justice and what we have just called “the fall in exteriority” of justice. Within this context we refer to some aspects that characterize the person and personality of the judge. This essay is a pleading to refer to the principles, in the work for the law’s creation and applying. Starting with the difference between “given” and ‘constructed” we propose the distinction between the “metaphysical principles” outside the law, which by their contents have philosophical significances, and the “constructed principles” elaborated inside the law. We emphasize the obligation of the law maker, but also of the expert to refer to the principles in the work of legislation, interpretation and applying of the law. Arguments are brought for the updating, in certain limits, the justice – naturalistic concepts in the law.

  15. Beyond positivism: a metaphysical basis for clinical practice?

    Science.gov (United States)

    Herman, J

    1992-09-01

    Medicine does not have its own unified body of scientific knowledge. Instead, physicians who are oriented to research make sporadic incursions into the basic sciences such as genetics, biochemistry, immunology, epidemiology, physiology, pharmacology and so on. These latter, taken together, comprise biomedicine which is said to have adopted the positivist epistemology or the Cartesian/Newtonian one that regards the scientist as an uninvolved observer of nature. In effect, medical science has come to rest on a theory of knowledge which links meaning to probability and considers prediction as the scientist's chief task. Like its predecessor, the probability theory of meaning rejects metaphysical speculation and remains connected to observations made, directly or indirectly, by means of the five senses. Despite some brilliant successes touching on relatively uncommon disorders, biomedicine cannot explain most day-to-day clinical activity. An understanding of what transpires between patient and doctor, of its diagnostic potential and therapeutic weight requires hermeneutic, or phenomenological, inquiry which brings about changes in both parties to it. Such a science, as ontological speculation has been called, cannot be deciphered by an epistemology couched in the imagery of physics and chemistry. PMID:1435396

  16. Overcoming O: Dewey and the Problem of Bion's Metaphysics.

    Science.gov (United States)

    Soffer-Dudek, Nir

    2015-10-01

    Bion guides us to eschew memory, desire, and understanding in order to become one with O-the ultimate reality of the analytic moment. However, his directions are valid only to the extent that such a meta-reality actually exists. Otherwise there is nothing to unite with and no reason to shun memory or desire. The present work inquires whether we may provide Bion's technique with a less speculative philosophy, specifically Dewey's pragmatist theory of aesthetics. It begins with reviewing the similarities between the two writers' methods, highlighting their shared emphasis on openness to the unknown. Yet listening to their intonations reveals that they actually convey opposite ideas as to what this "unknown" may be. Whereas Dewey sanguinely portrays the possibilities of the "yet-unknown," Bion emphasizes the dread of our inescapable encounter with the unknowable. This dread is embodied in his concept of O. Thus, rather than being merely a metaphysical speculation, O communicates Bion's conviction that fear forms the core of our existence. Banishing O from the counseling room may indeed aid his method in becoming accessible to a wider audience; at the same time, however, doing so might also deprive it of the very context that gives it meaning. PMID:26487111

  17. Method and metaphysics in Clements's and Gleason's ecological explanations.

    Science.gov (United States)

    Eliot, Christopher

    2007-03-01

    To generate explanatory theory, ecologists must wrestle with how to represent the extremely many, diverse causes behind phenomena in their domain. Early twentieth-century plant ecologists Frederic E. Clements and Henry A. Gleason provide a textbook example of different approaches to explaining vegetation, with Clements allegedly committed, despite abundant exceptions, to a law of vegetation, and Gleason denying the law in favor of less organized phenomena. However, examining Clements's approach to explanation reveals him not to be expressing a law, and instead to be developing an explanatory structure without laws, capable of progressively integrating causal complexity. Moreover, Clements and Gleason largely agree on the causes of vegetation; but, since causal understanding here underdetermines representation, they differ on how to integrate recognized causes into general theory--that is, in their methodologies. Observers of the case may have mistakenly assumed that scientific representation across the disciplines typically aims at laws like Newton's, and that representations always reveal scientists' metaphysical commitments. Ironically, in the present case, this assumption seems to have been made even by observers who regard Clements as nai ve for his alleged commitment to an ecological law. PMID:17324810

  18. Production, quality control, biodistribution assessment and preliminary dose evaluation of 166Ho-alendronate as a bone marrow ablative agent

    International Nuclear Information System (INIS)

    In this study, production, quality control and biodistribution studies of 166Ho-alendronate have been presented and followed by dosimetric evaluation for human based on biodistribution data in wild-type rats. 166Ho chloride was obtained by thermal neutron irradiation of natural 165Ho(NO3)3 samples. 166Ho-alendronate complex was prepared by adding the desired amount of alkaline alendronate solution (0.2 mL, 150 mg/mL) to 3-5 mCi of the 166HoCl3 solution. Radiochemical purity of the complex was monitored by instant thin layer chromatography (ITLC). 166Ho-alendronate complex was prepared in high radiochemical purity (> 99%, ITLC) and specific activity of 4.4 GBq/mmol. Stability studies of the complex in the final preparation and in the presence of human serum were performed up to 48 h. The major accumulation of the radio-complex was in the bone tissues followed by absorbed dose evaluation of each human organ by RADAR software used for modelling the radiation dose delivered. The final preparation was administered to wild-type rats and biodistribution of the complex was performed 2-48 h post injection showing major accumulation of the complex in the bone tissue. The highest absorbed dose for 166Ho-alendronate is observed in bone surface and red marrow with 2.670 and 1.880 mSv/MBq; respectively. These findings suggest that 166Ho-alendronate has considerable characteristics compared to 166Ho-DOTMP and can be a possible candidate for bone marrow ablation in patients with multiple myeloma.

  19. Effects of long-term alendronate treatment on bone mineralisation, resorption parameters and biomechanics of single human vertebral trabeculae

    Directory of Open Access Journals (Sweden)

    M Krause

    2014-09-01

    Full Text Available Due to their well-established fracture risk reduction, bisphosphonates are the most frequently used therapeutic agent to treat osteoporosis. Bisphosphonates reduce fracture risk by suppressing bone resorption, but the lower bone turnover could have a negative impact on bone quality at the tissue level. Here, we directly assess the structural and mechanical characteristics of cancellous bone from the lumbar vertebrae (L5 in non-treated osteoporotic controls (n = 21, mid-term alendronate-treated osteoporotic patients (n = 6, and long-term alendronate-treated osteoporotic patients (n = 7. The strength and toughness of single trabeculae were evaluated, while the structure was characterised through measurements of microdamage accumulation, mineralisation distribution, and histological indices. The alendronate-treated cases had a reduced eroded surface (ES/BS, p < 0.001 and a higher bone mineralisation in comparison to non-treated controls (p = 0.037, which is indicative of low turnover associated with treatment. However, the amount of microdamage and the mechanical properties were similar among the control and treatment groups. As the tissue mineral density (TMD increased significantly with alendronate treatment compared to non-treated osteoporotic controls, the reduction in resorption cavities could counterbalance the higher TMD allowing the alendronate-treated bone to maintain its mechanical properties and resist microdamage accumulation. A multivariate analysis of the possible predictors supports the theory that multiple factors (e.g., body mass index, TMD, and ES/BS can impact the mechanical properties. Our results suggest that long-term alendronate treatment shows no adverse impact on mechanical cancellous bone characteristics.

  20. Development and characterization of a gastroretentive dosage form composed of chitosan and hydroxyethyl cellulose for alendronate

    Directory of Open Access Journals (Sweden)

    Chen YC

    2013-12-01

    Full Text Available Ying-Chen Chen,1,* Hsiu-O Ho,1,* Chiao-Chi Chiu,1 Ming-Thau Sheu1,2 1School of Pharmacy, College of Pharmacy, Taipei Medical University, 2Clinical Research Center and Traditional Herbal Medicine Research Center, Taipei Medical University Hospital, Taipei, Taiwan*These authors contributed equally to this workAbstract: In this study, alendronate, the most commonly used biphosphonate for treating osteoporosis, was formulated as gastroretentive dosage form (GRDF tablets to enhance its oral bioavailability. GRDF tablets were characterized with the effects of different molecular weights (MWs of chitosan (CS and hydroxyethyl cellulose (HEC at various ratios on swelling, floating, and physical integrity. The CS component was formed using various acids: acetic, lactic, malic, succinic, and citric, and a high viscosity grade of HEC was selected. The results demonstrated that the swelling ratios of the formulations comprising high MW CS were lower than those of low or medium MW CS when salts were formed with any countering acids except for acetic acid. The decreasing ranking of the swelling rates was: CS-citrate > CS-malate > CS-lactate > CS-succinate > CS-acetate. A negative correlation was found between the pKa of the respective countering acid and the swelling rate. The swelling rate was promoted if an acidic salt of CS with a lower water content was incorporated, while it became slower when tablet hardness was higher or the compression force to form tablets was increased. Although HEC did not contribute to swelling or floating, it played a role in maintaining structural integrity. A prolonged dissolution profile of alendronate GRDF tablets developed in this study was observed.Keywords: gastroretentive dosage form, chitosan, hydrogel, hydroxyethyl cellulose, swelling, alendronate

  1. Pullulan: an advantageous natural polysaccharide excipient to formulate tablets of alendronate-loaded microparticles

    Directory of Open Access Journals (Sweden)

    Luana Mota Ferreira

    2015-03-01

    Full Text Available This work reports the preparation of tablets by direct compression of sodium alendronate-loaded microparticles, using pullulan as filler. The tableting properties of pullulan were compared with those of microcrystalline cellulose and lactose. Pullulan tablets showed low variations in average weight, thickness and drug content. Moreover, these tablets exhibited a higher hardness compared to the other excipients. In vitro release studies showed that only pullulan was capable to maintain gastroresistance and release properties of microparticles, due to its ability to protect particles against damage caused by compression force. Thus, pullulan was considered an advantageous excipient to prepare tableted microparticles.

  2. Alendronate augments interleukin-1β release from macrophages infected with periodontal pathogenic bacteria through activation of caspase-1

    International Nuclear Information System (INIS)

    Nitrogen-containing bisphosphonates (NBPs) are anti-bone-resorptive drugs with inflammatory side effects that include osteomyelitis and osteonecrosis of the jaw. Oral bacteria have been considered to be a trigger for these NBP-associated jaw bone diseases. The present study examined the effects of alendronate (a typical NBP) and clodronate (a non-NBP) on the production of proinflammatory cytokines by macrophages infected with Porphyromonas gingivalis and Tannerella forsythia, which are important pathogens of periodontal diseases. Pretreatment with alendronate augmented IL-1β, but not TNFα, production by macrophages infected with P. gingivalis or T. forsythia. This augmentation of IL-1β production was inhibited by clodronate. Furthermore, caspase-1, a promoter of IL-1β production, was activated by treatment with alendronate, and caspase-1 inhibitor reduced the production of IL-1β induced by alendronate and P. gingivalis. These results suggest that NBPs augment periodontal pathogenic bacteria-induced IL-1β release via caspase-1 activation, and this phenomenon may contribute to the development of NBP-associated inflammatory side effects including jaw osteomyelitis. Co-treatment with clodronate may prevent and/or reduce these inflammatory effects induced by NBPs

  3. Development and characterization of a gastroretentive dosage form composed of chitosan and hydroxyethyl cellulose for alendronate.

    Science.gov (United States)

    Chen, Ying-Chen; Ho, Hsiu-O; Chiu, Chiao-Chi; Sheu, Ming-Thau

    2014-01-01

    In this study, alendronate, the most commonly used biphosphonate for treating osteoporosis, was formulated as gastroretentive dosage form (GRDF) tablets to enhance its oral bioavailability. GRDF tablets were characterized with the effects of different molecular weights (MWs) of chitosan (CS) and hydroxyethyl cellulose (HEC) at various ratios on swelling, floating, and physical integrity. The CS component was formed using various acids: acetic, lactic, malic, succinic, and citric, and a high viscosity grade of HEC was selected. The results demonstrated that the swelling ratios of the formulations comprising high MW CS were lower than those of low or medium MW CS when salts were formed with any countering acids except for acetic acid. The decreasing ranking of the swelling rates was: CS-citrate > CS-malate > CS-lactate > CS-succinate > CS-acetate. A negative correlation was found between the pKa of the respective countering acid and the swelling rate. The swelling rate was promoted if an acidic salt of CS with a lower water content was incorporated, while it became slower when tablet hardness was higher or the compression force to form tablets was increased. Although HEC did not contribute to swelling or floating, it played a role in maintaining structural integrity. A prolonged dissolution profile of alendronate GRDF tablets developed in this study was observed. PMID:24403821

  4. Alendronate decorated nano hydroxyapatite in mesoporous silica: Cytotoxicity and osteogenic properties

    Science.gov (United States)

    Huang, Wei; Liu, Weiqiang; She, Zhending; Wu, Hongkai; Shi, Xuetao

    2011-09-01

    Mesoporous silica is a promising drug delivery vehicle due to its large surface area and order porous structure. Hydroxyapatite-modified mesoporous silica materials (MSH) have been developed, and the cytotoxicity of MSH and unmodified mesoporous silica (HMS) has also been studied in this work. The results indicated that MSH exhibited lower cytotoxicity than HMS. The drug release property of MSH was also investigated in this paper. Alendronate (AL) was laden into MSH and HMS, respectively. MSH exhibited long release period lasting over 30 days with a weak burst release in the first 5 days; however, the AL release period of HMS was just 5 days with a remarkable burst release. In addition, the osteogenic commitment induced in human marrow mesenchymal stem cells (MSCs) by MSH-alendronate (MSH-AL) was also investigated, and the osteogenesis of MSCs was evaluated by alkaline phosphatase (ALP) assay. The osteogenesis of MSCs induced by MSH-AL is comparable to that induced by the osteogenic medium. Taken together, MSH can be severed as potential bone repair materials with lower cytotoxicity.

  5. Some Aspects of the Metaphysics of Chemistry and the Nature of the Elements

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    Eric R. Scerri

    2005-11-01

    Full Text Available There is now a considerable body of published work on the epistemology of modern chemistry, especially with regard to the nature of quantum chemistry. In addition, the question of the metaphysical underpinnings of chemistry has received a good deal of attention. The present article concentrates on metaphysical considerations including the question of whether elements and groups of elements are natural kinds. It is also argued that an appeal to the metaphysical nature of elements can help clarify the re-emerging controversies among chemists regarding the placement of the elements hydrogen and helium in the periodic system and the question of whether there exists a best form of the periodic table.

  6. Comparative Study of Plating versus Nailing in Distal Tibia Metaphyseal Fractures

    Directory of Open Access Journals (Sweden)

    Jayesh V Vaza

    2014-12-01

    Full Text Available Distal tibial metaphyseal fracture are unique.we have studied 40 pt in sir j.j.hospital group of the hospitals from periods MAY 2009 and APRIL 2011 .The study prospective and comparative for the methods used for management of this fracture. The best option for surgical treatment of distal metaphyseal fractures of tibia is still unclear. The purpose of this study was, first, to confirm whether closed reduction and intramedullary nailing produces better results than open reduction and internal fixation with precontoured locked plate and screws and, second, to establish indications for each modality. The overall results were comparable and most patients were satisfied with the results. These results indicate that both modalities of treatment deserve a place in treating distal metaphyseal fractures of tibia. [Natl J Med Res 2014; 4(4.000: 340-344

  7. Effect of 17beta-estradiol or alendronate on the bone densitometry, bone histomorphometry and bone metabolism of ovariectomized rats.

    Science.gov (United States)

    da Paz, L H; de Falco, V; Teng, N C; dos Reis, L M; Pereira, R M; Jorgetti, V

    2001-08-01

    The objective of the present study was to evaluate the effect of 17beta-estradiol or alendronate in preventing bone loss in 3-month-old ovariectomized Wistar rats. One group underwent sham ovariectomy (control, N = 10), and the remaining three underwent double ovariectomy. One ovariectomized group did not receive any treatment (OVX, N = 12). A second received subcutaneous 17beta-estradiol at a dose of 30 microg/kg for 6 weeks (OVX-E, N = 11) and a third, subcutaneous alendronate at a dose of 0.1 mg/kg for 6 weeks (OVX-A, N = 8). Histomorphometry, densitometry, osteocalcin and deoxypyridinoline measurements were applied to all groups. After 6 weeks there was a significant decrease in bone mineral density (BMD) at the trabecular site (distal femur) in OVX rats. Both alendronate and 17beta-estradiol increased the BMD of ovariectomized rats, with the BMD of the OVX-A group being higher than that of the OVX-E group. Histomorphometry of the distal femur showed a decrease in trabecular volume in the untreated group (OVX), and an increase in the two treated groups, principally in the alendronate group. In OVX-A there was a greater increase in trabecular number. An increase in trabecular thickness, however, was seen only in the OVX-E group. There was also a decrease in bone turnover in both OVX-E and OVX-A. The osteocalcin and deoxypyridinoline levels were decreased in both treated groups, mainly in OVX-A. Although both drugs were effective in inhibiting bone loss, alendronate proved to be more effective than estradiol at the doses used in increasing bone mass. PMID:11471040

  8. On How physics Could impact on the Metaphysics of Space and Time

    Directory of Open Access Journals (Sweden)

    Alireza Mansouri

    2015-03-01

    Full Text Available This paper aims to illustrate the mutual inter-relation of physics and metaphysics in the context of the philosophy of space and time. We especially emphasize, in this paper, that scientific development could impact on our position regarding the reality of space and time. To illustrate this point, we investigate the mutual inter-relation of physics and metaphysics in the modern developments of physics, i.e. neo-Newtonian structure, special and general relativity (GR. This paper ends up anticipating that it is likely, by considering modern physics, especially GR, that substantivalism to be a more defensible position.

  9. A Metaphysical Reflection on the Notion of Background in Modern Spacetime Physics

    CERN Document Server

    Vassallo, Antonio

    2016-01-01

    The paper presents a metaphysical characterization of spatiotemporal backgrounds from a realist perspective. The conceptual analysis is based on a heuristic sketch that encompasses the common formal traits of the major spacetime theories, such as Newtonian mechanics and general relativity. It is shown how this framework can be interpreted in a fully realist fashion, and what is the role of background structures in such a picture. In the end it is argued that, although backgrounds are a source of metaphysical discomfort, still they make a spacetime theory easy to interpret. It is also suggested that this conclusion partially explains why the notion of background independence carries a lot of conceptual difficulties.

  10. Believing After Darwin: the Debates of the Metaphysical Society (1869–1880)

    OpenAIRE

    Catherine HAJDENKO-MARSHALL

    2013-01-01

    The Metaphysical Society is often referred to as a rather discreet debating society but the role it played in questioning the ideas pertaining to science and faith in the second half of the nineteenth century has rarely been properly discussed. The members of the Metaphysical Society were all well-known members of the Victorian elite who held a variety of religious and political views. They produced ninety-five papers over a period of eleven years which have never been analysed together as a ...

  11. New type of spondylo-metaphyseal dysplasia - Algerian type. Report of five cases

    Energy Technology Data Exchange (ETDEWEB)

    Kozlowski, K.; Bacha, L.; Massen, R.; Ayati, M.; Sator, S.; Brahimi, L.

    1988-04-01

    A new, dominantly inherited, severe form of spondylometaphyseal dysplasia in five members of an Algerian family is reported. Another child, not investigated, was also probably affected. The disease is characterised by a unique clinical and radiological set of features: dwarfism, genu valgum deformity, progressive kypho-scoliosis, wrist deformity, myopia and severe metaphyseal dysplasia, with moderate spinal changes and minimal changes in the hands and feet. In view of the geographical localisation of the disorder and the anatomical distribution we propose the name Algerian type of spondylo-metaphyseal dysplasia.

  12. The Effect of Local Delivery Doxycycline and Alendronate on Bone Repair.

    Science.gov (United States)

    Limirio, Pedro Henrique Justino Oliveira; Rocha, Flaviana Soares; Batista, Jonas Dantas; Guimarães-Henriques, João César; de Melo, Geraldo Batista; Dechichi, Paula

    2016-08-01

    The aim of the present study was to investigate the local effect of 10% doxycycline and 1% alendronate combined with poly(lactic-co-glycolic acid) (PLGA) on bone repair. Thirty rats were divided into three groups, as follows: control group (CG), drug group (DG), and vehicle-PLGA group (VG). Bone defect was created in the right femur and filled with the following: blood clot (CG); PLGA gel, 10% doxycycline and 1% alendronate (DG); or vehicle-PLGA (VG). The animals were euthanized 7 or 15 days after surgery. Bone density, bone matrix and number of osteoclasts were quantified. At 7 days, the findings showed increased density in DG (177.75 ± 76.5) compared with CG (80.37 ± 27.4), but no difference compared with VG (147.1 ± 41.5); no statistical difference in bone neoformation CG (25.6 ± 4.8), VG (27.8 ± 4), and DG (18.9 ± 7.8); and decrease osteoclasts in DG (4.6 ± 1.9) compared with CG (26.7 ± 7.4) and VG (17.3 ± 2.7). At 15 days, DG (405.1 ± 63.1) presented higher density than CG (213.2 ± 60.9) and VG (283.4 ± 85.8); there was a significant increase in percentage of bone neoformation in DG (31.5 ± 4.2) compared with CG (23 ± 4), but no difference compared with VG (25.1 ± 2.9). There was a decreased number of osteoclasts in DG (20.7 ± 4.7) and VG (29.5 ± 5.4) compared with CG (40 ± 9.4). The results suggest that the association of 10% doxycycline and 1% alendronate with PLGA-accelerated bone repair. PMID:26381914

  13. The effect of nitrogen containing bisphosphonates, zoledronate and alendronate, on the production of pro-angiogenic factors by osteoblastic cells.

    Science.gov (United States)

    Ishtiaq, S; Edwards, S; Sankaralingam, A; Evans, B A J; Elford, C; Frost, M L; Fogelman, I; Hampson, G

    2015-02-01

    Bisphosphonates (BPs) have been shown to influence angiogenesis. This may contribute to BP-associated side-effects such as osteonecrosis of the jaw (ONJ) or atypical femoral fractures (AFF). The effect of BPs on the production of angiogenic factors by osteoblasts is unclear. The aims were to investigate the effect of (1) alendronate on circulating angiogenic factors; vascular endothelial growth factor (VEGF) and angiopoietin-1 (ANG-1) in vivo and (2) zoledronate and alendronate on the production of VEGF and ANG-1 by osteoblasts in vitro. We studied 18 post-menopausal women with T score⩽-2 randomized to calcium/vitamin D only (control arm, n=8) or calcium/vitamin D and alendronate 70mg weekly (treatment arm, n=10). Circulating concentrations of VEGF and ANG-1 were measured at baseline, 3, 6 and 12months. Two human osteoblastic cell lines (MG-63 and HCC1) and a murine osteocytic cell line (MLO-Y4) were treated with zoledronate or alendronate at concentrations of 10(-12)-10(-6)M. VEGF and ANG-1 were measured in the cell culture supernatant. We observed a trend towards a decline in VEGF and ANG-1 at 6 and 12months following treatment with alendronate (p=0.08). Production of VEGF and ANG-1 by the MG-63 and HCC1 cells decreased significantly by 34-39% (p<0.01) following treatment with zoledronate (10(-9)-10(-6)M). Treatment of the MG-63 cells with alendronate (10(-7) and 10(-6)) led to a smaller decrease (25-28%) in VEGF (p<0.05). Zoledronate (10(-10)-10(-)(6)M) suppressed the production of ANG-1 by MG-63 cells with a decrease of 43-49% (p<0.01). Co-treatment with calcitriol (10(-8)M) partially reversed this zoledronate-induced inhibition. BPs suppress osteoblastic production of angiogenic factors. This may explain, in part, the pathogenesis of the BP-associated side-effects. PMID:25461393

  14. Seven years’ experience with alendronate in postmenopausal Japanese women with osteoporosis

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    Jun Iwamoto

    2010-04-01

    Full Text Available Jun Iwamoto1, Yoshihiro Sato2, Mitsuyoshi Uzawa3, Tsuyoshi Takeda1, Hideo Matsumoto11Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo, Japan; 2Department of Neurology, Mitate Hospital, Fukuoka, Japan; 3Department of Orthopaedic Surgery, Keiyu Orthopaedic Hospital, Gunma, JapanAbstract: A retrospective study was performed to evaluate the outcome of alendronate (ALN treatment for seven years in postmenopausal Japanese women with osteoporosis. Forty-seven postmenopausal women with osteoporosis (mean age at baseline 65.7 years treated with ALN for over seven years in our outpatient clinic were analyzed. Lumbar spine bone mineral density (BMD was measured using dual energy X-ray absorptiometry, and urinary levels of cross-linked N-terminal telopeptides of type I collagen (NTX and serum alkaline phosphatase (ALP were monitored during the seven-year treatment period. Urinary NTX and serum ALP levels decreased (-48.2% at three months and -15.7% at seven years, respectively and lumbar spine BMD increased (+12.8% at seven years compared with baseline values. No serious adverse events were observed, including osteonecrosis of jaw, atypical femoral diaphysis fractures, or atrial fibrillation. To our knowledge, this is the first report of the outcome of ALN treatment for seven years in Japanese patients with osteoporosis. ALN successfully suppressed bone turnover and increased lumbar spine BMD from the baseline value over the course of the seven-year treatment period without causing any severe adverse events.Keywords: alendronate, osteoporosis, long-term treatment, bone mineral density, bone turnover

  15. A new experimental model to study healing process of metaphyseal fracture

    Institute of Scientific and Technical Information of China (English)

    HAN Na; ZHANG Pei-xun; WANG Wei-bin; HAN Da-cheng; CHEN Jian-hai; ZHAN Hong-bo; JIANG Bao-guo

    2012-01-01

    Background There are few researches for the healing of metaphyseal fractures; moreover,the animal models to study the metaphyseal fractures are usually made by the oscillating saw osteotomy without reliable fixation,which is not in accordance with our current clinical practice.In this study,we established a new model to observe the healing process of metaphyseal fractures.Methods Eighteen New Zealand rabbits were used in the study.The fracture model was created by splitting the medial tibial plateau in rabbits,then reset,and fixed with compression screws.At 1,2,3,4,6,and 8 weeks postoperatively,the tibial specimens were collected; firstly,a general observation and an X-ray examination of the specimens was done,and then they were embedded in methylmethacrylate and cut into sections with hard tissue slicer.The sections were stained with Giemsa reagent and examined under light microscopy.Results There was no fracture displacement in the tibial specimens of all time points,except for one showing a collapse.No external callus formation could be observed by X-ray and general examination.After 1 week of the operation,the fracture gap was filled by mesenchymal tissue; 2 weeks postoperatively,a large number of woven bones were formed; from the third week onwards,the woven bone began to turn into lamellar bone,and new trabecular structure began to form.In all of the slices,no obvious chondrocytes formed in fracture areas; thus,there was no endochondral ossification.Conclusions This model was an ideal fracture animal model and suitable for the study of metaphyseal fracture healing.The X-ray and histological images demonstrated that metaphyseal fracture healing was a process of direct bone healing through intramembranous bone formation under the conditions of minor trauma,good reduction,and firm fixation.

  16. Role of connexin 43 in the mechanism of action of alendronate: dissociation of anti-apoptotic and proliferative signaling pathways

    OpenAIRE

    Lezcano, V; Bellido, T; LI, Plotkin; Boland, R; Morelli, S.

    2012-01-01

    Bisphosphonates (BPs) inhibit osteocyte and osteoblast apoptosis via opening of connexin (Cx) 43 hemichannels and activating the extracellular signal regulated kinases ERKs. Previously, we hypothesized that intracellular survival signaling is initiated by interaction of BPs with Cx43. However, using whole cell binding assays with [3H]-alendronate, herein we demonstrated the presence of saturable, specific and high affinity binding sites in the Cx43-expressing ROS 17/2.8 osteoblastic cells, au...

  17. Alendronato de sódio: metodologias para análise quantitativa Sodium alendronate: methods for analytical quantitation

    OpenAIRE

    Ana Ferreira Ribeiro; Nadia Maria Volpato

    2005-01-01

    This paper presents a review of some published proposals for the analysis of sodium alendronate. The drug is an aminobisphosphonate compound used to inhibit the osteoclastic resorption of bone, and different methods were developed for its quantitative determination. These methodologies employed reversed-phase or ion-exchange HPLC analysis, both associated with different detectors: UV and fluorescence detection after derivatization of the drug, conductivity and refractive index detectors, as w...

  18. Montage, Militancy, Metaphysics: Chris Marker and André Bazin

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    Sarah Cooper

    2010-01-01

    Full Text Available

     

    Abstract (E: This article focuses on the relationship between the work of André Bazin and Chris Marker from the late 1940s through to the late 1950s and beyond. The division between Bazin's ŘRight Bankř affiliation with Les Cahiers du Cinéma on the one hand, and Markerřs ŘLeft Bankř allegiances on the other, is called into question here as my argument seeks to muddy the waters of their conventional ideological separation across the river Seine. Working alliteratively through Markerřs well-known talent for deft montage along with his militancy, I consider Bazinřs praise for Markerřs editing technique Ŕ in spite of famously expressing a preference elsewhere for the long take, and deep focus cinematography Ŕ and I address their political differences and convergences. Yet I also explore the rather more unexpected question of metaphysics in order to further emphasize a closer relationship between these two figures. I chart the emergence of an enduring spiritual bond between critic and filmmaker that surfaces first in Markerřs writings for the left-wing Catholic journal L’EspritSelf-assembled monolayers of alendronate on Ti6Al4V alloy surfaces enhance osteogenesis in mesenchymal stem cells

    Science.gov (United States)

    Rojo, Luis; Gharibi, Borzo; McLister, Robert; Meenan, Brian J.; Deb, Sanjukta

    2016-07-01

    Phosphonates have emerged as an alternative for functionalization of titanium surfaces by the formation of homogeneous self-assembled monolayers (SAMs) via Ti-O-P linkages. This study presents results from an investigation of the modification of Ti6Al4V alloy by chemisorption of osseoinductive alendronate using a simple, effective and clean methodology. The modified surfaces showed a tailored topography and surface chemistry as determined by SEM microscopy and RAMAN spectroscopy. X-ray photoelectron spectroscopy revealed that an effective mode of bonding is created between the metal oxide surface and the phosphate residue of alendronate, leading to formation of homogenous drug distribution along the surface. In-vitro studies showed that alendronate SAMs induce differentiation of hMSC to a bone cell phenotype and promote bone formation on modified surfaces. Here we show that this novel method for the preparation of functional coatings on titanium-based medical devices provides osseoinductive bioactive molecules to promote enhanced integration at the site of implantation.

  19. Prolegomena to any future metaphysics that will be able to come forward as science the Paul Carus translation

    CERN Document Server

    Kant, Immanuel

    1977-01-01

    Kant’s Prolegomena -- its full title, in the eighteenth-century manner, is Prolegomena to Any Future Metaphysics Which Will Be Able to Come Forth as Science -- is a classic in metaphysics and the theory of knowledge. It deals with the perennially baffling questions: How do we know? How much can we know? Its answers to these questions are interesting especially now. We live in one of the recurring periods of intellectual and cultural history that are skeptical and impatient of systems of speculative metaphysics, and a distrust of speculation is the leading motif of the Prolegomena. Though Kant's arguments against speculative metaphysics differ from those of our contemporaries, in some of his results he anticipates their negative conclusions. The Prolegomena, however, is not interesting merely as an historical anticipation of recent views; indeed, as such it has been as it were condemned in advance by Kant (Prolegomena, Introduction). Rather, its chief interest to the student of philosophy is probably the way...

  1. Successful treatment of two cases of metaphyseal osteomyelitis in the dog

    International Nuclear Information System (INIS)

    This paper describes two cases of metaphyseal osteomyelitis in young dogs. The condition was characterised by generalised stiffness, muscle atrophy and reluctance to stand. Pain was evident on deep palpation of the distal extremities of long bones. Radiographic lesions, consisting of diffuse areas of bone lysis and pronounced periosteal reaction, were demonstrated in the metaphyseal regions of multiple long bones, particularly the distal radii and ulnae. Growth plates appeared unaffected and remained open. Biochemical abnormalities included significant increases in the plasma concentrations of fibrinogen and alkaline phosphatase. A pronounced neutrophilia and absolute monocytosis were noted in one dog. A six week course of amoxycil-lin/clavulanic acid in combination with metronidazole resulted in complete resolution of clinical and radiographic signs in each case. Growth disturbances were not observed

  2. Purpose in the Universe the moral and metaphysical case for ananthropocentric purposivism

    CERN Document Server

    Mulgan, Tim

    2015-01-01

    Two familiar worldviews dominate Western philosophy: materialist atheism and the benevolent God of the Abrahamic faiths. Tim Mulgan explores a third way. Ananthropocentric Purposivism claims that there is a cosmic purpose, but human beings are irrelevant to it. Purpose in the Universe develops a philosophical case for Ananthropocentric Purposivism that it is at least as strong as the case for either theism or atheism. The book borrows traditional theist arguments to defend a cosmic purpose. These include cosmological, teleological, ontological, meta-ethical, and mystical arguments. It then borrows traditional atheist arguments to reject a human-centred purpose. These include arguments based on evil, diversity, and the scale of the universe. Mulgan also highlights connections between morality and metaphysics, arguing that evaluative premises play a crucial and underappreciated role in metaphysical debates about the existence of God, and Ananthropocentric Purposivism mutually supports an austere consequentialis...

  3. Structural and cellular features in metaphyseal and diaphyseal periosteum of osteoporotic rats

    OpenAIRE

    Fan, Wei; Bouwense, Stefan A. W.; Crawford, Ross; Xiao, Yin

    2010-01-01

    Despite the important physiological role of periosteum in the pathogenesis and treatment of osteoporosis, little is known about the structural and cellular characteristics of periosteum in osteoporosis. To study the structural and cellular differences in both diaphyseal and metaphyseal periosteum of osteoporotic rats, samples from the right femur of osteoporotic and normal female Lewis rats were collected and tissue sections were stained with hematoxylin and eosin, antibodies or staining kit ...

  4. Metaphysics of infinity the problem of motion and the infinite brain

    CERN Document Server

    Soteropoulos, Ion

    2013-01-01

    A work of impressive and original scholarship, Metaphysics of Infinity: The Problem of Motion and the Infinite Brain is an informed and informative study that is especially recommended to the attention of anyone with in interest in the logical mechanics of the physical universe, the capacity of the human brain, and integrated role of robots and artificial intelligence in the future. An understanding of elementary mathematical equations is required to fully appreciate the principles upon which Ion Soteropoulos has founded her pr

  5. To weave the forms of Mystery: Travel, mystical and metaphysical in Sufi poetry

    OpenAIRE

    Daniel Del Percio

    2015-01-01

    Mystery is not just an enigma but a force, an impulse that gives emphasis to the real. And the ways in which this mystery unfolds are probably endless. In Sufism, travel literature is established as the quintessential poetic mysticism, where the description of incessant movement throughout the world invariably takes the value of metaphysical experience, freedom of spirit, understanding of the presence of the divine in every aspect and at every step of the journey. A mystic is a “nomadic metap...

  6. Osteosclerotic metaphyseal dysplasia: a skeletal dysplasia that may mimic lead poisoning in a child with hypotonia and seizures

    International Nuclear Information System (INIS)

    We report the case of a 23-month-old male with hypotonia, developmental delay, and complex seizures. Radiographs revealed profound sclerosis of the metaphyses and epiphyses of the long and short bones in the extremities, with a unique pattern of distribution. Sclerosis also involved the anterior ribs, iliac crests, talus, and calcaneus. The skull and vertebral bodies appeared unaffected. Blood lead levels were normal. We believe that this constellation of clinical and radiographic abnormalities closely resembles osteosclerotic metaphyseal dysplasia (OMD) due to an autosomal recessive defect. Characteristic skeletal findings were instrumental in determining the diagnosis. OMD is a very rare sclerosing bone disorder, first described in 1993. The syndrome is characterized clinically by developmental delay of a progressive nature, hypotonia, elevated alkaline phosphatase, and late-onset spastic paraplegia. We encountered a young child with these neurologic symptoms who displayed sclerotic metaphyseal changes on hand radiographs obtained to determine the bone age. Lead poisoning, a known cause of metaphyseal sclerosis, was initially suspected. Careful analysis of the metaphyseal bone changes helped to distinguish this bone dysplasia from lead poisoning and other causes of metaphyseal sclerosis. (orig.)

  7. Truth, Art, and the “New Sensuousness”: Understanding Heidegger’s Metaphysical Reading of Nietzsche

    Directory of Open Access Journals (Sweden)

    James Magrini

    2009-06-01

    Full Text Available In the first of four lectures on Nietzsche’s philosophy, “The Will to Poweras Art” (1936-37, Heidegger argues that the unique and importantrelationship between truth and art, which Nietzsche suggests, must beunderstood “with a view to the conquest of nihilism,” i.e., within the historical context of a radically novel interpretation of sensuous reality. Beginning with the project of overturning Platonism as the active countermovement to nihilism, this essay interprets Heidegger’s difficult notion of the discordant relationship between truth (the fixation of semblance and art (the transfiguration of semblance in Nietzsche’s philosophy, emphasizing the supreme importance of art as life’s greatest enhancing force. The analysis is conducted within the context of Nietzsche’s metaphysics as presented by Heidegger, who claims thatas a metaphysical thinker, Nietzsche could not explain such topics as “truth,” “Being,” and “Becoming” in terms beyond the conceptualization of Western philosophy. In spite of that, his thought intimates a movement beyond the constraints of the tradition within which he was entrenched. In addition to providing a detailed exegesis of Heidegger’s lecture course, the problems associated with Heidegger’s metaphysical interpretation of Nietzsche’s philosophy will be discussed, problems that commentators such as Alan Schrift (Nietzsche and the Question of Interpretation believe stem from Heidegger’s stringent and restrictive methodological choices for approaching the reading of Nietzsche.

  8. LCP metaphyseal plate fixation for fractures of the distal third humeral shaft using brachialis splitting approach.

    Science.gov (United States)

    Lee, Sang Ki; Yang, Dae Suk; Chang, Shann Haw; Choy, Won Sik

    2016-03-01

    The authors retrospectively studied the clinical and radiographic outcomes of locking compressive plate (LCP) metaphyseal plate fixation through the anterolateral approach in patients treated surgically for unstable distal third humeral shaft fractures. Twenty seven patients were treated surgically with LCP metaphyseal plate using brachialis splitting methods through the anterolateral approach. The mean arc of elbow motion was 132.4° with a mean flexion of 133.5° and mean flexion contracture of 1.1°. Three patients had a slight elbow flexion contracture with loss of 5° (n=1), 10° (n=1), and 15° (n=1) of extension. The mean American Shoulder and Elbow Surgeons score was 92.6 points, which corresponded to excellent results in 26 shoulders and a good result in one. The mean Mayo Elbow Performance Score was 90.7 points, which corresponded to excellent results in 24 elbows, a good result in 2, and a fair result in 1. Treatment of distal third humeral shaft fracture using LCP metaphyseal plate through the anterolateral approach is an acceptable and alternative method that can provide good results. PMID:26984659

  9. Descriptive Metaphysics, Natural Language Metaphysics, Sapir-Whorf, and All That Stuff: Evidence from the Mass-Count Distinction

    Directory of Open Access Journals (Sweden)

    Francis Jeffry Pelletier

    2010-12-01

    . Language 5: 207–214. Reprinted in David Mandelbaum (ed., Selected Writings of Edward Sapir in Language Culture and Personality, 160-166 (Berkeley and Los Angeles: University of California Press, 1968.Schank, Roger. 1972. ‘Conceptual Dependency: A Theory of Natural Language Understanding’. Cognitive Psychology 3: 552–631.http://dx.doi.org/10.1016/0010-0285(7290022-9Sharvy, Richard. 1978. ‘Maybe English has No Count Nouns: Notes on Chinese Semantics’. Studies in Language 2: 345–365.http://dx.doi.org/10.1075/sl.2.3.04shaStrawson, Peter. 1959. Individuals: An Essay in Descriptive Metaphysics. London: Methuen.Strawson, Peter. 1966. The Bounds of Sense. London: Methuen.Vendler, Zeno. 1967. Linguistics in Philosophy. Ithaca, NY: Cornell Univ. Press. Chapter 5. “Nouns and Nominalizations”.Vendler, Zeno. 1972. Res Cogitans. Ithaca, NY: Cornell Univ. Press. Chapter 5. “On What One Knows”.Whorf, Benjamin. 1940a. ‘Linguistics as an Exact Science’. Technology Review 43: 61–63, 80–83. Reprinted in (Whorf 1956, 220–232.Whorf, Benjamin. 1940b. ‘Science and Linguistics’. Technology Review 42: 229–231,247–248. Reprinted in (Whorf 1956, 207–219.Whorf, Benjamin. 1941. ‘The Relation of Habitual Thought and Behavior to Language’. In L. Spier (ed. ‘Language, Culture, and Personality: Essays in Memory of Edward Sapir’, 75–93. Menasha, WI: Sapir Memorial Publication Fund. Reprinted in (Whorf 1956, 134–159.Whorf, Benjamin. 1956. Language, Thought and Reality. Cambridge UP: MIT Press. Edited by J. Carroll.Wierzbicka, Anna. 1988a. ‘Oats and Wheat: Mass Nouns, Iconicity, and Human Categorization’. In Anna Wierzbicka (ed. ‘The Semantics of Grammar’, 499–560. Amsterdam: John Benjamins.Wierzbicka, Anna. 1988b. The Semantics of Grammar. Amsterdam: John Benjamins.Wierzbicka, Anna. 1994. ‘Opening Statement’. In ‘Semantic and Lexical Universals’, 1–3. Philadelphia: J. Benjamins.Wierzbicka, Anna. 1996. Semantics: Primes and Universals

  10. Local treatment of osteoporosis with alendronate-loaded calcium phosphate cement

    Institute of Scientific and Technical Information of China (English)

    Zhao Jindong; Tang Hai; Wang Jiayang; Li Gang

    2014-01-01

    Background A new treatment strategy is to target specific areas of the skeletal system that are prone to clinically significant osteoporotic fractures.We term this strategy as the "local treatment of osteoporosis".The study was performed to investigate the effect of alendronate-loaded calcium phosphate cement (CPC) as a novel drug delivery system for local treatment of osteoorosis.Methods An in vitro study was performed using CPC fabricated with different concentrations of alendronate (ALE,0,2,5,10 weight percent (wt%)).The microstructure,setting time,infrared spectrum,biomechanics,drug release,and biocompatibility of the composite were measured in order to detect changes when mixing CPC with ALE.An in vivo study was also performed using 30 Sprague-Dawley rats randomly divided into six groups:normal,Sham (ovariectomized (OVX) + Sham),CPC with 2% ALE,5%ALE,and 10% ALE groups.At 4 months after the implantation of the composite,animals were sacrificed and the caudal vertebrae (levels 4-7) were harvested for micro-CT examination and biomechanical testing.Results The setting time and strength of CPC was significantly faster and greater than the other groups.The ALE release was sustained over 21 days,and the composite showed good biocompatibility.In micro-CT analysis,compared with the Sham group,there was a significant increase with regard to volumetric bone mineral density (BMD) and trabecular number (Tb.N) in the treated groups (P <0.05).Trabecular spacing (Tb.Sp) showed a significant increase in the Sham group compared to other groups (P <0.01).However,trabecular thickness (Tb.Th) showed no significant difference among the groups.In biomechanical testing,the maximum compression strength and stiffness of trabecular bone in the Sham group were lower than those in the experimental groups.Conclusions The ALE-loaded CPC displayed satisfactory properties in vitro,which can reverse the OVX rat vertebral trabecular bone microarchitecture and biomechanical

  11. Czy sądy metafizyczne mówią coś o świecie? Wittgensteinowskie źródła deflacjonizmu metafizycznego i jego modele [Do metaphysical judgments say something about the world or not? Wittgensteinian roots of deflationary metaphysics and its models

    Directory of Open Access Journals (Sweden)

    Sebastian Kolodziejczyk

    2014-09-01

    Full Text Available Many of contemporary philosophers argue against metaphysics putting forward a thesis that metaphysical claims are deflationary. This way of thinking seems to be not only persuasive but above all it rightly expresses a main difficulty of metaphysical inquires. In this paper I am trying to shed a little light on the problem of deflation of metaphysical judgments. In the first section I refer to some Wittgenstein's ideas from Tractatus logico-philosophicus and I focus on the phenomenon of manifestation as a possible source of deflation of metaphysics. The second section is devoted to the Wittgenstein's concepts of language games on the one hand and rules on the other; both of them are a key to understanding of the deepest dimensions of deflationary metaphysics. The third section is an elaboration of three models of deflation of metaphysical expressions: 1. deflation in regard to the informative status of metaphysical judgments; 2. deflation in regard to the metasemantic properties of judgments about the world, and 3. deflation in regard to the semantic ground of ontological judgments. The fourth and last part of the paper is an exposition of two crucial problems which metaphysics has to face with. I call the first of them 'a problem with conceptualization of the metaphysical experience', whereas the second one is labeled 'a problem with semantic inclusion of metaphysical expressions into judgments about facts'.

  12. Three-year outcome of alendronate treatment in older Japanese women with osteoporosis

    Directory of Open Access Journals (Sweden)

    Jun Iwamoto

    2012-10-01

    Full Text Available The effects of alendronate (ALN treatment on the bone mineral density (BMD, bone turnover markers, and fracture incidence remain to be established in older Japanese patients. The aim of the present study was to compare the outcome of ALN treatment for 3 years among postmenopausal osteoporotic Japanese women <80 years of age and those ≥80 years of age. One hundred ninety-eight postmenopausal osteoporotic women who had been treated with ALN for more than 3 years were analyzed. The 3-year outcome was compared between women <80 years of age (control group, n=167 and those ≥80 years of age (older group, n=31. During the 3-year treatment period, the urinary cross-linked N-terminal telopeptides of the type I collagen and serum alkaline phosphatase levels significantly decreased and the lumbar spine BMD significantly increased, compared with the baseline values, in manners that were similar in the control and older groups. However, the incidence of non-vertebral fractures, but not of vertebral fractures, was significantly higher in the older group than in the control group (16.1% vs 3.0%. These results suggested that the incidence of non-vertebral fractures was significantly higher among postmenopausal osteoporotic Japanese women ≥80 years of age who were treated with ALN than among those <80 years of age despite the similar effect of ALN treatment on surrogate markers.

  13. A novel PHBV/HA microsphere releasing system loaded with alendronate

    International Nuclear Information System (INIS)

    Microspheres of poly(β-hydroxybutyrate-co-β-hydroxyvalerate) (PHBV) incorporated with hydroxyapatite (HA) and loaded with alendronate (AL), an osteoporosis preventing drugs, were prepared by single emulsion technique. Several methods were used to evaluate this novel drug carrier microsphere system (referred as PHBV/HA-AL). Fourier transform infrared (FTIR) was used to evaluate the enwrapping of HA and the X-ray diffraction (XRD) analysis further confirmed the success. The morphology of PHBV/HA-AL microspheres was observed by scanning electron microscope (SEM), showing rough surface with HA particles enwrapped in the PHBV matrix. The in vitro drug releasing profile of PHBV/HA-AL system was investigated in a 26-day period. There is a sustained releasing pattern after a slight burst release during the first few days. Additionally, rabbit mesenchymal stem cells (MSCs) were used to evaluate the cytotoxicity of the PHBV/HA-AL composites. This controlled release system can well support the proliferation of MSCs. The novel PHBV/HA-AL controlled release system is promising for bone repair therapy.

  14. A novel PHBV/HA microsphere releasing system loaded with alendronate

    Energy Technology Data Exchange (ETDEWEB)

    Huang Wei [School of Materials Science and Engineering, South China University of Technology, Guangzhou 510641 (China); Key Laboratory of Special Functional Materials, South China University of Technology, Ministry of Education, Guangzhou 510641 (China); Wang Yingjun, E-mail: imwangyj@scut.edu.cn [School of Materials Science and Engineering, South China University of Technology, Guangzhou 510641 (China); Key Laboratory of Special Functional Materials, South China University of Technology, Ministry of Education, Guangzhou 510641 (China); Ren Li; Du Chang; Shi Xuetao [School of Materials Science and Engineering, South China University of Technology, Guangzhou 510641 (China); Key Laboratory of Special Functional Materials, South China University of Technology, Ministry of Education, Guangzhou 510641 (China)

    2009-08-31

    Microspheres of poly({beta}-hydroxybutyrate-co-{beta}-hydroxyvalerate) (PHBV) incorporated with hydroxyapatite (HA) and loaded with alendronate (AL), an osteoporosis preventing drugs, were prepared by single emulsion technique. Several methods were used to evaluate this novel drug carrier microsphere system (referred as PHBV/HA-AL). Fourier transform infrared (FTIR) was used to evaluate the enwrapping of HA and the X-ray diffraction (XRD) analysis further confirmed the success. The morphology of PHBV/HA-AL microspheres was observed by scanning electron microscope (SEM), showing rough surface with HA particles enwrapped in the PHBV matrix. The in vitro drug releasing profile of PHBV/HA-AL system was investigated in a 26-day period. There is a sustained releasing pattern after a slight burst release during the first few days. Additionally, rabbit mesenchymal stem cells (MSCs) were used to evaluate the cytotoxicity of the PHBV/HA-AL composites. This controlled release system can well support the proliferation of MSCs. The novel PHBV/HA-AL controlled release system is promising for bone repair therapy.

  15. Does Alendronate reduce the risk of fracture in men? A meta-analysis incorporating prior knowledge of anti-fracture efficacy in women

    Directory of Open Access Journals (Sweden)

    Papaioannou Alexandra

    2005-07-01

    Full Text Available Abstract Background Alendronate has been found to reduce the risk of fractures in postmenopausal women as demonstrated in multiple randomized controlled trials enrolling thousands of women. Yet there is a paucity of such randomized controlled trials in osteoporotic men. Our objective was to systematically review the anti-fracture efficacy of alendronate in men with low bone mass or with a history of prevalent fracture(s and incorporate prior knowledge of alendronate efficacy in women in the analysis. Methods We examined randomized controlled trials in men comparing the anti-fracture efficacy of alendronate to placebo or calcium or vitamin D, or any combination of these. Studies of men with secondary causes of osteoporosis other than hypogonadism were excluded. We searched the following electronic databases (without language restrictions for potentially relevant citations: Medline, Medline in Process (1966-May 24/2004, and Embase (1996–2004. We also contacted the manufacturer of the drug in search of other relevant trials. Two reviewers independently identified two trials (including 375 men, which met all inclusion criteria. Data were abstracted by one reviewer and checked by another. Results of the male trials were pooled using Bayesian random effects models, incorporating prior information of anti-fracture efficacy from meta-analyses of women. Results The odds ratios of incident fractures in men (with 95% credibility intervals with alendronate (10 mg daily were: vertebral fractures, 0.44 (0.23, 0.83 and non-vertebral fractures, 0.60 (0.29, 1.44. Conclusion In conclusion, alendronate decreases the risk of vertebral fractures in men at risk. There is currently insufficient evidence of a statistically significant reduction of non-vertebral fractures, but the paucity of trials in men limit the statistical power to detect such an effect.

  16. Production, quality control, biodistribution assessment and preliminary dose evaluation of {sup 166}Ho-alendronate as a bone marrow ablative agent

    Energy Technology Data Exchange (ETDEWEB)

    Fakhari, Ashraf [Tehran University of Medical Sciences (Iran, Islamic Republic of). Dept. of Radiopharmacy; Jalilian, Amir Reza; Yousefnia, Hassan; Zolghadri, Samaneh; Samani, Ali Bahrami; Akbari, Mahmoud Reza; Deha, Fariba Johari [Nuclear Science and Technology Research Institute (NSTRI), Tehran (Iran, Islamic Republic of); Shafiee-Ardestani, Mahdi; Khalaj, Ali [Tehran University of Medical Sciences (Iran, Islamic Republic of). Dept. of Medicinal Chemistry

    2015-07-01

    In this study, production, quality control and biodistribution studies of {sup 166}Ho-alendronate have been presented and followed by dosimetric evaluation for human based on biodistribution data in wild-type rats. {sup 166}Ho chloride was obtained by thermal neutron irradiation of natural {sup 165}Ho(NO{sub 3}){sub 3} samples. {sup 166}Ho-alendronate complex was prepared by adding the desired amount of alkaline alendronate solution (0.2 mL, 150 mg/mL) to 3-5 mCi of the {sup 166}HoCl{sub 3} solution. Radiochemical purity of the complex was monitored by instant thin layer chromatography (ITLC). {sup 166}Ho-alendronate complex was prepared in high radiochemical purity (> 99%, ITLC) and specific activity of 4.4 GBq/mmol. Stability studies of the complex in the final preparation and in the presence of human serum were performed up to 48 h. The major accumulation of the radio-complex was in the bone tissues followed by absorbed dose evaluation of each human organ by RADAR software used for modelling the radiation dose delivered. The final preparation was administered to wild-type rats and biodistribution of the complex was performed 2-48 h post injection showing major accumulation of the complex in the bone tissue. The highest absorbed dose for {sup 166}Ho-alendronate is observed in bone surface and red marrow with 2.670 and 1.880 mSv/MBq; respectively. These findings suggest that {sup 166}Ho-alendronate has considerable characteristics compared to {sup 166}Ho-DOTMP and can be a possible candidate for bone marrow ablation in patients with multiple myeloma.

  17. The Reconstruction of Kant's Moral Metaphysics---On the Demarcation between Knowledge and Metaphysics%康德道德形而上学的重建--兼论知识与形而上学的划界

    Institute of Scientific and Technical Information of China (English)

    高新文; 黄逸超

    2015-01-01

    康德批判了莱布尼茨、沃尔夫以来的形而上学独断论,完成了知识与形而上学的划界。在其道德哲学中,为保证道德的纯洁性,康德努力寻求并建立形而上的基础。在分析了康德形而上学重建的思路基础上,论证了道德哲学中善良意志、绝对命令等基本概念的含义,简要阐述了康德道德形而上学的历史影响及价值。%Kant criticized the dogmatism of metaphysics since Leibniz and Wolff ,and completed the de‐marcation between knowledge and metaphysics .In the moral philosophy ,to ensure the purity of morali‐ty ,Kant's tried to seek and establish a metaphysical basis .This paper analyses the reconstruction of Kant's metaphysics thinking ,demonstrates the basic meanings ,as good will and absolute command , etc .in the moral philosophy ,and briefly expounds the historical influence and value of Kant's moral metaphysics .

  18. Alendronato de sódio: metodologias para análise quantitativa Sodium alendronate: methods for analytical quantitation

    Directory of Open Access Journals (Sweden)

    Ana Ferreira Ribeiro

    2005-10-01

    Full Text Available This paper presents a review of some published proposals for the analysis of sodium alendronate. The drug is an aminobisphosphonate compound used to inhibit the osteoclastic resorption of bone, and different methods were developed for its quantitative determination. These methodologies employed reversed-phase or ion-exchange HPLC analysis, both associated with different detectors: UV and fluorescence detection after derivatization of the drug, conductivity and refractive index detectors, as well as the indirect UV detection. Titrimetry and spectrophotometry (with previous complexation of the drug, which are simpler procedures, were also described, but they showed poor specificity when compared to liquid chromatography.

  19. Long-term effects of alendronate on fracture healing and bone remodeling of femoral shaft in ovariectomized rats

    OpenAIRE

    Fu, Ling-jie; Tang, Ting-ting; Hao, Yong-qiang; Dai, Ke-Rong

    2013-01-01

    Aim: To investigate the long-term effects of alendronate (Aln), a widely used oral bisphosphonate, on fracture healing and bone remodeling in ovariectomized rats. Methods: Adult female SD rats underwent ovariectomy, and then bilateral femoral osteotomy at 12 weeks post-ovariectomy. From d 2 post-ovariectomy, the animals were divided into 3 groups, and treated with Aln (3 mg·kg−1·d−1, po) for 28 weeks (Aln/Aln), Aln for 12 weeks and saline for 16 weeks (Aln/Saline) or saline for 28 weeks (Sali...

  20. Metaphysics methods development for high temperature gas cooled reactor analysis

    International Nuclear Information System (INIS)

    Gas cooled reactors have been characterized as one of the most promising nuclear reactor concepts in the Generation-IV technology road map. Considerable research has been performed on the design and safety analysis of these reactors. However, the calculational tools being used to perform these analyses are not state-of-the-art and are not capable of performing detailed three-dimensional analyses. This paper presents the results of an effort to develop an improved thermal-hydraulic solver for the pebble bed type high temperature gas cooled reactors. The solution method is based on the porous medium approach and the momentum equation including the modified Ergun's resistance model for pebble bed is solved in three-dimensional geometry. The heat transfer in the pebble bed is modeled considering the local thermal non-equilibrium between the solid and gas, which results in two separate energy equations for each medium. The effective thermal conductivity of the pebble-bed can be calculated both from Zehner-Schluender and Robold correlations. Both the fluid flow and the heat transfer are modeled in three dimensional cylindrical coordinates and can be solved in steady-state and time dependent. The spatial discretization is performed using the finite volume method and the theta-method is used in the temporal discretization. A preliminary verification was performed by comparing the results with the experiments conducted at the SANA test facility. This facility is located at the Institute for Safety Research and Reactor Technology (ISR), Julich, Germany. Various experimental cases are modeled and good agreement in the gas and solid temperatures is observed. An on-going effort is to model the control rod ejection scenarios as described in the OECD/NEA/NSC PBMR-400 benchmark problem. In order to perform these analyses PARCS reactor simulator code will be coupled with the new thermal-hydraulic solver. Furthermore, some of the other anticipated accident scenarios in the benchmark

  1. Efficacy of a Sclerostin Antibody Compared to a Low Dose of PTH on Metaphyseal Bone Healing

    OpenAIRE

    Agholme, Fredrik; Macias, Brandon,; Hamang, Matt; Lucchesi, Jonathan; Adrian, Mary D.; Kuhstoss, Stuart; Harvey, Anita; Sato, Masahiko; Aspenberg, Per

    2014-01-01

    We compared the effect of a sclerostin antibody to that of a clinically relevant dose of parathyroid hormone (PTH) in a rat model for metaphyseal bone healing. Screws of steel or poly methyl methacrylate (PMMA) were inserted bilaterally into the proximal tibia of young male rats. During 4 weeks the animals then received injections of either phosphate buffered saline (control), sclerostin antibody (25mg/kg, twice weekly) or PTH (5 mu g/kg, daily). The healing response around the screws was the...

  2. Substantial :union: or Substantial Distinction of Mind and Body in Descartes\\' Metaphysics

    OpenAIRE

    Fahime Jamei; Dr Musa Akrami

    2009-01-01

    According to Descartes’ metaphysics there are two different kinds of substances in the world of creatures: “thinking substance” and “extended substance” or soul and matter. In Descartes’ philosophy the soul is equal to the mind and considered as a “thinking substance”. This immaterial substance is the essence of the human being. Body, being considered as a “matter“, is an “extended substance” and entirely distinct from the soul. The soul, therefore, exists and may be known prior to body and, ...

  3. Mutual augmentation of the induction of the histamine-forming enzyme, histidine decarboxylase, between alendronate and immuno-stimulants (IL-1, TNF, and LPS), and its prevention by clodronate

    International Nuclear Information System (INIS)

    Nitrogen-containing bisphosphonates (N-BPs), powerful anti-bone-resorptive drugs, have inflammatory side effects, while histamine is not only an inflammatory mediator, but also an immuno-modifier. In murine models, a single intraperitoneal injection of an N-BP induces various inflammatory reactions, including the induction of the histamine-forming enzyme histidine decarboxylase (HDC) in tissues important in immune responses (such as liver, lungs, spleen, and bone marrow). Lipopolysaccharide (LPS) and the proinflammatory cytokines IL-1 and TNF are also capable of inducing HDC. We reported previously that in mice (i) the inflammatory actions of N-BPs depend on IL-1 (ii) N-BP pretreatment augments both LPS-stimulated IL-1 production and HDC induction, and (iii) the co-administration of clodronate (a non-N-BP) with an N-BP inhibits the latter's inflammatory actions (including HDC induction). Here, we add the new findings that (a) pretreatment with alendronate (a typical N-BP) augments both IL-1- and TNF-induced HDC elevations, (b) LPS pretreatment augments the alendronate-induced HDC elevation, (c) co-administration of clodronate with alendronate abolishes these augmentations, (d) alendronate does not induce HDC in IL-1-deficient mice even if they are pretreated with LPS, and (e) alendronate increases IL-1β in all tissues tested, but not in the serum. These results suggest that (1) there are mutual augmentations between alendronate and immuno-stimulants (IL-1, TNF, and LPS) in HDC induction, (2) tissue IL-1β is important in alendronate-stimulated HDC induction, and (3) combination use of clodronate may have the potential to reduce the inflammatory effects of alendronate (we previously found that clodronate, conveniently, does not inhibit the anti-bone-resorptive activity of alendronate)

  4. Characterization of alendronate sodium-loaded UHMWPE for anti-osteolysis in orthopedic applications

    International Nuclear Information System (INIS)

    Ultra-high molecule weight polyethylene (UHMWPE) loaded with alendronate sodium (ALN), a potential drug to prevent debris-induced osteolysis, was developed in our previous study. This study aims to investigate the wear performance of UHMWPE–ALNs. In this study, wear test, mechanical test, differential scanning calorimetry (DSC) and contact angle test were applied to characterize the wear performance, mechanical behavior and physical properties of UHMWPE–ALNs. The effect of ALN on the wear performance of UHMWPE–ALNs was investigated by scanning electron microscope (SEM), back scattering electrons (BSE) and energy dispersive X-ray spectrum (EDX). The results of wear test showed that the friction coefficient and volumetric loss of UHMWPE–ALN 0.5 wt.% were comparable with those of UHMWPE. The result of SEM-BSE-EDX revealed that the wear debris detached easily from the ALN-agglomerated regions, which was mainly responsible for the decrease of wear resistance of UHMWPE–ALN 1.0 wt.%. The loaded ALN resulted in the increase of hydrophilicity of UHMWPE–ALNs. The decrease of toughness and crystallinity of UHMWPE–ALN 1.0 wt.% attributed to the non-uniform distribution of ALN. The UHMWPE–ALN 0.5 wt.%, in which no ALN agglomeration was observed, possessed approving mechanical properties and wear performance, might have potential clinical application to prevent the debris-induced osteolysis in prosthetic joints. - Highlights: ► The wear resistance, mechanical and physical properties UHMWPE–ALN 0.5 wt.% are not significantly different with those of UHMWPE. ► The hydrophilicity of UHMWPE increased after loaded ALN. ► The decrease of wear performance of UHMWPE–ALN 1.0 wt.% attributed to the non uniform distribution of ALN. ► The ALN-agglomerated region of UHMWPE–ALN 1.0 wt.% was most easily worn out during wear processing.

  5. Characterization of alendronate sodium-loaded UHMWPE for anti-osteolysis in orthopedic applications

    Energy Technology Data Exchange (ETDEWEB)

    Yang Dan [Key Lab of Advanced Technologies of Materials, Ministry of Education, Tribology Research Institute, School of Mechanical Engineering, Southwest Jiaotong University, Chengdu 610031 (China); Qu Shuxin, E-mail: qushuxin@swjtu.edu.cn [Key Lab of Advanced Technologies of Materials, Ministry of Education, School of Material Science and Engineering, Southwest Jiaotong University, Chengdu 610031 (China); Huang Jie [Key Lab of Advanced Technologies of Materials, Ministry of Education, School of Material Science and Engineering, Southwest Jiaotong University, Chengdu 610031 (China); Cai Zhenbing; Zhou Zhongrong [Key Lab of Advanced Technologies of Materials, Ministry of Education, Tribology Research Institute, School of Mechanical Engineering, Southwest Jiaotong University, Chengdu 610031 (China)

    2012-02-01

    Ultra-high molecule weight polyethylene (UHMWPE) loaded with alendronate sodium (ALN), a potential drug to prevent debris-induced osteolysis, was developed in our previous study. This study aims to investigate the wear performance of UHMWPE-ALNs. In this study, wear test, mechanical test, differential scanning calorimetry (DSC) and contact angle test were applied to characterize the wear performance, mechanical behavior and physical properties of UHMWPE-ALNs. The effect of ALN on the wear performance of UHMWPE-ALNs was investigated by scanning electron microscope (SEM), back scattering electrons (BSE) and energy dispersive X-ray spectrum (EDX). The results of wear test showed that the friction coefficient and volumetric loss of UHMWPE-ALN 0.5 wt.% were comparable with those of UHMWPE. The result of SEM-BSE-EDX revealed that the wear debris detached easily from the ALN-agglomerated regions, which was mainly responsible for the decrease of wear resistance of UHMWPE-ALN 1.0 wt.%. The loaded ALN resulted in the increase of hydrophilicity of UHMWPE-ALNs. The decrease of toughness and crystallinity of UHMWPE-ALN 1.0 wt.% attributed to the non-uniform distribution of ALN. The UHMWPE-ALN 0.5 wt.%, in which no ALN agglomeration was observed, possessed approving mechanical properties and wear performance, might have potential clinical application to prevent the debris-induced osteolysis in prosthetic joints. - Highlights: Black-Right-Pointing-Pointer The wear resistance, mechanical and physical properties UHMWPE-ALN 0.5 wt.% are not significantly different with those of UHMWPE. Black-Right-Pointing-Pointer The hydrophilicity of UHMWPE increased after loaded ALN. Black-Right-Pointing-Pointer The decrease of wear performance of UHMWPE-ALN 1.0 wt.% attributed to the non uniform distribution of ALN. Black-Right-Pointing-Pointer The ALN-agglomerated region of UHMWPE-ALN 1.0 wt.% was most easily worn out during wear processing.

  6. The determination of apoptosis rates on articular cartilages of ovariectomized rats with and without alendronate treatment.

    Science.gov (United States)

    Acar, Nuray; Balkarli, Huseyin; Soyuncu, Yetkin; Ozbey, Ozlem; Celik-Ozenci, Ciler; Korkusuz, Petek; Ustunel, Ismail

    2016-06-01

    Osteoporosis (OP) is a major health problem characterized by compromised bone strength. Osteoarthritis (OA) is a joint disease that progresses slowly and is characterized by breakdown of the cartilage matrix. Alendronate (ALN), a nitrogen-containing bisphosphonate (BIS), inhibits bone loss and increases bone mineralization, and has been used clinically for the treatment of OP. It is still controversial whether BIS is effective in inhibiting the progression of OA. Chondrocyte apoptosis has been described in both human and experimentally induced OA models. In our study we aimed to detect whether ALN could protect articular cartilage from degeneration and reduce apoptosis rates in experimentally OA induced rats. For this rats were ovariectomized (ovex), nine weeks after operation rats were injected 30 µg/kg/week ALN subcutaneously for six weeks. After six weeks articular cartilages were obtained. We did Safranin O staining and Mankin and Pritzker scorings to evaluate degeneration and investigated the expressions of p53, cleaved caspase 3, Poly ADP-ribose (PAR), Poly ADP-ribose polymerase 1 (PARP 1), and applied TUNEL technique to determine apoptotis rates. We found a significant decrease in glycosaminoglycan (GAG) amount and increased apoptosis which indicates damage on articular cartilages of ovex rats. GAG amount was higher and apoptosis rate was lower on articular cartilages of ALN treated ovex rats compared to the ovex group. In contrary to studies showing that early ALN treatment has a protective effect, our study shows late ALN treatment has a chondroprotective effect on articular cartilage since we treated rats nine weeks after ovariectomy. PMID:26631351

  7. In vitro incorporation studies of 99mTc-alendronate sodium at different bone cell lines

    International Nuclear Information System (INIS)

    Bisphosphonates can be labeled with Technetium-99m (99mTc) and are used for bone imaging because of their good localization in the skeleton and rapid clearance from soft tissues. Over the last decades bone scintigraphy has been used extensively in the evaluation of oncological patients to provide information about the sites of bone lesions, their prognosis and the effectiveness of therapy by showing the sequential changes in tracer uptake. Since the lesion visualization and lesion/bone ratio are important utilities for a bone scanning radiopharmaceutic; in this study incorporation of 99mTc labeled alendronate sodium (99mTc-ALD) was evaluated in U2OS (human bone osteosarcoma) and NCI-H209 (human bone carcinoma) cell lines. ALD was directly labeled by 99mTc, radiochemical purity and stability of the complex were analyzed by radioactive thin layer chromatography and radioactive high performance liquid chromatography studies. For cell incorporation study, NCI-H209 and U2OS cell lines were used with standard cell culture methods. The six well plates were used for all experiments and the integrity of each cell monolayer was checked by measuring its transepithelial electrical resistance (TEER) with an epithelial voltammeter. Results confirmed that ALD was successfully radiolabeled with 99mTc. 99mTc-ALD incorporated with NCI-H209 and U2OS cells. The uptake percentages of 99mTc-ALD in NCI-H209 and U2OS cell lines were found significantly different. Since 99mTc-ALD highly uptake in cancer cell line, the results demonstrated that radiolabeled ALD may be a promising agent for bone cancer diagnosis. (author)

  8. Effects of 5'-azacytidine and alendronate on a hepatocellular carcinoma cell line: a proteomics perspective.

    Science.gov (United States)

    Ilyas, Amber; Hashim, Zehra; Zarina, Shamshad

    2015-07-01

    Hepatocellular carcinoma (HCC) is the third leading cause of cancer related deaths around the world. Due to late diagnosis and development of drug resistance in patients suffering from HCC, development of more effective therapeutic strategies is inevitable. The aim of this study was to evaluate the combined apoptotic effect of 5'-Azacytidine (5'-AzaC) and alendronate (ALN) on Huh-7 HCC cell line and to explore differential expression at genomics and proteomics level. Incubation of HCC cell line with 5'-AzaC alone showed cell death in a time and dose dependent manner while in combination with ALN, increased cytotoxicity was observed. Up-regulation of CASP7(Caspase7) and LZTS1 (leucine zipper, putative tumor suppressor 1) and down-regulation of DNMT1(DNA (cytosine-5-)-methyltransferase 1) was noted in treated cells. Proteomic studies on the treated cells revealed altered expression of different proteins including peroxiredoxin 2 (Prx2), Annexin 5 (Anx5), Rho GTPase activating protein (RhoGAP), Nuclear factor-kappa B (NF-kB), tumor necrosis factor alpha-induced protein (TNF), triosephosphate isomerase (TPI), Glutathione S transferase (GSTP1) and Heat shock protein60 (HSP60). Our study demonstrated the cytotoxic effect of 5'-AzaC and ALN drug combination on Huh-7 HCC cells suggesting such combinations may be explored as a possible therapeutic approach. Current study revealed that Huh-7 HCC cells are sensitive to 5'-AzaC and ALN drug combination and such combination approaches could lead to the development of new therapeutic strategies. Furthermore, we also report the expression of Anx5 exclusively in untreated cancerous cell line indicating the possibility of being used as a potential therapeutic target and biomarker. PMID:25854900

  9. The bone resorption inhibitors odanacatib and alendronate affect post-osteoclastic events differently in ovariectomized rabbits.

    Science.gov (United States)

    Jensen, Pia Rosgaard; Andersen, Thomas Levin; Pennypacker, Brenda L; Duong, Le T; Delaissé, Jean-Marie

    2014-02-01

    Odanacatib (ODN) is a bone resorption inhibitor which differs from standard antiresorptives by its ability to reduce bone resorption without decreasing bone formation. What is the reason for this difference? In contrast with other antiresorptives, such as alendronate (ALN), ODN targets only the very last step of the resorption process. We hypothesize that ODN may therefore modify the remodeling events immediately following osteoclastic resorption. These events belong to the reversal phase and include recruitment of osteoblasts, which is critical for connecting bone resorption to formation. We performed a histomorphometric study of trabecular remodeling in vertebrae of estrogen-deficient rabbits treated or not with ODN or ALN, a model where ODN, but not ALN, was previously shown to preserve bone formation. In line with our hypothesis, we found that ODN treatment compared to ALN results in a shorter reversal phase, faster initiation of osteoid deposition on the eroded surfaces, and higher osteoblast recruitment. The latter is reflected by higher densities of mature bone forming osteoblasts and an increased subpopulation of cuboidal osteoblasts. Furthermore, we found an increase in the interface between osteoclasts and surrounding osteoblast-lineage cells. This increase is expected to favor the osteoclast-osteoblast interactions required for bone formation. Regarding bone resorption itself, we show that ODN, but not ALN, treatment results in shallower resorption lacunae, a geometry favoring bone stiffness. We conclude that, compared to standard antiresorptives, ODN shows distinctive effects on resorption geometry and on reversal phase activities which positively affect osteoblast recruitment and may therefore favor bone formation. PMID:24085265

  10. Role of connexin 43 in the mechanism of action of alendronate: dissociation of anti-apoptotic and proliferative signaling pathways.

    Science.gov (United States)

    Lezcano, V; Bellido, T; Plotkin, L I; Boland, R; Morelli, S

    2012-02-15

    Bisphosphonates (BPs) inhibit osteocyte and osteoblast apoptosis via opening of connexin (Cx) 43 hemichannels and activating the extracellular signal regulated kinases ERKs. Previously, we hypothesized that intracellular survival signaling is initiated by interaction of BPs with Cx43. However, using whole cell binding assays with [(3)H]-alendronate, herein we demonstrated the presence of saturable, specific and high affinity binding sites in the Cx43-expressing ROS 17/2.8 osteoblastic cells, authentic osteoblasts and MLO-Y4 cells expressing Cx43 or not, as well as in HeLa cells lacking Cx43 expression and ROS 17/2.8 cells pretreated with agents that disassemble Cx channels. In addition, both BPs and the PTP inhibitor Na(3)VO(4) increased proliferation of cells expressing Cx43 or not. Furthermore, although BPs are internalized and inhibit intracellular enzymes in osteoclasts, whether the drugs penetrate non-resorptive bone cells is not known. To clarify this, we evaluated the osteoblastic uptake of AF-ALN, a fluorescently labeled analog of alendronate. AF-ALN was rapidly internalized in cells expressing Cx43 or not indicating that this process is not mediated via Cx43 hemichannels. Altogether, these findings suggest that although required for triggering intracellular survival signaling by BPs, Cx43 is dispensable for cellular BP binding, its uptake, as well as the proliferative effects of these agents. PMID:22230328

  11. Metaphysical green

    DEFF Research Database (Denmark)

    Earon, Ofri

    2011-01-01

    “Sensation of Green is about the mental process like touching, seeing, hearing, or smelling, resulting from the immediate stimulation of landscape forms, plants, trees, wind and water. Sensation of Green triggers a feeling of scale, cheerfulness, calmness and peace. The spatial performance...... of Sensation of Green is created by a physical interaction between the language of space and the language of nature” The notion of Sensation of Green was developed through a previous study ‘Learning from the Summer House’ investigating the unique architectural characteristics of the Danish summer houses....... The idea of the concept is a mutual participation of nature in architecture meaning that landscape features become tools to design a built space. The paper develops the concept further focusing on the scale of a single residential unit. The paper argues that the concept of Sensation of Green is flexible...

  12. Metaphysical Disputes

    OpenAIRE

    Potrč, Matjas

    2002-01-01

    Ontological disputes tend to involve your intuitions concerning relations between the statue and the clay, between persons and their bodies, those concerning personal identity and identity through time. Let us suppose for a while that there exists a multiplicity of entities and that the ontologist is dealing with them. There is a chunk of the matter that I observe. It is a body. But the description of the chunk of the matter as a body may perhaps be substituted by anot...

  13. Metaphysical labour

    OpenAIRE

    Raastrup Kristensen, Anders

    2009-01-01

    This thesis offers a critical contribution to the theories of work-life balance. Within the contemporary theoretical perspectives on work and life the individuals are constructed as being responsible for work-life balance by turning it into a problem of the personal behaviour, decisions, psychological traits and family condition of the human subject. In this sense the everyday problem of balancing between work and home is reduced to be primarily an individual problem and decisi...

  14. Copernican Metaphysics

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    Paul Ennis

    2011-06-01

    Full Text Available In the Kritik der reinen Vernunft (1781 Kant introduced the transcendental method on a precarious footing and he never shied away from the fact that the transcendental method is structured, and I mean it in the most direct sense possible, aporetically. The aporetic element, the unstable core within Kantian thought, is the distinction between phenomenal and noumenal content in the chapter entitled "On the ground of the distinction [Unterscheidung] of all objects [Gegenstände] in general into phenomena and noumena" (Kant A236/B295-A260/B315. This distinction is noteworthy for introducing into the philosophical tradition the notion of the thing-in-itself [Ding-an-sich]. Depending on your interests this is either the most profound or absurd of ideas in our tradition. I prefer to think of it as the most productive notion in our tradition. We can see its generative function at work almost immediately when it spurred the German idealists into thinking obscenely ingenious thoughts, but the phenomenal-noumenal distinction, hereafter the aporetic distinction, remains an ever-persistent aporia for all continental thinking after Kant. In this article I want to focus on how the aporetic distinction functions in its generative capacity with an emphasis on its ontological rather than epistemological register. Considered as such I claim that it is possible to identify in the aporetic distinction a generative capacity (or logic or function that is intrinsic to both it and all thought responding to it including, or perhaps especially, the speculative responses.

  15. Category of time in Christian metaphysics: Gregory of Nyssa and Maximus the Confessor

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    Mikhaylov, Petr

    2015-01-01

    Full Text Available In the article a problem of time is posed as an object of Christian theological reflection developed in a complicated interweaving of philosophical, cultural and religious traditions of the Mediterranean civilization. A typology of the problem is established by a correlation of the category of time with different aspects of temporality – with eternity in Antiquity, with future in Modernity and with present in the thought of different authors belonging to different epochs. The most representative thinkers of Christian metaphysic, viewed against this background, are Gregory of Nyssa (the 4th c. and Maximus the Confessor (the 7th c.. The former has successfully reinterpreted time as being-to-salvation rather than being-to-destruction. Gregory solves the problem of time by introducing an original concept of a dynamical static, or a statical dynamic, using the principle of epektasis as a general tool. In that case, time becomes a kind of spiritual practice. Maximus resolves the problem in a more traditional manner. He speaks about an overcoming of time in the perspective of divine eternity; Gregory on the contrary presupposes its transfiguration. Thereby Christian metaphysic offers a number of possibilities for a theological solution of the eternal question about time.

  16. Metafísica do belo segundo Schopenhauer = Metaphysics of beauty according to Schopenhauer

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    Vanessa Furtado Fontana

    2005-01-01

    Full Text Available O presente artigo tem como tema a metafísica do belo do filósofo Arthur Schopenhauer. O artigo propõe uma análise da tese desse filósofo acerca do belo e do sublime e as suas manifestações no mundo real. Para tanto, falaremos da idéia de sujeito, de gênio e da hierarquia das artes, na qual se inclui a música. Como podemos entender, a arte e a beleza da natureza são pontos discutidos no texto de Schopenhauer. A idéia do belo enquanto metafísica, que se traduz em um modo de entender a realidade, marca a importância dessa discussão para a História da filosofia.The present paper is about Arthur Schopenhauer's metaphysics of the beauty. The discussion is an analysis of the philosopher's thesis on the beautiful, the sublime and its manifestations. The ideas of the subject, of genius and hierarchy of art, which includes music, are dealt with. Schopenhauer´s text tries to understand nature's beauty and art. The idea of beauty as metaphysics is a means to understand reality, an extremally important fact in the history of Philosophy.

  17. To weave the forms of Mystery: Travel, mystical and metaphysical in Sufi poetry

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    Daniel Del Percio

    2015-04-01

    Full Text Available Mystery is not just an enigma but a force, an impulse that gives emphasis to the real. And the ways in which this mystery unfolds are probably endless. In Sufism, travel literature is established as the quintessential poetic mysticism, where the description of incessant movement throughout the world invariably takes the value of metaphysical experience, freedom of spirit, understanding of the presence of the divine in every aspect and at every step of the journey. A mystic is a “nomadic metaphysics”, able to describe the man, the cosmos and God himself as travelers. Among the Sufi mystic poets, stands the figure of Ibn ‘Arabi, Andalusian born in Murcia in 1165 and died in Damascus in 1240. His particular metaphysics, Neoplatonist undeniable base, conceived not as a system but as a poetic movement, is a unique interface between East and West philosophies. This is observable in his works The Seals of Wisdom (Fusus al-Hikam and, especially, The splendor of the fruits of the trip (Kitab al-Isfar ‘an al-asfar nata’iy, which we will study in this work.

  18. Substantial :union: or Substantial Distinction of Mind and Body in Descartes\\' Metaphysics

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    f Jamei

    2009-06-01

    Full Text Available According to Descartes’ metaphysics there are two different kinds of substances in the world of creatures: “thinking substance” and “extended substance” or soul and matter. In Descartes’ philosophy the soul is equal to the mind and considered as a “thinking substance”. This immaterial substance is the essence of the human being. Body, being considered as a “matter“, is an “extended substance” and entirely distinct from the soul. The soul, therefore, exists and may be known prior to body and, not being corporeal, can exist after human death. Hence, Descartes can prove the immortality of human soul in the framework of the principle of substantial distinction. On the other hand, as a physiologist and psychologist, Descartes indeed believes in mind-body :union:, so that some causal interactions between mind and body show their substantial :union:. In this essay, the authors show that Descartes faces a serious problem in combining substantial :union: of mind and body with their substantial distinction despite of his efforts in introducing the idea of pineal gland, the problem remains unsolved. Therefore it seems that as he cannot dispense with his only reason for proving the immortality of human soul, he has to hold the mind-body distinction theory in his metaphysics. Indeed, Descartes prefers to support the distinction theory rather than :union: theory in confronting a thesis and an antithesis stating one of two theories.

  19. Three-year experience with combined treatment with alendronate and alfacalcidol in Japanese patients with severe bone loss and osteoporotic fracture

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    Iwamoto J

    2011-06-01

    Full Text Available Jun Iwamoto1, Yoshihiro Sato2, Mitsuyoshi Uzawa3, Tsuyoshi Takeda1, Hideo Matsumoto11Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo, Japan; 2Department of Neurology, Mitate Hospital, Fukuoka, Japan; 3Department of Orthopaedic Surgery, Keiyu Orthopaedic Hospital, Gunma, JapanPurpose: Combined treatment with alendronate and alfacalcidol is more useful to increase bone mineral density (BMD than alendronate or alfacalcidol alone. A retrospective study was conducted to investigate the 3-year outcome of combined treatment with alendronate and alfacalcidol in patients with severe bone loss (BMD ≤ 50% of the young adult mean and osteoporotic fracture.Methods: Thirty-four patients (six men and 28 postmenopausal women with primary or secondary osteoporosis who had been treated with alendronate and alfacalcidol for more than 3 years were analyzed. The lumbar spine or total hip BMD and bone turnover markers were monitored, and the incidence of osteoporotic fractures was assessed.Results: The urinary level of cross-linked N-terminal telopeptides of type I collagen and serum level of alkaline phosphatase significantly decreased (-42.5% at 3 months and -18.9% at 3 years, and the lumbar spine BMD, but not the total hip BMD, significantly increased (14.8% at 3 years, compared with the baseline values. However, the incidence of vertebral and nonvertebral fractures was 26.5% and 2.9%, respectively, suggesting a high incidence of vertebral fractures.Conclusion: The results of the present study suggest that combined treatment with alendronate and alfacalcidol may be useful to reduce bone turnover and increase the lumbar spine BMD in patients with severe bone loss and osteoporotic fracture. However, its efficacy against vertebral fractures appears not to be sufficient. Thus, anabolic agents such as teriparatide should be taken into consideration as first-line drugs in patients with severe osteoporosis.Keywords: osteoporosis

  20. μCT-Based, In Vivo Dynamic Bone Histomorphometry Allows 3D Evaluation of the Early Responses of Bone Resorption and Formation to PTH and Alendronate Combination Therapy

    Science.gov (United States)

    de Bakker, Chantal M. J.; Altman, Allison R.; Tseng, Wei-Ju; Tribble, Mary Beth; Li, Connie; Chandra, Abhishek; Qin, Ling; Liu, X. Sherry

    2015-01-01

    Current osteoporosis treatments improve bone mass by increasing net bone formation: anti-resorptive drugs such as bisphosphonates block osteoclast activity, while anabolic agents such as parathyroid hormone (PTH) increase bone remodeling, with a greater effect on formation. Although these drugs are widely used, their role in modulating formation and resorption is not fully understood, due in part to technical limitations in the ability to longitudinally assess bone remodeling. Importantly, it is not known whether or not PTH-induced bone formation is independent of resorption, resulting in controversy over the effectiveness of combination therapies that use both PTH and an anti-resorptive. In this study, we developed a μCT-based, in vivo dynamic bone histomorphometry technique for rat tibiae, and applied this method to longitudinally track changes in bone resorption and formation as a result of treatment with alendronate (ALN), PTH, or combination therapy of both PTH and ALN (PTH+ALN). Correlations between our μCT-based measures of bone formation and measures of bone formation based on calcein-labeled histology (r = 0.72 - 0.83) confirm the accuracy of this method. Bone remodeling parameters measured through μCT-based in vivo dynamic bone histomorphometry indicate an increased rate of bone formation in rats treated with PTH and PTH+ALN, together with a decrease in bone resorption measures in rats treated with ALN and PTH+ALN. These results were further supported by traditional histology-based measurements, suggesting that PTH was able to induce bone formation while bone resorption was suppressed. PMID:25554598

  1. Aqueous extract of pomegranate seed attenuates glucocorticoid-induced bone loss and hypercalciuria in mice: A comparative study with alendronate.

    Science.gov (United States)

    Zhang, Yan; Shao, Jin; Wang, Zhi; Yang, Tieyi; Liu, Shuyi; Liu, Yue; Fan, Xinbing; Ye, Weiguang

    2016-08-01

    The present study was performed in order to examine bone loss and calcium homeostasis in mice with glucocorticoid (GC)-induced osteoporosis (GIOP) following treatment with the aqueous extract of pomegranate seed (AE-PS). In addition, a comparative study with alendronate was performed. Biomarkers in the serum and the urine were measured. The tibias, kidney and duodenum were removed in order to measure the levels of bone calcium, protein expression as well as to perform histomorphological analysis of the bone. GC treatment facilitated the induction of hypercalciuria in the mice, and the AE-PS‑treated mice exhibited a greater increase in serum calcium and a decrease in urine calcium. The AE-PS reversed the deleterious effects on the trabecular bone induced by DXM and stimulated bone remodeling, including an increase in bone calcium and alkaline phosphatase‑b (ALP-b) and a decrease in a the critical bone resorption markers C-terminal telopeptide of type I collagen (CTX) and tartrate‑resistant acid phosphatase-5b (TRAP-5b). Hematoxylin and eosin (H&E) staining revealed the increased disconnections and separation between the growth plate and the trabecular bone network as well as the reduction in the trabecular bone mass of the primary and secondary spongiosa throughout the proximal metaphysis of the tibia in the DXM group. Moreover, the decreased protein expression of transient receptor potential vanilloid (TRPV)5, TRPV6 and calbindin‑D9k (CaBP‑9k) was reversed by the AE-PS or alendronate supplementation in the kidneys and the duodenum as well as plasma membrane Ca2+‑ATPase1 (PMCA1) expression in the kidneys of mice with GIOP. There was no marked difference in pharmacological effectiveness between alendronate and the AE-PS. Taken together, these findings suggest that the AE-PS may be an alternative therapy suitable for use in the management of secondary osteoporosis. PMID:27278225

  2. Transcendence in the current theology, philosophy and metaphysics in Russian cosmism

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    Emanuel George Oprea

    2016-03-01

    Full Text Available Human interests to Religion and Metaphysics are well explained by the desire of the people to answer to fundamental and eternal questions as “what is the sense of life” and “what is the purpose of life”. These questions have accompanied them from the beginning of conscious life. Many intellectuals, scientists and writers of former USSR and democratic Russia have brought essential contributions, opened new directions and finally have enriched with new concepts, ideas, ideologies and systems the worldwide Philosophy and Religion. A possible answer is the Creation allowing to Divinity to transcend in common life. Soul as Spiritual reflection of Divinity tends to perfection, reiterating in every generation the transcendence to God. At first sight there are no meeting points between Transcendence and Cosmism because the last notion has its beginning in the progress of Science. The evolution of modern Sciences, philosophical concepts and Religion gradually demonstrates correlated aspects which must be discovered in the future.

  3. Descartes and the “metaphysical dualism”: Excesses in interpreting a classic

    Directory of Open Access Journals (Sweden)

    Ştefan Afloroaei

    2010-06-01

    Full Text Available The article focuses on one of the most serious accusations brought against Descartes and modern philosophy, namely “the dualism of substance”. The accusers claim that the human body and soul were viewed as completely separate; consequently, their relationship as such and the united being of man become incomprehensible. As has been shown above, the idea of the separation of the soul from the body did not originate with Descartes; it was formulated much earlier, and repeated by a disciple of Descartes’, Henry Leroy, known as Regius. When Descartes became aware of this bizarre interpretation he was dismayed and sought to clarify the matter. He sought to distinguish between two terms, “distinction” and “separation” and to illuminate the relationship between body and soul at three different levels, i.e. ordinary experience, analytical mind and metaphysical meditation.Eventually, he embraced the paradox of the two natures – the double substantial make-up of the human being, a paradox of patristic inspiration. However, the later history of ideas was not sympathetic to Descartes: nowadays, when one looks up the term “metaphysical dualism” in dictionaries or glossaries, even in the studies of prestigious researchers, one will find views similar to those of the unfaithful disciple Regius. The resilience of this locus obscurus is explained both by the power of a new mode of interpreting discourse (as technical or logical analysis and by the ever more privilegedposition of the reader (intentio lectoris. Both attitudes are related to modern ideologies and to changes which have occurred in the intersubjective lifeworld, especially in the communication of the scholarly and academic world.

  4. Fraturas transtrocanterianas: uso de alendronato no pós-operatório Transtrochanterian fractures: postoperative use of alendronate

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    Francisco José Nunes Cardoso

    2011-01-01

    Full Text Available OBJETIVO: Avaliar resultados do uso de alendronato de sódio em pós operatório de fratura transtrocanteriana. MÉTODO: Durante seis meses, 75 pacientes foram atendidos no Serviço de Ortopedia devido à fratura transtrocanteriana de fêmur, sendo submetidos a tratamento cirúrgico com fixação através de placa DHS 135°. Foram selecionados 19 pacientes, hígidos, cooperativos, previamente deambuladores, classificados segundo Tronzo em tipo III e cujos quadris contra laterais não haviam sido submetidos a nenhuma cirurgia prévia, permitindo a realização de Densitometria Óssea Mineral no pós-operatório imediato e após seis meses. Os pacientes foram divididos em grupos I e II, com e sem uso de alendronato de sódio, a partir do pós-operatório imediato, respectivamente. O seguimento mínimo foi de seis meses. Após quatro semanas, os pacientes foram avaliados de acordo com a Escala Visual Analógica de Dor (EVA, para observação do índice de reabsorção óssea, a massa óssea e a consolidação radiológica da fratura. RESULTADOS: Houve uma tendência estatística de consolidação radiológica mais precoce com menor reabsorção óssea nos pacientes com uso de alendronato de sódio na pós-fratura com osteoporose estabelecida. CONCLUSÃO: Concluímos que, radiologicamente, os pacientes que utilizaram alendronato de sódio tiveram uma consolidação óssea mais rápida, com menor índice de reabsorção.OBJECTIVE: To evaluate the results of the use of alendronate sodium in postoperative transtrochanteric femoral fractures. METHOD: Over a six-month period, 75 patients were treated at the Orthopedic Service for transtrochanteric femoral fractures, undergoing surgery with 135 degree DHS plate fixation. We selected 19 patients who were healthy, cooperative, previously unable to walk, classified as type III according to Tronzo, whose contralateral hips had not undergone any previous surgery, enabling the evaluation of bone mineral density

  5. Lower Trabecular Volumetric BMD at Metaphyseal Regions of Weight-Bearing Bones is Associated With Prior Fracture in Young Girls

    OpenAIRE

    Joshua N Farr; Tomás, Rita; Chen, Zhao; Lisse, Jeffrey R; Lohman, Timothy G.; Going, Scott B.

    2010-01-01

    Understanding the etiology of skeletal fragility during growth is critical for the development of treatments and prevention strategies aimed at reducing the burden of childhood fractures. Thus we evaluated the relationship between prior fracture and bone parameters in young girls. Data from 465 girls aged 8 to 13 years from the Jump-In: Building Better Bones study were analyzed. Bone parameters were assessed at metaphyseal and diaphyseal sites of the nondominant femur and tibia using peripher...

  6. A study of MIPO by locking compression plate fixation in the management of distal tibial metaphyseal fractures

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    Kurukunda Venkateswarlu

    2015-06-01

    Full Text Available Background: Management of distal tibial metaphyseal fractures has been a difficult area because of the subcutaneous position of tibia. Exposure of implant has been a major problem in open reduction and fixation of these fractures. Minimally Invasive Plate Osteosynthesis (MIPO is an established technique for fixation of fractures of the distal third tibia. Our study is aimed at management of intra-articular and extra-articular fractures of the distal third tibia by minimally invasive plate osteosynthesis technique by locking compression plate and follow them prospectively. Clinical and radiological outcomes were studied and clinical indications and efficacy of the procedure reviewed. Methods: From June 2012 to May 2014, 22 patients of closed distal tibial metaphyseal fractures were operated by MIPO technique with a distal tibial locking compression plate having 4.5/5 proximal and 3.5/4 distal screw holes. The follow up duration was for 2 years at our hospital. Results: The mean fracture healing time was 5.5 months (range 4-13months. We had 90% of union rate with good ankle movements and walking distance in 75% of the patients. Pos-operatively we had complications of, superficial infection occurred in 2 patients, implant failure in 1 patient leading to non-union and delayed union in 1-patient each. Conclusion: MIPO technique provides good, stable fixation of distal tibial metaphyseal fractures. Although slightly delayed bone healing, MIPO decreases the incidence of non- union and need for bone grafting. This technique should be used in distal tibia fractures where locked nailing cannot be done like fractures with small distal metaphyseal fragments, vertical splits, markedly comminuted fractures and in fractures with intra-articular extension. [Int J Res Med Sci 2015; 3(3.000: 675-679

  7. The notion of process in nonstandard theory and in Whiteheadian metaphysics

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    Stathis Livadas

    2013-06-01

    Full Text Available In this article I intend to show that certain aspects of A.N. Whitehead's philosophy of organism and especially his epochal theory of time, as mainly exposed in his well-known work Process and Reality, can serve in clarify the underlying assumptions that shape nonstandard mathematical theories as such and also as metatheories of quantum mechanics. Concerning the latter issue, I point to an already significant research on nonstandard versions of quantum mechanics; two of these approaches are chosen to be critically presented in relation to the scope of this work. The main point of the paper is that, insofar as we can refer a nonstandard mathematical entity to a kind of axiomatical formalization essentially 'codifying' an underlying mental process indescribable as such by analytic means, we can possibly apply certain principles of Whitehead's metaphysical scheme focused on the key notion of process which is generally conceived as the becoming of actual entities. This is done in the sense of a unifying approach to provide an interpretation of nonstandard mathematical theories as such and also, in their metatheoretical status, as a formalization of the empirical-experimental context of quantum mechanics.

  8. The Existential Turn: Reappraising Being and Time’s Overcoming of Metaphysics

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    Rufus Duits

    2010-06-01

    Full Text Available The task of this paper is to propose an answer to these relatedquestions. It amounts to an attempt to work through conceptually step by step Heidegger’s so called “overcoming of metaphysics”. It is true of course that the locution, “the overcoming of metaphysics”, does not appear in Being and Time. The discourse of the overcoming of metaphysics is held by Heidegger’s commentators to belong to a period post-dating the early work, after the so called Kehre. I shall stubbornly evade this knotty issue of Heidegger interpretation here. For my purposes it suffices merely if our understanding ofBeing and Time, its content, intent and consequence, can be deepened or expanded if it is read in the light of the task of overcoming metaphysics—or at least in the light of that task as it is to be conceived in the context I shall present here. What is to be understood by the phrase “the overcoming of metaphysics”?

  9. The effect of an alendronate-eluting titanium system to induce osteogenic differentiation in human buccal fat cells (HBFCs)

    Science.gov (United States)

    Kim, Sung Eun; Lee, Su-Young; Yun, Young-Pil; Lee, Jae Yong; Park, Kyeongsoon; Lee, Deok-Won; Song, Hae-Ryong

    2012-10-01

    The purpose of this study was to develop alendronate (Aln)-eluting Ti substrates to induce osteogenic differentiation of human buccal fat cells (HBFCs). The surface of pristine Ti was modified by dopamine (DOPA) and then heparin was grafted onto the aminated Ti surfaces to achieve the Aln-eluting Ti system. Aln was subsequently immobilized on the surface of heparinized Ti (Hep-Ti). Pristine Ti and surface-modified-Ti were characterized by scanning electron microscopy (SEM), X-ray photoelectron spectroscopy (XPS), and contact angle. Osteogenic differentiation of HBFCs on the surface of pristine-Ti, Hep-Ti, Aln (1 mg)/Hep-Ti, and Aln (5 mg)/Hep-Ti was demonstrated by alkaline phosphatase (ALP) activity, calcium deposition, and osteocalcin and osteopontin mRNA expression. Successful immobilization of Aln on Hep-Ti was confirmed by XPS and contact angle. Aln/Hep-Ti showed the sustained release for up to 28 days. Additionally, HBFCs cultured on Aln/Hep-Ti substrates showed significantly induced ALP activity, calcium deposition, and osteocalcin and osteopontin mRNA expression. These results suggest that Aln-eluting Ti substrates have a potential effect on osteogenic differentiation of HBFCs and will be a promising material for bone regeneration.

  10. High-resolution CT with histopathological correlates of the classic metaphyseal lesion of infant abuse

    Energy Technology Data Exchange (ETDEWEB)

    Tsai, Andy; Kleinman, Paul K. [Boston Children' s Hospital, Department of Radiology, Boston, MA (United States); McDonald, Anna G. [Office of the Chief Medical Examiner, Boston, MA (United States); Rosenberg, Andrew E. [University of Miami Hospital, Department of Pathology, Miami, FL (United States); Gupta, Rajiv [Massachusetts General Hospital, Department of Radiology, Boston, MA (United States)

    2014-02-15

    The classic metaphyseal lesion (CML) is a common high specificity indicator of infant abuse and its imaging features have been correlated histopathologically in infant fatalities. High-resolution CT imaging and histologic correlates were employed to (1) characterize the normal infant anatomy surrounding the chondro-osseous junction, and (2) confirm the 3-D model of the CML previously inferred from planar radiography and histopathology. Long bone specimens from 5 fatally abused infants, whose skeletal survey showed definite or suspected CMLs, were studied postmortem. After skeletal survey, selected specimens were resected and imaged with high-resolution digital radiography. They were then scanned with micro-CT (isotropic resolution of 45 μm{sup 3}) or with high-resolution flat-panel CT (isotropic resolutions of 200 μm{sup 3}). Visualization of the bony structures was carried out using image enhancement, segmentation and isosurface extraction, together with volume rendering and multiplanar reformatting. These findings were then correlated with histopathology. Study of normal infant bone clarifies the 3-D morphology of the subperiosteal bone collar (SPBC) and the radiographic zone of provisional calcification (ZPC). Studies on specimens with CML confirm that this lesion is a fracture extending in a planar fashion through the metaphysis, separating a mineralized fragment. This disk-like mineralized fragment has two components: (1) a thick peripheral component encompassing the SPBC; and (2) a thin central component comprised predominantly of the radiologic ZPC. By manipulating the 3-D model, the varying appearances of the CML are displayed. High-resolution CT coupled with histopathology provides elucidation of the morphology of the CML, a strong indicator of infant abuse. This new information may prove useful in assessing the biomechanical factors that produce this strong indicator of abusive assaults in infants. (orig.)

  11. High-resolution CT with histopathological correlates of the classic metaphyseal lesion of infant abuse

    International Nuclear Information System (INIS)

    The classic metaphyseal lesion (CML) is a common high specificity indicator of infant abuse and its imaging features have been correlated histopathologically in infant fatalities. High-resolution CT imaging and histologic correlates were employed to (1) characterize the normal infant anatomy surrounding the chondro-osseous junction, and (2) confirm the 3-D model of the CML previously inferred from planar radiography and histopathology. Long bone specimens from 5 fatally abused infants, whose skeletal survey showed definite or suspected CMLs, were studied postmortem. After skeletal survey, selected specimens were resected and imaged with high-resolution digital radiography. They were then scanned with micro-CT (isotropic resolution of 45 μm3) or with high-resolution flat-panel CT (isotropic resolutions of 200 μm3). Visualization of the bony structures was carried out using image enhancement, segmentation and isosurface extraction, together with volume rendering and multiplanar reformatting. These findings were then correlated with histopathology. Study of normal infant bone clarifies the 3-D morphology of the subperiosteal bone collar (SPBC) and the radiographic zone of provisional calcification (ZPC). Studies on specimens with CML confirm that this lesion is a fracture extending in a planar fashion through the metaphysis, separating a mineralized fragment. This disk-like mineralized fragment has two components: (1) a thick peripheral component encompassing the SPBC; and (2) a thin central component comprised predominantly of the radiologic ZPC. By manipulating the 3-D model, the varying appearances of the CML are displayed. High-resolution CT coupled with histopathology provides elucidation of the morphology of the CML, a strong indicator of infant abuse. This new information may prove useful in assessing the biomechanical factors that produce this strong indicator of abusive assaults in infants. (orig.)

  12. Deus: metafísica e pensar pós-metafísico (God: metaphysics and post-metaphysical thinking - DOI: 10.5752/P.2175-5841.2010v8n16p8

    Directory of Open Access Journals (Sweden)

    Ibraim Vitor de Oliveira

    2010-04-01

    Full Text Available Normal 0 21 false false false MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabela normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Editorial - Dossiê: Pensamento pós-metafísico e discurso sobre Deus – (Dossier: Post-metaphysical thought and speech about God Normal 0 21 false false false MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabela normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Deus: metafísica e pensar pós-metafísico (God: metaphysics and post-metaphysical thinking - DOI: 10.5752/P.2175-5841.2010v8n16p8 

  13. Five-year alendronate treatment outcome in older postmenopausal Japanese women with osteoporosis or osteopenia and clinical risk factors for fractures

    Directory of Open Access Journals (Sweden)

    Jun Iwamoto

    2009-09-01

    Full Text Available Jun Iwamoto1, Atsushi Miyata2, Yoshihiro Sato3, Tsuyoshi Takeda1, Hideo Matsumoto11Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo, Japan; 2Department of Internal Medicine, Yahata Clinic, Tokyo, Japan; 3Department of Neurology, Mitate Hospital, Fukuoka, JapanAbstract: A retrospective study was conducted to evaluate the outcome of treatment with alendronate (ALN for 5 years in postmenopausal Japanese women with an increased risk of fractures. Forty postmenopausal Japanese women with osteoporosis or osteopenia and clinical risk factors for fractures (mean age: 75.4 years were analyzed; 33 patients were treated with alendronate and 7 were treated with alfacalcidol (ALF, controls in an outpatient clinic run by general practitioners. The metacarpal bone mineral density (BMD measured using a computed X-ray densitometer, urinary levels of cross-linked N-terminal telopeptides of type I collagen (NTX, and serum levels of alkaline phosphatase (ALP were monitored during the 5-year treatment period. The urinary NTX and serum ALP levels decreased significantly in the ALN group, compared with the ALF group. The metacarpal BMD was sustained in the ALN group but decreased significantly in the ALF group; the difference between these two groups was also significant. The present study evaluated the outcome of treatment with ALN for 5 years in postmenopausal Japanese women with osteoporosis or osteopenia and clinical risk factors for fractures. ALN successfully suppressed bone turnover and sustained the metacarpal BMD over the 5-year period of treatment in postmenopausal Japanese women with an increased risk of fractures.Keywords: alendronate, osteoporosis, osteopenia, risk factors for fractures, postmenopausal women

  14. Adherence to alendronic or risedronic acid treatment, combined or not to calcium and vitamin D, and related determinants in Italian patients with osteoporosis

    Science.gov (United States)

    Calabria, S; Cinconze, E; Rossini, M; Rossi, E; Maggioni, AP; Pedrini, A; De Rosa, M

    2016-01-01

    Purpose Osteoporosis is a chronic disease and an important health and social burden due to its worldwide prevalence. Literature and clinical experience report incomplete adherence to the therapy. This retrospective observational study aimed at assessing the adherence to first-line antiosteoporosis drugs (AODs; reimbursed by the National Health System, according to the Italian Medicine Agency recommendation number 79), alendronate or risedronate, with or without calcium and/or vitamin D supplements, in a real, Italian clinical setting. Patients and methods Analyses were carried out on data present in the ARNO Observatory, a population-based patient-centric Italian database. From a population of 5,808,832 inhabitants with available data, a cohort of 3.3 million of patients aged ≥40 years was selected. New users of first-line AODs as monotherapy (accrual period, 2007–2009) were followed up over 3 years to assess adherence at 6, 12, and 36 months to AODs and to supplements and related determinants. Results Approximately 40,000 new users were identified: mostly women, aged on average (standard deviation) 71±10 years. Alendronate was the most prescribed (38.2% of patients), followed by risedronate (34.9%) and alendronate with colecalciferol as a fixed-dose combination (25.8%). Adherence at the 6-month follow-up was 54%, and this constantly and significantly decreased after 1 year to 46%, and after 3 years to 33% (P50 years were more likely to adhere to treatment regimen (P5 drugs), cardiovascular, and neurological therapies were significantly associated with low adherence throughout the follow-up period. Conclusion In a huge clinical practice sample, this study highlights suboptimal adherence to first-line AODs and to supplements and important determinants, such as concomitant therapies.

  15. Evaluation of the topical effect of alendronate on the root surface of extracted and replanted teeth. Microscopic analysis on rats' teeth.

    Science.gov (United States)

    Lustosa-Pereira, Adriana; Garcia, Roberto Brandão; de Moraes, Ivaldo Gomes; Bernardineli, Norberti; Bramante, Clovis Monteiro; Bortoluzzi, Eduardo Antunes

    2006-02-01

    The treatment of choice for tooth avulsion is replantation. The ideal replantation should be realized as quickly as possible, or at least, the avulsed tooth should be kept in an adequate solution to preserve the periodontal ligament attached to the root. If that is not possible, treatment of the radicular surface should be done in order to prevent radicular resorption. The purpose of this study was to test sodium alendronate as a substance for topical treatment of the radicular surface of avulsed teeth in an attempt to prevent the occurrence of dental resorptions. Fifty-four rat maxillary right central incisors were extracted and replanted. Group I--extra-alveolar dry period of 15 min, intracanal dressing with calcium hydroxide (CALEN, S.S. White, Artigos Dentários LTDA, Rio de Janeiro, Brazil) and replantation; Groups II and III - extra-alveolar dry periods of 30 and 60 min, respectively, immersion in 1% sodium hypochlorite for 30 min for removal of the periodontal ligament, washing in saline solution for 5 min, and treatment of the radicular surface with 3.2 mg/l sodium alendronate solution for 10 min. Intracanal dressing with calcium hydroxide and replantation followed. At 15, 60, and 90 days post-reimplantation, the animals were killed and the samples obtained and processed for microscopic analysis. The results indicated that sodium alendronate was able to reduce the incidence of radicular resorption, but not of dental ankylosis. No significant differences were observed regarding variations in the extra-alveolar periods among the groups. PMID:16422756

  16. Polycaprolactone-Coated 3D Printed Tricalcium Phosphate Scaffolds for Bone Tissue Engineering: In Vitro Alendronate Release Behavior and Local Delivery Effect on In Vivo Osteogenesis

    OpenAIRE

    Tarafder, Solaiman; Bose, Susmita

    2014-01-01

    The aim of this work was to evaluate the effect of in vitro alendronate (AD) release behavior through polycaprolactone (PCL) coating on in vivo bone formation using PCL-coated 3D printed interconnected porous tricalcium phosphate (TCP) scaffolds. Higher AD and Ca2+ ion release was observed at lower pH (5.0) than that at higher pH (7.4). AD and Ca2+ release, surface morphology, and phase analysis after release indicated a matrix degradation dominated AD release caused by TCP dissolution. PCL c...

  17. Poly (L-lactide-co-e caprolactone) microspheres laden with bioactive glass-ceramic and alendronate sodium as bone regenerative scaffolds

    International Nuclear Information System (INIS)

    Microspheric scaffolds of poly-(lactide-co-caprolactone) loaded with alendronate sodium, a family precursor of bisphosphonate drug and bioactive glass-ceramic (BGS) were prepared for the treatment of osteoporosis like bone defects with the rationale of getting a combined effect/concurrent advantage of osteoclast apoptosis as well as the augmentation of bone regeneration. The porous microspheres were generated by oil in water/solvent evaporation technique. The distribution of bioactive glass-ceramic was evidenced by the microcomputed tomography (μ-CT) and scanning electron microscopy analyses. The microspheres were evaluated for their in vitro cytocompatibility using L929 cell line and were found to be noncytotoxic. The osteoinductivity of the scaffold was assessed by its response in simulated body fluid and observed an excellent hydroxy carbonate apatite (HCA) layer formation on the surface which revealed the bone bonding and bone regeneration capability of the scaffold. The cell adhesion studies was performed with L-929 cell line and a marking cell growth on the surface as well as in the pores of the bioactive glass-ceramic as well as bioactive glass-ceramic cum drug incorporated microspheres was evidenced by the Confocal laser scanning microscopy (CLSM) investigation. No cell adhesion was observed onto the surface of the bare microspheres prepared by the copolymer alone where as the bioactive glass-ceramic and drug cum bioactive glass-ceramic loaded microspheres were found to promote the cell adhesion. The viability of the adhered cells on the microspheres was checked by flourescein diacetate (FDA) staining and it was observed that the adhered cells were viable and metabolically active. The release of the drug, alendronate sodium, directly into the problem site makes the presently prepared microsphere superior to the oral variety of drug available which is associated with oral discomfort and low bioavailability. - Highlights: ► Predicted model for osteoclast

  18. Poly (L-lactide-co-e caprolactone) microspheres laden with bioactive glass-ceramic and alendronate sodium as bone regenerative scaffolds

    Energy Technology Data Exchange (ETDEWEB)

    Mondal, Titash [Sree Chitra Tirunal Institute of Medical Science and Technology, Biomedical Technology Wing, Thiruvananthpuram-695012 (India); Rubber Technology Centre, Indian Institute of Technology, Kharagpur-721302, West Bengal (India); Sunny, M.C. [Sree Chitra Tirunal Institute of Medical Science and Technology, Biomedical Technology Wing, Thiruvananthpuram-695012 (India); Khastgir, D. [Rubber Technology Centre, Indian Institute of Technology, Kharagpur-721302, West Bengal (India); Varma, H.K. [Sree Chitra Tirunal Institute of Medical Science and Technology, Biomedical Technology Wing, Thiruvananthpuram-695012 (India); Ramesh, P., E-mail: rameshsct@gmail.com [Sree Chitra Tirunal Institute of Medical Science and Technology, Biomedical Technology Wing, Thiruvananthpuram-695012 (India)

    2012-05-01

    Microspheric scaffolds of poly-(lactide-co-caprolactone) loaded with alendronate sodium, a family precursor of bisphosphonate drug and bioactive glass-ceramic (BGS) were prepared for the treatment of osteoporosis like bone defects with the rationale of getting a combined effect/concurrent advantage of osteoclast apoptosis as well as the augmentation of bone regeneration. The porous microspheres were generated by oil in water/solvent evaporation technique. The distribution of bioactive glass-ceramic was evidenced by the microcomputed tomography ({mu}-CT) and scanning electron microscopy analyses. The microspheres were evaluated for their in vitro cytocompatibility using L929 cell line and were found to be noncytotoxic. The osteoinductivity of the scaffold was assessed by its response in simulated body fluid and observed an excellent hydroxy carbonate apatite (HCA) layer formation on the surface which revealed the bone bonding and bone regeneration capability of the scaffold. The cell adhesion studies was performed with L-929 cell line and a marking cell growth on the surface as well as in the pores of the bioactive glass-ceramic as well as bioactive glass-ceramic cum drug incorporated microspheres was evidenced by the Confocal laser scanning microscopy (CLSM) investigation. No cell adhesion was observed onto the surface of the bare microspheres prepared by the copolymer alone where as the bioactive glass-ceramic and drug cum bioactive glass-ceramic loaded microspheres were found to promote the cell adhesion. The viability of the adhered cells on the microspheres was checked by flourescein diacetate (FDA) staining and it was observed that the adhered cells were viable and metabolically active. The release of the drug, alendronate sodium, directly into the problem site makes the presently prepared microsphere superior to the oral variety of drug available which is associated with oral discomfort and low bioavailability. - Highlights: Black

  19. Long-term effects of alendronate on fracture healing and bone remodeling of femoral shaft in ovariectomized rats

    Institute of Scientific and Technical Information of China (English)

    Ling-jie FU; Ting-ting TANG; Yong-qiang HAO; Ke-rong DAI

    2013-01-01

    Aim:To investigate the long-term effects of alendronate (Aln),a widely used oral bisphosphonate,on fracture healing and bone remodeling in ovariectomized rats.Methods:Adult female SD rats underwent ovariectomy,and then bilateral femoral osteotomy at 12 weeks post-ovariectomy.From d 2 post-ovariectomy,the animals were divided into 3 groups,and treated with Aln (3 mg·kg-1d-1,po) for 28 weeks (Aln/Aln),Aln for 12 weeks and saline for 16 weeks (Aln/Saline) or saline for 28 weeks (Saline/Saline).At 6 and 16 weeks post-fracture,the fracture calluses were examined with X-ray radiography,and biomechanical testing and histological analysis were performed.The calluses were labeled with tetracycline and calcein to evaluate the mineral apposition rate (MAR).Results:The fracture line was less distinct in the 2 Aln-treated groups at 6 weeks post-fracture,and disappeared in all the 3 groups at 16 weeks post-fracture.The size of the callus and radiographic density of the femora in the Aln/Aln group were the highest among the 3 groups at 6 and 16 weeks post-fracture.Similar results were observed in the ultimate load at failure and energy absorption.However,the treatment with Aln delayed endochondral ossification of the callus,and significantly increased the total sagittal-sectional area,percentage callus area and callus thickness,and decreased the MAR at 6 and 16 weeks post-fracture.Conclusion:In the ovariectomized rat model,Aln is beneficial for the mechanical properties of the callus,but delays callus remodeling by suppressing the remodeling of woven bone into lamellar bone.

  20. The susceptive alendronate-treatment timing and dosage for osteogenesis enhancement in human bone marrow-derived stem cells.

    Directory of Open Access Journals (Sweden)

    Chih-Hsiang Chang

    Full Text Available Recent studies indicated that alendronate enhanced osteogenesis in osteoblasts and human bone marrow-derived stem cells. However, the time- and dose-dependent effects of Aln on osteogenic differentiation and cytotoxicity of hBMSCs remain undefined. In present study, we investigated the effective dose range and timing of hBMSCs. hBMSCs were treated with various Aln doses (1, 5 and 10 µM according to the following groups: group A was treated with Aln during the first five days of bone medium, groups B, C and D were treated during the first, second, and final five days of osteo-induction medium and group E was treated throughout the entire experiment. The mineralization level and cytotoxicity were measured by quantified Alizarin Red S staining and MTT assay. In addition, the reversal effects of farnesyl pyrophosphate and geranylgeranyl pyrophosphate replenishment in group B were also investigated. The results showed that Aln treatment in groups A, B and E enhanced hBMSC mineralization in a dose-dependent manner, and the most pronounced effects were observed in groups B and E. The higher dose of Aln simultaneously enhanced mineralization and caused cytotoxicity in groups B, C and E. Replenishment of FPP or GGPP resulted in partial or complete reverse of the Aln-induced mineralization respectively. Furthermore, the addition of FPP or GGPP also eliminated the Aln-induced cytotoxicity. We demonstrated that hBMSCs are susceptible to 5 µM Aln during the initiation stage of osteogenic differentiation and that a 10 µM dose is cytotoxic.

  1. Effects of Long-Term Odanacatib Treatment on Bone Gene Expression in Ovariectomized Adult Rhesus Monkeys: Differentiation From Alendronate.

    Science.gov (United States)

    Muise, Eric S; Podtelezhnikov, Alexei A; Pickarski, Maureen; Loboda, Andrey; Tan, Yejun; Hu, Guanghui; Thomspon, John R; Duong, Le T

    2016-04-01

    Similar efficacy of the cathepsin K inhibitor odanacatib (ODN) and the bisphosphonate alendronate (ALN) in reducing bone turnover markers and increasing bone mineral density in spine and hip were previously demonstrated in ovariectomized (OVX)-monkeys treated for 20 months in prevention mode. Here, we profiled RNA from tibial metaphysis and diaphysis of the same study using Affymetrix microarrays, and selected 204 probe sets (p < 0.001, three-group ANOVA) that were differentially regulated by ODN or ALN versus vehicle. Both drugs produced strikingly different effects on known bone-related genes and pathways at the transcriptional level. Although ALN either reduced or had neutral effects on bone resorption-related genes, ODN significantly increased the expression of osteoclast genes (eg, APC5, TNFRSF11A, CTSK, ITGB3, and CALCR), consistent with previous findings on the effects of this agent in enhancing the number of nonresorbing osteoclasts. Conversely, ALN reduced the expression of known bone formation-related genes (eg, TGFBR1, SPP1, RUNX2, and PTH1R), whereas ODN either increased or had neutral effects on their expression. These differential effects of ODN versus ALN on bone resorption and formation were highly correlative to the changes in bone turnover markers, cathepsin K (Catk) target engagement marker serum C-terminal cross-linked telopeptide (1-CTP) and osteoclast marker tartrate resistant acid phosphatase isoform 5b (TRAP5b) in the same monkeys. Overall, the molecular profiling results are consistent with the known pharmacological actions of these agents on bone remodeling and clearly differentiate the molecular mechanisms of ODN from the bisphosphonates. © 2016 American Society for Bone and Mineral Research. PMID:26587671

  2. The old with the die. A contribution to metaphysics of quantum mechanics; Der Alte mit dem Wuerfel. Ein Beitrag zur Metaphysik der Quantenmechanik

    Energy Technology Data Exchange (ETDEWEB)

    Ijjas, Anna

    2011-07-01

    Since the rise of quantum mechanics also their ideological implications and consequences were discussed. Meanwhile still scarcely a metaphysical problem exists, which was not supposedly solved under calling on quantum theory. Anna Ijjas inquires the usual practice and developes a new model of the assignment of quantum mechanics and metaphysics. She discusses both the physical foundations and the classical philosophical controversies, before she draws consequencies for the relation determination of brain and consciousness, the problem of freedom of will, as well as for the question of the influence of God in the world.

  3. Long-term treatment with alendronate increases the surgical difficulty during simple exodontias – an in vivo observation in Holtzman rats

    Directory of Open Access Journals (Sweden)

    Conte-Neto Nicolau

    2012-07-01

    Full Text Available Abstract Background Atraumatic teeth extractions protocols are highly encouraged in patients taking bisphosphonates (Bps to reduce surgical trauma and, consequently, the risk of jaws osteonecrosis development. In this way, this paper aims to report the findings of increased surgical difficulty during simple exodontias in animals treated with bisphosphonates. Methods Sixty male Holtzman rats were randomly distributed into three groups of 20 animals and received daily subcutaneous administration of 1 mg/kg (AL1 or 3 mg/kg (AL3 of alendronate or saline solution (CTL. After 60 days of drug therapy all animals were submitted to first lower molars extractions under general anesthesia. Operatory surgical time and the frequency of teeth fractures were measured as principal outcomes and indicators of surgical difficulty degree. Results Animals treated with alendronate (AL1 and AL3 were associated to higher operatory times and increased frequency of teeth fractures compared to match controls. Conclusions The bisphosphonate therapy may be associated with an increased surgical difficulty and trauma following simple exodontias protocols, which is considered a critical issue when it comes to osteonecrosis development.

  4. Critica metafizicii şi noua retorică a liberalismului (The critics of metaphysics and the new rethoric of liberalism)

    OpenAIRE

    Mark BUCUCI

    2015-01-01

    During the Enlightment, the emergence and the prestige of sciences influenced the rhetoric of liberalism. This metaphysical rhetoric, according to Richard Rorty, became an ostacle to liberalism’ efficient marketing . Rorty deconstructs this rhetorical fusion and conceives a new kind of rhetoric for liberalism.

  5. Critica metafizicii şi noua retorică a liberalismului (The critics of metaphysics and the new rethoric of liberalism

    Directory of Open Access Journals (Sweden)

    Mark BUCUCI

    2015-03-01

    Full Text Available During the Enlightment, the emergence and the prestige of sciences influenced the rhetoric of liberalism. This metaphysical rhetoric, according to Richard Rorty, became an ostacle to liberalism’ efficient marketing . Rorty deconstructs this rhetorical fusion and conceives a new kind of rhetoric for liberalism.

  6. Changes in strain patterns after implantation of a short stem with metaphyseal anchorage compared to a standard stem: an experimental study in synthetic bone

    Directory of Open Access Journals (Sweden)

    Jens Gronewold

    2014-03-01

    Full Text Available Short stem hip arthroplasties with predominantly metaphyseal fixation, such as the METHA® stem (Aesculap, Tuttlingen, Germany, are recommended because they are presumed to allow a more physiologic load transfer and thus a reduction of stress-shielding. However, the hypothesized metaphyseal anchorage associated with the aforementioned benefits still needs to be verified. Therefore, the METHA short stem and the Bicontact® standard stem (Aesculap, Tuttlingen, Germany were tested biomechanically in synthetic femora while strain gauges monitored their corresponding strain patterns. For the METHA stem, the strains in all tested locations including the region of the calcar (87% of the non-implanted femur were similar to conditions of synthetic bone without implanted stem. The Bicontact stem showed approximately the level of strain of the non-implanted femur on the lateral and medial aspect in the proximal diaphysis of the femur. On the anterior and posterior aspect of the proximal metaphysis the strains reached averages of 78% and 87% of the non-implanted femur, respectively. This study revealed primary metaphyseal anchorage of the METHA short stem, as opposed to a metaphyseal-diaphyseal anchorage of the Bicontact stem.

  7. 刺向神秘主义和形而上学独断论的双刃剑%An Attack at Both Mysterious Necromancy and Metaphysical Dogmatism

    Institute of Scientific and Technical Information of China (English)

    赵林

    2009-01-01

    In Dreams of a Spirit-seer Explained through the Dreams of Metaphysics, a long treatise written by Kant in his pre-critical period, he did not only attack mysterious necromancy and metaphysical dogmatism on the basis of empirical experience, but also differentiated between metaphysics in the positive sense and metaphysics in the negative sense, and gave the first expression to the important ideas of limitations of reason and moral faith that later became the substantial content of Kantian critical philosophy. In this sense, this book marks Kant's departure from Wolff's school.%是康德早年所写的一篇长篇论文.在该文中,康德不仅以经验为根据,对神秘主义通灵术和形而上学独断论进行了深刻的批判,而且对形而上学的积极意义和消极意义进行了区分,初步表达了关于理性的界限和道德的信仰等重要思想,这些思想后来构成了康德批判哲学的基本内容.

  8. The hydrogen sulfide donor, Lawesson's reagent, prevents alendronate-induced gastric damage in rats

    International Nuclear Information System (INIS)

    Our objective was to investigate the protective effect of Lawesson's reagent, an H2S donor, against alendronate (ALD)-induced gastric damage in rats. Rats were pretreated with saline or Lawesson's reagent (3, 9, or 27 µmol/kg, po) once daily for 4 days. After 30 min, gastric damage was induced by ALD (30 mg/kg) administration by gavage. On the last day of treatment, the animals were killed 4 h after ALD administration. Gastric lesions were measured using a computer planimetry program, and gastric corpus pieces were assayed for malondialdehyde (MDA), glutathione (GSH), proinflammatory cytokines [tumor necrosis factor (TNF)-α and interleukin (IL)-1β], and myeloperoxidase (MPO). Other groups were pretreated with glibenclamide (5 mg/kg, ip) or with glibenclamide (5 mg/kg, ip)+diazoxide (3 mg/kg, ip). After 1 h, 27 µmol/kg Lawesson's reagent was administered. After 30 min, 30 mg/kg ALD was administered. ALD caused gastric damage (63.35±9.8 mm2); increased levels of TNF-α, IL-1β, and MDA (2311±302.3 pg/mL, 901.9±106.2 pg/mL, 121.1±4.3 nmol/g, respectively); increased MPO activity (26.1±3.8 U/mg); and reduced GSH levels (180.3±21.9 µg/g). ALD also increased cystathionine-γ-lyase immunoreactivity in the gastric mucosa. Pretreatment with Lawesson's reagent (27 µmol/kg) attenuated ALD-mediated gastric damage (15.77±5.3 mm2); reduced TNF-α, IL-1β, and MDA formation (1502±150.2 pg/mL, 632.3±43.4 pg/mL, 78.4±7.6 nmol/g, respectively); lowered MPO activity (11.7±2.8 U/mg); and increased the level of GSH in the gastric tissue (397.9±40.2 µg/g). Glibenclamide alone reversed the gastric protective effect of Lawesson's reagent. However, glibenclamide plus diazoxide did not alter the effects of Lawesson's reagent. Our results suggest that Lawesson's reagent plays a protective role against ALD-induced gastric damage through mechanisms that depend at least in part on activation of ATP-sensitive potassium (KATP) channels

  9. The hydrogen sulfide donor, Lawesson's reagent, prevents alendronate-induced gastric damage in rats

    Energy Technology Data Exchange (ETDEWEB)

    Nicolau, L.A.D. [Núcleo de Pesquisa em Produtos Naturais, Departamento de Farmacologia, Universidade Federal do Piauí, Teresina, PI (Brazil); Silva, R.O.; Damasceno, S.R.B.; Carvalho, N.S.; Costa, N.R.D. [Laboratório de Fisiofarmacologia Experimental, Centro de Pesquisa em Biodiversidade e Biotecnologia, Universidade Federal do Piauí, Parnaíba, PI (Brazil); Aragão, K.S. [Laboratório de Farmacologia da Inflamação e do Câncer, Departamento de Farmacologia, Universidade Federal do Ceará, Fortaleza, CE (Brazil); Barbosa, A.L.R. [Núcleo de Pesquisa em Produtos Naturais, Departamento de Farmacologia, Universidade Federal do Piauí, Teresina, PI (Brazil); Laboratório de Fisiofarmacologia Experimental, Centro de Pesquisa em Biodiversidade e Biotecnologia, Universidade Federal do Piauí, Parnaíba, PI (Brazil); Soares, P.M.G.; Souza, M.H.L.P. [Laboratório de Farmacologia da Inflamação e do Câncer, Departamento de Farmacologia, Universidade Federal do Ceará, Fortaleza, CE (Brazil); Medeiros, J.V.R. [Núcleo de Pesquisa em Produtos Naturais, Departamento de Farmacologia, Universidade Federal do Piauí, Teresina, PI (Brazil); Laboratório de Fisiofarmacologia Experimental, Centro de Pesquisa em Biodiversidade e Biotecnologia, Universidade Federal do Piauí, Parnaíba, PI (Brazil)

    2013-08-16

    Our objective was to investigate the protective effect of Lawesson's reagent, an H{sub 2}S donor, against alendronate (ALD)-induced gastric damage in rats. Rats were pretreated with saline or Lawesson's reagent (3, 9, or 27 µmol/kg, po) once daily for 4 days. After 30 min, gastric damage was induced by ALD (30 mg/kg) administration by gavage. On the last day of treatment, the animals were killed 4 h after ALD administration. Gastric lesions were measured using a computer planimetry program, and gastric corpus pieces were assayed for malondialdehyde (MDA), glutathione (GSH), proinflammatory cytokines [tumor necrosis factor (TNF)-α and interleukin (IL)-1β], and myeloperoxidase (MPO). Other groups were pretreated with glibenclamide (5 mg/kg, ip) or with glibenclamide (5 mg/kg, ip)+diazoxide (3 mg/kg, ip). After 1 h, 27 µmol/kg Lawesson's reagent was administered. After 30 min, 30 mg/kg ALD was administered. ALD caused gastric damage (63.35±9.8 mm{sup 2}); increased levels of TNF-α, IL-1β, and MDA (2311±302.3 pg/mL, 901.9±106.2 pg/mL, 121.1±4.3 nmol/g, respectively); increased MPO activity (26.1±3.8 U/mg); and reduced GSH levels (180.3±21.9 µg/g). ALD also increased cystathionine-γ-lyase immunoreactivity in the gastric mucosa. Pretreatment with Lawesson's reagent (27 µmol/kg) attenuated ALD-mediated gastric damage (15.77±5.3 mm{sup 2}); reduced TNF-α, IL-1β, and MDA formation (1502±150.2 pg/mL, 632.3±43.4 pg/mL, 78.4±7.6 nmol/g, respectively); lowered MPO activity (11.7±2.8 U/mg); and increased the level of GSH in the gastric tissue (397.9±40.2 µg/g). Glibenclamide alone reversed the gastric protective effect of Lawesson's reagent. However, glibenclamide plus diazoxide did not alter the effects of Lawesson's reagent. Our results suggest that Lawesson's reagent plays a protective role against ALD-induced gastric damage through mechanisms that depend at least in part on activation of ATP-sensitive potassium (K

  10. Metaphyseal osteomyelitis in children: how often does MRI-documented joint effusion or epiphyseal extension of edema indicate coexisting septic arthritis?

    International Nuclear Information System (INIS)

    Joint effusions identified by MRI may accompany osteomyelitis and determining whether the joint effusion is septic or reactive has important implications on patient care. Determine the incidence of epiphyseal marrow edema, joint effusions, perisynovial edema and epiphyseal non-enhancement in the setting of pediatric metaphyseal osteomyelitis and whether this may be used to predict coexisting septic arthritis. Following IRB approval, we retrospectively evaluated children who underwent MRI and orthopedic surgical consultation for suspected musculoskeletal infection between January 2011 and September 2013. Criteria for inclusion in the study were microbiologically/pathologically proven infection, MRI prior to surgical intervention, long bone involvement and age 0-18 years. MRI exams were independently reviewed by two faculty pediatric radiologists to confirm the presence of appendicular metaphyseal osteomyelitis, to evaluate extent of edema, to determine subjective presence of a joint effusion and to assess perisynovial edema and epiphyseal non-enhancement. Any discrepant readings were reviewed in consensus. Charts and operative notes were reviewed to confirm the diagnosis of osteomyelitis and septic arthritis. One hundred and three joints with metaphyseal osteomyelitis were identified (mean age: 7.1 years; M:F 1.3:1), of whom 53% (55/103) had joint effusions, and of those, 75% (41/55) had surgically confirmed septic arthritis. The incidence of coexisting septic arthritis was 40% in the setting of epiphyseal edema, 74% in epiphyseal edema and effusion, 75% with perisynovial edema, 76% with epiphyseal non-enhancement and 77% when all four variables were present. Of these, the only statistically significant variable, however, was the presence of a joint effusion with a P-value of <0.0001 via Fisher exact test. Statistical significance for coexisting septic arthritis was also encountered when cases were subdivided into intra-articular vs. extra-articular metaphyses (P

  11. Metaphyseal osteomyelitis in children: how often does MRI-documented joint effusion or epiphyseal extension of edema indicate coexisting septic arthritis?

    Energy Technology Data Exchange (ETDEWEB)

    Schallert, Erica K.; Kan, J.H.; Monsalve, Johanna; Zhang, Wei; Bisset, George S. [Texas Children' s Hospital, Department of Pediatric Radiology, Houston, TX (United States); Rosenfeld, Scott [Texas Children' s Hospital, Department of Pediatric Orthopedic Surgery, Houston, TX (United States)

    2015-08-15

    Joint effusions identified by MRI may accompany osteomyelitis and determining whether the joint effusion is septic or reactive has important implications on patient care. Determine the incidence of epiphyseal marrow edema, joint effusions, perisynovial edema and epiphyseal non-enhancement in the setting of pediatric metaphyseal osteomyelitis and whether this may be used to predict coexisting septic arthritis. Following IRB approval, we retrospectively evaluated children who underwent MRI and orthopedic surgical consultation for suspected musculoskeletal infection between January 2011 and September 2013. Criteria for inclusion in the study were microbiologically/pathologically proven infection, MRI prior to surgical intervention, long bone involvement and age 0-18 years. MRI exams were independently reviewed by two faculty pediatric radiologists to confirm the presence of appendicular metaphyseal osteomyelitis, to evaluate extent of edema, to determine subjective presence of a joint effusion and to assess perisynovial edema and epiphyseal non-enhancement. Any discrepant readings were reviewed in consensus. Charts and operative notes were reviewed to confirm the diagnosis of osteomyelitis and septic arthritis. One hundred and three joints with metaphyseal osteomyelitis were identified (mean age: 7.1 years; M:F 1.3:1), of whom 53% (55/103) had joint effusions, and of those, 75% (41/55) had surgically confirmed septic arthritis. The incidence of coexisting septic arthritis was 40% in the setting of epiphyseal edema, 74% in epiphyseal edema and effusion, 75% with perisynovial edema, 76% with epiphyseal non-enhancement and 77% when all four variables were present. Of these, the only statistically significant variable, however, was the presence of a joint effusion with a P-value of <0.0001 via Fisher exact test. Statistical significance for coexisting septic arthritis was also encountered when cases were subdivided into intra-articular vs. extra-articular metaphyses (P

  12. 阿仑膦酸钠对绝经后骨质疏松性骨痛的疗效分析%Effect analysis of alendronate on postmenopausal osteoporosis with bone ache

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    @@ Background: Osteoporosis is a metabolic bone disease characterized by low bone component and regeneration of the microstructure of bone tissues, osteoporosis occurs in postmenopausal women for decreased estrogen level. Those women with osteoporosis often suffer from bone ache, such as pain at low back, back, knees and heels. In severe cases, there may be crookback or non- violent fracture. Objective: To discuss treatment effect of the Alendronate on 56 postmenopausal women with bone ache caused by osteoporosis. Unit: 210 Hospital of PLA.

  13. Influence of treatment with alendronate on the speed of sound, an ultrasound parameter, of the calcaneus in postmenopausal Japanese women with osteoporosis: a clinical practice-based observational study

    OpenAIRE

    Iwamoto J; Takada T; Sato Y; Matsumoto H

    2012-01-01

    Jun Iwamoto,1 Tetsuya Takada,2 Yoshihiro Sato,3 Hideo Matsumoto11Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo, 2Department of Internal Medicine, Hiyoshi Medical Clinic, Kanagawa, 3Department of Neurology, Mitate Hospital, Fukuoka, JapanPurpose: The influence of alendronate (ALN) treatment on the quantitative ultrasound parameters of the calcaneus remains to be established in Japanese patients. The aim of the present clinical practice-based observational ...

  14. O lugar da metafísica na filosofia da religião de Bernard Lonergan / The place of metaphysics in Bernard Lonergan's philosophy of religion

    Directory of Open Access Journals (Sweden)

    Ednilson Turozi de Oliveira

    2011-01-01

    Full Text Available ResumoEsse artigo reflete sobre o reposicionamento da metafísica na filosofia da religião de Lonergan. Para Lonergan, a metafísica não mais ocupa o primeiro lugar, e sim um lugar terciário. A implicação para a filosofia da religião é a de que, nela, a teoria cognitiva, a história, a hermenêutica e a metodologia são priorizadas.Palavras-chave: .AbstractThis article reflects upon the repositioning of metaphysics in Lonergan´s Philosophy of Religion. For Lonergan, instead of occupying the first place, metaphysics is now in a tertiary position. The implication of such relocation for the philosophy of religion is that,with it, cognitional theory, history, hermeneutics, and methodology become prioritized.

  15. Metaphysical Harmony in Pedagogical Enterprise: Speculation on Teacher-Parent Partnership in Educating Learners with Autism Spectrum Disorder (ASD

    Directory of Open Access Journals (Sweden)

    Atieno Kili K’Odhiambo

    2014-04-01

    Full Text Available The impact of the teacher-parent partnership in the education of learners with special educational needs such as those with autism spectrum disorder (ASD or, rather, learners with autism, has not been accorded adequate attention. A look at the pedagogical enterprise, which is the process of managing teaching-learning environment in relation to the conditions of learners with ASD, teacher-parent partnership requires philosophical interrogation. This study uses speculative philosophic methodology to explore the cosmological unification of learner with ASD, teacher, parent and the implications of the triad for effective learning.  It is posited that the harmony created by the cosmic intelligence (nous that emanates and which manages the harmony that ensues may be discussed in relation to the Heraclitean theory of “logos” and the Anaxagorean hypothesis of “all is one.” As a consequence, the educational success of a learner with ASD could be viewed as a resultant of metaphysical and pedagogical enterprise centered on the cosmos for whatever behavior that is exhibited, perceived as bizarre or otherwise but capable of use as a stepping stone for further learning.

  16. 涉江而过--形而下、形而上解构说课比赛%Wade through the River-Physical, Metaphysical Deconstruction Lessons Game

    Institute of Scientific and Technical Information of China (English)

    王琳

    2015-01-01

    近年来,说课以其具备教学一体化、提高教研活动实效、系统全面地梳理教学过程等优点,在全国以竞赛的形式受到广泛推崇。用“涉江而过”作为本论文的主题,除传达一种竞赛的态度与现状外,更多是针对教师对说课知识的拆分、重组认知与说课情感层次梳理的能力而言。好的说课标准,不仅需要有机械解构组合的能力,还必然包含课堂温度创设的智慧。换言之,它应该是形而下的理性组成形式+形而上的感性提炼内核,二者相辅相成的处理方法则是贯穿始终的主线。在本文中,笔者另辟蹊径以自身的经历、经验对说课做了全新切入角度的诠释。%In recent years, lessons as its integration with teaching and improve the effectiveness of teaching and research ac-tivities, teaching full advantage carding process and other systems in the country in the form of the contest was widely re-spected. With the"River of it off"as the theme of this paper, in addition to the status quo attitude and convey a contest, more knowledge is split Lessons, cognitive restructuring and emotional level Lessons for teachers in terms of the ability to sort out. Lessons good standard, not only have the ability to deconstruct a combination of mechanical, but also must contain the wis-dom of creating classroom temperature. In other words, it should be composed in the form of a physical+rational metaphys-ical sensibility refined kernel approach is both complementary to the main line runs through. In this article, the author com-bined with his own experience to explain lessons from a new interpretation.

  17. Effects of short-term combined treatment with alendronate and elcatonin on bone mineral density and bone turnover in postmenopausal women with osteoporosis

    Directory of Open Access Journals (Sweden)

    Jun Iwamoto

    2009-07-01

    Full Text Available Jun Iwamoto1, Mitsuyoshi Uzawa2, Yoshihiro Sato3, Tsuyoshi Takeda1, Hideo Matsumoto11Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo, Japan; 2Department of Orthopaedic Surgery, Keiyu Orthopaedic Hospital, Gunma, Japan; 3Department of Neurology, Mitate Hospital, Fukuoka, Japan Abstract: The antiresorptive drug elcatonin (ECT is known to relieve pain in postmenopausal women with osteoporosis. A prospective open-labeled trial was conducted to compare the effects of short-term combined treatment with alendronate (ALN and ECT on bone mineral density (BMD and bone turnover with those of single treatment with ALN in postmenopausal women with osteoporosis. Two hundred and five postmenopausal osteoporotic women (mean age: 70 years were recruited in our outpatient clinic. Forty-six women with back pain were treated with ALN and ECT (intramuscular, 20 units a week, and 159 women without obvious back pain were treated with ALN alone. The lumbar BMD, urinary levels of cross-linked N-terminal telopeptides of type I collagen (NTX, and serum levels of alkaline phosphatase (ALP were measured during the six-month treatment period. The baseline characteristics, except for age, body weight and number of patients with prevalent vertebral fractures, were not significantly different between the two groups. The mean increase rate in the lumbar BMD at six months was similar in the ALN (+4.41% and ALN+ECT (+5.15% groups, following similar reduction rates in urinary NTX levels (-40.2% and -43.0%, respectively, at three months and serum ALP levels (-19.0% and -19.7%, respectively, at six months. These results were consistent even after adjustments for age, body weight, and number of patients with prevalent vertebral fractures. The present study in postmenopausal osteoporotic women confirmed that the effects of short-term combined treatment with ALN and ECT on lumbar BMD and bone turnover in patients with back pain appeared to be

  18. Metafizinės patirtys Gražinos Cieškaitės lyrikoje | Metaphysical Experiences in Gražina Cieškaitė’s poetry

    Directory of Open Access Journals (Sweden)

    Audinga Peluritytė

    2005-01-01

    Full Text Available This paper analyses and discusses the signs of metaphysical experience in the work of the contemporary Lithuanian poetess Gražina Cieškaitė. The paper was inspired by Vytautas Kavolis’ provoking thought that in Cieškaitė’s poetry attempt is made to analyse and criticise the key myths of Western civilisation, and female mythology, very old and going back to pre-civilisation conscience, is recreated from the shards of the broken myth of Western civilisation. In this paper, Cieškaitė’s work is analysed in several stages that are reflected in the headlines of the sections. Recognisable are the landmarks of metaphysical thinking, mythical personages and plots; discussed are the outcomes of the interaction of eclectic metaphysical and mythical thinking; finally, an attempt is made at recognising the central idea of this metaphysical lyric and at reconstructing the version of myth so closely linked with this idea. All parts of the paper are concerned with the issue of poetic language, and the key features of Cieškaitė’s poetics are recorded. The paper asserts that in Cieškaitė’s work it is really possible to restore an extremely old version of female mythology, which is embodied in the figure of the goddess Aphrodite that had acquired Promethean creative powers. Yet here metaphysical experiences can hardly be generalised as one comprehensive metaphysical theory. In Cieškaitė’s work, metaphysical thinking based on language and logic frequently yields ground to spontaneous mystical experiences, which are not controlled by either logic or language.

  19. Monitoring of alendronate treatment and prediction of effect on bone mass by biochemical markers in the early postmenopausal intervention cohort study

    DEFF Research Database (Denmark)

    Ravn, Pernille; Hosking, D; Thompson, D; Cizza, G; Wasnich, R D; McClung, M; Yates, A J; Bjarnason, N H; Christiansen, C

    1999-01-01

    To establish whether biochemical markers could be used to monitor alendronate (ALN) treatment and predict long-term response in bone mass, we used results from an ongoing, randomized trial of ALN treatment for prevention of postmenopausal osteoporosis (n = 1202). In women treated with ALN (5 mg...... a 4- to 5-fold greater increase at month 24 in BMD in the tertiles, with the greatest decrease at month 6 in NTX or OC. In women treated with ALN (5 mg) who had a change at month 24 in spine BMD of at least 0%, 86% (NTX) and 79% (OC) had a decrease at month 6 of at least 40% (NTX) or 20% (OC......) (sensitivity). The corresponding specificities were 48% (NTX) and 53% (OC). In conclusion, change at month 6 in NTX and OC, in groups of women treated with ALN, indicated the numeric long-term response in BMD within these groups. In individual women, a decrease at month 6, in NTX or OC below the cut...

  20. Inhibition of fibrous dysplasia via blocking Gsα with suramin sodium loaded with an alendronate-conjugated polymeric drug delivery system.

    Science.gov (United States)

    Lv, Mingming; Li, Xiao; Huang, Yu; Wang, Nan; Zhu, Xinyuan; Sun, Jian

    2016-07-21

    Suramin sodium (SS), which can directly inhibit the committed step of Gsα activation, seems to be a promising drug for treating fibrous dysplasia (FD). Therefore, how to efficiently deliver SS to the lesion site becomes an urgent problem to be solved. Here a bone-targeted and pH-sensitive drug delivery system was constructed to deliver SS for treating FD with high efficiency. The novel type of bone-targeted cationic hyperbranched poly(amine-ester) (HBPAE) was synthesized by the proton-transfer polymerization of triethanolamine and glycidyl methacrylate, followed by surface carboxyl-modification and then conjugation of an alendronate (ALE) bone-targeting moiety. The resultant Suc-HBPAE-ALE formed nanoparticles in aqueous solution, and SS could be encapsulated into the Suc-HBPAE-ALE nanoparticles via electrostatic attraction. The dynamic light scattering (DLS) and transmission electron microscopy (TEM) assays showed that the SS-loaded nanoparticles had a spherical morphology with a mean diameter of 65 nm. The strong affinity of Suc-HBPAE-ALE nanoparticles to bone was verified by the hydroxyapatite (HA) adsorbing experiment. The therapeutic potential of the SS-loaded Suc-HBPAE-ALE nanoparticles was evaluated via the methylthiazoletetrazolium (MTT) assay and flow cytometry (FCM) analysis against FD cells. The experimental results indicated that the SS-loaded Suc-HBPAE-ALE nanoparticles were a highly promising drug delivery system with high efficiency for inhibiting the proliferation of diseased FD cells. PMID:27180636

  1. Time-of-flight secondary ion mass spectrometry study on the distribution of alendronate sodium in drug-loaded ultra-high molecular weight polyethylene

    Energy Technology Data Exchange (ETDEWEB)

    Liu Xiaomin; Qu Shuxin; Lu Xiong [Key Lab of Advanced Technologies of Materials, Ministry of Education, School of Material Science and Engineering, Southwest Jiaotong University, Chengdu 610031 (China); Ge Xiang; Leng Yang, E-mail: qushuxin@swjtu.edu.c [Department of Mechanical Engineering, Hong Kong University of Science and Technology, Clear Water Bay, Kowloon (Hong Kong)

    2009-12-15

    The aim of this study was to investigate the drug distribution in ultra-high molecular weight polyethylene (UHMWPE) loaded with alendronate sodium (ALN), which was developed to treat particle-induced osteolysis after artificial joint replacements, since the drug distribution in UHMWPE could play a key role in controlling drug release. A mixture of UHMWPE powder and ALN was dried and hot pressed to prepare UHMWPE loaded with ALN (UHMWPE-ALN). Fourier transform infrared spectroscopy analysis demonstrated that the hot press had no effect on the functional groups of ALN in UHMWPE-ALN. X-ray diffraction indicated that there was no phase change of the UHMWPE after hot pressing. Time-of-flight secondary ion mass spectrometry (ToF-SIMS) spectra revealed the existence of characteristic elements and functional groups from ALN in UHMWPE-ALN, such as Na{sup +}, C{sub 3}H{sub 8}N{sup +}, PO{sup -}{sub 3} and PO{sub 3}H{sup -}. In addition, SIMS images suggested that ALN did not agglomerate in UHMWPE-ALN. A small punch test and hardness test were carried out and the results indicated that ALN did not affect the mechanical properties at the present content level. The present study demonstrated that it was feasible to fabricate the un-agglomerated distributed drug in UHMWPE with good mechanical properties. This ALN loaded UHMWPE would have potential application in clinics.

  2. Time-of-flight secondary ion mass spectrometry study on the distribution of alendronate sodium in drug-loaded ultra-high molecular weight polyethylene

    International Nuclear Information System (INIS)

    The aim of this study was to investigate the drug distribution in ultra-high molecular weight polyethylene (UHMWPE) loaded with alendronate sodium (ALN), which was developed to treat particle-induced osteolysis after artificial joint replacements, since the drug distribution in UHMWPE could play a key role in controlling drug release. A mixture of UHMWPE powder and ALN was dried and hot pressed to prepare UHMWPE loaded with ALN (UHMWPE-ALN). Fourier transform infrared spectroscopy analysis demonstrated that the hot press had no effect on the functional groups of ALN in UHMWPE-ALN. X-ray diffraction indicated that there was no phase change of the UHMWPE after hot pressing. Time-of-flight secondary ion mass spectrometry (ToF-SIMS) spectra revealed the existence of characteristic elements and functional groups from ALN in UHMWPE-ALN, such as Na+, C3H8N+, PO-3 and PO3H-. In addition, SIMS images suggested that ALN did not agglomerate in UHMWPE-ALN. A small punch test and hardness test were carried out and the results indicated that ALN did not affect the mechanical properties at the present content level. The present study demonstrated that it was feasible to fabricate the un-agglomerated distributed drug in UHMWPE with good mechanical properties. This ALN loaded UHMWPE would have potential application in clinics.

  3. Melt-metaphyseal and diphyseal osteotomy for correction of infantile Blount’s disease: a long-term follow-up study

    OpenAIRE

    Liu, Jie; Cao, Lei; Guo, Shi-Fang; Xue, Wen; Chen, Zhi-Xin; Tai, Hui-Ping; He, Zong-Ru; Qian, Yao-Wen

    2015-01-01

    Blount’s disease is an uncommon disorder of postero-medial proximal tibial physis. Blount described infantile and adolescent types. This study aims to describe using femur, tibia and fibula osteotomies to treat infantile Blount’s disease. From May 1992 to May 2005, 7 patients of Blount’s disease (3 males, 4 females) were included, whose age was range from 17 to 62 months. Femorotibial angle (FTA) was 31 ± 6° (range from 27° to 41°). Metaphyseal-diaphyseal angle (MDA) was 16 ± 4° (range from 1...

  4. O alendronato de sódio na prevenção da osteopenia secundária à imobilização gessada, em ratas: avaliação histomorfométrica Alendronate sodium to prevent osteopenia caused by cast immobilization in female rats: histomorphometric evaluation

    Directory of Open Access Journals (Sweden)

    José B. Volpon

    2008-10-01

    Full Text Available OBJETIVO: Analisar, por meio da histomorfometria, o efeito do alendronato de sódio sobre o trabeculado ósseo de ratos, quando administrado simultaneamente com imobilização gessada. MÉTODOS: Foram utilizados quatro grupos com cinco fêmeas de ratos Wistar: 1 imobilizado; 2 não imobilizado + alendronato; 3 imobilizado + alendronato; e 4 controle. A imobilização foi feita com gesso pelvipodálico aplicado até o membro posterior direito e o alendronato foi administrado em doses semanais. O período de observação foi de 28 dias e realizada histomorfometria da metáfise proximal da tíbia, com análise do número de trabéculas, volume ósseo, espessura trabecular e separação trabecular. RESULTADOS: O grupo imobilizado apresentou volume ósseo menor que os demais grupos. Os animais que receberam alendronato semanal, tanto imobilizados, quanto não imobilizados, apresentaram volume ósseo maior que o controle. A espessura trabecular no grupo imobilizado foi menor do que nos grupos controle e não imobilizado que recebeu alendronato, mas não apresentou diferença significativa em relação ao imobilizado com alendronato. O grupo imobilizado apresentou separação trabecular maior que os demais grupos. Os grupos não imobilizado, sem imobilização que recebeu alendronato e imobilizado que recebeu alendronato apresentaram aumento no número de trabéculas em relação ao grupo imobilizado. CONCLUSÃO: A imobilização empregada efetivamente levou à osteopenia, verificada pela diminuição de todos os principais parâmetros histomorfométricos estudados. Estas alterações foram prevenidas pela administração concomitante de alendronato sódico, exceto com relação à espessura trabecular. O alendronato de sódio foi capaz de aumentar os parâmetros morfométricos, mesmo em animais não imobilizados.OBJECTIVE: Using histomorphometric means to analyze the effect of alendronate sodium on the bone trabeculate of rats administered

  5. The role of galenic innovation in improving treatment compliance and persistence: three case studies

    Directory of Open Access Journals (Sweden)

    Gili Marco A

    2011-08-01

    Full Text Available York Zoellner1, Maria-Magdalena Balp2, Andrea Gili Marco21Hamburg University of Applied Sciences, Hamburg, Germany; 2Novartis Pharma AG, Basel, SwitzerlandBackground: The purpose of this study was to explore whether newer galenic formulations with lower treatment burdens are associated with better patient compliance and persistence compared with older more burdensome modalities.Methods: Data from the IMS Disease Analyzer database were analyzed retrospectively for two pairs of analogs (alendronate sodium once daily vs once weekly and immediate-release vs extended-release methylphenidate and one pair of drugs with similar indications but important differences in convenience and dosing instructions (desferrioxamine vs deferasirox. Compliance was calculated as the sum of prescription durations for all prescriptions for each patient over 1 year. Persistence was calculated as the time between first and last prescriptions over 2 years (1 year for deferasirox and desferrioxamine. Data from Germany and the UK were available and used for analysis.Results: Incremental improvements in compliance were +30% in the UK and +26% in Germany for alendronate once weekly vs once daily, +14% in the UK and +19% in Germany for extended-release vs immediate-release methylphenidate, and +15% in Germany for desferrioxamine vs deferasirox. Incremental improvements in persistence were +9 months in the UK and +8 months in Germany for alendronate once weekly vs once daily, +4 months in the UK and +3 months in Germany for extended-release vs immediate-release methylphenidate, and +2 months in Germany for deferasirox vs desferrioxamine.Conclusion: The new formulations that we evaluated were associated with better compliance and persistence compared with older formulations. Despite the fact that some sources of bias could not be excluded, it is likely that these improvements can be attributed to the lower treatment burdens of the galenic formulations of the drugs considered

  6. Supervenience in metaphysics

    OpenAIRE

    Leuenberger, S.

    2008-01-01

    Supervenience is a topic-neutral, broadly logical relation between classes of properties or facts. In a slogan, A supervenes on B if and only if there cannot be an A-difference without a B-difference. The first part of this paper considers different ways in which that slogan has been cashed out. The second part discusses applications of concepts of supervenience, focussing on the question whether they may provide an explication of determination theses such as physicalism.

  7. The Metaphysics of Time

    OpenAIRE

    m a; f Farhanian

    2012-01-01

    Time is one of the most difficult subjects in philosophy. Some philosophers believe that time is a reality and others assume it as an illusion. McTaggart has denied the reality of time. His argument is very famous in the philosophy of time and thus the recent discussions about time are affected by his argument. Events and moments, he thinks, can occur in time in two forms and thus there are two series of time: 1) A series in which two events and moments are ordered as past, present and fut...

  8. The Metaphysics of Time

    Directory of Open Access Journals (Sweden)

    m a

    2012-03-01

    Events and moments, he thinks, can occur in time in two forms and thus there are two series of time: 1 A series in which two events and moments are ordered as past, present and future, 2 B series in which the events and moments are ordered as a priori and a posterior. The A series is necessary for time because without A series time does not exist. At the same time, A series leads to contradiction and time cannot exist as a real thing. Only one real and non-temporal series, he believes, exists but it appears as time series to us by our perception.

  9. The historical dimension of"The principle of moral metaphysics"%探析《道德形而上学原理》的历史维度

    Institute of Scientific and Technical Information of China (English)

    朱宏

    2014-01-01

    With the development of Chinese society, the moral after being abandoned for a long time, finally returns to the field of vision, gradually aroused people's attention. Then I will be in accordance with the principle of Kant's moral metaphysics, the essay discusses the time sequence of construction, and combined with the example of the development of the society and Kant. Hope to be able to deepen understanding of the principles of Kant's moral metaphysics, in order to have a new understanding.%随着中国社会的发展,道德在被抛弃良久之后,终于渐渐重回视野,引起了人们的重视。下面我将按照康德本人对于道德形而上学原理构建的时间顺序进行论述,并结合社会的当下发展与康德的文中例证加以论述。希望能够加深对于康德道德形而上学原理的理解,以求有新的认识。

  10. The Influence of Chinese Metaphysical Poetry on Neo-Confucian Poetry%论魏晋玄言诗对两宋理学诗的影响

    Institute of Scientific and Technical Information of China (English)

    王利民

    2015-01-01

    玄言诗以其崇义重理的特征深刻地影响了理学诗,并为理学诗奠定了基本的意义生成模式,即以诗化的议论阐释深邃的哲理,通过意象呈现情感和理智的融合,用玄境的构造传达悠远的理趣。玄言诗所具有的形上性、隐喻性和主体性,为理学诗同样特性的形成起到了发轫作用。“玄”和“理”的至上性和至善本质规定了玄言诗和理学诗的道德性,使二者具有鲜明的道德立场。根据述事、抒情和说理三种元素在诗中所占的地位和比例,可以将玄言诗划分为“但陈要妙”的玄理诗、“冥然玄会”的玄感诗和“超入玄境”的玄境诗。玄理诗是阐说义理之性理诗的先导,玄感诗是吟咏性情之理兴诗的前茅,玄境诗是表现意境之理趣诗的始基。理学诗风类似于玄言诗风的历史重演。在题材、类型的规定性上,玄言诗能对理学诗造成影响,主要是因为两者有着相似的体用思维模式。这种思维模式以理事不二、体用相即为思想基础,暗含着月映万川、理一分殊意识的萌芽。%Metaphysical poetry in the Wei and Jin Dynasties, characterized by its emphasis on philo-sophical thinking, profoundly affected Neo-Confucian poetry and laid the foundation for the way Neo-Confucian poetry expressed its philosophical themes. This mode of meaning generation has the following features:it used poetic comments to interpret profound philosophical meaning; created vivid images to present the fusion of emotion and rationality; and constructed metaphysical situations to convey rich philosophical flavor. Metaphysical, metaphorical and subjective in meaning and expression, metaphysi-cal poetry foreshadowed the emergence of Neo-Confucian poetry. The supremacy and perfectionism of“metaphysics” and “rationality” defined the moral pursuits of metaphysical poetry and Neo-Confucian poetry, enabling them to bear a clear moral

  11. 阿伦膦酸钠治疗绝经后骨质疏松症的疗效观察%Effects of alendronate on postmenopausal osteoporosis

    Institute of Scientific and Technical Information of China (English)

    孙敬华; 徐晓峰; 迟晓飞; 王景靓

    2013-01-01

    目的观察阿伦膦酸钠对绝经后妇女原发性骨质疏松症的有效性和安全性。方法绝经后骨质疏松患者130例,将患者完全随机分成观察组及对照组,各65例。观察组每周口服阿伦膦酸钠70mg和元素钙(碳酸钙)及骨化醇;对照组口服元素钙(碳酸钙)及骨化醇。疗程均为12个月;通过骨密度仪观察治疗前及治疗后的骨密度的变化。结果治疗12个月后,观察组L2~4和股骨颈平均骨密度明显高于治疗前和对照组治疗后[L2~4:(844±116)mg/cm3比(788±76)mg/cm3、(785±64)mg/cm3;股骨颈:(681±71)mg/cm3比(644±72)mg/cm3、(662±90)mg/cm3],差异均有统计学意义(P<0.05或P<0.01)。治疗过程中未发现与药物有关的不良反应。结论阿伦膦酸钠治疗绝经后骨质疏松症有效且安全。%Objective To determine the efficiency and safety of alendronate on primary osteoporosis in postmenopausal women. Methods One hundred and thirty cases of postmenopausal women with osteoporosis were randomly divided into 2 group(control group and treatment group). All subjects in treatment group received alendronate 70 mg weekly.All patients received supplemental calcium and alfacalcidol orally daily for 12 months . Results Bone mineral density of L2~4 and femur neck in treatment group after treatment for 12 months were more than those before treatment and those in control group after treatment for 12 months[L2~4:(844±116)mg/cm3、(788±76)mg/cm3、(785±64)mg/cm3;neck of femur:(681±71)mg/cm3、(644±72)mg/cm3、(662±90)mg/cm3] and there were significant differences(P<0.05 or P<0.01). During treatment, drug related adverse reactions were occurred. Conclusion Alendonate is well effective and safe at doses of 70 mg weekly in the treatment of primary osteoporosis in postmenopausal women.

  12. Persistence of 1,25D-induced hypercalciuria in alendronate-treated genetic hypercalciuric stone-forming rats fed a low-calcium diet.

    Science.gov (United States)

    Frick, Kevin K; Asplin, John R; Culbertson, Christopher D; Granja, Ignacio; Krieger, Nancy S; Bushinsky, David A

    2014-05-01

    Genetic hypercalciuric stone-forming (GHS) rats demonstrate increased intestinal Ca absorption, increased bone resorption, and reduced renal tubular Ca reabsorption leading to hypercalciuria and all form kidney stones. GHS have increased vitamin D receptors (VDR) at these sites of Ca transport. Injection of 1,25(OH)2D3 (1,25D) leads to a greater increase in urine (u)Ca in GHS than in control Sprague-Dawley (SD), possibly due to the additional VDR. In GHS the increased uCa persists on a low-Ca diet (LCD) suggesting enhanced bone resorption. We tested the hypothesis that LCD, coupled to inhibition of bone resorption by alendronate (alen), would eliminate the enhanced 1,25D-induced hypercalciuria in GHS. SD and GHS were fed LCD and half were injected daily with 1,25D. After 8 days all were also given alen until euthanasia at day 16. At 8 days, 1,25D increased uCa in SD and to a greater extent in GHS. At 16 days, alen eliminated the 1,25D-induced increase in uCa in SD. However, in GHS alen decreased, but did not eliminate, the 1,25D-induced hypercalciuria, suggesting maximal alen cannot completely prevent the 1,25D-induced bone resorption in GHS, perhaps due to increased VDR. There was no consistent effect on mRNA expression of renal transcellular or paracellular Ca transporters. Urine CaP and CaOx supersaturation (SS) increased with 1,25D alone in both SD and GHS. Alen eliminated the increase in CaP SS in SD but not in GHS. If these results are confirmed in humans with IH, the use of bisphosphonates, such as alen, may not prevent the decreased bone density observed in these patients. PMID:24573387

  13. Potency of a combined alfacalcidol-alendronate therapy to reduce the risk of falls and fractures in elderly patients with glucocorticoid-induced osteoporosis.

    Science.gov (United States)

    Ringe, Johann D; Schacht, Erich; Dukas, Laurent; Mazor, Ze'ev

    2011-01-01

    This is a preplanned subgroup analysis on 318 patients with glucocorticoid-induced osteoporosis (GIOP) from an open, prospective, multi-centered, uncontrolled study on a large cohort of elderly patients with a high risk of falls and fractures. The entire group of 2579 patients was recruited by 818 practicing physicians and treated for three months with a new combination package containing 4 or 12 self-explanatory one-week blisters, each with one tablet of 70 mg alendronate (CAS 260055-05-8) and 7 capsules of 1 pg alfacalcidol (CAS 41294-56-8) (Tevabone"). The average age of the GIOP patients was 71 years and the mean body mass index 26.7 kg/m2. 58% had a diagnosis of increased risk of falls, prevalent vertebral and non-vertebral fractures were documented in 70% and 65% of the patients, respectively, and a creatinine clearance (CrCl) below 65 ml/min was documented in 55 %. Main outcome parameters were the Chair Rising Test (CRT), Timed Up and Go Test (TUG), back pain and safety at onset and after 3 months. In addition, an evaluation of the package design was done at the end of the study. The percentage of patients able to perform the CRT within 10 sec increased from 21.1% to 39.4% after 3 months (increase 87%, p sec increased by 84% (p sec (p = 0.0025) (difference of 1.9 sec) and for the TUG the mean time decreased from 16.86 sec to 14.64 sec (p = 0.0056) (difference of 2.2 sec). Mean back pain measured by a 0-10 visual analogue scale decreased significantly by 43% from 6.0 to 3.4 (p compliance. This may contribute to the previously shown significant effect on reducing falls and fractures with the same regimen during a controlled long-term trial in primary osteoporosis. PMID:21428245

  14. Zabójstwo jako akt metafizyczny. Na marginesie dramatu alberta Camusa 'Kaligula' (CRIME AS A METAPHYSICAL ACT. ABOUT ALBERT CAMUS' DRAMA 'CALIGULA'

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    Ireneusz Ziemiński

    2006-06-01

    Full Text Available The problem of the article is the possibility of a crime as such. The analysis of the Caligula's crime motivation presented by Camus leads to conclusion that Caligula used to kill his dependents not by political or psychological reasons (as revenge for his sister's death, frightening of his own death or desire for eternity. It was not also moral motivation (an attempt to confirm his freedom, to realize absolute evil or to call people for authentic life. The main Caligula's motivation is rather metaphysical experience of his sister's death showing the cruelty of gods (they make people to live only to put them to death. According to Caligula, his own crimes are only imitation of gods to show how cruel and nonhuman the order of world is. The conclusion is that the question about the possibility of crime is incorrect, because the crime is essential part of the order of world.

  15. The Metaphysics of {D-CTCs}: On the Underlying Assumptions of {Deutsch}'s Quantum Solution to the Paradoxes of Time Travel

    CERN Document Server

    Dunlap, Lucas

    2015-01-01

    I argue that Deutsch's model for the behavior of systems traveling around closed timelike curves (CTCs) relies implicitly on a substantive metaphysical assumption. Deutsch is employing a version of quantum theory with a significantly supplemented ontology of parallel existent worlds, which differ in kind from the many worlds of the Everett interpretation. Standard Everett does not support the existence of multiple identical copies of the world, which the D-CTC model requires. This has been obscured because he often refers to the branching structure of Everett as a "multiverse'', and describes quantum interference by reference to parallel interacting definite worlds. But he admits that this is only an approximation to Everett. The D-CTC model, however, relies crucially on the existence of a multiverse of parallel interacting worlds. Since his model is supplemented by structures that go significantly beyond quantum theory, and play an ineliminable role in its predictions and explanations, it does not represent ...

  16. Metaphyseal locking plate as a definitive external fixator for treating open tibial fractures--clinical outcome and a finite element study.

    Science.gov (United States)

    Ma, Ching-Hou; Wu, Chin-Hsien; Tu, Yuan-Kun; Lin, Ting-Sheng

    2013-08-01

    We evaluated both the outcome of using a locking plate as a definitive external fixator for treating open tibial fractures and, using finite element analysis, the biomechanical performance of external and internal metaphyseal locked plates in treating proximal tibial fractures. Eight open tibial patients were treated using a metaphyseal locked plate as a low-profile definitive external fixator. Then, finite element models of internal (IPF) as well as two different external plate fixations (EPFs) for proximal tibial fractures were reconstructed. The offset distances from the bone surface to the EPFs were 6 cm and 10 cm. Both axial stiffness and angular stiffness were calculated to evaluate the biomechanical performance of these three models. The mean follow-up period was 31 months (range, 18-43 months). All the fractures united and the mean bone healing time was 37.5 weeks (range, 20-52 weeks). All patients had excellent or good functional results and were walking freely at the final follow-up. The finite element finding revealed that axial stiffness and angular stiffness decreased as the offset distance from the bone surface increased. Compared to the IPF models, in the two EPF models, axial stiffness decreased by 84-94%, whereas the angular stiffness decreased by 12-21%. The locking plate used as a definitive external fixator provided a high rate of union. While the locking plate is not totally rigid, it is clinically stable and may be advisable for stiffness reduction of plating constructs, thus promoting fracture healing by callus formation. Our patients experienced a comfortable clinical course, excellent knee and ankle joint motion, satisfactory functional results and an acceptable complication rate. PMID:23706173

  17. Effects of Daily or Cyclic Teriparatide on Bone Formation in the Iliac Crest in Women on No Prior Therapy and in Women on Alendronate.

    Science.gov (United States)

    Dempster, David W; Cosman, Felicia; Zhou, Hua; Nieves, Jeri W; Bostrom, Mathias; Lindsay, Robert

    2016-08-01

    There is little information on the effects of combination therapy for osteoporosis at the tissue level. Using quadruple tetracycline-labeled bone biopsies, we have compared the bone formation response to teriparatide (TPTD) in treatment-naïve subjects (Rx-Naïve) and in subjects on prior and ongoing alendronate (ALN) treatment (ALN-Rx). Three bone envelopes were analyzed: cancellous, endocortical, and intracortical. TPTD was given as a standard, continuous daily injection or as a cyclic regimen (3 months on daily TPTD, 3 months off, 3 months on daily TPTD). Subjects were biopsied at 7 weeks and at 7 months to allow comparison of the bone formation response to the first and second cycles of TPTD. Baseline values for dynamic bone formation indices were lower in ALN-Rx than Rx-Naïve subjects. Both Rx-Naïve and ALN-RX subjects responded to TPTD with significant increases in bone formation indices at both time points. With cyclic TPTD treatment, the first and second cycles of TPTD stimulated bone formation rate in the cancellous and endocortical envelopes to a similar extent in ALN-Rx and Rx-Naïve subjects. However, in Rx-Naïve patients, bone formation rate (BFR/BS) was higher in patients receiving daily treatment compared with those receiving cyclic TPTD treatment in all three envelopes in the 7-month biopsies. This suggests that the cyclic approach does not provide a skeletal benefit in treatment-naive patients. In the 7-month biopsies, cortical porosity was higher in the Rx-Naïve group receiving daily TPTD than in all other groups. These data provide supporting evidence at the tissue level for previous biochemical and densitometric data suggesting that addition of either cyclic or daily TPTD to ongoing ALN treatment may be an effective approach for patients with severe osteoporosis already treated with ALN who remain at high risk of fracture. © 2016 American Society for Bone and Mineral Research. PMID:26916877

  18. Risk reduction of falls and fractures, reduction of back pain and safety in elderly high risk patients receiving combined therapy with alfacalcidol and alendronate: a prospective study.

    Science.gov (United States)

    Schacht, Erich; Ringe, Johann D

    2011-01-01

    Efficacy and safety of a new combination package containing 4 or 12 self-explanatory one-week blisters, each with one tablet of 70 mg alendronate (CAS 260055-05-8) and 7 capsules of 1 microg alfacalcidol (CAS 41294-56-8) (Tevabone) on muscle power, muscle function, balance and back pain was investigated in an open, multi-centered, uncontrolled, prospective study on a cohort of elderly patients with a high risk of falls and fractures. 818 practicing physicians all over Germany recruited 2579 patients for a 3-month observational trial being treated with the above combination package. 92.4% were women [89.7% of the women had postmenopausal osteoporosis (PMO)]. Their average age was 74.1 years and the mean body mass index 26.4 kg/m2. 55.4% had a history of falls. Prevalent vertebral and non-vertebral fractures were documented in 62.9% and 61.4% of the patients, respectively, and a creatinine clearance below 65 ml/min was documented in 65.5%. Main outcome parameters were the Chair Rising Test (CRT), Timed Up and Go Test (TUG), back pain and safety at onset and after 3 months. In addition an evaluation of the package design was done at the end of the study. The percentage of patients able to perform the CRT within 10 sec increased from 26.3% to 42.9% after 3 months (increase 63%, p sec of TUG increased by 54% (p sec (p sec (p sec in the performance of TUG results in a 24% increased risk for non-vertebral fractures. Mean back pain measured by a 0-10 visual analogue scale decreased significantly by 41% from 5.9 to 3.5 (p compliance. This may contribute to the previously shown significant effect on reducing falls and fractures with the same regimen during a controlled long-term trial. The same trend was found in all mentioned efficacy parameters and no different trend in safety in the large subgroup of 2106 women with documented PMO. PMID:21355445

  19. Heidegger leitor de Nietzsche: a metafísica da vontade de potência como consumação da metafísica ocidental Heidegger reader of Nietzsche: a metaphysics of the will power as a consummation of Western metaphysics

    Directory of Open Access Journals (Sweden)

    Wanderley J. Ferreira Jr

    2013-04-01

    Full Text Available Aspectos básicos da leitura heideggeriana de Nietzsche. As possibilidades e as possíveis distorções operadas por tal interpretação em alguns conceitos fundamentais do pensamento nietzschiano. Num primeiro momento, explicitam-se as duas atitudes de Heidegger diante da história da filosofia e de seus principais pensadores, em momentos diferentes de seu pensamento. Em seguida, analisa-se, com um certo distanciamento crítico, em que sentido, conforme Heidegger, ocorre a consumação da metafísica do sujeito pensante [Descartes] na metafísica da vontade de potência e na ideia de além do homem, em Nietzsche.This article presents the basic aspects of Heidegger's reading of Nietzsche and the possibilities and possible distortions of this interpretation with regard to some basic concepts of Nietzschean thought. First, we make explicit two different attitudes of Heidegger toward the history of philosophy and its leading thinkers, as found in different periods of Heidegger's thought. Secondly we analyze, with a certain critical distance, in what sense, according to Heidegger, metaphysics is the consummation of the thinking subject (Descartes in the metaphysics of the will to power and the idea of beyond man in Nietzsche.

  20. Effect of odanacatib on bone turnover markers, bone density and geometry of the spine and hip of ovariectomized monkeys: a head-to-head comparison with alendronate.

    Science.gov (United States)

    Williams, Donald S; McCracken, Paul J; Purcell, Mona; Pickarski, Maureen; Mathers, Parker D; Savitz, Alan T; Szumiloski, John; Jayakar, Richa Y; Somayajula, Sangeetha; Krause, Stephen; Brown, Keenan; Winkelmann, Christopher T; Scott, Boyd B; Cook, Lynn; Motzel, Sherri L; Hargreaves, Richard; Evelhoch, Jeffrey L; Cabal, Antonio; Dardzinski, Bernard J; Hangartner, Thomas N; Duong, Le T

    2013-10-01

    Odanacatib (ODN) is a selective and reversible Cathepsin K (CatK) inhibitor currently being developed as a once weekly treatment for osteoporosis. Here, effects of ODN compared to alendronate (ALN) on bone turnover, DXA-based areal bone mineral density (aBMD), QCT-based volumetric BMD (vBMD) and geometric parameters were studied in ovariectomized (OVX) rhesus monkeys. Treatment was initiated 10 days after ovariectomy and continued for 20 months. The study consisted of four groups: L-ODN (2 mg/kg, daily p.o.), H-ODN (8/4 mg/kg daily p.o.), ALN (15 μg/kg, twice weekly, s.c.), and VEH (vehicle, daily, p.o.). L-ODN and ALN doses were selected to approximate the clinical exposures of the ODN 50-mg and ALN 70-mg once-weekly, respectively. L-ODN and ALN effectively reduced bone resorption markers uNTx and sCTx compared to VEH. There was no additional efficacy with these markers achieved with H-ODN. Conversely, ODN displayed inversely dose-dependent reduction of bone formation markers, sP1NP and sBSAP, and L-ODN reduced formation to a lesser degree than ALN. At month 18 post-OVX, L-ODN showed robust increases in lumbar spine aBMD (11.4%, p<0.001), spine trabecular vBMD (13.7%, p<0.001), femoral neck (FN) integral (int) vBMD (9.0%, p<0.001) and sub-trochanteric proximal femur (SubTrPF) int vBMD, (6.4%, p<0.001) compared to baseline. L-ODN significantly increased FN cortical thickness (Ct.Th) and cortical bone mineral content (Ct.BMC) by 22.5% (p<0.001) and 21.8% (p<0.001), respectively, and SubTrPF Ct.Th and Ct.BMC by 10.9% (p<0.001) and 11.3% (p<0.001) respectively. Compared to ALN, L-ODN significantly increased FN Ct. BMC by 8.7% (p<0.05), and SubTrPF Ct.Th by 7.6% (p<0.05) and Ct.BMC by 6.2% (p<0.05). H-ODN showed no additional efficacy compared to L-ODN in OVX-monkeys in prevention mode. Taken together, the results from this study have demonstrated that administration of ODN at levels which approximate clinical exposure in OVX-monkeys had comparable efficacy to ALN in

  1. The fate of the hip in spondylo-epi-metaphyseal dysplasia: clinical and radiological evaluation of adults with SEMD Handigodu type

    International Nuclear Information System (INIS)

    This study was undertaken to document the fate of the hip with reference to its structure and function in patients with spondylo-epi-metaphyseal dysplasia tarda Handigodu type (SEMDHG). Radiographs of 271 adult patients with SEMDHG were studied to identify the pattern of long-term sequelae in the hips. Several measurements of the proximal femur and acetabulum were made to quantify morphological alterations in the hip. Fifty-four adult patients were examined and administered a questionnaire to evaluate the extent of disability attributable to the hips. Three patterns of changes in the hips were noted: 35% had acetabular protrusio, 33% had subluxation of the hip, and 32% had no protrusio or subluxation. Distinctly different anthropometric measurements and dimensional alterations around the hip were noted in these three patterns. Patients with protrusio were relatively tall while those with subluxation were the shortest. All the patients had developed degenerative arthritis of the hips by the fourth decade of life irrespective of the pattern of hip involvement. The reduction in the range of hip motion and fixed deformities were most severe in patients with protrusio. All the patients had significant disability and very low functional hip scores. Degenerative arthritis of the hip develops in the majority of patients with SEMDHG; the symptoms are severe enough to warrant reconstructive surgery by the fourth decade of life. Protrusio or subluxation develops in a third of the patients each; both these complications will influence the surgical approach if total hip arthroplasty is planned. (orig.)

  2. Ação local do alendronato sódico na reparação óssea de ratos espontaneamente hipertensos (SHR Local action of sodium alendronate in bone repair of spontaneously hypertensive rat (SHR

    Directory of Open Access Journals (Sweden)

    Mônica Dal Pian Nobre

    2008-04-01

    Full Text Available FUNDAMENTO: A hipertensão arterial é uma desordem caracterizada por alterações relevantes no tecido ósseo. O alendronato sódico tem indicação no tratamento de doenças ósseas, por causa de sua afinidade pela hidroxiapatita, inibindo as reabsorções ósseas. OBJETIVO: Analisar a ação local do alendronato sódico na reparação óssea de ratos espontaneamente hipertensos (SHR. MÉTODOS: Um defeito ósseo foi criado no fêmur esquerdo de 80 ratos. De acordo com o material utilizado no local, criaram-se quatro grupos: controle (C, amido (Am, alendronato 1 mol (A1 e alendronato 2 mol (A2. Após 7 e 21 dias, os animais foram sacrificados. Foram realizadas análises histológicas e histomorfométricas e os dados foram submetidos a análise de variância (ANOVA e teste de Tukey (5%. RESULTADOS: Aos 7 dias, observou-se, na área do defeito, tecido conjuntivo com hemorragia e inflamação em todos os grupos. Alguns apresentavam matriz osteóide. Os grupos A1 e A2 apresentaram, ainda, uma rede de fibrina. Aos 21 dias, as trabéculas ósseas fechavam praticamente a extensão do defeito nos grupos C e Am. No grupo A1 de animais machos, observaram-se trabéculas que se irradiavam do canal medular até a área do defeito. Nos grupos A1 e A2, constatou-se apenas a presença de tecido conjuntivo com mínima deposição de osteóide. Um achado histológico marcante foi a formação de tecido ósseo extracortical subperiosteal nos animais dos grupos A1 e A2. CONCLUSÃO: Concluiu-se que a administração do alendronato sódico não contribuiu para o reparo ósseo nos ratos SHR, mas possivelmente tenha sido responsável pelas formações ósseas extracorticais observadas.BACKGROUND: The arterial hypertension is a disorder characterized by relevant alterations in the bone tissue. The sodium alendronate is indicated in the treatment of bone diseases, because of its affinity with the hydroxyapatite, inhibiting the bone reabsorptions. OBJECTIVE: To analyze

  3. LAS CRÍTICAS DE ARISTÓTELES A PLATÓN EN METAFÍSICA I, 9 ARISTOTLE’S CRITICISMS OF PLATO IN METAPHYSICS I, 9

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    Silvana Gabriela Di Camillo

    2011-03-01

    Full Text Available

    O recurso à exposição crítica das doutrinas anteriores é um procedimento metodológico usual em Aristóteles. Mas a característica distintiva do Livro I da Metafísica é que, ao invés de estabelecer uma nova doutrina, o exame dos predecessores serve para confirmar os próprios conceitos aristotélicos, os quais ele usa para avaliar os êxitos e os erros das doutrinas analisadas. Essa imposição de conceitos próprios lhe valeu a acusação de ter uma compreensão histórica distorcida. Com a análise detalhada das críticas da teoria platônica das Idéias na Metafísica I, 9, pretendemos mostrar: a que as críticas de manipulação e distorção das opiniões dos seus antecessores ofuscam o grau em que as suas próprias posições emergem de uma análise crítica do pensamento anterior; e b que a imposição de conceitos próprios não é uma distorção, mas uma proposta de solução para os problemas que as teorias anteriores deixaram sem solução.

    The use of critical exposition of previous doctrines is a methodological procedure usual in Aristotle. But the distinctive characteristic of Book I of the Metaphysics is that, rather than to establish a new doctrine, a review of  predecessors serves to confirm the own concepts to be used in the evaluation of the doctrines examined. This imposition of own terms has cost him the charge of distorting historical understanding. With the detailed analysis of the criticisms of Plato's theory of Ideas in Metaphysics I, 9, we intend to show a that the criticism of manipulation and distortion of his predecessors' views overshadow the degree to which Aristotle's own positions emerge from a critical review of previous thought and b that the

  4. The fate of the hip in spondylo-epi-metaphyseal dysplasia: clinical and radiological evaluation of adults with SEMD Handigodu type

    Energy Technology Data Exchange (ETDEWEB)

    Siddesh, N.D.; Shah, Hitesh; Joseph, Benjamin [Kasturba Medical College, Paediatric Orthopaedic Service, Manipal, Karnataka State (India)

    2012-08-15

    This study was undertaken to document the fate of the hip with reference to its structure and function in patients with spondylo-epi-metaphyseal dysplasia tarda Handigodu type (SEMD{sub HG}). Radiographs of 271 adult patients with SEMD{sub HG} were studied to identify the pattern of long-term sequelae in the hips. Several measurements of the proximal femur and acetabulum were made to quantify morphological alterations in the hip. Fifty-four adult patients were examined and administered a questionnaire to evaluate the extent of disability attributable to the hips. Three patterns of changes in the hips were noted: 35% had acetabular protrusio, 33% had subluxation of the hip, and 32% had no protrusio or subluxation. Distinctly different anthropometric measurements and dimensional alterations around the hip were noted in these three patterns. Patients with protrusio were relatively tall while those with subluxation were the shortest. All the patients had developed degenerative arthritis of the hips by the fourth decade of life irrespective of the pattern of hip involvement. The reduction in the range of hip motion and fixed deformities were most severe in patients with protrusio. All the patients had significant disability and very low functional hip scores. Degenerative arthritis of the hip develops in the majority of patients with SEMD{sub HG}; the symptoms are severe enough to warrant reconstructive surgery by the fourth decade of life. Protrusio or subluxation develops in a third of the patients each; both these complications will influence the surgical approach if total hip arthroplasty is planned. (orig.)

  5. The influence of ovariectomy, simvastatin and sodium alendronate on alveolar bone in rats Influência da ovariectomia, da sinvastatina e do alendronato sódico no osso alveolar em ratas

    Directory of Open Access Journals (Sweden)

    Ana Lia Anbinder

    2007-09-01

    Full Text Available Bisphosphonates are currently used in the treatment of many diseases involving increased bone resorption such as osteoporosis. Statins have been widely used for the treatment of hypercholesterolemia and recent studies have shown that these drugs are also capable of stimulating bone formation. The purpose of this study was to evaluate the influence of an estrogen deficient state and the effects of simvastatin and sodium alendronate therapies on alveolar bone in female rats. Fifty-four rats were either ovariectomized (OVX or sham operated. A month later, the animals began to receive a daily dose of simvastatin (SIN - 25 mg/kg, sodium alendronate (ALN - 2 mg/kg or water (control orally. Thirty-five days after the beginning of the treatment, the rats were sacrificed and their left hemimandibles were removed and radiographed using digital X-ray equipment. The alveolar radiographic density under the first molar was determined with gray-level scaling and the values were submitted to analysis of variance (a = 5%. Ovariectomized rats gained more weight (mean ± standard deviation: 20.06 ± 6.68% than did the sham operated animals (12.13 ± 5.63%. Alveolar radiographic density values, expressed as gray levels, were lowest in the OVX-water group (183.49 ± 6.47, and differed significantly from those observed for the groups receiving alendronate (sham-ALN: 193.85 ± 3.81; OVX-ALN: 196.06 ± 5.11 and from those of the sham-water group (193.66 ± 4.36. Other comparisons between groups did not show significant differences. It was concluded that the ovariectomy reduced alveolar bone density and that alendronate was efficient for the treatment of this condition.Os bisfosfonatos são empregados atualmente para o tratamento de várias doenças caracterizadas pelo aumento da reabsorção óssea, como a osteoporose. As estatinas são amplamente utilizadas para redução de níveis elevados de colesterol e estudos recentes têm revelado sua ação anabólica no osso

  6. Adorno’s criticism of Metaphysics in the Negative Dialectics%浅析阿多诺《否定的辩证法》中的形而上学批判

    Institute of Scientific and Technical Information of China (English)

    邵晓丹

    2014-01-01

    Adorno criticized metaphysics in his book, Negative Dialectics.The main target are the identity, concept imperialism and system which among the traditional metaphysics. He think the identity thought need to be criticized because it destroy the variety and peculiar in the phenomenon world and want to dispel every contradiction. Meantime, Adorno also repudiate Heidegger' view of metaphysics ,especially the his concept of Being and Existential ontology. In the end , Adorno bring forward his negative dialectics and constellation concept where the negative dialectics lives in.%阿多诺在《否定的辩证法》一书中对形而上学进行了批判,主要批判了形而上学传统中的同一性思维、概念帝国主义以及体系性。阿多诺认为同一性思想破坏了现象界的多样性和特殊性,妄图消解一切矛盾是需要批判的。同时,阿多诺也批判了海德格尔的形而上学观,特别是海德格尔的存在概念和基础本体论。最后,阿多诺提出了自己的否定的辩证法并且建构了这一理论存在的空间-星丛。否定的辩证法强调非同一性和彻底的否定性,注重特殊性和个别性。

  7. 复杂性理论的形而上学问题与建构策略研究%A Study on the Metaphysical Problems and Construction Tactics of the Theories of Complexity

    Institute of Scientific and Technical Information of China (English)

    赵伟

    2011-01-01

    当今时代,各种复杂性理论变体对于经典形而上学思维带来了挑战,并引起了人们对于复杂性理论是否是科学的怀疑。为了理解什么是复杂性以及怎么应对它所带来的形而上学新问题。首先,给出一个关于复杂性的相对定义,并介绍"复杂性"理论的三个发展阶段成果;其次,比较研究经典思维和复杂性思维的形而上学预设的冲突;最后,建构适应于复杂性理论的形而上学的构成承诺和构成原则。%Nowadays,all kinds of theories of complexity have brourht about challenges to the classical metaphysical thinking,and cause people to be doubtful whether the theories of complexity are scientific.In order to understand what is complexity and how to cope with the new metaphysical problems it produced.Firstly,give a relevant notion about complexity,and offers a chronological presentation of three generations of theories that have shaped its uses;secondly,compare and study the comflicts of metaphysical preferences between the classical thinking and the complexity thinking;in the end,construct the constitutive commitments and the constitutive principles which are adapted to complexity theories.

  8. Metaphysical Presuppositions of Modern Science

    OpenAIRE

    Ernest Wolf-Gazo

    2011-01-01

    This essay intends to show that science, especially the natural sciences, operate on presuppositions. In a nutshell view of aspects of the history of science the presuppositions, as part of the relevant historical context, operate within the scientific enterprise. Science used to be views as positivist and final; yet, the logic of methodology, from E.A. Burtt to T.S. Kuhn and Karl Popper show that presuppositions are part of the scientific research. Particularly the pioneering work of the arc...

  9. Metaphysical Presuppositions of Modern Science

    Directory of Open Access Journals (Sweden)

    Ernest Wolf-Gazo

    2011-12-01

    Full Text Available This essay intends to show that science, especially the natural sciences, operate on presuppositions. In a nutshell view of aspects of the history of science the presuppositions, as part of the relevant historical context, operate within the scientific enterprise. Science used to be views as positivist and final; yet, the logic of methodology, from E.A. Burtt to T.S. Kuhn and Karl Popper show that presuppositions are part of the scientific research. Particularly the pioneering work of the archeologist and philosopher R.G. Collingwood and the seminal thinker S.N. Nasr, who opened the doors for the inquiry of the role of science within Islamic Civilization, are highlighted. We show that the tension between the humanities (human sciences and the natural sciences still exist and need to be explored on a global level, especially as to their cultural presuppositions involved.

  10. MSM Poems: Haiku: Philosophy, metaphysics

    Directory of Open Access Journals (Sweden)

    Kristina Brenner

    2008-01-01

    Full Text Available Unexpectedly /I slip upon certainty /So I unravel***In the beginning,/Though I can't recall, I'm sure,/Therein lies my end.***I sat by water/ As the sun rose before me/ A Sandwich of Life***In expectations -/ In their very subversion -/ There lies the sublime.***Take lead from the Fool:/ Knowing nothing, nothing hurts./ All is feasible.***What is worse than hate?/ An ass, between two hay bales/ Starving to its death***Clouded behind words/ In time clouds pass, but so too/ Does that which they shroud***A star darts away/ Failing to see, all the while/ It's already caught***Are humans that scared/ Of a reality that/ They cannot cling to?***Tracing the path back/ Each day a new regression -/ I find my future

  11. On the Metaphysics of the Buddhist Images in Wei,Jin and Southern and Northern Dynasties%浅谈魏晋南北朝佛教造像中的玄学之风

    Institute of Scientific and Technical Information of China (English)

    李沫; 李妍

    2011-01-01

    魏晋南北朝时期,尤其是北魏中期的佛教造像中流行一种"秀骨清象"的造像艺术风格。它表现的是当时玄学清谈家所崇尚的道骨风韵,这个时期正是南北朝佛教与玄学融合交流的重要的时期,而佛教造像玄学化的重要标志即佛教造像的"秀骨清象。"%In the period of Jin and Southern and Northern Dynasties,especially in the middle of Northern Wei dynasty,the image art style " Clear Appearance by Drawing" is popular in Buddhist images.It shows the religion charm that metaphysics talker admires,and simultaneously,this period is an important period combining Buddhism in Southern and Northern Dynasties with metaphysics,in which " Clear Appearance by Drawing" is regarded as the important sign of Buddhist images.

  12. High-resolution peripheral quantitative computed tomography and finite element analysis of bone strength at the distal radius in ovariectomized adult rhesus monkey demonstrate efficacy of odanacatib and differentiation from alendronate.

    Science.gov (United States)

    Cabal, Antonio; Jayakar, Richa Y; Sardesai, Swanand; Phillips, Eual A; Szumiloski, John; Posavec, Diane J; Mathers, Parker D; Savitz, Alan T; Scott, Boyd B; Winkelmann, Christopher T; Motzel, Sherri; Cook, Lynn; Hargreaves, Richard; Evelhoch, Jeffrey L; Dardzinski, Bernard J; Hangartner, Thomas N; McCracken, Paul J; Duong, Le T; Williams, Donald S

    2013-10-01

    Translational evaluation of disease progression and treatment response is critical to the development of therapies for osteoporosis. In this study, longitudinal in-vivo monitoring of odanacatib (ODN) treatment efficacy was compared to alendronate (ALN) in ovariectomized (OVX) non-human primates (NHPs) using high-resolution peripheral computed tomography (HR-pQCT). Treatment effects were evaluated using several determinants of bone strength, density and quality, including volumetric bone mineral density (vBMD), three-dimensional structure, finite element analysis (FEA) estimated peak force and biomechanical properties at the ultradistal (UD) radius at baseline, 3, 6, 9, 12, and 18 months of dosing in three treatment groups: vehicle (VEH), low ODN (2 mg/kg/day, L-ODN), and ALN (30 μg/kg/week). Biomechanical axial compression tests were performed at the end of the study. Bone strength estimates using FEA were validated by ex-vivo mechanical compression testing experiments. After 18months of dosing, L-ODN demonstrated significant increases from baseline in integral vBMD (13.5%), cortical thickness (24.4%), total bone volume fraction BV/TV (13.5%), FEA-estimated peak force (26.6%) and peak stress (17.1%), respectively. Increases from baseline for L-ODN at 18 months were significantly higher than that for ALN in DXA-based aBMD (7.6%), cortical thickness (22.9%), integral vBMD (12.2%), total BV/TV (10.1%), FEA peak force (17.7%) and FEA peak stress (11.5%), respectively. These results demonstrate a superior efficacy of ODN treatment compared to ALN at the UD radii in ovariectomized NHPs. PMID:23791777

  13. Influence of treatment with alendronate on the speed of sound, an ultrasound parameter, of the calcaneus in postmenopausal Japanese women with osteoporosis: a clinical practice-based observational study

    Directory of Open Access Journals (Sweden)

    Iwamoto J

    2012-06-01

    Full Text Available Jun Iwamoto,1 Tetsuya Takada,2 Yoshihiro Sato,3 Hideo Matsumoto11Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo, 2Department of Internal Medicine, Hiyoshi Medical Clinic, Kanagawa, 3Department of Neurology, Mitate Hospital, Fukuoka, JapanPurpose: The influence of alendronate (ALN treatment on the quantitative ultrasound parameters of the calcaneus remains to be established in Japanese patients. The aim of the present clinical practice-based observational study was to examine the influence of ALN treatment for 1 year on the speed of sound (SOS of the calcaneus and bone turnover markers in postmenopausal Japanese women with osteoporosis.Patients and methods: Forty-five postmenopausal Japanese women with osteoporosis who had received treatment with ALN for more than 1 year were enrolled in the study. The SOS and bone turnover markers were monitored over 1 year of ALN treatment.Results: The urinary levels of cross-linked N-terminal telopeptides of type I collagen and serum levels of alkaline phosphatase decreased significantly from the baseline values (–44.9% at 3 months and –22.2% at 12 months, respectively. The SOS increased modestly, but significantly, from the baseline value (0.6% at both 6 and 12 months. The percentage decrease in the urinary levels of cross-linked N-terminal telopeptides of type I collagen at 3 months was significantly correlated with the percentage increase in the SOS only at 6 months (correlation coefficient, 0.299.Conclusion: The present study confirmed that ALN treatment suppressed bone turnover, producing a clinically significant increase in the SOS of the calcaneus in postmenopausal Japanese women with osteoporosis.Keywords: postmenopausal osteoporosis, quantitative ultrasound (QUS, SOS, bone turnover, biochemical markers

  14. Efectos de los productos de glicación avanzada (AGEs y alendronato sobre el desarrollo osteoclástico: posibles mecanismos de acción Effect of Advanced Glycation Endproducts and Alendronate on osteoclastic development: possible mechanisms of action

    Directory of Open Access Journals (Sweden)

    María Virginia Gangoiti

    2012-03-01

    effect of AGEs and Alendronate (an N-containing BP on the development of Oc in culture, as well as possible mechanisms of action involved in these effects. Materials and Methods: RAW264.7 macrophages and UMR106 osteoblasts were co-cultured for 8 days, with BSA or AGEs (50-200 µg/ml, with or without Alendronate (10-8-10-4M. The effect of these culture conditions on Oc formation was evaluated (number of Oc, cell-associated tartrate-resistant acid phosphatase [TRAP] activity, as well as Oc expression of RAGE (receptor for AGEs, and osteoblastic expression of RANK ligand (RANKL. These last two parameters were evaluated by indirect immunofluorescence, in order to estimate the expression and sub-cellular distribution of both membrane-associated proteins. Results: AGEs (50-200 µg/ml dose-dependently inhibited TRAP activity (10-30 % and the number of multinucleated Oc (55 %. Similar results were observed for low doses of Alendronate (10-8M-10-6M. The co-incubation of low doses of Alendronate with 100 mg/ml of AGEs, did not induce an additional inhibition of TRAP activity or Oc number, to that observed for AGEs alone. High levels of Alendronate (10-5M-10-4M inhibited Oc TRAP activity (20-25 % inhibition versus BSA, and 17 % versus AGEs, and also decreased the number of Oc formed in the presence of AGEs (16 % inhibition versus AGEs. Oc incubated in the presence of 100 µg/ml AGEs, showed a significant increase in the expression of RAGE (152 % versus BSA. Similar results were found after incubating with 10-8M Alendronate (130 % versus BSA. On the contrary, high doses of Alendronate (10-5M did not affect the expression of RAGE in co-cultures incubated with BSA (95 % versus BSA. On the other hand, low doses of Alendronate in the presence of AGEs, did not affect the up-regulation of RAGE induced by AGEs (145 % versus BSA. However, when the Oc were co-incubated with AGEs and 10-5M Alendronate, this dose of BP was able to block the stimulation of RAGE expression induced by AGEs (105

  15. 从形而上学到现象学:哲学为科学奠基%From Metaphysics to Phenomenology:the Philosophy Laying a Foundation for Science

    Institute of Scientific and Technical Information of China (English)

    朱光亚

    2013-01-01

    哲学为科学奠基是西方哲学的一个传统。自古希腊哲学以来,传统意义上的形而上学一直起着为科学奠基的作用。但是,随着本体论向认识论的转向,各门具体科学从形而上学的母体中脱离出来而导致哲学虚无化,心理主义逐渐成为各门具体科学的基础。反心理主义和心理主义的斗争在认识论领域内几乎始终相伴而行,康德就站在反心理主义的立场,试图重建形而上学。但是康德对心理主义的批判是不彻底的,心理主义发展的势头非但没有减弱,反而在近代达到了空前的繁荣。对心理主义批判的工作由胡塞尔完成,他论证逻辑学的基础不是心理主义,致力于构建一门纯粹逻辑学,重构了哲学对科学的奠基作用。%The philosophy laying a foundation for scientific is a tradition in western philosophy. From the ancient Greek philosophy, traditional metaphysics always plays the role of foundation for science. However, with the transform from ontology to epistemology, each specific discipline was separated form the matrix of metaphysics, which resulted in nihilization of philosophy, then psychologism gradually became the basis of specific scientific. The struggle of anti-psychologism and psychologism almost always go together in the field of epistemology. Kant stood on the position of anti-psychologism, trying to rebuild metaphysics. But Kant’s critique is incomplete. Psychologism’s development momentum was not weakened, inversely it got an unprecedented prosperity in modern times. Husserl performed the work of critique psychologism, in which he argument that the basis of logic is not psychologism, and committed to build a pure logic, which rebuilt the role of foundation philosophy to science.

  16. 形而上学的“围城”——答谢崛博士%A Besieged City of Metaphysics —— An answer with Doctor Xie Jue

    Institute of Scientific and Technical Information of China (English)

    邓晓芒

    2011-01-01

    Xie Jue's article contains a series of fallacies. The first of which is a misunderstanding of the construction of Chinese and Western metaphysics itself, because the Chinese traditional metaphysics is not simply based on practise and the Western metaphysics is not simply about epistemology. The comparison between them should be built on the specific structure of these two elements, but not on the presence of them. Otherwise, one is oversimplifying the issue. The second fallacy is that he made several wrong descriptions about the history of Philosophy. For example, he misunderstands Aristotle's ontology, and asserts that no one before Kant linked metaphysics to people's practice, as well as a superficial view of the Western hypocrisy, his misreading of Kant's concept of freedom and Hegel's "reality is reasonable" propositions, etc. The above mentioned evidences have shown that he was not familiar with the history of Western philosophy. The third is that his evaluation of these facts is with a kind of bias prejudice, which may be reasonable in the perspective of Western society, but in the context of Chinese society, it revealed a "Fortress Besieged" phenomenon. The fourth is that from his sense of good and evil, of freedom, of reflection and of faith, etc. , it reflects a tendency of being strongly racist, which is not conducive to the clarification of theoretical issues.%谢崛的文章包含一系列谬误,一是对中西形而上学本身的构成方式有误解,因为中国传统形而上学不仅仅是实践论的,而西方形而上学也不仅仅是认识论的,双方的比较应该建立在这些要素的结构模式上,而不是有无某种要素上,否则是失之简单化的;二是对哲学史的诸多事实作了错误的描述,如对亚里士多德存在论的误解和断言康德以前没有人把形而上学与实践的人相联系,以及对西方伪善观的肤浅化,对康德自由观、黑格尔“现实的就

  17. Notions directrices et architectonique de la métaphysique. La critique kantienne de Wolff en 1763 Main notions and architectonics of metaphysics. Kant’s criticism of Wolff in 1763

    Directory of Open Access Journals (Sweden)

    Stefanie Buchenau

    2011-12-01

    éthode wolffienne qu’il n’est supposé communément, et leur débat gagne en profondeur.This paper presents Christian Wolff’s argument on the evidence of metaphysical principles as expounded in his article Directive notions and the true use of the first science (1729. This article was a central and yet forgotten reference for those who responded to the 1762/1763 academy questions such as Kant. Wolff here asserts that metaphysics has a kind of certainty that is equal or even superior to mathematics and that it communicates such certainty to the remaining sciences. It is this Wolffian thesis that Kant attacked in 1763. A closer reading allows to acknowledge more philosophical premises of Wolff’s argument. Wolff’s thesis on the mathematical certainty of metaphysics inverts the former order of priorities between metaphysics (ontology and mathematics. According to Wolff (who here seemed to be influenced by Euclides’ geometry, metaphysical notions are at the foundation of mathematical and logical rules. Notions such as “identity”, “thing”, “possibility” etc. have a “directive” or methodical status : they direct the mind searching the truth. Together, these notions constitute a modern and “architectonic” ontology. This framework shows the methodological continuity between Wolff and Kant. Even though Kant contested the form of Wolff’s system, his response still formed part of the general program sketched by Wolff. Kant still attempted to found some kind of architectonic metaphysics containing a table of directive concepts. From this viewpoint, Kant owes more to Wolff than what has been commonly assumed, and the deep and complex debate between the two thinkers calls for more attention.

  18. Osteoporosis grave con aplastamientos vertebrales en dermatomiositis juvenil: Efecto del tratamiento con alendronato oral Severe osteoporosis with vertebral crushes in juvenile dermatomyositis: Effect of oral alendronate therapy

    Directory of Open Access Journals (Sweden)

    Cristina Tau

    2007-02-01

    Full Text Available Los glucocorticoides son usados comúnmente para el tratamiento de enfermedades inflamatorias, autoinmunes, enfermedades malignas, y en la prevención de rechazo de órganos trasplantados. Un efecto secundario frecuente del tratamiento prolongado es la pérdida de masa ósea que se produce por varios mecanismos y es causa de osteoporosis y fracturas vertebrales. El tratamiento con disfosfonatos ha sido propuesto para esta situación. Presentamos un caso clínico de osteoporosis grave en una niña con dermatomiositis juvenil, que respondió favorablemente al tratamiento con disfosfonatos orales.Glucocorticoids are used for the treatment of inflammatory and autoimmune diseases, cancer, and in prevention of organ rejects. A frequent secondary effect of longterm treatment with corticoids is the loss of bone mass, caused by several mechanisms: decrease in the intestinal calcium absorption, increase of the renal calcium excretion at the distal renal tubule, suppressive effect on the osteoblast and also in apoptosis of osteoclasts, inhibition in local production of IGF I (Insulin-like growth factor and IGFBPs (binding IGF I proteins necessary for bone metabolism, and decrease on osteocalcin production. Longterm treatment with corticoids is associated with osteoporosis and vertebral fractures. To improve this condition, treatment with bisphosphonates has been proposed. We present here a clinical case of a girl with dermatomyositis and severe osteoporosis with vertebral crushes, who responded well to oral bisphophonate treatment.

  19. Efeitos do treinamento resistido sobre variáveis relacionadas com a baixa densidade óssea de mulheres menopausadas tratadas com alendronato Effects of resistance training on low bone density-related variables in menopausal women taking alendronate

    Directory of Open Access Journals (Sweden)

    Cláudio Joaquim Borba-Pinheiro

    2010-04-01

    Full Text Available A osteoporose é uma doença crônica que atinge o esqueleto humano. OBJETIVO: Verificar os efeitos do treinamento resistido sobre a densidade mineral óssea (DMO, força muscular, equilíbrio e qualidade de vida em mulheres menopausadas em tratamento com alendronato. MÉTODOS: Participaram do estudo 16 voluntárias. Elas foram separadas em dois grupos: que praticaram o treino resistido (n = 9, 49,7 ± 4,2 idade e que constituíram o grupo controle (n = 7, 53,8 ± 4,4 idade. Os instrumentos de avaliação seguintes foram usados: a absorciometria de dupla energia por raios X -DXA (que mediu a coluna lombar L2-L4, colo do fêmur, triângulo de Wards e trocanter maior, o Osteoporosis Assessment Questionnaire (OPAQ e um teste de equilíbrio. O treinamento foi periodizado em 12 meses, divididos em seis ciclos com intensidade de 70-90% da carga máxima (10RM. Testes paramétricos (t ou Wilcoxon, para análise intragrupo e (Anova para intergrupos, foram usados. RESULTADOS: Foram encontradas diferenças significativas favoráveis ao grupo que treinou nos sítios da lombar L2-L4 (6,8%, p = 0,001, colo do fêmur (4,8%, p = 0,005 e trocanter (0,76%, p = 0,005. Além de diferenças significativas também para o equilíbrio corporal (21,4%, p = 0,001, qualidade de vida (9,1%, p = 0,001 e todas as medidas de força como na pressão de pernas 45° (49,3%, p Osteoporosis is a chronic disease of the human skeleton. OBJECTIVE: To verify the effects of resistance training on bone mineral density (BMD, muscular strength, balance and quality of life in menopausal women taking Alendronate. MATERIALS AND METHODS: Sixteen female volunteers participated in the study. The volunteers were separated into two groups: resistance training participants (n=9; 49.7±4.2 years and control group (n=7; 53.8±4.4 years. The following evaluation instruments were used: absorptiometry-DXA (which measured the lumbar spine L2-L4, neck femur, Wards triangle and major trochanter, the

  20. Transphyseal osseous bridges in experimental osteonecrosis of the femoral head of the rat. Histologic study of the bony bridges connecting the epiphyseal with the metaphyseal bony trabeculae through gaps in the physeal cartilage.

    Science.gov (United States)

    Peskin, B; Shupak, A; Misselevich, I; Zinman, C; Levin, D; Jacob, Z; Reis, D N; Boss, J H

    2001-07-01

    In view of the lifelong persistence of the physis, the femoral head of rats may serve to model Perthes disease and slipped capital femoral epiphysis. To produce osteonecrosis, the blood supply of one femoral head of 133, 6-month-old animals was severed by circumferentially incising the periosteum of the neck and cutting the ligamentum teres. The rats were killed 7 days to 90 days postoperatively. Associated with resorption of the necrotic bone and marrow, remodeling of the epiphysis was characterized by an ingrowth of vascularized fibrous tissue, formation of new bone and some cartilage, architectural deformation and flattening of the head. In 22 of 83 rats killed 30 days or more postoperatively, gaps in the continuity of the physeal cartilage were occupied by osseous bridges, connecting newly formed epiphyseal bony trabeculae with either the preexisting or newly formed metaphyseal osseous trabeculae. This healing mode may follow ischemic death of physeal chondrocytes or be owing to another mechanism, e.g., release of mediatory substances of inflammation. These findings raise the possibility that fixation of the healing epiphysis of a child's previously necrotic femoral head to the metaphysis occurs by transphyseal osseous growth in cases in which the physis is involved in the necrotic process. PMID:11497365

  1. 个体与社会--论魏晋玄学“群己之辨”%The individual and society---analysis of “Argument of Group and Individual”about metaphysics of the Wei and Jin dynasties

    Institute of Scientific and Technical Information of China (English)

    徐磊

    2015-01-01

    魏晋玄学的三大理论主题即:有无之辨、情理之辨和群己之辨,三者具有紧密的联系。有无之辩落实到人生层面,就是关乎自然与名教的情理之辩,而自然和名教之辩背后所蕴含的即是人的主题。个体重自然,社会尚名教,从名教与自然之辨,必然引申到群己之辨。在三国两晋时期,由于动荡的社会环境,导致自然与名教发生严重的分离,同时,这种分离也明显地体现了理想与现实、自由与道德、个体与社会之间所存在的冲突。如何去调整或者把握自然与名教、个体与社会的关系以达到彼此的统一,成为玄学的重要理论课题。%The three argumentative topics in the metaphysics of Wei and Jin dynasties refers to existing and nothing;emotions and reasons;and group and individual,which has close relationship among each other.From the aspect of human being,the argument of existing and nothing is the very argument of emotions and reasons between the Confu-cian Ethical Code and nature.Meanwhile,the key subject implied in the argument of the Confucian Ethical Code and nature is just the human beings.Individual prizes nature;and society upholds the Confucian Ethical Code.Nec-essarily,the argument of the Confucian Ethical Code and nature can extend to the argument of group and individual. During the period of Three Kingdoms and Two Jins dynasties,and due to the turbulent social environment,nature and the Confucian Ethical Code had been separated seriously.Obviously at the same time,this separation also re-flects the conflict between ideal and reality,freedom and morality,individual and the society.It becomes an impor-tant theoretical issue in metaphysics that how to cognitive or adjust the relationship between the nature and the Con-fucian Ethical Code,and between individual and the society for the achievement of the unity of each other.

  2. Radiographic and histological evaluation of bisphosphonate alendronate and metotrexate effects on rat mandibles inoculated with Walker 256 carcinosarcoma Avaliação radiográfica e histológica do efeito do bisfosfonato alendronato e do metotrexato na mandíbula de ratos inoculados com carcinossarcoma 256 de Walker

    Directory of Open Access Journals (Sweden)

    Ana Paula Negreiros Nunes Alves

    2007-12-01

    Full Text Available PURPOSE: To investigate the effects of bisphosphosnate alendronate (ALD and metotrexate (MTX on an experimental model of Walker 256 carcinosarcoma developed in the oral cavity of rats. METHODS Walker 256 carcinosarcoma cell suspension (0,1 mL containing 10(6 cell/mL was implanted in the alveoli of the first and second molars. The animals were divided and treated with saline, MTX, ALD, and MTX plus ALD. Later, the animals were sacrificed, the tumors were measured and the mandibles were removed for radiographic and histological analysis. RESULTS: In the control group, the radiographic images demonstrated radioluscency with poorly defined borders, and the microscopic examination revealed tumor infiltration into the peripheral and central regions of the bone. Areas of necrosis were commonly seen. In the treated groups with ALD, associated or not with MTX, the radiographic analysis revealed circumscribed tumor-induced osteolysis and various degrees of radiotransparence; while, histologically, preserved bone trabeculae with osteoid formation was observed among malignant cells. CONCLUSION: The bisphosphonate alendronate exherted an osteoprotective effect and induced bone neoformation on the Walker 256 carcinosarcoma inoculated in rat mandibles. The combination of metotrexate with bisphosphonate alendronate is more successful than treatment with the agents alone in controlling the growth of neoplastic cells and in stimulating reactive new bone. Therefore, this may be an alternative treatment to malignant lesions of maxillaries with osteolysis.OBJETIVO: Avaliar o efeito do bisfosfonato alendronato (ALD e do metotrexato (MTX em modelo do carcinossarcoma 256 de Walker na mandíbula de ratos. MÉTODOS: Uma suspensão de células tumorais do carcinossarcoma 256 de Walker (0,1mL, na concentração de 10(6 células/mL, foi implantada nos alvéolos de ratos previamente abertos por exodontia. Os animais foram divididos em grupos e tratados com salina, MTX, ALD e

  3. The comparison between alendronate and active vitamin D3 in controlling glucocorticoid induced osteoporosis in premenopausal patients with systemic lupus erythematosus%阿伦膦酸钠与活性维生素D3对比防治绝经期前SLE患者GIOP

    Institute of Scientific and Technical Information of China (English)

    刘颖; 张晓; 崔阳; 雷云霞; 张光峰; 谢悦胜

    2012-01-01

    Objective To observe comparatively the efficacies between alendronate and active vitamin D3 in controlling glucocorticoid induced osteoporosis (GIOP) in premenopausal patients with systemic lupus erythematosus (SLE) and without a history of fragility fracture. Methods 91 premenopausal female SLE patients with low-dose glucocorticoids (GCs) therapy or high-dose GCs therapy were divided into 2 groups, including 47 patients who were collected from the outpatient department and received low-dose GCs and 44 patients who were collected from the inpatient department and received high-dose GCs. The patients with either therapy were randomly divided into 3 groups: the calcium group, calcium plus active vitamin D3 group and calcium plus alendronate group. Bone metabolism serological markers and bone mineral density (BMD) values were tested in the first 0, 3 and 6 months. The incidence of fractures and femoral head necrosis was recorded during the treatment process. Results (1) In all groups with low-dose GCs therapy, there was no significant difference in the serum levels of calcium (Ca), inorganic phosphate (PO4) and alkaline phosphatase (ALP) before and after treatment. The serum levels of N-MID osteocalcin (N-MID) and β collagen decomposition segment (β-CT) significantly decreased after the treatment in the calcium plus alendronate group (P0.05). In the calcium plus alendronate group, the BMD values significantly increased after the treatment (P0.05). (3) There was no fracture and femoral head necrosis in all groups with low-dose GCs therapy. In all groups with high-dose GCs therapy, femoral head necrosis occurred in the calcium group and calcium plus active vitamin D3 group, and meanwhile, there was no femoral head necrosis in the calcium plus alendronate group. Conclusions When premenopausal female SLE patients receive low-dose or high-dose GCs therapy respectively, alendronate can better decrease bone turnover, increase BMD and reduce the incidence of femoral head

  4. 普遍性原则与自由原则:康德道德形而上学理念探源%The Principle of Universality and the Principle of Freedom:A Probe into the Origin of Kant”s Metaphysics of Morals

    Institute of Scientific and Technical Information of China (English)

    王腾

    2014-01-01

    The origin of Immanuel Kant”s metaphysics of morals has long been a controversial issue in academic cir-cles.Generally speaking,there are two sources,one being David Hume and the other being Jean-Jacques Rousseau. On the basis of Hume”s“cause and effect relationships"analysis and critique,Kant makes a clear distinction be-tween“nature"and“freedom",providing“turf"for“morals";the“principle of universality"and“the principle of freedom"prosposed in Rousseau”s social contract facilitates Kant”s construction of his metaphysics of morals as to the principle of transcendental pure“moral laws"and“self-determination".Besides Hume and Rousseau,Leibniz is also an important source of Kant”s metaphysics of morals,as his“spontaneity"and“self-determination"of rational soul monads have inspired Kant to come up with his“theory of freedom"of moral metaphysics,which consists of“transcendental freedom"and“practice of freedom".%康德道德形而上学的来源一直是学术界争论的问题。一般认为,康德道德形而上学有两个来源:一是休谟;二是卢梭。康德在对休谟的“因果大原理”分析与批判的基础上明确区分了“自然”与“自由”,从而为“道德”提供“地盘”;卢梭社会契约论展现出来的“普遍性原则”和“自由原则”促成了康德对先验纯粹的“道德法则”与“意志自律”原则的道德形而上学原理建构。除了休谟和卢梭,莱布尼茨也是康德道德形而上学的重要来源,其理性灵魂单子的“自发性”与“自决性”思想开启了康德道德形而上学的“自由”理论---“先验自由”与“实践的自由”。

  5. The Metaphysical Case against Luck Egalitarianism

    OpenAIRE

    Deijl, Willem

    2013-01-01

    textabstractLuck egalitarianism is the name of a group of theories of justice that subscribe to the idea that a just society compensates for brute luck, but does not compensate for bad outcomes that fall under the responsibility of the agent himself. The theory has gained much popularity over the past decades. Notable defenders of versions of the theory are Dworkin (2000) and Cohen (1989). Centralizing luck in a theory of justice requires a substantial account of luck, and thereby makes the f...

  6. Heidegger on Assertion, Method, and Metaphysics

    OpenAIRE

    Golob, Sacha

    2013-01-01

    In Sein und Zeit Heidegger makes several claims about the nature of ‘assertion’ [Aussage]. These claims are of particular philosophical interest: they illustrate, for example, important points of contact and divergence between Heidegger’s work and philosophical movements including Kantianism, the early Analytic tradition, and contemporary pragmatism. This article provides a new assessment of one of these claims: the claim that assertion is connected to a ‘present-at-hand’ ontology. I also ind...

  7. Homeopathic tendencies : acts of metaphysical desire.

    OpenAIRE

    Seymour, Carmel Janette, 1979-

    2015-01-01

    Homeopathic Tendencies explores the relationship between creative intuition and the Spiritualist movement. The links between the domestic setting and magical thinking are explored through the invention of ritual in the home, the collecting and animating of objects and the building of domestic shrines. It examines artists that used Spiritualism as a method for making work but also artists that engage with a magical language when describing dealing with uncertainty in their own work. By usi...

  8. The Market Order as Metaphysical Loot

    DEFF Research Database (Denmark)

    Schwarzkopf, Stefan

    2012-01-01

    The mechanism through which the ideology of market capitalism emerged has mostly been interpreted as part of an incremental, inevitable, and thus legitimate ousting of theological concepts from a public sphere that became organized around the principles of the Enlightenment as a secular project......’, allowed for the mobilization of individual choice as a principle of social organization. The same process was responsible for underpinning the often unjust and illiberal market order with the vision of the world as an ordered and benign kosmos that emerged spontaneously from chaos....

  9. A metaphysical journey in a comatose state.

    Science.gov (United States)

    Gimenez, R

    1992-01-01

    This paper is about the intense experience of being in the hospital in a comatose state resulting from an aneurysm with a massive brain hemorrhage and two subsequent surgeries. The event begins with a premonition of what will happen from a street name. The experience of brain surgeries, along with the fine care of the nurses, left me with a truly memorable impression. This paper describes the various feelings and strong emotions that I experienced while in a comatose state. It suggests that a patient in a comatose state can exist in a deep state of emotions close to ecstasy. The paper concludes with gratefulness to all the people who followed me step by step on this journey. PMID:1286457

  10. Physics and metaphysics looks at computation

    OpenAIRE

    Svozil, Karl

    2005-01-01

    As far as algorithmic thinking is bound by symbolic paper-and-pencil operations, the Church-Turing thesis appears to hold. But is physics, and even more so, is the human mind, bound by symbolic paper-and-pencil operations? What about the powers of the continuum, the quantum, and what about human intuition, human thought? These questions still remain unanswered. With the strong Artificial Intelligence assumption, human consciousness is just a function of the organs (maybe in a very wide sense ...

  11. Physics and metaphysics looks at computation

    CERN Document Server

    Svozil, K

    2005-01-01

    As far as algorithmic thinking is bound by symbolic paper-and-pencil operations, the Church-Turing thesis appears to hold. But is physics, and even more so, is the human mind, bound by symbolic paper-and-pencil operations? What about the powers of the continuum, the quantum, and what about human intuition, human thought? These questions still remain unanswered. With the strong Artificial Intelligence assumption, human consciousness is just a function of the organs (maybe in a very wide sense and not only restricted to neuronal brain activity), and thus the question is relegated to physics. In dualistic models of the mind, human thought transcends symbolic paper-and-pencil operations.

  12. "Humanitas", Metaphysics and Modern Liberal Arts

    Science.gov (United States)

    Tubbs, Nigel

    2014-01-01

    There is a new myth of the heterogeneous that is reducing the concept of humanity to a sinful enlightenment. In this article I investigate the contribution that a renewed understanding of liberal arts education might offer for the idea of a humanist education and for the concept of humanity; and this at a time when not only the concept of humanity…

  13. Efeitos de tratamento combinado de alendronato de sódio, atorvastatina cálcica e ipriflavona na osteoporose induzida com dexametasona em ratas Effects of combined treatment of alendronate of sodium, calcic atorvastatin and ipriflavone in osteoporosis induced with dexamethasone in female rats

    Directory of Open Access Journals (Sweden)

    Aloísio da Silva Pinto

    2006-03-01

    Full Text Available O objetivo deste trabalho foi estudar a influência das combinações: bifosfonato (alendronato de sódio + estatina (atorvastatina cálcica, bifosfonato (alendronato de sódio + flavonóide (ipriflavona e estatina (atorvastatina cálcica + flavonóide (ipriflavona em ratas com osteoporose induzida pelo glicocorticóide dexametasona. As influências das associações dessas substâncias foram pesquisadas pela análise de testes dos marcadores bioquímicos de remodelação óssea, tais como, cálcio e fósforo sérico, fosfatase alcalina óssea e por exames histomorfométricos, caracterizando a densidade trabecular óssea. Através da avaliação da densidade trabecular óssea foi possível verificar o aumento da mesma em todos os tratamentos efetuados. Ressaltando-se, ainda, que as associações contendo alendronato de sódio apresentaram elevadas taxas de restauração tecidual óssea, alcançando valores superiores aos do grupo dos animais normais. Os marcadores bioquímicos não apresentaram resultados estatisticamente significativos, não fornecendo subsídios para o diagnóstico e acompanhamento da osteoporose. No entanto, a avaliação histomorfométrica permitiu a análise estática e dinâmica, bem como detecção de alterações teciduais na unidade metabólica óssea, particularmente, no osso trabecular.The objective of this work was to study the influence of the combinations: biphosphonate (alendronate of sodium + statin (calcic atorvastatin, biphosphonate (sodium alendronate + flavonoid (ipriflavone and statin (calcic atorvastatin + flavonoid (ipriflavone in female rats with osteoporosis induced by the glucocorticoid dexamethasone. The influence of the combinations of those drugs was observed through tests of the biochemical markers of bone remodeling, such as, levels of serum calcium and phosphorus and bone alkaline phosphatase and through histomorphometric exam, visualizing the bone trabecular density. Through the evaluation of the

  14. 阿仑膦酸钠肠溶片预防和治疗绝经后妇女骨质疏松症的相关研究%Study of alendronate sodium enteric-coated tablets in prevention and treatment of osteoporosis in postmenopausal women

    Institute of Scientific and Technical Information of China (English)

    边志颖; 刘丽华; 李彩格; 张力辉; 周红; 张松筠

    2012-01-01

    content level of leptin and Interleukin-6(IL-6) were compared between postmenopausal women (observed group) and normal child-bearing age women (control group) to explore the incidence possibility of osteoporosis;To observe and analyze the efficacy and safety of alendronate sodium enteric-coated tablets in prevention and treatment of osteoporosis in postmenopausal women. Methods The subjects in control group(25 cases) got no treatment, while all postmenopausal women in observed group(42 cases) took Caltrate D 600 mg/d and alendronate sodium enteric-coated tablets 70 mg per week orally in 6 months. Bone mineral density(BMD) and leptin, interleukin-6 level of observed group and control group, BMD of lumbar vertebrae 2-4 (L2-4), left neck of femur. Ward triangle, femoral trochanter, and alkaline phosphatase (ALP), bone gla protein (BGP), tartrate- resistant acid phosphatase (TRAP), calcium (Ca), phosphate (P) before the treatment,in the end of the 6th month and 1 year after the treatment were measured. The relevant indicators of bone metabolism of two groups were compared. Results Compared with control group, the BMD of L2-4 and left femoral neck,femoral trochanter and Ward triangle in observed group reduced significantly( P <0. 01). Serum interleukin-6 in observed group was significantly higher than that of control group,(69. 22±7. 01) μg/L vs (11. 37±4. 86) μg/L( P< 0.01). At the end of the 6th month of the treatment, the BMD of observed group L2-4,left femoral neck, femoral trochanter and Ward triangle increased significantly as compared with that before the treatment( P <0. 05 or <0. 01). L2-4(0. 83±0.08) g/m3 ,(0. 88 + 0. 08) g/m3 vs (0. 87±0. 07) g/m3 ( P <0. 05);left femoral neck(0. 68±0. 11) g/ m3,(0. 72±0. 07) g/m3 vs (0. 73±0. 06) g/m3( P <0. 05);Bone strands of thick long(0. 61 ±0. 09) g/m3,(0. 71 ±0.09) g/m3 vs (0. 69±0.08) g/m3( P <0. 01); Ward triangleCO. 48±0. 13) g/m3, CO. 57±0. 11) g/m3 and (0. 55± 0. 13) g/m3 ( P <0. 01). ALP,BGP,TRAP level

  15. Rethinking of the Relationship between Marx and Metaphysics ——Review the Heidegger's Criticizing of Marx on the Height of the Nihilism%重新理解马克思与形而上学问题——兼驳海德格尔对马克思“达到了虚无主义的极致”的批评

    Institute of Scientific and Technical Information of China (English)

    宋友文

    2012-01-01

    马克思所创立的历史唯物主义属于世界观理论的谱系,它通过对德意志意识形态的批判终结了传统的形而上学。把作为超感性世界的意识形态归结为感性世界只是马克思克服形而上学的第一步。回应海德格尔对马克思陷入虚无主义的批评,就要回答马克思和“感性世界与超感性世界二元对立”的形而上学结构的关系问题。马克思不只是把超感性世界颠倒、归结为感性世界,而且是诉诸具体的作为感性活动的物质生产的二重性来克服虚无主义问题。感性活动作为感性世界和超感性世界的中介,起着“上通下达”的作用,表征着人的生存方式的二重性和矛盾性。因此,作为世界观理论的历史唯物主义正是通过具体的感性活动在感性世界和超感性世界之间保持了必要的张力,才避免了形而上学与虚无主义的厄运。%Historical materialism established by Marx is by pedigree the theory of worldview, ending the metaphysics by criticizing the German ideology. Marx attributes the transcend world to the sensible world, which is the first step to conquer metaphysics. In order to response to the Heidegger's criticizing of Marx in the nihilism, we must find out the relationship betweefi Marx's philosophy and the duality of transcendental world and sensible world of metaphysics. Marx conquers the nihilism resorts to the duality of the material production as sensible activity. As the medium of the transcendental world and sensible world, the sensible activity represent the duality and contradiction of the mode of human existence. Marx conquer the metaphysics and nihilism by establishing the balance of the transcendental world and sensible world.

  16. Collaborative Improvement

    DEFF Research Database (Denmark)

    Kaltoft, Rasmus

    The thesis data have been collected in the EU-sponsored project: Collaborative Improvement Tool for the Extended Manufacturing Enterprise, CO-IMPROVE. In this project four universities (Denmark, Ireland, Italy, and The Netherlands), two software vendors (Greece and Sweden) and three companies (De...... learn how to improve operations in (hopefully) a win-win like manner through collaboration.......The thesis data have been collected in the EU-sponsored project: Collaborative Improvement Tool for the Extended Manufacturing Enterprise, CO-IMPROVE. In this project four universities (Denmark, Ireland, Italy, and The Netherlands), two software vendors (Greece and Sweden) and three companies...... (Denmark, Italy and The Netherlands) each with three to five suppliers were involved. The CO-IMPROVE project and the thesis is based on “action research” and “action learning”. The main aim of the whole project is through actual involvement and actions make the researchers, companies and selected suppliers...

  17. O darwinismo e o sagrado na segunda metade do século XIX: alguns aspectos ideológicos e metafísicos do debate Darwinism and "the sacred" during the second half of the 19 th century: some ideological and metaphysical features of the debate

    Directory of Open Access Journals (Sweden)

    Juanma Sánchez Arteaga

    2008-01-01

    Full Text Available O artigo analisa alguns aspectos ideológicos e metafísicos da transformação do imaginário ocidental sobre a origem da espécie humana - a velha questão, "quem somos?", respondida de formas diversas pelo cristianismo e pela biologia evolutiva - na segunda metade do século XIX. Nesse período passa-se do predomínio da antropogênese cristã ao das explicações evolucionistas. Analisa-se a confrontação histórica que teve lugar, nesse período, entre alguns dos principais defensores científicos do evolucionismo materialista - Haeckel, Clémence Royer e Huxley - e os defensores de uma antropologia anti-evolucionista e cristã. Analisam-se brevemente os pontos principais da crítica de Darwin à religião e algumas similitudes e discrepâncias de sua crítica ao pensamento religioso com relação à realizada por Marx no mesmo período. Determinados aspectos ideológico-metafísicos foram componentes essenciais do discurso darwinista na sua luta para se impor às narrativas do cristianismo sobre a origem do ser humano.This paper analyzes some of the ideological and metaphysical features of the historical transformation of Western imaginary on human origins, during the second half of 19th Century. In this period, predominance of the Christian Natural Theology accounts about anthropogenesis gave place to a new paradigm, based on evolutionary biological explanations. We thus analyze the historical confrontation that took place between prominent materialistic scientists - Haeckel, Royer, Huxley - defending evolutionary theories, on one hand, and advocates of a non-evolutionist anthropology linked to Christian believe in Creation, on the other. This paper analyzes the main features of Darwin's criticism of religious thought, based on naturalistic basis, and presents some similarities and differences with the critique of religion made by Marx in the same period. Darwinism included some metaphysical and ideological elements as essential parts of

  18. CANDU improvement

    International Nuclear Information System (INIS)

    The evolution of the CANDU family of nuclear power plants is based on a continuous product development approach. Proven equipment and system concepts from operating stations are standardized and used in new products. Due to the modular nature of the CANDU reactor concept, product features developed for CANDU 9 can easily be incorporated in other CANDU products such as CANDU 6. Design concepts are being developed for advanced CANDU 6 or larger advanced CANDU, depending on the number of fuel channels and the fuel cycle selected. This paper provides a description of the design improvements being incorporated in CANDU 9 and further design enhancements being studied for future incorporation in CANDU 6 or larger advanced CANDU meeting the requirements of future CANDU owners. The design enhancement objectives are: To improve operational simplicity by applying modern information technology; to improve safety in a cost effective way; to improve system and component reliability and to increase plant life; to improve economics and to reduce owners' risks during all phases of a project using up-front licensing, an improved engineering process and project tools during design, construction and operation; to continue to exploit the neutron economy of CANDU with the development of advanced fuels and fuel cycles. (author)

  19. Long-Term Alendronate Use Not without Consequences?

    Directory of Open Access Journals (Sweden)

    M. P. Somford

    2009-01-01

    Full Text Available A previously unknown side effect of biphosphonate use is emerging. In a specific patient group on long term biphosphonate therapy stress femur fractures seem to occur. The typical presentation consists of prodromal pain in the affected leg and/or a discrete cortical thickening on the lateral side of the femur in conventional radiological examination or the presentation with a spontaneous transverse subtrochanteric femur with typical features. We present three cases of this stress fracture in patients on bisphosphonate therapy. One of these patients suffered a bilateral femur fracture of the same type. In our opinion, in patients on bisphosphonate therapy who present with a spontaneous femur fracture, seizing therapy is advisable. In bilateral cases preventive nailing should be considered.

  20. Collaborative Improvement

    DEFF Research Database (Denmark)

    Kaltoft, Rasmus

    Many companies have gradually moved from vertically aligned operations to horizontally aligned operations, a change implying that co-ordination is shifting from the hierarchy to the market place with emphasis on collaboration with other companies. One form of collaboration with companies is so......-called Extended Manufacturing Enterprises (EMEs). In effect, the battlefield of competition is increasingly moving from the level of individual firms to that of EMEs. Consequently, new approaches must be developed not only to enhance the business performance of EMEs, but also, in particular, the inter......-organisational continuous improvement of their performance, relative to that of other EMEs. Developing a collaborative improvement relationship between companies is a protracted and complex process and, according to some surveys, the failure rate is as low as one to three. This failure rate is affected by a whole range of...

  1. 王弼形而上哲学的现实关怀--会通“名教”与“自然”关系的尝试%On Wang Bi’s Metaphysical Philosophy:Trying to Recombine the Confucian Ethical Code with Nature

    Institute of Scientific and Technical Information of China (English)

    宋颖

    2014-01-01

    The relation between the Confucian ethical code and Nature is the key to solving the problem of Weijin scholars’ life tragedy and also the core of metaphysics in Wei and Jin Dynasties. Lao Zhuang’s“WU”is promoted to a purer ontology in Wang Bi’s philosophy. Based on the upgraded“WU”,“Nature”is transcended;a clear relationship between“WU”,“XING”and“li”is discussed;and the connotation of “Nature” is given personal emotion and social culture. And thus the Confucian ethical code can be proved reasonably. All of these lay the theoretical foundation of Weijin scholar’s poeticizing realm of life to eliminate their consciousness of tragedy.%名教与自然的关系问题,是如何解决魏晋士人现实生存悲剧性的核心问题,也是魏晋玄学的核心问题。王弼在把老庄的“无”提升为更纯粹的本体论基础上,赋予“自然”以超越的境界旨趣,并论述自然与“无”“性”“理”的关系,扩大了道家的“自然”概念,赋予“自然”人的情感和社会文化的新内涵,使得现实的“名教”有了合理根据,为弥合悲剧意识的魏晋士人诗化人生境界的出现奠定了理论基础。

  2. MANAGEMENT OF FRACTURE DISTAL TIBIA WITH LOCKING MEDIAL METAPHYSEAL PLATE

    OpenAIRE

    Banikanta Sharma; Sanjib

    2015-01-01

    Distal 1/3 rd of tibia being a region with precarious blood supply is known for delayed union or non - union when a fracture occurs in this part. Conservative treatment with POP cast after manipulation and reduction, Interlocking nail, Plate osteosynthesis, Ring fixators etc . are the usual treatment modalities employed for the manageme...

  3. Science of conscience: Metaphysics, morality, and rhetoric in psychopathy research

    OpenAIRE

    Jalava, Jarkko Ville

    2007-01-01

    The psychopathy project – a term used here to describe the various efforts to establish psychopathy as an object of science – has existed in one form or another for over two hundred years. At present, it enjoys wide popularity in the social sciences as well as in popular imagination. The present work is an analysis of the psychopathy project’s logical coherence. The present work examines, among other things, the claims that psychopathy is either a medical condition or a mental illness. Also e...

  4. Pursuing the Good, Ethics and Metaphysics in Plato s Republic

    Institute of Scientific and Technical Information of China (English)

    Douglas; Cairns; Fritz-Gregor; Herrmann; Terry; Penner

    2008-01-01

    ‘Pursuing the good’ is an old subject in both social history of ancient Greece and Greek philosophy studies. There is hardly anything new when we talk about virtue or morality in the time of Plato and Aristotle. In the area of Greek history, many books and articles on or relevant to that

  5. Metaphysical and value underpinnings of traditional medicine in West Africa.

    Science.gov (United States)

    Omonzejele, Peter F; Maduka, Chukwugozie

    2011-02-01

    This study investigated the extent to which recourse to traditional healers depended on biometric variables; ways of knowing in good time what ailments were more likely to be better handled by traditional healers; rationale behind traditional healing methodologies. On the whole, four research questions were engaged. The sample for the study included residents in urban (Benin City) and rural (Ehime Mbano) communities in Nigeria. The instruments comprised of two questionnaires. The traditional healers were also interviewed in addition. The findings of the research included the following: in both rural and urban areas, women and more elderly persons had more recourse than other groups to traditional medicine; Christians, less educated persons, self-employed persons and women affirmed most strongly to the efficacy of traditional medicine over Western medicine with respect to certain ailments; ways for averting spiritual illnesses included obeying instructions from ancestors and offering regular sacrifices to the gods; methods used by traditional healers to determine whether an ailment was "spiritual" or as a result of home problems included diagnosis linked to divination, interpretation of dreams particularly those involving visits by ancestors, interpretation of nightmares and omens such as the appearance of owls; methods for curing patients included use of herbs particularly those believed to have magical powers, offering of sacrifices, use of incantations and wearing of protective medicine. PMID:21390575

  6. THE CONCEPT OF SENCE IN THE WORLD, METAPHYSICS AND SCIENCE

    Directory of Open Access Journals (Sweden)

    Michal Sicinski

    2007-01-01

    Full Text Available The notion of objective sense is commonly used in various contexts, and is also frequently misused. It has been often criticised in the context of natural sciences during the last 200 years - the period of positivistically oriented science. In the ancient Greek philosophy the problem of Nature possessing its own sense was stressed, and from the problem the first germs of science started in the Ionic and Pythagorean schools. Contrary to that, Aristotelean approach initiated the positivist tradition which banned from science the question of Nature as possessing an internal sense, and the scholastics introduced a concept of Nature's sense being not intrinsic but granted to it by the divine action. The mathematisation of physics caused that the the divine action started to be interpreted as "mathematical", and in consequence, the sense of Nature was seen as expressed by mathematics. Later on, this mathematically expressed sense of Nature, as seen in physical theories, started to be perceived as independent from God and having not much to as supernatural: inside the mathematical science there was no place for any anthropomorphic Creators.Recently, however when in the newest physics the mathematical structures have already been perceived not only as a language but also as a kind of ultimate reality, a place for quasi-religious feeling of mystery hidden in these structures has been welcome. It means that within the field of modern physical theories there is no place for the traditional religious concepts, but there is a place for a kind of mystics of objective mathematics in the Pythagorean style, related to the modern "new spirituality" mysticism.The situation is completely different in the area of less mathematised branches like biology. The tensions between science and religion are strong there, and the alternative is as follows: traditional religiousness versus traditional atheism, but not a neutral science separated from religion versus a non-traditional mysticism of the mathematics beings united with nature, as it is in the case of newest physics. So, the biologist who are not ready to accept the popular tradition notion of God directly interfering with nature, e.g. creating the phenomenon of life or man, are ready to accept the old-fashioned "scientific" atheism. That is why the dialogue science and religion is rather difficult in relation to biology, despite being so fruitful in relation to physics and cosmology.

  7. Humanities’ Metaphysical Underpinnings of Late Frontier Scientific Research

    Directory of Open Access Journals (Sweden)

    Alcibiades Malapi-Nelson

    2014-12-01

    Full Text Available The behavior/structure methodological dichotomy as locus of scientific inquiry is closely related to the issue of modeling and theory change in scientific explanation. Given that the traditional tension between structure and behavior in scientific modeling is likely here to stay, considering the relevant precedents in the history of ideas could help us better understand this theoretical struggle. This better understanding might open up unforeseen possibilities and new instantiations, particularly in what concerns the proposed technological modification of the human condition. The sequential structure of this paper is twofold. The contribution of three philosophers better known in the humanities than in the study of science proper are laid out. The key theoretical notions interweaving the whole narrative are those of mechanization, constructability and simulation. They shall provide the conceptual bridge between these classical thinkers and the following section. Here, a panoramic view of three significant experimental approaches in contemporary scientific research is displayed, suggesting that their undisclosed ontological premises have deep roots in the Western tradition of the humanities. This ontological lock between core humanist ideals and late research in biology and nanoscience is ultimately suggested as responsible for pervasively altering what is canonically understood as “human”.

  8. Infanticide for handicapped infants: sometimes it's a metaphysical dispute.

    OpenAIRE

    Long, T A

    1988-01-01

    Since 1973 the practice of infanticide for some severely handicapped newborns has been receiving more open discussion and defence in the literature on medical ethics. A recent and important argument for the permissibility of infanticide relies crucially on a particular concept of personhood that excludes the theological. This paper attempts to show that the dispute between the proponents of infanticide and their religious opponents cannot be resolved because one side's perspective on the infa...

  9. The Production of Seriousness The Metaphysics of Economic Reason

    CERN Document Server

    Gustafsson, Professor Emeritus Claes

    2011-01-01

    This book is about the roots of managerial rationality. A theoretical base, founded on the concept of 'memetics' is developed in order to explain human thinking and human reason as products of cultural evolution. Cultural change and development are explained by simple, value-driven memetic mechanisms like 'ritualization' and 'extremization'.

  10. Cognitive Metaphor Theory and the Metaphysics of Immediacy.

    Science.gov (United States)

    Madsen, Mathias W

    2016-05-01

    One of the core tenets of cognitive metaphor theory is the claim that metaphors ground abstract knowledge in concrete, first-hand experience. In this paper, I argue that this grounding hypothesis contains some problematic conceptual ambiguities and, under many reasonable interpretations, empirical difficulties. I present evidence that there are foundational obstacles to defining a coherent and cognitively valid concept of "metaphor" and "concrete meaning," and some general problems with singling out certain domains of experience as more immediate than others. I conclude from these considerations that whatever the facts are about the comprehension of individual metaphors, the available evidence is incompatible with the notion of an underlying conceptual structure organized according to the immediacy of experience. PMID:26523770

  11. Descriptive Metaphysics, Natural Language Metaphysics, Sapir-Whorf, and All That Stuff: Evidence from the Mass-Count Distinction

    OpenAIRE

    Francis Jeffry Pelletier

    2010-01-01

    Strawson (1959) described ‘descriptive metaphysics’, Bach (1986a) described ‘natural language metaphysics’, Sapir (1929) and Whorf (1940a,b, 1941) describe, well, Sapir-Whorfianism. And there are other views concerning the relation between correct semantic analysis of linguistic phenomena and the “reality” that is supposed to be thereby described. I think some considerations from the analyses of the mass-count distinction can shed some light on that very dark topic.ReferencesBach, Emmon. 1986a...

  12. CDBG Public Improvements Activity

    Data.gov (United States)

    Department of Housing and Urban Development — CDBG activity related to public improvements, including senior centers, youth centers, parks, street improvements, water/sewer improvements, child care centers,...

  13. Quality improvement techniques to improve patient satisfaction.

    Science.gov (United States)

    Torres, E Joseph; Guo, Kristina L

    2004-01-01

    This paper describes several approaches for implementing quality improvement initiatives to improve patient satisfaction, which enables health-care organizations to position themselves for success in today's global and increasingly competitive environment. Specifically, measuring the views of patients, improving patient satisfaction through a community-wide effort, and using a Six Sigma program are discussed. Each of these programs can be an effective mechanism for quality improvement. A key component to quality improvement techniques involves collaborative efforts by all health-care professionals and managers as they seek to increase patient satisfaction. PMID:15552388

  14. Mistik ve Metafizik Bağlamda Bir Yolculuk Üçlemesi: “Hüsn ü Aşk - Hacının Yolu - Simyacı” A Journey Trilogy In The Context Of Mystic And Metaphysic “Hüsn ü Aşk - The Pilgrim’s Progress - The Alchemist”

    Directory of Open Access Journals (Sweden)

    Nazire ERBAY

    2013-03-01

    Full Text Available Journey is a mystical action in which a person goes through a metaphysical experience regardless of his physical existence even though it has just a meaning of a usual moving in time and place. The journey that brings the individual to maturity and tranforms/changes him is quite dangerous and challenging one. In this study, acomparative analysis has been carried out on the factors that make thecharacters who constitute the central idea in the works called ‘Hüsn üAşk’ by Şeyh Galip, ‘The Pilgrim’s Progress’ by John Bunyan and ‘TheAlchemist’ by Paulo Coelho set out an esoteric journey andmutual/different symbols that are used in these three works duringthat journey, characters in the role of helper, obstacles encounteredduring the journey and the goals that the characters eventually achieveat the end of their journeys and meanings of these goals. During thejourney conveyed by the dream metaphor in the three works,individual’s transformation and growing into maturity after witnessingand commenting on the symbolic messages faced in order to findmeaning in life is narrated. Awareness of the transformation isn’tgained by another person; rather it is gained by the individual himself.The enduring journey, as can be seen as learning process, is conveyedby numerous events and situations experienced by the characters in theworks, and each book’s distinctive symbols and images with their ownmeanings. It is important that the heroes make out the omens facedand get over the obstacles and be aware of their own realities. In thethree works of three different cultures, The Pilgrim’s Progress, TheAlchemist, Hüsn-ü Aşk, the heroes similarly undergo a transformationand achieve the endless happiness by overcoming symbolic obstacles. Yolculuk, zaman ve mekân içinde her ne kadar sıradan bir yer değiştirme anlamı taşısa da, mistik anlamda, insanın mevcut varlığını bir tarafa bırakıp metafizik bir tecrübe yaşamasıdır.

  15. The Gendered Metaphysics of Puritan Culture:Towards an Interpretive Explanation of the Salem Witch Trials%清教文化的性别形而上学:对萨勒姆审巫案的诠释性解释

    Institute of Scientific and Technical Information of China (English)

    伊萨克·里德; 童韵评(译)

    2015-01-01

    ,in terms of its points of tension and controversy:the place of women in society,the relationship of the Colony to God, and metaphysical beliefs abort of how the world worked (e.g.witchcraft and spell-casting).This investigation of the Salem Witch Trials raises qrestions abort crltrre, interpretation,and sociological explanation.In answer to these qrestions,the paper srggests that explanations in crltrral sociology:(1 )inclrde,brt also move beyond, the stated intentions,consciors and spoken meanings,and strategic manervers of actors;(2 )consider the intersection of symbolic strrctrres with political economy, brt do not redrce the former to the latter;and (3 )that the direction that a crisis or event takes is intertwined with the interpretation of that crisis by those participating in it. This srggests, then, that crltrral sociology transcends the longstanding distinction between rnderstanding and explanation, offering instead a carsal hermenertics of social life.

  16. Improving Your Game.

    Science.gov (United States)

    Waggoner, Tom; Bredar, Randy

    2001-01-01

    Discusses ways a new athletic training facility can do more than just improve school sports programs. Explores the new facility's ability to increase functional and operational efficiencies, improve student academic performance, and recruit athletes. (GR)

  17. Embarking on performance improvement.

    Science.gov (United States)

    Brown, Bobbi; Falk, Leslie Hough

    2014-06-01

    Healthcare organizations should approach performance improvement as a program, not a project. The program should be led by a guidance team that identifies goals, prioritizes work, and removes barriers to enable clinical improvement teams and work groups to realize performance improvements. A healthcare enterprise data warehouse can provide the initial foundation for the program analytics. Evidence-based best practices can help achieve improved outcomes and reduced costs. PMID:24968632

  18. Improving America's Schools.

    Science.gov (United States)

    Joyce, Bruce R.

    This book presents an argument for school improvement and explains how it might be conducted. Three stages of evolutionary school improvement are identified and described: refinement, renovation, and redesign. It is suggested that the real task is not only innovating improvements; the real task is uniting teachers, administrators, and community…

  19. Socially Improving Tax Reforms

    OpenAIRE

    Duclos, Jean-Yves; Paul MAKDISSI; Wodon, Quentin

    2008-01-01

    This article proposes graphical methods to determine whether commodity tax changes are "socially improving," in the sense of improving social welfare or decreasing poverty for large classes of social welfare and poverty indices. It also shows how estimators of critical poverty lines and economic efficiency ratios can be used to characterize socially improving tax reforms. The methodology is illustrated using Mexican data.

  20. Improved technical specifications

    Energy Technology Data Exchange (ETDEWEB)

    Hoffman, D.R.

    1994-12-31

    Improved technical specifications for nuclear power plants are outlined. The objectives of this work are to improve safety, provide a clearer understanding of safety significance, and ease NRC and industry administrative burdens. Line item improvements, bases, and implementation of the specifications are discussed.

  1. Improve Math Teaching with Incremental Improvements

    Science.gov (United States)

    Star, Jon R.

    2016-01-01

    Past educational reforms have failed because they didn't meet teachers where they were. They expected major changes in practices that may have been unrealistic for many teachers even under ideal professional learning conditions. Instead of promoting broad scale changes, improvement may be more likely if they are composed of small yet powerful…

  2. Process Improvement Essentials

    CERN Document Server

    Persse, James R

    2006-01-01

    Process Improvement Essentials combines the foundation needed to understand process improvement theory with the best practices to help individuals implement process improvement initiatives in their organization. The three leading programs: ISO 9001:2000, CMMI, and Six Sigma--amidst the buzz and hype--tend to get lumped together under a common label. This book delivers a combined guide to all three programs, compares their applicability, and then sets the foundation for further exploration.

  3. Software Process Improvement Defined

    DEFF Research Database (Denmark)

    Aaen, Ivan

    2002-01-01

    This paper argues in favor of the development of explanatory theory on software process improvement. The last one or two decades commitment to prescriptive approaches in software process improvement theory may contribute to the emergence of a gulf dividing theorists and practitioners. It is...... proposed that this divide be met by the development of theory evaluating prescriptive approaches and informing practice with a focus on the software process policymaking and process control aspects of improvement efforts...

  4. Ergonomic Improvements for Foundries

    Energy Technology Data Exchange (ETDEWEB)

    Frank Peters; Patrick Patterson

    2002-06-18

    The goal of this project was to make improvements to the production systems of the steel casting industry through ergonomic improvements. Because of the wide variety of products, the wide range of product sizes, and the relatively small quantities of any particular product, manual operations remain a vital part of the production systems of the steel casting companies. Ergonomic improvements will assist the operators to more efficiently and consistently produce quality products.

  5. Software Process Improvement Framework

    OpenAIRE

    Nikitina, Natalja

    2014-01-01

    Many software development organizations today are keen on improving their software development processes in order to develop software products faster, cheaper or better. For that reason, Software Process Improvement (SPI) has received significant attention from the research community over the last few decades. Process maturity models have become widely known for benchmarking software processes against predefined practices and for identifying processes to be improved or implemented, whereas pr...

  6. Tree Improvement Glossary

    DEFF Research Database (Denmark)

    Schmidt, Lars Holger

    Forest tree improvement encompasses a number of scientific and technical areas like floral-, reproductive- and micro-biology, genetics breeding methods and strategies, propagation, gene conservation, data analysis and statistics, each area with a comprehensive terminology. The terms selected for...... definition here are those most frequently used in tree improvement literature. Clonal propagation is included in the view of the great expansion of that field as a means of mass multiplication of improved material....

  7. THE IMPROVED XINANJIANG MODEL

    Institute of Scientific and Technical Information of China (English)

    LI Zhi-jia; YAO Cheng; KONG Xiang-guang

    2005-01-01

    To improve the Xinanjiang model, the runoff generating from infiltration-excess is added to the model.The another 6 parameters are added to Xinanjiang model.In principle, the improved Xinanjiang model can be used to simulate runoff in the humid, semi-humid and also semi-arid regions.The application in Yi River shows the improved Xinanjiang model could forecast discharge with higher accuracy and can satisfy the practical requirements.It also shows that the improved model is reasonable.

  8. SGLT2 inhibitor therapy improves blood glucose but does not prevent diabetic bone disease in diabetic DBA/2J male mice.

    Science.gov (United States)

    Thrailkill, Kathryn M; Clay Bunn, R; Nyman, Jeffry S; Rettiganti, Mallikarjuna R; Cockrell, Gael E; Wahl, Elizabeth C; Uppuganti, Sasidhar; Lumpkin, Charles K; Fowlkes, John L

    2016-01-01

    Persons with type 1 and type 2 diabetes have increased fracture risk, attributed to deficits in the microarchitecture and strength of diabetic bone, thought to be mediated, in part, by the consequences of chronic hyperglycemia. Therefore, to examine the effects of a glucose-lowering SGLT2 inhibitor on blood glucose (BG) and bone homeostasis in a model of diabetic bone disease, male DBA/2J mice with or without streptozotocin (STZ)-induced hyperglycemia were fed chow containing the SGLT2 inhibitor, canagliflozin (CANA), or chow without drug, for 10weeks of therapy. Thereafter, serum bone biomarkers were measured, fracture resistance of cortical bone was assessed by μCT analysis and a three-point bending test of the femur, and vertebral bone strength was determined by compression testing. In the femur metaphysis and L6 vertebra, long-term diabetes (DM) induced deficits in trabecular bone microarchitecture. In the femur diaphysis, a decrease in cortical bone area, cortical thickness and minimal moment of inertia occurred in DM (p<0.0001, for all) while cortical porosity was increased (p<0.0001). These DM changes were associated with reduced fracture resistance (decreased material strength and toughness; decreased structural strength and rigidity; p<0.001 for all). Significant increases in PTH (p<0.0001), RatLAPs (p=0.0002), and urine calcium concentration (p<0.0001) were also seen in DM. Canagliflozin treatment improved BG in DM mice by ~35%, but did not improve microarchitectural parameters. Instead, in canagliflozin-treated diabetic mice, a further increase in RatLAPs was evident, possibly suggesting a drug-related intensification of bone resorption. Additionally, detrimental metaphyseal changes were noted in canagliflozin-treated control mice. Hence, diabetic bone disease was not favorably affected by canagliflozin treatment, perhaps due to insufficient glycemic improvement. Instead, in control mice, long-term exposure to SGLT2 inhibition was associated with

  9. Bioequivalence of Alendronate and Vitamin D3 in a Combination Tablet Versus Corresponding-Dose Individual Tablets in Healthy Taiwanese Volunteers, Determined Using a Novel Plasma Alendronate Assay

    Directory of Open Access Journals (Sweden)

    D. Hamish Wright, PhD

    2015-12-01

    Conclusions: The combination tablet was considered bioequivalent to coadministration based on ALN AUC0–∞ and unadjusted vitamin D3 parameters. Slight differences for ALN AUC0–last and Cmax (upper 90% CIs outside the bounds were not considered clinically significant. The combination tablet was well tolerated. No serious adverse experiences were reported. © 2015. The Authors. Published by Elsevier Inc. All rights reserved.

  10. Improving palliative care.

    LENUS (Irish Health Repository)

    Moran, Sue

    2009-05-01

    Any service improvement project requires planning, action and evaluation. Using a recognised quality improvement framework can offer a structured approach to implementing and assessing changes to patient care. This article describes how use of the Deming Cycle has helped to identify nurses\\' learning needs.

  11. Improved nonlinear prediction method

    Science.gov (United States)

    Adenan, Nur Hamiza; Md Noorani, Mohd Salmi

    2014-06-01

    The analysis and prediction of time series data have been addressed by researchers. Many techniques have been developed to be applied in various areas, such as weather forecasting, financial markets and hydrological phenomena involving data that are contaminated by noise. Therefore, various techniques to improve the method have been introduced to analyze and predict time series data. In respect of the importance of analysis and the accuracy of the prediction result, a study was undertaken to test the effectiveness of the improved nonlinear prediction method for data that contain noise. The improved nonlinear prediction method involves the formation of composite serial data based on the successive differences of the time series. Then, the phase space reconstruction was performed on the composite data (one-dimensional) to reconstruct a number of space dimensions. Finally the local linear approximation method was employed to make a prediction based on the phase space. This improved method was tested with data series Logistics that contain 0%, 5%, 10%, 20% and 30% of noise. The results show that by using the improved method, the predictions were found to be in close agreement with the observed ones. The correlation coefficient was close to one when the improved method was applied on data with up to 10% noise. Thus, an improvement to analyze data with noise without involving any noise reduction method was introduced to predict the time series data.

  12. IMPROVING CONCEPTUAL DESIGN QUALITY

    DEFF Research Database (Denmark)

    Bush, Stuart; Robotham, Antony John

    This paper will consider how Quality Function Deployment (QFD) and Design for Manufacture and Assembly (DFMA) processes can be used to improve the design quality of products at the concept stage. We appreciate that both QFD and DFMA are techniques that have been used for some time by mature product...... quality is maintained in design project work. The projects described have been carried out with products manufactured by small to medium sized enterprises (SME's), where we have found significant opportunities for product improvement. The quantitative nature of DFMA analysis results allows the novice...... continuous improvement of their products. However, we consider that if novice designers are able to successfully utilise design tools like QFD and DFMA and achieve improvements in design quality, then SME’s have no excuses for ignoring the benefits they could bring to their own product development activity....

  13. Home Improvements Prevent Falls

    Science.gov (United States)

    ... turn JavaScript on. Feature: Falls and Older Adults Home Improvements Prevent Falls Past Issues / Winter 2014 Table ... and ensure your safety. "Safe-ty-fy" Your Home Some Questions for Your Provider Will my medicines ...

  14. Observatory Improvements for SOFIA

    Science.gov (United States)

    Peralta, Robert A.; Jensen, Stephen C.

    2012-01-01

    The Stratospheric Observatory for Infrared Astronomy (SOFIA) is a joint project between NASA and Deutsches Zentrum fuer Luft- und Raumfahrt (DLR), the German Space Agency. SOFIA is based in a Boeing 747 SP and flown in the stratosphere to observe infrared wavelengths unobservable from the ground. In 2007 Dryden Flight Research Center (DFRC) inherited and began work on improving the plane and its telescope. The improvements continue today with upgrading the plane and improving the telescope. The Observatory Verification and Validation (V&V) process is to ensure that the observatory is where the program says it is. The Telescope Status Display (TSD) will provide any information from the on board network to monitors that will display the requested information. In order to assess risks to the program, one must work through the various threats associate with that risk. Once all the risks are closed the program can work towards improving the observatory.

  15. Improved Atomizer Resists Clogging

    Science.gov (United States)

    Dea, J. Y.

    1983-01-01

    Improved constant-output atomizer has conical orifice that permits air to sweep out all liquid thoroughly and prevent any buildup of liquid or dissolved solids. Capillary groove guides liquid to gas jet. Simple new design eliminates clogging.

  16. Improving Communication in Design

    DEFF Research Database (Denmark)

    Maier, Anja; Doenmez, Denniz; Hepperle, Clemens;

    2011-01-01

    Communication permeates every aspect of an engineer’s work – from clarifying product specifications to shaping social ties. This paper offers an overview of recommendations from literature to improve communication within and among engineering teams. We assume communication problems are often...... of tasks. To improve these factors in order to enable effective communication, this paper collates more than hundred recommendations from journal articles and textbooks published in the fields of engineering design, management science, sociology, and psychology. Recommendations include, for example...

  17. Driving collaborative improvement processes

    OpenAIRE

    Middel, Rick; Gieskes, José; Fisscher, Olaf

    2002-01-01

    Continuous Improvement is a consolidated concept in theory and practice, mainly in the context of stand-alone companies. However, the battlefield of competition is increasingly moving from the level of individual firms to that of organisational settings based on loose company boundaries and collaborative relations among different units, such as the Extended Manufacturing Enterprises (EMEs). The concept of continuous improvement has hardly been applied in inter-organisational settings. The pur...

  18. An Improved Antihydrogen Trap

    OpenAIRE

    Kalra, Rita Rani

    2015-01-01

    The recent demonstration of trapped atomic antihydrogen for 15 to 1000 seconds is a milestone towards precise spectroscopy for tests of CPT invariance. The confinement of a total of 105±21 atoms in a quadrupole magnetic trap was made possible by several improved methods. Improved accumulation techniques give us the largest numbers of constituent particles yet: up to 10 million antiprotons and several billion positrons. A novel cooling protocol leads to 3.5 K antiprotons, the coldest ever obse...

  19. Improving Agile Software Practice

    DEFF Research Database (Denmark)

    Tjørnehøj, Gitte

    2006-01-01

    Software process improvement in small and agile organizations is often problematic, but achieving good SPI-assessments can still be necessary to stay in the marked or to meet demands of multinational owners. The traditional norm driven, centralized and control centered improvement approaches has ...... analysis to support designing processes that balance the firm-culture with that of the CMM-model and achieving real change in practice by building commitment and engagement through participative SPI-planning and design....

  20. Improving Connectionist Energy Minimization

    OpenAIRE

    Pinkas, G.; Dechter, R

    1995-01-01

    Symmetric networks designed for energy minimization such as Boltzman machines and Hopfield nets are frequently investigated for use in optimization, constraint satisfaction and approximation of NP-hard problems. Nevertheless, finding a global solution (i.e., a global minimum for the energy function) is not guaranteed and even a local solution may take an exponential number of steps. We propose an improvement to the standard local activation function used for such networks. The improved algori...

  1. Improving Precision of Types

    DEFF Research Database (Denmark)

    Winther, Johnni

    crucial to the quality of these automated checks, and in this thesis we present three different improvements to the precision of types in three different aspects of the Java programming language. First we show how to extend the type system in Java with a new type which enables the detection of unintended......Types in programming languages provide a powerful tool for the programmer to document the code so that a large aspect of the intent can not only be presented to fellow programmers but also be checked automatically by compilers. The precision with which types model the behavior of programs is...... mixing of unrelated types. Secondly, we present an improvement of the type checking algorithm in Java which enables the compiler to detect and ease the use of a common programming idiom called guarded casts. Thirdly, we present an improvement of the precision with which classes generated by a parser...

  2. Abuse Tolerance Improvements

    Energy Technology Data Exchange (ETDEWEB)

    Orendorff, Christopher J. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Nagasubramanian, Ganesan [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Fenton, Kyle R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Allcorn, Eric [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-10-01

    As lithium-ion battery technologies mature, the size and energy of these systems continues to increase (> 50 kWh for EVs); making safety and reliability of these high energy systems increasingly important. While most material advances for lithium-ion chemistries are directed toward improving cell performance (capacity, energy, cycle life, etc.), there are a variety of materials advancements that can be made to improve lithium-ion battery safety. Issues including energetic thermal runaway, electrolyte decomposition and flammability, anode SEI stability, and cell-level abuse tolerance continue to be critical safety concerns. This report highlights work with our collaborators to develop advanced materials to improve lithium-ion battery safety and abuse tolerance and to perform cell-level characterization of new materials.

  3. Improving designer productivity

    Science.gov (United States)

    Hill, Gary C.

    1992-01-01

    Designer and design team productivity improves with skill, experience, and the tools available. The design process involves numerous trials and errors, analyses, refinements, and addition of details. Computerized tools have greatly speeded the analysis, and now new theories and methods, emerging under the label Artificial Intelligence (AI), are being used to automate skill and experience. These tools improve designer productivity by capturing experience, emulating recognized skillful designers, and making the essence of complex programs easier to grasp. This paper outlines the aircraft design process in today's technology and business climate, presenting some of the challenges ahead and some of the promising AI methods for meeting those challenges.

  4. IMPROVING PATIENT SAFETY:

    DEFF Research Database (Denmark)

    Bagger, Bettan; Taylor Kelly, Hélène; Hørdam, Britta

    2013-01-01

    Improving patient safety is both a national and international priority as millions of patients Worldwide suffer injury or death every year due to unsafe care. University College Zealand employs innovative pedagogical approaches in educational design. Regional challenges related to geographic......, social and cultural factors have resulted in a greater emphasis upon digital technology. Attempts to improve patient safety by optimizing students’ competencies in relation to the reporting of clinical errors, has resulted in the development of an interdisciplinary e-learning concept. The program makes...

  5. Status of safety improvements

    International Nuclear Information System (INIS)

    A review of safety improvements of the Armenian NPP, i.e. two WWER-440 units is presented. The implemented activities concerning engineering safety; radiation safety; operation safety; personnel training and qualification; operating experience are described in detail. A list of serious problems dealing with safety upgrading of NPP is given

  6. Improving Alaryngeal Speech Intelligibility.

    Science.gov (United States)

    Christensen, John M.; Dwyer, Patricia E.

    1990-01-01

    Laryngectomized patients using esophageal speech or an electronic artificial larynx have difficulty producing correct voicing contrasts between homorganic consonants. This paper describes a therapy technique that emphasizes "pushing harder" on voiceless consonants to improve alaryngeal speech intelligibility and proposes focusing on the production…

  7. Improving Software Developer's Competence

    DEFF Research Database (Denmark)

    Abrahamsson, Pekka; Kautz, Karlheinz; Sieppi, Heikki;

    2002-01-01

    Emerging agile software development methods are people oriented development approaches to be used by the software industry. The personal software process (PSP) is an accepted method for improving the capabilities of a single software engineer. Five original hypotheses regarding the impact of the ...

  8. Software Process Improvement

    DEFF Research Database (Denmark)

    Kuhrmann, Marco; Konopka, Claudia; Nellemann, Peter;

    2016-01-01

    Software process improvement (SPI) is around for decades: frameworks are proposed, success factors are studied, and experiences have been reported. However, the sheer mass of concepts, approaches, and standards published over the years overwhelms practitioners as well as researchers. What is out...

  9. Improving sample recovery

    International Nuclear Information System (INIS)

    This Engineering Task Plan (ETP) describes the tasks, i.e., tests, studies, external support and modifications planned to increase the recovery of the recovery of the waste tank contents using combinations of improved techniques, equipment, knowledge, experience and testing to better the recovery rates presently being experienced

  10. MCNP Progress & Performance Improvements

    Energy Technology Data Exchange (ETDEWEB)

    Brown, Forrest B. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Bull, Jeffrey S. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Rising, Michael Evan [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2015-04-14

    Twenty-eight slides give information about the work of the US DOE/NNSA Nuclear Criticality Safety Program on MCNP6 under the following headings: MCNP6.1.1 Release, with ENDF/B-VII.1; Verification/Validation; User Support & Training; Performance Improvements; and Work in Progress. Whisper methodology will be incorporated into the code, and run speed should be increased.

  11. IMPROVING CONCEPTUAL DESIGN QUALITY

    DEFF Research Database (Denmark)

    Bush, Stuart; Robotham, Antony John

    1999-01-01

    designer to identify clear targets for design improvement and to measure the effectiveness of any new solution, whilst attention to QFD ensures customer requirements are still being satisfied.Often, SME's are not aware of many of the best design practices and so are not able to meet the demand for...

  12. Recent improvements in HANARO

    International Nuclear Information System (INIS)

    During the last six years since HANARO commenced power operation in 1995, the facility has been improved and enhanced continuously. Every performance of reactor systems is being measured and analyzed to confirm that all the results of the reactor performance meet design values. The utilization facilities in HANARO have been equipped following the installation schedule within the given budget. Recently some improvements have been made in the systems to enhance their functions. The first one is fuel failure detection system (FFDS) using NaI, which was not so sensitive to monitor gamma activity due to the fuel failure and the system was renovated by changing NaI with BF3. The second is pool cover, which is presently used to prevent any materials from being dropped into the reactor pool during the reactor operation. The function of this pool cover has been changed to accommodate some utilization facilities on the cover to provide a convenient working place. The third improvement is the aluminum plugging of the infrequently using vertical irradiation holes in the reflector tank in order to increase the neutron flux of frequently using holes. The aluminum plugging of the holes caused significant neutron increases to the actively utilizing holes. In this paper described are how the system and component are improved and what the present expansion of utilization fields is in HANARO and what kinds of action are taken in order to enhance the utilization of the facility. And then, finally the prospect of the facility was drawn as a conclusion. (orig.)

  13. Driving collaborative improvement processes

    NARCIS (Netherlands)

    Middel, R.; Gieskes, J.; Fisscher, O.

    2005-01-01

    Continuous improvement is a consolidated concept in theory and practice, mainly in the context of stand-alone companies. However, the battlefield of competition is increasingly moving from the level of individual firms to that of organizational settings based on loose company boundaries and collabor

  14. Driving collaborative improvement processes

    NARCIS (Netherlands)

    Middel, Rick; Gieskes, José; Fisscher, Olaf

    2002-01-01

    Continuous Improvement is a consolidated concept in theory and practice, mainly in the context of stand-alone companies. However, the battlefield of competition is increasingly moving from the level of individual firms to that of organisational settings based on loose company boundaries and collabor

  15. Strategies for Improving Access.

    Science.gov (United States)

    Hore, Terry; Barwood, Bryan

    1989-01-01

    The development of the varied strategies that have been introduced in order to improve access for disadvantaged groups at Monash University is discussed. The Junior University Programme, the Monash Orientation Scheme for Aborigines, the Mature Age Special Admission Scheme, Special Entry Scheme, and the Schools Link Programme are described. (MLW)

  16. Improvements in phosphors

    International Nuclear Information System (INIS)

    Improvements to phosphors for x-ray image converters are reported. An x-ray screen capable of resisting loss of brightness when associated with photographic film and a method for increasing the life of an x-ray screen in a humid environment are described. (U.K.)

  17. Job Performance: Improvement Needed

    Science.gov (United States)

    Goodman, Jacob

    1974-01-01

    Personnel directors of 38 business firms responded to a questionnaire rating 24 employee traits related to competencies, attitudes, skills, and personality which needed improvement. Five traits were common among the rank order one to five to both retailer and commercial and service organization respondents: oral communication, initiative,…

  18. Improve Your BIM Effectiveness

    OpenAIRE

    Boeykens, Stefan

    2013-01-01

    Do you want to improve your firm’s use of BIM during the early design phases? Here are ten tips, applicable in most BIM applications, based on experience gathered from teaching, researching, and using BIM software. Share these with your project teams!

  19. Keeping Improvement in Mind

    Science.gov (United States)

    Mielke, Paul; Frontier, Tony

    2012-01-01

    Like high-stakes student assessment, high-stakes teacher evaluation threatens to be an occasional event that is disconnected from day-to-day teaching and learning, producing results that do not help teachers improve their performance and placing teachers in a passive role as recipients of external judgment. For several years, the authors have…

  20. Improvements in agricultural sciences

    Science.gov (United States)

    This editorial provides insight on investigations regarding advancements in agri-food quality and testing of eco-friendly organic farming methodologies. The discussion elaborates on the advantages of recent farming techniques and their impact on improved crop yield, crop quality, and minimization of...

  1. Improved Dispenser Cathodes

    Science.gov (United States)

    Ives, R. Lawrence; Falce, Lou

    2006-01-01

    Variations in emission current from dispenser cathodes can be caused by variations in temperature and work function over the surface. This paper described research to reduce these variations using improved mechanical designs and controlled porosity cathodes made from sintered tungsten wires. The program goal is to reduce current emission variations to less than 5% over the surface of magnetron injection guns operating temperature limited.

  2. Amplifier improvement circuit

    Science.gov (United States)

    Sturman, J.

    1968-01-01

    Stable input stage was designed for the use with a integrated circuit operational amplifier to provide improved performance as an instrumentation-type amplifier. The circuit provides high input impedance, stable gain, good common mode rejection, very low drift, and low output impedance.

  3. Improving surgical outcomes

    Directory of Open Access Journals (Sweden)

    Tony Walia

    2008-12-01

    Full Text Available Outcomes of cataract surgery are worse than we would like them to be. Community-based studies show that up to 40% of eyes have a postoperative presenting vision of < 6/60. Eyes with intraocular lenses (IOLs do better; however, it has been shown that even in prosperous middle-income countries, such as Venezuela, in 20% of pseudophakic eyes presenting vision was < 6/60 and in 15% best corrected vision was worse than 6/60.Poor outcomes matter. Patients deserve improved vision whenever possible and poor outcomes deter prospective patients from coming for surgery and probably reduce their willingness to pay for their treatment – particularly if they have to pay in advance!In this article, we offer some suggestions for improving the quality of cataract surgery. We admit that there is little evidence base for most of these suggestions and that some of them are controversial. However, we hope to stimulate debate.

  4. Measuring to improve.

    Science.gov (United States)

    Klein, R; Bobbitt, M

    1995-01-01

    Rush Prudential Health Plans, a managed care company located in Chicago, Illinois, is implementing a service quality improvement process across the three products it markets in the Chicago area: The Anchor Plan (a primarily staff model HMO), The Affiliates Plan (a network model HMO), and The Plus Plan (a point of service plan). In 1994, the company instituted an annual member satisfaction research study, conducted across the three plans, and began building a link between external customer requirements and internal operations. The research process consisted of three stages: determining external customer requirements, translating these customer-defined "symptoms" into underlying root causes, and developing a service quality improvement action plan. Rush Prudential determined that traditional "report card" surveys would not meet their goals for the information measurement process. A detailed diagnostic telephone survey was used to provide a picture of the entire clinical encounter, from scheduling an appointment through the time a member left the physician's office. PMID:10151598

  5. K Water Plant improvements

    Energy Technology Data Exchange (ETDEWEB)

    Trumble, R.E.; Heacock, H.W.; Reinig, L.P.; Jones, S.S.; Mollerus, F.J.

    1959-03-19

    A Task Force was established in the Irradiation Processing Department to examine the K-Reactor Water Plant to (1) review the operating and maintenance experience with the water plant as improved since startup, (2) identify major plant additions which could further improve reliability, and (3) estimate the costs of any such additions. The K-Water Plant basically consists of the electrically driven primary cooling system with power supplied by the BPA system, electrically driven secondary or backup cooling system powered by a steam driven emergency generator pair, and a ``last ditch`` system consisting of hydraulic cross-ties between the two K-Water Plants. This report summarizes information developed in the course of the Task Force deliberations.

  6. Partnership for Continuous Improvement

    Science.gov (United States)

    1990-01-01

    The proceedings are presented of the sixth annual conference on quality control between NASA and its contractors. The emphasis is placed on a commitment to quality and excellence that guarantees mission success. A forum is provided for representatives from government, industry, and academia to exchange ideas and experiences, encouraging total quality performance that results in high quality products and services. Key points are highlighted from the presentations and activities are described that have resulted in a broad range of improvements in products and services from government, industry, and academia. Long term commitment to quality is an essential requirement that ensures future success. That commitment reinterates the dedication to excellence in space exploration and to national quality and productivity improvement.

  7. Improving Communication in Design

    DEFF Research Database (Denmark)

    Maier, Anja; Doenmez, Denniz; Hepperle, Clemens; Kreimeyer, Matthias; Lindemann, Udo; Clarkson, P John

    Communication permeates every aspect of an engineer’s work – from clarifying product specifications to shaping social ties. This paper offers an overview of recommendations from literature to improve communication within and among engineering teams. We assume communication problems are often the...... outcome of underlying factors and that it is fruitful to study and improve these influences. Having been empirically elicited in prior research, 24 factors considered in this paper include, e.g., availability of information about product specifications, roles and responsibilities, and overview of sequence......, identify priorities through risk and bottleneck analysis, give clear descriptions and role expectations, and employ effective process modeling tools. Contributions of this paper are a list of recommendations for industry practitioners and an effort-benefit evaluation of individual recommendations....

  8. IMPROVING PATIENT SAFETY:

    DEFF Research Database (Denmark)

    Bagger, Bettan; Taylor Kelly, Hélène; Hørdam, Britta

    2013-01-01

    Every year millions of patients worldwide suffer injury or death due to unsafe care, thus improving patient safety is both a national and international priority. A developmental project involving University College Zealand and clinical partners in the region focused upon the improvement of patient...... safety by optimizing the theory-practice connection with respect to the development of students’ competencies and the reporting of clinical errors. Population: 2nd year nursing students at University College Zealand (N: 56). Informed consent and full anonymity. Aims: - To increase patient safety by...... raising student awareness with respect to the role of the reporting of clinical errors and thus increase patient safety - To prepare a structured and systematical teaching program Methodology: an explorative, longitudinal study - Identification of students’ self-evaluated knowledge, skills and competences...

  9. Recent ATLAS Detector Improvements

    CERN Document Server

    de Nooij, L; The ATLAS collaboration

    2011-01-01

    During the recent LHC shutdown period, ATLAS performed vital maintenance and improvements on the various sub-detectors. For the calorimeters, repairs were carried out on front-end electronics and power supplies to recover detector coverage that had been lost since the last maintenance period. The ALFA luminosity detector was installed along the beam line and is currently being commissioned. Smaller scale repairs were needed on the Inner Detector. Maintenance on the muon system included repairs on the readout as well as updates and leak checks in the gas systems. Six TGC chambers were also replaced. This poster summarizes the repairs and their expected improvement for physics performance and reliability of ATLAS for the upcoming LHC run.

  10. Improving PPM Using Dictionaries

    CERN Document Server

    Hu, Yichuan; Zhang,; Khan, Farooq; Li, Ying

    2010-01-01

    We propose a method to improve traditional character-based PPM text compression algorithms. Consider a text file as a sequence of alternating words and non-words, the basic idea of our algorithm is to encode non-words and prefixes of words using character-based context models and encode suffixes of words using dictionary models. By using dictionary models, the algorithm can encode multiple characters as a whole, and thus enhance the compression efficiency. The advantages of the proposed algorithm are: 1) it does not require any text preprocessing; 2) it does not need any explicit codeword to identify switch between context and dictionary models; 3) it can be applied to any character-based PPM algorithms without incurring much additional computational cost. Test results show that significant improvements can be obtained over character-based PPM, especially in low order cases.

  11. Strategies for Improving Justification

    International Nuclear Information System (INIS)

    Good practice in radiology relies on a core principle that each examination is justified for the patient involved. An international workshop organized by the IAEA and the European Commission concluded that: “There is a significant and systemic practice of inappropriate examination in radiology.” Audit reveals that 20–50% of examinations are routinely not justified and the figure can be as high as 60–77% in particular cases (e.g. for lumbar spine examinations or cardiac angiography). Doctors/health professionals generally have poor awareness of the risks involved and consistently underestimate them. Knowledge of, and compliance with, guidelines for referral for common examinations is poor. The ethical background considerations to this situation are briefly reviewed and a strategy for improvement is proposed, i.e. the global ‘three As’ campaign of improving awareness, appropriateness and audit adopted by the IAEA. (author)

  12. Process Improvement: Customer Service.

    Science.gov (United States)

    Cull, Donald

    2015-01-01

    Utilizing the comment section of patient satisfaction surveys, Clark Memorial Hospital in Jeffersonville, IN went through a thoughtful process to arrive at an experience that patients said they wanted. Two Lean Six Sigma tools were used--the Voice of the Customer (VoC) and the Affinity Diagram. Even when using these tools, a facility will not be able to accomplish everything the patient may want. Guidelines were set and rules were established for the Process Improvement Team in order to lessen frustration, increase focus, and ultimately be successful. The project's success is driven by the team members carrying its message back to their areas. It's about ensuring that everyone is striving to improve the patients' experience by listening to what they say is being done right and what they say can be done better. And then acting on it. PMID:26571974

  13. Radio Environment Improvement

    OpenAIRE

    Selma Martín, Fernando

    2005-01-01

    Mobile communications are a changing and really competitive market. Companies try to release new products and upgrade the old ones as soon as possible. And in this context it is where Ericsson Test Environment makes available to its customer one of the most comprehensive GSM test environments in the world. The test site at customer disposal provides a good environment for testing purpose and it allows them to improve and develop their products in really interesting time terms. To make this po...

  14. CANDU 9 safety improvements

    International Nuclear Information System (INIS)

    The CANDU 9 is a family of single-unit Nuclear Power Plant designs based on proven CANDU concepts and equipment from operating CANDU plants capable of generating 900 MWe to 1300 MWe depending on the number of fuel channel used and the type of fuel, either natural uranium fuel or slightly enriched uranium fuel. The basic design, the CANDU 9 480/NU, uses the 480 fuel channel Darlington reactor and employs Natural Uranium (NU) fuel Darlington, the latest of the 900 MWe Class CANDU plants, consists of four integrated units with a total output of approximately 3740 MWe located in Ontario, Canada. AECL has completed the concept definition engineering for this design, and will be completing the design integration engineering by the end of 1996. AECL's design philosophy is to build-in product improvements in evolutionary from the initial prototype plants, NPD and Douglas Point, to today's operating CANDU's construction projects and advanced designs. CANDU 9 safety design follows the evolutionary path, including simple improvements based on existing well-proven CANDU safety concepts. The CANDU 9 builds on the experience base for the Darlington reference plant, and on AECL's extensive safety design experience with single unit CANDU 6 power plants. The latest CANDU 6 plants are being built in Korea by KEPCO at Wolsong 2,3 and 4. The Safety improvements for the CANDU 9 power plant are intended to provide the owner-operator with increased assurance of reliable, trouble-free operation, with greater safety margin, with improved public acceptance, and with ease of licensibility

  15. Twitter Improves Influenza Forecasting

    OpenAIRE

    Paul, Michael J.; Dredze, Mark; Broniatowski, David

    2014-01-01

    Accurate disease forecasts are imperative when preparing for influenza epidemic outbreaks; nevertheless, these forecasts are often limited by the time required to collect new, accurate data. In this paper, we show that data from the microblogging community Twitter significantly improves influenza forecasting. Most prior influenza forecast models are tested against historical influenza-like illness (ILI) data from the U.S. Centers for Disease Control and Prevention (CDC). These data are releas...

  16. Improving the City environment

    International Nuclear Information System (INIS)

    All around the world cities are under severe environmental pressure. Water supplies, traffic congestion, air pollution, noise and waste disposal cause very similar problems in cities that are otherwise quite diverse. And attempts to improve conditions usually run into a range of difficulties. Indeed, environmental problems often persist for years before governments -national, regional and local- make any major effort to address them. 6 refs

  17. Improving Carbon Fixation Pathways

    OpenAIRE

    Ducat, Daniel C.; Silver, Pamela A.

    2012-01-01

    A recent resurgence in basic and applied research on photosynthesis has been driven in part by recognition that fulfilling future food and energy requirements will necessitate improvements in crop carbon-fixation efficiencies. Photosynthesis in traditional terrestrial crops is being reexamined in light of molecular strategies employed by photosynthetic microbes to enhance the activity of the Calvin cycle. Synthetic biology is well-situated to provide original approaches for compartmentalizing...

  18. Improving operating room safety

    OpenAIRE

    Garrett Jill; Hurlbert Scott N

    2009-01-01

    Abstract Despite the introduction of the Universal Protocol, patient safety in surgery remains a daily challenge in the operating room. This present study describes one community health system's efforts to improve operating room safety through human factors training and ultimately the development of a surgical checklist. Using a combination of formal training, local studies documenting operating room safety issues and peer to peer mentoring we were able to substantially change the culture of ...

  19. Improving customer satisfaction

    OpenAIRE

    Wei, Yu

    2011-01-01

    Today, the competition among enterprises is growing in intensity and organizations of all types and sizes have increasingly come to understand the importance of customer satisfaction and good services. The purpose of this study is to investigate the present level of customer satisfaction with language training institutes and find out any possible areas of improvement. This thesis will discuss and analyze the factors that influence the customer’s level of satisfaction and assist the case compa...

  20. Improve your reading

    CERN Document Server

    Fry, Ron

    2012-01-01

    Help your students discover the practical solution to their reading frustrations, with Improve Your Reading. Written by bestselling author and education advocate Ron Fry, this book avoids gimmicks and tricks in favor of proven strategies that will help your students better retain and comprehend what they've read in any textbook, in any course, at any academic level. Endlessly adaptable to each student's individual learning needs, the text focuses on fundamental skills students can carry beyond the classroom.

  1. Improved Adaptive Fingerprint Binarization

    OpenAIRE

    Bartunek, Josef Ström; Nilsson, Mikael; Nordberg, Jörgen; Claesson, Ingvar

    2008-01-01

    In this paper improvements to a previous work are presented. Removing the redundant artifacts in the fingerprint mask is introduced enhancing the final result. The proposed method is entirely adaptive process adjusting to each fingerprint without any further supervision of the user. Hence, the algorithm is insensitive to the characteristics of the fingerprint sensor and the various physical appearances of the fingerprints. Further, a detailed description of fingerprint mask generation not ful...

  2. Teleophthalmology: improving patient outcomes?

    Science.gov (United States)

    Sreelatha, Omana Kesary; Ramesh, Sathyamangalam VenkataSubbu

    2016-01-01

    Teleophthalmology is gaining importance as an effective eye care delivery modality worldwide. In many developing countries, teleophthalmology is being utilized to provide quality eye care to the underserved urban population and the unserved remote rural population. Over the years, technological innovations have led to improvement in evidence and teleophthalmology has evolved from a research tool to a clinical tool. The majority of the current teleophthalmology services concentrate on patient screening and appropriate referral to experts. Specialty care using teleophthalmology services for the pediatric group includes screening as well as providing timely care for retinopathy of prematurity (ROP). Among geriatric eye diseases, specialty teleophthalmology care is focused toward screening and referral for diabetic retinopathy (DR), glaucoma, age-related macular degeneration (ARMD), and other sight-threatening conditions. Comprehensive vision screening and refractive error services are generally covered as part of most of the teleophthalmology methods. Over the past decades, outcome assessment of health care system includes patients’ assessments on their health, care, and services they receive. Outcomes, by and large, remain the ultimate validators of the effectiveness and quality of medical care. Teleophthalmology produces the same desired clinical outcome as the traditional system. Remote portals allow specialists to provide care over a larger region, thereby improving health outcomes and increasing accessibility of specialty care to a larger population. A high satisfaction level and acceptance is reported in the majority of the studies because of increased accessibility and reduced traveling cost and time. Considering the improved quality of patient care and patient satisfaction reported for these telemedicine services, this review explores how teleophthalmology helps to improve patient outcomes. PMID:26929592

  3. Improving Gabor Noise

    OpenAIRE

    Lagae, Ares; Lefebvre, Sylvain; Dutré, Philip

    2011-01-01

    We have recently proposed a new procedural noise function, Gabor noise, which offers a combination of properties not found in existing noise functions. In this paper, we present three significant improvements to Gabor noise: (1) an isotropic kernel for Gabor noise, which speeds up isotropic Gabor noise with a factor of roughly two, (2) an error analysis of Gabor noise, which relates the kernel truncation radius to the relative error of the noise, and (3) spatially varying Gabor noise, which e...

  4. Educational Service Improvement Cycle

    OpenAIRE

    Rothe, Hannes

    2016-01-01

    Terms like e-, m- or Blended Learning show, currently many educational services are supported by web technologies. Within such services predominant parts of learner’s usage processes are hidden from the educator’s perception. In front of a service-dominant logic understanding usage processes is essential to comprehend the value-co-creation of educators and learners. Learning analytics may hold methods to enable a continual improvement process by collecting and analyzing usage data. A systemat...

  5. MEMORY IMPROVING FOODS

    Directory of Open Access Journals (Sweden)

    Akula Annapurna

    2013-09-01

    Full Text Available Learning is a lifelong process of transforming information and experience into knowledge, skills, behaviorand attitudes. Memory is the ability of the brain to store, retain and subsequently to recall information received fromthe world. Cognition can be defined as organization of information. It includes acquiring information (perception,selecting (attention, representing (understanding and retaining (memory information and using it to guidebehavior (reasoning and coordination of motor outputs.There are so many conditions associated with memory and cognitive impairment which include Aging,Alzheimer’s disease, Stroke, Stress, Head injuries, Seizures, Benzodiazepines, Brain tumors, Depression, Temporallobe defects and Schizophrenia etc.Choline rich foods can enhance memory and learning and may be useful in improving cognitive abilities. Theseinclude sea foods, liver, egg yolk, soysbeans, broccoli, ash gourd. Coloured fruits and vegetables are good source ofantioxidants which improve concentration. It is advised to decrease the consumption of foods rich in transfats likehydrogenated oils, fried foods, beef, pork, mutton and ice creams and pastries. Such foods increase the deposition offats in the neurons and impair cognition. Tea, cocoa and turmeric are reported to have good nootropic activity i.e.improving memory and learning. Apart from the foods, one should keep the brain active to maintain its cognitivefunction well.

  6. Quality improvement - the future begins

    International Nuclear Information System (INIS)

    The comprehensive quality improvement program of the Florida Power and Light Co. is described: management commitment, quality improvement process, quality improvement teams, policy development, and quality in daily work are discussed

  7. Improvement of plastic properties

    Directory of Open Access Journals (Sweden)

    D. Manas

    2008-08-01

    Full Text Available Purpose: of this paper is to present the results of research programme on improve polymer materials properties by irradiation. This method can be helpful in improving some of mechanical properties and thermal stability of polymers.Design/methodology/approach: Radiation processing involves the use of natural or man-made sources of high energy radiation on an industrial scale. The principle of the radiation processing is the ability of the high energy radiation to produce reactive cations, anions, and free radicals in materials. The industrial application of the radiation processing of plastic and composites includes polymerization, cross-linking and grafting. Radiation processing involves mainly the use of either electron beams from electron accelerators or gamma radiation from Cobalt-60 sources. The big advantage of radiation processing is, that does not make the product radioactive. In this research programme, the properties of natural (not irradiated and irradiated polypropylene (PP, both unfilled and filled with 25% of glass fibres, were compared. Flexural strength, tensile strength, impact strength, thermal stability and complex modulus E* were researched. The injection moulding machine DEMAG – EGROTECH 50 – 200 was used for sample preparation. Irradiation was carried out in the company BGS Beta Gamma Service GmbH Co, KG, Saal am Donau, Germany with the electron rays, electron energy 10 MeV, doses of 15 and 33 kGy.Findings: The most important results are the enormous improvement of the thermal stability and some mechanical properties of irradiated PP.Practical implications: From the practical point of view the most important is the enormous improvement of the thermal stability of irradiated PP. The majority of industrial applications of radiation processing are cross-linking of wire and cable insulations, tube, heat shrink cables, components of tires, composites, moulded products for automotive and electrical industry etc

  8. Hydroxyapatite, polycaprolactone and alendronate composites for bone regeneration in rabbits' olecranon: histological features

    Directory of Open Access Journals (Sweden)

    F.L. Valente

    2016-04-01

    Full Text Available O presente trabalho teve como objetivo avaliar a biocompatibilidade e a osseointegração de compósitos de hidroxiapatita (HA, policaprolactona (PCL e alendronato (ALN em defeitos ósseos produzidos no olécrano de coelhos. Trinta e seis coelhos foram distribuídos em quatro grupos, recebendo como tratamento: (1 compósito de HA (49,5%, PCL (49,5% e ALN (1%; (2 HA (50% e PCL (50%; (3 PCL (100%; e (4 solução salina 0,9%. As amostras para análise histológica foram coletadas de três animais de cada grupo aos oito, 45 e 90 dias de pós-operatório. No oitavo dia, as bordas do defeito ainda eram identificáveis em todos os grupos. Tecido ósseo novo era formado em contato com o biomaterial apenas nas formulações que incluíam HA. Essas características continuaram evidentes nos outros momentos analisados, embora o defeito estivesse preenchido pelo tecido regenerado. A presença dos biomateriais foi verificada nos três momentos em todos os grupos. Não houve evidências de reação indesejável ao biomaterial. As análises histológicas e histomorfométricas mostraram que os biomateriais são biocompatíveis e aqueles contendo a hidroxiapatita favoreceram a formação óssea no início do processo de regeneração, embora o alendronato não tenha apresentado qualquer efeito.

  9. Changes in bone density and turnover after alendronate or estrogen withdrawal

    DEFF Research Database (Denmark)

    Wasnich, Richard D; Bagger, Yu Z; Hosking, David J;

    2004-01-01

    groups described in the current report represent 860 women at baseline; 481 women entered year 5, and 430 completed 6 years. BMD steadily decreased in the placebo group during all 6 years. In contrast, spine and hip BMD increased during the first 4 years in the groups receiving daily continuous...

  10. Alendronate-coated long-circulating liposomes containing 99mtechnetium-ceftizoxime used to identify osteomyelitis

    OpenAIRE

    Ferreira DS; Boratto FA; Cardoso VN; Serakides R.; Fernandes SO; Ferreira LAM; MC de Oliveira

    2015-01-01

    Diego dos Santos Ferreira,1 Fernanda Alves Boratto,1 Valbert Nascimento Cardoso,2 Rogéria Serakides,3 Simone Odília Fernandes,2 Lucas Antônio Miranda Ferreira,1 Mônica Cristina Oliveira1 1Department of Pharmaceutical Products, Faculty of Pharmacy, 2Department of Clinical and Toxicological Analyses, Faculty of Pharmacy, 3Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil Abstract: Osteomyelitis is a progressive destruction ...

  11. Alendronate-coated long-circulating liposomes containing 99mtechnetium-ceftizoxime used to identify osteomyelitis

    OpenAIRE

    Oliveira, Mônica

    2015-01-01

    Diego dos Santos Ferreira,1 Fernanda Alves Boratto,1 Valbert Nascimento Cardoso,2 Rogéria Serakides,3 Simone Odília Fernandes,2 Lucas Antônio Miranda Ferreira,1 Mônica Cristina Oliveira1 1Department of Pharmaceutical Products, Faculty of Pharmacy, 2Department of Clinical and Toxicological Analyses, Faculty of Pharmacy, 3Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil Abstract: Osteomyelitis is a progress...

  12. Improving aircraft energy efficiency

    Science.gov (United States)

    Povinelli, F. P.; Klineberg, J. M.; Kramer, J. J.

    1976-01-01

    Investigations conducted by a NASA task force concerning the development of aeronautical fuel-conservation technology are considered. The task force estimated the fuel savings potential, prospects for implementation in the civil air-transport fleet, and the impact of the technology on air-transport fuel use. Propulsion advances are related to existing engines in the fleet, to new production of current engine types, and to new engine designs. Studies aimed at the evolutionary improvement of aerodynamic design and a laminar flow control program are discussed and possibilities concerning the use of composite structural materials are examined.

  13. Improving efficiency in stereology

    DEFF Research Database (Denmark)

    Keller, Kresten Krarup; Andersen, Ina Trolle; Andersen, Johnnie Bremholm;

    2013-01-01

    study was to investigate the time efficiency of the proportionator and the autodisector on virtual slides compared with traditional methods in a practical application, namely the estimation of osteoclast numbers in paws from mice with experimental arthritis and control mice. Tissue slides were scanned...... proportionator sampling and a systematic, uniform random sampling were simulated. We found that the proportionator was 50% to 90% more time efficient than systematic, uniform random sampling. The time efficiency of the autodisector on virtual slides was 60% to 100% better than the disector on tissue slides. We...... conclude that both the proportionator and the autodisector on virtual slides may improve efficiency of cell counting in stereology....

  14. Improved cycling cryopump

    Science.gov (United States)

    Batzer, T.H.; Call, W.R.

    1984-12-04

    The present invention is designed to achieve continuous high efficiency cryopumping of a vacuum vessel by improving upon and combining in a novel way the cryopumping in a novel way the cryopumping methods. The invention consists of a continuous operation cryopump, with movable louvres, with a high efficiency pumping apparatus. The pumping apparatus includes three cryogenic tubes. They are constructed of a substance of high thermal conductivity, such as aluminum and their exterior surfaces are cryogenic condensing surfaces. Through their interior liquid or gaseous helium from two reservoirs can be made to flow, alternately promoting extreme cooling or allowing some warming.

  15. Improved Capacitive Liquid Sensor

    Science.gov (United States)

    Waldman, Francis A.

    1992-01-01

    Improved capacitive sensor used to detect presence and/or measure thickness of layer of liquid. Electrical impedance or admittance of sensor measured at prescribed frequency, and thickness of liquid inferred from predetermined theoretical or experimental relationship between impedance and thickness. Sensor is basically a three-terminal device. Features interdigitated driving and sensing electrodes and peripheral coplanar ground electrode that reduces parasitic effects. Patent-pending because first to utilize ground plane as "shunting" electrode. System less expensive than infrared, microwave, or refractive-index systems. Sensor successfully evaluated in commercial production plants to characterize emulsions, slurries, and solutions.

  16. Improved iterative Bayesian unfolding

    CERN Document Server

    D'Agostini, G

    2010-01-01

    This paper reviews the basic ideas behind a Bayesian unfolding published some years ago and improves their implementation. In particular, uncertainties are now treated at all levels by probability density functions and their propagation is performed by Monte Carlo integration. Thus, small numbers are better handled and the final uncertainty does not rely on the assumption of normality. Theoretical and practical issues concerning the iterative use of the algorithm are also discussed. The new program, implemented in the R language, is freely available, together with sample scripts to play with toy models.

  17. Retaining caregivers, improving care.

    Science.gov (United States)

    Bodwell, Wendy; Dent, Sara; Grant, Tracie; Hammerly, Milt; Mamula, Jeanie

    2006-01-01

    Text Summary In 2004, Centura Health's long-term care centers took part in a pilot project, sponsored by the Centers for Medicare & Medicaid Services, called "Improving Nursing Home Culture through Workforce Retention." A 30-member team comprising Centura leaders and long-term facility staff looked at Centura's eight participating facilities through residents' and employees' eyes. The goal of the team's reflection and subsequent changes was to create a culture in which decisions are focused on resident care and organizational policies are based on respect for employees. At the end of the first year, residents seemed happier and employee satisfaction and involvement increased at all eight Centura facilities. PMID:16519278

  18. Improvements in containers

    International Nuclear Information System (INIS)

    An improved container is described for transporting radioactive materials, such as irradiated Magnox fuel elements. It has a lid fixed to the container body and at the corners of the lid has shock absorbers that project from the corners and have part-spheroidal shape. The centre of curvature of the surface of the spheroid is positioned within the lid, so that impact loads on a shock absorber tend to hold it to the container rather than dislodge it. The shock absorbers may be Al-Si alloy castings. (U.K.)

  19. Improvement of Test Automation

    OpenAIRE

    Räsänen, Timo

    2013-01-01

    The purpose for this study was to find out how to ensure that the automated testing of MME in the Network Verification will continue smooth and reliable while using the in-house developed test automation framework. The goal of this thesis was to reveal the reasons of the currently challenging situation and to find the key elements to be improved in the MME testing carried by the test automation. Also a reason for the study was to get solutions as to how to change the current procedures and wa...

  20. Improving ATLAS reprocessing software

    CERN Document Server

    Novak, Tadej

    2014-01-01

    For my CERN Summer Student programme I have been working with ATLAS reprocessing group. Data taken at ATLAS experiment is not only processed after being taken, but is also reprocessed multiple times afterwards. This allows applying new alignments, calibration of detector and using improved or faster algorithms. Reprocessing is usually done in campaigns for different periods of data or for different interest groups. The idea of my project was to simplify the definition of tasks and monitoring of their progress. I created a LIST configuration files generator script in Python and a monitoring webpage for tracking current reprocessing tasks.

  1. Improvements in radiography

    International Nuclear Information System (INIS)

    A Video viewing system in combination with a continuously pulsing X-ray fluoroscopy system is described. Improvement of video picture quality is claimed. The patent describes a source of X-ray trigger pulses at a given frequency generating pulses at this frequency, a fluorescent screen for image formation, a video signal utilization device, a video viewing system and other equipment relating. Video viewing systems allow qualitative assessments of events within gas turbine engines to be made, particularly the sequence of engine seal movement. (U.K.)

  2. Improving SQL Server Perform

    Directory of Open Access Journals (Sweden)

    Nicolae MERCIOIU

    2010-01-01

    Full Text Available With the development of client server technology and multilayer architectures the systems ef-ficiency issue has been increasingly discussed. Lacking knowledge in optimization methods and tools offered by DBMS's, database administrators and developers of applications based on Microsoft technologies cannot optimally design and service performing systems. In this article we review the objectives that should be considered (in order to improve performance of SQL Server instances and we describe the techniques used to optimize queries. Also, we explain and illustrate the new optimization features offered by SQL Server 2008.

  3. Improved Biosensors for Soils

    Science.gov (United States)

    Silberg, J. J.; Masiello, C. A.; Cheng, H. Y.

    2014-12-01

    Microbes drive processes in the Earth system far exceeding their physical scale, affecting crop yields, water quality, the mobilization of toxic materials, and fundamental aspects of soil biogeochemistry. The tools of synthetic biology have the potential to significantly improve our understanding of microbial Earth system processes: for example, synthetic microbes can be be programmed to report on environmental conditions that stimulate greenhouse gas production, metal oxidation, biofilm formation, pollutant degradation, and microbe-plant symbioses. However, these tools are only rarely deployed in the lab. This research gap arises because synthetically programmed microbes typically report on their environment by producing molecules that are detected optically (e.g., fluorescent proteins). Fluorescent reporters are ideal for petri-dish applications and have fundamentally changed how we study human health, but their usefulness is quite limited in soils where detecting fluorescence is challenging. Here we describe the construction of gas-reporting biosensors, which release nonpolar gases that can be detected in the headspace of incubation experiments. These constructs can be used to probe microbial processes within soils in real-time noninvasive lab experiments. These biosensors can be combined with traditional omics-based approaches to reveal processes controlling soil microbial behavior and lead to improved environmental management decisions.

  4. Improvements to mass spectrometers

    International Nuclear Information System (INIS)

    This invention concerns mass spectrometers and, specifically, an ion beam analyser that facilitates the use of these spectrometers. Its object is to provide an improved apparatus for determining the desorption characteristics by field effect of a sample. It also aims to provide an improved system for carrying out sample analyses by using field effect desorption. Under the invention, facilities are added to the analyser to put out of action a part at least of the separation facilities so that the ion beam coming from the source of ions is not deflected. Detection means are located along the non deflected ion beam to detect the ions of the sample when they effectively appear and finally, actuating facilities are coupled to the out-of-action system so that the mass separation facilities may be brought back into action. This enables the operator to vary the parameters, such as the position of the source (emitter), the temperature and the electric field intensity until ions are released by the unknown sample

  5. MANAGING PRODUCT RELIABILITY IMPROVEMENT PROJECTS

    Directory of Open Access Journals (Sweden)

    Gembong Baskoro

    2005-01-01

    Full Text Available Product reliability improvement projects have shown promising results for industries to preserve customer satisfaction. Therefore, best practices on reliability improvement in industries that operate in high volume consumer product can be used as a reference toward managing product reliability improvement. In reliability improvement the method should not only focus on how to achieve the expected deliverable but also to sustain the improvement itself and to close the improvement loop. The importance of managing product reliability improvement is on how to ensure that the project moves to the right direction without loosing its flexibility.

  6. Continuous Improvement and Collaborative Improvement: Similarities and Differences

    DEFF Research Database (Denmark)

    Middel, Rick; Boer, Harry; Fisscher, Olaf

    2006-01-01

    A substantial body of theoretical and practical knowledge has been developed on continuous improvement. However, there is still a considerable lack of impirically grounded contributions and theories on collaborative improvement, that is, continuous improvement in an interorganizational setting. The...... CO-IMPROVE project investigated whether and how the concept of continuous improvement can be extended and transferred to such settings. The objective of this article is ti evaluate the CO-IMPROVE research findings in view of existing theories on continuous innovation. The article investigates the...... similarities and differences between key components of continuous and collaborative improvement by assessing what is specific for continuous improvement, what for collaborative improvement, and where the two areas of application meet and overlap. The main conclusions are that there are many more similarities...

  7. Towards improved CZT crystals

    International Nuclear Information System (INIS)

    Past experimental efforts to improve CZT crystals for gamma spectrometer applications have been focused on reducing micron-scale defects such as tellurium inclusions and precipitates. While these micron-scale defects are important, experiments have shown that the micron-scale variations in transport can be caused by the formation and aggregation of atomic-scale defects such as dislocations and point defect clusters. Moreover, dislocation cells have been found to act as nucleation sites that cause the formation of large precipitates. To better solve the uniformity problem of CZT, atomic-scale defects must be understood and controlled. To this end, we have begun to develop an atomistic model that can be used to reveal the effects of small-scale defects and to guide experiments for reducing both atomic- and micron-scale (tellurium inclusions and precipitates) defects. Our model will be based upon a bond order potential (BOP) to enable large-scale molecular dynamics simulations of material structures at a high-fidelity level that was not possible with alternative methods. To establish how BOP improves over existing approaches, we report here our recent work on the assessment of two representative literature CdTe interatomic potentials that are currently widely used: the Stillinger-Weber (SW) potential and the Tersoff-Rockett (TR) potential. Careful examinations of phases, defects, and surfaces of the CdTe system were performed. We began our study by using both potentials to evaluate the lattice constants and cohesive energies of various Cd, Te, and CdTe phases including dimer, trimer, chain, square, rhomboid, tetrahedron, diamond-cubic (dc), simple-cubic (sc), body-centered-cubic (bcc), face-centered cubic (fcc), hexagonal-close-packed (hcp), graphite-sheet, A8, zinc-blende (zb), wurtzite (wz), NaCl, CsCl, etc. We then compared the results with our calculations using the density functional theory (DFT) quantum mechanical method. We also evaluated the suitability of the

  8. Improving tumour response

    International Nuclear Information System (INIS)

    Radiation oncology is in the middle of the most exciting developments in its 100-year history. Progress in treatment planning and delivery, in medical imaging and in basic cancer and normal tissue biology is likely to change the indication for radiotherapy as well as the way it is prescribed and delivered. Technological and conceptual advances, in particular the development of the multi-leaf collimator and the concept of inverse treatment planning, have led to the introduction of intensity modulated radiation therapy (IMRT) with its capability to plan and deliver non-uniform dose distributions in the clinic. This has forced us to re-think radiation oncology: refining the indication for radiotherapy, optimizing the prescription of dose distributions and considering how, based on clinical evidence, radiation can best be combined with other treatment modalities, surgery, cytotoxic chemotherapy and biologically targeted therapies. The attraction of radiation therapy as an element of multi-modality cancer therapy is that it induces DNA damage that can be modulated in space and time. Progress in basic cancer biology, genomics and proteomics, as well as biological imaging provides novel avenues for individualization of cancer therapy and for biological optimization of radiotherapy. In improving cancer care, it is the therapeutic ratio, rather than tumour control per se, that must be optimised. Interestingly, the two main avenues for improving the effectiveness of radiotherapy currently being actively pursued in the clinic generally aim at different sides of the therapeutic ratio: 3D conformal radiotherapy and IMRT predominantly aim to reduce normal-tissue side effects - and by doing this, open the way for dose escalation that may lead to increased tumour control rates - whereas combined radio-chemotherapy aims to improve tumour response - while keeping the fingers crossed that this will not increase normal-tissue complications to the same extent. In parallel with these

  9. Room for improvement

    DEFF Research Database (Denmark)

    Storvang, Pia; Dalby, Mette Strømgaard

    2015-01-01

    from a project with four Danish medium-sized manufacturing companies aiming to become more competitive in the European export market. In the project, one challenge was how to convey results from customer interviews and user studies from the researcher team (which in all instances included a company...... manager) to the development team in each company. We chose to collaboratively build a ‘war room’ in each of the companies to make sense of research materials and establish design principles for products that would better align with customer needs.......This paper develops the notion of a project war room as an innovation practice in companies. We argue that the consistent use of a project war room, in which customer and user research serves as a background for design work, improve the quality of product innovation. We describe our experiences...

  10. Mutations in lettuce improvement.

    Science.gov (United States)

    Mou, Beiquan

    2011-01-01

    Lettuce is a major vegetable in western countries. Mutations generated genetic variations and played an important role in the domestication of the crop. Many traits derived from natural and induced mutations, such as dwarfing, early flowering, male sterility, and chlorophyll deficiency, are useful in physiological and genetic studies. Mutants were also used to develop new lettuce products including miniature and herbicide-tolerant cultivars. Mutant analysis was critical in lettuce genomic studies including identification and cloning of disease-resistance genes. Mutagenesis combined with genomic technology may provide powerful tools for the discovery of novel gene alleles. In addition to radiation and chemical mutagens, unconventional approaches such as tissue or protoplast culture, transposable elements, and space flights have been utilized to generate mutants in lettuce. Since mutation breeding is considered nontransgenic, it is more acceptable to consumers and will be explored more in the future for lettuce improvement. PMID:22287955

  11. Measuring improved patient choice.

    Science.gov (United States)

    Holmes-Rovner, M; Rovner, D R

    2000-08-01

    Patient decision support (PDS) tools or decision aids have been developed as adjuncts to the clinical encounter. Their aim is to support evidence-based patient choice. Clinical trials of PDS tools have used an array of outcome measures to determine efficacy, including knowledge, satisfaction, health status and consistency between patient choice and values. This paper proposes that the correlation between 'subjective expected utility' (SEU) and decision may be the best primary endpoint for trials. SEU is a measure usually used in behavioural decision theory. The paper first describes how decision support tools may use decision analysis to structure the presentation of evidence and guide patient decision-making. Uses of expected utility (EU) are suggested for evaluating PDS tools when improving population health status is the objective. SEU is the theoretically better measure when internal consistency of patient choices is the objective. PMID:11083037

  12. Improving Power Converter Reliability

    DEFF Research Database (Denmark)

    Ghimire, Pramod; de Vega, Angel Ruiz; Beczkowski, Szymon;

    2014-01-01

    is measured in a wind power converter at a low fundamental frequency. To illustrate more, the test method as well as the performance of the measurement circuit are also presented. This measurement is also useful to indicate failure mechanisms such as bond wire lift-off and solder layer degradation......The real-time junction temperature monitoring of a high-power insulated-gate bipolar transistor (IGBT) module is important to increase the overall reliability of power converters for industrial applications. This article proposes a new method to measure the on-state collector?emitter voltage of a...... high-power IGBT module during converter operation, which may play a vital role in improving the reliability of the power converters. The measured voltage is used to estimate the module average junction temperature of the high and low-voltage side of a half-bridge IGBT separately in every fundamental...

  13. Improvements in phosphors

    International Nuclear Information System (INIS)

    For X-ray image converter applications, especially when used in medical radiography, it is desirable to improve the speed and brightness of response for conversion of X-rays in phosphors. The rare earth oxyhalide phosphors coactivated with a combination of rare earth activators described in this patent are capable of exhibiting low afterglow with high ultraviolet emission. They have the general formula Lnsub(1-y-w)OX:Tbsub(y)Tmsub(w) where Ln is lanthanum or gadolinium, X is chlorine and/or bromine, y is from 0.0005 to 0.010 moles per mole and w is from 0.00005 to 0.005 moles per mole of the Lnsub(1-y-w)OX host. The method of preparation and characteristics of speed, afterglow and UV emission are described. (U.K.)

  14. General oilfield driver improvement

    International Nuclear Information System (INIS)

    The general oilfield driver improvement (GODI) course was discussed. The course is offered to truckers in the oil and gas industry to help reduce accidents and injuries. Oilfield trucking is one of the most accident and injury prone sectors in the Alberta economy. This paper presented Heck's Trucking company's experience in sending its employees on the course. Drivers were taught (1) the National safety code requirements, (2) Commercial Vehicle Safety Alliance requirements, (3) occupational health and safety concerns, (4) vehicle dimension and GVW restrictions, (5) hours of service regulations, (6) log book and pre-trip inspection requirements, (7) workplace hazardous material information, and (8) transportation of dangerous goods. Overall, the course was judged to provide excellent training before sending drivers into the field. The employee, the customer, and the company, all stand to benefit from having rigorous and uniform standards for all drivers in the oil and gas industry

  15. Software Engineering Improvement Plan

    Science.gov (United States)

    2006-01-01

    In performance of this task order, bd Systems personnel provided support to the Flight Software Branch and the Software Working Group through multiple tasks related to software engineering improvement and to activities of the independent Technical Authority (iTA) Discipline Technical Warrant Holder (DTWH) for software engineering. To ensure that the products, comments, and recommendations complied with customer requirements and the statement of work, bd Systems personnel maintained close coordination with the customer. These personnel performed work in areas such as update of agency requirements and directives database, software effort estimation, software problem reports, a web-based process asset library, miscellaneous documentation review, software system requirements, issue tracking software survey, systems engineering NPR, and project-related reviews. This report contains a summary of the work performed and the accomplishments in each of these areas.

  16. Improvement sedimentometer Wigner

    Directory of Open Access Journals (Sweden)

    V. O. Tertyshnyi

    2013-09-01

    Full Text Available Introduction. These units are classical Wigner sedimentogenesis meters, its advantages and disadvantages. Materials and performance. A device capacitance stnogo-meter level difference between the suspension, located in a wide ditch and dispersed medium in the capillary tube sedimentometer Wigner to automate the process of reading the height of the column, in accordance with the time of the precipitation fraction solids slurry in a wide receiver with the possibility of further automatic processing of particle deposition curve colloidal system. Resume. A device for improving sedimentometer Wigner, which automates the process of the computation of the moments of the deposition time of the individual fractions of the solid phase with concomitant fixation difference between the liquid levels in both knees sedimentometer, which allows to determine with mathematical processing the mass fractions of each fraction in the sediment.

  17. Improved poultry house

    Energy Technology Data Exchange (ETDEWEB)

    None

    1983-01-01

    The relationship of energy and poultry production was explored in three areas: methane production from litter, broiler house insulation, and broiler house HVAC systems. The findings show that while a methane plant would not be popular with individual American poultry producers; the pay back in fuel and fertilizer, if the plant was located in close proximinity to the processing plant, would be favorable. Broiler house insulation has been dramatically improved since the outset of this study. Presently, all new installations in the survey area are the Environmental houses which are fully insulated. HVAC systems have had to keep pace with the introduction of better insulation. The new Environmental houses HVAC systems are fully automated and operating on a positive atmosphere principal. Ammonia and other problems have been kept in check while reducing air changes per house from a high of 7 per hour to as little as 3 per hour.

  18. PURSUING PRODUCTIVITY IMPROVEMENT

    Directory of Open Access Journals (Sweden)

    N.H.B. Faull

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: This paper examines the results of a concerted effort to move to a more rigorous and scientific basis for managing for improved productivity. The point of departure is a question, in the mouth of the chief executive officer of an organization: "How can we improve productivity?" The hypothesis is framed in terms of two contextual factors and six specific factors. The contextual factors are: create a questioning or learning culture, and develop a "cause-effect vision" to motivate questioning. The specific activities of the organization should be characterized by goals, feedback, participation, experimenation, pressure, and perseverance. The results of twelve audits of South African organizations, involving some 200 interviews and 2000 questionnaires, have been used to test the above hypothesis. The paper presents some of these results to indicate support for aspects of the hypothesis.

    AFRIKAANSE OPSOMMING: Hierdie artikel ondersoek die uitslae van 'n doelbewuste poging om 'n meer wetenskaplike grondslag to vind vir die bestuur van produktiwiteitsverbetering. Die uitgangspunt is 'n vraag, uit die mond van die top uitvoerende beampte van 'n organisasie: "Hoe kan ons produktiwiteit verbeter?" Die hipotese worde uiteengesit in terme van twee kontekstuele faktore en ses spesifieke faktore. Die kontekstuele faktore is: Skep 'n kultuur van bevraging of leer, en ontwikkel 'n "oorsaak-uitwerking visioen" om bevraging te motiveer. Die spesifieke aktiwiteite van die organisasie moet deur doelwitte, terugvoer, deelname, eksperimentasie, druk, en deursettings-vermoe gekenmerk word. Die uitslae van twaalf aUditerings in suid Afrikaanse organisasies, wat ongeveer 200 onderhoude en 2000 questionnaires behels het, was gebruik om die bestaande hipotese te toets. Hierdie artikel Ie voor van hierdie uitslae om ondersteuning vir aspekte van die hipotese te toon.

  19. Improving healthcare practice behaviors.

    Science.gov (United States)

    Van Fleet, David D; Peterson, Tim O

    2016-03-14

    Purpose - The purpose of this paper is to present the results of exploratory research designed to develop an awareness of healthcare behaviors, with a view toward improving the customer satisfaction with healthcare services. It examines the relationship between healthcare providers and their consumers/patients/clients. Design/methodology/approach - The study uses a critical incident methodology, with both effective and ineffective behavioral specimens examined across different provider groups. Findings - The effects of these different behaviors on what Berry (1999) identified as the common core values of service organizations are examined, as those values are required to build a lasting service relationship. Also examined are categories of healthcare practice based on the National Quality Strategy priorities. Research limitations/implications - The most obvious is the retrospective nature of the method used. How accurate are patient or consumer memories? Are they capable of making valid judgments of healthcare experiences (Berry and Bendapudi, 2003)? While an obvious limitation, such recollections are clearly important as they may be paramount in following the healthcare practitioners' instructions, loyalty for repeat business, making recommendations to others and the like. Further, studies have shown retrospective reports to be accurate and useful (Miller et al., 1997). Practical implications - With this information, healthcare educators should be in a better position to improve the training offered in their programs and practitioners to better serve their customers. Social implications - The findings would indicate that the human values of excellence, innovation, joy, respect and integrity play a significant role in building a strong service relationship between consumer and healthcare provider. Originality/value - Berry (1999) has argued that the overriding importance in building a lasting service business is human values. This exploratory study has shown how

  20. Radiographic changes in rhesus macaques affected by scurvy

    International Nuclear Information System (INIS)

    Spontaneous vitamin C deficiency, or scurvy, was recognized in juvenile rhesus monkeys maintained in a research center as a result of being fed a commercial diet for 2 to 3 months with low levels of vitamin C. Most severely affected animals (13) were radiographed repeatedly up to day 300 following detection of the disease. Early radiographic changes consisted of widened, lucent metaphyses with lateral flaring and radiopaque metaphyseal lines at the junction of the metaphyses and physes. Physeal slippage was noted commonly. Following institution of vitamin C therapy, calcification of subperiosteal hemorrhage occurred in the metaphyseal regions. Metaphyses and physes returned to normal radiographic appearance within 15 to 30 days. Initially, the subperiosteal hemorrhage progressed and a longer time was required for solution of the calcified hematomas. The macaques improved clinically and were released from the hospital when fractures were stable at 4-5 weeks after admission. Of the 13 macaques studied, all but one returned as normal members of the colony

  1. Efficiency improvements in transport

    Energy Technology Data Exchange (ETDEWEB)

    Schramm, J. [Technical Univ. of Denmark. DTU Mechanical Engineering, Kgs. Lyngby (Denmark); Christensen, Linda; Jensen, Thomas C. [Technical Univ. of Denmark. DTU Transport, Kgs. Lyngby (Denmark)

    2012-11-15

    Transport of people, personal belongings and goods in private cars is fundamental to our modern welfare society and economic growth, and has grown steadily over many decades. Motor fuels have been based almost entirely on crude oil for the last century. During the last couple of decades engines built for traditional fuels have become more advanced and efficient; this has reduced fuel consumption by around 40% and emissions by more than 90%. Only in the same time span have we begun to look at alternatives to fossil fuels. Biofuels such as biodiesel, bioethanol, biomethanol and biogas can replace petrol and diesel, and in recent years algae have shown a new potential for diesel fuel. Natural gas is also becoming an interesting fuel due to its large resources worldwide. GTL, CTL and BTL are liquid fuels produced from solid or gaseous sources. GTL and CTL are expensive to produce and not very CO{sub 2}-friendly, but they are easily introduced and need little investment in infrastructure and vehicles. DME is an excellent fuel for diesel engines. Methanol and DME produced from biomass are among the most CO{sub 2}-reducing fuels and at the same time the most energy-efficient renewable fuels. Fuel cell vehicles (FCVs) are currently fuelled by hydrogen, but other fuels are also possible. There are, however, several barriers to the implementation of fuel cell vehicles. In particular, a hydrogen infrastructure needs to be developed. Electric vehicles (EVs) have the advantage that energy conversion is centralised at the power plant where it can be done at optimum efficiency and emissions. EVs have to be charged at home, and also away from home when travelling longer distances. With an acceptable fast charging infrastructure at least 85% of the one-car families in Denmark could be potential EV customers. Range improvements resulting from better batteries are expected to create a large increase in the number of EVs in Denmark between 2020 and 2030. The hybrid electric vehicle

  2. Regulatory Streamlining and Improvement

    Energy Technology Data Exchange (ETDEWEB)

    Mark A. Carl

    2006-07-11

    The Interstate Oil and Gas Compact Commission (IOGCC) engaged in numerous projects outlined under the scope of work discussed in the United States Department of Energy (DOE) grant number DE-FC26-04NT15456 awarded to the IOGCC. Numerous projects were completed that were extremely valuable to state oil and gas agencies as a result of work performed utilizing resources provided by the grant. There are numerous areas in which state agencies still need assistance. This additional assistance will need to be addressed under future scopes of work submitted annually to DOE's Project Officer for this grant. This report discusses the progress of the projects outlined under the grant scope of work for the 2005-2006 areas of interest, which are as follows: Area of Interest No. 1--Regulatory Streamlining and Improvement: This area of interest continues to support IOGCC's regulatory streamlining efforts that include the identification and elimination of unnecessary duplications of efforts between and among state and federal programs dealing with exploration and production on public lands. Area of Interest No. 2--Technology: This area of interest seeks to improve efficiency in states through the identification of technologies that can reduce costs. Area of Interest No. 3--Training and Education: This area of interest is vital to upgrading the skills of regulators and industry alike. Within the National Energy Policy, there are many appropriate training and education opportunities. Education was strongly endorsed by the President's National Energy Policy Development group. Acting through the governors offices, states are very effective conduits for the dissemination of energy education information. While the IOGCC favors the development of a comprehensive, long-term energy education plan, states are also supportive of immediate action on important concerns, such as energy prices, availability and conservation. Area of Interest No. 4--Resource Assessment and

  3. Improving operational plume forecasts

    Science.gov (United States)

    Balcerak, Ernie

    2012-04-01

    Forecasting how plumes of particles, such as radioactive particles from a nuclear disaster, will be transported and dispersed in the atmosphere is an important but computationally challenging task. During the Fukushima nuclear disaster in Japan, operational plume forecasts were produced each day, but as the emissions continued, previous emissions were not included in the simulations used for forecasts because it became impractical to rerun the simulations each day from the beginning of the accident. Draxler and Rolph examine whether it is possible to improve plume simulation speed and flexibility as conditions and input data change. The authors use a method known as a transfer coefficient matrix approach that allows them to simulate many radionuclides using only a few generic species for the computation. Their simulations work faster by dividing the computation into separate independent segments in such a way that the most computationally time consuming pieces of the calculation need to be done only once. This makes it possible to provide real-time operational plume forecasts by continuously updating the previous simulations as new data become available. They tested their method using data from the Fukushima incident to show that it performed well. (Journal of Geophysical Research-Atmospheres, doi:10.1029/2011JD017205, 2012)

  4. Improved Search Techniques

    Science.gov (United States)

    Albornoz, Caleb Ronald

    2012-01-01

    Thousands of millions of documents are stored and updated daily in the World Wide Web. Most of the information is not efficiently organized to build knowledge from the stored data. Nowadays, search engines are mainly used by users who rely on their skills to look for the information needed. This paper presents different techniques search engine users can apply in Google Search to improve the relevancy of search results. According to the Pew Research Center, the average person spends eight hours a month searching for the right information. For instance, a company that employs 1000 employees wastes $2.5 million dollars on looking for nonexistent and/or not found information. The cost is very high because decisions are made based on the information that is readily available to use. Whenever the information necessary to formulate an argument is not available or found, poor decisions may be made and mistakes will be more likely to occur. Also, the survey indicates that only 56% of Google users feel confident with their current search skills. Moreover, just 76% of the information that is available on the Internet is accurate.

  5. Improving surgical weekend handover

    Science.gov (United States)

    Culwick, Caroline; Devine, Chris; Coombs, Catherine

    2014-01-01

    Effective handovers are vital to patient safety and continuity of care, and this is recognised by several national bodies including the GMC. The existing model at Great Western Hospital (GWH) involved three general surgical teams and a urology team placing their printed patient lists, complete with weekend jobs, in a folder for the on-call team to collect at the weekend. We recognised a need to reduce time searching for patients, jobs and reviews, and to streamline weekend ward rounds. A unified weekend list ordering all surgical patients by ward and bed number was introduced. Discrepancies in the layout of each team's weekday list necessitated the design of a new weekday list to match the weekend list to facilitate the easy transfer of information between the two lists. A colour coding system was also used to highlight specific jobs. Prior to this improvement project only 7.1% of those polled were satisfied with the existing system, after a series of interventions satisfaction increased to 85.7%. The significant increase in overall satisfaction with surgical handover following the introduction of the unified weekend list is promising. Locating patients and identifying jobs is easier and weekend ward rounds can conducted in a more logical and timely fashion. It has also helped facilitate the transition to consultant ward rounds of all surgical inpatients at the weekends with promising feedback from a recent consultants meeting. PMID:26734294

  6. Improving operating room schedules.

    Science.gov (United States)

    Li, Fei; Gupta, Diwakar; Potthoff, Sandra

    2016-09-01

    Operating rooms (ORs) in US hospitals are costly to staff, generate about 70 % of a hospital's revenues, and operate at a staffed-capacity utilization of 60-70 %. Many hospitals allocate blocks of OR time to individual or groups of surgeons as guaranteed allocation, who book surgeries one at a time in their blocks. The booking procedure frequently results in unused time between surgeries. Realizing that this presents an opportunity to improve OR utilization, hospitals manually reschedule surgery start times one or two days before each day of surgical operations. The purpose of rescheduling is to decrease OR staffing costs, which are determined by the number of concurrently staffed ORs. We formulate the rescheduling problem as a variant of the bin-packing problem with interrelated items, which are the surgeries performed by the same surgeon. We develop a lower bound (LB) construction algorithm and prove that the LB is at least (2/3) of the optimal staffing cost. A key feature of our approach is that we allow hospitals to have two shift lengths. Our analytical results form the basis of a branch-and-bound algorithm, which we test on data obtained from three hospitals. Experiments show that rescheduling saves significant staffing costs. PMID:25687390

  7. PESTICIDE APPLICATION TECHNICS IMPROVEMENT

    Directory of Open Access Journals (Sweden)

    Đuro Banaj

    2011-06-01

    Full Text Available The academic textbook Pesticide application tehnics improvement is the result of several-year recording theoretical models, numerous practical tests, and data collection relating to technical systems in plant protection and its environment in the narrowest sense. In this first edition, the authors cover the area they have dealt with for many years. The authors aimed to present complete and clear methods how to solve specific problems in the agricultural practice management, plant protection, and direct practice application – ‘‘Know- How'', with as many as possible useful data. References used, along with local ones, are mostly American and from Western Europe. This textbook is intended for those who already use the agricultural technique in plant protection and those who are just acquiring the basics of technical systems proper application in daily practice, regardless the size of the agricultural farm. The authors covered in details and explained some bases of physics logic, analysis, and synthesis of specific laws while using pesticides due to extremely importance in understanding the problem area.

  8. Improving Project Manufacturing Coordination

    Directory of Open Access Journals (Sweden)

    Korpivaara Ville

    2014-09-01

    Full Text Available The objective of this research is to develop firms’ project manufacturing coordination. The development will be made by centralizing the manufacturing information flows in one system. To be able to centralize information, a deep user need assessment is required. After user needs have been identified, the existing system will be developed to match these needs. The theoretical background is achieved through exploring the literature of project manufacturing, development project success factors and different frameworks and tools for development project execution. The focus of this research is rather in customer need assessment than in system’s technical expertise. To ensure the deep understanding of customer needs this study is executed by action research method. As a result of this research the information system for project manufacturing coordination was developed to respond revealed needs of the stakeholders. The new system improves the quality of the manufacturing information, eliminates waste in manufacturing coordination processes and offers a better visibility to the project manufacturing. Hence it provides a solid base for the further development of project manufacturing.

  9. Cold Lake profitability improvement

    International Nuclear Information System (INIS)

    For the past ten years, Imperial Oil Ltd. has been carrying out a world scale commercial project, using cyclic steam stimulation (CSS) to extract bitumen from the Cold Lake area. Because of the very heavy and viscous nature of Cold Lake bitumen, Imperial Oil has employed CSS as a means of in-situ enhanced recovery. Although this method has been very effective, production has been challenged by the cost of generating and treating steam. To comply with pipeline constraints, Cold Lake bitumen has had to be blended with a diluent. The blended product has been a desirable refinery feedstock, however, it sells for less that light sweet crude, clearly indicating the need for unit cost reduction. Since the start-up of operations nearly a decade ago cost reductions have been achieved in many areas, including production technology, water management, fuel efficiency, services and maintenance, people productivity, electricity costs, and chemical costs. The combined value of these reductions was claimed to be about one third of production costs, resulting in significantly improved competitive position and profitable development of the Cold Lake deposit. 5 figs

  10. COPD Discovery Might Improve Treatment

    Science.gov (United States)

    ... nlm.nih.gov/medlineplus/news/fullstory_158852.html COPD Discovery Might Improve Treatment Study may help pinpoint ... will progress, a discovery they believe could improve COPD treatment. Their research might help doctors determine which ...

  11. Improving Doctor/Caregiver Communication

    Science.gov (United States)

    ... Month Friend: Living Independently Group Improving Doctor/ Caregiver Communications Helpful Ideas for Family Caregivers From NFCA There is much to be gained by improving communications between family caregivers and health care professionals, especially ...

  12. COPD Discovery Might Improve Treatment

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_158852.html COPD Discovery Might Improve Treatment Study may help pinpoint ... will progress, a discovery they believe could improve COPD treatment. Their research might help doctors determine which ...

  13. Improvements in the BCG code

    International Nuclear Information System (INIS)

    Some improvements introduced in the BCG code with the objective of making the code faster in execution are reported. The impact of these improvements in terms of CPU time saving is discussed for a sample problem. (author)

  14. How to Improve Listening Ability

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Learners of English,especially beginners have troubles in understanding speechesby native speakers.Bur how to improve listening ability?Here I’d like to introduceyou some ways which might help you to improve you listening ability.

  15. Improved automobile gas turbine engine

    Science.gov (United States)

    Kofskey, M. G.; Katsanis, T.; Roelke, R. J.; Mclallin, K. L.; Wong, R. Y.; Schumann, L. F.; Galvas, M. R.

    1976-01-01

    Upgraded engine delivers 100 hp in 3500 lb vehicle. Improved fuel economy is due to combined effects of reduced weight, reduced power-to-weight ratio, increased turbine inlet pressure, and improved component efficiencies at part power.

  16. CONFORMANCE IMPROVEMENT USING GELS

    Energy Technology Data Exchange (ETDEWEB)

    Randall S. Seright

    2003-09-01

    This report describes work performed during the second year of the project, ''Conformance Improvement Using Gels.'' The project has two objectives. The first objective is to identify gel compositions and conditions that substantially reduce flow through fractures that allow direct channeling between wells, while leaving secondary fractures open so that high fluid injection and production rates can be maintained. The second objective is to optimize treatments in fractured production wells, where the gel must reduce permeability to water much more than that to oil. Pore-level images from X-ray computed microtomography were re-examined for Berea sandstone and porous polyethylene. This analysis suggests that oil penetration through gel-filled pores occurs by a gel-dehydration mechanism, rather than a gel-ripping mechanism. This finding helps to explain why aqueous gels can reduce permeability to water more than to oil. We analyzed a Cr(III)-acetate-HPAM gel treatment in a production well in the Arbuckle formation. The availability of accurate pressure data before, during, and after the treatment was critical for the analysis. After the gel treatment, water productivity was fairly constant at about 20% of the pre-treatment value. However, oil productivity was stimulated by a factor of 18 immediately after the treatment. During the six months after the treatment, oil productivity gradually decreased to approach the pre-treatment value. To explain this behavior, we proposed that the fracture area open to oil flow was increased substantially by the gel treatment, followed by a gradual closing of the fractures during subsequent production. For a conventional Cr(III)-acetate-HPAM gel, the delay between gelant preparation and injection into a fracture impacts the placement, leakoff, and permeability reduction behavior. Formulations placed as partially formed gels showed relatively low pressure gradients during placement, and yet substantially reduced the

  17. CONFORMANCE IMPROVEMENT USING GELS

    Energy Technology Data Exchange (ETDEWEB)

    Randall S. Seright

    2004-09-30

    This report describes work performed during the third and final year of the project, ''Conformance Improvement Using Gels.'' Corefloods revealed throughput dependencies of permeability reduction by polymers and gels that were much more prolonged during oil flow than water flow. This behavior was explained using simple mobility ratio arguments. A model was developed that quantitatively fits the results and predicts ''clean up'' times for oil productivity when production wells are returned to service after application of a polymer or gel treatment. X-ray computed microtomography studies of gels in strongly water-wet Berea sandstone and strongly oil-wet porous polyethylene suggested that oil penetration through gel-filled pores occurs by a gel-dehydration mechanism, rather than gel-ripping or gel-displacement mechanisms. In contrast, analysis of data from the University of Kansas suggests that the gel-ripping or displacement mechanisms are more important in more permeable, strongly water-wet sandpacks. These findings help to explain why aqueous gels can reduce permeability to water more than to oil under different conditions. Since cement is the most commonly used material for water shutoff, we considered when gels are preferred over cements. Our analysis and experimental results indicated that cement cannot be expected to completely fill (top to bottom) a vertical fracture of any width, except near the wellbore. For vertical fractures with apertures less than 4 mm, the cement slurry will simply not penetrate very far into the fracture. For vertical fractures with apertures greater than 4 mm, the slurry may penetrate a substantial distance into the bottom part of the fracture. However, except near the wellbore, the upper part of the fracture will remain open due to gravity segregation. We compared various approaches to plugging fractures using gels, including (1) varying polymer content, (2) varying placement (extrusion) rate

  18. Improving the bottom line

    International Nuclear Information System (INIS)

    With slower sales in North America and Europe, manufacturers are looking to supply power equipment in the expanding global markets. In doing so, they are finding opportunities and challenges. Competition is tougher in these markets; as well, each market has its own demands. Independent Energy recently spoke with a number of the top manufacturing companies and several system packagers about the markets for power equipment. The topics ranged from higher efficiencies and lower emissions on gas turbines to larger boilers. A growing need for cleaner combustion technologies in many emerging nations, are leading vendors to keep research and development (R ampersand D) budgets at the top of priority lists. In order to find ways to meet cleaner, more efficient demands, some of the equipment industry's leaders are renewing old partnerships and making new ones through alliances and joint ventures. Combining R ampersand D efforts and offering equipment delivery from points around the world instead of one central source is crucial to success in these expanding markets. As well, these alliances offer manufacturers the opportunity to find partners in the countries where much of the new power generation supply will be built. This makes doing business with local or state utilities - and developers who also are seeking local partners - less risky. At the same time, it offers opportunities for these companies to expand into new markets and provide equipment from a local level, boosting economic growth in emerging nations. As manufacturers adjust their market positions, they prepare themselves for an expanding world marketplace which demands more competitive, more efficient and constantly improving ways of doing business

  19. NCCDS configuration management process improvement

    Science.gov (United States)

    Shay, Kathy

    1993-01-01

    By concentrating on defining and improving specific Configuration Management (CM) functions, processes, procedures, personnel selection/development, and tools, internal and external customers received improved CM services. Job performance within the section increased in both satisfaction and output. Participation in achieving major improvements has led to the delivery of consistent quality CM products as well as significant decreases in every measured CM metrics category.

  20. Mechanisms that improve referential access*

    OpenAIRE

    Gernsbacher, Morton Ann

    1989-01-01

    Two mechanisms, suppression and enhancement, are proposed to improve referential access. Enhancement improves the accessibility of previously mentioned concepts by increasing or boosting their activation; suppression improves concepts’ accessibility by decreasing or dampening the activation of other concepts. Presumably, these mechanisms are triggered by the informational content of anaphors. Six experiments investigated this proposal by manipulating whether an anaphoric reference was made wi...

  1. Interstate Electrification Improvement Project

    Energy Technology Data Exchange (ETDEWEB)

    Puckette, Margaret [Shorepower Technologies, Hillsboro, OR (United States); Kim, Jeff [Shorepower Technologies, Hillsboro, OR (United States)

    2015-07-01

    The Interstate Electrification Improvement Project, publicly known as the Shorepower Truck Electrification Project (STEP), started in May 2011 and ended in March 2015. The project grant was awarded by the Department of Energy’s Vehicles Technology Office in the amount of $22.2 million. It had three overarching missions: 1. Reduce the idling of Class 8 tractors when parked at truck stops, to reduce diesel fuel consumption and thus U.S. dependence on foreign petroleum; 2. Stimulate job creation and economic activity as part of the American Reinvestment and Recovery Act of 2009; 3. Reduce greenhouse gas emissions (GHG) from diesel combustion and the carbon footprint of the truck transportation industry. The project design was straightforward. First, build fifty Truck Stop Electrification (TSE) facilities in truck stop parking lots across the country so trucks could plug-in to 110V, 220V, or 480VAC, and shut down the engine instead of idling. These facilities were strategically located at fifty truck stops along major U.S. Interstates with heavy truck traffic. Approximately 1,350 connection points were installed, including 150 high-voltage electric standby Transport Refrigeration Unit (eTRU) plugs--eTRUs are capable of plugging in to shore power1 to cool the refrigerated trailer for loads such as produce, meats and ice cream. Second, the project provided financial incentives on idle reduction equipment to 5,000 trucks in the form of rebates, to install equipment compatible with shore power. This equipment enables drivers to shut down the main engine when parked, to heat or cool their cab, charge batteries, or use other household appliances without idling—a common practice that uses approximately 1 gallon of diesel per hour. The rebate recipients were intended to be the first fleets to plug into Shorepower to save diesel fuel and ensure there is significant population of shore power capable trucks. This two part project was designed to complement each other by

  2. Framework for Patient Flow Improvement

    Directory of Open Access Journals (Sweden)

    S.V. Medina-León

    2014-07-01

    Full Text Available There has been much research where the flow of patients was improved, but most of this study is case-specific and only a few papers offer guidelines for patient flow analysis and improvement. In this study a general framework for the analysis and improvement of patient flow is presented, based on a literature review and on experience from a case study in a hospital in Mexico dealing with identifying improvement opportunities that reduced waiting times in the obstetrics/gynecology area of the emergency department. The framework involves an initial analysis using basic tools followed by the selection of a strategy based on system complexity; financial investment required and team participation. The alternative strategies considered were use of advanced analysis tools; use of kaizen events; or direct recommendations. The aim of the framework is to serve as guideline in patient flow improvement projects by helping select the most appropriate improvement path, resulting in project success.

  3. Ergonomic Improvements for Foundries; FINAL

    International Nuclear Information System (INIS)

    The goal of this project was to make improvements to the production systems of the steel casting industry through ergonomic improvements. Because of the wide variety of products, the wide range of product sizes, and the relatively small quantities of any particular product, manual operations remain a vital part of the production systems of the steel casting companies. Ergonomic improvements will assist the operators to more efficiently and consistently produce quality products

  4. Performance improvement in multinational corporations

    OpenAIRE

    Liu, Yang

    2015-01-01

    The aim of this thesis work is to develop a performance improvement model template which supports multinational corporations in their daily operations. This has been achieved through literature review and four case studies. With analysis and synthesis, a complete performance improvement model template is carried out based on balanced score card which can be considered as an instruction or reference for improvement work in multinational corporations. After experienced the transformation from i...

  5. Improved hyperspectral imaging technologies Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Improved hyperspectral imaging technologies could enable lower-cost analysis for planetary science including atmospheric studies, mineralogical investigations, and...

  6. Quality improvement as an investment.

    Science.gov (United States)

    Weeks, William B

    2002-01-01

    Health care organizations are experiencing increasing internal and external pressures to improve the quality of care that they provide. However, there is not a framework that can be used to help understand the value of quality improvement projects and to prioritize competing projects. By understanding the current processes, costs and outcomes of care, enumerating the costs and benefits of change, anticipating the timing of the costs and benefits, and performing a financial analysis, quality improvement efforts can be evaluated as investments. Only by understanding and adapting to the financial environments in which health care organizations operate can continuous quality improvement in health care succeed. PMID:12512466

  7. Framework for Patient Flow Improvement

    OpenAIRE

    S.V. Medina-León; A. Medina-Palomera; A. González-Ángeles; Rogers, P; M. Gil-Samaniego-Ramos; J. Ceballos-Corral; V. Nuño-Moreno

    2014-01-01

    There has been much research where the flow of patients was improved, but most of this study is case-specific and only a few papers offer guidelines for patient flow analysis and improvement. In this study a general framework for the analysis and improvement of patient flow is presented, based on a literature review and on experience from a case study in a hospital in Mexico dealing with identifying improvement opportunities that reduced waiting times in the obstetrics/gynecology area of the ...

  8. The Metaphysical Subject as Background to the Early Wittgenstein"s Epistemology

    OpenAIRE

    Armstrong, Brian

    2003-01-01

    Proposition 4.1121 of the Tractatus states that epistemology is the philosophy of psychology. What should we take this to mean? Philosophy, on Tractarian terms, is an activity by which thoughts are clarified. This activity ranges from checking terms to see if they have meaning to investigating a network for its regularity. Epistemology, then, would be the philosophical analysis and clarification of any possible psychology, although it is not clear what a psychology on ...

  9. Category of time in Christian metaphysics: Gregory of Nyssa and Maximus the Confessor

    OpenAIRE

    Mikhaylov, Petr

    2015-01-01

    In the article a problem of time is posed as an object of Christian theological reflection developed in a complicated interweaving of philosophical, cultural and religious traditions of the Mediterranean civilization. A typology of the problem is established by a correlation of the category of time with different aspects of temporality – with eternity in Antiquity, with future in Modernity and with present in the thought of different authors belonging to different epochs. The most representat...

  10. Suárez on the Metaphysics and Epistemology of Universals

    Czech Academy of Sciences Publication Activity Database

    Heider, Daniel

    Leiden: Brill, 2014 - (Salas, V.), s. 164-191. (Brill's Companions to the Christian Tradition. 38). ISBN 978-90-04-28158-5 Institutional support: RVO:67985955 Keywords : Suárez * Scotus * Fonseca * common nature * universals * formal unity * universal unity * abstraction * logical intention Subject RIV: AA - Philosophy ; Religion

  11. Energy, Metaphysics, and Space: Ernst Mach's Interpretation of Energy Conservation as the Principle of Causality

    Science.gov (United States)

    Guzzardi, Luca

    2014-06-01

    This paper discusses Ernst Mach's interpretation of the principle of energy conservation (EC) in the context of the development of energy concepts and ideas about causality in nineteenth-century physics and theory of science. In doing this, it focuses on the close relationship between causality, energy conservation and space in Mach's antireductionist view of science. Mach expounds his thesis about EC in his first historical-epistemological essay, Die Geschichte und die Wurzel des Satzes von der Erhaltung der Arbeit (1872): far from being a new principle, it is used from the early beginnings of mechanics independently from other principles; in fact, EC is a pre-mechanical principle which is generally applied in investigating nature: it is, indeed, nothing but a form of the principle of causality. The paper focuses on the scientific-historical premises and philosophical underpinnings of Mach's thesis, beginning with the classic debate on the validity and limits of the notion of cause by Hume, Kant, and Helmholtz. Such reference also implies a discussion of the relationship between causality on the one hand and space and time on the other. This connection plays a major role for Mach, and in the final paragraphs its importance is argued in order to understand his antireductionist perspective, i.e. the rejection of any attempt to give an ultimate explanation of the world via reduction of nature to one fundamental set of phenomena.

  12. Metaphysics and Methods in Moral Enquiry and Education: Some Old Philosophical Wine for New Theoretical Bottles

    Science.gov (United States)

    Carr, David

    2014-01-01

    If we reject sentimentalist accounts of the nature of moral motivation and education, then we may regard some form of reason as intrinsic to any genuine moral response. The large question for moral education is therefore that of the nature of such reason--perhaps more especially of its status as knowledge. In this regard, there is evidence of some…

  13. Chondrocytes-Specific Expression of Osteoprotegerin Modulates Osteoclast Formation in Metaphyseal Bone

    OpenAIRE

    Baoli Wang; Hongting Jin; Bing Shu; Ranim R. Mira; Di Chen

    2015-01-01

    Bone marrow stromal cells/osteoblasts were originally thought to be the major player in regulating osteoclast differentiation through expressing RANKL/OPG cytokines. Recent studies have established that chondrocytes also express RANKL/OPG and support osteoclast formation. Till now, the in vivo function of chondrocyte-produced OPG in osteoclast formation and postnatal bone growth has not been directly investigated. In this study, chondrocyte-specific Opg transgenic mice were generated by using...

  14. Chondrocytes-Specific Expression of Osteoprotegerin Modulates Osteoclast Formation in Metaphyseal Bone.

    Science.gov (United States)

    Wang, Baoli; Jin, Hongting; Shu, Bing; Mira, Ranim R; Chen, Di

    2015-01-01

    Bone marrow stromal cells/osteoblasts were originally thought to be the major player in regulating osteoclast differentiation through expressing RANKL/OPG cytokines. Recent studies have established that chondrocytes also express RANKL/OPG and support osteoclast formation. Till now, the in vivo function of chondrocyte-produced OPG in osteoclast formation and postnatal bone growth has not been directly investigated. In this study, chondrocyte-specific Opg transgenic mice were generated by using type II collagen promoter. The Col2-Opg transgenic mice showed delayed formation of secondary ossification center and localized increase of bone mass in proximal metaphysis of tibiae. TRAP staining showed that osteoclast numbers were reduced in both secondary ossification center and proximal metaphysis. This finding was further confirmed by in vitro chondrocyte/spleen cell co-culture assay. In contrast, the mineral apposition rates were not changed in Col2-Opg transgenic mice. TUNEL staining revealed more apoptotic hypertrophic chondrocytes in the growth plate of Col2-Opg mice. Flow cytometry analysis showed fewer RANK-expressing cells in the marrow of Col2a1-Opg mice, suggesting the role of OPG in blocking the differentiation of early mesenchymal progenitors into RANK-expressing pre-osteoclasts. Our results demonstrated that OPG expression in chondrocyte increases bone mass in the proximal metaphysis of tibiae through negative regulation of osteoclast formation. PMID:26329493

  15. Descartes and the “metaphysical dualism”: Excesses in interpreting a classic

    OpenAIRE

    Ştefan Afloroaei

    2010-01-01

    The article focuses on one of the most serious accusations brought against Descartes and modern philosophy, namely “the dualism of substance”. The accusers claim that the human body and soul were viewed as completely separate; consequently, their relationship as such and the united being of man become incomprehensible. As has been shown above, the idea of the separation of the soul from the body did not originate with Descartes; it was formulated much earlier, and repeated by a disciple of De...

  16. The metaphysical mind in its physical environment: Religious implications of neuroscience

    Directory of Open Access Journals (Sweden)

    C.W. du Toit

    2002-11-01

    Full Text Available This article introduces ideas originating from different sciences of mind and the challenge they present to religion. In spite of overcoming the mind-body dualism, it seems that the mind-brain dualism still prevails. The mind-brain relation is discussed in the light of some models. Special attention is given to supervenient theories of mind. In light of this information the article investigates how the impact of these theories on religious experience. D’Aquili and Newberg’s explanation of extraordinary religious experience is discussed. It is concluded that the phenomenon of religion and religious experience are more than mere brain functions. The place of religion and the continued importance of religion and religious experience are confirmed.

  17. World View, Metaphysics, and Epistemology. Scientific Literacy and Cultural Studies Project, Working Paper No. 106.

    Science.gov (United States)

    Cobern, William W.

    It has been argued from world view theory that fundamental beliefs abut the world exert a powerful influence on how sense is made of events in the world. However, the nature of that influence has remained enigmatic. Hannah Arendt's distinction between thinking and comprehension, and knowing and apprehension provides a clarification. Thinking is…

  18. METAPHYSICS OF MONEY IN THE WORKS OF HONORÉ DE BALZAC AND FYODOR DOSTOEVSKY

    Directory of Open Access Journals (Sweden)

    Boris N. Tarasov

    2015-11-01

    Full Text Available The author examines similarities and diff erences in the aesthetic interpretation of the theme of money in terms of social realism of Balzac and Christian realism of Dostoevsky. Such notions as “human mystery”, “a dark side of human nature”, the “ME law”, “the law of love” are introduced to achieve the aforementioned objective. As part of these notions, the article analyzes artistic types and refl ection of both writers and shows the equalizing, reducing, transforming and compensating functions of the monetary absolute, which becomes a common equivalent of human freedom and personality and creates conditions for a new inequality. The author reveals anthropologic consequences caused by dominating principles of utilitarianism and monetarist perception, highlighted in the novels by French and Russian writers, that facilitate perversion and inversion of a hierarchy of values, displacement of spiritual and moral fundamentals, mental impoverishment, entropy and nihilism in the degrading society

  19. The metaphysical mind in its physical environment: Religious implications of neuroscience

    OpenAIRE

    C. W. du Toit

    2002-01-01

    This article introduces ideas originating from different sciences of mind and the challenge they present to religion. In spite of overcoming the mind-body dualism, it seems that the mind-brain dualism still prevails. The mind-brain relation is discussed in the light of some models. Special attention is given to supervenient theories of mind. In light of this information the article investigates how the impact of these theories on religious experience. D’Aquili and Newberg’s explanation of ext...

  20. Richard Rorty: From Anti-metaphysical Neo-Pragmatism to Rejection of Philosophy

    Directory of Open Access Journals (Sweden)

    M Akrami

    2010-03-01

    Despite of usefulness of some elements and implications of Rorty’s metaphilosophy (such as his emphasis on freedom, democracy, and pluralism as well as his insisting on philosophical humility and avoiding scientific pride, it is faced with several problems, including 1 ignoring the referential and realist features of language, 2 confusing interpretation and reality, 3 eliminating the border between objectivity and subjectivity, 4 interfering of public and private life, and 5 ignoring the need of science, culture, technology and, in particular, politics, in philosophy. The authors try to show and analyze some elements of these problems.

  1. Richard Rorty:From Anti-metaphysical Neo-Pragmatism to Rejection of Philosophy

    Directory of Open Access Journals (Sweden)

    M. Akrami

    2010-01-01

    Full Text Available Richard Rorty is a neo-Pragmatist philosopher. For three decades, he has attacked the traditional philosophy (from Plato to Kant as well as any other epistemology searching for truth or claiming to mirror the nature in his philosophical works. Rorty holds that, according to the history of philosophy in his reading, there is no final answer to the traditional questions concerning knowledge, truth, and representation. These questions, therefore, should be dissolved and denied. He maintains that knowledge is justified belief, justification, however, being not the consequence of some correspondence between the theory or the statement, but the consequence of conversation, social practice, group consensus, and social solidarity. Rorty also thinks that democracy has priority on philosophy, disagreeing with the thesis that philosophy is the foundation of the rest of culture.Despite of usefulness of some elements and implications of Rorty’s metaphilosophy (such as his emphasis on freedom, democracy, and pluralism as well as his insisting on philosophical humility and avoiding scientific pride, it is faced with several problems, including 1 ignoring the referential and realist features of language, 2 confusing interpretation and reality, 3 eliminating the border between objectivity and subjectivity, 4 interfering of public and private life, and 5 ignoring the need of science, culture, technology and, in particular, politics, in philosophy. The authors try to show and analyze some elements of these problems.

  2. Migraine and Metaphysics: Sentinels of science in nineteenth-century physics

    DEFF Research Database (Denmark)

    2010-01-01

    attempts were primarily directed against unfounded hypotheses trying to encompass the indefinite and all sorts of aprioristic knowledge, except mathematics. Either by emphasizing the formal aspects of science or linking the formalism to useful applications in the shape of physical models and demands for...... all, yield a coherent worldview? In this article I will answer that question by looking at how a group of outspoken and influential Cantabrigian Wranglers were carving out intellectual, cultural and political space for themselves and their scientific endeavours while unremittingly patrolling their...

  3. Humpty Dumpty and the Metaphysical Poetry in the Twentieth-century Criticism

    Directory of Open Access Journals (Sweden)

    Carmen Gallo

    2015-11-01

    Full Text Available Il contributo intende analizzare due modalità di analisi e interpretazione della poesia, il new criticism e il new historicism, che pur diverse nel background pratico e ideologico della loro impostazione, sono state accademicamente egemoni per gran parte del secolo scorso, orientando in modo forte il consenso teorico e le politiche d’insegnamento, soprattutto in ambito angloamericano. A questo scopo, si ripercorrono diacronicamente le analisi testuali o le interpretazioni che critici di orientamenti diversi hanno offerto di un componimento di John Donne, The Canonization, diventato nel tempo uno dei più significativi terreni di scontro per l'opposizione e l'elaborazione delle nuove proposte teoriche.

  4. "A Plain Public Road": Evaluating Arguments for Democracy in a Post-Metaphysical World.

    Science.gov (United States)

    Hartnett, Stephen; Ramsey, Ramsey Eric

    1999-01-01

    Addresses Patrick Buchanan's political discourse by interweaving traditional rhetorical terms with more politically charged terms. Analyzes the dialectical relationships among rhetorical tropes, the structures of arguments, and political ideologies. Discusses the role of rhetoric in arguments for United States democracy during the colonial,…

  5. Nonossifying fibroma (metaphyseal fibrous defect) of the mandible in a 15-year-old boy.

    Science.gov (United States)

    Mannan, Abul Ala; Singh, N Gopendro; Al-Waheeb, Salah; Taher, Taher N; Mohammed, Emad El Din El Din

    2015-06-01

    We describe a rare case of nonossifying fibroma of the mandible in a 15-year-old boy who presented with a left mandibular swelling. Conventional imaging showed an expansile radiolucent lesion involving the angle and the body of the left mandible. The lesion was curetted, and a miniplate was implanted at the excision site. Microscopic examination of the removed specimen revealed a cellular lesion characterized by a proliferation of uniform spindle-shaped cells in a vague but prominent storiform pattern, which represented the classic appearance of nonossifying fibroma. Three months later, radiography detected a fracture of the implantation plate. The area was re-explored with curettage of the soft tissue, which on microscopy demonstrated findings similar to the initial curettage findings. Follow-up radiology revealed satisfactory healing of the jaw, and no further recurrence was seen 2 years after the initial surgery. We present this case to highlight the importance of recognizing nonossifying fibroma in the mandible, which can be easily confused with more common mandibular lesions. PMID:26053991

  6. On the Poverty of Philosophy: The Metaphysics of McLaren's "Revolutionary Critical Pedagogy"

    Science.gov (United States)

    Ellison, Scott

    2009-01-01

    In this essay, Scott Ellison examines a line of critical thought in educational theory that has unapologetically sought transcendence in the face contemporary social and political conditions. Under the banner of critical pedagogy, Peter McLaren sees this current period of globalization as representing a worldwide historical crisis requiring a…

  7. Metaphysics, Epistemology, Utilitarianism, Intuitionism, and Egoism: A Response to Phillips on Sidgwick

    OpenAIRE

    Crisp, Roger

    2013-01-01

    The shape of contemporary ethics owes a great deal to Henry Sidgwick, through his influence on Rawls, Parfit, and others. No one who reads David Phillips’s outstanding book can be left in the slightest doubt about Sidgwick’s continuing significance for both metaethics and normative ethics. Phillips’s scholarship and his substantive arguments are powerful and insightful, and I find them largely persuasive. So in these remarks I intend merely to raise a few questions about each of his four main...

  8. From Metaphysics to Parapsychology: Chinese Stereotypes in Two (Spanish Modernist Short Stories

    Directory of Open Access Journals (Sweden)

    Siwen Ning

    2016-07-01

    Full Text Available This paper examines the narrative resources and literal treatments of two Chinese characters in two short-stories from the illustrated magazine La Ilustración Española y Americana, the first of which, published at the end of 19th century and, the second, at the beginning of 20th century. The purpose of this study is to demonstrate an evolution of the Chinese stereotype in Spanish literature in the context of the so-called fin de siècle.

  9. From physics to metaphysics. A sociological reconstruction of the interpretation problem of the quantum theory

    International Nuclear Information System (INIS)

    The quantum theory represents one of the most fastidious and successful theory projects of the history of mankind. It is one, if not the universal theory of physics. The history of its interpretation and the discussion affects however by far more than only the field of theoretical physics. Such theory approach destroys ontological certainty. It calls the observer in question, and it lets us anticipate, what is to be expected, if we are employed in other fields with complex phenomena, which are infected with the observer problematics. As transclassical physics the quantum theory is so to say built on ''worlds without ground'' and disappoints by this the hope to be able to set themselves free from mind questions by physics or mathematics. Homologuously to the top forms of mystic reflexion the discussion about the interpretation of quantum physics can mediate an idea, what the mystery of the conditioned coproduction of system and environment - reflexion and world - can mean for us and possibly help us to become homelike in worlds without grounds. Hereby it becomes clear, that highly driven theory, which solves itself in its abstractions in a high degree from the live-worldly reality, stands not in contradiction to the possibility of knowledge of the world. On the contrary, at first a theory creation sufficiently elaborated and endowed with own internally conditioned consistency constraints represents the condition for the possibility of reflexion and gain of knowledge.

  10. "Lekta" and Inner Form as Loci of Sense in Metaphysics of Language

    Science.gov (United States)

    Lyanda-Geller, Olga V.

    2012-01-01

    This project seeks to answer the question whether it is possible to locate sense in language. I suggest that two theories seemingly unrelated to each other, one belonging to Ancient thought, and the other to modern Continental philosophy, give positive answer to the question. I focus on the concepts of "lekton" and "inner form"…

  11. The World As I Found It. A Subjectivist Metaphysics of the Mental

    OpenAIRE

    Merlo, Giovanni

    2015-01-01

    [spa] La primera parte de esta tesis articula y defiende la Teoría Subjetivista de lo Mental. Según esta teoría, mis estados mentales son esencialmente diferentes de los estados mentales de los demás, pero el hecho de que lo son no es un hecho objetivo, sino que un hecho subjetivo. El Capítulo 1 explica qué significa que un hecho sea subjetivo, qué tipo de diferencia hay entre mis estados mentales y los estados mentales de los demás y qué tipo de intuiciones me llevan a creer que haya est...

  12. On Goody, his critics, and beyond: Social metaphysics for literacy studies

    Directory of Open Access Journals (Sweden)

    Manuela Ungureanu

    2014-08-01

    Full Text Available I defend Jack Goody's approach to explaining expansive social and intellectual changes by pointing to the contributions of the technologies of communication, and specifically, of the use of writing (Goody 1987, 2000. I argue that conceptually driven approaches to social or human kinds contribute the clarifications needed to alleviate and respond to his critics’ concerns surrounding the notion of a literate society (Collins 1995, Finnegan 1999, Sawyer 2002, Bloch 2003. My defense of Goody also identifies and endorses a few main criteria and resources for the success of any satisfactory definition of the related notions of a literate society/literate mind.

  13. Genetics Home Reference: intrauterine growth restriction, metaphyseal dysplasia, adrenal hypoplasia congenita, and ...

    Science.gov (United States)

    ... abnormal side-to-side curvature of the spine ( scoliosis ) or thinning of the bones ( osteoporosis ). Adrenal hypoplasia ... health conditions: Diagnostic Tests Drug Therapy Surgery and Rehabilitation Genetic Counseling Palliative Care Related Information How are ...

  14. Currency and Essence. A Reflection on Economy and Metaphysics in Plato’s Republic

    Directory of Open Access Journals (Sweden)

    Alfonso Flórez

    2012-08-01

    Full Text Available The article inquires into the relation established in the Republic between the two meanings of ousia: property in the sense of possessions and wealth, and essence or substance. Besides the economic relations associated with loans, exchange, and interest, the paper examines the role of currency in the economy, with respect to ousia, as a means of dissociating wealth from possessions, thus achieving a degree of universality comparable to that of being itself.

  15. Ibn Khalduns’s Criticism Of The Muslim Philosophers: The Case Of Metaphysics

    OpenAIRE

    Hasan OCAK

    2013-01-01

    Many of the Muslim thinkers have criticized philosophy. In addition to the anti-philosophical attitude taken up by the theologians on the account that philoso-phy is thought to lead to infidelity or to be itself infidelity, the theologians composed some refutations against the philosophers who set forth views which they consider to be in conflict with religion. Ibn Khaldun, however, displays a new and original attitude to philosophy. His attitude rests on a logical critique of the epistemolog...

  16. Improving care at cystic fibrosis centers through quality improvement.

    Science.gov (United States)

    Kraynack, Nathan C; McBride, John T

    2009-10-01

    Quality improvement (QI) using a clinical microsystems approach provides cystic fibrosis (CF) centers the opportunity to make a significant positive impact on the health of their patients. The availability of center-specific outcomes data and the support of the Cystic Fibrosis Foundation are important advantages for these quality improvement efforts. This article illustrates how the clinical microsystems methodology can improve care delivery and outcomes by describing the gradual application of quality improvement principles over the past 5 years by the CF team at the Lewis Walker Cystic Fibrosis Center at Akron Children's Hospital in Akron, Ohio. Using the example of a project to improve the pulmonary function of the pediatric patients at our center as a framework, we describe the QI process from the initial team-building phase, through the assessment of care processes, standardization of care, and developing a culture of continuous improvement. We outline how enthusiastic commitment from physician leadership, clinical managers and central administration, the availability of coaches, and an appreciation of the importance of measurement, patient involvement, communication, and standardization are critical components for successful process improvement. PMID:19760542

  17. Can Teacher Evaluation Improve Teaching?

    Science.gov (United States)

    Principal Leadership, 2013

    2013-01-01

    The answer to the question, Can evaluation improve teaching? is a qualified yes. Teacher evaluation has changed and the role of the principal has changed as well; the focus now is on evidence, not merely good judgment. With the right tools, systems, and support, it should be possible to help improve teaching performance and student learning…

  18. Substantial Improvements of Fuel Economy

    DEFF Research Database (Denmark)

    Jørgensen, Kaj; Nielsen, Lars H.

    1996-01-01

    The paper evaluates the scope for improving the energy and environmental impacts of road transport by means of electrical and hybrid propulsion. These technologies promise considerable improvements of the fuel economy compared to equivalent vehicles mas well as beneficial effects for the energy and...... traffic systems. A case study concerning passenger cars is analysed by means of computer simulation....

  19. Perspectives: The Continuous Improvement Trap

    Science.gov (United States)

    Arnold, David L.

    2011-01-01

    Accrediting agencies, legislators, pundits, and even higher educational professionals have become enamored with applying the language of continuous improvement to learning outcomes. The Southern Association of Colleges and Schools Commission on Colleges specifically uses the term "continuing improvement" in Core Standard 2.5, one of its…

  20. An Improved Algorithm of Apriori

    Science.gov (United States)

    Liao, Binhua

    This paper puts forward a kind of improved algorithm after analyzing the classical Apriori algorithm. Through scanning database only once, all transactions are transformed into components of a two-dimensional array. The algorithm becomes more practical by introducing weight. Moreover, the unnecessary data are deleted in time, and the joining and pruning steps become simple. This, therefore, improves the efficiency of Apriori algorithm.

  1. A human virus improves diabetes

    Science.gov (United States)

    A single inoculation of mice with Ad36, a human adenovirus, lastingly improved high fat diet-induced-diabetes (DID), while Ad2, another human adenovirus did not. The study objective in these 2 studies was to determine if Ad36 could be used as a tool to reveal novel pathways for improving dysglycemia...

  2. The Architecture of School Improvement

    Science.gov (United States)

    Murphy, Joseph

    2013-01-01

    Purpose: The aim of this paper is to present a comprehensive framework for capturing the complex concept the authors call school improvement. Design/methodology/approach: The author begins by anchoring that framework on an historical understanding of school improvement. The framework itself is then presented. Five dimensions are described: the…

  3. Leadership Development and School Improvement

    Science.gov (United States)

    Rhodes, Christopher; Brundrett, Mark

    2009-01-01

    The chosen focus of this special issue is timely given the burgeoning international interest and investment in leadership development and school improvement. In many countries leadership and improvement have been closely linked and there is no doubt that this linkage has an international reach. Together, these articles review and extend some of…

  4. Ignalina NPP Safety Improvement Program

    International Nuclear Information System (INIS)

    After 1991, when Lithuania became independent, the new safety improvement activities were initiated. Lithuania committed its responsibility for Ignalina NPP safety. However, it was lack of money for adequate safety improvement. Countries of Western Europe, USA and IAEA assisted Lithuania to carry out a comprehensive Ignalina NPP safety improvement program. Agreement with EBRD was signed in 1994. As a result of some bilateral and multilateral cooperation projects the Ignalina NPP Safety Improvement Programme (SIP-1) was accepted in 1993.This program was being implemented during 1993-1996. The Safety Analysis Report was issued in 1996. Review of the SAR was performed and RSR report was issued. On basis of both documents the Ignalina Safety Panel prepared recommendations for Lithuanian Government. These documents were used as a basis for the Safety Improvement Programme No.2. SIP-2 was accepted in 1997 and shall be finished in 2000

  5. Improvements in automotive fuel economy

    Energy Technology Data Exchange (ETDEWEB)

    Borcherts, R.H.; Stadler, H.L.; Brehob, W.M.; Auiler, J.E.

    1978-01-01

    Significant improvements in automotive fuel economy can be obtained by reductions in weight, aerodynamic drag (better streamlining) and rolling resistance (tire improvements) as well as improvements in engine and powertrain efficiency. As applied to a six-passenger 3700 lb present day vehicle powered with a 250 CID six-cylinder engine through an automatic transmission, the improvements in EPA M/H fuel economy for 1% reductions in either weight, aerodynamic drag or rolling resistance are projected to be 0.75%, 0.35% and 0.28% respectively. This is under the constraints of constant performance and equal emissions. The extent to which large changes in these parameters can be obtained resulting in significant improvements in fuel economy depends not only upon solving manufacturing and technical problems related to costs but also upon government regulations and customer acceptance in the marketplace. If large reductions in these parameters could be accomplished along with realistic improvements in engine and powertrain efficiency, significant improvements in fuel economy could be achieved.

  6. Enhancing quality improvement team effectiveness.

    Science.gov (United States)

    Mosel, D; Shamp, M J

    1993-01-01

    Quality improvement teams are different from other work groups in their purpose, leadership, membership, training, procedures, and dynamics. To have effective quality improvement teams, health care organizations must focus on six key process variables, with particular attention to group dynamics. Quality improvement teams progress through the "traditional" stages of team development--forming, storming, norming, and performing--with a "special stage" of closing. Within each stage, there are two core dimensions--team process ("relationship" issues) and the project itself ("task" issues)--and critical tasks that need to be performed by the Quality Council, team members, team leader, and the facilitator. PMID:10130709

  7. WWER-1000 fuel cycle improvement

    International Nuclear Information System (INIS)

    The problems of organization of fuel cycles with different operation time of stationary load for the reactor WWER-1000 are considered. The outcomes of matching of the characteristics for stationary load constructed on fuel cells of existing and improved designs are presented. Improved designs of a fuel cell are include increase of an altitude of a fuel stake, change of outside and axial diameters of a fuel pellet, change thickness of a cladding of a fuel cell. Effect of the layout solutions on improving of a fuel cycle WWER-1000 also considered (Authors)

  8. Progress Report: Experimental Saltmarsh Improvement

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — A series of recommendations for the improvement of the Parker River National Wildlife refuge salt marshes including mound constructions as well as plantings and...

  9. Planned activities to improve safety

    International Nuclear Information System (INIS)

    This document presents the fulfilling of the Brazilian obligations under the Convention on Nuclear Safety. The Chapter 6 of the document contains some details about the planed activities to safety improvements

  10. Improved load-cell compensation

    Science.gov (United States)

    Egger, R. L.

    1977-01-01

    Improved bridge-compensation circuit saves considerable time in balancing bridge and wiring it for temperature compensation. Large bridge-balance compensation is made before temperature cycling and small adjustments are made with different type of wire.

  11. Improvement in indirect magnetostriction measurements

    Science.gov (United States)

    Németh, S.; Kopasz, C.; Hargitai, C.

    1992-07-01

    The SAMR and AtS methods are simultaneously applied for determination magnetostriction constants to reduce the uncertainties in the interpretation of the quantities directly measured and to improve the accuracy in λ values determined.

  12. Do Economic Restrictions Improve Forecasts?

    OpenAIRE

    Murphy, Elizabeth A.; Norwood, F. Bailey; Wohlgenant, Michael K.

    2003-01-01

    A previous study showed that imposing economic restrictions improves the forecasting ability of food demand systems, thus warranting their use even when they are rejected in-sample. This article evaluates whether this result is due to economic restrictions enhancing degrees of freedom or containing nonsample information. Results indicate that restrictions improve forecasting ability even when they are not derived from economic theory, but theoretical restrictions forecast best.

  13. Improved physics in SIMNRA 7

    Energy Technology Data Exchange (ETDEWEB)

    Mayer, M., E-mail: matej.mayer@ipp.mpg.de

    2014-08-01

    SIMNRA is an analytical code for the simulation of ion beam analysis energy spectra obtained by Rutherford backscattering, non-Rutherford scattering, elastic recoil detection analysis, and nuclear reaction analysis. Improvements of the simulation physics in SIMNRA version 7 include among others the skewness of all energy spread distributions, improved handling of scattering or reaction cross-sections with structure, generalized layer roughness, and sample porosity.

  14. Improved Bidirectional Exact Pattern Matching

    OpenAIRE

    Hussain, Iftikhar; Hassan Kazmi, Syed Zaki; Ali Khan, Israr; Mehmood, Rashid

    2013-01-01

    In this research, we present an improved version of Bidirectional (BD) exact pattern matching (EPM) algorithm to solve the problem of exact pattern matching. Improved-Bidirectional (IBD) exact pattern matching algorithm introduced a new idea of scanning partial text window (PTW) as well with the pattern to take decision of moving pattern to the right of partial text window. IBD algorithm compares the characters of pattern to selected text window (STW) from both sides simultaneously as BD....

  15. An Improved Cockroach Swarm Optimization

    OpenAIRE

    2014-01-01

    Hunger component is introduced to the existing cockroach swarm optimization (CSO) algorithm to improve its searching ability and population diversity. The original CSO was modelled with three components: chase-swarming, dispersion, and ruthless; additional hunger component which is modelled using partial differential equation (PDE) method is included in this paper. An improved cockroach swarm optimization (ICSO) is proposed in this paper. The performance of the proposed algorithm is tested on...

  16. Improvement of radioisotope production technology

    International Nuclear Information System (INIS)

    The widespreading and deepgoing applications of radioisotopes results the increasing demands on both quality and quantity. This in turn stimulating the production technology to be improved unceasingly to meet the different requirements on availability, variety, facility, purity, specific activity and specificity. The major approaches of achieving these improvements including: optimizing mode of production; enhancing irradiation conditions; amelioration target arrangement; adapting nuclear process and inventing chemical processing. (author)

  17. How to Improve Listening Ability

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    正Learners of English, especially beginners have troubles in understanding speeches by native speakers. Bur how to improve listening ability? Here I'd like to introduce you some ways which might help you to improve you listening ability. First of all, do things step by step. It is no good to listen to anything beyond your level. Don't choose too difficult materials. Secondly,

  18. Improving arteriovenous fistula cannulation skills.

    Science.gov (United States)

    Ball, Lynda K

    2005-01-01

    Cannulation of arteriovenous fistulae is technically more challenging than cannulation of arteriovenous grafts. With the advent of the National Vascular Improvement Initiative, Fistula First, the United States has seen an increase in the number of arteriovenous fistulae. The problem we now face is how to refocus and reeducate nurses to the intricacies of arteriovenous fistula cannulation. Through evidenced-based practice and current best-demonstrated practices, this article will provide the tools needed to improve arteriovenous fistulae cannulation skills. PMID:16425809

  19. Improving efficiency in meat production.

    Science.gov (United States)

    Brameld, John M; Parr, Tim

    2016-08-01

    Selective breeding and improved nutritional management over the past 20-30 years has resulted in dramatic improvements in growth efficiency for pigs and poultry, particularly lean tissue growth. However, this has been achieved using high-quality feed ingredients, such as wheat and soya that are also used for human consumption and more recently biofuels production. Ruminants on the other hand are less efficient, but are normally fed poorer quality ingredients that cannot be digested by human subjects, such as grass or silage. The challenges therefore are to: (i) maintain the current efficiency of growth of pigs and poultry, but using more ingredients not needed to feed the increasing human population or for the production of biofuels; (ii) improve the efficiency of growth in ruminants; (iii) at the same time produce animal products (meat, milk and eggs) of equal or improved quality. This review will describe the use of: (a) enzyme additives for animal feeds, to improve feed digestibility; (b) known growth promoting agents, such as growth hormone, β-agonists and anabolic steroids, currently banned in the European Union but used in other parts of the world; (c) recent transcriptomic studies into molecular mechanisms for improved growth efficiency via low residual feed intake. In doing so, the use of genetic manipulation in animals will also be discussed. PMID:27087253

  20. Improvability of assembly systems II: Improvability indicators and case study

    Directory of Open Access Journals (Sweden)

    S.-Y. Chiang

    2000-01-01

    Full Text Available Based on the performance analysis technique developed in Part I, this paper presents improvability indicators for assembly lines with unreliable machines. In particular, it shows that assembly lines are unimprovable with respect to workforce re-distribution if each buffer is, on the average, close to being half full. These lines are unimprovable with respect to buffer capacity re-distribution if each machine is starved and blocked with almost equal frequency. In addition, the paper provides indicators for identification of bottleneck machines and bottleneck buffers. Finally, the paper reports on an application of these improvability indicators in a case study at an automotive components plant.