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Sample records for analysis including long-term

  1. Economic analysis including long-term risks and costs of alternative diagnostic strategies to evaluate patients with chest pain

    Science.gov (United States)

    Bedetti, Gigliola; Pasanisi, Emilio Maria; Pizzi, Carmine; Turchetti, Giuseppe; Loré, Cosimo

    2008-01-01

    Background Diagnosis costs for cardiovascular disease waste a large amount of healthcare resources. The aim of the study is to evaluate the clinical and economic outcomes of alternative diagnostic strategies in low risk chest pain patients. Methods We evaluated direct and indirect downstream costs of 6 strategies: coronary angiography (CA) after positive troponin I or T (cTn-I or cTnT) (strategy 1); after positive exercise electrocardiography (ex-ECG) (strategy 2); after positive exercise echocardiography (ex-Echo) (strategy 3); after positive pharmacologic stress echocardiography (PhSE) (strategy 4); after positive myocardial exercise stress single-photon emission computed tomography with technetium Tc 99m sestamibi (ex-SPECT-Tc) (strategy 5) and direct CA (strategy 6). Results The predictive accuracy in correctly identifying the patients was 83,1% for cTn-I, 87% for cTn-T, 85,1% for ex-ECG, 93,4% for ex-Echo, 98,5% for PhSE, 89,4% for ex-SPECT-Tc and 18,7% for CA. The cost per patient correctly identified results $2.051 for cTn-I, $2.086 for cTn-T, $1.890 for ex-ECG, $803 for ex-Echo, $533 for PhSE, $1.521 for ex-SPECT-Tc ($1.634 including cost of extra risk of cancer) and $29.673 for CA ($29.999 including cost of extra risk of cancer). The average relative cost-effectiveness of cardiac imaging compared with the PhSE equal to 1 (as a cost comparator), the relative cost of ex-Echo is 1.5×, of a ex-SPECT-Tc is 3.1×, of a ex-ECG is 3.5×, of cTnI is ×3.8, of cTnT is ×3.9 and of a CA is 56.3×. Conclusion Stress echocardiography based strategies are cost-effective versus alternative imaging strategies and the risk and cost of radiation exposure is void. PMID:18510723

  2. Economic analysis including long-term risks and costs of alternative diagnostic strategies to evaluate patients with chest pain

    Directory of Open Access Journals (Sweden)

    Pizzi Carmine

    2008-05-01

    Full Text Available Abstract Background Diagnosis costs for cardiovascular disease waste a large amount of healthcare resources. The aim of the study is to evaluate the clinical and economic outcomes of alternative diagnostic strategies in low risk chest pain patients. Methods We evaluated direct and indirect downstream costs of 6 strategies: coronary angiography (CA after positive troponin I or T (cTn-I or cTnT (strategy 1; after positive exercise electrocardiography (ex-ECG (strategy 2; after positive exercise echocardiography (ex-Echo (strategy 3; after positive pharmacologic stress echocardiography (PhSE (strategy 4; after positive myocardial exercise stress single-photon emission computed tomography with technetium Tc 99m sestamibi (ex-SPECT-Tc (strategy 5 and direct CA (strategy 6. Results The predictive accuracy in correctly identifying the patients was 83,1% for cTn-I, 87% for cTn-T, 85,1% for ex-ECG, 93,4% for ex-Echo, 98,5% for PhSE, 89,4% for ex-SPECT-Tc and 18,7% for CA. The cost per patient correctly identified results $2.051 for cTn-I, $2.086 for cTn-T, $1.890 for ex-ECG, $803 for ex-Echo, $533 for PhSE, $1.521 for ex-SPECT-Tc ($1.634 including cost of extra risk of cancer and $29.673 for CA ($29.999 including cost of extra risk of cancer. The average relative cost-effectiveness of cardiac imaging compared with the PhSE equal to 1 (as a cost comparator, the relative cost of ex-Echo is 1.5×, of a ex-SPECT-Tc is 3.1×, of a ex-ECG is 3.5×, of cTnI is ×3.8, of cTnT is ×3.9 and of a CA is 56.3×. Conclusion Stress echocardiography based strategies are cost-effective versus alternative imaging strategies and the risk and cost of radiation exposure is void.

  3. Long Term Analysis for the BAM device

    Science.gov (United States)

    Bonino, D.; Gardiol, D.

    2011-02-01

    Algorithms aimed at the evaluation of critical quantities are based on models with many parameters, which values are estimated from data. The knowledge, with high accuracy, of these values and the control of their temporal evolution are important features. In this work, we focus on the latter subject, and we show a proposed pipeline for the BAM (Basic Angle Monitoring) Long Term Analysis, aimed at the study of the calibration parameters of the BAM device and of the Basic Angle variation, searching for unwanted trends, cyclic features, or other potential unexpected behaviours.

  4. Safety analysis SFR 1. Long-term safety

    Energy Technology Data Exchange (ETDEWEB)

    2008-12-15

    An updated assessment of the long-term safety of SKB's final repository for radioactive operational waste, SFR 1, is presented in this report. The report is included in the safety analysis report for SFR 1. The most recent account of long-term safety was submitted to the regulatory authorities in 2001. The present report has been compiled on SKB's initiative to address the regulatory authorities' viewpoints regarding the preceding account of long-term safety. Besides the new mode of working with safety functions there is another important difference between the 2001 safety assessment and the current assessment: The time horizon in the current assessment has been extended to 100,000 years in order to include the effect of future climate changes. The purpose of this renewed assessment of the long-term safety of SFR 1 is to show with improved data that the repository is capable of protecting human health and the environment against ionizing radiation in a long-term perspective. This is done by showing that calculated risks lie below the risk criteria stipulated by the regulatory authorities. SFR 1 is built to receive, and after closure serve as a passive repository for, low. and intermediate-level radioactive waste. The disposal chambers are situated in rock beneath the sea floor, covered by about 60 metres of rock. The underground part of the facility is reached via two tunnels whose entrances are near the harbour. The repository has been designed so that it can be abandoned after closure without further measures needing to be taken to maintain its function. The waste in SFR 1 is short-lived low- and intermediate-level waste. After 100 years the activity is less than half, and after 1,000 years only about 2% of the original activity remains. The report on long-term safety comprises eleven chapters. Chapter 1 Introduction. The chapter describes the purpose, background, format and contents of SAR-08, applicable regulations and injunctions, and the

  5. Safety analysis SFR 1. Long-term safety

    Energy Technology Data Exchange (ETDEWEB)

    2008-12-15

    An updated assessment of the long-term safety of SKB's final repository for radioactive operational waste, SFR 1, is presented in this report. The report is included in the safety analysis report for SFR 1. The most recent account of long-term safety was submitted to the regulatory authorities in 2001. The present report has been compiled on SKB's initiative to address the regulatory authorities' viewpoints regarding the preceding account of long-term safety. Besides the new mode of working with safety functions there is another important difference between the 2001 safety assessment and the current assessment: The time horizon in the current assessment has been extended to 100,000 years in order to include the effect of future climate changes. The purpose of this renewed assessment of the long-term safety of SFR 1 is to show with improved data that the repository is capable of protecting human health and the environment against ionizing radiation in a long-term perspective. This is done by showing that calculated risks lie below the risk criteria stipulated by the regulatory authorities. SFR 1 is built to receive, and after closure serve as a passive repository for, low. and intermediate-level radioactive waste. The disposal chambers are situated in rock beneath the sea floor, covered by about 60 metres of rock. The underground part of the facility is reached via two tunnels whose entrances are near the harbour. The repository has been designed so that it can be abandoned after closure without further measures needing to be taken to maintain its function. The waste in SFR 1 is short-lived low- and intermediate-level waste. After 100 years the activity is less than half, and after 1,000 years only about 2% of the original activity remains. The report on long-term safety comprises eleven chapters. Chapter 1 Introduction. The chapter describes the purpose, background, format and contents of SAR-08, applicable regulations and injunctions, and the

  6. Long term volcanic hazard analysis in the Canary Islands

    Science.gov (United States)

    Becerril, L.; Galindo, I.; Laín, L.; Llorente, M.; Mancebo, M. J.

    2009-04-01

    Historic volcanism in Spain is restricted to the Canary Islands, a volcanic archipelago formed by seven volcanic islands. Several historic eruptions have been registered in the last five hundred years. However, and despite the huge amount of citizens and tourist in the archipelago, only a few volcanic hazard studies have been carried out. These studies are mainly focused in the developing of hazard maps in Lanzarote and Tenerife islands, especially for land use planning. The main handicap for these studies in the Canary Islands is the lack of well reported historical eruptions, but also the lack of data such as geochronological, geochemical or structural. In recent years, the use of Geographical Information Systems (GIS) and the improvement in the volcanic processes modelling has provided an important tool for volcanic hazard assessment. Although this sophisticated programs are really useful they need to be fed by a huge amount of data that sometimes, such in the case of the Canary Islands, are not available. For this reason, the Spanish Geological Survey (IGME) is developing a complete geo-referenced database for long term volcanic analysis in the Canary Islands. The Canarian Volcanic Hazard Database (HADA) is based on a GIS helping to organize and manage volcanic information efficiently. HADA includes the following groups of information: (1) 1:25.000 scale geologic maps, (2) 1:25.000 topographic maps, (3) geochronologic data, (4) geochemical data, (5) structural information, (6) climatic data. Data must pass a quality control before they are included in the database. New data are easily integrated in the database. With the HADA database the IGME has started a systematic organization of the existing data. In the near future, the IGME will generate new information to be included in HADA, such as volcanological maps of the islands, structural information, geochronological data and other information to assess long term volcanic hazard analysis. HADA will permit

  7. Data Preservation and Long Term Analysis in High Energy Physics

    CERN Document Server

    South, David M

    2012-01-01

    Several important and unique experimental high-energy physics programmes at a variety of facilities are coming to an end, including those at HERA, the B-factories and the Tevatron. The wealth of physics data from these experiments is the result of a significant financial and human effort, and yet until recently no coherent strategy existed for data preservation and re-use. To address this issue, an inter-experimental study group on data preservation and long-term analysis in high-energy physics was convened at the end of 2008, publishing an interim report in 2009. The membership of the study group has since expanded, including the addition of the LHC experiments, and a full status report has now been released. This report greatly expands on the ideas contained in the original publication and provides a more solid set of recommendations, not only concerning data preservation and its implementation in high-energy physics, but also the future direction and organisational model of the study group. The main messag...

  8. Analysis of long term samples in Tore Supra

    Energy Technology Data Exchange (ETDEWEB)

    Gauthier, E.; Grosman, A.; Valter, J.

    1994-12-31

    Long Term Samples have been installed on the inner call in Tore Supra to monitor the surface modification of the graphite tiles. Surfaces analysis have shown a very low metallic impurity concentration ({approx}10{sup 16} at /cm{sup 2}) dominated by stainless steel compounds. the high deuterium concentration (> 10{sup 18} at/cm{sup 2}) is due to a codeposition with carbon atoms. Carbon layers of about 1 {mu}m have been measured from which we deduced a carbon recycling coefficient R{sub c} = 0.99. (authors). 20 refs., 6 figs.

  9. International Long-term Data and Analysis Preservation

    CERN Document Server

    Shiers, J; Rahal, G; South, D; Guelzow, V; CERN. Geneva. IT Department

    2011-01-01

    The preservation of scientific data for long-term use and re-analysis has been identified as a key requirement in the field of High Energy Physics and other disciplines such as Astronomy and Astrophysics, as well as Life and Earth Sciences. In collaboration with related projects in the US (in particular in close collaboration with the National Science Foundation and Department of Energy) the proposed project would take the work of the Data Preservation in HEP Study group that defines the physics motivation for long-term data preservation and many of the associated issues, and extend this to cover not only the existing use cases but also consider the needs of the LHC experiments at CERN. This work would ensure the persistent availability of existing data and enable it to be shared between organisations and across national boundaries. Now is the time to define standards for data and meta-data formats and address access and authorization issues for on-going experiments (e.g. those at the LHC) – issues that hav...

  10. Analysis of Solar Irradiation Anomalies in Long Term Over India

    Science.gov (United States)

    Cony, M.; Polo, J.; Martin, L.; Navarro, A.; Serra, I.

    2012-04-01

    India has a high potential for solar energy applications due to its geographic position within the Sun Belt and the large number of cloudless days in many regions of the country. However, certain regions of India, particularly those largely populated, can exhibit large aerosol loading in the atmosphere as a consequence of anthropogenic emissions that could have a negative feedback in the solar resource potential. This effect, named as solar dimming, has already been observed in India, and in some other regions in the world, by some authors using ground data from the last two decades. The recent interest in the promotion of solar energy applications in India highlights the need of extending and improving the knowledge of the solar radiation resources in this country, since most of the long term measurements available correspond to global horizontal radiation and most of them are also located big cities or highly populated areas. In addition, accurate knowledge on the aerosol column quantification and on its dynamical behavior with high spatial resolution is particularly important in the case of India, due to their impact on direct normal irradiation. Long term studies of solar irradiation over India can be performed using monthly means of global hemispheric irradiation measurements from the Indian Meteorological Department. Ground data are available from 1964 till today through the World Radiation Data Centre that publish these values in the web. This work shows a long term analysis of solar irradiation in India using anomalies techniques and trends in ten places over India. Most of the places have exhibit a decreasing trend and negative anomalies confirming thus the darkening effect already reported by solar dimming studies. The analysis of anomalies has also found two periods of different behavior. From 1964 till 1988 the anomalies observed were positive and the last 20 years seems to be a period of negative anomalies. This observation is also consequent with

  11. "Enzyme Test Bench," a high-throughput enzyme characterization technique including the long-term stability.

    Science.gov (United States)

    Rachinskiy, Kirill; Schultze, Hergen; Boy, Matthias; Bornscheuer, Uwe; Büchs, Jochen

    2009-06-01

    A new high throughput technique for enzyme characterization with specific attention to the long term stability, called "Enzyme Test Bench," is presented. The concept of the Enzyme Test Bench consists of short term enzyme tests in 96-well microtiter plates under partly extreme conditions to predict the enzyme long term stability under moderate conditions. The technique is based on the mathematical modeling of temperature dependent enzyme activation and deactivation. Adapting the temperature profiles in sequential experiments by optimal non-linear experimental design, the long term deactivation effects can be purposefully accelerated and detected within hours. During the experiment the enzyme activity is measured online to estimate the model parameters from the obtained data. Thus, the enzyme activity and long term stability can be calculated as a function of temperature. The engineered instrumentation provides for simultaneous automated assaying by fluorescent measurements, mixing and homogenous temperature control in the range of 10-85 +/- 0.5 degrees C. A universal fluorescent assay for online acquisition of ester hydrolysis reactions by pH-shift is developed and established. The developed instrumentation and assay are applied to characterize two esterases. The results of the characterization, carried out in microtiter plates applying short term experiments of hours, are in good agreement with the results of long term experiments at different temperatures in 1 L stirred tank reactors of a week. Thus, the new technique allows for both: the enzyme screening with regard to the long term stability and the choice of the optimal process temperature regarding such process parameters as turn over number, space time yield or optimal process duration. The comparison of the temperature dependent behavior of both characterized enzymes clearly demonstrates that the frequently applied estimation of long term stability at moderate temperatures by simple activity measurements

  12. Long-term-consequence analysis of no action alternative 2

    Energy Technology Data Exchange (ETDEWEB)

    Buck, J.W.; Bagaasen, L.M.; Staven, L.H.; Serne, R.J. [and others

    1996-07-01

    This report is a supplement to the Waste Isolation Pilot Plant (WIPP) Disposal-Phase Supplemental Environmental Impact Statement. Data and information is described which pertains to estimated impacts from postulated long-term release of radionuclides and hazardous constituents from alpha-bearing wastes stored at major generator/storage sites after loss of institutional control (no action alternative 2). Under this alternative, wastes would remain at the generator sites and not be emplaced at WIPP.

  13. A quantitative proteomic analysis of long-term memory

    Directory of Open Access Journals (Sweden)

    Rosenegger David

    2010-03-01

    Full Text Available Abstract Background Memory is the ability to store, retain, and later retrieve learned information. Long-term memory (LTM formation requires: DNA transcription, RNA translation, and the trafficking of newly synthesized proteins. Several components of these processes have already been identified. However, due to the complexity of the memory formation process, there likely remain many yet to be identified proteins involved in memory formation and persistence. Results Here we use a quantitative proteomic method to identify novel memory-associated proteins in neural tissue taken from animals that were trained in vivo to form a long-term memory. We identified 8 proteins that were significantly up-regulated, and 13 that were significantly down-regulated in the LTM trained animals as compared to two different control groups. In addition we found 19 proteins unique to the trained animals, and 12 unique proteins found only in the control animals. Conclusions These results both confirm the involvement of previously identified memory proteins such as: protein kinase C (PKC, adenylate cyclase (AC, and proteins in the mitogen-activated protein kinase (MAPK pathway. In addition these results provide novel protein candidates (e.g. UHRF1 binding protein on which to base future studies.

  14. A portable chemotaxis platform for short and long term analysis.

    Directory of Open Access Journals (Sweden)

    Chenjie Xu

    Full Text Available Flow-based microfluidic systems have been widely utilized for cell migration studies given their ability to generate versatile and precisely defined chemical gradients and to permit direct visualization of migrating cells. Nonetheless, the general need for bulky peripherals such as mechanical pumps and tubing and the complicated setup procedures significantly limit the widespread use of these microfluidic systems for cell migration studies. Here we present a simple method to power microfluidic devices for chemotaxis assays using the commercially available ALZET® osmotic pumps. Specifically, we developed a standalone chemotaxis platform that has the same footprint as a multiwell plate and can generate well-defined, stable chemical gradients continuously for up to 7 days. Using this platform, we validated the short-term (24 hours and long-term (72 hours concentration dependent PDGF-BB chemotaxis response of human bone marrow derived mesenchymal stem cells.

  15. STRUCTURE FUNCTION ANALYSIS OF LONG-TERM QUASAR VARIABILITY

    Energy Technology Data Exchange (ETDEWEB)

    de Vries, W; Becker, R; White, R; Loomis, C

    2004-11-15

    In our second paper on long-term quasar variability, we employ a much larger database of quasars than in de Vries, Becker & White. This expanded sample, containing 35,165 quasars from the Sloan Digital Sky Survey Data Release 2, and 6,413 additional quasars in the same area of the sky taken from the 2dF QSO Redshift Survey, allows us to significantly improve on our earlier conclusions. As before, all the historic quasar photometry has been calibrated onto the SDSS scale by using large numbers of calibration stars around each quasar position. We find the following: (1) the outbursts have an asymmetric light-curve profile, with a fast-rise, slow-decline shape; this argues against a scenario in which micro-lensing events along the line-of-sight to the quasars are dominating the long-term variations in quasars; (2) there is no turnover in the Structure Function of the quasars up to time-scales of {approx}40 years, and the increase in variability with increasing time-lags is monotonic and constant; and consequently, (3) there is not a single preferred characteristic outburst time-scale for the quasars, but most likely a continuum of outburst time-scales, (4) the magnitude of the quasar variability is a function of wavelength: variability increases toward the blue part of the spectrum, (5) high-luminosity quasars vary less than low-luminosity quasars, consistent with a scenario in which variations have limited absolute magnitude. Based on this, we conclude that quasar variability is intrinsic to the Active Galactic Nucleus, is caused by chromatic outbursts/flares with a limited luminosity range and varying time-scales, and which have an overall asymmetric light-curve shape. Currently the model that has the most promise of fitting the observations is based on accretion disk instabilities.

  16. Analysis of the SPS Long Term Orbit Drifts

    Energy Technology Data Exchange (ETDEWEB)

    Velotti, Francesco [CERN; Bracco, Chiara [CERN; Cornelis, Karel [CERN; Drøsdal, Lene [CERN; Fraser, Matthew [CERN; Gianfelice-Wendt, Eliana [Fermilab; Goddard, Brennan [CERN; Kain, Verena [CERN; Meddahi, Malika [CERN

    2016-06-01

    The Super Proton Synchrotron (SPS) is the last accelerator in the Large Hadron Collider (LHC) injector chain, and has to deliver the two high-intensity 450 GeV proton beams to the LHC. The transport from SPS to LHC is done through the two Transfer Lines (TL), TI2 and TI8, for Beam 1 (B1) and Beam 2 (B2) respectively. During the first LHC operation period Run 1, a long term drift of the SPS orbit was observed, causing changes in the LHC injection due to the resulting changes in the TL trajectories. This translated into longer LHC turnaround because of the necessity to periodically correct the TL trajectories in order to preserve the beam quality at injection into the LHC. Different sources for the SPS orbit drifts have been investigated: each of them can account only partially for the total orbit drift observed. In this paper, the possible sources of such drift are described, together with the simulated and measured effect they cause. Possible solutions and countermeasures are also discussed.

  17. Including long-term biological index performance in a multi-criteria Decision Support System

    Science.gov (United States)

    Waddle, T.; Bowen, Z.; Bovee, K.D.

    1999-01-01

    A Decision Support System (DSS) was developed for the reservoirs operated by the U.S. Bureau of Reclamation that incorporates biological resources in a palette of decision variables. A scoring technique was developed for the DSS to help to evaluate the long-term effects of proposed reservoir system operations on those variables. The biological component of the DSS was developed to help Bureau of Reclamation reservoir operators evaluate the effects of different scenarios of reservoir operations on a variety of water-related biological resources. In this DSS, Reclamation's Reservoir Operations Modeling System (ROMS) is linked to modules evaluating power production, flood control benefits, irrigation water deliveries, municipal and industrial water supplies, habitat for endemic fish communities, tailwater fisheries, nesting habitat for shorebirds, reservoir recreation, reservoir fisheries, and regeneration of riparian cottonwood forests. Operation scenarios generated in ROMS are scored for each decision variable by comparison to a target range of a decision variable for a reference location and time period. The score for a variable is calculated based on the ratio between the percent of time that target conditions are met under alternative operating conditions and under the reference condition, respectively. A scoring technique was developed that recognizes that under either natural or highly managed conditions the reference target is not met at all times. Higher scores are achieved for environmental decision variables by operations scenarios that approach natural seasonal and annual variability in habitat availability.

  18. Surgical management of acromegaly: Long term functional outcome analysis and assessment of recurrent/residual disease

    OpenAIRE

    Banerji, Deepu; Das, Nitu K.; Sharma, Siddhiraj; Jindal, Yogesh; Vijendra K Jain; Behari, Sanjay

    2016-01-01

    Context: Functional growth hormone producing adenomas have long-term deleterious effects on the visual apparatus, the cardiovascular and musculoskeletal systems, and often predispose to malignancies. Since persistence of acromegaly affects outcome and quality of life, therapeutic interventions become mandatory. Aim: This study represents an analysis of long-term clinical and endocrinal outcome of 115 patients of acromegaly after surgical management. Setting and Design: Tertiary care retrospec...

  19. A cost-effectiveness analysis of long-term intermittent catheterisation with hydrophilic and uncoated catheters

    DEFF Research Database (Denmark)

    Clark, J F; Mealing, S J; Scott, D A

    2016-01-01

    includes the long-term sequelae of impaired renal function and urinary tract infection (UTI). SETTING: Analysis based on a UK perspective. METHODS: A probabilistic Markov decision model was constructed, to compare lifetime costs and quality-adjusted life years, taking renal and UTI health states......STUDY DESIGN: Cost-effectiveness analysisObjective:To establish a model to investigate the cost effectiveness for people with spinal cord injury (SCI), from a lifetime perspective, for the usage of two different single-use catheter designs: hydrophilic-coated (HC) and uncoated (UC). The model...... into consideration, as well as other catheter-related events. UTI event rates for the primary data set were based on data from hospital settings to ensure controlled and accurate reporting. A sensitivity analysis was applied to evaluate best- and worst-case scenarios. RESULTS: The model predicts that a 36-year...

  20. Meta-analysis of long-term vitamin D supplementation on overall mortality.

    Directory of Open Access Journals (Sweden)

    Yayuan Zheng

    Full Text Available INTRODUCTION: It has been suggested that vitamin D is effective to prevent mortality. However, there is no consistent conclusion that the effects of vitamin D supplementation on all-cause mortality are associated with duration of treatment. We conducted a meta-analysis regarding this issue in an effort to provide a more robust answer. METHODS: A comprehensive search in a number of databases, including MEDLINE, Embase and The Cochrane Central Register of Controlled Trials, was conducted for collecting randomized controlled trials (RCTs on vitamin D supplementation preventing mortality. Two investigators independently screened the literature according to the inclusive and exclusive criteria and the relative data were extracted. Data analysis was performed by using Review Manager 5.0 software. RESULTS: Data from forty-two RCT s were included. Vitamin D therapy significantly decreased all-cause mortality with a duration of follow-up longer than 3 years with a RR (95% CI of 0.94 (0.90-0.98. No benefit was seen in a shorter follow-up periods with a RR (95% CI of 1.04 (0.97-1.12. Results remain robust after sensitivity analysis. The following subgroups of long-term follow-up had significantly fewer deaths: female only, participants with a mean age younger than 80, daily dose of 800 IU or less, participants with vitamin D insufficiency (baseline 25-hydroxyvitamin D level less than 50 nmol/L and cholecalciferol therapy. In addition, the combination of vitamin D and calcium significantly reduced mortality and vitamin D alone also had a trend to decrease mortality in a longer time follow up. CONCLUSIONS: The data suggest that supplementation of vitamin D is effective in preventing overall mortality in a long-term treatment, whereas it is not significantly effective in a treatment duration shorter than 3 years. Future studies are needed to identify the efficacy of vitamin D on specific mortality, such as cancer and cardiovascular disease mortality in a long-term

  1. Exploring patient priorities among long-term conditions in multimorbidity: A qualitative secondary analysis

    Directory of Open Access Journals (Sweden)

    Sudeh Cheraghi-Sohi

    2013-09-01

    Full Text Available Objective: A lack of agreement between health-care providers and patient priorities can impact the health-care provider–patient relationship, treatment concordance and potentially health outcomes. Evidence suggests that people living with multiple morbidities do prioritise among their long-term conditions. However, the evidence revealing the underlying reasons behind this prioritisation remains limited. Given the potential implications for day-to-day self-management activity and ultimately patient outcomes, this study aims to explore how and why people with multimorbidity prioritise some long-term conditions over others and what the potential implications may be for self-management activity, and in turn, suggest how such information may help clinicians negotiate the management of multimorbidity patients. Methods: A secondary analysis of qualitative data was conducted utilising four existing data sets collated from the three research centres involved. Purposive sampling provided a sample of 41 participants who had multimorbidity. The research team collectively coded and analysed the data thematically. Results: All participants, except two, identified one ‘main’ priority long-term condition. Current priorities were arrived at by participants making comparisons between their long-term conditions, specifically by trading off the various attributes, impacts and perceived consequences of their individual long-term conditions. Two main themes emerged as to why participants identified a particular main long-term condition: (a proximate issues surrounding barriers to functional health and (b prioritisation of long-term conditions perceived to have a particular future risk. Conclusions: The recent focus on multimorbidity within the medical literature reflects its prevalence. It is therefore important to understand the complexities of the multimorbidity illness experience. We have added to the limited literature on condition prioritisation by

  2. The long term effects of early analysis of a trauma registry

    Directory of Open Access Journals (Sweden)

    Ashour Mazen

    2009-01-01

    Full Text Available Abstract Background We established a trauma registry in 2003 to collect data on trauma patients, which is a major cause of death in the United Arab Emirates (UAE. The aim of this paper is to report on the long term effects of our early analysis of this registry. Methods Data in the early stages of this trauma registry were collected for 503 patients during a period of 6 months in 2003. Data was collected on a paper form and then entered into the trauma registry using a self-developed Access database. Descriptive analysis was performed. Results Most were males (87%, the mean age (SD was 30.5 (14.9. UAE citizens formed 18.5%. Road traffic collisions caused an overwhelming 34.2% of injuries with 29.7% of those involving UAE citizens while work-related injuries were 26.2%. The early analysis of this registry had two major impacts. Firstly, the alarmingly high rate of UAE nationals in road traffic collisions standardized to the population led to major concerns and to the development of a specialized road traffic collision registry three years later. Second, the equally alarming high rate of work-related injuries led to collaboration with a Preventive Medicine team who helped with refining data elements of the trauma registry to include data important for research in trauma prevention. Conclusion Analysis of a trauma registry as early as six months can lead to useful information which has long term effects on the progress of trauma research and prevention.

  3. The long-term memory analysis of industrial indices of the Chinese stock market

    Science.gov (United States)

    Yong, L.

    2008-02-01

    The main work of this paper is to apply the fractional market theory and time series analysis for analyzing various industrial indices of the Chinese stock market by rescaling range analysis. Hurst index and the long-term memory of price change in Chinese stock market are studied.

  4. The long-term memory analysis of industrial indices of the Chinese stock market

    Energy Technology Data Exchange (ETDEWEB)

    Yong, L [Renmin University of China, Information School (China); Department of Mathematics, Beijing 100872 (China)], E-mail: linyong01@ruc.edu.cn

    2008-02-15

    The main work of this paper is to apply the fractional market theory and time series analysis for analyzing various industrial indices of the Chinese stock market by rescaling range analysis. Hurst index and the long-term memory of price change in Chinese stock market are studied.

  5. Statistical analysis for long-term stability studies with multiple storage conditions

    NARCIS (Netherlands)

    van den Heuvel, Edwin R.; Almalik, Osama; Nijhuis, Michiel B.; Warner, Edward I.

    2011-01-01

    To determine the shelf life of new medicinal products, long-term stability studies are conducted of at least three registration batches at multiple storage conditions. It is common practice to perform a statistical analysis on the resulting data separately for each storage condition. Although this i

  6. Long Term Preservation of Data Analysis Software at the NASA/IPAC Infrared Science Archive

    NARCIS (Netherlands)

    H.I. Teplitz; S. Groom; T. Brooke; V. Desai; D. Engler; J. Fowler; J. Good; I. Khan; D. Levine; A. Alexov

    2011-01-01

    The NASA/IPAC Infrared Science Archive (IRSA) curates both data and analysis tools from NASA's infrared missions. As part of our primary goal, we provide long term access to mission-specific software from projects such as IRAS and Spitzer. We will review the efforts by IRSA (and within the greater I

  7. Evaluating temporal consistency of long-term global NDVI datasets for trend analysis

    NARCIS (Netherlands)

    Tian, F.; Fensholt, R.; Verbesselt, J.; Grogan, K.; Horion, S.; Wang, Y.

    2015-01-01

    As a way to understand vegetation changes, trend analysis on NDVI (normalized difference vegetation index) time series data have been widely performed at regional to global scales. However, most long-term NDVI datasets are based upon multiple sensor systems and unsuccessful corrections related to se

  8. 2015 Long-Term Hydrologic Monitoring Program Sampling and Analysis Results at Rio Blanco, Colorado

    Energy Technology Data Exchange (ETDEWEB)

    Findlay, Rick [Nararro Research and Engineering, Oak Ridge, TN (United States); Kautsky, Mark [US Department of Energy, Washington, DC (United States). Office of Legacy Management

    2015-12-01

    The U.S. Department of Energy (DOE) Office of Legacy Management conducted annual sampling at the Rio Blanco, Colorado, Site for the Long-Term Hydrologic Monitoring Program (LTHMP) on May 20–21, 2015. This report documents the analytical results of the Rio Blanco annual monitoring event, the trip report, and the data validation package. The groundwater and surface water monitoring samples were shipped to the GEL Group Inc. laboratories for conventional analysis of tritium and analysis of gamma-emitting radionuclides by high-resolution gamma spectrometry. A subset of water samples collected from wells near the Rio Blanco site was also sent to GEL Group Inc. for enriched tritium analysis. All requested analyses were successfully completed. Samples were collected from a total of four onsite wells, including two that are privately owned. Samples were also collected from two additional private wells at nearby locations and from nine surface water locations. Samples were analyzed for gamma-emitting radionuclides by high-resolution gamma spectrometry, and they were analyzed for tritium using the conventional method with a detection limit on the order of 400 picocuries per liter (pCi/L). Four locations (one well and three surface locations) were analyzed using the enriched tritium method, which has a detection limit on the order of 3 pCi/L. The enriched locations included the well at the Brennan Windmill and surface locations at CER-1, CER-4, and Fawn Creek 500 feet upstream.

  9. Private participation in infrastructure: A risk analysis of long-term contracts in power sector

    Science.gov (United States)

    Ceran, Nisangul

    The objective of this dissertation is to assess whether the private participation in energy sector through long term contracting, such as Build-Operate-Transfer (BOT) type investments, is an efficient way of promoting efficiency in the economy. To this end; the theoretical literature on the issue is discussed, the experience of several developing countries are examined, and a BOT project, which is undertaken by the Enron company in Turkey, has been studied in depth as a case study. Different risk analysis techniques, including sensitivity and probabilistic risk analysis with the Monte Carlo Simulation (MCS) method have been applied to assess the financial feasibility and risks of the case study project, and to shed light on the level of rent-seeking in the BOT agreements. Although data on rent seeking and corruption is difficult to obtain, the analysis of case study investment using the sensitivity and MCS method provided some information that can be used in assessing the level of rent-seeking in BOT projects. The risk analysis enabled to test the sustainability of the long-term BOT contracts through the analysis of projects financial feasibility with and without the government guarantees in the project. The approach of testing the sustainability of the project under different scenarios is helpful to understand the potential costs and contingent liabilities for the government and project's impact on a country's overall economy. The results of the risk analysis made by the MCS method for the BOT project used as the case study strongly suggest that, the BOT projects does not serve to the interest of the society and transfers substantial amount of public money to the private companies, implying severe governance problems. It is found that not only government but also private sector may be reluctant about full privatization of infrastructure due to several factors such as involvement of large sunk costs, very long time period for returns to be received, political and

  10. The Short- and Long-Term Risk of Stroke after Herpes Zoster: A Meta-Analysis

    Science.gov (United States)

    Liu, Xuechun; Guan, Yeming; Hou, Liang; Huang, Haili; Liu, Hongjuan; Li, Chuanwen; Zhu, Yingying; Tao, Xingyong; Wang, Qingsong

    2016-01-01

    Background Accumulating evidence indicates that stroke risk may be increased following herpes zoster. The aim of this study is to perform a meta-analysis of current literature to systematically analyze and quantitatively estimate the short and long-term effects of herpes zoster on the risk of stroke. Methods Embase, PubMed and Cochrane library databases were searched for relevant studies up to March 2016. Studies were selected for analysis based on certain inclusion and exclusion criteria. Relative risks with 95% confidence interval (CI) were extracted to assess the association between herpes zoster and stroke. Results A total of 8 articles were included in our analysis. The present meta-analysis showed that the risks of stroke after herpes zoster were 2.36 (95% CI: 2.17–2.56) for first 2 weeks, 1.56 (95% CI: 1.46–1.66) for first month, 1.17 (95% CI: 1.13–1.22) for first year, and 1.09 (95% CI: 1.02–1.16) for more than 1 year, respectively. Conclusion The results of our study demonstrated that herpes zoster was associated with a higher risk of stroke, but the risks decreased along with the time after herpes zoster. PMID:27768762

  11. Analyzing Crude Oil Spot Price Dynamics versus Long Term Future Prices: A Wavelet Analysis Approach

    Directory of Open Access Journals (Sweden)

    Josué M. Polanco-Martínez

    2016-12-01

    Full Text Available The West Texas Intermediate (WTI spot price shows high volatility and in 2014 and 2015 when quoted prices declined sharply, long-term prices in future markets were less volatile. These prices are different and diverge depending on how they process fundamental and transitory factors. US tight oil production has been a major innovation with significant macroeconomic effects. In this paper we use WTI spot prices and long-term futures prices, the latter calculated as the expected value with a stochastic model calibrated with the futures quotes of each sample day. These long-term prices are the long-term equilibrium value under risk neutral measurement. In order to analyze potential time-scale relationships between spots and future, we perform a wavelet cross-correlation analysis using a novel wavelet graphical tool recently proposed. To check the direction of the causality, we apply non-linear causality tests to raw data and log returns as well as to the wavelet transform of the spot and futures prices. Our results show that in the spot and futures markets for the period 24 February 2006–2 April 2016 there is a bi-directional causality effect for most time scales (from intra-week to biannual. This suggests that spot and futures prices react simultaneously to new information.

  12. Internodal conduction. Immediate and long-term effects of transverse circular incision of right atrium including atrial septum.

    Science.gov (United States)

    Mohri, H; Sato, S; Yates, W G; Vanini, V; Dillard, D H; Merendino, K A

    1975-04-01

    Immediate and long-term effects of a transverse circular incision of the entire right atrium, including the atrial septum, on internodal conduction were studied in 7 dogs. Electrocardiograms were followed up to 35 weeks, and the atrial epicardial excitation sequence was evaluated in all 7 dogs. The findings were compared with data from 3 normal dogs and 3 other dogs which underwent total atrial transverse incisions. All dogs with total atrial separation developed complete atrioventricular (A-V) block immediately after the operation and died within 3 days. All dogs with right atrial interruption exhibited persistent sinus rhythm with slight extension of P-R intervals and a normal QRS immediately after the operation. The mean P-R interval reached its maximum at the fourth day (50 per cent increase), remained prolonged through the first week, but returned to near control valves after 12 weeks. Three days later developed transient arrhythmia; sinus arrhythmia; sinus arrhythmia in 2 dogs and second-degree block in 1 appeared between the tenth and fourteenth postoperative days. Postoperative P vectors migrated toward the left. Atrial excitation sequence studies demonstrated prolongation of atrial epicardial conduction intervals (2.3 times) between the sinus node and distal right atrial wall. The presence of an interatrial conduction mechanism (whether by specific pathways or not), through which sinus node excitation was transmitted to the A-V node was demonstrated.

  13. The Long-term Performance Analysis for On-board Atomic Clocks of BDS

    OpenAIRE

    WANG Yupu; LÜ Zhiping; Wang, Ning

    2017-01-01

    BeiDou Navigation Satellite System (BDS) has begun to provide regional services since the end of 2012. It plays an important role in analyzing the long-term performance of BDS satellite clocks in evaluating the performance of the whole system, determining and predicting satellite clock bias (SCB) etc. Precise satellite clock data products derived from multi-satellite orbit determination are used to conduct the performance analysis of BDS satellite clocks. Specifically, the characteristics of ...

  14. Characteristics of basin inflows a statistical analysis for long-term/mid-term hydrothermal scheduling

    Directory of Open Access Journals (Sweden)

    Sutlović Elis

    2014-01-01

    Full Text Available The presented paper focuses on the characteristics of reservoir inflows and the appropriate inflow model for long-term/mid-term hydrothermal scheduling. The goal was to find the type of distribution that best fits the observed series of monthly and weekly average inflows in most cases for a model which considers the inflows as independent random variables without time correlation. Also, the objective was to explore the correlation between the inflows during time periods (for weekly and monthly intervals, respectively, and to investigate whether the more complex model of reservoir inflow as a dependent random variable is advisable for optimal long-term/mid-term hydrothermal scheduling. Differences in the characteristics of monthly and weekly inflows, which have been noticed during the analysis, are discussed. Numerical results are presented.

  15. 2015 Long-Term Hydrologic Monitoring Program Sampling and Analysis Results Report for Project Rulison, Co

    Energy Technology Data Exchange (ETDEWEB)

    Findlay, Rick [Navarro Research and Engineering, Oak Ridge, TN (United States); Kautsky, Mark [US Department of Energy, Washington, DC (United States). Office of Legacy Management

    2015-12-01

    The U.S. Department of Energy (DOE) Office of Legacy Management conducted annual sampling at the Rulison, Colorado, Site for the Long-Term Hydrologic Monitoring Program (LTHMP) on May 20–22 and 27, 2015. Several of the land owners were not available to allow access to their respective properties, which created the need for several sample collection trips. This report documents the analytical results of the Rulison monitoring event and includes the trip report and the data validation package (Appendix A). The groundwater and surface water monitoring were shipped to the GEL Group Inc. laboratories for analysis. All requested analyses were successfully completed. Samples were analyzed for gamma-emitting radionuclides by high- resolution gamma spectrometry. Tritium was analyzed using two methods, the conventional tritium method, which has a detection limit on the order of 400 picocuries per liter (pCi/L), and the enriched method (for selected samples), which has a detection limit on the order of 3 pCi/L.

  16. Features of long-term health monitored strains of a bridge with wavelet analysis

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    This paper analyses the five years' monitored strains collected from a long-term health monitoring system installed on a bridge with wavelet transform.In the analysis,the monitored strains are pre-processed,features of the monitored data are summarized briefly.The influences of the base functions on the results of wavelet analysis are studied simultaneously.The results show that the db wavelet is a good mother wavelet function in the analysis,and the order N should be larger than 20,but less than 46 in deco...

  17. Long-term morphological response to dredging including cut-across-shoal in a tidal channel-shoal system

    Science.gov (United States)

    Wang, Yu-Hai; Wang, Chong-Hao; Tang, Li-Qun; Liu, Da-Bin; Guo, Chuan-Sheng; Liu, Chun-Jing; Zhao, Hui-Ming

    2014-12-01

    This study examines long-term channel-shoal stability in the Tieshan Bay, which is located on the southwest coast of China. A large-scale channel-shoal system has historically existed in the outer Tieshan Bay. A navigation waterway is initiated by cutting and dredging a mid-channel shoal to supply coal to a power plant on the middle coast of the Tieshan Bay. Dredging of the access channel to the Tieshan Port was conducted in two stages followed by land reclamation. It is thus of practical meaning to explore how the channel-shoal system will evolve in long term afterwards. This study uses the process-based finite-volume coastal ocean model (FVCOM) to investigate long-term (centennial) morphological evolution of the channel-shoal system. After well calibration of hydrodynamics and sediment transport, the model forecasts morphodynamic evolution in hundred years. The simulations show that continuous erosion in tidal channels and accretion over shoals and intertidal flats occur. However, the cutting and access channels will be subjected to long-term siltation. A secondary channel indicating the reorientation of the access channel will emerge, and a localized channel-ridge system at the junction of the major channels will be formed. The overall erosion/accretion pattern demonstrates the combined effect of bottom friction and advective sediment transport processes to be responsible for the channel-shoal formation. Dredging of the tidal channels will stimulate the stability of the channel-shoal pattern. It suggests that the navigation waterway should be set up following the long-term morphological evolution of the channel-shoal system at a design stage and maintenance dredging volume might thus be minimized.

  18. The Analysis of Long-Term Frequency and Damping Wandering in Buildings Using the Random Decrement Technique

    CERN Document Server

    Mikael, Ali; Bard, Pierre-Yves; Roux, Philippe; Langlais, Mickael; 10.1785/0120120048

    2013-01-01

    The characterization and monitoring of buildings is an issue that has attracted the interest of many sectors over the last two decades. With the increasing use of permanent, continuous and real-time networks, ambient vibrations can provide a simple tool for the identification of dynamic building parameters. This study is focused on the long-term variation of frequency and damping in several buildings, using the Random Decrement Technique (RDT). RDT provides a fast, robust and accurate long-term analysis and improves the reliability of frequency and damping measurements for structural health monitoring. This reveals particularly useful information in finding out precisely how far changes in modal parameters can be related to changes in physical properties. This paper highlights the reversible changes of the structure's dynamic parameters, correlated with external forces, such as temperature and exposure to the sun. Contrasting behaviors are observed, including correlation and anti-correlation with temperature ...

  19. The Long-term Performance Analysis for On-board Atomic Clocks of BDS

    Directory of Open Access Journals (Sweden)

    WANG Yupu

    2017-02-01

    Full Text Available BeiDou Navigation Satellite System (BDS has begun to provide regional services since the end of 2012. It plays an important role in analyzing the long-term performance of BDS satellite clocks in evaluating the performance of the whole system, determining and predicting satellite clock bias (SCB etc. Precise satellite clock data products derived from multi-satellite orbit determination are used to conduct the performance analysis of BDS satellite clocks. Specifically, the characteristics of SCB data are discussed by using a proposed modified median absolute deviation (MAD to preprocess original SCB data. Long-term variations of satellite clocks' phase, frequency, frequency drift and model noise level are analyzed based on the quadratic polynomial SCB model. Frequency stability of BDS satellite clocks is calculated and discussed based on Overlapping Hadamard Variance. Periodicity of BDS SCB is analyzed by using spectral analysis method. Integrating the above mentioned discussions and corresponding experiment results, the long-term performance of BDS satellite clocks is relatively comprehensively evaluated and analyzed. In addition, some valuable conclusions are obtained. For example, in the aspects of noise characteristics and clock drift, the performance of MEO satellite clocks is the best, followed by the IGSO satellite clocks, and the GEO satellite clocks' performance is the worst. The average values of noise level and frequency drift of BDS satellite clocks are respectively 0.677 ns and 1.922×10-18. There are also obvious periodic terms in BDS SCB data derived from multi-satellite orbit determination and their primary periods are approximate equal or one-half to the corresponding satellite orbit periods. The average value of frequency stability of BDS satellite clocks is 1.484×10-13.

  20. Microarray-based transcriptomic analysis of differences between long-term gregarious and solitarious desert locusts.

    Directory of Open Access Journals (Sweden)

    Liesbeth Badisco

    Full Text Available Desert locusts (Schistocerca gregaria show an extreme form of phenotypic plasticity and can transform between a cryptic solitarious phase and a swarming gregarious phase. The two phases differ extensively in behavior, morphology and physiology but very little is known about the molecular basis of these differences. We used our recently generated Expressed Sequence Tag (EST database derived from S. gregaria central nervous system (CNS to design oligonucleotide microarrays and compare the expression of thousands of genes in the CNS of long-term gregarious and solitarious adult desert locusts. This identified 214 differentially expressed genes, of which 40% have been annotated to date. These include genes encoding proteins that are associated with CNS development and modeling, sensory perception, stress response and resistance, and fundamental cellular processes. Our microarray analysis has identified genes whose altered expression may enable locusts of either phase to deal with the different challenges they face. Genes for heat shock proteins and proteins which confer protection from infection were upregulated in gregarious locusts, which may allow them to respond to acute physiological challenges. By contrast the longer-lived solitarious locusts appear to be more strongly protected from the slowly accumulating effects of ageing by an upregulation of genes related to anti-oxidant systems, detoxification and anabolic renewal. Gregarious locusts also had a greater abundance of transcripts for proteins involved in sensory processing and in nervous system development and plasticity. Gregarious locusts live in a more complex sensory environment than solitarious locusts and may require a greater turnover of proteins involved in sensory transduction, and possibly greater neuronal plasticity.

  1. Surgical management of acromegaly: Long term functional outcome analysis and assessment of recurrent/residual disease

    Science.gov (United States)

    Banerji, Deepu; Das, Nitu K.; Sharma, Siddhiraj; Jindal, Yogesh; Jain, Vijendra K.; Behari, Sanjay

    2016-01-01

    Context: Functional growth hormone producing adenomas have long-term deleterious effects on the visual apparatus, the cardiovascular and musculoskeletal systems, and often predispose to malignancies. Since persistence of acromegaly affects outcome and quality of life, therapeutic interventions become mandatory. Aim: This study represents an analysis of long-term clinical and endocrinal outcome of 115 patients of acromegaly after surgical management. Setting and Design: Tertiary care retrospective study. Materials and Methods: One hundred and fifteen patients (male:female ratio: 1:1.09) with acromegalic features were studied. Apart from acromegalic features, their main clinical presentation also included headache, diminution of vision, field defects, ptosis, irregular menstruation, diabetes insipidus, diabetes mellitus and hypertension. Six of them presented with apoplexy. Their preoperative endocrinal evaluation included basal and suppressed growth hormone (GH), prolactin and thyroid levels. On the basis of axial and coronal CT scan or multiplanar MR imaging or both, the tumors were classified according to their suprasellar and parasellar extension (Hardy's grade). Transnasal trans-sphenoidal surgery (TSS) (n = 37) and sublabial, rhinoseptal TSS (n = 72) were the preferred approaches. Six patients with significant parasellar extensions underwent trans-cranial explorations. The patients were followed up at 6 and 12 weeks and then at 6 monthly intervals. Hormonal and CT/MR evaluation were also done. Attainment of random GH value less than 2.5 µg/L, and the nadir GH value after oral glucose tolerance test (OGTT) less than 1 µg/L were used as the criteria of cure. Findings: The patients were preoperatively in Hardy's tumor grade 0 (29), A (21), A+E (3), B (21), B+E (5), C (9), C+E (10), D (1) D+E (11), E (5), respectively. One hundred and one patients were available for follow-up (FU; median FU duration: 84 months; range: 6 to 132 months). Surgical cure was achieved

  2. Long-term actuarial survivorship analysis of an interspinous stabilization system.

    Science.gov (United States)

    Sénégas, Jacques; Vital, Jean-Marc; Pointillart, Vincent; Mangione, Paolo

    2007-08-01

    In 1986, an interspinous dynamic stabilization system (the prototype of the current Wallis implant) was designed to stiffen unstable operated degenerate lumbar segments with a hard interspinous blocker to limit extension and a tension band around the spinous processes to secure the implant and limit flexion. Restoring physiological mechanical conditions to the treated level(s) while preserving some intervertebral mobility was intended to treat low-back pain related to degenerative instability without increasing stress forces in the adjacent segments. The procedure was easily reversible. If low back pain persisted or recurred, the device was removed and stability was achieved using fusion. The intermediate-term results were promising, but the long-term safety and efficacy of this dynamic interspinous stabilization device has not been previously documented. We retrospectively reviewed the hospital files of all the patients (n = 241) who had this dynamic stabilization system implanted between 1987 and 1995, contacting as many as possible to determine the actuarial survivorship of the system. In this manner, 142 of the 241 patients (58.9%) were contacted by telephone. The endpoints used for the survivorship analysis were 'any subsequent lumbar operation' and 'implant removal'. At 14 years follow-up, values of actuarial survivorship with 95% confidence interval were 75.9 +/- 8.3 and 81.3 +/- 6.8% for the endpoints 'any subsequent lumbar operation' and 'implant removal', respectively. There was no difference in survivorship of multiple-level implants with respect to single-level devices. Although the conclusions of the present study must be tempered by the 41% attrition rate, these findings support the long-term safety of this system, and possibly long-term protective action against adjacent-level degeneration by motion preservation. Outcomes at least equivalent to those of fusion were observed without the primary drawbacks of fusion.

  3. Long-term storage of samples for flow cytometric DNA analysis

    DEFF Research Database (Denmark)

    Vindeløv, L L; Christensen, I J; Keiding, N

    1983-01-01

    A simple procedure for long-term storage of cells for flow cytometric DNA analysis was developed and tested. The cells were stored as single cells or fine-needle aspirates suspended in a citrate buffer with dimethylsulfoxide (DMSO), or as small blocks of tissue from solid tumors. The cells were...... stored for up to one year by freezing at -80 degrees C. Statistical analysis of the results showed no change in the fractions of cells in the cell cycle phases as determined by deconvolution of the DNA-histograms. It was found that in addition to the intrinsic sample variation from the parameter...... of the analysis. The storage method makes sample collection independent of immediate subsequent analysis. This has enabled us to perform large internally controlled experiments, involving more samples than can be analyzed in one day, to examine tumor samples from different hospitals and to utilize fully...

  4. Long term fine aerosol analysis by XRF and PIXE techniques in the city of Rijeka, Croatia

    Energy Technology Data Exchange (ETDEWEB)

    Ivošević, Tatjana [Faculty of Engineering, University of Rijeka, Vukovarska 58, HR-51000 Rijeka (Croatia); Orlić, Ivica [Department of Physics, University of Rijeka, Radmile Matejčić 2, HR-51000 Rijeka (Croatia); Radović, Iva Bogdanović [Laboratory for Ion Beam Interaction, Ruđer Bošković Institute, Bijenička 54, HR-10000 Zagreb (Croatia)

    2015-11-15

    Highlights: • For the first time in Croatia, long term of fine aerosol pollution is reported. - Abstract: The results of a long term, multi elemental XRF and PIXE analysis of fine aerosol pollution in the city of Rijeka, Croatia, are reported for the first time. The samples were collected during a seven months period (6th Aug 2013–28th Feb 2014) on thin stretched Teflon filters and analyzed by energy dispersive X-ray fluorescence (EDXRF) at the Laboratory for Elemental Micro-Analysis (LEMA), University of Rijeka and by Particle Induced X-ray Emission (PIXE) using 1.6 MeV protons at the Laboratory for Ion Beam Interactions (LIBI), Ruđer Bošković Institute, Zagreb. The newly developed micro-XRF system at LEMA provided results for 19 elements in the range from Si to Pb. The PIXE at the LIBI provided information for the same elements as well for the light elements such as Na, Mg and Al. Black carbon was determined with the Laser Integrated Plate Method (LIPM). The results were statistically evaluated by means of the positive matrix factorization (PMF). The seven major pollution sources were identified together with their relative contributions, these are: secondary sulfates, road traffic, smoke, road dust, sea spray, ship emissions and soil dust.

  5. Digital terrain analysis and long-term relief evolution of central-eastern Brazil

    Directory of Open Access Journals (Sweden)

    Carlos Henrique Grohmann

    2012-08-01

    Full Text Available Geomorphological theories for long-term relief evolution postulate the existence of planation surfaces, created by the continuouswork of erosion/deposition during periods of tectonic quiescence and recognized as extensive areas of very gentlerelief disturbed only locally by residual elevations, or by the apparent leveling of summit heights in a given region. Afterdecades since the publication of the main theories on landform evolution, the validity of these models is still an open discussion.In this paper, we present studies about the compartmentalization of landform elements, on a regional-scale basis,of central-eastern Brazil. The methods involved Digital Terrain Analysis in Geographic Information Systems, aiming theextraction and characterization of topographic variables and the compilation and mathematical analysis of geophysical andthermochronological data. Results were interpreted according to the geological context and the theories for long-term reliefevolution. The integration of morphometric, thermochronological and geophysical data does not support the validity of usingplanation surfaces in regional stratigraphic correlations.

  6. Long-term effects of prevention and treatment on youth antisocial behavior: A meta-analysis.

    Science.gov (United States)

    Sawyer, Aaron M; Borduin, Charles M; Dopp, Alex R

    2015-12-01

    Youth antisocial behavior exacts a tremendous toll on society and often persists into adulthood. Although researchers have identified a number of psychosocial interventions that prevent or reduce youth antisocial behavior in the short term, evidence of long-term intervention benefits has only recently become available. In addition, research on such interventions spans two substantial but largely separate bodies of literature: prevention and therapy. The present study used meta-analysis to integrate research on the long-term effects of preventive and therapeutic interventions for youth antisocial behavior and examined potential moderators of these effects. Results from 66 intervention trials (i.e., 34 prevention, 32 therapy) indicated that a broad range of youth psychosocial interventions demonstrated modest effects on antisocial behavior (mean d=0.31, 95% confidence interval=0.23-0.39) for at least one year beyond the end of interventions relative to control conditions. Among other findings, moderator analyses revealed that inclusion of a peer group intervention component was associated with reduced intervention effects for samples consisting predominantly of boys or older youths. The results of this study have important implications for service providers, administrators, and policymakers involved in the implementation of preventive and therapeutic interventions targeting youth antisocial behavior.

  7. A Long-Term Prediction Model of Beijing Haze Episodes Using Time Series Analysis

    Directory of Open Access Journals (Sweden)

    Xiaoping Yang

    2016-01-01

    Full Text Available The rapid industrial development has led to the intermittent outbreak of pm2.5 or haze in developing countries, which has brought about great environmental issues, especially in big cities such as Beijing and New Delhi. We investigated the factors and mechanisms of haze change and present a long-term prediction model of Beijing haze episodes using time series analysis. We construct a dynamic structural measurement model of daily haze increment and reduce the model to a vector autoregressive model. Typical case studies on 886 continuous days indicate that our model performs very well on next day’s Air Quality Index (AQI prediction, and in severely polluted cases (AQI ≥ 300 the accuracy rate of AQI prediction even reaches up to 87.8%. The experiment of one-week prediction shows that our model has excellent sensitivity when a sudden haze burst or dissipation happens, which results in good long-term stability on the accuracy of the next 3–7 days’ AQI prediction.

  8. A Long-Term Prediction Model of Beijing Haze Episodes Using Time Series Analysis.

    Science.gov (United States)

    Yang, Xiaoping; Zhang, Zhongxia; Zhang, Zhongqiu; Sun, Liren; Xu, Cui; Yu, Li

    2016-01-01

    The rapid industrial development has led to the intermittent outbreak of pm2.5 or haze in developing countries, which has brought about great environmental issues, especially in big cities such as Beijing and New Delhi. We investigated the factors and mechanisms of haze change and present a long-term prediction model of Beijing haze episodes using time series analysis. We construct a dynamic structural measurement model of daily haze increment and reduce the model to a vector autoregressive model. Typical case studies on 886 continuous days indicate that our model performs very well on next day's Air Quality Index (AQI) prediction, and in severely polluted cases (AQI ≥ 300) the accuracy rate of AQI prediction even reaches up to 87.8%. The experiment of one-week prediction shows that our model has excellent sensitivity when a sudden haze burst or dissipation happens, which results in good long-term stability on the accuracy of the next 3-7 days' AQI prediction.

  9. A Long-Term Prediction Model of Beijing Haze Episodes Using Time Series Analysis

    Science.gov (United States)

    Zhang, Zhongqiu; Sun, Liren; Xu, Cui

    2016-01-01

    The rapid industrial development has led to the intermittent outbreak of pm2.5 or haze in developing countries, which has brought about great environmental issues, especially in big cities such as Beijing and New Delhi. We investigated the factors and mechanisms of haze change and present a long-term prediction model of Beijing haze episodes using time series analysis. We construct a dynamic structural measurement model of daily haze increment and reduce the model to a vector autoregressive model. Typical case studies on 886 continuous days indicate that our model performs very well on next day's Air Quality Index (AQI) prediction, and in severely polluted cases (AQI ≥ 300) the accuracy rate of AQI prediction even reaches up to 87.8%. The experiment of one-week prediction shows that our model has excellent sensitivity when a sudden haze burst or dissipation happens, which results in good long-term stability on the accuracy of the next 3–7 days' AQI prediction. PMID:27597861

  10. Long Term Trend Analysis in the Capital Market – The Case of Serbia

    Directory of Open Access Journals (Sweden)

    Radukić Snežana

    2014-09-01

    Full Text Available The paper explores the possibility of making investment decisions in emerging markets by using the trend analysis method on a particular example of the capital market in Serbia. The authors, starting from the common features of technical analysis, have analysed the common share index value in the capital market in Serbia, in the Belgrade Stock Exchange - Belexline from 1 March 2006 to 31 March 2009, by the usage of two moving averages method - Moving Average Convergence Divergence (MACD: an intermediate term of 50 days and a long-term one of 100 days. The above mentioned moving averages identify the establishment of a trend, the cessation of the existing one, a change and an establishment of the new one.

  11. A formal approach for change impact analysis of long term composed services using Probabilistic Cellular Automata

    Directory of Open Access Journals (Sweden)

    M. Thirumaran

    2016-04-01

    Full Text Available Incorporating changes into the logics of composed services dynamically and successfully is a challenge for sustaining a business’ image and profit in the society, especially when the change is expected to be made immediately at low cost. In this paper, we address this challenge by proposing a change impact analysis framework for long term composed services (LCS which: (i enables the business people to implement the changes by themselves through their analysts, (ii reduces cost and time by eliminating the dependence on IT developers once the application services are developed and delivered, (iii ensures effective incorporation of the changes made by using standard methodologies for evaluation – finite state automaton for verifying the runtime compatibilities and change evaluation and probabilistic cellular automaton for impact analysis and prediction. Through the evaluated probability measures and effective incident matching, the knowledge gained by the analyst over his service logics and the efficiency of incorporating changes are increased.

  12. Spatial variability and long-term analysis of groundwater quality of Faisalabad industrial zone

    Science.gov (United States)

    Nasir, Muhammad Salman; Nasir, Abdul; Rashid, Haroon; Shah, Syed Hamid Hussain

    2016-09-01

    Water is the basic necessity of life and is essential for healthy society. In this study, groundwater quality analysis was carried out for the industrial zone of Faisalabad city. Sixty samples of groundwater were collected from the study area. The quality maps of deliberately analyzed results were prepared in GIS. The collected samples were analyzed for chemical parameters and heavy metals, such as total hardness, alkalinity, cadmium, arsenic, nickel, lead, and fluoride, and then, the results were compared with the WHO guidelines. The values of these results were represented by a mapping of quality parameters using the ArcView GIS v9.3, and IDW was used for raster interpolation. The long-term analysis of these parameters has been carried out using the `R Statistical' software. It was concluded that water is partially not fit for drinking, and direct use of this groundwater may cause health issues.

  13. New Software for Long-Term Storage and Analysis of Seismic Wave Data

    Science.gov (United States)

    Cervelli, D. P.; Cervelli, P. F.; Murray, T. L.

    2004-12-01

    Large seismic networks generate a substantial quantity of data that must be first archived, and then disseminated, visualized, and analyzed, in real-time, in the office or from afar. To achieve these goals for the Alaska Volcano Observatory we developed two software packages: Winston, a database for storing seismic wave data, and Swarm, an application for analyzing and browsing the data. We also modified an existing package, Valve, an internet web-browser based interface to various data sets developed at the Hawaiian Volcano Observatory, to communicate with Winston. These programs provide users with the tools necessary to monitor many commonly used geophysical parameters. Winston, Wave Information Storage Network, uses a vendor-neutral SQL database to store seismic wave data. Winston's primary design goal was simple: develop a more robust, scalable, long-term replacement for the Earthworm waveserver. Access to data within the Winston database is through a scalable internet based server application, an Earthworm waveserver emulator, or directly via SQL queries. Some benefits of using an SQL database are easy backups and exports, speed, and reliability. Swarm, Seismic Wave Analysis and Real-time Monitor, is a stand-alone application that was designed to replace the traditional drum helicorder and computer wave viewer with an intuitive and interactive interface for rapidly assessing volcanic hazard, browsing through past data, and analyzing waveforms. Users can easily view waves in traditional analytic ways, such as frequency spectra or spectrograms, and employ standard analytic tools like filtering. Swarm allows efficient dissemination of data and breaks cross-disciplinary barriers by creating an accessible interface to seismic data for non-seismologists. Swarm currently operates with many seismic data sources including Earthworm waveservers and SEED files. Lastly, Swarm can be a valuable education and outreach tool by using its Kiosk Mode: a full-screen mode that

  14. Long-term monitoring of the Sedlec Ossuary - Analysis of hygrothermal conditions

    Science.gov (United States)

    Pavlík, Zbyšek; Balík, Lukáš; Maděra, Jiří; Černý, Robert

    2016-07-01

    The Sedlec Ossuary is one of the twelve UNESCO World Heritage Sites in the Czech Republic. Although the ossuary is listed among the most visited Czech tourist attractions, its technical state is almost critical and a radical renovation is necessary. On this account, hygrothermal performance of the ossuary is experimentally researched in the presented paper in order to get information on moisture sources and to get necessary data for optimized design of renovation treatments and reconstruction solutions that will allow preserve the historical significance of this attractive heritage site. Within the performed experimental analysis, the interior and exterior climatic conditions are monitored over an almost three year period together with relative humidity and temperature profiles measured in the most damage parts of the ossuary chapel. On the basis of measured data, the long-term hygrothermal state of the ossuary building is accessed and the periods of possible surface condensation are identified.

  15. Parametric Analysis of PWR Spent Fuel Depletion Parameters for Long-Term-Disposal Criticality Safety

    Energy Technology Data Exchange (ETDEWEB)

    DeHart, M.D.

    1999-08-01

    Utilization of burnup credit in criticality safety analysis for long-term disposal of spent nuclear fuel allows improved design efficiency and reduced cost due to the large mass of fissile material that will be present in the repository. Burnup-credit calculations are based on depletion calculations that provide a conservative estimate of spent fuel contents (in terms of criticality potential), followed by criticality calculations to assess the value of the effective neutron multiplication factor (k(sub)eff) for the a spent fuel cask or a fuel configuration under a variety of probabilistically derived events. In order to ensure that the depletion calculation is conservative, it is necessary to both qualify and quantify assumptions that can be made in depletion models.

  16. Long-term Periodicity Analysis of Polarization Variation for Radio Sources

    Indian Academy of Sciences (India)

    Yuhai Yuan

    2011-03-01

    We use the database of University of Michigan Radio Astronomy Observatory (UMRAO) at three radio bands (4.8, 8 and 14.5 GHz) to analyse the long-term polarization variation in search of the possible periodicity. Using the power spectral analysis method (PSA), the Jurkevich method and the discrete correlation function (DCF) method, we find that there are 16 sources lying in periodicity. The results show the astrophysically meaningful periodicity covering 2.1 years to 16.2 years at 4.8 GHz, 2.8 years to 16.3 years at 8 GHz, and 1.8 years to 16.6 years at 14.5 GHz.

  17. Analysis and research of long-term stability about the gob site in Northern Shaanxi Province

    Institute of Scientific and Technical Information of China (English)

    ZHANG Zhi-pei; PENG Hui

    2011-01-01

    Based on the analysis of the basic characteristics for the gob site in Northern Shaanxi Province and the room and pillar mining way about coal mine, the variety rule of the coal beds below the site was studied by the using of FEM during the process of coal mining. The statuses of the stresses and strains and the varieties of the plastic area were simulated in the whole rock and coal pillars. The characters of stresses and deformation of the gob area of the coalmine were analyzed and evaluated after the site built in weathering. Moreover, the long-term stability of the gob area was predicted. As a result, the deformation of the gob area under the site is not been finished, and there is the danger that the gob site will collapsing as a whole; therefore,relative measures must be taken.

  18. Accumulation, productivity and technology : measurement and analysis of long term economic growth

    NARCIS (Netherlands)

    Ark, Bart van

    1999-01-01

    This paper provides a brief overview of the "state of the art" on research on the sources of long term economic growth. It is argued that, despite the enormous progress in development of the theory and empirics on long term economic growth, we are still not able to unambiguously distinguish between

  19. Multi-Modal Treatment Of Calciphylaxis With Sodium-Thiosulfate, Cinacalcet And Sevelamer Including Long-Term Data

    Directory of Open Access Journals (Sweden)

    Hermann Salmhofer

    2013-09-01

    Full Text Available Background: Calciphylaxis is a rare, yet life-threatening disease mainly occurring in dialysis patients. Traditional options of treatment remain unsatisfactory. Methods: Here we present a novel, combined approach, treating calciphylaxis with IV sodium thiosulfate, cinacalcet and sevelamer. In a case series five hemodialysis patients, have been successfully treated with this regimen. Treatment and survival data were analyzed using descriptive statistics. Results: In all patients, a rapid decrease in pain, improvement of general condition and wound healing within six months occurred. Side effects were low. Drug dosages: IV sodium thiosulfate initial dose 119.4 +/- 84.9 g/m2/week, maintenance dose 40.6 +/- 9 g/m2/week; cinacalcet: maintenance dose 36 +/- 32.9 mg/d and sevelamer maintenance dose 3320 +/-1671 mg/d. One and two year survivals were 100 % and 80 %, respectively. We also report on long-term application of IV sodium thiosulfate of up to 52 months. Patient survival after diagnosis was 52, 84, 21, 36 and 30 months, respectively. Survival since initiation of hemodialysis was 76, 136, 89, 36 and 35 months, respectively. Conclusion: This novel combined approach, a multi-modal treatment of calciphylaxis with persistent hyperparathyroidism, using IV sodium thiosulfate, cinacalcet and sevelamer seems to improve the outcome of this devastating disease.

  20. Long-term live cell imaging and automated 4D analysis of drosophila neuroblast lineages.

    Directory of Open Access Journals (Sweden)

    Catarina C F Homem

    Full Text Available The developing Drosophila brain is a well-studied model system for neurogenesis and stem cell biology. In the Drosophila central brain, around 200 neural stem cells called neuroblasts undergo repeated rounds of asymmetric cell division. These divisions typically generate a larger self-renewing neuroblast and a smaller ganglion mother cell that undergoes one terminal division to create two differentiating neurons. Although single mitotic divisions of neuroblasts can easily be imaged in real time, the lack of long term imaging procedures has limited the use of neuroblast live imaging for lineage analysis. Here we describe a method that allows live imaging of cultured Drosophila neuroblasts over multiple cell cycles for up to 24 hours. We describe a 4D image analysis protocol that can be used to extract cell cycle times and growth rates from the resulting movies in an automated manner. We use it to perform lineage analysis in type II neuroblasts where clonal analysis has indicated the presence of a transit-amplifying population that potentiates the number of neurons. Indeed, our experiments verify type II lineages and provide quantitative parameters for all cell types in those lineages. As defects in type II neuroblast lineages can result in brain tumor formation, our lineage analysis method will allow more detailed and quantitative analysis of tumorigenesis and asymmetric cell division in the Drosophila brain.

  1. Analysis of Long-Term Water Level Variation in Dongting Lake, China

    Directory of Open Access Journals (Sweden)

    Qiaoqian Han

    2016-07-01

    Full Text Available The water level of Dongting Lake has changed because of the combined impact of climatic change and anthropogenic activities. A study of the long-term statistical properties of water level variations at Chenglingji station will help with the management of water resources in Dongting Lake. In this case, 54 years of water level data for Dongting Lake were analyzed with the non-parametric Mann–Kendall trend test, Sen’s slope test, and the Pettitt test. The results showed the following: (1 Trends in annual maximum lake water level (WLM, annual mean lake water level (WL, and annual minimum lake water level (WLm increased from 1961 to 2014; however, the three variables showed different trends from 1981 to 2014; (2 The annual change trends in Dongting Lake between 1961–2014 and 1981–2014 were found to be from approximately 0.90 cm/year to −2.27 cm/year, 1.65 cm/year to −0.79 cm/year, and 4.58 cm/year to 2.56 cm/year for WLM, WL, and WLm, respectively; (3 A greater degree of increase in water level during the dry season (November–April was found from 2003 to 2014 than from 1981 to 2002, but a smaller degree of increase, even to the point of decreasing, was found during the wet season (May–October; (4 The measured discharge data and numerical modeling results showed the operation of Three Gorge Reservoir (TGR pushed to influence partly the recent inter-annual variation of water level in Dongting Lake region, especially in the flood and dry seasons. The analysis indicated that the water level of Dongting Lake has changed in the long term with decreasing of range between WLM and WLm, and may decrease the probability of future drought and flood events. These results can provide useful information for the management of Dongting Lake.

  2. Using remote sensing and spatial analysis of trees characteristics for long-term monitoring in arid environments

    Science.gov (United States)

    Isaacson, Sivan; Blumberg, Dan G.; Rachmilevitch, Shimon; Ephrath, Jhonathan E.; Maman, Shimrit

    2016-04-01

    Trees play a significant role in the desert ecosystem by moderating the extreme environmental conditions including radiation, temperature, low humidity and small amount of precipitation. Trees In arid environments such an Acacia are considered to be `keystone species', because they have major influence over both plants and animal species. Long term monitoring of acacia tree population in those areas is thus essential tool to estimate the overall ecosystem condition. We suggest a new remote sensing data analysis technique that can be integrated with field long term monitoring of trees in arid environments and improve our understanding of the spatial and temporal changes of these populations. In this work we have studied the contribution of remote sensing methods to long term monitoring of acacia trees in hyper arid environments. In order to expand the time scope of the acacia population field survey, we implemented two different approaches: (1) Trees individual based change detection using Corona satellite images and (2) Spatial analysis of trees population, converting spatial data into temporal data. A map of individual acacia trees that was extracted from a color infra-red (CIR) aerial photographs taken at 2010 allowed us to examine the distribution pattern of the trees size and foliage health status (NDVI). Comparison of the tree sizes distribution and NDVI values distribution enabled us to differentiate between long-term (decades) and short-term (months to few years) processes that brought the population to its present state. The spatial analysis revealed that both tree size and NDVI distribution patterns were significantly clustered, suggesting that the processes responsible for tree size and tree health status (i.e., flash-floods spatial spreading) have a spatial expression. The distribution of the trees in the Wadi (ephemeral river) was divided into three distinct parts: large trees with high NDVI values, large trees with low NDVI values and small trees with

  3. Long-term Rotation State Evolution of Comet Nuclei Including the Effects of Jet Torques and Internal Dissipation

    Science.gov (United States)

    Jacobson, Seth A.; Scheeres, D. J.

    2012-05-01

    Many comet nuclei have been identified or are suspected to occupy non-principal axis (complex) rotation [Belton 2005, etc.] as well as have evolving rotation rates [Belton 2011, etc.]. Active areas of the surface and jets torque the nucleus during perihelion passage, while time variable internal stresses dissipate energy in the anelastic comet interior. These competing processes determine the comet’s nuclear rotation state. We developed a model for the evolution of the nuclei due to the reactive torques of a number of discrete jets located on the surface based on Neishtadt et al. [2002]. These jets are active only within a specific distance of the sun according to an empirical law determined by Marsden et al. (1973), however internal dissipation occurs as long as the body is not rotating about a principal axis. This internal dissipation is modeled according to Sharma et al. [2005] and Vokrouhlicky et al. [2009]. We average the full evolutionary equations over the rapidly changing spin angle, precession angle and true anomaly of the orbit. The averaged equations can rapidly calculate the long-term evolution of the nutation angle, cone angle and magnitude of the angular momentum vector over many perihelion passages. The averaged dynamical system is characterized by just two parameters: the first encapsulating the jet geometry and the second the coefficient of energy dissipation. Neishtadt et al. [2002] determined that there exist non-principal axis rotation fixed points, some even stable, for certain jet geometries. With the addition of internal dissipation, some of these fixed points disappear, while others remain but may change locations and classification as a function of the strength of energy dissipation at constant jet geometry. We explore this model of comet nuclei evolution to determine the rotation state of comet nuclei with changing jet geometries and constant coefficients of energy dissipation.

  4. SOARCA Peach Bottom Atomic Power Station Long-Term Station Blackout Uncertainty Analysis: Knowledge Advancement.

    Energy Technology Data Exchange (ETDEWEB)

    Gauntt, Randall O.; Mattie, Patrick D.; Bixler, Nathan E.; Ross, Kyle W.; Cardoni, Jeffrey N; Kalinich, Donald A.; Osborn, Douglas.; Sallaberry, Cedric Jean-Marie; Ghosh, S. Tina

    2014-02-01

    This paper describes the knowledge advancements from the uncertainty analysis for the State-of- the-Art Reactor Consequence Analyses (SOARCA) unmitigated long-term station blackout accident scenario at the Peach Bottom Atomic Power Station. This work assessed key MELCOR and MELCOR Accident Consequence Code System, Version 2 (MACCS2) modeling uncertainties in an integrated fashion to quantify the relative importance of each uncertain input on potential accident progression, radiological releases, and off-site consequences. This quantitative uncertainty analysis provides measures of the effects on consequences, of each of the selected uncertain parameters both individually and in interaction with other parameters. The results measure the model response (e.g., variance in the output) to uncertainty in the selected input. Investigation into the important uncertain parameters in turn yields insights into important phenomena for accident progression and off-site consequences. This uncertainty analysis confirmed the known importance of some parameters, such as failure rate of the Safety Relief Valve in accident progression modeling and the dry deposition velocity in off-site consequence modeling. The analysis also revealed some new insights, such as dependent effect of cesium chemical form for different accident progressions. (auth)

  5. Geospatial analysis of long-term morphological changes in Cochin estuary, SW coast of India

    Digital Repository Service at National Institute of Oceanography (India)

    DineshKumar, P.K.; Gopinath, G.; Manimurali, R.; Muraleedharan, K.R.

    The Cochin estuary along the SW coast of India has undergone tremendous environmental changes due to continuous alterations. Geospatial information available since 1967 has been compiled to evaluate the long-term morphological changes...

  6. Long-term Statistical Analysis of the Simultaneity of Forbush Decrease Events at Middle Latitudes

    Science.gov (United States)

    Lee, Seongsuk; Oh, Suyeon; Yi, Yu; Evenson, Paul; Jee, Geonhwa; Choi, Hwajin

    2015-03-01

    Forbush Decreases (FD) are transient, sudden reductions of cosmic ray (CR) intensity lasting a few days, to a week. Such events are observed globally using ground neutron monitors (NMs). Most studies of FD events indicate that an FD event is observed simultaneously at NM stations located all over the Earth. However, using statistical analysis, previous researchers verified that while FD events could occur simultaneously, in some cases, FD events could occur non-simultaneously. Previous studies confirmed the statistical reality of non-simultaneous FD events and the mechanism by which they occur, using data from high-latitude and middle-latitude NM stations. In this study, we used long-term data (1971-2006) from middle-latitude NM stations (Irkutsk, Climax, and Jungfraujoch) to enhance statistical reliability. According to the results from this analysis, the variation of cosmic ray intensity during the main phase, is larger (statistically significant) for simultaneous FD events, than for non-simultaneous ones. Moreover, the distribution of main-phase-onset time shows differences that are statistically significant. While the onset times for the simultaneous FDs are distributed evenly over 24- hour intervals (day and night), those of non-simultaneous FDs are mostly distributed over 12-hour intervals, in daytime. Thus, the existence of the two kinds of FD events, according to differences in their statistical properties, were verified based on data from middle-latitude NM stations.

  7. Long-term noise exposure and the risk for type 2 diabetes: a meta-analysis.

    Science.gov (United States)

    Dzhambov, Angel Mario

    2015-01-01

    Diabetes mellitus is one of the leading causes for disability and mortality in modern societies. Apart from personal factors its incidence might be influenced by environmental risks such as air pollution and noise. This paper reports a systematic review and meta-analysis on the risk for type 2 diabetes due to long-term noise exposure. Electronic searches in MEDLINE, EMBASE and the Internet yielded 9 relevant studies (5 for residential and 4 for occupational exposure). They were checked against a predefined list of safeguards against bias producing individual quality scores, which were then fed to MetaXL to conduct a quality effects meta-analysis. People exposed at their homes to roughly L(den) > 60 dB had 22% higher risk (95% confidence interval [CI]: 1.09-1.37) for type 2 diabetes in comparison to those exposed to L(den) risk (95% CI: 1.05-1.35) for L(den) = 60-70 dB versus L(den) risk (relative risk [RR] = 0.91, 95% CI: 0.78-1.06) for 85 dB. There was no heterogeneity in the two groups (I² = 0.00). The results should be interpreted with caution due to methodological discrepancies across the studies; however, they are indicative of the close links that noise pollution might have not only to cardiovascular diseases but to endocrine dysfunction as well.

  8. Long-term noise exposure and the risk for type 2 diabetes: A meta-analysis

    Directory of Open Access Journals (Sweden)

    Angel Mario Dzhambov

    2015-01-01

    Full Text Available Diabetes mellitus is one of the leading causes for disability and mortality in modern societies. Apart from personal factors its incidence might be influenced by environmental risks such as air pollution and noise. This paper reports a systematic review and meta-analysis on the risk for type 2 diabetes due to long-term noise exposure. Electronic searches in MEDLINE, EMBASE and the Internet yielded 9 relevant studies (5 for residential and 4 for occupational exposure. They were checked against a predefined list of safeguards against bias producing individual quality scores, which were then fed to MetaXL to conduct a quality effects meta-analysis. People exposed at their homes to roughly L den > 60 dB had 22% higher risk (95% confidence interval [CI]: 1.09-1.37 for type 2 diabetes in comparison to those exposed to L den 85 dB. There was no heterogeneity in the two groups (I2 = 0.00. The results should be interpreted with caution due to methodological discrepancies across the studies; however, they are indicative of the close links that noise pollution might have not only to cardiovascular diseases but to endocrine dysfunction as well.

  9. Application of principal components analysis to long-term reservoir management

    Energy Technology Data Exchange (ETDEWEB)

    Saad, M.

    1988-07-01

    Determining the optimal long-term operating policy of a multi-reservoir power system requires solution of a stochastic nonlinear programming problem. For small systems, the solution can be found by dynamic programming, but for large systems no direct solution method exists at present, so recource to mathematical manipulations is required. A very efficient procedure for the case where high correlation exists between the state variables is presented. The procedure consists of performing principle components analysis on the trajectories to find a reduced model of the system. The reduced model is then substituted into the operating problem and the resulting problem is solved by stochastic dynamic programming. The reservoir trajectories on which principle components analysis are performed can be obtained by solving the operating problem deterministically for a large number of equally likely flow sequences. The results of applying the manipulation to Quebec's La Grande river, which has four reservoirs, are reported. A comparison with classical dynamic programming without any reduction is presented which demonstrates the efficiency of the principle components approach. 73 refs., 71 figs., 36 tabs.

  10. Occlusal stabilization splint for patients with temporomandibular disorders: Meta-analysis of short and long term effects

    Science.gov (United States)

    Kuzmanovic Pficer, Jovana; Dodic, Slobodan; Lazic, Vojkan; Trajkovic, Goran

    2017-01-01

    Background Psychological discomfort, physical disability and functional limitations of the orofacial system have a major impact on everyday life of patients with temporomandibular disorders (TMDs). In this study we sought to determine short and long term effects of stabilization splint (SS) in treatment of TMDs, and to identify factors influencing its efficacy. Methods MEDLINE, Web of Science and EMBASE were searched for randomized controlled trials (RCTs) comparing SS to: non-occluding splint, occlusal oral appliances, physiotherapy, behavioral therapy, counseling and no treatment. Random effects method was used to summarize outcomes. The effect estimates were expressed as odds ratio (OR) or standardized mean difference (SMD) with 95% confidence interval. Subgroup analyses were carried out according to the use of Research Diagnostic Criteria (RDC/TMD) and TMDs origin. Strength of evidence was assessed by GRADE. Meta-regression was applied. Results Thirty three eligible RCTs were included in meta-analysis. In short term, SS presented positive overall effect on pain reduction (OR 2.08; p = 0.01) and pain intensity (SMD -0.33; p = 0.02). Subgroup analyses confirmed SS effect in studies used RDC/TMD and revealed its effect in patients with TMDs of muscular origin. Important decrease of muscle tenderness (OR 1.97; p = 0.03) and improvement of mouth opening (SMD -0.30; p = 0.04) were found. SS in comparison to oral appliances showed no difference (OR 0.74; p = 0.24). Meta-regression identified continuous use of SS during the day as a factor influencing efficacy (p = 0.01). Long term results showed no difference in observed outcomes between groups. Low quality of evidence was found for primary outcomes. Conclusion SS presented short term benefit for patients with TMDs. In long term follow up, the effect is equalized with other therapeutic modalities. Further studies based on appropriate use of standardized criteria for patient recruitment and outcomes under assessment

  11. Acute, subacute and long-term subjective effects of psilocybin in healthy humans: a pooled analysis of experimental studies.

    Science.gov (United States)

    Studerus, Erich; Kometer, Michael; Hasler, Felix; Vollenweider, Franz X

    2011-11-01

    Psilocybin and related hallucinogenic compounds are increasingly used in human research. However, due to limited information about potential subjective side effects, the controlled medical use of these compounds has remained controversial. We therefore analysed acute, short- and long-term subjective effects of psilocybin in healthy humans by pooling raw data from eight double-blind placebo-controlled experimental studies conducted between 1999 and 2008. The analysis included 110 healthy subjects who had received 1-4 oral doses of psilocybin (45-315 µg/kg body weight). Although psilocybin dose-dependently induced profound changes in mood, perception, thought and self-experience, most subjects described the experience as pleasurable, enriching and non-threatening. Acute adverse drug reactions, characterized by strong dysphoria and/or anxiety/panic, occurred only in the two highest dose conditions in a relatively small proportion of subjects. All acute adverse drug reactions were successfully managed by providing interpersonal support and did not need psychopharmacological intervention. Follow-up questionnaires indicated no subsequent drug abuse, persisting perception disorders, prolonged psychosis or other long-term impairment of functioning in any of our subjects. The results suggest that the administration of moderate doses of psilocybin to healthy, high-functioning and well-prepared subjects in the context of a carefully monitored research environment is associated with an acceptable level of risk.

  12. Tree bark suber-included particles: A long-term accumulation site for elements of atmospheric origin

    Science.gov (United States)

    Catinon, Mickaël; Ayrault, Sophie; Spadini, Lorenzo; Boudouma, Omar; Asta, Juliette; Tissut, Michel; Ravanel, Patrick

    2011-02-01

    The deposition of atmospheric elements on and into the bark of 4-year-old Fraxinus excelsior L. was studied. The elemental composition of the suber tissue was established through ICP-MS analysis and the presence of solid mineral particles included in this suber was established and described through SEM-EDX. Fractionation of the suber elements mixture was obtained after ashing at 550 °C through successive water (C fraction) and HNO 3 2 M (D fraction) extraction, leading to an insoluble residue mainly composed of the solid mineral particles (E fraction). The triplicated % weight of C, D and E were respectively 34.4 ± 2.7, 64.8 ± 2.7 and 0.8 ± 0.1% of the suber ashes weight. The main component of C was K, of D was Ca. Noticeable amounts of Mg were also observed in D. The E fraction, composed of insoluble particles, was mostly constituted of geogenic products, with elements such as Si, Al, K, Mg, representing primary minerals. E also contained Ca 3(PO 4) 2 and concentrated the main part of Pb and Fe. Moreover, The SEM-EDX analysis evidenced that this fraction also concentrated several types of fly ashes of industrial origin. The study of the distribution between C, D and E was analysed through ICP-MS with respect to their origin. The origin of the elements found in such bark was either geogenic (clay, micas, quartz…), anthropogenic or biogenic (for instance large amounts of solid Ca organic salts having a storage role). As opposed to the E fraction, the C fraction, mainly composed of highly soluble K+ is characteristic of a biological pool of plant origin. In fraction D, the very high amount of Ca++ corresponds to two different origins: biological or acid soluble minerals such as calcite. Furthermore, the D fraction contains the most part of pollutants of anthropic origin such as Zn, Cu, Ni, Co, Cd. As a whole, the fractionation procedure of the suber samples allows to separate elements as a function of their origin but also gives valuable information on

  13. The phenology of winter rye in Poland: an analysis of long-term experimental data

    Science.gov (United States)

    Blecharczyk, Andrzej; Sawinska, Zuzanna; Małecka, Irena; Sparks, Tim H.; Tryjanowski, Piotr

    2016-09-01

    The study of the phenology of crops, although quite popular, has limitations, mainly because of frequent changes to crop varieties and management practices. Here, we present data on the phenology and yield of winter rye in western Poland collected between 1957 and 2012 from a long-term field experiment. Data were examined for trends through time and compared to climatological factors using regression analysis. Both annual air temperature and precipitation increased during the study period, equivalent to 2 °C and 186 mm, respectively, over the 52-year period for which met data were available. We detected significant delays in sowing date and recently in emergence, but significant advances were apparent in full flowering date equivalent to 4 days/decade. Yield and plant density experienced a step like change in 1986; yield increasing by ca. 70 % and plant density increasing by ca. 50 %, almost coinciding with a similar change in annual mean temperature, but most likely caused by a changed seed rate and use of herbicides. Future climate change is expected to have a greater impact on this crop, but farmers may be able to adapt to these changes by modifying water regimes, using new machinery and sowing new rye varieties.

  14. Long-term performance data and analysis of CIS/CIGS modules deployed outdoors

    Science.gov (United States)

    del Cueto, J. A.; Rummel, S.; Kroposki, B.; Anderberg, A.

    2008-08-01

    The long-term performance data of copper indium diselenide (CIS) and gallium-alloyed CIS (CIGS) photovoltaic (PV) modules are investigated to assess the reliability of this technology. We study and report on numerous PV modules acquired from two manufacturers (A and B), deployed at NREL's outdoor test facility (OTF) in various configurations in the field: some are free standing, loaded with a fixed resistance and periodically tested indoors at STC; other modules are connected to data acquisition systems with their performance continuously monitored. Performance is characterized using current-voltage (I-V) measurements obtained either at standard test conditions or under real-time monitoring conditions: the power parameters plus other factors relating to quality like diode quality factors or series resistance are analyzed for changes against time. Using standard diode analysis to determine the sources of degradation indicates that CIS modules can exhibit between moderate and negligible degradation, with the dominant loss mode being fill factor declines along with decreases in open-circuit voltage, for illumination intensities near 1-sun. At lower intensities, current losses can appear appreciable. The real-time performance data also indicate that fill factor loss is the primary degradation mode, generally as a result of increases in series resistance.

  15. Histopathology Image Analysis in Two Long-Term Animal Experiments with Helical Flow Total Artificial Heart.

    Science.gov (United States)

    Wotke, Jiri; Homolka, Pavel; Vasku, Jaromír; Dobsak, Petr; Palanova, Petra; Mrkvicova, Veronika; Konecny, Petr; Soska, Vladimir; Pohanka, Michal; Novakova, Marie; Yurimoto, Terumi; Saito, Itsuro; Inoue, Yusuke; Isoyama, Takashi; Abe, Yusuke

    2016-12-01

    Histopathological analysis can provide important information in long-term experiments with total artificial heart (TAH). Recently, a new type of blood pump, the helical flow total artificial heart (HF-TAH) was developed. This study aimed to investigate the changes in selected vital organs in animal experiments with implanted HF-TAH. Samples from lung, liver, and kidneys from two female goats (No. 1301 and No. 1304) with implanted HF-TAH were analyzed. Tissue samples were fixed in 10% formaldehyde and 4 µm thick transverse sections were stained with hematoxylin-eosin (HE). Additional staining was done for detection of connective tissue (Masson-Goldner stain) and for detection of iron (hemosiderin) deposits (Perls stain). Sections were scanned at 100× and 500× magnification with a light microscope. Experiment no. 1301 survived 100 days (cause of termination was heavy damage of the right pump); experimental goat no.1304 survived 68 days and was sacrificed due to severe right hydrodynamic bearing malfunction. Histopathological analysis of liver samples proved signs of chronic venostasis with limited focal necrotic zones. Dilated tubules, proteinaceous material in tubular lumen, and hemosiderin deposits were detected in kidney samples. Contamination of the organs by embolized micro-particles was suspected at the autopsy after discovery of visible damage (scratches) of the pump impeller surface (made from titanium alloy) in both experiments. Sporadic deposits of foreign micro-particles (presumably titanium) were observed in most of the analyzed parenchymal organs. However, the described deposits were not in direct connection with inflammatory reactions in the analyzed tissues. Histopathological analysis showed the presence of minimal contamination of the lung, kidney, and liver tissue samples by foreign material (titanium very likely). The analysis showed only limited pathological changes, especially in liver and kidneys, which might be attributed to the influence of

  16. 75 FR 34530 - Analysis by the President's Working Group on Financial Markets on the Long-Term Availability and...

    Science.gov (United States)

    2010-06-17

    ... Analysis by the President's Working Group on Financial Markets on the Long-Term Availability and... President's Working Group on Financial Markets to perform an analysis and report to Congress regarding the... Working Group on Financial Markets is to conduct its analysis in consultation with the...

  17. Analysis of long-term dependence phenomenon in Benue River flow process and its hypothesis testing

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    In this paper, the long-term dependence phenomenon (the Hurst Effect) which characterizes hydrological and other geophysical times series is studied. The long-term memory is analysed for both daily and monthly streamflow series of the Benue River at Makurdi, Nigeria by using heuristic methods and testing specifically the null hypothesis of short-term memory in the monthly flow series. Results obtained by applying heuristic procedures indicated that there may be the presence of long-term memory component in mean daily flow series but there is no discernible reason to suspect the presence in both average monthly and maximum monthly flow series (extreme event). Hypothesis testing was conducted by using original and modified versions of rescaled range statistic. When the modified rescaled range, which accounts for short-term memory in the series, is used, the null hypothesis is accepted for both the average monthly and maximum monthly flow series, indicating little or no probable presence of long-term memory in the series. An identical conclusion is also arrived at when second null hypothesis for independence of the monthly flow series is tested. Therefore, apart from the mean daily flow series, there is little evidence of long-term dependence in the Benue River streamflow series at Makurdi. However, considering the limited length of data used, the results are inconclusive.

  18. Long-Term Memory: A Review and Meta-Analysis of Studies of Declarative and Procedural Memory in Specific Language Impairment

    Science.gov (United States)

    Lum, Jarrad A. G.; Conti-Ramsden, Gina

    2013-01-01

    This review examined the status of long-term memory systems in specific language impairment (SLI)--declarative memory and aspects of procedural memory in particular. Studies included in the review were identified following a systematic search of the literature and findings combined using meta-analysis. This review showed that individuals with SLI…

  19. Analysis of Long-term Terrestrial Water Storage Variations in the Yangtze River Basin

    Science.gov (United States)

    Su, Bob; Huang, Ying; Wang, Lichun; Salama, Suhyb; Krol, Maaten; Hoekstra, Arjen; Zhou, Yunxuan; van der Velde, Rogier

    2014-05-01

    In this study, we analyze 32 years of TWS data obtained from Interim Reanalysis Data (ERA-Interim) and Noah model from Global Land Data Assimilation System (GLDAS-Noah) for the period between 1979 and 2010. The accuracy of these datasets is validated against 26 years (1979-2004) of runoff dataset from Yichang gauging station and compared to 32 years of independent precipitation data obtained from Global Precipitation Climatology Centre Full Data Reanalysis Version 6 (GPCC) and NOAA's PRECipitation REConstruction over Land (PREC/L). Spatial and temporal analysis of the TWS data shows that TWS in the Yangtze River basin is decreasing significantly since the year 1998. The driest period of the basin is noted from 2005 to 2010, especially in the middle and lower Yangtze reaches. The TWS changed abruptly into persistently high negative anomalies in the middle and lower Yangtze Reaches in 2004. From both basin and annual perspectives, 2006 is detected as the major inflection point at which the system exhibits a persistent decrease in TWS. Comparing these TWS trends to independent precipitation datasets shows that the recent decrease in TWS can mainly be attributed to a decrease in precipitation amount. Our finding is based on observation and modeling data sets and confirms previous results based on gauging station datasets. Reference: Huang, Y., Salama, M.S., Krol, M.S., van der Velde, R., Hoekstra, A.Y., Zhou, Y. and Su, Z. (2013) Analysis of long - term terrestrial water storage variations in the Yangtze River basin. In: Hydrology and earth system sciences (HESS): 17 (2013)5 pp. 1985-2000.

  20. Long-term logistic analysis of FBR introduction strategy: avoiding both uranium and plutonium shortage

    Energy Technology Data Exchange (ETDEWEB)

    Suzuki, T. [Massachusetts Inst. of Tech., Cambridge, MA (United States). Center for International Studies

    1995-12-31

    Despite comfortable predictions on short to mid-term uranium resources, there is still a concern about long-term availability of competitive uranium resources. In order to achieve substantial uranium saving, early introduction of Fast Breeder Reactor (FBR) is desirable. But it is also known that rapid introduction of FBR could result in plutonium storage. Will there be enough plutonium on a global scale to sustain fast FBR growth? is there any other way to save uranium resource? This paper concludes that multi-option strategies to achieve flexible long-term strategy to avoid both uranium and plutonium storage are desirable. (authors) 3 refs.

  1. Analysis of GHB and 4-methyl-GHB in postmortem matrices after long-term storage.

    Science.gov (United States)

    Marinetti, Laureen J; Isenschmid, Daniel S; Hepler, Bradford R; Kanluen, Sawait

    2005-01-01

    Postmortem heart blood, peripheral blood, vitreous humor, urine, and bile specimens from 26 autopsy cases were analyzed for the presence of gamma-hydroxybutyric acid (GHB) and gamma-methyl gamma-hydroxybutyric acid (4-Me-GHB) after long-term freezer storage. Cases were selected for which exogenous GHB, gamma-butyrolactone (GBL), gamma valerolactone (GVL), or 1,4-butanediol use was not suspected. One documented positive GHB case subjected to the same storage conditions was also evaluated for comparison. Specimens did not contain any preservatives or additives except heart blood, which contained sodium fluoride (2% w/v). The results of the analysis for GHB in vitreous humor (n = 26) demonstrated, with one exception, concentrations below the limit of detection for the method (5 mg/L). In the exception case, the value was determined to be 7 mg/L. Documented cases of GHB positive fatalities showed vitreous humor concentrations (n = 6) that exceeded this range by a factor of 12 or more. There was no apparent relationship between storage times and GHB concentrations. The data developed in this study demonstrate a postmortem endogenous range for GHB in vitreous humor that is less than or equal to 7 mg/L. Studies of the stored GHB-positive case demonstrated no significant change in concentration over the time period studied. None of the specimens analyzed in this study contained detectable amounts of 4-Me-GHB. This would support the contention that when 4-Me-GHB is detected, it is most likely due to the exogenous consumption of GVL.

  2. Long-term change analysis of satellite-based evapotranspiration over Indian vegetated surface

    Science.gov (United States)

    Gupta, Shweta; Bhattacharya, Bimal K.; Krishna, Akhouri P.

    2016-05-01

    In the present study, trend of satellite based annual evapotranspiration (ET) and natural forcing factors responsible for this were analyzed. Thirty years (1981-2010) of ET data at 0.08° grid resolution, generated over Indian region from opticalthermal observations from NOAA PAL and MODIS AQUA satellites, were used. Long-term data on gridded (0.5° x 0.5°) annual rainfall (RF), annual mean surface soil moisture (SSM) ERS scatterometer at 25 km resolution and annual mean incoming shortwave radiation from MERRA-2D reanalysis were also analyzed. Mann-Kendall tests were performed with time series data for trend analysis. Mean annual ET loss from Indian ago-ecosystem was found to be almost double (1100 Cubic Km) than Indian forest ecosystem (550 Cubic Km). Rainfed vegetation systems such as forest, rainfed cropland, grassland showed declining ET trend @ - 4.8, -0.6 &-0.4 Cubic Kmyr-1, respectively during 30 years. Irrigated cropland initially showed ET decline upto 1995 @ -0.8 cubic Kmyr-1 which could possibly be due to solar dimming followed by increasing ET @ 0.9 cubic Kmyr-1 after 1995. A cross-over point was detected between forest ET decline and ET increase in irrigated cropland during 2008. During 2001-2010, the four agriculturally important Indian states eastern, central, western and southern showed significantly increasing ET trend with S-score of 15-25 and Z-score of 1.09-2.9. Increasing ET in western and southern states was found to be coupled with increase in annual rainfall and SSM. But in eastern and central states no significant trend in rainfall was observed though significant increase in ET was noticed. The study recommended to investigate the influence of anthropogenic factors such as increase in area under irrigation, increased use of water for irrigation through ground water pumping, change in cropping pattern and cultivars on increasing ET.

  3. Long term spatial and temporal rainfall trends and homogeneity analysis in Wainganga basin, Central India

    Directory of Open Access Journals (Sweden)

    Arun Kumar Taxak

    2014-08-01

    Full Text Available Gridded rainfall data of 0.5×0.5° resolution (CRU TS 3.21 was analysed to study long term spatial and temporal trends on annual and seasonal scales in Wainganga river basin located in Central India during 1901–2012. After testing the presence of autocorrelation, Mann–Kendall (Modified Mann–Kendall test was applied to non-auto correlated (auto correlated series to detect the trends in rainfall data. Theil and Sen׳s slope estimator test was used for finding the magnitude of change over a time period. For detecting the most probable change year, Pettitt–Mann–Whitney test was applied. The Rainfall series was then divided into two partial duration series for finding changes in trends before and after the change year. Arc GIS was used to explore spatial patterns of the trends over the entire basin. Though most of the grid points shows a decreasing trend in annual rainfall, only seven grids has a significant decreasing trend during 1901–2012. On the basis of seasonal trend analysis, non-significant increasing trend is observed only in post monsoon season while seven grid points show significant decreasing trend in monsoon rainfall and non-significant in pre-monsoon and winter rainfall over the last 112 years. During the study period, overall a 8.45% decrease in annual rainfall is estimated. The most probable year of change was found to be 1948 in annual and monsoonal rainfall. There is an increasing rainfall trend in the basin during the period 1901–1948, which is reversed during the period 1949–2012 resulting in decreasing rainfall trend in the basin. Homogeneous trends in annual and seasonal rainfall over a grid points is exhibited in the basin by van Belle and Hughes׳ homogeneity trend test.

  4. Long-Term Analysis of Infrasound at Villarrica Volcano and the Eruption of March 3, 2015

    Science.gov (United States)

    Palma Lizana, J. L.; Johnson, J. B.; Gonzalez, X. A.; Valderrama, O. A.

    2015-12-01

    For the last 30 years Villarrica volcano has shown persistent degassing and mild strombolian activity taking place at the lava lake located inside its crater. This activity exhibited changes in the magnitud of the strombolian explosions, levels of the lava lake, and gas emission rates. In February 2014, a six-component infrasound array was installed 8 km to the NW of the summit in order to acquire a long-term record of the acoustics associated with the explosive activity originated at Villarrica's crater. Visual observations from the crater rim and acoustic data show that in 2014 the activity at Villarrica was relatively low and began to increase at the beginning of February 2015. Between January and early March of 2015 four complementary three-component infrasound arrays were deployed between 4 and 9 km from the crater. Villarrica volcano erupted on March 3rd, 2015, exhibiting a >1000 m high lava fountain, scoria flows, snow-ice avalanches and lahars, among other phenomena. The eruption was preceded by 25 minutes of strombolian explosions that gradually increased in magnitud and frequency until they turned into the lava fountain. The data collected with the infrasound arrays are used to identify changes in explosive activity as well as the flow of at least three lahars. Analysis of the amplitude, number of events, waveform and frequency content of the acoustic signal show small and/or short (hours to days) variations in the persistent explosive activity of Villarrica's lava lake during 2014. The short (~27 days) increased level of activity and subsequent eruption may be interpreted as the result of a relatively gas-rich magma intruding into the upper plumbing system.

  5. Long-term use of aldosterone-receptor antagonists in uncontrolled hypertension: A retrospective analysis

    NARCIS (Netherlands)

    P.M. Jansen (Pieter); K. Verdonk (Koen); B.P. Imholz (Ben); A.H.J. Danser (Jan); A.H. van den Meiracker (Anton)

    2011-01-01

    textabstractBackground. The long-term efficacy of aldosterone-receptor antagonists (ARAs) as add-on treatment in uncontrolled hypertension has not yet been reported. Methods. Data from 123 patients (21 with primary aldosteronism, 102 with essential hypertension) with difficult-to-treat hypertension

  6. Deep brain stimulation for obsessive-compulsive disorders : long-term analysis of quality of life

    NARCIS (Netherlands)

    Ooms, Pieter; Mantione, Mariska; Figee, Martijn; Schuurman, P Richard; van den Munckhof, Pepijn; Denys, D.

    2014-01-01

    OBJECTIVE: To evaluate the long-term effects of deep brain stimulation (DBS) on quality of life (QOL) in therapy-refractory obsessive-compulsive disorder (OCD) patients. DESIGN: 16 patients who met Diagnostic and Statistical Manual of Mental Disorders (4th ed) (DSM-IV) criteria for OCD and were cons

  7. Long-Term Neuropsychological Outcomes of Childhood Onset Acute Disseminated Encephalomyelitis (ADEM): a Meta-Analysis.

    Science.gov (United States)

    Burton, Karen L O; Williams, Tracey A; Catchpoole, Sarah E; Brunsdon, Ruth K

    2017-03-31

    The long-term neurocognitive prognosis of childhood onset acute disseminated encephalomyelitis (ADEM) is unclear. This review and quantitative synthesis of the available literature examined whether there are long-term impacts of childhood ADEM on neurocognitive functioning. A search of online databases (MEDLINE, EMBASE, EBSCO CINAHL, PsycINFO and the Cochrane Database of Systematic Reviews) from their inception to October 2015 and reference lists identified 13 papers eligible for inclusion in the systematic review; seven of these were eligible for inclusion in meta-analyses. The systematic review indicated that, at a group level there is a positive long-term neuropsychological outcome from childhood onset ADEM. However, despite the apparent absence of long-term negative impacts of ADEM at a group level, at an individual level impairments in the areas of IQ, attention, executive functioning, processing speed, learning and memory, visuospatial skills and internalising symptoms were found in up to 43% of patients when aggregated across the studies. No significant negative effect of ADEM for any of the neuropsychological domains examined was found in meta-analyses. However, the effects for Processing Speed (r mean = -0.296 (CI 95% = -0.605-0.013)) and Internalising symptoms (r mean = 0.242 (CI 95% = -0.014-0.564)) approached significance (p = 0.06), suggesting a trend towards ADEM leading to long-term reduced processing speed and elevated internalising symptoms. Together, our findings suggest that despite a generally positive neurocognitive outcome post childhood ADEM there are a subset of individuals who can suffer from ongoing specific cognitive impairments. Clinical implications and research priorities are discussed.

  8. Deflection analysis of reinforced concrete beams strengthened with carbon fibre reinforced polymer under long-term load action

    Institute of Scientific and Technical Information of China (English)

    Mykolas DAUGEVI(C)IUS; Juozas VALIVONIS; Gediminas MAR(C)IUKAITIS

    2012-01-01

    This paper presents the results of an experimental research on reinforced concrete beams strengthened with an external carbon fibre reinforced polymer (CFRP) layer under long-term load action that lasted for 330 d.We describe the characteristics of deflection development of the beams strengthened with different additional anchorages of the external carbon fibre composite layer during the period of interest.The conducted experiments showed that the additional anchorage influences the slip of the extemal layer with respect to the strengthened element.Thus,concrete and carbon fibre composite interface stiffness decreases with a long-term load action.Therefore,the proposed method of analysis based on the built-up-bars theory can be used to estimate concrete and carbon fibre composite interface stiffness in the case of long-term load.

  9. Comparative analysis of two community stressors' long-term mental health effects

    Energy Technology Data Exchange (ETDEWEB)

    Dew, M.A.; Bromet, E.J.; Schulberg, H.C.

    1987-04-01

    The investigation directly compared the long-term mental health consequences of two community-wide stressors, the Three Mile Island (TMI) nuclear accident and widespread unemployment due to layoff, in demographically comparable samples of women. Results showed a marked degree of similarity in the stressors' effects: Levels of subclinical symptomatology were elevated to similar degrees in each sample during the year following stressor onset, and symptom levels remained elevated in each sample 2 to 3 1/2 years later. Moreover, variables identified as predictors of enduring psychological distress were virtually identical for the two samples. Additional analyses revealed that the mental health status of unemployed husbands mediated the negative psychological effects of layoff on their wives. Implications of these results for understanding the long-term consequences of exposure to community-wide stress are discussed.

  10. Radiocaesium in grazing sheep. A statistical analysis of variability, survey methodology and long term behaviour

    Energy Technology Data Exchange (ETDEWEB)

    Mehli, H.

    1996-05-01

    Since 1987 sheep grazing in the areas of Norway that received Chernobyl-fallout have been monitored before slaughter. These monitoring data formed the basis for development of a model describing the long term behaviour of radiocesium in unimproved pasture showing that in years with good mushroom abundance 70-80% of the radiocesium concentration in sheep is due to fungi consumption. A study of sampling strategy and variability of radiocesium concentration within flocks was also performed. 55 refs., 31 figs., 15 tabs.

  11. Long-term stability analysis of the left bank abutment slope at Jinping I hydropower station

    Institute of Scientific and Technical Information of China (English)

    Long Zhang; Qiang Yang; Yaoru Liu

    2016-01-01

    The time-dependent behavior of the left bank abutment slope at Jinping I hydropower station has a major influence on the normal operation and long-term safety of the hydropower station. To solve this problem, a geomechanical model containing various faults and weak structural planes is established, and numerical simulation is conducted under normal water load condition using FLAC3D, incorporating creep model proposed based on thermodynamics with internal state variables theory. The creep deformations of the left bank abutment slope are obtained, and the changes of principal stresses and deformations of the dam body are analyzed. The long-term stability of the left bank abutment slope is evaluated ac-cording to the integral curves of energy dissipation rate in domain and its derivative with respect to time, and the non-equilibrium evolution rules and the characteristic time can also be determined using these curves. Numerical results show that the left bank abutment slope tends to be stable in a global sense, and the stress concentration is released. It is also indicated that more attention should be paid to some weak regions within the slope in the long-term deformation process.

  12. Expression of long-term plasticity at individual synapses in hippocampus is graded, bidirectional, and mainly presynaptic: optical quantal analysis.

    Science.gov (United States)

    Enoki, Ryosuke; Hu, Yi-Ling; Hamilton, David; Fine, Alan

    2009-04-30

    Key aspects of the expression of long-term potentiation (LTP) and long-term depression (LTD) remain unresolved despite decades of investigation. Alterations in postsynaptic glutamate receptors are believed to contribute to the expression of various forms of LTP and LTD, but the relative importance of presynaptic mechanisms is controversial. In addition, while aggregate synaptic input to a cell can undergo sequential and graded (incremental) LTP and LTD, it has been suggested that individual synapses may only support binary changes between initial and modified levels of strength. We have addressed these issues by combining electrophysiological methods with two-photon optical quantal analysis of plasticity at individual active (non-silent) Schaffer collateral synapses on CA1 pyramidal neurons in acute slices of hippocampus from adolescent rats. We find that these synapses sustain graded, bidirectional long-term plasticity. Remarkably, changes in potency are small and insignificant; long-term plasticity at these synapses is expressed overwhelmingly via presynaptic changes in reliability of transmitter release.

  13. Evaluating temporal consistency of long-term global NDVI datasets for trend analysis

    DEFF Research Database (Denmark)

    Tian, Feng; Fensholt, Rasmus; Verbesselt, Jan

    2015-01-01

    -sensor NDVI time series by analyzing the co-occurrence between breaks in the NDVI time series and sensor shifts from GIMMS3g (Global Inventory Modeling and Mapping Studies 3rd generation), VIP3 (Vegetation Index and Phenology version 3), LTDR4 (Long Term Data Record version 4) and SPOT-VGT (Système Pour l...... of artifacts are found in the arid region. Although temporal consistency throughout all examined datasets increases after 2000 due to the usage of advanced platforms and sensors, variations in NDVI values from 2010 to 2011 still result in different trends at global and regional scales....

  14. Long term stability analysis of cast iron shaft linings after Coal Mine closure and flooding

    Energy Technology Data Exchange (ETDEWEB)

    Hadj-Hassen, F. [Ecole des Mines de Paris - CGES, 77 - Fontainebleau (France); Bienvenu, Y. [Ecole des Mines de Paris, CM, 91 - Evry (France); Noirel, J.F. [Charbonnages de France, DTN, 57 - Freyming Merlebach (France); Metz, M. [charbonnages de France, ESA, 57 - Freyming Merlebach (France)

    2005-07-01

    This paper presents the results of a study conducted to analyse the long term stability of the cast iron shaft lining after coal mine closure and flooding. The attention is mainly focused on the behaviour during the critical phase of flooding as well as the phase corresponding to the disappearance of the water pressure and the stabilization of the environment. This pluri-disciplinary study was conducted by a team combining specialists in rock mechanics who identified the main risks and the conditions of stability of the lining and specialists in metallurgy who studied the composition of the cast iron and its corrosion behaviour after exposure to mine water. (authors)

  15. Long-term memory in the Irish market (ISEQ): evidence from wavelet analysis

    CERN Document Server

    Sharkasi, A; Crane, M; Sharkasi, Adel; Ruskin, Heather J.; Crane, Martin

    2006-01-01

    Researchers have used many different methods to detect the possibility of long-term dependence (long memory) in stock market returns, but evidence is in general mixed. In this paper, three different tests, (namely Rescaled Range (R/S), its modified form, and the semi-parametric method (GPH)), in addition to a new approach using the discrete wavelet transform, (DWT), have been applied to the daily returns of five Irish Stock Exchange (ISEQ) indices. These methods have also been applied to the volatility measures (namely absolute and squared returns). The aim is to investigate the existence of long-term memory properties. The indices are Overall, Financial, General, Small Cap and ITEQ and the results of these approaches show that there is no evidence of long-range dependence in the returns themselves, while there is strong evidence for such dependence in the squared and absolute returns. Moreover, the discrete wavelet transform (DWT) provides additional insight on the series breakdown. In particular, in compari...

  16. [Long-term course of arterial traumatisms in children. Analysis of 31 cases].

    Science.gov (United States)

    Alonso Pérez, M; Valle González, A; Barrerio Mouro, A; Pacho Rodríguez, J; Polvorinos Pascual, M F; González Gutiérrez, M A; Ojeda Gutiérrez, I; Bardón Valcarce, F; Fernández Menéndez, R; Suárez Tornín, M J

    1993-01-01

    Thirty children, 17 boys and 13 girls, with 31 arterial traumatisms, were studied. The follow-up period ranged from 4 to 166 months. The purpose of this study was to analyze the long term results. The etiology in 19 cases was accidental (61.3%) and iatrogenic in 12 (38.7%). Upper limbs were affected in 15 cases, lower limbs in 13. The arterial traumatism affected the supra-aortic truncus in 2 patients and the renal artery in one other. Arteriographies were carried out in 7 cases (22.6%). Twenty-three patients (74.2%) underwent surgical procedures. The rest of the patients were managed conservatively. No amputations were needed. Three patients died by no vascular causes. The long-term results were good in terms of permeability and absence of major sequels. We conclude that IAT (Infantile Arterial Traumatisms) are potentially graves; therefore an early diagnosis and a specialized care of patients, without rigid protocols of management, are needed. The uncertain prognosis of IAT obligate to a clinical follow-up.

  17. Prediction analysis of long-term memory effect for calamity gray series

    Institute of Scientific and Technical Information of China (English)

    CHEN; Zhaonan(CHEN; Chaonan); LI; Zongyang(LEE; Tzongye

    2004-01-01

    It is adequate to use the gray theory for modeling and forecasting short-term calamity series. The forecast of calamity gray series is equivalent to predicting an extraordinary event in nature. In order to look for the regularity, the calamity date series, created from the threshold for a fixed time-interval series, are studied. In this paper, the Hurst exponent is applied to defining the long-term memory effect of the simulated calamity series, and is tested for the feasibility of using it as pre-requisite information before the gray modeling and forecasting. Based on the fractional Brownian motion (fBm) model, the time series with a definite length or quantity of data are derived assuming that various kinds of memory effect exist. Different threshold values are defined to yield or to analogize the calamity date series that are required in the prediction of the gray calamity events. After case study, both of the simulated and real seismic data show that the Hurst exponents are greater than 0.5 and, therefore, indicate that the long-term memory effect exists. The correlation between the Hurst exponent and the gray modeling parameter, a, provides criteria for the classification of the forecast.

  18. Long-term patterns of dental attendance and caries experience among British adults: a retrospective analysis.

    Science.gov (United States)

    Aldossary, Arwa; Harrison, Victoria E; Bernabé, Eduardo

    2015-02-01

    There is inconclusive evidence on the value of regular dental attendance. This study explored the relationship between long-term patterns of dental attendance and caries experience. We used retrospective data from 3,235 adults, ≥ 16 yrs of age, who participated in the Adult Dental Health Survey in the UK. Participants were classified into four groups (always, current, former, and never regular-attenders) based on their responses to three questions on lifetime dental-attendance patterns. The association between dental-attendance patterns and caries experience, as measured using the decayed, missing, or filled teeth (DMFT) index, was tested in negative binomial regression models, adjusting for demographic (sex, age, and country of residence) and socio-economic (educational attainment, household income, and social class) factors. A consistent pattern of association between long-term dental attendance and caries experience was found in adjusted models. Former and never regular-attenders had a significantly higher DMFT score and numbers of decayed and missing teeth, but fewer filled teeth, than always regular-attenders. No differences in DMFT or its components were found between current and always regular-attenders. The findings of this study show that adults with different lifetime trajectories of dental attendance had different dental statuses.

  19. Proteomic analysis of blood cells in fish exposed to chemotherapeutics: evidence for long term effects.

    Science.gov (United States)

    Pierrard, Marie-Aline; Kestemont, Patrick; Phuong, Nguyen Thanh; Tran, Minh Phu; Delaive, Edouard; Thezenas, Marie-Laëtitia; Dieu, Marc; Raes, Martine; Silvestre, Frédéric

    2012-04-18

    Proteomics technology are increasingly used in ecotoxicological studies to characterize and monitor biomarkers of exposure. The present study aims at identifying long term effects of malachite green (MG) exposure on the proteome of peripheral blood mononuclear cells (PBMC) from the Asian catfish, Pangasianodon hypophthalmus. A common (0.1 ppm) concentration for therapeutic treatment was applied twice with a 72 h interval. PBMC were collected directly at the end of the second bath of MG (T1) and after 1 month of decontamination (T2). Analytical 2D-DIGE gels were run and a total of 2551±364 spots were matched. Among them, MG induced significant changes in abundance of 116 spots with no recovery after one month of decontamination. Using LC-MS/MS and considering single identification per spot, we could identify 25 different proteins. Additionally, MG residues were measured in muscle and in blood indicating that leuco-MG has almost totally disappeared after one month of decontamination. This work highlights long term effects of MG treatment on the PBMC proteome from fish intended for human consumption.

  20. Creep model of unsaturated sliding zone soils and long-term deformation analysis of landslides

    Science.gov (United States)

    Zou, Liangchao; Wang, Shimei; Zhang, Yeming

    2015-04-01

    Sliding zone soil is a special soil layer formed in the development of a landslide. Its creep behavior plays a significant role in long-term deformation of landslides. Due to rainfall infiltration and reservoir water level fluctuation, the soils in the slide zone are often in unsaturated state. Therefore, the investigation of creep behaviors of the unsaturated sliding zone soils is of great importance for understanding the mechanism of the long-term deformation of a landslide in reservoir areas. In this study, the full-process creep curves of the unsaturated soils in the sliding zone in different net confining pressure, matric suctions and stress levels were obtained from a large number of laboratory triaxial creep tests. A nonlinear creep model for unsaturated soils and its three-dimensional form was then deduced based on the component model theory and unsaturated soil mechanics. This creep model was validated with laboratory creep data. The results show that this creep model can effectively and accurately describe the nonlinear creep behaviors of the unsaturated sliding zone soils. In order to apply this creep model to predict the long-term deformation process of landslides, a numerical model for simulating the coupled seepage and creep deformation of unsaturated sliding zone soils was developed based on this creep model through the finite element method (FEM). By using this numerical model, we simulated the deformation process of the Shuping landslide located in the Three Gorges reservoir area, under the cycling reservoir water level fluctuation during one year. The simulation results of creep displacement were then compared with the field deformation monitoring data, showing a good agreement in trend. The results show that the creeping deformations of landslides have strong connections with the changes of reservoir water level. The creep model of unsaturated sliding zone soils and the findings obtained by numerical simulations in this study are conducive to

  1. Long-term analysis of carbon dioxide and methane column-averaged mole fractions retrieved from SCIAMACHY

    Science.gov (United States)

    Schneising, Oliver; Buchwitz, Michael; Reuter, Maximilian; Heymann, Jens; Bovensmann, Heinrich; Burrows, John P.

    2010-05-01

    Carbon dioxide (CO2) and methane (CH4) are the two most important anthropogenic greenhouse gases contributing to climate change. Despite their importance our knowledge about their variable natural and anthropogenic sources and sinks has significant gaps. Satellite observations can add important global scale information on greenhouse gas sources and sinks provided the data are accurate and precise enough and are sensitive to the lowest atmospheric layers where the variability is largest. High sensitivity to near-surface greenhouse gas concentration changes can be achieved using reflected solar radiation in the near-infrared/shortwave-infrared (NIR/SWIR) spectral region. SCIAMACHY onboard ENVISAT (launch 2002) was the first and is now besides TANSO onboard GOSAT (launch 2009) the only satellite instrument currently in space covering important absorption bands of both gases in this spectral range. Global SCIAMACHY nadir observations from the time period 2003-2009 have been used to retrieve carbon dioxide and methane column-averaged mole fractions (which are the quantities needed for inverse modelling to get information on the sources and sinks) constituting seven years of greenhouse gas information derived from European EO data and offering temporal overlap with GOSAT. These new improved WFM-DOAS multi-year global data sets extending afore existing retrievals will be presented and discussed including an analysis of the long-term characteristics and comparison of the retrieved mole fractions with independent data, e.g., a first analysis of how the SCIAMACHY results compare with GOSAT retrievals for the overlapping time period.

  2. The Long-Term Game: An Analysis of the Life Expectancy of National Football League Players

    Directory of Open Access Journals (Sweden)

    Ruud Koning

    2014-03-01

    Full Text Available The National Football League (NFL has recently received significant negative media attention surrounding the safety of its players, revolving largely around the long term health risks of playing the sport. Recent premature deaths and instances of suicide associated with chronic traumatic encephalopathy and other football related injuries have brought the sport under increased scrutiny. By comparing mortality rates of the general population to mortality rates of players using publically available data from the 1970 and 1994 NFL seasons, we test whether participation in football is significantly harmful to the longevity of the players. We conclude that, in total, players in the NFL have lower mortality rates than the general population. However, there is evidence that line players have higher mortality rates than other players and that those who played more games have higher mortality rates than those who played fewer games.

  3. Long-Term Sunspot Number Prediction based on EMD Analysis and AR Model

    Institute of Scientific and Technical Information of China (English)

    Tong Xu; Jian Wu; Zhen-Sen Wu; Qiang Li

    2008-01-01

    The Empirical Mode Decomposition (EMD) and Auto-Regressive model (AR) are applied to a long-term prediction of sunspot numbers. With the sample data of sunspot numbers from 1848 to 1992, the method is evaluated by examining the measured data of the solar cycle 23 with the prediction: different time scale components are obtained by the EMD method and multi-step predicted values are combined to reconstruct the sunspot number time series. The result is remarkably good in comparison to the predictions made by the solar dynamo and precursor approaches for cycle 23. Sunspot numbers of the coming solar cycle 24 are obtained with the data from 1848 to 2007, the maximum amplitude of the next solar cycle is predicted to be about 112 in 2011-2012.

  4. Statistical Analysis for Long Term Correlations in the Stress Time Series of Jerky Flow

    CERN Document Server

    Kugiumtzis, D; Kugiumtzis, Dimitris; Aifantis, Elias C.

    2004-01-01

    Stress time series from the PLC effect typically exhibit stick-slips of upload and download type. These data contain strong short-term correlations of a nonlinear type. We investigate whether there are also long term correlations, i.e. the successive up-down patterns are generated by a deterministic mechanism. A statistical test is conducted for the null hypothesis that the sequence of the up-down patterns is totally random. The test is constructed by means of surrogate data, suitably generated to represent the null hypothesis. Linear and nonlinear estimates are used as test statistics, namely autocorrelation, mutual information and Lyapunov exponents, which are found to have proper performance for the test. The test is then applied to three stress time series under different experimental conditions. Rejections are obtained for one of them and not with all statistics. From the overall results we cannot conclude that the underlying mechanism to the PLC effect has long memory.

  5. Long-term risk analysis associated with nuclear waste disposal in space

    Science.gov (United States)

    Friedlander, A. L.; Davis, D. R.

    1979-01-01

    An assessment and verification of previous analytic results on the long term risk of earth reentry for hazardous payloads is presented. The two areas were studied: (1) stability of nominal, near-circular storage orbits in the regions between Venus and earth and between earth and Mars, and (2) probability of earth reentry for off-nominal planet-crossing orbits resulting from deployment system failures. In the first area, numerical integrations of the equations of motion are compared with stability predications based on secular perturbation theory. The agreement is good in terms of the heliocentric distances covered and the general behavior of the orbital history, although certain near-resonance situations can lead to difficulty. In the second area, a Monte Carlo simulation of orbital evolution is used and the results compared with Opik's analytic theory of planetary encounters and collision statistics, with data verified to within a close order-of-magnitude.

  6. A computational analysis of the long-term regulation of arterial pressure.

    Science.gov (United States)

    Beard, Daniel A; Pettersen, Klas H; Carlson, Brian E; Omholt, Stig W; Bugenhagen, Scott M

    2013-01-01

    The asserted dominant role of the kidneys in the chronic regulation of blood pressure and in the etiology of hypertension has been debated since the 1970s. At the center of the theory is the observation that the acute relationships between arterial pressure and urine production-the acute pressure-diuresis and pressure-natriuresis curves-physiologically adapt to perturbations in pressure and/or changes in the rate of salt and volume intake. These adaptations, modulated by various interacting neurohumoral mechanisms, result in chronic relationships between water and salt excretion and pressure that are much steeper than the acute relationships. While the view that renal function is the dominant controller of arterial pressure has been supported by computer models of the cardiovascular system known as the "Guyton-Coleman model", no unambiguous description of a computer model capturing chronic adaptation of acute renal function in blood pressure control has been presented. Here, such a model is developed with the goals of: 1. representing the relevant mechanisms in an identifiable mathematical model; 2. identifying model parameters using appropriate data; 3. validating model predictions in comparison to data; and 4. probing hypotheses regarding the long-term control of arterial pressure and the etiology of primary hypertension. The developed model reveals: long-term control of arterial blood pressure is primarily through the baroreflex arc and the renin-angiotensin system; and arterial stiffening provides a sufficient explanation for the etiology of primary hypertension associated with ageing. Furthermore, the model provides the first consistent explanation of the physiological response to chronic stimulation of the baroreflex.

  7. Modeling and analysis of long-term energy scenarios for sustainable strategies of Ethiopia

    Energy Technology Data Exchange (ETDEWEB)

    Senshaw, Dereje Azemraw

    2014-04-15

    Despite robust economic growth, Ethiopia is one of the countries with poor energy accesses. Contributing factors are poor availability of energy, unreliable and insufficient quality of energy, and insufficient policy. Recognizing that energy access and security are indispensable to economic transformation, Ethiopia needs to cope with key challenges related to energy security, climate change mitigation and also diversification of energy supply. In order to achieve these targets and strive towards sustainable energy for all, Ethiopia's energy system requires a major transformation. The main achievement of this research has been the development of alternative energy options under different conditions for Ethiopia up to 2050. To identify an energy pathway that would meet Ethiopia's energy needs in a sustainable manner, three scenarios are considered: the business-as usual (BAU), moderate shift (Scenario1) and the advanced shift scenario (Scenario 2). The scenarios were developed, quantified and analyzed using a bottom-up model for Long Term Alternative Energy Planning (LEAP). These scenarios represent a range of energy policy measures that Ethiopia could adopt to achieve its sustainable development goals. The BAU scenario reflects a continuation of the current policy trend and considers on economic growth rate of 7%, while Scenario 1 and Scenario 2 represent moderate and advanced levels of commitment in economic growth, energy diversity and reduction of energy import dependency and CO{sub 2} emissions limits, respectively. The scenario analysis shows that the primary energy requirements for Ethiopia's socio-economic development will increase sharply over the period (2010-2050) in all three scenarios. BAU, Scenario 1 and Scenario 2 show an expected to growth at annual rates of 4.1, 4.9 and 5.7% respectively. If the current policy trends (as represented by BAU) continue, the total energy demand in Ethiopia is expected to reach 6,553 Petajoule (PJ) by 2050

  8. Long-Term use of Modified Diets in Huntington's Disease: A Descriptive Clinical Practice Analysis on Improving Dietary Enjoyment.

    Science.gov (United States)

    Moorhouse, Bronwyn; Fisher, Caroline A

    2016-01-01

    Dysphagia is a very common occurrence in Huntington's disease (HD). As such, many people with HD require texture modified diets. This commentary discusses the implications for individuals living long-term on modified diets, including the loss of sensory stimulation and dietary enjoyment. Clinical practice analyses of two interventions aimed at promoting dietary satisfaction and involvement in food preparation for those with HD are described and parameters for future research are discussed.

  9. Long-Term Impact of the Farm Financial Analysis Training Curriculum on FSA Borrowers in Pennsylvania

    Science.gov (United States)

    Balliet, Kenneth L.; Douglass, Mark B.; Hanson, Gregory

    2010-01-01

    The Farm Financial Analysis Training (FFAT) course covers fundamental skills and concepts in liquidity, profitability, solvency, and efficiency. The research reported here identifies and measures the impacts of FFAT on participants including: 1) perceived gains in knowledge, 2) changes in management behavior, 3) changes in specific farm assets and…

  10. Legacy phosphorus accumulation and management in the global context: insights from long-term analysis of major river basins

    Science.gov (United States)

    Powers, S. M.; Burt, T. P.; Chan, N. I.; Elser, J. J.; Haygarth, P. M.; Howden, N. J. K.; Jarvie, H. P.; Peterson, H. M.; Shen, J.; Worrall, F.; Sharpley, A. N.

    2014-12-01

    Phosphorus (P) is closely linked to major societal concerns including food security and water quality, and human activities strongly control the modern global P cycle. Current knowledge of the P cycle includes many insights about relatively short-term processes, but a long-term and landscape-level view may be needed to understand P status and optimize P management towards P sustainability. We reconstructed long-term (>40 years) P mass balances and rates of P accumulation in three major river basins where excess P pollution is demanding improvements in P management at local, national, and international levels. We focus on: Maumee River Basin, a major source of agricultural P to Lake Erie, the southernmost and shallowest of the Laurentian Great Lakes; Thames River Basin, where fluxes of effluent P from the London, England metropolitan area have declined following improvements in wastewater treatment; Yangtze (Changjiang) River Basin, the largest in China, which is undergoing rapid economic development. The Maumee and Thames are intensively monitored, and show long-term declines in basin P inputs that represent a step towards P sustainability. However, river P outputs have been slower to decline, consistent with the hypothesis that legacy P is mobilizing from soils or from within the river network. Published data on the Yangtze indicate the P flux from land to water has clearly increased with industrialization and population growth. Historical trajectories of P accumulation and depletion in major river basins are providing new understanding about the long-term impacts of P management, including watershed P legacies and response times, that may inform future policy towards local, national, and global P sustainability.

  11. Long-term subjective and objective sleep analysis of total sleep time and sleep quality in real life settings.

    Science.gov (United States)

    Merilahti, Juho; Saarinen, Ari; Parkka, Juha; Antila, Kari; Mattila, Elina; Korhonen, Ilkka

    2007-01-01

    Sleep quality is one of the key elements of the human health status. By observing sleep patterns we can gain information about personal wellbeing. Consumer electronic sleep analysis solutions are now available for use in long-term conditions. In this study we compare different measures for total sleep time and sleep quality. We analyzed visually long- term sleep data collected with actigraphy, sleep logs and ambient sensors to gain more reliable results and compared these results to each single method's output. Correlations of visually analyzed total sleep time between actigraphy total sleep time (correlation coefficient (r) = 0.662, p <0.01) and sleep log total sleep time (r = 0.787, p <0.01) were high. Also comparison between subjective and objective sleep quality was analyzed and small, but significant correlation was found (r = 0.270, p < 0.01).

  12. Auditory-perceptual speech analysis in children with cerebellar tumours: a long-term follow-up study.

    Science.gov (United States)

    De Smet, Hyo Jung; Catsman-Berrevoets, Coriene; Aarsen, Femke; Verhoeven, Jo; Mariën, Peter; Paquier, Philippe F

    2012-09-01

    Mutism and Subsequent Dysarthria (MSD) and the Posterior Fossa Syndrome (PFS) have become well-recognized clinical entities which may develop after resection of cerebellar tumours. However, speech characteristics following a period of mutism have not been documented in much detail. This study carried out a perceptual speech analysis in 24 children and adolescents (of whom 12 became mute in the immediate postoperative phase) 1-12.2 years after cerebellar tumour resection. The most prominent speech deficits in this study were distorted vowels, slow rate, voice tremor, and monopitch. Factors influencing long-term speech disturbances are presence or absence of postoperative PFS, the localisation of the surgical lesion and the type of adjuvant treatment. Long-term speech deficits may be present up to 12 years post-surgery. The speech deficits found in children and adolescents with cerebellar lesions following cerebellar tumour surgery do not necessarily resemble adult speech characteristics of ataxic dysarthria.

  13. Perioperative hyperoxia - Long-term impact on cardiovascular complications after abdominal surgery, a post hoc analysis of the PROXI trial

    DEFF Research Database (Denmark)

    Fonnes, Siv; Gogenur, Ismail; Sondergaard, Edith Smed;

    2016-01-01

    BACKGROUND: Increased long-term mortality was found in patients exposed to perioperative hyperoxia in the PROXI trial, where patients undergoing laparotomy were randomised to 80% versus 30% oxygen during and after surgery. This post hoc follow-up study assessed the impact of perioperative hyperoxia...... on long-term risk of cardiovascular events. METHODS: A total of 1386 patients undergoing either elective or emergency laparotomy were randomised to 80% versus 30% oxygen during and two hours after surgery. At follow-up, the primary outcome of acute coronary syndrome was assessed. Secondary outcomes...... included myocardial infarction, other heart disease, and acute coronary syndrome or death. Data were analysed in the Cox proportional hazards model. RESULTS: The primary outcome, acute coronary syndrome, occurred in 2.5% versus 1.3% in the 80% versus 30% oxygen group; HR 2.15 (95% CI 0.96-4.84). Patients...

  14. Dynamic analysis of long-term seismicity effects on the Piz Dora DSGSD (E Switzerland)

    Science.gov (United States)

    Riva, Federico; Agliardi, Federico; Battista Crosta, Giovanni; Zanchi, Andrea; Scotti, Riccardo

    2016-04-01

    Deep seated gravitational slope deformations (DSGSD) evolve over several thousands of years in changing environmental conditions, under the influence of multiple triggering processes. Although glacial and fluvial erosion, deglaciation processes and slope hydrology perturbations are recognized to be common drivers of these phenomena in alpine environment, there is evidence of possible effects of seismicity on their initiation and development. A major difficulty in quantifying such effects is related to the involved timescales. In fact, while earthquake-induced, instantaneous slope instabilities can be studied with reference to specific earthquake scenarios, a considerably large number of seismic events of different magnitude and recurrence may contribute to slope instability and displacements on the typical DSGSD timescale, possibly leading to catastrophic rock slope instabilities over the long-term. In this work, we used numerical modelling to investigate the effects of long-term seismicity on a DSGSD, affecting the Piz Dora (Val Müstair, E Switzerland) over an area of 12 Km2 and with a 1500 m local relief. The slope is made of a sequence of Austroalpine conglomerates, meta-conglomerates and phyllites, folded into a kilometre-scale anticline setting geometrical and geomechanical constraints on the large slope instability. The area has been experiencing tectonic uplift and fault activity since the Pliocene, and is characterized by frequent present-day shallow seismicity with maximum magnitude Mw>5 and dominant dip-slip mechanisms. After the Last Glacial Maximum (LGM), the slope experienced the removal of about 1000 m of ice. Morpho-structural characterization of DSGSD features and their relationships with glacial deposits and different generations of periglacial features (rock glaciers and protalus ramparts) allowed reconstructing a complex relative chronology of slope displacements and establishing local constraints on deglaciation. We used these constraints to

  15. Long-Term Trend Analysis of Precipitation and Air Temperature for Kentucky, United States

    Directory of Open Access Journals (Sweden)

    Somsubhra Chattopadhyay

    2016-02-01

    Full Text Available Variation in quantities such as precipitation and temperature is often assessed by detecting and characterizing trends in available meteorological data. The objective of this study was to determine the long-term trends in annual precipitation and mean annual air temperature for the state of Kentucky. Non-parametric statistical tests were applied to homogenized and (as needed pre-whitened annual series of precipitation and mean air temperature during 1950–2010. Significant trends in annual precipitation were detected (both positive, averaging 4.1 mm/year for only two of the 60 precipitation-homogenous weather stations (Calloway and Carlisle counties in rural western Kentucky. Only three of the 42 temperature-homogenous stations demonstrated trends (all positive, averaging 0.01 °C/year in mean annual temperature: Calloway County, Allen County in southern-central Kentucky, and urbanized Jefferson County in northern-central Kentucky. In view of the locations of the stations demonstrating positive trends, similar work in adjacent states will be required to better understand the processes responsible for those trends and to properly place them in their larger context, if any.

  16. Juvenile gambling in North America: an analysis of long term trends and future prospects.

    Science.gov (United States)

    Jacobs, D F

    2000-01-01

    Long term trends, based on findings from twenty independent prevalence studies surveying middle and high school youth in North America, suggest that within the past year two out of three legally underage youth have gambled for money. In the United States and Canada as many as 15.3 million 12-17 year olds have been gambling with or without adult awareness or approval, and 2.2 million of these are experiencing serious gambling-related problems. Lottery play dominates legalized forms of gambling among juveniles in both the United States and Canada. Trends between 1984-1999 indicate a substantial increase in the proportion of juveniles who report gambling within the past year, and a parallel increase in the proportion of juveniles reporting serious gambling-related problems. Yet, there continues to be little public awareness or concern about the extent, or the potential hazards associated with juvenile gambling. A composite profile of juveniles reporting numerous gambling problems is contrasted with their peers who reported few or none. Future prospects concerning this growing problem are offered.

  17. Long Term Effects of Tear Gases on Respiratory System: Analysis of 93 Cases

    Directory of Open Access Journals (Sweden)

    Peri Arbak

    2014-01-01

    Full Text Available Aim. This study aimed to assess the long-term respiratory effects of tear gases among the subjects with history of frequent exposure. Materials and Methods. A questionnaire by NIOSH and pulmonary function tests was performed in 93 males exposed to the tear gases frequently and 55 nonexposed subjects. Results. The mean numbers of total exposure and last 2 years exposure were 8.4±6.4 times, 5.6±5.8 times, respectively. Tear gas exposed subjects were presented with a higher rate for cough and phlegm more than 3 months (24.7% versus 11.3%, P>0.05. Mean FEV1/FVC and % predicted MMFR in smoker exposed subjects are significantly lower than those in smoker controls (81.7% versus 84.1%, P=0.046 and 89.9% versus 109.6%, P=0.0004, resp.. % predicted MMFR in nonsmoker exposed subjects is significantly lower than that in nonsmoker controls (99.4% versus 113.1%, P=0.05. Odds ratios for chest tightness, exercise dyspnea, dyspnea on level ground, winter morning cough, phlegm, and daily phlegm were increased almost 2 to 2.5 folds among tear gas exposed subjects. Conclusion. The rates for respiratory complaints were high in the case of the exposure to the tear gases previously. Tears gas exposed subjects were found to be under the risk for chronic bronchitis.

  18. Parametric and genetic analysis of Drosophila appetitive long-term memory and sugar motivation.

    Science.gov (United States)

    Colomb, J; Kaiser, L; Chabaud, M-A; Preat, T

    2009-06-01

    Distinct forms of memory can be highlighted using different training protocols. In Drosophila olfactory aversive learning, one conditioning session triggers memory formation independently of protein synthesis, while five spaced conditioning sessions lead to the formation of long-term memory (LTM), a long-lasting memory dependent on de novo protein synthesis. In contrast, one session of odour-sugar association appeared sufficient for the fly to form LTM. We designed and tuned an apparatus that facilitates repeated discriminative conditioning by alternate presentations of two odours, one being associated with sugar, as well as a new paradigm to test sugar responsiveness (SR). Our results show that both SR and short-term memory (STM) scores increase with starvation length before conditioning. The protein dependency of appetitive LTM is independent of the repetition and the spacing of training sessions, on the starvation duration and on the strength of the unconditioned stimulus. In contrast to a recent report, our test measures an abnormal SR of radish mutant flies, which might initiate their STM and LTM phenotypes. In addition, our work shows that crammer and tequila mutants, which are deficient for aversive LTM, present both an SR and an appetitive STM defect. Using the MB247-P[switch] system, we further show that tequila is required in the adult mushroom bodies for normal sugar motivation.

  19. Decision analysis to support development of the Glen Canyon Dam long-term experimental and management plan

    Science.gov (United States)

    Runge, Michael C.; LaGory, Kirk E.; Russell, Kendra; Balsom, Janet R.; Butler, R. Alan; Coggins,, Lewis G.; Grantz, Katrina A.; Hayse, John; Hlohowskyj, Ihor; Korman, Josh; May, James E.; O'Rourke, Daniel J.; Poch, Leslie A.; Prairie, James R.; VanKuiken, Jack C.; Van Lonkhuyzen, Robert A.; Varyu, David R.; Verhaaren, Bruce T.; Veselka, Thomas D.; Williams, Nicholas T.; Wuthrich, Kelsey K.; Yackulic, Charles B.; Billerbeck, Robert P.; Knowles, Glen W.

    2016-01-07

    The U.S. Geological Survey, in cooperation with the Bureau of Reclamation, National Park Service, and Argonne National Laboratory, completed a decision analysis to use in the evaluation of alternatives in the Environmental Impact Statement concerning the long-term management of water releases from Glen Canyon Dam and associated management activities. Two primary decision analysis methods, multicriteria decision analysis and the expected value of information, were used to evaluate the alternative strategies against the resource goals and to evaluate the influence of uncertainty.

  20. Long-term heat stress induces the inflammatory response in dairy cows revealed by plasma proteome analysis.

    Science.gov (United States)

    Min, Li; Zheng, Nan; Zhao, Shengguo; Cheng, Jianbo; Yang, Yongxin; Zhang, Yangdong; Yang, Hongjian; Wang, Jiaqi

    2016-03-04

    In this work we employed a comparative proteomic approach to evaluate seasonal heat stress and investigate proteomic alterations in plasma of dairy cows. Twelve lactating Holstein dairy cows were used and the treatments were: heat stress (n = 6) in hot summer (at the beginning of the moderate heat stress) and no heat stress (n = 6) in spring natural ambient environment, respectively. Subsequently, heat stress treatment lasted 23 days (at the end of the moderate heat stress) to investigate the alterations of plasma proteins, which might be employed as long-term moderate heat stress response in dairy cows. Changes in plasma proteins were analyzed by two-dimensional electrophoresis (2-DE) combined with mass spectrometry. Analysis of the properties of the identified proteins revealed that the alterations of plasma proteins were related to inflammation in long-term moderate heat stress. Furthermore, the increase in plasma tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) directly demonstrated that long-term moderate heat stress caused an inflammatory response in dairy cows.

  1. Electrical Rating of Concentrated Photovoltaic (CPV) Systems: Long-Term Performance Analysis and Comparison to Conventional PV Systems

    KAUST Repository

    Burhan, Muhammad

    2016-02-29

    The dynamic nature of meteorological data and the commercial availability of diverse photovoltaic systems, ranging from single-junction silicon-based PV panels to concentrated photovoltaic (CPV) systems utilizing multi-junction solar cells and a two-axis solar tracker, demand a simple but accurate methodology for energy planners and PV system designers to understand the economic feasibility of photovoltaic or renewable energy systems. In this paper, an electrical rating methodology is proposed that provides a common playing field for planners, consumers and PV manufacturers to evaluate the long-term performance of photovoltaic systems, as long-term electricity rating is deemed to be a quick and accurate method to evaluate economic viability and determine plant sizes and photovoltaic system power production. A long-term performance analysis based on monthly and electrical ratings (in kWh/m2/year) of two developed CPV prototypes, the Cassegrain mini dish and Fresnel lens CPVs with triple-junction solar cells operating under the meteorological conditions of Singapore, is presented in this paper. Performances are compared to other conventional photovoltaic systems.

  2. Health-related quality of life and long-term prognosis in chronic hypercapnic respiratory failure: a prospective survival analysis

    Directory of Open Access Journals (Sweden)

    Schmidbauer Kathrin

    2007-12-01

    Full Text Available Abstract Background Health-related quality of life (HRQL is considered as an important outcome parameter in patients with chronic diseases. This study aimed to assess the role of disease-specific HRQL for long-term survival in patients of different diagnoses with chronic hypercapnic respiratory failure (CHRF. Methods In a cohort of 231 stable patients (chronic obstructive pulmonary disease (COPD, n = 98; non-COPD (obesity-hypoventilation syndrome, restrictive disorders, neuromuscular disorders, n = 133 with CHRF and current home mechanical ventilation (HMV, HRQL was assessed by the disease-specific Severe Respiratory Insufficiency (SRI questionnaire and its prognostic value was prospectively evaluated during a follow-up of 2–4 years, using univariate and multivariate regression analysis. Results HRQL was more impaired in COPD (mean ± SD SRI-summary score (SRI-SS 52.5 ± 15.6 than non-COPD patients (67.6 ± 16.4; p 1 turned out to be independent predictors (p Conclusion In patients with CHRF and HMV, the disease-specific SRI was an overall predictor of long-term survival in addition to established risk factors. However, the SRI predominantly beared information regarding long-term survival in non-COPD patients, while in COPD patients objective measures of the disease state were superior. This on one hand highlights the significance of HRQL in the long-term course of patients with CHRF, on the other hand it suggests that the predictive value of HRQL depends on the underlying disease.

  3. Long term stability of power systems

    Energy Technology Data Exchange (ETDEWEB)

    Kundur, P.; Gao, B. [Powertech Labs. Inc., Surrey, BC (Canada)

    1994-12-31

    Power system long term stability is still a developing subject. In this paper we provide our perspectives and experiences related to long term stability. The paper begins with the description of the nature of the long term stability problem, followed by the discussion of issues related to the modeling and solution techniques of tools for long term stability analysis. Cases studies are presented to illustrate the voltage stability aspect and plant dynamics aspect of long term stability. (author) 20 refs., 11 figs.

  4. Pyrosequencing analysis of bacterial diversity in soils contaminated long-term with PAHs and heavy metals: Implications to bioremediation.

    Science.gov (United States)

    Kuppusamy, Saranya; Thavamani, Palanisami; Megharaj, Mallavarapu; Venkateswarlu, Kadiyala; Lee, Yong Bok; Naidu, Ravi

    2016-11-05

    Diversity, distribution and composition of bacterial community of soils contaminated long-term with both polycyclic aromatic hydrocarbons (PAHs) and heavy metals were explored for the first time following 454 pyrosequencing. Strikingly, the complete picture of the Gram positive (+ve) and Gram negative (-ve) bacterial profile obtained in our study illustrates novel postulates that include: (1) Metal-tolerant and PAH-degrading Gram -ves belonging to the class Alphaproteobacteria persist relatively more in the real contaminated sites compared to Gram +ves, (2) Gram +ves are not always resistant to heavy metal toxicity, (3) Stenotrophomonas followed by Burkholderia and Pseudomonas are the dominant genera of PAH degraders with high metabolic activity in long-term contaminated soils, (4) Actinobacteria is the predominant group among the Gram +ves in soils contaminated with high molecular weight PAHs that co-exist with toxic heavy metals like Pb, Cu and Zn, (5) Microbial communities are nutrient-driven in natural environments and (6) Catabolically potential Gram +/-ves with diverse applicability to remediate the real contaminated sites evolve eventually in the historically-polluted soils. Thus, the most promising indigenous Gram +/-ve strains from the long-term contaminated sites with increased catabolic potential, enzymatic activity and metal tolerance need to be harnessed for mixed contaminant cleanups.

  5. Rabbit cerebellar slice analysis of long-term depression and its role in classical conditioning.

    Science.gov (United States)

    Schreurs, B G; Alkon, D L

    1993-12-24

    Cerebellar long-term depression (LTD) has been proposed as a mechanism underlying classical conditioning of the rabbit nictitating membrane/eyelid response (NMR). However, LTD has only been obtained reliably when (1) cerebellar slices are bathed in GABA antagonists which abolish disynaptic inhibitory post synaptic potentials, and (2) the temporal sequence of stimulation used in slice or intact preparations is the opposite of that used in classical conditioning. Based on intradendritic Purkinje cell recordings obtained from rabbit cerebellar slices, we report that stimulation of climbing fibers and then parallel fibers in the presence of the GABA antagonist, bicuculline, produced significant depression of parallel fiber excitatory post synaptic potential (epsp) amplitude that continued to increase for at least 20 min after stimulation. However, application of the same stimulation protocol without GABA antagonists produced a brief depression of parallel fiber epsps that disappeared within minutes. Activation of parallel fibers and then climbing fibers in an order opposite to the LTD-producing sequence (i.e. a classical conditioning-like order) produced a brief depression that dissipated quickly. Stimulation of parallel fibers alone produced a small, slowly developing potentiation, but stimulation of parallel fibers during depolarization-induced local dendritic calcium spikes produced significant depression almost immediately which then declined slowly to more modest levels. Finally, stimulation of parallel fibers at frequencies used in in vivo parallel fiber-climbing fiber stimulation experiments (e.g. 100 Hz) produced an immediate and profound long-lasting epsp depression. The depression occurred, however, whether parallel and climbing fibers were stimulated separately (unpaired) or in a classical conditioning-like protocol (paired) where parallel fiber stimulation coterminated with climbing fiber stimulation (10 Hz).(ABSTRACT TRUNCATED AT 250 WORDS)

  6. Long-Term and Annual Influence of Aswan Reservoir (Egypt) on the Local Seismicity: A Spatio-Temporal Statistical Analysis

    Science.gov (United States)

    Gahalaut, Kalpna; Hassoup, Awad; Hamed, Haggag; Kundu, Bhaskar; Gahalaut, Vineet

    2017-01-01

    Earthquakes continue to occur in the Kalabsha embayment region near the Aswan reservoir for more than three decades. These earthquakes, including the 1981 mainshock (M 5.3), have been considered to be reservoir triggered and pore pressure appears to be the main factor for their occurrence. However, influence of reservoir water levels on the earthquakes of the region, which is significant in the initial period, is reported to be weakening with time. We statistically analyse the influence of the reservoir water levels on spatio-temporal distribution of the earthquakes for the period 1982-2013. We divided the seismicity of various zones in different time windows, depending upon their clustering, and employed the power spectrum and singular spectrum analysis (SSA). The influence of long-term and annual variations in the water level on the seismicity is very much apparent in SSA. In the 45 years of reservoir filling history, episodes of water levels more than 170 m, which lead to filling of the embayment region, appear to be correlated with the increase in seismicity of the Aswan region. In the power spectrum analysis, a strong annual peak is found for water level time series. However, in the earthquake time series, on an average, a moderate and weak annual period cycle is present in the initial (1982-1988) and in the later (2001-2013) period, respectively. In the intermediate period (1989-2000) when the water level was the least in the embayment area, a very weak annual cycle is present. Non-consideration of spatio-temporal variation in the seismicity leads to erroneous and misleading results of no or weaker reservoir influence in the later period. This also highlights that the time and space dependent pore pressure diffusion process is likely responsible for earthquake triggering in the Aswan region.

  7. Long-Term and Annual Influence of Aswan Reservoir (Egypt) on the Local Seismicity: A Spatio-Temporal Statistical Analysis

    Science.gov (United States)

    Gahalaut, Kalpna; Hassoup, Awad; Hamed, Haggag; Kundu, Bhaskar; Gahalaut, Vineet

    2016-09-01

    Earthquakes continue to occur in the Kalabsha embayment region near the Aswan reservoir for more than three decades. These earthquakes, including the 1981 mainshock (M 5.3), have been considered to be reservoir triggered and pore pressure appears to be the main factor for their occurrence. However, influence of reservoir water levels on the earthquakes of the region, which is significant in the initial period, is reported to be weakening with time. We statistically analyse the influence of the reservoir water levels on spatio-temporal distribution of the earthquakes for the period 1982-2013. We divided the seismicity of various zones in different time windows, depending upon their clustering, and employed the power spectrum and singular spectrum analysis (SSA). The influence of long-term and annual variations in the water level on the seismicity is very much apparent in SSA. In the 45 years of reservoir filling history, episodes of water levels more than 170 m, which lead to filling of the embayment region, appear to be correlated with the increase in seismicity of the Aswan region. In the power spectrum analysis, a strong annual peak is found for water level time series. However, in the earthquake time series, on an average, a moderate and weak annual period cycle is present in the initial (1982-1988) and in the later (2001-2013) period, respectively. In the intermediate period (1989-2000) when the water level was the least in the embayment area, a very weak annual cycle is present. Non-consideration of spatio-temporal variation in the seismicity leads to erroneous and misleading results of no or weaker reservoir influence in the later period. This also highlights that the time and space dependent pore pressure diffusion process is likely responsible for earthquake triggering in the Aswan region.

  8. Identification of sources and long term trends for pollutants in the arctic using isentropic trajectory analysis

    Energy Technology Data Exchange (ETDEWEB)

    Mahura, A.; Jaffe, D.; Harris, J.

    2003-07-01

    The understanding of factors driving climate and ecosystem changes in the Arctic requires careful consideration of the sources, correlation and trends for anthropogenic pollutants. The database from the NOAA-CMDL Barrow Observatory (71deg.17'N, 156deg.47'W) is the longest and most complete record of pollutant measurements in the Arctic. It includes observations of carbon dioxide (CO{sub 2}), methane (CH{sub 4}), carbon monoxide (CO), ozone (O{sub 3}), aerosol scattering coefficient ({sigma}{sub sp}), aerosol number concentration (NC{sub asl}), etc. The objectives of this study are to understand the role of long-range transport to Barrow in explaining: (1) the year-to-year variations, and (2) the trends in the atmospheric chemistry record at the NOAA-CMDL Barrow observatory. The key questions we try to answer are: 1. What is the relationship between various chemical species measured at Barrow Observatory, Alaska and transport pathways at various altitudes? 2. What are the trends of species and their relation to transport patterns from the source regions? 3. What is the impact of the Prudhoe Bay emissions on the Barrow's records? To answer on these questions we apply the following main research tools. First, it is an isentropic trajectory model used to calculate the trajectories arriving at Barrow at three altitudes of 0.5, 1.5 and 3 km above sea level. Second - clustering procedure used to divide the trajectories into groups based on source regions. Third - various statistical analysis tools such as the exploratory data analysis, two component correlation analysis, trend analysis, principal components and factor analysis used to identify the relationship between various chemical species vs. source regions as a function of time. In this study, we used the chemical data from the NOAA-CMDL Barrow observatory in combination with isentropic backward trajectories from gridded ECMWF data to understand the importance of various pollutant source regions on

  9. Nuclear Radiation Fields on the Mars Surface: Risk Analysis for Long-term Living Environment

    Science.gov (United States)

    Anderson, Brooke M.; Clowdsley, Martha S.; Qualls, Garry D.; Nealy, John E.

    2005-01-01

    Mars, our nearest planet outward from the sun, has been targeted for several decades as a prospective site for expanded human habitation. Background space radiation exposures on Mars are expected to be orders of magnitude higher than on Earth. Recent risk analysis procedures based on detailed dosimetric techniques applicable to sensitive human organs have been developed along with experimental data regarding cell mutation rates resulting from exposures to a broad range of particle types and energy spectra. In this context, simulated exposure and subsequent risk for humans in residence on Mars are examined. A conceptual habitat structure, CAD-modeled with duly considered inherent shielding properties, has been implemented. Body self-shielding is evaluated using NASA standard computerized male and female models. The background environment is taken to consist not only of exposure from incident cosmic ray ions and their secondaries, but also include the contribution from secondary neutron fields produced in the tenuous atmosphere and the underlying regolith.

  10. Long-term analysis of carbon dioxide and methane column-averaged mole fractions retrieved from SCIAMACHY

    Directory of Open Access Journals (Sweden)

    O. Schneising

    2011-03-01

    Full Text Available Carbon dioxide (CO2 and methane (CH4 are the two most important anthropogenic greenhouse gases contributing to global climate change. SCIAMACHY onboard ENVISAT (launch 2002 was the first and is now with TANSO onboard GOSAT (launch 2009 one of only two satellite instruments currently in space whose measurements are sensitive to CO2 and CH4 concentration changes in the lowest atmospheric layers where the variability due to sources and sinks is largest.

    We present long-term SCIAMACHY retrievals (2003–2009 of column-averaged dry air mole fractions of both gases (denoted XCO2 and XCH4 derived from absorption bands in the near-infrared/shortwave-infrared (NIR/SWIR spectral region focusing on large-scale features. The results are obtained using an upgraded version (v2 of the retrieval algorithm WFM-DOAS including several improvements, while simultaneously maintaining its high processing speed. The retrieved mole fractions are compared to global model simulations (CarbonTracker XCO2 and TM5 XCH4 being optimised by assimilating highly accurate surface measurements from the NOAA/ESRL network and taking the SCIAMACHY averaging kernels into account. The comparisons address seasonal variations and long-term characteristics.

    The steady increase of atmospheric carbon dioxide primarily caused by the burning of fossil fuels can be clearly observed with SCIAMACHY globally. The retrieved global annual mean XCO2 increase agrees with CarbonTracker within the error bars (1.80±0.13 ppm yr−1 compared to 1.81±0.09 ppm yr−1. The amplitude of the XCO2 seasonal cycle as retrieved by SCIAMACHY, which is 4.3±0.2 ppm for the Northern Hemisphere and 1.4±0.2 ppm for the Southern Hemisphere, is on average about 1 ppm larger than for CarbonTracker.

    An investigation of the boreal forest carbon uptake during the

  11. Dynamic simulation and metabolome analysis of long-term erythrocyte storage in adenine-guanosine solution.

    Directory of Open Access Journals (Sweden)

    Taiko Nishino

    Full Text Available Although intraerythrocytic ATP and 2,3-bisphophoglycerate (2,3-BPG are known as direct indicators of the viability of preserved red blood cells and the efficiency of post-transfusion oxygen delivery, no current blood storage method in practical use has succeeded in maintaining both these metabolites at high levels for long periods. In this study, we constructed a mathematical kinetic model of comprehensive metabolism in red blood cells stored in a recently developed blood storage solution containing adenine and guanosine, which can maintain both ATP and 2,3-BPG. The predicted dynamics of metabolic intermediates in glycolysis, the pentose phosphate pathway, and purine salvage pathway were consistent with time-series metabolome data measured with capillary electrophoresis time-of-flight mass spectrometry over 5 weeks of storage. From the analysis of the simulation model, the metabolic roles and fates of the 2 major additives were illustrated: (1 adenine could enlarge the adenylate pool, which maintains constant ATP levels throughout the storage period and leads to production of metabolic waste, including hypoxanthine; (2 adenine also induces the consumption of ribose phosphates, which results in 2,3-BPG reduction, while (3 guanosine is converted to ribose phosphates, which can boost the activity of upper glycolysis and result in the efficient production of ATP and 2,3-BPG. This is the first attempt to clarify the underlying metabolic mechanism for maintaining levels of both ATP and 2,3-BPG in stored red blood cells with in silico analysis, as well as to analyze the trade-off and the interlock phenomena between the benefits and possible side effects of the storage-solution additives.

  12. Long-term non-invasive positive pressure ventilation in severe stable chronic obstructive pulmonary disease: a meta-analysis

    Institute of Scientific and Technical Information of China (English)

    CHEN Hong; LIANG Bin-miao; XU Zhi-bo; TANG Yong-jiang; WANG Ke; XIAO Jun; YI Qun; SUN Jian; FENG Yu-lin

    2011-01-01

    Background The evidence for non-invasive positive pressure ventilation (NIPPV) used in patients with severe stable chronic obstructive pulmonary disease (COPD) is insufficient.The aim of the meta-analysis was to assess the treatment effects of long-term NIPPV on gas change,lung function,health-related quality of life (HRQL),survival and mortality in severe stable COPD patients.Methods Randomized controlled trials (RCTs) and crossover studies comparing the treatment effects of NIPPV with conventional therapy were identified from electronic databases and reference lists from January 1995 to August 2010.Two reviewers independently assessed study quality.Data were combined using Review Manager 5.0.Both pooled effects and 95% confidence intervals were calculated.Results Five RCTs and one randomized crossover study with a total of 383 severe stable COPD patients were included.NIPPV improved gas change significantly when using a higher inspiratory positive airway pressures.The weighted mean difference (WMD) for the partial pressure of carbon dioxide in artery (PaCO2) was -3.52 (-5.26,-1.77) mmHg and for the partial pressure of oxygen in artery (PaO2) 2.84 (0.23,5.44) mmHg.There were significant improvements in dyspnea and sleep quality,but gained no benefits on lung function.The standardized mean difference (SMD) for the forced expiratory volume in 1 second (FEV1)was 0.00 (0.29,0.29).And the benefits for exercise tolerance,mood,survival and mortality remained unclear.Conclusions Patients with severe stable COPD can gain some substantial treatment benefits when using NIPPV,especially improvements in gas change,dyspnea and sleep quality.Studies of high methodological quality with large population,especially those based on a higher inspiratory positive airway pressures are required to provide more evidences.

  13. Long-term outcomes of limbal relaxing incisions during cataract surgery: aberrometric analysis

    Directory of Open Access Journals (Sweden)

    Monaco G

    2015-08-01

    Full Text Available Gaspare Monaco, Antonio ScialdoneDepartment of Ophthalmology, Ospedale Fatebenefratelli e Oftalmico, Milan, ItalyPurpose: To compare the final changes in corneal wavefront aberration by limbal relaxing incisions (LRIs after cataract surgery.Methods: This prospective cumulative interventional nonrandomized case study included cataract and astigmatic patients undergoing LRIs and phaco with intraocular lens implantation. LRIs were planned using Donnenfeld nomogram. The root mean square of corneal wave aberration for total Z(n,i(1≤n≤8, astigmatism Z(2,±1, coma Z(3–5–7,±1, trefoil Z(3–5–7,±2, spherical Z(4–6–8,0, and higher-order aberration (HOA Z(3≤n≤8 was examined before and 3 years after surgery (optical path difference-Scan II [OPD-Scan II]. Uncorrected distance visual acuity and best-corrected distance visual acuity (CDVA for distance, keratometric cylinder, and variations in average corneal power were also analyzed.Results: Sixty-four eyes of 48 patients were included in the study. Age ranged from 42 to 92 years (70.6±8.4 years. After LRIs, uncorrected distance visual acuity and best-corrected distance visual acuity improved statistically (P<0.01. The keratometric cylinder value decreased by 40.1%, but analysis of KP90 and KP135 polar values did not show any decrease that could be statistically confirmed (P=0.22 and P=0.24. No significant changes were detected in root mean square of total (P=0.61 and HOAs (P=0.13 aberrations. LRIs did not induce alteration in central corneal power confirming a 1:1 coupling ratio.Conclusion: LRIs determined a nonsignificant alteration of corneal HOA. Therefore, LRIs can be still considered a qualitatively viable mean in those cases where toric intraocular lenses are contraindicated or not available. Yet, the authors raise the question of nonpersonalized nomograms, as in the present study, LRIs did not reach the preset target cylinder. Keywords: astigmatism, ocular wavefront, intraocular

  14. Repair or Replacement for Isolated Tricuspid Valve Pathology? Insights from a Surgical Analysis on Long-Term Survival

    Science.gov (United States)

    Farag, Mina; Arif, Rawa; Sabashnikov, Anton; Zeriouh, Mohamed; Popov, Aron-Frederik; Ruhparwar, Arjang; Schmack, Bastian; Dohmen, Pascal M.; Szabó, Gábor; Karck, Matthias; Weymann, Alexander

    2017-01-01

    Background Long-term follow-up data concerning isolated tricuspid valve pathology after replacement or reconstruction is limited. Current American Heart Association guidelines equally recommend repair and replacement when surgical intervention is indicated. Our aim was to investigate and compare operative mortality and long-term survival in patients undergoing isolated tricuspid valve repair surgery versus replacement. Material/Methods Between 1995 and 2011, 109 consecutive patients underwent surgical correction of tricuspid valve pathology at our institution for varying structural pathologies. A total of 41 (37.6%) patients underwent tricuspid annuloplasty/repair (TAP) with or without ring implantation, while 68 (62.3%) patients received tricuspid valve replacement (TVR) of whom 36 (53%) were mechanical and 32 (47%) were biological prostheses. Results Early survival at 30 days after surgery was 97.6% in the TAP group and 91.1% in the TVR group. After 6 months, 89.1% in the TAP group and 87.8% in the TVR group were alive. In terms of long-term survival, there was no further mortality observed after one year post surgery in both groups (Log Rank p=0.919, Breslow p=0.834, Tarone-Ware p=0.880) in the Kaplan-Meier Survival analysis. The 1-, 5-, and 8-year survival rates were 85.8% for TAP and 87.8% for TVR group. Conclusions Surgical repair of the tricuspid valve does not show survival benefit when compared to replacement. Hence valve replacement should be considered generously in patients with reasonable suspicion that regurgitation after repair will reoccur. PMID:28236633

  15. Evaluation of the long-term energy analysis program used for the 1978 EIA Administrator's Report to Congress

    Energy Technology Data Exchange (ETDEWEB)

    Peelle, R. W.; Weisbin, C. R.; Alsmiller, Jr., R. G.

    1981-10-01

    An evaluation of the Long-Term Energy Analysis Program (LEAP), a computer model of the energy portion of the US economy that was used for the 1995-2020 projections in its 1978 Annual Report to Congress, is presented. An overview of the 1978 version, LEAP Model 22C, is followed by an analysis of the important results needed by its users. The model is then evaluated on the basis of: (1) the adequacy of its documentation; (2) the local experience in operating the model; (3) the adequacy of the numerical techniques used; (4) the soundness of the economic and technical foundations of the model equations; and (5) the degree to which the computer program has been verified. To show which parameters strongly influence the results and to approach the question of whether the model can project important results with sufficient accuracy to support qualitative conclusions, the numerical sensitivities of some important results to model input parameters are described. The input data are categorized and discussed, and uncertainties are given for some parameters as examples. From this background and from the relation of LEAP to other available approaches for long-term energy modeling, an overall evaluation is given of the model's suitability for use by the EIA.

  16. On the scaling ranges of detrended fluctuation analysis for long-term memory correlated short series of data

    Science.gov (United States)

    Grech, Dariusz; Mazur, Zygmunt

    2013-05-01

    We examine the scaling regime for the detrended fluctuation analysis (DFA)-the most popular method used to detect the presence of long-term memory in data and the fractal structure of time series. First, the scaling range for DFA is studied for uncorrelated data as a function of time series length L and the correlation coefficient of the linear regression R2 at various confidence levels. Next, a similar analysis for artificial short series of data with long-term memory is performed. In both cases the scaling range λ is found to change linearly-both with L and R2. We show how this dependence can be generalized to a simple unified model describing the relation λ=λ(L,R2,H) where H (1/2≤H≤1) stands for the Hurst exponent of the long range autocorrelated signal. Our findings should be useful in all applications of DFA technique, particularly for instantaneous (local) DFA where a huge number of short time series has to be analyzed at the same time, without possibility of checking the scaling range in each of them separately.

  17. A meta-analysis of the long-term effects of chronic pancreatitis surgical treatments: duodenum-preserving pancreatic head resection versus pancreatoduodenectomy

    Institute of Scientific and Technical Information of China (English)

    L(U) Wen-ping; SHI Qing; ZHANG Wen-zhi; CAI Shou-wang; JIANG Kai; DONG Jia-hong

    2013-01-01

    Background Surgery is regarded as the most effective treatment to relieve pain and reduce complications in chronic pancreatitis (CP).Two major strategies exist:duodenum-preserving pancreatic head resection (DPPHR) and pancreatoduodenectomy (PD).Many studies suggest that DPPHR offers advantages during surgery and in the short-term; however,the long-term effects have not been thoroughly investigated.We analyzed the long-term outcomes of DPPHR and PD,over follow-up times of at least 1 year,to determine the optimal surgical treatment for CP.Methods We systemically reviewed all CP surgical treatment reports,and only included randomized controlled trials (RCT) comparing DPPHR and PD,excluding unqualified studies using several pre-specified criteria.When multiple publications of a single trial were found,the most comprehensive current data were selected.Characteristics of the study populations and long-term postoperative outcome parameters were collected.The quality of the studies and data was analyzed using RevMan 4.2 software.Results Five trials were qualified for meta-analysis,with 261 participants in total (114 in the DPPHR group and 147 in the PD group).There were no significant differences in the age,gender,or indications for surgery of each group.At the mean of 5.7-year (1-14 years) follow-up examination,DPPHR and PD resulted in equally effective pain relief,exocrine and endocrine function,and similar mortality rates (P >0.05); however,DPPHR patients had improved global quality of life and weight gain,and reduced diarrhea and fatigue (P <0.05).Conclusion DPPHR and PD result in equal pain relief,mortality,and pancreatic function; however,DPPHR provides superior long-term outcomes.

  18. Mode Analysis for Long-Term Behavior in a Resonant Earth-Moon Trajectory

    Science.gov (United States)

    Short, Cody; Howell, Kathleen; Haapala, Amanda; Dichmann, Donald

    2016-11-01

    Trajectory design in chaotic regimes allows for the exploitation of system dynamics to achieve certain behaviors. For example, for the Transiting Exoplanet Survey Satellite (TESS) mission, the selected science orbit represents a stable option well-suited to meet the mission objectives. Extended analysis of particular solutions nearby in the phase space reveals transitions into desirable terminal modes induced by natural dynamics. This investigation explores the trajectory behavior and borrows from flow-based analysis strategies to characterize modes of such a motion. Perturbed initial states from a TESS-like orbit are evolved to supply motion suitable for contingency analysis. Through the associated analysis, mechanisms are identified that drive the spacecraft into particular modes and supply conditions necessary for such transitions.

  19. Methodological and technological implications of quantitative human movement analysis in long term space flights.

    Science.gov (United States)

    Ferrigno, G; Baroni, G; Pedotti, A

    1999-04-01

    In the frame of the 179-days EUROMIR '95 space mission, two in-flight experiments foresaw the analysis of three-dimensional human movements in microgravity. For this aim, a space qualified opto-electronic motion analyser based on passive markers was installed onboard the MIR Space Station. The paper describes the experimental procedures designed in order to face technical and operational limitations imposed by the critical environment of the orbital module. The reliability of the performed analysis is discussed, focusing two related aspects: accuracy in three-dimensional marker localisation and data comparability among different experimental sessions. The effect of the critical experimental set-up and of TV cameras optical distortions is evaluated on in-flight acquired data, by performing an analysis on Euclidean distance conservation on rigid bodies. An optimisation method for the recovering of a unique reference frame throughout the whole mission is described. Results highlight the potentiality that opto-electronics and close-range photogrammetry have for automatic motion analysis onboard orbital modules. The discussion of the obtained results provides general suggestions for the implementation of experimental human movement analysis in critical environments, based on the suitable trade-off between external constraints and achievable analysis reliability.

  20. Consider long-term care as service alternative.

    Science.gov (United States)

    Loria, L S

    1987-04-01

    The increasing demand for elderly care services, pressures on inpatient average length of stay and payment levels, and potential financial rewards from providing additional services, makes long-term care look attractive to hospitals. Long-term care, however, is not for every hospital. Before deciding to establish long-term care services, management should examine how the service fits within the hospital's strategic plan. The action plan below provides guidance in evaluating a decision to use hospital facilities for long-term care. Examine how long-term care services fit within the hospital's strategic plan. Study area demographics and competitors to assess the need and supply of long-term care services. Survey the medical staff, consumers and payers to determine attitudes, perceptions and interests regarding long-term care services. Develop a facility plan that identifies areas of excess capacity that can be most easily converted into long-term care with minimal effects on hospital operations. Prepare a financial feasibility analysis of the contribution margin and return on investment attributable to long-term care services. Include an impact analysis on hospital operations. Establish a management task force to develop a detailed implementation plan including assigned individual responsibilities and related timetable. Develop an effective marketing plan designed to generate increased patient market share.

  1. Nonlinear Fitting Method of Long-Term Distributions for Statistical Analysis of Extreme Negative Surge Elevations

    Institute of Scientific and Technical Information of China (English)

    DONG Sheng; LI Fengli; JIAO Guiying

    2003-01-01

    Hydrologic frequency analysis plays an important role in coastal and ocean engineering for structural design and disaster prevention in coastal areas. This paper proposes a Nonlinear Least Squares Method (NLSM), which estimates the three unknown parameters of the Weibull distribution simultaneously by an iteration method. Statistical test shows that the NLSM fits each data sample well. The effects of different parameter-fitting methods, distribution models, and threshold values are also discussed in the statistical analysis of storm set-down elevation. The best-fitting probability distribution is given and the corresponding return values are estimated for engineering design.

  2. Percutaneous transluminal angioplasty of malfunctioning Brescia-Cimino arteriovenous fistula: analysis of factors adversely affecting long-term patency

    Energy Technology Data Exchange (ETDEWEB)

    Sugimoto, Koji; Hirota, Shozo; Sugimura, Kazuro [Department of Radiology, Kobe University School of Medicine, 7-5-2 Kusunoki-cho, Chuo-Ku, 650-0017, Kobe (Japan); Higashino, Takanori; Kuwata, Yoichiro; Imanaka, Kazufumi [Department of Radiology, Nishi-Kobe Medical Center, 5-7-1 Koji-dai, Nishi-ku, 651-2273, Kobe (Japan)

    2003-07-01

    Our objective was to identify the factors adversely affecting long-term patency after percutaneous transluminal angioplasty (PTA) for hemodialysis Brescia-Cimino arteriovenous fistulas. Between November 1995 and March 2000, 91 PTA procedures were performed on 50 patients with 57 Brescia-Cimino fistulas. A retrospective study based on the chart review was performed. The initial technical success rate for all procedures and the primary and secondary patency rates for all fistulas were calculated. Regarding fistulas successfully maintained by the primary PTA, the primary and secondary patency rates were compared using the Kaplan-Meier method between two patient groups. They were classified on the basis of several factors, including age (older, over 70 years, and younger group), age of the fistulas (older, over 6 months, and younger group), with or without diabetes mellitus (DM), solitary or multiple lesions, long or short segment lesion, stenosis or occlusion, and with or without arterial and/or anastomotic lesions. Initial technical success rates for all procedures and fistulas were 91.2 and 89.5%, respectively. Cumulative primary and secondary patency rates at 1 year were 47.3 and 67.3%, respectively. In the comparative study, the secondary patency rate for the older group was lower than that of the younger group with statistical significance (p =0.029). The higher age is the only factor that reduces the long-term patency rate after PTA. (orig.)

  3. Analysis of Nerve Agent Metabolites from Hair for Long-Term Verification of Nerve Agent Exposure

    Science.gov (United States)

    2016-05-09

    other drugs of abuse .41 The analysis of hair has been extensively studied for popular drugs of abuse , such as cocaine, amphetamines, codeine, morphine...Benschop, H. P. Toxicol. Appl. Pharmacol. 1997, 146, 156−161. (16) Adams, T.; Capacio, B.; Smith, J.; Whalley, C.; Korte, W. Drug Chem. Toxicol

  4. Using Decision Analysis in Evaluation and Prioritization of Technologies for Long Term Stewardship

    Energy Technology Data Exchange (ETDEWEB)

    Nadeau, Jennifer L; Byers, James Clifford; Harbour, Gerald Lee; Hill, Susan Gardiner; Nickelson, Reva Anne; Richardson, John Grant; Southworth, Finis Hio; Weingartner, Charles Brooks

    2002-08-01

    The purpose of this paper is to describe a systematic approach to assess and prioritize technology concepts and systems for future research and development (R&D) funding. This paper discusses the analysis and rationale used in developing an evaluation process to assist those engaged in prioritizing technologies. This paper will explain the developed evaluation process, discuss the methodology, and summarize the rationale underlying the process.

  5. A preliminary analysis of climate change effect on long-term risk-based design of flood defense

    Science.gov (United States)

    Wang, L.; Van Gelder, P. H. A. J. M.; Vrijling, J. K.

    2012-04-01

    The lifetime of a flood defense usually lasts for decades or centuries. The future flood probabilistic distribution is not stationary due to climate change. Therefore in the long-term design of flood defense systems, the effect of climate change should be taken into account. The design height of Bengbu dike segment (about 10 km) along Huai River in China is studied as an example to explore the potential effects of climate change on long-term risk-based design. The economic-optimal design height of the dike is determined based on cost-benefit analysis. In this analysis the incremental investments in more safety are balanced with the reduction of the risk. Since climate change will result in the change of flood probability and hence the change of flooding risk, the optimal height might be shifted. To describe the possible future climate, the ensemble prediction of Global Climate Models (GCMs) is used in the study. River runoff series, which is required in deriving annual probability of peak runoff, is obtained by forcing a hydrological model with each GCM climate prediction. Then the probability of high water level in the river is derived based on the relationship between water level and peak runoff. The probability of flooding is assumed to equal to the exceedance probability of the high water level in the river. The possible future flood risk is calculated based on the flooding probability estimates, and is corresponding to each member of the GCMs ensemble. The result will provide information about the significance of potential effects of climate change on the long-term design of flood defense. With comparison to the baseline period, the shift of risk curve in future will be shown on the cost-benefit diagram as well as the change of economic optimal design dike height. As it is a preliminary analysis in this study a sensitivity analysis will be carried out. The sensitivity of use of GCMs ensemble, the damage value and the investment cost will be investigated.

  6. Long-term exhumation history of the Inner Mongolian Plateau constrained by apatite fission track analysis

    Science.gov (United States)

    Li, Ke; Jolivet, Marc; Zhang, Zhicheng; Li, Jianfeng; Tang, Wenhao

    2016-01-01

    The Inner Mongolian Plateau, along the southeastern flank of the wider Mongolian Plateau, is a vast undulating surface ranging in elevation between 900 and 1500 m above sea level. The peculiar topography of this area is assumed to be closely related to its complex tectono-thermal evolution since Late Paleozoic. The lithospheric structure of the Plateau includes three continental blocks: the Mandula and the Bart Obo blocks form the southern margin of the Central Asian Orogenic Belt in that area, and to the south, the Plateau includes the northern margin of the North China Craton. Apatite fission track (AFT) ages and track length distributions from 13 basement outcrops situated in the main tectonic blocks forming the Inner Mongolian Plateau were determined in order to reconstruct its denudation history. The thermal histories inferred from these data imply multi-phased, differential exhumation/burying processes from the Late Paleozoic to the Early Cretaceous. This complex thermal history is largely related to the Early/Middle Triassic closure of the Paleo-Asian Ocean, the Jurassic closure of the Mongol-Okhotsk Ocean, and the Early Cretaceous orogenic collapse of the Mongol-Okhotsk belt. Finally, since Late Cretaceous, no further major tectonic movement occurred and the Inner Mongolian Plateau has been largely peneplained.

  7. Open pit mine Drmno coal characteristics analysis for long-term thermo power plant supply regarding desulphurization device

    Energy Technology Data Exchange (ETDEWEB)

    Pavlovic, V.; Jakovljevic, I.; Stepanovic, S.

    2010-07-01

    The Drmno deposit is located in the eastern part of the Kostolac coal basin of Serbia. This paper discussed the characteristics of the open pit Drmno coal mine for long-term thermo power plant supply regarding desulphurization device. The paper provided background information on the Drmno deposit, including geologic exploration; rock type; coal layers; and a systematization of characteristics of coal. Several charts and figures were presented, including the boundary of the Drmno open pit mine on the terrain and the roof of the coal seam; a map of combustible sulphur content in the third coal seam; and exploitative quality of coal exploitation periods. It was concluded that decreasing of the emissions of sulphur oxides from the thermal power plant will be one of the highest priority tasks of EPS. 3 refs., 2 tabs., 3 figs.

  8. Pancreatoduodenectomy for chronic pancreatitis: anatomic selection criteria and subsequent long-term outcome analysis.

    Science.gov (United States)

    Traverso, L W; Kozarek, R A

    1997-01-01

    OBJECTIVE: The authors sought to provide a framework through outcome analysis to evaluate operations directed toward the intractable abdominal pain of severe chronic pancreatitis centered in the pancreatic head. Pancreatoduodenectomy (PD) was used as an example. SUMMARY BACKGROUND DATA: Head resection for severe chronic pancreatitis is the treatment of choice for a ductal system in the head obliterated by severe disease when associated with intractable abdominal pain. To evaluate the effectiveness of promising head resection substitutes for PD, a framework is necessary to provide a reference standard (i.e., an outcome analysis) of PD. METHODS: Inclusion criteria were severe chronic pancreatitis centered in the pancreatic head, intractable abdominal pain, and a main pancreatic duct obstruction or stricture resulting in absent drainage into the duodenum from the uncinate process and adjacent pancreatic head areas or the entire gland. Since 1986, 57 consecutive cases with these criteria underwent PD (47 head only and 10 total pancreatectomy). Clinical and anatomic predictor variables were derived from the history, imaging studies, and pathologic examination. These variables then were tested for association with the following outcome events gathered during annual follow-up: pain relief, onset of diabetes, body weight maintenance, and peptic ulceration. RESULTS: Operative mortality was zero. In 57 patients with a mean follow-up of 42 months, the 5-year outcome event for survival was 93% and the onset of diabetes was 32%. All new cases of diabetes occurred more than 1 year after resection. In 43 cases > or =1 year postoperative with a mean follow-up of 55 months, all patients indicated significant pain relief and 76% were pain free. Pain relief was more common in patients with diabetes or in those patients with a pancreatic duct disruption. Death was more common in patients with diabetes. Weight maintenance was more common if preoperatively severe ductal changes were not

  9. Long Term Periodicity Analysis of OJ 287 at Optical V Waveband

    Indian Academy of Sciences (India)

    Jie Tang; Hao-Jing Zhang; Qiao Pang

    2014-09-01

    BL Lacertae object OJ 287 is one of the blazar that shows convincing evidence to support periodic variations. We have collected V band data for OJ 287 from 1891 to 2010, from the University of Michigan Radio Observatory (UMRAO) database and the available literature. Based on the spectral estimate theory, this paper used the periodogram spectral estimate, the maximum entropy spectral estimate and bispectrum spectral estimate methods. Applying these methods to the periodic analysis of OJ 287, we find the most eminent period as 12.1 yr. The results confirm that the variability period of OJ 287 in the optical V band is in agreement with the radio variability period of about 12 years.

  10. Curating Scientific Research Data for the Long Term: A Preservation Analysis Method in Context

    Directory of Open Access Journals (Sweden)

    Esther Conway

    2011-10-01

    Full Text Available The challenge of digital preservation of scientific data lies in the need to preserve not only the dataset itself but also the ability it has to deliver knowledge to a future user community. A true scientific research asset allows future users to reanalyze the data within new contexts. Thus, in order to carry out meaningful preservation we need to ensure that future users are equipped with the necessary information to re-use the data. This paper presents an overview of a preservation analysis methodology which was developed in response to that need on the CASPAR and Digital Curation Centre SCARP projects. We intend to place it in relation to other digital preservation practices, discussing how they can interact to provide archives caring for scientific data sets with the full arsenal of tools and techniques necessary to rise to this challenge.

  11. Lightcurve Analysis, Shapes and Spins of Asteroids Ermolova and Silver from Long-Term Observations

    Science.gov (United States)

    Husárik, Marek

    2016-11-01

    We present lightcurves, shapes, and 3D convex spin-axis models for two main-belt asteroids: (3657) Ermolova and (5325) Silver. The photometric data were obtained at the Skalnaté Pleso Observatory (High Tatras, Slovakia) only. The models were obtained with the lightcurve inversion process using combined dense photometric data from the apparitions in 2006, 2010, and 2013 for Ermolova and in 2006, 2010, and 2013 for Silver. The analysis of the resulting data found sidereal periods and possible ecliptic pole solutions (J2000.0). Currently, only 1592 models are known for 907 asteroids. Knowledge of individual asteroid shapes and spin axes is vital for the understanding the Solar System.

  12. Stormwater Pollutant Process Analysis with Long-Term Online Monitoring Data at Micro-Scale Sites

    Directory of Open Access Journals (Sweden)

    Dominik Leutnant

    2016-07-01

    Full Text Available Stormwater runoff quality was measured with online turbidity sensors at four common types of small urban subcatchments: (i a flat roof; (ii a parking lot; (iii a residential catchment; and (iv a high-traffic street. Samples were taken to estimate site-specific correlations between total suspended solids (TSS and turbidity. Continuous TSS time series were derived from online turbidity measurements and were used to estimate event loads and event mean concentrations. Rainfall runoff event characteristics were subjected to correlation analysis to TSS loads. Significant correlations were found for rainfall intensities at sites with high imperviousness and decrease with increasing catchment size. Antecedent dry weather periods are only correlated at the parking lot site. Intra-event TSS load distributions were studied with M (V-curves. M (V-curves are grouped at runoff quantiles and statistically described with boxplots. All sites show, in general, a more pronounced first-flush effect. While wash-off of the flat roof tends to be source-limited, the parking lot and high-traffic street sites show a more transport-limited behavior. Wash-off process of the residential catchment appears to be influenced by a composition of different subcatchments.

  13. Long term Combination of Tide Gauge Benchmark Monitoring (TIGA) Analysis Center Products

    Science.gov (United States)

    Teferle, F. N.; Hunegnaw, A.

    2015-12-01

    The International GNSS Service (IGS) Tide Gauge Benchmark Monitoring (TIGA) Working Group (WG) has recently finallized their reprocessing campaign, using all relevant Global Positioning System (GPS) observations from 1995 to 2014. This re-processed dataset will provide high quality estimates of land motions, enabling regional and global high-precision geophysical/geodeticstudies. Several of the individual TIGA Analysis Centers (TACs) have completed processing the full history of GPS observations recorded by the IGS global network, as well as, many other GPS stationsat or close to tide gauges, which are available from the TIGA data centre at the University of La Rochelle (www.sonel.org). The TAC solutions contain a total of over 700 stations. Following the recentimprovements in processing models and strategies, this is the first complete reprocessing attempt by the TIGA WG to provide homogeneous position time series. The TIGA Combination Centre (TCC) atthe University of Luxembourg (UL) has computed a first multi-year weekly combined solution using two independent combination software packages: CATREF and GLOBK. These combinations allow anevaluation of any effects from the combination software and of the individual TAC contributions and their influences on the combined solution. In this study we will present the first UL TIGA multi-yearcombination results and discuss these in terms of geocentric sea level changes.

  14. Long-term performance analysis of CIGS thin-film PV modules

    Science.gov (United States)

    Dhere, Neelkanth G.; Kaul, Ashwani; Pethe, Shirish A.

    2011-09-01

    Current accelerated qualification tests of photovoltaic (PV) modules mostly assist in avoiding infant mortality but can neither duplicate changes occurring in the field nor can predict useful lifetime. Therefore, outdoor monitoring of fielddeployed thin-film PV modules was undertaken at FSEC with goals of assessing their performance in hot and humid climate under high system voltage operation and to correlate the PV performance with the meteorological parameters. Significant and comparable degradation rate of -5.13% and -4.5% per year was found by PV USA type regression analysis for the positive and negative strings respectively of 40W glass-to-glass CIGS thin-film PV modules in the hot and humid climate of Florida. With the current-voltage measurements it was found that the performance degradation within the PV array was mainly due to a few (8-12%) modules having a substantially high degradation. The remaining modules within the array continued to show reasonable performance (>96% of the rated power after ~ 4years).

  15. Long-term performance analysis of copper indium gallium selenide thin-film photovoltaic modules

    Science.gov (United States)

    Kaul, Ashwani; Pethe, Shirish A.; Dhere, Neelkanth G.

    2012-01-01

    Current accelerated qualification tests of photovoltaic (PV) modules mostly assist in avoiding premature failures but can neither duplicate changes occurring in the field nor predict useful product lifetime. Therefore, outdoor monitoring of field-deployed thin-film PV modules was undertaken at FSEC with the goal of assessing their performance in hot and humid climate under high system-voltage operation. Significant and comparable degradation rate of -5.13±1.53% and -4.5±1.46% per year was found using PVUSA type regression analysis for the positive and negative strings, respectively of 40W glass-to-glass Cu-In-Ga-Se (CIGS) thin-film PV modules in the hot and humid climate of Florida. Using the current-voltage measurements, it was found that the performance degradation within the PV array was mainly due to a few (8% to 12%) modules that had substantially higher degradation. The remaining modules within the array continued to show reasonable performance (>96% of the rated power after ˜ four years).

  16. Percutaneous Irreversible Electroporation: Long-term survival analysis of 71 patients with inoperable malignant hepatic tumors

    Science.gov (United States)

    Niessen, C.; Thumann, S.; Beyer, L.; Pregler, B.; Kramer, J.; Lang, S.; Teufel, A.; Jung, E. M.; Stroszczynski, C.; Wiggermann, P.

    2017-01-01

    Aim of this retrospective analysis was to evaluate the survival times after percutaneous irreversible electroporation (IRE) in inoperable liver tumors not amenable to thermal ablation. 71 patients (14 females, 57 males, median age 63.5 ± 10.8 years) with 103 liver tumors were treated in 83 interventions using IRE (NanoKnife® system). The median tumor short-axis diameter was 1.9 cm (minimum 0.4 cm, maximum 4.5 cm). 35 patients had primary liver tumors and 36 patients had liver metastases. The Kaplan-Meier method was employed to calculate the survival rates, and the different groups were compared using multivariate log-rank and Wilcoxon tests. The overall median survival time was 26.3 months; the median survival of patients with primary land secondary liver cancer did not significantly differ (26.8 vs. 19.9 months; p = 0.41). Patients with a tumor diameter >3 cm (p Child-Pugh class B or C cirrhosis died significantly earlier than patients with Child-Pugh class A (p < 0.05). Patients with very early stage HCC survived significantly longer than patients with early stage HCC with a median survival of 22.3 vs. 13.7 months (p < 0.05). PMID:28266600

  17. Do insurers respond to risk adjustment? A long-term, nationwide analysis from Switzerland.

    Science.gov (United States)

    von Wyl, Viktor; Beck, Konstantin

    2016-03-01

    Community rating in social health insurance calls for risk adjustment in order to eliminate incentives for risk selection. Swiss risk adjustment is known to be insufficient, and substantial risk selection incentives remain. This study develops five indicators to monitor residual risk selection. Three indicators target activities of conglomerates of insurers (with the same ownership), which steer enrollees into specific carriers based on applicants' risk profiles. As a proxy for their market power, those indicators estimate the amount of premium-, health care cost-, and risk-adjustment transfer variability that is attributable to conglomerates. Two additional indicators, derived from linear regression, describe the amount of residual cost differences between insurers that are not covered by risk adjustment. All indicators measuring conglomerate-based risk selection activities showed increases between 1996 and 2009, paralleling the establishment of new conglomerates. At their maxima in 2009, the indicator values imply that 56% of the net risk adjustment volume, 34% of premium variability, and 51% cost variability in the market were attributable to conglomerates. From 2010 onwards, all indicators decreased, coinciding with a pre-announced risk adjustment reform implemented in 2012. Likewise, the regression-based indicators suggest that the volume and variance of residual cost differences between insurers that are not equaled out by risk adjustment have decreased markedly since 2009 as a result of the latest reform. Our analysis demonstrates that risk-selection, especially by conglomerates, is a real phenomenon in Switzerland. However, insurers seem to have reduced risk selection activities to optimize their losses and gains from the latest risk adjustment reform.

  18. Long-term changes in blood pressure following orlistat and sibutramine treatment: a meta-analysis.

    Science.gov (United States)

    Johansson, K; Sundström, J; Neovius, K; Rössner, S; Neovius, M

    2010-11-01

    Previous meta-analyses investigating blood pressure effects of anti-obesity drugs have included studies using non-licensed doses, but not data from head-to-head studies. Furthermore, although diabetes is an important comorbidity in obesity, variation in blood pressure effects across diabetes status has not been investigated. The objective of this study was to estimate the effects on systolic (SBP) and diastolic blood pressure (DBP) of orlistat and sibutramine. Medline, EMBASE, the Cochrane controlled trials register and reference lists of identified articles from 1990 to February 2009 were searched. All placebo-controlled randomized controlled trials of 12-month duration or randomized head-to-head studies of any duration on adults using standard doses were included. Studies/study arms were excluded if they only evaluated weight maintenance after weight loss. Randomized controlled trials were identified, subjected to inclusion and exclusion criteria, and reviewed. Random effects models were used for assessment of weighted mean differences. Eighteen placebo-controlled (12 orlistat, 5540 patients; 6 sibutramine, 1495 patients) and four head-to-head trials (348 patients) met the inclusion criteria. Three orlistat and three sibutramine studies examined overweight subjects with type 2 diabetes (T2DM), as did two head-to-head trials. Mean baseline SBP ranged from 119 to 153 mmHg, and mean DBP from 69 to 98 mmHg. Overall, the placebo-controlled SBP change was -1.9 (95% CI; -2.7, -1.1) mmHg for orlistat, and 0.5 (-1.1, 2.1) mmHg for sibutramine. The corresponding values for DBP were -1.5 (-2.2, -0.8) and 1.7 (0.7, 2.6). Compared with patients without diabetes, diabetic patients treated with orlistat experienced smaller and non-significant reductions of SBP (-0.9; -2.6, 0.7 vs. -2.2; -3.0, -1.3) and DBP (-1.0; -2.4, 0.3 vs. -1.6; -2.4, -0.8). For sibutramine, higher on-treatment elevations in SBP (1.6; -1.3, 4.5 vs. 0.1; -1.8, 2.0) and DBP (2.4; 0.6, 4.1 vs. 1.4; 0.3, 2

  19. Short-term and long-term efficacy of 7 targeted therapies for the treatment of advanced hepatocellular carcinoma: a network meta-analysis

    Science.gov (United States)

    Niu, Meng; Hong, Duo; Ma, Teng-Chuang; Chen, Xiao-Wei; Han, Jin-Hang; Sun, Jun; Xu, Ke

    2016-01-01

    Abstract Background: A variety of targeted drug therapies in clinical trials have been proven to be effective for the treatment of hepatocellular carcinoma (HCC). Our study aims to compare the short-term and long-term efficacies of different targeted drugs in advanced hepatocellular carcinoma (AHCC) treatment using a network meta-analysis approach. Methods: PubMed, Embase, Ovid, EBSCO, and Cochrane central register of controlled trials were searched for randomized controlled trials (RCTs) of different targeted therapies implemented to patients with AHCC. And the retrieval resulted in 7 targeted drugs, namely, sorafenib, ramucirumab, everolimus, brivanib, tivantinib, sunitinib, and sorafenib+erlotinib. Direct and indirect evidence were combined to evaluate stable disease (SD), progressive disease (PD), complete response (CR), partial response (PR), disease control rate (DCR), overall response ratio (ORR), overall survival (OS), and surface under the cumulative ranking curve (SUCRA) of patients with AHCC. Results: A total of 11 RCTs were incorporated into our analysis, including 6594 patients with AHCC, among which 1619 patients received placebo treatment and 4975 cases had targeted therapies. The results revealed that in comparison with placebo, sorafenib, and ramucirumab displayed better short-term efficacy in terms of PR and ORR, and brivanib was better in ORR. Regarding long-term efficacy, sorafenib and sorafenib+erlotinib treatments exhibited longer OS. The data of cluster analysis showed that ramucirumab or sorafenib+erlotinib presented relatively better short-term efficacy for the treatment of AHCC. Conclusion: This network meta-analysis shows that ramucirumab and sorafenib+erlotinib may be the better targeted drugs for AHCC patients, and sorafenib+erlotinib achieved a better long-term efficacy. PMID:27930578

  20. Long-term collections

    CERN Multimedia

    Collectes à long terme

    2007-01-01

    The Committee of the Long Term Collections (CLT) asks for your attention for the following message from a young Peruvian scientist, following the earthquake which devastated part of her country a month ago.

  1. A Meta-Analysis of the Long-Term Effects of Phonemic Awareness, Phonics, Fluency, and Reading Comprehension Interventions.

    Science.gov (United States)

    Suggate, Sebastian P

    2016-01-01

    Much is known about short-term--but very little about the long-term--effects of reading interventions. To rectify this, a detailed analysis of follow-up effects as a function of intervention, sample, and methodological variables was conducted. A total of 71 intervention-control groups were selected (N = 8,161 at posttest) from studies reporting posttest and follow-up data (M = 11.17 months) for previously established reading interventions. The posttest effect sizes indicated effects (dw = 0.37) that decreased to follow-up (dw = 0.22). Overall, comprehension and phonemic awareness interventions showed good maintenance of effect that transferred to nontargeted skills, whereas phonics and fluency interventions, and those for preschool and kindergarten children, tended not to. Several methodological features also related to effect sizes at follow-up, namely experimental design and dosage, and sample attrition, risk status, and gender balance.

  2. Relationship of Extreme Chromosomal Instability with Long-term Survival in a Retrospective Analysis of Primary Breast Cancer

    DEFF Research Database (Denmark)

    Roylance, Rebecca; Endesfelder, David; Gorman, Patricia

    2011-01-01

    methods, such as centromeric FISH, aimed at determining the variation around the modal number of two or more chromosomes within individual tumor nuclei. Here, we document the frequency of tumor CIN by dual centromeric FISH analysis in a retrospective primary breast cancer cohort of 246 patients...... with survival outcome. Results: There was increased CIN and clonal eterogeneity in ER-negative compared with ER-positive breast cancer. Consistent with a negative impact of CIN on cellular fitness, extreme CIN in ER-negative breast cancer was an independent variable associated with improved long-term survival......Background: Chromosomal instability (CIN) is thought to be associated with poor prognosis in solid tumors; however, evidence from preclinical and mouse tumor models suggest that CIN may paradoxically enhance or impair cancer cell fitness. Breast cancer prognostic expression signature sets, which...

  3. Health-Related Quality of Life: Expanding a Conceptual Framework to Include Older Adults Who Receive Long-Term Services and Supports

    Science.gov (United States)

    Zubritsky, Cynthia; Abbott, Katherine M.; Hirschman, Karen B.; Bowles, Kathryn H.; Foust, Janice B.; Naylor, Mary D.

    2013-01-01

    For older adults receiving long-term services and supports (LTSS), health-related quality of life (HRQoL) has emerged as a critical construct to examine because of its focus on components of well-being, which are affected by progressive changes in health status, health care, and social support. HRQoL is a health-focused quality of life (QOL)…

  4. A Meta-analysis to Evaluate the Predictive Validity of the Braden Scale for Pressure Ulcer Risk Assessment in Long-term Care.

    Science.gov (United States)

    Chen, Hong-Lin; Shen, Wang-Qin; Liu, Peng

    2016-09-01

    Although it is among the most commonly used pressure ulcer risk assessment tools, the Braden Scale may lack strong predictive validity when used in the long-term care setting. A meta-analysis was conducted of English-language articles published in the PubMed database and Web of Science from the indices' inception through July 2015 to assess the predictive validity of the Braden Scale for pressure ulcers in long-term care residents. Search terms included pressure ulcer, pressure sore, bedsore, decubitus, long-term care, nursing home, skilled nursing facility, hospice, and Braden. Data extracted from the publications included sample and setting characteristics and predictive value indices. The pooled sensitivities, specificities, diagnostic odds ratios (DOR), and constructed summary receiver operating characteristic (SROC) curves were calculated. Eight studies (2 prospective cohorts and 6 cross-sectional studies) with 41 489 residents met selection criteria for inclusion in the analysis. The pooled sensitivity and specificity were 0.80 (95% CI: 0.79-0.81) and 0.42 (95% CI: 0.42-0.43), respectively, yielding a combined DOR of 5.66 (95% CI: 3.77-8.48). The area under the ROC curve (AUC) was 0.7686 ± 0.0478 (95% CI: 0.6749-0.8623), and the overall diagnostic accuracy (Q*) was 0.7090 ± 0.0402 (95% CI: 0.6302-0.7878). Significant heterogeneity was noted among the included studies; Q value was 302.54 (P = 0.000), and I2 for pooled sensitivity, pooled specificity, and pooled DOR was 97.4%, 98.7% and 96.4%, respectively. Meta-regression analysis showed no heterogeneity was noted among Braden scale cut-offs (P = 0.123) and pressure ulcer prevalence P = 0.547). The evidence showed the Braden Scale has moderate predictive validity and low predictive specificity for pressure ulcers in long-term care residents. The development and testing of new risk assessment scales for this population is warranted.

  5. Long-term post-stroke changes include myelin loss, specific deficits in sensory and motor behaviors and complex cognitive impairment detected using active place avoidance.

    Directory of Open Access Journals (Sweden)

    Jin Zhou

    Full Text Available Persistent neurobehavioral deficits and brain changes need validation for brain restoration. Two hours middle cerebral artery occlusion (tMCAO or sham surgery was performed in male Sprague-Dawley rats. Neurobehavioral and cognitive deficits were measured over 10 weeks included: (1 sensory, motor, beam balance, reflex/abnormal responses, hindlimb placement, forepaw foot fault and cylinder placement tests, and (2 complex active place avoidance learning (APA and simple passive avoidance retention (PA. Electroretinogram (ERG, hemispheric loss (infarction, hippocampus CA1 neuronal loss and myelin (Luxol Fast Blue staining in several fiber tracts were also measured. In comparison to Sham surgery, tMCAO surgery produced significant deficits in all behavioral tests except reflex/abnormal responses. Acute, short lived deficits following tMCAO were observed for forelimb foot fault and forelimb cylinder placement. Persistent, sustained deficits for the whole 10 weeks were exhibited for motor (p<0.001, sensory (p<0.001, beam balance performance (p<0.01 and hindlimb placement behavior (p<0.01. tMCAO produced much greater and prolonged cognitive deficits in APA learning (maximum on last trial of 604±83% change, p<0.05 but only a small, comparative effect on PA retention. Hemispheric loss/atrophy was measured 10 weeks after tMCAO and cross-validated by two methods (e.g., almost identical % ischemic hemispheric loss of 33.4±3.5% for H&E and of 34.2±3.5% for TTC staining. No visual dysfunction by ERG and no hippocampus neuronal loss were detected after tMCAO. Fiber tract damage measured by Luxol Fast Blue myelin staining intensity was significant (p<0.01 in the external capsule and striatum but not in corpus callosum and anterior commissure. In summary, persistent neurobehavioral deficits were validated as important endpoints for stroke restorative research in the future. Fiber myelin loss appears to contribute to these long term behavioral dysfunctions and

  6. Long-term Luminal Renarrowing After Successful Elective Coronary Angioplasty of Total Occlusions : A Quantitative Angiographic Analysis

    NARCIS (Netherlands)

    A.G. Violaris (Andonis); R. Melkert (Rein); P.W.J.C. Serruys (Patrick)

    1995-01-01

    textabstractBackground The long-term angiographic outcome after successful dilatation of coronary occlusions remains unclear. The objective of this study was to examine long-term restenosis after successful balloon dilatation of coronary occlusions at a predetermined time interval with quantitative

  7. 77 FR 57545 - Long Term 2 Enhanced Surface Water Treatment Rule: Public Meeting on Monitoring Data Analysis...

    Science.gov (United States)

    2012-09-18

    ... AGENCY 40 CFR Parts 141 and 142 Long Term 2 Enhanced Surface Water Treatment Rule: Public Meeting on... toolbox information as part of the regulatory review of the Long Term 2 Enhanced Surface Water Treatment... monitoring that are used to determine which one of the four categories (i.e., bins) a public drinking...

  8. Improved Analysis of Long-Term Monitoring Data Demonstrates Marked Regional Declines of Bat Populations in the Eastern United States.

    Directory of Open Access Journals (Sweden)

    Thomas E Ingersoll

    Full Text Available Bats are diverse and ecologically important, but are also subject to a suite of severe threats. Evidence for localized bat mortality from these threats is well-documented in some cases, but long-term changes in regional populations of bats remain poorly understood. Bat hibernation surveys provide an opportunity to improve understanding, but analysis is complicated by bats' cryptic nature, non-conformity of count data to assumptions of traditional statistical methods, and observation heterogeneities such as variation in survey timing. We used generalized additive mixed models (GAMMs to account for these complicating factors and to evaluate long-term, regional population trajectories of bats. We focused on four hibernating bat species - little brown myotis (Myotis lucifugus, tri-colored bat (Perimyotis subflavus, Indiana myotis (M. sodalis, and northern myotis (M. septentrionalis - in a four-state region of the eastern United States during 1999-2011. Our results, from counts of nearly 1.2 million bats, suggest that cumulative declines in regional relative abundance by 2011 from peak levels were 71% (with 95% confidence interval of ±11% in M. lucifugus, 34% (±38% in P. subflavus, 30% (±26% in M. sodalis, and 31% (±18% in M. septentrionalis. The M. lucifugus population fluctuated until 2004 before persistently declining, and the populations of the other three species declined persistently throughout the study period. Population trajectories suggest declines likely resulted from the combined effect of multiple threats, and indicate a need for enhanced conservation efforts. They provide strong support for a change in the IUCN Red List conservation status in M. lucifugus from Least Concern to Endangered within the study area, and are suggestive of a need to change the conservation status of the other species. Our modeling approach provided estimates of uncertainty, accommodated non-linearities, and controlled for observation heterogeneities, and

  9. Summary of preliminary step-trend analysis from the Interagency Whitebark Pine Long-termMonitoring Program—2004-2013

    Science.gov (United States)

    Legg, Kristin; Shanahan, Erin; Daley, Rob; Irvine, Kathryn M.

    2014-01-01

    In mixed and dominant stands, whitebark pine (Pinus albicaulis) occurs in over two million acres within the six national forests and two national parks that comprise the Greater Yellowstone Ecosystem (GYE). Currently, whitebark pine, an ecologically important species, is impacted by multiple ecological disturbances; white pine blister rust (Cronartium ribicola), mountain pine beetle (Dendroctonus ponderosae), wildfire, and climate change all pose significant threats to the persistence of whitebark pine populations. Substantial declines in whitebark pine populations have been documented throughout its range.Under the auspices of the Greater Yellowstone Coordinating Committee (GYCC), several agencies began a collaborative, long-term monitoring program to track and document the status of whitebark pine across the GYE. This alliance resulted in the formation of the Greater Yellowstone Whitebark Pine Monitoring Working Group (GYWPMWG), which consists of representatives from the U.S. Forest Service (USFS), National Park Service (NPS), U.S. Geological Survey (USGS), and Montana State University (MSU). This groundbased monitoring program was initiated in 2004 and follows a peer-reviewed protocol (GYWPMWG 2011). The program is led by the Greater Yellowstone Inventory and Monitoring Network (GRYN) of the National Park Service in coordination with multiple agencies. More information about this monitoring effort is available at: http://science. nature.nps.gov/im/units/gryn/monitor/whitebark_pine.cfm. The purpose of this report is to provide a draft summary of the first step-trend analysis for the interagency, long-term monitoring of whitebark pine health to the Interagency Grizzly Bear Study Team (IGBST) as part of a synthesis of the state of whitebark pine in the GYE. Due to the various stages of the analyses and reporting, this is the most efficient way to provide these results to the IGBST.

  10. Long-term analysis between radio occultation and ionosonde peak electron density and height during geomagnetic storms

    Science.gov (United States)

    Habarulema, John Bosco; Carelse, Suné Arlene

    2016-05-01

    For the first time, a long-term comparative analysis of radio occultation (RO) maximum electron density and peak height of the F2 layer (NmF2 and hmF2) with ionosonde data is presented during geomagnetic storm periods. Using the optimum spatial resolution of 4.5° × 4.5° in both latitude and longitude space over Grahamstown, GR13L(33.3°S, 26.5°E), South Africa, RO NmF2 and hmF2 (from CHAMP and COSMIC/FORMOSAT-3) are directly compared to ionosonde values within 15 min of ionosonde observational data from 2003 to end of May 2015. This study provides for the first time the deviation of RO data from ionosonde data on a long-term scale during disturbed conditions in a midlatitude region. We have found that maximum deviations between RO and ionosonde hmF2/NmF2 occur during the high solar activity periods. For some storms, deviations between RO and ionosonde hmF2 can reach values just over 30 km and 85 km during 2005-2010 and 2011-2015, respectively. Overall, statistical results show that hmF2 and NmF2 from these independent data sets agree to within ˜9% and 21% (1 standard deviation, 1σ) from 2003 to 2015. While the deviation can be large during some storm events, statistically and based on ionosonde data, RO F2 peak parameters in midlatitudes are not degraded significantly during disturbed conditions and can therefore be reliably used to study ionospheric dynamics during extreme space weather events.

  11. The Long-HER Study: Clinical and Molecular Analysis of Patients with HER2+ Advanced Breast Cancer Who Become Long-Term Survivors with Trastuzumab-Based Therapy

    Science.gov (United States)

    Gámez-Pozo, Angelo; Pérez Carrión, Ramón M.; Manso, Luis; Crespo, Carmen; Mendiola, Cesar; López-Vacas, Rocío; Berges-Soria, Julia; López, Isabel Álvarez; Margeli, Mireia; Calero, Juan L. Bayo; Farre, Xavier González; Santaballa, Ana; Ciruelos, Eva M.; Afonso, Ruth; Lao, Juan; Catalán, Gustavo; Gallego, José V. Álvarez; López, José Miramón; Bofill, Francisco J. Salvador; Borrego, Manuel Ruiz; Espinosa, Enrique; Vara, Juan A. Fresno; Zamora, Pilar

    2014-01-01

    Background Trastuzumab improves survival outcomes in patients with HER2+ metastatic breast cancer. The Long-Her study was designed to identify clinical and molecular markers that could differentiate long-term survivors from patients having early progression after trastuzumab treatment. Methods Data were collected from women with HER2-positive metastatic breast cancer treated with trastuzumab that experienced a response or stable disease during at least 3 years. Patients having a progression in the first year of therapy with trastuzumab were used as a control. Genes related with trastuzumab resistance were identified and investigated for network and gene functional interrelation. Models predicting poor response to trastuzumab were constructed and evaluated. Finally, a mutational status analysis of selected genes was performed in HER2 positive breast cancer samples. Results 103 patients were registered in the Long-HER study, of whom 71 had obtained a durable complete response. Median age was 58 years. Metastatic disease was diagnosed after a median of 24.7 months since primary diagnosis. Metastases were present in the liver (25%), lungs (25%), bones (23%) and soft tissues (23%), with 20% of patients having multiple locations of metastases. Median duration of response was 55 months. The molecular analysis included 35 patients from the group with complete response and 18 patients in a control poor-response group. Absence of trastuzumab as part of adjuvant therapy was the only clinical factor associated with long-term survival. Gene ontology analysis demonstrated that PI3K pathway was associated with poor response to trastuzumab-based therapy: tumours in the control group usually had four or five alterations in this pathway, whereas tumours in the Long-HER group had two alterations at most. Conclusions Trastuzumab may provide a substantial long-term survival benefit in a selected group of patients. Whole genome expression analysis comparing long-term survivors vs. a

  12. The Long-HER study: clinical and molecular analysis of patients with HER2+ advanced breast cancer who become long-term survivors with trastuzumab-based therapy.

    Directory of Open Access Journals (Sweden)

    Angelo Gámez-Pozo

    Full Text Available BACKGROUND: Trastuzumab improves survival outcomes in patients with HER2+ metastatic breast cancer. The Long-Her study was designed to identify clinical and molecular markers that could differentiate long-term survivors from patients having early progression after trastuzumab treatment. METHODS: Data were collected from women with HER2-positive metastatic breast cancer treated with trastuzumab that experienced a response or stable disease during at least 3 years. Patients having a progression in the first year of therapy with trastuzumab were used as a control. Genes related with trastuzumab resistance were identified and investigated for network and gene functional interrelation. Models predicting poor response to trastuzumab were constructed and evaluated. Finally, a mutational status analysis of selected genes was performed in HER2 positive breast cancer samples. RESULTS: 103 patients were registered in the Long-HER study, of whom 71 had obtained a durable complete response. Median age was 58 years. Metastatic disease was diagnosed after a median of 24.7 months since primary diagnosis. Metastases were present in the liver (25%, lungs (25%, bones (23% and soft tissues (23%, with 20% of patients having multiple locations of metastases. Median duration of response was 55 months. The molecular analysis included 35 patients from the group with complete response and 18 patients in a control poor-response group. Absence of trastuzumab as part of adjuvant therapy was the only clinical factor associated with long-term survival. Gene ontology analysis demonstrated that PI3K pathway was associated with poor response to trastuzumab-based therapy: tumours in the control group usually had four or five alterations in this pathway, whereas tumours in the Long-HER group had two alterations at most. CONCLUSIONS: Trastuzumab may provide a substantial long-term survival benefit in a selected group of patients. Whole genome expression analysis comparing long-term

  13. The impact of extended care on the long-term maintenance of weight loss: a systematic review and meta-analysis.

    Science.gov (United States)

    Middleton, K M Ross; Patidar, S M; Perri, M G

    2012-06-01

    Behavioural weight management interventions consistently produce 8-10% reductions in body weight, yet most participants regain weight after treatment ends. One strategy for extending the effects of behavioural interventions has been the provision of extended care. The current study is a systematic review and meta-analysis of the literature on the effect of extended care on maintenance of weight loss. Through database searches (using PubMED, PsychInfo and Cochrane Reviews) and manual searches through reference lists of related publications, 463 studies were identified. Of these, 11 were included in the meta-analysis and an additional two were retained for qualitative analysis. The average effect of extended care on weight loss maintenance was g=0.385 (95% confidence interval: 0.281, 0.489; Pmaintenance of an additional 3.2 kg weight loss over 17.6 months post-intervention in participants provided extended care compared with control. There was no significant heterogeneity between studies, Q=5.63, P=0.845, and there was minimal evidence for publication bias. These findings suggest that extended care is a viable and efficacious solution to addressing long-term maintenance of lost weight. Given the chronic disease nature of obesity, extended care may be necessary for long-term health benefits.

  14. Topical report on release scenario analysis of long-term management of high-level defense waste at the Hanford Site

    Energy Technology Data Exchange (ETDEWEB)

    Wallace, R.W.; Landstrom, D.K.; Blair, S.C.; Howes, B.W.; Robkin, M.A.; Benson, G.L.; Reisenauer, A.E.; Walters, W.H.; Zimmerman, M.G.

    1980-11-01

    Potential release scenarios for the defense high-level waste (HLW) on the Hanford Site are presented. Presented in this report are the three components necessary for evaluating the various alternatives under consideration for long-term management of Hanford defense HLW: identification of scenarios and events which might directly or indirectly disrupt radionuclide containment barriers; geotransport calculations of waste migration through the site media; and consequence (dose) analyses based on groundwater and air pathways calculations. The scenarios described in this report provide the necessary parameters for radionuclide transport and consequence analysis. Scenarios are categorized as either bounding or nonbounding. Bounding scenarios consider worst case or what if situations where an actual and significant release of waste material to the environment would happen if the scenario were to occur. Bounding scenarios include both near-term and long-term scenarios. Near-term scenarios are events which occur at 100 years from 1990. Long term scenarios are potential events considered to occur at 1000 and 10,000 years from 1990. Nonbounding scenarios consider events which result in insignificant releases or no release at all to the environment. Three release mechanisms are described in this report: (1) direct exposure of waste to the biosphere by a defined sequence of events (scenario) such as human intrusion by drilling; (2) radionuclides contacting an unconfined aquifer through downward percolation of groundwater or a rising water table; and (3) cataclysmic or explosive release of radionuclides by such mechanisms as meteorite impact, fire and explosion, criticality, or seismic events. Scenarios in this report present ways in which these release mechanisms could occur at a waste management facility. The scenarios are applied to the two in-tank waste management alternatives: in-situ disposal and continued present action.

  15. Sarcopenia is an Independent Predictor of Severe Postoperative Complications and Long-Term Survival After Radical Gastrectomy for Gastric Cancer: Analysis from a Large-Scale Cohort.

    Science.gov (United States)

    Zhuang, Cheng-Le; Huang, Dong-Dong; Pang, Wen-Yang; Zhou, Chong-Jun; Wang, Su-Lin; Lou, Neng; Ma, Liang-Liang; Yu, Zhen; Shen, Xian

    2016-03-01

    Currently, the association between sarcopenia and long-term prognosis after gastric cancer surgery has not been investigated. Moreover, the association between sarcopenia and postoperative complications remains controversial. This large-scale retrospective study aims to ascertain the prevalence of sarcopenia and assess its impact on postoperative complications and long-term survival in patients undergoing radical gastrectomy for gastric cancer. From December 2008 to April 2013, the clinical data of all patients who underwent elective radical gastrectomy for gastric cancer were collected prospectively. Only patients with available preoperative abdominal CT scan within 30 days of surgery were considered for analysis. Skeletal muscle mass was determined by abdominal (computed tomography) CT scan, and sarcopenia was diagnosed by the cut-off values obtained by means of optimum stratification. Univariate and multivariate analyses evaluating risk factors of postoperative complications and long-term survival were performed. A total of 937 patients were included in this study, and 389 (41.5%) patients were sarcopenic based on the diagnostic cut-off values (34.9 cm²/m² for women and 40.8 cm²/m² for men). Sarcopenia was an independent risk factor for severe postoperative complications (OR = 3.010, P sarcopenia did not show significant association with operative mortality. Moreover, sarcopenia was an independent predictor for poorer overall survival (HR = 1.653, P sarcopenia remained an independent risk factor for overall survival and disease-free survival in patients with TNM stage II and III, but not in patients with TNM stage I. Sarcopenia is an independent predictive factor of severe postoperative complications after radical gastrectomy for gastric cancer. Moreover, sarcopenia is independently associated with overall and disease-free survival in patients with TNM stage II and III, but not in patients with TNM stage I.

  16. Micropatterning Facilitates the Long-Term Growth and Analysis of iPSC-Derived Individual Human Neurons and Neuronal Networks.

    Science.gov (United States)

    Burbulla, Lena F; Beaumont, Kristin G; Mrksich, Milan; Krainc, Dimitri

    2016-08-01

    The discovery of induced pluripotent stem cells (iPSCs) and their application to patient-specific disease models offers new opportunities for studying the pathophysiology of neurological disorders. However, current methods for culturing iPSC-derived neuronal cells result in clustering of neurons, which precludes the analysis of individual neurons and defined neuronal networks. To address this challenge, cultures of human neurons on micropatterned surfaces are developed that promote neuronal survival over extended periods of time. This approach facilitates studies of neuronal development, cellular trafficking, and related mechanisms that require assessment of individual neurons and specific network connections. Importantly, micropatterns support the long-term stability of cultured neurons, which enables time-dependent analysis of cellular processes in living neurons. The approach described in this paper allows mechanistic studies of human neurons, both in terms of normal neuronal development and function, as well as time-dependent pathological processes, and provides a platform for testing of new therapeutics in neuropsychiatric disorders.

  17. A systematic review and analysis of long-term outcomes in attention deficit hyperactivity disorder: effects of treatment and non-treatment

    Directory of Open Access Journals (Sweden)

    Shaw Monica

    2012-09-01

    Full Text Available Abstract Background In childhood, attention deficit/hyperactivity disorder (ADHD is characterized by age-inappropriate levels of inattentiveness/disorganization, hyperactivity/impulsiveness, or a combination thereof. Although the criteria for ADHD are well defined, the long-term consequences in adults and children need to be more comprehensively understood and quantified. We conducted a systematic review evaluating the long-term outcomes (defined as 2 years or more of ADHD with the goal of identifying long-term outcomes and the impact that any treatment (pharmacological, non-pharmacological, or multimodal has on ADHD long-term outcomes. Methods Studies were identified using predefined search criteria and 12 databases. Studies included were peer-reviewed, primary studies of ADHD long-term outcomes published between January 1980 to December 2010. Inclusion was agreed on by two independent researchers on review of abstracts or full text. Published statistical comparison of outcome results were summarized as poorer than, similar to, or improved versus comparators, and quantified as percentage comparisons of these categories. Results Outcomes from 351 studies were grouped into 9 major categories: academic, antisocial behavior, driving, non-medicinal drug use/addictive behavior, obesity, occupation, services use, self-esteem, and social function outcomes. The following broad trends emerged: (1 without treatment, people with ADHD had poorer long-term outcomes in all categories compared with people without ADHD, and (2 treatment for ADHD improved long-term outcomes compared with untreated ADHD, although not usually to normal levels. Only English-language papers were searched and databases may have omitted relevant studies. Conclusions This systematic review provides a synthesis of studies of ADHD long-term outcomes. Current treatments may reduce the negative impact that untreated ADHD has on life functioning, but does not usually 'normalize' the

  18. Long-Term Collections

    CERN Multimedia

    Comité des collectes à long terme

    2011-01-01

    It is the time of the year when our fireman colleagues go around the laboratory for their traditional calendars sale. A part of the money of the sales will be donated in favour of the long-term collections. We hope that you will welcome them warmly.

  19. Analysis on long-term variability of sea ice albedo and its relationship with sea ice concentration over Antarctica

    Science.gov (United States)

    Seo, Minji; Kim, Hyun-cheol; Seong, Noh-hun; Kwon, Chaeyoung; Kim, Honghee; Han, Kyung-Soo

    2016-10-01

    Sea ice is an important factor for understanding Antarctic climate change. Especially, annual change of sea ice shows different trend in Antarctica and Arctic. This different variation need to continuously observe the Polar Regions. Sea Ice Albedo (SIA) and Sea Ice Concentration (SIC) are an indicator of variation on sea ice. In addition, albedo is key parameter to understand the energy budget in Antarctica. This being so, it is important to analyze long-term variation of the two factors for observing of change of Antarctic environment. In this study, we analyzed long-term variability of SIC and SIA to understand the changes of sea ice over Antarctic and researched the relationship with two factors. We used the SIA data at The Satellite Application Facility on Climate Monitoring (CM SAF) and the SIC data provided by Ocean and Sea Ice Satellite Application Facility (OSI-SAF) from 1982 to 2009. The study period was selected to Antarctic summer season due to polar nights. We divided study periods into two terms, Nov-Dec(ND) and Jan-Feb(JF) in order to reflect the characteristics of sea ice area, which minimum extend occurred in September and maximum extend occurred in February. We analyzed the correlation between SIA and SIC. As a results, two variables have a strong positive correlation (each correlation coefficients are 0.91 in Nov-Dec and 0.90 in Jan-Feb). We performed time series analysis using linear regression to understand the spatial and temporal tendency of SIA and SIC. As a results, SIA and SIC have a same spatial trend such as Weddle sea and Ross sea sections show the positive trend and Bellingshausen Amundsen sea shows the negative trend of two factors. Moreover, annual SIA change rate is 0.26% 0.04% yr-1 over section where represent positive trend during two study periods. And annual SIA change rate is - 0.14 - 0.25 % yr-1 of in the other part where represent negative trend during two study periods.

  20. Pharmacoeconomic analysis of long term use of darbepoetin-α in treating chronic nephropathy-induced anemia in dialysed patients

    Directory of Open Access Journals (Sweden)

    Nicola Giotta

    2007-06-01

    Full Text Available The main aim of this retrospective study was to perform a pharmacoeconomic analysis of long term use of darbepoetin-α (DARB after switch from erythropoietin-ß (EPO-ß in treating chronic nephropathy-induced anemia in dialysed patients. Secondary objective was the assessment of the actual EPO-ß-to-DARB dose conversion factor. We extracted data of 78 patients who have been treated with EPO-ß for at least 6 months and then switched to DARB from the database of the dialysis center of the Asti (Piedmont, Italy hospital. From these, we selected 47 patients (23 males and 24 females who completed a 120-weeks follow-up treatment with DARB.
All patients were treated with a dose adjustment schedule to keep haemoglobin levels in the range 11-12g/dl. Pre-switch EPO-ß administration was thrice a week, while DARB was administered once a week, both via intravenous. Initial DARB dose has been calculated on the basis of the theoretical 200:1 conversion factor. Actual cumulative EPO and DARB consumption was recorded for all patients. Drug costs were valued according to purchasing prices for the Italian National Health System (October 2006.
In the 24 pre-switch weeks the average cost (±SD per patient for EPO-ß was € 2,309.86 (±1,434.78. In the 120 weeks of follow-up the average cost (±SD per patient for DARB/24 weeks ranged from a minimum of € 1,487.09 (±1,125.51 to a maximum of € 2,125.73 (±1,546.85. 
The switch of 47 patients to DARB produced an overall net saving for the dialysis centre estimated in 119,540.72 Euro/120 weeks, under the hypothesis that EPO-ß semester costs remain constant: the conversion from EPO-ß to DARB has the potential to maintain long term good haemoglobin control and induces significant savings for the National Health System.
However the dosage should be adjusted on an individual basis in order to avoid excessive fluctuation of Hb concentrations. The actual conversion factor resulted on average higher than

  1. Patient-related predictors of implant failure after primary total hip replacement in the initial, short- and long-terms. A nationwide Danish follow-up study including 36,984 patients

    DEFF Research Database (Denmark)

    Johnsen, S.P.; Sørensen, H.T.; Lucht, Ulf

    2006-01-01

    We examined the association between patient-related factors and the risk of initial, short- and long-term implant failure after primary total hip replacement. We used data from the Danish Hip Arthroplasty Registry between 1 January 1995 and 31 December 2002, which gave us a total of 36 984 patients....... Separate analyses were carried out for three follow-up periods: 0 to 30 days, 31 days to six months (short term), and six months to 8.6 years after primary total hip replacement (long term). The outcome measure was defined as time to failure, which included re-operation with open surgery for any reason...

  2. Statistical analysis of modal properties of a cable-stayed bridge through long-term structural health monitoring with wireless smart sensor networks

    Science.gov (United States)

    Asadollahi, Parisa; Li, Jian

    2016-04-01

    Understanding the dynamic behavior of complex structures such as long-span bridges requires dense deployment of sensors. Traditional wired sensor systems are generally expensive and time-consuming to install due to cabling. With wireless communication and on-board computation capabilities, wireless smart sensor networks have the advantages of being low cost, easy to deploy and maintain and therefore facilitate dense instrumentation for structural health monitoring. A long-term monitoring project was recently carried out for a cable-stayed bridge in South Korea with a dense array of 113 smart sensors, which feature the world's largest wireless smart sensor network for civil structural monitoring. This paper presents a comprehensive statistical analysis of the modal properties including natural frequencies, damping ratios and mode shapes of the monitored cable-stayed bridge. Data analyzed in this paper is composed of structural vibration signals monitored during a 12-month period under ambient excitations. The correlation between environmental temperature and the modal frequencies is also investigated. The results showed the long-term statistical structural behavior of the bridge, which serves as the basis for Bayesian statistical updating for the numerical model.

  3. Long-term follow up of patients affected by pulmonary carcinoid at the Istituto Nazionale Tumori of Milan: a retrospective analysis.

    Science.gov (United States)

    Pusceddu, S; Catena, L; Valente, M; Buzzoni, R; Formisano, B; Del Vecchio, M; Ducceschi, M; Tavecchio, L; Fabbri, A; Bajetta, E

    2010-03-01

    Neuroendocrine tumors of the lung involve an heterogeneous group of tumors representing a wide range of histological variants, from well-differentiated typical carcinoid (TC) tumors to poorly differentiated small cell carcinomas. The epidemiology, clinical outcome, and management of these neoplasms differ significantly from other lung malignancies. The main aim of this report consists in describing the single Center experience of the Istituto Nazionale Tumori of Milan on neuroendocrine lung tumors, with an emphasis on bronchopulmonary carcinoid subtypes. From 1986 to 2009, 91 cases of carcinoid tumors were diagnosed; these were divided in two series, according to typical (66 patients) or atypical [25] histotypes. These two groups were compared in relation to various features, including pathologic classification, clinical behavior, treatment modalities and long-term survival. At the moment of diagnosis 11 patients had locally advanced/metastatic disease, while 80 patients showed non metastatic disease. The comparative analysis between typical and atypical series disclosed significant differences in terms of long-term survival; in fact, 5-year and 10-year survival rates were 98 % and 94 % for the first carcinoid series versus 76 % and 18 % for the atypical series, respectively (p<0.001). The median overall survival (OS) was 76 months (range 3-182) for atypical carcinoids and has not yet been reached for TCs patients.

  4. Long-term follow up of patients affected by pulmonary carcinoid at the Istituto Nazionale Tumori of Milan: a retrospective analysis

    Science.gov (United States)

    Pusceddu, S; Catena, L; Valente, M; Buzzoni, R; Formisano, B; Del Vecchio, M; Ducceschi, M; Tavecchio, L; Fabbri, A; Bajetta, E

    2010-01-01

    Neuroendocrine tumors of the lung involve an heterogeneous group of tumors representing a wide range of histological variants, from well-differentiated typical carcinoid (TC) tumors to poorly differentiated small cell carcinomas. The epidemiology, clinical outcome, and management of these neoplasms differ significantly from other lung malignancies. The main aim of this report consists in describing the single Center experience of the Istituto Nazionale Tumori of Milan on neuroendocrine lung tumors, with an emphasis on bronchopulmonary carcinoid subtypes. From 1986 to 2009, 91 cases of carcinoid tumors were diagnosed; these were divided in two series, according to typical (66 patients) or atypical [25] histotypes. These two groups were compared in relation to various features, including pathologic classification, clinical behavior, treatment modalities and long-term survival. At the moment of diagnosis 11 patients had locally advanced/metastatic disease, while 80 patients showed non metastatic disease. The comparative analysis between typical and atypical series disclosed significant differences in terms of long-term survival; in fact, 5-year and 10-year survival rates were 98 % and 94 % for the first carcinoid series versus 76 % and 18 % for the atypical series, respectively (p<0.001). The median overall survival (OS) was 76 months (range 3-182) for atypical carcinoids and has not yet been reached for TCs patients. PMID:22263011

  5. THE ANALYSIS OF THE INDICATORS WHICH REFLECT THE ABILITY OF COMPANIES OF FACING SHORT TERM OBLIGATIONS AND MEDIUM AND LONG TERM MATURITIES

    Directory of Open Access Journals (Sweden)

    LĂPĂDUŞI MIHAELA LOREDANA

    2012-12-01

    Full Text Available The company’s solvency and liquidity are two indicators of managing the financial stability, indicators whose management is reflected in a decisive manner on the company results. These are two basic requirements in achieving the financial stability of the company. If liquidity reflects the company's ability to meet short-term obligations, solvency reflects company's ability to meet the medium and long term maturities. One of the most important premises which determine the effective development of a company refers to the action of providing liquidity and solvency. These are the key indicators of financial stability management. Ensuring the solvency is the priority objective of a company that wants to maintain a financial autonomy and the flexibility of management resulting from the balance between revenues and cash flow payments. Liquidity represents the indicator that reflects the quality of the company's financial balance on short-term and measures the ability of the company to meet short-term obligations through rapid transformation of current assets into cash. The purpose of the research includes studying and analyzing the liquidity and solvency of the company whose scope should be reflected in achieving the optimal coefficients of the two indicators. Liquidity and solvency analysis is done by the system of rates that actually reflect those indicators that highlight whether a company has availability to meet short-term maturities or if the size of debt and financial costs allows the company to meet the medium and long term maturities.

  6. Long-term time series analysis of quantum dot encoded cells by deconvolution of the autofluorescence signal.

    Science.gov (United States)

    Brown, M Rowan; Summers, Huw D; Rees, Paul; Chappell, Sally C; Silvestre, Oscar F; Khan, Imtiaz A; Smith, Paul J; Errington, Rachel J

    2010-10-01

    The monitoring of cells labeled with quantum dot endosome-targeted markers in a highly proliferative population provides a quantitative approach to determine the redistribution of quantum dot signal as cells divide over generations. We demonstrate that the use of time-series flow cytometry in conjunction with a stochastic numerical simulation to provide a means to describe the proliferative features and quantum dot inheritance over multiple generations of a human tumor population. However, the core challenge for long-term tracking where the original quantum dot fluorescence signal over time becomes redistributed across a greater cell number requires accountability of background fluorescence in the simulation. By including an autofluorescence component, we are able to continue even when this signal predominates (i.e., >80% of the total signal) and obtain valid readouts of the proliferative system. We determine the robustness of the technique by tracking a human osteosarcoma cell population over 8 days and discuss the accuracy and certainty of the model parameters obtained. This systems biology approach provides insight into both cell heterogeneity and division dynamics within the population and furthermore informs on the lineage history of its members.

  7. Model analysis of check dam impacts on long-term sediment and water budgets in southeast Arizona, USA

    Science.gov (United States)

    Norman, Laura M.; Niraula, Rewati

    2016-01-01

    The objective of this study was to evaluate the effect of check dam infrastructure on soil and water conservation at the catchment scale using the Soil and Water Assessment Tool (SWAT). This paired watershed study includes a watershed treated with over 2000 check dams and a Control watershed which has none, in the West Turkey Creek watershed, Southeast Arizona, USA. SWAT was calibrated for streamflow using discharge documented during the summer of 2013 at the Control site. Model results depict the necessity to eliminate lateral flow from SWAT models of aridland environments, the urgency to standardize geospatial soils data, and the care for which modelers must document altering parameters when presenting findings. Performance was assessed using the percent bias (PBIAS), with values of ±2.34%. The calibrated model was then used to examine the impacts of check dams at the Treated watershed. Approximately 630 tons of sediment is estimated to be stored behind check dams in the Treated watershed over the 3-year simulation, increasing water quality for fish habitat. A minimum precipitation event of 15 mm was necessary to instigate the detachment of soil, sediments, or rock from the study area, which occurred 2% of the time. The resulting watershed model is useful as a predictive framework and decision-support tool to consider long-term impacts of restoration and potential for future restoration.

  8. Analysis of Long-Term Station Blackout without automatic depressurization at Peach Bottom using MELCOR (Version 1.8)

    Energy Technology Data Exchange (ETDEWEB)

    Madni, I.K. [Brookhaven National Lab., Upton, NY (United States)

    1994-05-01

    This report documents the results from MELCOR calculations of the Long-Term Station Blackout Accident Sequence, with failure to depressurize the reactor vessel, at the Peach Bottom (BWR Mark I) plant, and presents comparisons with Source Term Code Package calculations of the same sequence. STCP has calculated the transient out to 13.5, hours after core uncovery. Most of the MELCOR calculations presented have been carried out to between 15 and 16.7 hours after core uncovery. The results include the release of source terms to the environment. The results of several sensitivity calculations with MELCOR are also presented, which explore the impact of varying user-input modeling and timestep control parameters on the accident progression and release of source terms to the environment. Most of the calculations documented here were performed in FY1990 using MELCOR Version 1.8BC. However, the appendices also document the results of more recent calculations performed in FY1991 using MELCOR versions 1.8CZ and 1.8DNX.

  9. Vaccinations and malaria prophylaxis for long-term travellers travelling from Greece: a prospective, questionnaire-based analysis.

    Science.gov (United States)

    Pavli, Androula; Smeti, Paraskevi; Spilioti, Athina; Silvestros, Chrysovalantis; Katerelos, Panagiotis; Maltezou, Helena C

    2014-01-01

    The purpose of this prospective, questionnaire-based study is to assess pre-travel vaccinations and malaria prophylaxis for long-term travellers who receive pre-travel advice in Greece. A total of 4721 travellers were studied from January 1, 2009 through December 31, 2012. Travellers sought pre-travel advice at a mean of 19.7 days (range: 0-349 days) before departure. Long-term travellers (≥ 1 month) accounted for 2205 (46.7%) of all travellers. Long-term travellers had a mean age of 34.5 years. The majority of them were men (79.8%). In terms of destinations, 84% were visiting malaria-endemic countries and sub-Saharan Africa was the most common destination (17.7%). Most long-term travellers pursued trips for work purposes (70%), visited urban areas (79.6%) and stayed in hotels (29.2%). Yellow fever, typhoid fever, hepatitis A and tetanus/diphtheria vaccines were administered to 1647 (74.7%), 741 (33.6%), 652 (29.5%), and 589 (26.7%) travellers, respectively. Yellow fever vaccine was administered to 339 (87%) and 132 (71%) of long-term travellers to sub-Saharan Africa and South America respectively, whereas typhoid vaccine to 119 (90.8%) and 330 (84.6%) of those travelling to the Indian subcontinent and sub-Saharan Africa respectively. Rabies vaccine was administered to 14 (0.6%) of them. Malaria prophylaxis was recommended to 446 (20%) of long-term travellers. Mefloquine was the most commonly (49%) prescribed agent, and was prescribed to 26.7% of long-term travellers to sub-Sahara Africa. In conclusion, this study revealed that recommendations for vaccine and malaria prophylaxis for long-term travellers to developing countries should be more selective, based on the assessment of all travellers' and travel characteristics, in order to provide adequate pre-travel preparation for this high risk group of travellers. More focused studies are suggested in order to understand the particular needs of long-term travellers. Increasing awareness of travellers and travel

  10. A long-term analysis of Pt counter electrodes for Dye-sensitized Solar Cells exploiting a microfluidic housing system

    Energy Technology Data Exchange (ETDEWEB)

    Sacco, Adriano, E-mail: adriano.sacco@iit.it [Center for Space Human Robotics @Polito, Istituto Italiano di Tecnologia, Corso Trento 21, 10129 Torino (Italy); Pugliese, Diego; Lamberti, Andrea [Applied Science and Technology Department, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Torino (Italy); Castellino, Micaela; Chiodoni, Angelica [Center for Space Human Robotics @Polito, Istituto Italiano di Tecnologia, Corso Trento 21, 10129 Torino (Italy); Virga, Alessandro [Applied Science and Technology Department, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Torino (Italy); Bianco, Stefano [Center for Space Human Robotics @Polito, Istituto Italiano di Tecnologia, Corso Trento 21, 10129 Torino (Italy); Applied Science and Technology Department, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Torino (Italy)

    2015-07-01

    The study of the degradation process occurring in Dye-sensitized Solar Cells (DSCs) is still a hot topic, in view of the final industrialization and application of this class of devices. Currently the long-term analysis of DSCs is carried out on the entire devices, while the monitoring of cell components cannot be performed in situ directly on the materials, but only through indirect methods. In this paper we report on the analysis of two different kinds of Pt counter electrodes through direct measurements performed under real operating conditions, thanks to the use of a home-made microfluidic housing system, which allows the opening and the investigation of the cell components. The counter electrode samples were studied through X-Ray Photoelectron Spectroscopy, Field Emission Scanning Electron Microscopy, Energy Dispersive X-ray Spectroscopy, UV–visible Spectroscopy and Electrochemical Impedance Spectroscopy for a period longer than 1 year. The results showed that the performances of both classes of Pt counter electrodes remained stable for all the investigation period, despite some slight variation of the morphology. DSCs fabricated employing aged counter electrodes exhibited the same photovoltaic performance behavior of reference cells using fresh-produced counter electrodes, thus demonstrating that both class of materials do not undergo degradation during normal operating conditions. - Highlights: • The analysis of Pt counter electrodes for Dye-sensitized Solar Cells was carried out. • Two families of counter electrodes were studied for a period longer than 1 year. • The analyzed samples were investigated in real operating condition. • A small detachment of the Pt clusters in the thermal samples was observed. • The charge transfer properties remained unchanged for all the investigation period.

  11. Predictive and concurrent validity of the Braden scale in long-term care: a meta-analysis.

    Science.gov (United States)

    Wilchesky, Machelle; Lungu, Ovidiu

    2015-01-01

    Pressure ulcer prevention is an important long-term care (LTC) quality indicator. While the Braden Scale is a recommended risk assessment tool, there is a paucity of information specifically pertaining to its validity within the LTC setting. We, therefore, undertook a systematic review and meta-analysis comparing Braden Scale predictive and concurrent validity within this context. We searched the Medline, EMBASE, PsychINFO and PubMed databases from 1985-2014 for studies containing the requisite information to analyze tool validity. Our initial search yielded 3,773 articles. Eleven datasets emanating from nine published studies describing 40,361 residents met all meta-analysis inclusion criteria and were analyzed using random effects models. Pooled sensitivity, specificity, positive predictive value (PPV), and negative predictive values were 86%, 38%, 28%, and 93%, respectively. Specificity was poorer in concurrent samples as compared with predictive samples (38% vs. 72%), while PPV was low in both sample types (25 and 37%). Though random effects model results showed that the Scale had good overall predictive ability [RR, 4.33; 95% CI, 3.28-5.72], none of the concurrent samples were found to have "optimal" sensitivity and specificity. In conclusion, the appropriateness of the Braden Scale in LTC is questionable given its low specificity and PPV, in particular in concurrent validity studies. Future studies should further explore the extent to which the apparent low validity of the Scale in LTC is due to the choice of cutoff point and/or preventive strategies implemented by LTC staff as a matter of course.

  12. SOARCA Peach Bottom Atomic Power Station Long-Term Station Blackout Uncertainty Analysis: Convergence of the Uncertainty Results

    Energy Technology Data Exchange (ETDEWEB)

    Bixler, Nathan E.; Osborn, Douglas.; Sallaberry, Cedric Jean-Marie; Eckert-Gallup, Aubrey Celia; Mattie, Patrick D.; Ghosh, S. Tina

    2014-02-01

    This paper describes the convergence of MELCOR Accident Consequence Code System, Version 2 (MACCS2) probabilistic results of offsite consequences for the uncertainty analysis of the State-of-the-Art Reactor Consequence Analyses (SOARCA) unmitigated long-term station blackout scenario at the Peach Bottom Atomic Power Station. The consequence metrics evaluated are individual latent-cancer fatality (LCF) risk and individual early fatality risk. Consequence results are presented as conditional risk (i.e., assuming the accident occurs, risk per event) to individuals of the public as a result of the accident. In order to verify convergence for this uncertainty analysis, as recommended by the Nuclear Regulatory Commission’s Advisory Committee on Reactor Safeguards, a ‘high’ source term from the original population of Monte Carlo runs has been selected to be used for: (1) a study of the distribution of consequence results stemming solely from epistemic uncertainty in the MACCS2 parameters (i.e., separating the effect from the source term uncertainty), and (2) a comparison between Simple Random Sampling (SRS) and Latin Hypercube Sampling (LHS) in order to validate the original results obtained with LHS. Three replicates (each using a different random seed) of size 1,000 each using LHS and another set of three replicates of size 1,000 using SRS are analyzed. The results show that the LCF risk results are well converged with either LHS or SRS sampling. The early fatality risk results are less well converged at radial distances beyond 2 miles, and this is expected due to the sparse data (predominance of “zero” results).

  13. Short and long term analysis of heart rate variations in spontaneously hypertensive rats: effects of DSP-4 administration.

    Science.gov (United States)

    Kawamura, H; Mitsubayashi, H; Miao, T; Shimizu, T

    2005-10-01

    The purpose of this study was to investigate whether or not central noradrenergic neurons were involved in the time structure of circadian variation of heart rate (HR) in hypertension. We used spontaneously hypertensive rats (SHR(Izm)) and normotensive controls (Wistar Kyoto rats, WKY(Izm)). We selectively destroyed the noradrenergic neurons in the central nervous system (CNS) by administering noradrenergic neurotoxin, N-(2-chloroethy)-N-ethyl-2-bromobenzylamine (DSP4). Frequency domain measures of variation of HR (VHR) were obtained using the maximum entropy method. The 24-h time frame in VHR is usually dominant in both SHR(Izm) and WKY(Izm). Fourteen days after the administering of DSP4, the mean 24-h systolic arterial pressure (SAP) remained higher in SHR(Izm) than in WKY(Izm). After chemical lesion, ultradian rhythms (12-, 8-, 6-, and 4-h periods) in VHR became more remarkable in both SHR(Izm) and WKY(Izm) than before chemical lesion. Before chemical lesion, an inverse relationship existed between frequency and power spectral density in VHR, demonstrating 1/f(beta) characteristics. The slope of 1/f(beta) in VHR did not differ between SHR(Izm) and WKY(Izm). After the chemical lesion it did not also differ from that of each strain in control period (before lesion). Therefore, the noradrenergic neurons may not affect the time structure of HR in SHR(Izm) and WKY(Izm) for short-term time analysis. However, the intact noradrenergic neurons in CNS may be important to keep normal cardiac autonomic function in SHR(Izm) for long-term analysis.

  14. Long term measurements of submicrometer urban aerosols: statistical analysis for correlations with meteorological conditions and trace gases

    Directory of Open Access Journals (Sweden)

    B. Wehner

    2003-01-01

    Full Text Available Long-term measurements (over 4 years of particle number size distributions (submicrometer particles, 3-800 nm in diameter, trace gases (NO, NO2, and O3, and meteorological parameters (global radiation, wind speed and direction, atmospheric pressure, etc. were taken in a moderately polluted site in the city of Leipzig (Germany. The resulting complex data set was analyzed with respect to seasonal, weekly, and diurnal variation of the submicrometer aerosol. Car traffic produced a peak in the number size distribution at around 20 nm particle diameter during morning rush hour on weekdays. A second peak at 10-15 nm particle diameter occurred around noon during summer, confirmed by high correlation between concentration of particles less than 20 nm and the global radiation. This new-particle formation at noon was correlated with the amount of global radiation. A high concentration of accumulation mode particles (between 100 and 800 nm, which are associated with large particle-surface area, might prevent this formation. Such high particle concentration in the ultrafine region (particles smaller than 20 nm in diameter was not detected in the particle mass, and thus, particle mass concentration is not suitable for determining the diurnal patterns of particles. In summer, statistical time series analysis showed a cyclic pattern of ultrafine particles with a period of one day and confirmed the correlation with global radiation. Principal component analysis (PCA revealed a strong correlation between the particle concentration for 20-800 nm particles and the NO- and NO2-concentrations, indicating the influence of combustion processes on this broad size range, in particular during winter. In addition, PCA also revealed that particle concentration depended on meteorological conditions such as wind speed and wind direction, although the dependence differed with particle size class.

  15. Long-term, high-frequency water quality monitoring in an agricultural catchment: insights from spectral analysis

    Science.gov (United States)

    Aubert, Alice; Kirchner, James; Faucheux, Mikael; Merot, Philippe; Gascuel-Odoux, Chantal

    2013-04-01

    The choice of sampling frequency is a key issue in the design and operation of environmental observatories. The choice of sampling frequency creates a spectral window (or temporal filter) that highlights some timescales and processes, and de-emphasizes others (1). New online measurement technologies can monitor surface water quality almost continuously, allowing the creation of very rich time series. The question of how best to analyze such detailed temporal datasets is an important issue in environmental monitoring. In the present work, we studied water quality data from the AgrHys long-term hydrological observatory (located at Kervidy-Naizin, Western France) sampled at daily and 20-minute time scales. Manual sampling has provided 12 years of daily measurements of nitrate, dissolved organic carbon (DOC), chloride and sulfate (2), and 3 years of daily measurements of about 30 other solutes. In addition, a UV-spectrometry probe (Spectrolyser) provides one year of 20-minute measurements for nitrate and DOC. Spectral analysis of the daily water quality time series reveals that our intensively farmed catchment exhibits universal 1/f scaling (power spectrum slope of -1) for a large number of solutes, confirming and extending the earlier discovery of universal 1/f scaling in the relatively pristine Plynlimon catchment (3). 1/f time series confound conventional methods for assessing the statistical significance of trends. Indeed, conventional methods assume that there is a clear separation of scales between the signal (the trend line) and the noise (the scatter around the line). This is not true for 1/f noise, since it overestimates the occurrence of significant trends. Our results raise the possibility that 1/f scaling is widespread in water quality time series, thus posing fundamental challenges to water quality trend analysis. Power spectra of the 20-minute nitrate and DOC time series show 1/f scaling at frequencies below 1/day, consistent with the longer-term daily

  16. Analysis on the Long Term Effect of Trial Test Road Constructed on Batu Pahat Soft Clay (BPSC) at Recess UTHM

    Science.gov (United States)

    Idrus, M. M. M.; Edayu, A. E.; Adnan, Z.; Ismail, B.

    2016-07-01

    The reinforcement used in soil for construction of roads on the soft clay is very important as it will determine the level of service of the road after it was built. Damage or defects on the road surface to be an indicator of the level of the road has dropped and shows the deformation of the road. For this research, an analysis has carried out on the long-term effect of trial test road constructed on Batu Pahat Soft Clay (BPSC) at RECESS UTHM. Through this research, the reinforcement using Rawell Geosynthetic Clay Liner (RGCL) was the best with the stability is 14964 N, a low flow is 2.69mm, stiffness modulus is 1766 MPa, the peak load is 739.4 N and a lower horizontal deformation which is 1.71 µm compared Woven Geotextile section and section without geotextile [1] [9]. In terms of deformation can be seen clearly from physical observations that section without geotextile suffered significant damage than others. Settlement of road can also be analyzed by a longitudinal section that plotted based on the result of leveling work. After that, settlements are more visible way on the right side of the road trial. Through lab tests conducted, it indicate that the coring samples obtained from sites of each section meets the specifications set by the Jabatan Kerja Raya (JKR) in terms of stability, flow and stiffness [1]. Through this study, a trial road built on soft soil can be used as a test site because of the uniqueness of these roads which has three different types of reinforcements.

  17. Tree species diversity influences herbivore abundance and damage: meta-analysis of long-term forest experiments.

    Science.gov (United States)

    Vehviläinen, Harri; Koricheva, Julia; Ruohomäki, Kai

    2007-05-01

    Plant monocultures are commonly believed to be more susceptible to herbivore attacks than stands composed of several plant species. However, few studies have experimentally tested the effects of tree species diversity on herbivory. In this paper, we present a meta-analysis of uniformly collected data on insect herbivore abundance and damage on three tree species (silver birch, black alder and sessile oak) from seven long-term forest diversity experiments in boreal and temperate forest zones. Our aim was to compare the effects of forest diversity on herbivores belonging to different feeding guilds and inhabiting different tree species. At the same time we also examined the variation in herbivore responses due to tree age and sampling period within the season, the effects of experimental design (plot size and planting density) and the stability of herbivore responses over time. Herbivore responses varied significantly both among insect feeding guilds and among host tree species. Among insect feeding guilds, only leaf miner densities were consistently lower and less variable in mixed stands as compared to tree monocultures regardless of the host tree species. The responses of other herbivores to forest diversity depended largely on host tree species. Insect herbivory on birch was significantly lower in mixtures than in birch monocultures, whereas insect herbivory on oak and alder was higher in mixtures than in oak and alder monocultures. The effects of tree species diversity were also more pronounced in older trees, in the earlier part of the season, at larger plots and at lower planting density. Overall our results demonstrate that forest diversity does not generally and uniformly reduce insect herbivory and suggest instead that insect herbivore responses to forest diversity are highly variable and strongly dependent on the host tree species and other stand characteristics as well as on the type of the herbivore.

  18. Coculture of autologous limbal and conjunctival epithelial cells to treat severe ocular surface disorders: Long-term survival analysis

    Directory of Open Access Journals (Sweden)

    Sandhya V Subramaniam

    2013-01-01

    Full Text Available Background: Cultivated limbal epithelium for reconstruction of corneal surface is a well-established procedure; however, it is not adequate for damage which also extensively involves the conjunctiva. In severe cases of ocular surface damage that warrant additional conjunctival transplantation apart from cultivated limbal stem cell transplantation, we describe the long-term survival of a novel method of cocultivating autologous limbal and conjunctival epithelium on a single substrate. Materials and Methods: Forty eyes of 39 patients with severe limbal stem cell deficiency and conjunctival scarring or symblepharon underwent transplantation of autologous cocultivated epithelium on human amniotic membrane. A ring barrier was used to segregate the central limbal and peripheral conjunctival epithelia in vitro. Patients were followed up at regular intervals to assess stability of the ocular surface, defined by absence of conjunctivalization into the central 4 mm of the cornea and absence of diffuse fluorescein staining. Penetrating keratoplasty (PKP was subsequently performed, where indicated, in patients with surface stability. Results: The cumulative survival probability was 60% at 1 year and 45% at 4 years by Kaplan-Meier analysis (mean follow-up duration: 33 ± 29 months, range: 1-87 months. Best-corrected visual acuity improved to greater than 20/200 in 38% eyes at the last follow-up, compared with 5% eyes before surgery. Immunohistochemistry in five of the corneal buttons excised for PKP showed an epithelial phenotype similar to cornea in all five. Conclusions: Synchronous use of cultured limbal and conjunctival epithelium offers a feasible alternative and a simpler one-step surgical approach to treat severe ocular surface disorders involving limbus and conjunctiva.

  19. Applying of Decision Tree Analysis to Risk Factors Associated with Pressure Ulcers in Long-Term Care Facilities

    Science.gov (United States)

    Moon, Mikyung

    2017-01-01

    Objectives The purpose of this study was to use decision tree analysis to explore the factors associated with pressure ulcers (PUs) among elderly people admitted to Korean long-term care facilities. Methods The data were extracted from the 2014 National Inpatient Sample (NIS)—data of Health Insurance Review and Assessment Service (HIRA). A MapReduce-based program was implemented to join and filter 5 tables of the NIS. The outcome predicted by the decision tree model was the prevalence of PUs as defined by the Korean Standard Classification of Disease-7 (KCD-7; code L89*). Using R 3.3.1, a decision tree was generated with the finalized 15,856 cases and 830 variables. Results The decision tree displayed 15 subgroups with 8 variables showing 0.804 accuracy, 0.820 sensitivity, and 0.787 specificity. The most significant primary predictor of PUs was length of stay less than 0.5 day. Other predictors were the presence of an infectious wound dressing, followed by having diagnoses numbering less than 3.5 and the presence of a simple dressing. Among diagnoses, “injuries to the hip and thigh” was the top predictor ranking 5th overall. Total hospital cost exceeding 2,200,000 Korean won (US $2,000) rounded out the top 7. Conclusions These results support previous studies that showed length of stay, comorbidity, and total hospital cost were associated with PUs. Moreover, wound dressings were commonly used to treat PUs. They also show that machine learning, such as a decision tree, could effectively predict PUs using big data. PMID:28261530

  20. Microarray analysis of gene expression patterns of high lycopene tomato generated from seeds after long-term space flight

    Science.gov (United States)

    Lu, Jinying; Ren, Chunxiao; Pan, Yi; Nechitailo, Galina S.; Liu, Min

    Lycopene content is a most vital trait of tomatoes due to the role of lycopene in reducing the risk of some kinds of cancers. In this experiment, we gained a high lycopene (hl) tomato (named HY-2), after seven generations of self-cross selection, from seeds Russian MNP-1 carried in Russia MIR space station for six years. HPLC result showed that the lycopene content was 1.6 times more than that in Russian MNP-1 (the wild type). Microarray analysis presented the general profile of differential expressed genes at the tomato developmental stage of 7DPB (days post breaker). One hundred and forty three differential expression genes were identified according to the following criterion: the average changes were no less than 1.5 folds with q-value (similar to FDR) less than 0.05 or changes were no less than 1.5 folds in all three biological replications. Most of the differential expressed genes were mainly involved in metabolism, response to stimulus, biosynthesis, development and regulation. Particularly, we discussed the genes involved in protein metabolism, response to unfolded protein, carotenoid biosynthesis and photosynthesis that might be related to the fruit development and the accumulation of lycopene. What's more, we conducted QRT-PCR validation of five key genes (Fps, CrtL-b, CrtR-b, Zep and Nxs) in the lycopene biosynthesis pathway through time courses and that provided the direct molecular evidence for the hl phenotype. Our results demonstrate that long-term space flight, as a rarely used tool, can positively cause some beneficial mutations in the seeds and thus to help to generate a high quality variety, combined with ground selections.

  1. Long-term performance and fouling analysis of full-scale direct nanofiltration (NF) installations treating anoxic groundwater

    NARCIS (Netherlands)

    Beyer, F.; Rietman, B.M.; Zwijnenburg, A.; Brink, van den P.; Vrouwenvelder, J.S.; Jarzembowska, M.; Laurinonyte, J.; Stams, A.J.M.; Plugge, C.M.

    2014-01-01

    Long-term performance and fouling behavior of four full-scale nanofiltration (NF) plants, treating anoxic groundwater at 80% recovery for drinking water production, were characterized and compared with oxic NF and reverse osmosis systems. Plant operating times varied between 6 and 10 years and pretr

  2. Long-Term Effects of Child Death on Parents' Health-Related Quality of Life: A Dyadic Analysis

    Science.gov (United States)

    Song, Jieun; Floyd, Frank J.; Seltzer, Marsha Mailick; Greenberg, Jan S.; Hong, Jinkuk

    2010-01-01

    This study examines the long-term effects of child death on bereaved parents' health-related quality of life (HRQoL). Using data from the Wisconsin Longitudinal Study, we compared 233 bereaved couples and 229 comparison couples (mean age = 65.11 years) and examined the life course effects of child death on parents' HRQoL. Variations in bereavement…

  3. Long-term prognosis of breast cancer: An analysis of 462 patients in a general hospital in south east Netherlands

    NARCIS (Netherlands)

    H.W. Nab (Henk); N. Kluck (Nadine); E.J.T. Rutgers (Emiel); J.W.W. Coebergh (Jan Willem); W.C.J. Hop (Wim)

    1995-01-01

    textabstractIn this study the long-term prognosis was analysed of all 462 consecutive female breast cancer patients who were diagnosed and carefully staged between 1970 and 1980 in a 600-bed community hospital in Eindhoven, south east Netherlands. Follow-up of recurrence and causes of death was obta

  4. Long-term exposure to mobile communication radiation: an analysis of time-variability of electric field level in GSM900 downlink channels.

    Science.gov (United States)

    Miclaus, Simona; Bechet, Paul; Gheorghevici, Marius

    2013-04-01

    Interest for knowing long-term human exposure levels due to mobile communications has increased in the last years. It has been shown that short-term exposure assessment made under standard procedural restrictions is not reliable when it comes to conclusions on long-term exposure levels. The present work is the result of a several week analysis of time variability of electric field level inside traffic and control channels of the GSM900 mobile communication downlink band and it indicates that a temporal model to allow future predictions of exposure on the long run is obtainable. Collecting, processing and statistically analysing the data provide expression of the maximum and weighted field strengths and their evolution in time. Specific electromagnetic footprints of the channels have been extracted, differentiations between their characteristics have been emphasised and practical advice is provided, with the scope of contributing to the development of reliable procedures for long-term exposure assessment.

  5. Long-term Outcomes of Childhood Onset Nephrotic Syndrome

    OpenAIRE

    Hjorten, Rebecca; Anwar, Zohra; Reidy, Kimberly Jean

    2016-01-01

    There are limited studies on long-term outcomes of childhood onset nephrotic syndrome (NS). A majority of children with NS have steroid-sensitive nephrotic syndrome (SSNS). Steroid-resistant nephrotic syndrome (SRNS) is associated with a high risk of developing end-stage renal disease. Biomarkers and analysis of genetic mutations may provide new information for prognosis in SRNS. Frequently relapsing and steroid-dependent NS is associated with long-term complications, including dyslipidemia, ...

  6. The Screening of Genes Sensitive to Long-Term, Low-Level Microwave Exposure and Bioinformatic Analysis of Potential Correlations to Learning and Memory

    Institute of Scientific and Technical Information of China (English)

    ZHAO Ya Li; LI Ying Xian; MA Hong Bo; LI Dong; LI Hai Liang; JIANG Rui; KAN Guang Han; YANG Zhen Zhong; HUANG Zeng Xin

    2015-01-01

    Objective To gain a better understanding of gene expression changes in the brain following microwave exposure in mice. This study hopes to reveal mechanisms contributing to microwave-induced learning and memory dysfunction. Methods Mice were exposed to whole body 2100 MHz microwaves with specific absorption rates (SARs) of 0.45 W/kg, 1.8 W/kg, and 3.6 W/kg for 1 hour daily for 8 weeks. Differentially expressing genes in the brains were screened using high-density oligonucleotide arrays, with genes showing more significant differences further confirmed by RT-PCR. Results The gene chip results demonstrated that 41 genes (0.45 W/kg group), 29 genes (1.8 W/kg group), and 219 genes (3.6 W/kg group) were differentially expressed. GO analysis revealed that these differentially expressed genes were primarily involved in metabolic processes, cellular metabolic processes, regulation of biological processes, macromolecular metabolic processes, biosynthetic processes, cellular protein metabolic processes, transport, developmental processes, cellular component organization, etc. KEGG pathway analysis showed that these genes are mainly involved in pathways related to ribosome, Alzheimer's disease, Parkinson's disease, long-term potentiation, Huntington's disease, and Neurotrophin signaling. Construction of a protein interaction network identified several important regulatory genes including synbindin (sbdn), Crystallin (CryaB), PPP1CA, Ywhaq, Psap, Psmb1, Pcbp2, etc., which play important roles in the processes of learning and memory. Conclusion Long-term, low-level microwave exposure may inhibit learning and memory by affecting protein and energy metabolic processes and signaling pathways relating to neurological functions or diseases.

  7. Remission from post-traumatic stress disorder in adults: a systematic review and meta-analysis of long term outcome studies

    NARCIS (Netherlands)

    N. Morina; J.M. Wicherts; J. Lobbrecht; S. Priebe

    2014-01-01

    Posttraumatic stress disorder (PTSD) is a frequent mental disorder associated with significant distress and high costs. We conducted the first systematic review and meta-analysis on spontaneous long-term remission rates, i. e., without specific treatment. Data sources were searches of databases, han

  8. Mechanical dyssynchrony evaluated by tissue Doppler cross-correlation analysis is associated with long-term survival in patients after cardiac resynchronization therapy

    DEFF Research Database (Denmark)

    Risum, Niels; Williams, Eric S; Khouri, Michel G;

    2013-01-01

    Aims Pre-implant assessment of longitudinal mechanical dyssynchrony using cross-correlation analysis (XCA) was tested for association with long-term survival and compared with other tissue Doppler imaging (TDI)-derived indices. Methods and results In 131 patients referred for cardiac resynchroniz...

  9. Long-Term Collections

    CERN Multimedia

    Staff Association

    2016-01-01

    45 years helping in developing countries! CERN personnel have been helping the least fortunate people on the planet since 1971. How? With the Long-Term Collections! Dear Colleagues, The Staff Association’s Long-Term Collections (LTC) Committee is delighted to share this important milestone in the life of our Laboratory with you. Indeed, whilst the name of CERN is known worldwide for scientific discoveries, it also shines in the many humanitarian projects which have been supported by the LTC since 1971. Several schools and clinics, far and wide, carry its logo... Over the past 45 years, 74 projects have been supported (9 of which are still ongoing). This all came from a group of colleagues who wanted to share a little of what life offered them here at CERN, in this haven of mutual understanding, peace and security, with those who were less fortunate elsewhere. Thus, the LTC were born... Since then, we have worked as a team to maintain the dream of these visionaries, with the help of regular donat...

  10. Long-Term Collection

    CERN Multimedia

    Staff Association

    2016-01-01

    Dear Colleagues, As previously announced in Echo (No. 254), your delegates took action to draw attention to the projects of the Long-Term Collections (LTC), the humanitarian body of the CERN Staff Association. On Tuesday, 11 October, at noon, small Z-Cards were widely distributed at the entrances of CERN restaurants and we thank you all for your interest. We hope to have achieved an important part of our goal, which was to inform you, convince you and find new supporters among you. We will find out in the next few days! An exhibition of the LTC was also set up in the Main Building for the entire week. The Staff Association wants to celebrate the occasion of the Long-Term Collection’s 45th anniversary at CERN because, ever since 1971, CERN personnel have showed great support in helping the least fortunate people on the planet in a variety of ways according to their needs. On a regular basis, joint fundraising appeals are made with the Directorate to help the victims of natural disasters around th...

  11. Collectes à long terme

    CERN Document Server

    Collectes à long terme

    2014-01-01

    En cette fin d’année 2014 qui approche à grands pas, le Comité des Collectes à Long Terme remercie chaleureusement ses fidèles donatrices et donateurs réguliers pour leurs contributions à nos actions en faveur des plus démunis de notre planète. C’est très important, pour notre Comité, de pouvoir compter sur l’appui assidu que vous nous apportez. Depuis plus de 40 ans maintenant, le modèle des CLT est basé principalement sur des actions à long terme (soit une aide pendant 4-5 ans par projet, mais plus parfois selon les circonstances), et sa planification demande une grande régularité de ses soutiens financiers. Grand MERCI à vous ! D’autres dons nous parviennent au cours de l’année, et ils sont aussi les bienvenus. En particulier, nous tenons à remercier...

  12. Psychometric analysis of common mental disorders -- Screening Questionnaire (CMD-SQ) in long-term sickness absence

    DEFF Research Database (Denmark)

    Søgaard, Hans Jørgen; Bech, Per

    2009-01-01

    AIMS: Mental disorders often go undetected in primary care, for persons awarded disability pension, and in sick-leave certificates. No validity tests of instruments for detection and measurement of mental disorders have been performed in long-term sickness absence (LSA). This is the aim...... of the present study for Common Mental Disorders - Screening Questionnaire (CMD-SQ). METHODS: It is validity tested in a well-defined Danish population comprising all persons on continuous sickness absence just exceeding eight weeks. CMD-SQ is composed of SCL-SOM (somatization), Whiteley-7 (illness worry...... and conviction), SCL-ANX4 (anxiety), SCL-DEP6 (depression), SCL-8 (emotional disorder), and CAGE (alcohol dependency). RESULTS: Of 2,414 incident persons on long-term sickness absence within one year, 1,121 participated in the study by filling in CMD-SQ and a subsample of 337 was diagnosed by a psychiatric...

  13. Perioperative and long-term outcome of thymectomy for myasthenia gravis: comparison of surgical approaches and prognostic analysis

    Institute of Scientific and Technical Information of China (English)

    LIU Cheng-wu; LUO Meng; MEI Jian-dong; ZHU Yun-ke; PU Qiang; MA Lin; CHE Guo-wei

    2013-01-01

    Background Thymectomy is an established treatment for myasthenia gravis (MG),and video-assisted thoracoscopic surgery (VATS) thymectomy has become an acceptable surgical procedure.This study aimed to compare the results of VATS thymectomy and open thymectomy and to identify the prognostic factors after thymectomy.Methods The clinical data of 187 consecutive thymectomies performed between July 2000 and December 2009 were retrospectively reviewed; 75 open thymectomies and 112 VATS thymectomies.Clinical efficacy and variables influencing outcome were assessed by Kaplan-Meier survival curves and Cox proportional hazards regression analysis.Results The operative blood loss in the VATS group was significantly less than that in the open group ((62.14±55.43)ml vs.(137.87±165.25) ml,P <0.05).The postoperative crisis rate increased with the severity of preoperative MG and the prescription dose of anticholinesterase.Complete follow-up information of patients more than 12 months after the thymectomy was obtained on 151 cases,89 cases from the VATS group and 62 cases from the open group,with a mean follow-up period of 59.3 months,range from 12 to 117 months.Complete stable remission (CSR) was the end point for evaluation of the treatment results.The overall five-year CSR rate was 57.5% Two good prognostic factors were identified; preoperative prescription of anticholinesterase alone (P=0.035) and non-thymomatous MG (P=0.003).The five-year CSR rate of the ocular type of MG reached a high level of 67.4%.Conclusions Thymectomy can achieve good long-term CSR in MG,and VATS is an ideal alternative method.High-dose prescription of anticholinesterase and the advanced stage by Myasthenia Gravis Foundation of America (MGFA) classification have higher risks of postoperative crisis.Preoperative prescription of anticholinesterase alone and non-thymomatous MG are good prognostic factors.Thymectomy should also be considered for the ocular type of MG.

  14. Target and non-target analysis of migrants from PVC-coated cans using UHPLC-Q-Orbitrap MS: evaluation of long-term migration testing.

    Science.gov (United States)

    Vaclavikova, Marta; Paseiro-Cerrato, Rafael; Vaclavik, Lukas; Noonan, Gregory O; DeVries, Jonathan; Begley, Timothy H

    2016-01-01

    A simple, rapid and sensitive method for analyzing multi-target and non-target additives in polyvinyl chloride (PVC) food can coatings using ultra-high-performance liquid chromatography coupled to quadrupole-orbital ion-trap mass spectrometry was developed. This procedure was used to study the behaviour of a cross-linking agent, benzoguanamine (BGA), two slip agents, oleamide and erucamide, and 18 other commonly used plasticisers including phthalates, adipates, sebacates, acetyl tributyl citrate and epoxidised soybean or linseed oils. This optimised method was used to detect these analytes in food simulants (water and 3% acetic acid) in a long-term migration test of PVC-coated food cans for a period ranging from 1 day to 1.5 years at 40°C. Although very low detection limits (5 ng ml(-1)) were obtained for the majority of compounds, none of the monitored plasticisers and slip agents was detected in simulants extracted from cans over the period of the test. However, the presence of BGA in both aqueous food simulants was confirmed based on high-resolution mass spectrometry, product ion spectra and analysis of a reference standard. The BGA concentration in both simulants continued to increase with storage time: after 1.5 years storage in aqueous food simulants at 40°C, BGA was detected at concentrations up to 84 µg dm(-2). We believe this is the first study describing the long-term migration capacity of BGA from any vinyl coating material intended for use in PVC-coated food cans. Our results may have implications for migration test protocols for food cans that will be stored for extended time periods.

  15. Spatial analysis of factors influencing long-term stress in the grizzly bear (Ursus arctos population of Alberta, Canada.

    Directory of Open Access Journals (Sweden)

    Mathieu L Bourbonnais

    Full Text Available Non-invasive measures for assessing long-term stress in free ranging mammals are an increasingly important approach for understanding physiological responses to landscape conditions. Using a spatially and temporally expansive dataset of hair cortisol concentrations (HCC generated from a threatened grizzly bear (Ursus arctos population in Alberta, Canada, we quantified how variables representing habitat conditions and anthropogenic disturbance impact long-term stress in grizzly bears. We characterized spatial variability in male and female HCC point data using kernel density estimation and quantified variable influence on spatial patterns of male and female HCC stress surfaces using random forests. Separate models were developed for regions inside and outside of parks and protected areas to account for substantial differences in anthropogenic activity and disturbance within the study area. Variance explained in the random forest models ranged from 55.34% to 74.96% for males and 58.15% to 68.46% for females. Predicted HCC levels were higher for females compared to males. Generally, high spatially continuous female HCC levels were associated with parks and protected areas while low-to-moderate levels were associated with increased anthropogenic disturbance. In contrast, male HCC levels were low in parks and protected areas and low-to-moderate in areas with increased anthropogenic disturbance. Spatial variability in gender-specific HCC levels reveal that the type and intensity of external stressors are not uniform across the landscape and that male and female grizzly bears may be exposed to, or perceive, potential stressors differently. We suggest observed spatial patterns of long-term stress may be the result of the availability and distribution of foods related to disturbance features, potential sexual segregation in available habitat selection, and may not be influenced by sources of mortality which represent acute traumas. In this wildlife

  16. Spatial analysis of factors influencing long-term stress in the grizzly bear (Ursus arctos) population of Alberta, Canada.

    Science.gov (United States)

    Bourbonnais, Mathieu L; Nelson, Trisalyn A; Cattet, Marc R L; Darimont, Chris T; Stenhouse, Gordon B

    2013-01-01

    Non-invasive measures for assessing long-term stress in free ranging mammals are an increasingly important approach for understanding physiological responses to landscape conditions. Using a spatially and temporally expansive dataset of hair cortisol concentrations (HCC) generated from a threatened grizzly bear (Ursus arctos) population in Alberta, Canada, we quantified how variables representing habitat conditions and anthropogenic disturbance impact long-term stress in grizzly bears. We characterized spatial variability in male and female HCC point data using kernel density estimation and quantified variable influence on spatial patterns of male and female HCC stress surfaces using random forests. Separate models were developed for regions inside and outside of parks and protected areas to account for substantial differences in anthropogenic activity and disturbance within the study area. Variance explained in the random forest models ranged from 55.34% to 74.96% for males and 58.15% to 68.46% for females. Predicted HCC levels were higher for females compared to males. Generally, high spatially continuous female HCC levels were associated with parks and protected areas while low-to-moderate levels were associated with increased anthropogenic disturbance. In contrast, male HCC levels were low in parks and protected areas and low-to-moderate in areas with increased anthropogenic disturbance. Spatial variability in gender-specific HCC levels reveal that the type and intensity of external stressors are not uniform across the landscape and that male and female grizzly bears may be exposed to, or perceive, potential stressors differently. We suggest observed spatial patterns of long-term stress may be the result of the availability and distribution of foods related to disturbance features, potential sexual segregation in available habitat selection, and may not be influenced by sources of mortality which represent acute traumas. In this wildlife system and others

  17. Non-invasive methods applied to the case of Municipal Solid Waste landfills (MSW): analysis of long-term data

    Science.gov (United States)

    Scozzari, A.

    2008-11-01

    This work presents and discusses a methodology for modeling the behavior of a landfill system in terms of biogas release to the atmosphere, relating this quantity to local meteorological parameters. One of the most important goals in the study of MSW sites lies in the optimization of biogas collection, thus minimizing its release to the atmosphere. After an introductory part, that presents the context of non-invasive measurements for the assessment of biogas release, the concepts of survey mapping and automatic flux monitoring are introduced. Objective of this work is to make use of time series coming from long-term flux monitoring campaigns in order to assess the trend of gas release from the MSW site. A key aspect in processing such data is the modeling of the effect of meteorological parameters over such measurements; this is accomplished by modeling the system behavior with a set of Input/Output data to characterize it without prior knowledge (system identification). The system identification approach presented here is based on an adaptive simulation concept, where a set of Input/Output data help training a "black box" model, without necessarily a prior analytical knowledge. The adaptive concept is based on an Artificial Neural Network scheme, which is trained by real-world data coming from a long-term monitoring campaign; such data are also used to test the real forecasting capability of the model. In this particular framework, the technique presented in this paper appears to be very attractive for the evaluation of biogas releases on a long term basis, by simulating the effects of meteorological parameters over the flux measurement, thus enhancing the extraction of the useful information in terms of a gas "flux" quantity.

  18. Non-invasive methods applied to the case of Municipal Solid Waste landfills (MSW: analysis of long-term data

    Directory of Open Access Journals (Sweden)

    A. Scozzari

    2008-11-01

    Full Text Available This work presents and discusses a methodology for modeling the behavior of a landfill system in terms of biogas release to the atmosphere, relating this quantity to local meteorological parameters. One of the most important goals in the study of MSW sites lies in the optimization of biogas collection, thus minimizing its release to the atmosphere.

    After an introductory part, that presents the context of non-invasive measurements for the assessment of biogas release, the concepts of survey mapping and automatic flux monitoring are introduced.

    Objective of this work is to make use of time series coming from long-term flux monitoring campaigns in order to assess the trend of gas release from the MSW site. A key aspect in processing such data is the modeling of the effect of meteorological parameters over such measurements; this is accomplished by modeling the system behavior with a set of Input/Output data to characterize it without prior knowledge (system identification.

    The system identification approach presented here is based on an adaptive simulation concept, where a set of Input/Output data help training a "black box" model, without necessarily a prior analytical knowledge. The adaptive concept is based on an Artificial Neural Network scheme, which is trained by real-world data coming from a long-term monitoring campaign; such data are also used to test the real forecasting capability of the model.

    In this particular framework, the technique presented in this paper appears to be very attractive for the evaluation of biogas releases on a long term basis, by simulating the effects of meteorological parameters over the flux measurement, thus enhancing the extraction of the useful information in terms of a gas "flux" quantity.

  19. [Comparative analysis of long-term results of treating chronic prostatis with the use of the Andro-Gin device].

    Science.gov (United States)

    Alekseev, M Ia; Golubchikov, V A

    2002-01-01

    Follow-up examinations covered 91 patients aged from 20 to 60 years with chronic prostatitis (CP) history 1-18 years. The primary examination has found that 79.1% examinees has CP complicated with sexual dysfunction, disturbed spermatogenesis and psychoneurological disorders. In one group of CP patients etiopathogenetic treatment of CP was combined with magneto-laser-electrostimulation of the prostate provided by the unit Andro-Gin. This combined treatment proved more effective as it induced long-term remission (two years and longer) in 60.5% patients. Unsatisfactory results were minimal. Without use of the unit unsatisfactory results were recorded in 35% patients.

  20. Long-term Outcomes of Childhood Onset Nephrotic Syndrome.

    Science.gov (United States)

    Hjorten, Rebecca; Anwar, Zohra; Reidy, Kimberly Jean

    2016-01-01

    There are limited studies on long-term outcomes of childhood onset nephrotic syndrome (NS). A majority of children with NS have steroid-sensitive nephrotic syndrome (SSNS). Steroid-resistant nephrotic syndrome (SRNS) is associated with a high risk of developing end-stage renal disease. Biomarkers and analysis of genetic mutations may provide new information for prognosis in SRNS. Frequently relapsing and steroid-dependent NS is associated with long-term complications, including dyslipidemia, cataracts, osteoporosis and fractures, obesity, impaired growth, and infertility. Long-term complications of SSNS are likely to be under-recognized. There remain many gaps in our knowledge of long-term outcomes of childhood NS, and further study is indicated.

  1. Long-Term Ecological Monitoring Field Sampling Plan for 2007

    Energy Technology Data Exchange (ETDEWEB)

    T. Haney

    2007-07-31

    This field sampling plan describes the field investigations planned for the Long-Term Ecological Monitoring Project at the Idaho National Laboratory Site in 2007. This plan and the Quality Assurance Project Plan for Waste Area Groups 1, 2, 3, 4, 5, 6, 7, 10, and Removal Actions constitute the sampling and analysis plan supporting long-term ecological monitoring sampling in 2007. The data collected under this plan will become part of the long-term ecological monitoring data set that is being collected annually. The data will be used t determine the requirements for the subsequent long-term ecological monitoring. This plan guides the 2007 investigations, including sampling, quality assurance, quality control, analytical procedures, and data management. As such, this plan will help to ensure that the resulting monitoring data will be scientifically valid, defensible, and of known and acceptable quality.

  2. Long-Term Stability of Underground Operated CZT Detectors Based on the Analysis of Intrinsic $^{113}$Cd \\beta$^{-}$-Decay

    CERN Document Server

    Ebert, J; Gehre, D; Hagner, C; Heidrich, N; Klingenberg, R; Kroeninger, K; Nitsch, C; Oldorf, C; Quante, T; Rajek, S; Rebber, H; Rohatsch, K; Tebruegge, J; Temminghoff, R; Theinert, R; Timm, J; Wonsak, B; Zatschler, S; Zuber, K

    2015-01-01

    The COBRA collaboration operates a demonstrator setup at the underground facility LNGS (Laboratori Nazionali del Gran Sasso, located in Italy) to prove the technological capabilities of this concept for the search for neutrinoless double beta-decay. The setup consists of 64 $(1\\times\\!1\\times\\!1)$ cm$^{3}$ CZT detectors in CPG configuration. One purpose of this demonstrator is to test if reliable long-term operation of CZT-CPG detectors in such a setup is possible. The demonstrator has been operated under ultra low-background conditions since more than three years and collected data corresponding to an exposure of 218 kg$\\cdot$days. The presented study focuses on the long-term stability of CZT detectors by analyzing the intrinsic, fourfold forbidden non-unique $^{113}$Cd single beta-decay. It can be shown that CZT detectors can be operated stably for long periods of time and that the $^{113}$Cd single beta-decay can be used as an internal monitor of the detector performance during the runtime of the experimen...

  3. Specialist Community Nurses: A Critical Analysis of Their Role in the Management of Long-Term Conditions

    Directory of Open Access Journals (Sweden)

    Karen A. Luker

    2009-09-01

    Full Text Available The aim of this narrative review is to identify strategies in use by specialist community and public health nurses in the prevention, care and management of individuals with long-term conditions, specifically chronic obstructive pulmonary disease (COPD and musculoskeletal disorders. These conditions have been selected as they are highly prevalent; a burden on health services globally and a major public health issue. From a UK policy perspective, specialist community nurses have been placed at the forefront of taking a lead role in the coordination and delivery of more responsive services for individuals with long-term conditions; whether this has been an effective use of skills and resource is questionable. We systematically searched relevant databases between 1999–2009 to identify interventions used by specialist community nurses and critically appraised the studies. This review reports on impact and value of interventions used by specialist community nurses in the prevention and management of COPD and musculoskeletal conditions, and makes recommendations for improving services.

  4. LONG TERM COLLECTIONS

    CERN Multimedia

    STAFF ASSOCIATION

    2010-01-01

    ACKNOWLEDGMENTS The Long-Term Collections (CLT) committee would like to warmly thank its faithful donors who, year after year, support our actions all over the world. Without you, all this would not be possible. We would like to thank, in particular, the CERN Firemen’s Association who donated 5000 CHF in the spring thanks to the sale of their traditional calendar, and the generosity of the CERN community. A huge thank you to the firemen for their devotion to our cause. And thank you to all those who have opened their door, their heart, and their purses! Similarly, we warmly thank the CERN Yoga Club once again for its wonderful donation of 2000 CHF we recently received. We would also like to tell you that all our projects are running well. Just to remind you, we are currently supporting the activities of the «Réflexe-Partage» Association in Mali; the training centre of «Education et Développement» in Abomey, Benin; and the orphanage and ...

  5. A long-term, complex, unitary appraisal regarding neurorestorative, including neurorehabilitative, outcomes in patients treated with Cerebrolysin®, following traumatic brain injury

    Directory of Open Access Journals (Sweden)

    Daia CO

    2014-06-01

    Full Text Available Cristina O Daia,1,2 Monica Haras,1,2 Tiberiu Spircu,1 Aurelian Anghelescu,1,2 Liliana Onose,3 Alexandru Vlad Ciurea,1,2 Anca Sanda Mihaescu,2 Gelu Onose1,21Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; 2Bagdasar-Arseni Teaching Emergency Hospital, Bucharest, Romania; 3Metrorex – The Medical Service, Bucharest, RomaniaBackground: Neuroprotection is a modern therapeutic concept that has some useful outcomes discussed in the literature, including for traumatic brain injury (TBI.Scope and study design: This was a retrospective case-control study that was approved by the bioethics commission of the Bagdasar-Arseni Teaching Emergency Hospital, Bucharest, Romania. The aim of the study was to comparatively assess neurorestorative, including neurorehabilitative, outcomes obtained with or without Cerebrolysin®.Materials and methods: Nineteen cases treated with Cerebrolysin versus 28 who did not receive this drug were included in this study. All cases had a subacute or post-acute status after TBI and were hospitalized (only at their first admission between January 2005 and December 2010 in the hospital's NeuroRehabilitation Clinic Division. Epidemiological, clinical, paraclinical, and functional parameters were evaluated, using the: Functional Independence Measure (FIMTM, Glasgow Outcome Score (GOS, and Modified Rankin Scale.Results: Patients in the Cerebrolysin group had, on average, higher (although not statistically significant FIM evolution values (36.53 than the control group (29.64 (P=0.174, 95% confidence interval: -8.0 to 21.8. The effect size assessed on the GOS was 2.1%. Additionally, the mean FIM value at admission of the Cerebrolysin group (45.79 was lower than that of controls (61.50; P=0.076.Discussion and conclusion: The clinical/functional evolution, comparatively evaluated in the studied inpatients, and taking into account the small sample and effect sizes – including for GOS – suggest that Cerebrolysin

  6. Arthroplasty versus Internal Fixation for Displaced Intracapsular Femoral Neck Fracture in the Elderly: Systematic Review and Meta-analysis of Short- and Long-term Effectiveness

    Institute of Scientific and Technical Information of China (English)

    Chen-Yi Ye; An Liu; Ming-Yuan Xu; Nwofor Samuel Nonso; Rong-Xin He

    2016-01-01

    Background:There is conflicting evidence as to whether the femoral head should be preserved or replaced in elderly patients with displaced intracapsular femoral neck fractures.In this article,we performed a systematic review and meta-analysis to compare the short-and long-term effectiveness of arthroplasty (AR) and internal fixation (IF).Methods:PubMed,Embase,and the Cochrane Library were searched systematically up to January 2016.All randomized controlled trials directly comparing the effectiveness of AR and IF for displaced intracapsular fracture were retrieved with no limitation on language or publication year.Results:In total,eight prospective randomized studies involving 2206 patients were included.The results of our study showed that patients in the AR group reported significantly lower complication (risk ratio:0.56,95% confidence interval [CI] =0.38-0.80),re-operation (risk ratio:0.17,95% CI =0.13-0.22),revision rates (risk ratio:0.11,95% CI:0.08-0.16),and better function compared with their IF counterparts,and they were less likely to suffer postoperative pain.No statistically significant differences for the rates of mortality,infection,and/or deep vein thrombosis between AR and IF were found.Conclusions:Based on our analysis,we recommend that AR should be used as the primary treatment for displaced intracapsular femoral neck fractures in the elderly.However,IF may be appropriate for those who are very frail.

  7. Time-dependent Toxicity in Long-term Analysis of Luminescence Inhibition with Recombinant Escherichia Coli Strain

    Directory of Open Access Journals (Sweden)

    Tatiana Yudina

    2014-03-01

    Full Text Available We have investigated the effect of streptomycin simultaneously on the luminescence and the growth of bacteria of luminescent recombinant Escherichia coli stain with the operon luxCDABE from Vibrio fischeri. Experiments were performed to determine the toxicity in the 30-minute experiment and in the chronic 24-hour variant. The level of toxicity in the tested concentration range was determined judging by the change of intensity of bioluminescence and by the growth of cells in the presence of antibiotic. Toxicity parameter ЕС50 was 26.44 mg / l at 30 min exposure, and 0.30 mg / l during 8 hours of growth of bacteria. Dynamics of changes in toxicity, depending on the concentration of streptomycin in the long-term experiment, shows the difficulty in the choice of the end point of the experiment.

  8. Creep characteristic simulation of deep soft rock roadway and long-term mechanical analysis of lining support

    Energy Technology Data Exchange (ETDEWEB)

    Tong-bin Zhao; Yan-hua Ma; Yun-liang Tan; Yun-juan Chen [Shandong University of Science and Technology, Qingdao (China). College of Resource and Environmental Engineering

    2009-06-15

    By the generalized Kelvin creep model, rheological characteristics of deep soft rock and long-term mechanical behaviors of support structures were simulated. Mechanical deformation characteristics of support structures under different lining circumstances were also analyzed on the basis of deducing the relationship between the generalized Kelvin creep model and implicit creep equations in ANSYS FEM software. The results show that high stress of deep tunnels is the main factor in creep damage; the surrounding rock's deformation binding effect due to lining increases as the thickness increases but the effect becomes very weak when it increases to a certain value; contact pressure on the lining decreases as its thickness decreases. 11 refs., 5 figs., 1 tab.

  9. [On the statistical analysis of long-term tests for carcinogenesis by means of the random censorship model (author's transl)].

    Science.gov (United States)

    Wellek, S; Dunkelberg, H

    1981-12-01

    In Section 1 we discuss the fundamental point that the overall tumour incidence rates observed in long-term tests for carcinogenesis typically are biased by differences in intercurrent mortality. In view of some more recent results from theoretical statistics an application of the random censorship model provides an especially powerful approach to getting along with this difficulty. The main assumptions making up the random censorship model as to be applied to the special case of long-term carcinogenesis assay data are carefully described. A consistent and unbiased method for calculating tumour incidence rates corrected for tumour independent intercurrent mortality from the data of an experiment which satisfies the aforementioned assumptions is provided by the Kaplan-Meier technique. Full computational details of the Kaplan-Meier procedure are presented in Section 2. Section 3 is concerned with significance tests for judging dose effects on standardized tumour induction rates. The stepwise procedure recently developed by Holm is adapted to the multiple comparison of several single doses of a possibly carcinogenic compound to the same control. A significance test specifically designed for the assessment of an increasing dose dependent trend is due to Cox and Tarone. Formulas enabling to an easy performance of the Cox-Tarone test are also explicitly written down. In Section 4 we show how to take advantage of Cox's "proportional hazards model" in establishing approximate dose-response relationships.--In each case the general description of the computational procedure is illustrated by an elaborate real data example from a study (published in the same issue of this journal) on the carcinogenicity of ethylene oxide and 1,2-propylene oxide after subcutaneous administration in mice.

  10. Analysis of the Long-term Effect of Intraoperative Radiotherapy (IORT) for Non-Small Cell Lung Carcinoma (NSCLC)

    Institute of Scientific and Technical Information of China (English)

    Guxia Zhou; Tiwen Zeng; Lianyuan Wang; Lin Ma

    2007-01-01

    OBJECTIVE To analyze the long-term effects of treatment with an operation+postoperative irradiation (A group) and an operation+intraoperative radiotherapy+postoperative irradiation (B group) in non-small cell lung cancer patients.METHODS Through a prospective randomized clinical trial,a total of 154 patients with non-small cell lung carcinoma were divided into two groups of 77 cases.Among the 154 cases,there were 134 squamous carcinomas,17 adenocarcinomas and 3 adeno-squamous carcinomas.TNM staging:there were 17 in Stage Ⅰ.76 in Stage Ⅱ and 61 in Stage Ⅲ.Adosage of 15~25 Gy IORT,energy 9~16 MeV electrons,was delivered to the fumors.The doses given were 40~60 Gy postoperation.RESULTS The local control rates in A and B groups were 49.4% and 62.3% respectively (P<0.05).The survivals at 3,5 and 7 years for group A were 40.3%,27.3%,and 5.2% and for group B 44.2%,28.6% and 6.5% (P>0.05).There were 16 deaths from radiotherapy complications,with 2 cases in group A and 14 in group B.CONCLUSION IORT+postoperative irradiation can enhance the local control rate of non-small cell lung cancer patients and reduce the recurrentrates.but it can not improve long-term survival.KEYWORDS:lung neoplasms/surgery,lung neoplasms/radiotherapy,radiotherapy intraoperative,prognosis.

  11. Year 2000 status of coral reefs on the main volcanic islands of American Samoa: a resurvey of long term monitoring sites including benthic communities, fish communities, and key micro invertebrates (NODC Accession 0001976)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This study demonstrates the important role that long term monitoring programs can play in understanding the natural variability and long term trends in the coral...

  12. Status of coral reefs on the main volcanic islands of American Samoa: a resurvey of long-term monitoring sites including benthic communities, fish communities, and key microinvertebrates, 1994 - 2002 (NODC Accession 0001973)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This study demonstrates the important role that long term monitoring programs can play in understanding the natural variability and long term trends in the coral...

  13. 2002 Status of coral reefs on the main volcanic islands of American Samoa: a resurvey of long term monitoring sites including benthic communities, fish communities, and key macroinvertebrates (NODC Accession 0001976)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This study demonstrates the important role that long term monitoring programs can play in understanding the natural variability and long term trends in the coral...

  14. A meta-analysis and systematic review of the risks associated with childhood attention-deficit hyperactivity disorder on long-term outcome of arrests, convictions, and incarcerations.

    Science.gov (United States)

    Mohr-Jensen, Christina; Steinhausen, Hans-Christoph

    2016-08-01

    The primary aim of this study was to systematically review and estimate the risk of arrests, convictions, and incarcerations associated with childhood Attention Deficit/Hyperactivity Disorder (ADHD) in long-term outcome studies. In addition, all included studies were qualitatively and systematically reviewed for predictors of long-term crimes. The databases Pubmed, PsycINFO and Embase were searched for all controlled studies that included children and adolescents (age 4-15) with ADHD who had been followed longitudinally and reported the frequency of arrests, convictions or incarcerations based on data from official sources. Using random-effects models, the relative risk (RR) with 95% confidence intervals (95% CI) was estimated. A total of 15,442 individuals with childhood ADHD from nine unique samples were included. Childhood ADHD was significantly associated with adolescent and adulthood arrests (RR: 2.2, 95% CI: 1.3-3.5), convictions (RR: 3.3, 95% CI: 2.1-5.2) and incarcerations (RR: 2.9, 95% CI: 1.9-4.3). Individuals with ADHD had a younger age at onset of antisocial involvement and an increased risk of criminal recidivism. The most frequently committed criminal offenses were theft, assault, drug- and weapon-related crimes. Early antisocial behavior problems, childhood maltreatment, sex, and IQ were identified as potentially relevant predictors for antisocial outcomes. The findings support a substantial long-term risk associated with ADHD for later antisocial involvement. Early intensive and specifically targeted multimodal intervention including psychosocial, and pharmacological treatment is warranted to alter these negative long-term developmental trajectories.

  15. Long-term benefit of sunitinib in patients with metastatic renal cell carcinoma in Latin America: retrospective analysis of patient clinical characteristics

    Directory of Open Access Journals (Sweden)

    Smaletz O

    2016-11-01

    Full Text Available Oren Smaletz,1 Matias Chacón,2 Ludmila de Oliveira Koch,1 Daniela R de Carvalho Rocha,1 Fernanda C Cardoso1 1Department of Oncology, Hospital Israelita Albert Einstein, São Paulo, Brazil; 2Medical Oncology Department, Alexander Fleming Institute, Buenos Aires, Argentina Objective: To describe the clinical characteristics of Latin American patients with metastatic renal cell carcinoma (mRCC who experienced a progression-free survival (PFS for at least 15 months following treatment with sunitinib. Patients and methods: In this retrospective analysis, mRCC patients in two institutions in Latin America received sunitinib at a starting dose of either 50 mg/day for 4 weeks followed by 2 weeks off treatment (Schedule 4/2 in repeated 6-week cycles or sunitinib 37.5 mg on a continuous daily dosing schedule. Clinical characteristics, tolerability, and PFS data were collected. Results: Twenty-nine patients with long-term clinical benefit from sunitinib were identified between September 2005 and August 2009. Median PFS was 23 months (range: 15–54 months. Two of the 29 patients with prolonged PFS achieved a complete response and additional eleven had a partial response. Most patients were aged <60 years, had good performance status, favorable or intermediate Memorial Sloan Kettering Cancer Center prognostic risk, and disease limited to one or two sites. Dose reduction was necessary in all patients who started sunitinib at 50 mg/day administered on Schedule 4/2. Adverse events leading to dose reduction included grade 3 hand–foot syndrome, mucositis, fatigue, and hypertension. At the time of data cutoff, four patients were still receiving sunitinib treatment. Conclusion: Extended PFS can be achieved in Latin American patients with mRCC treated with sunitinib. Although the small sample size and retrospective nature of this evaluation preclude the identification of pretreatment predictive factors contributing to this benefit, the current analysis warrants

  16. Long-term analysis of clogging and oil bio-degradation in a System of Catchment, Pre-treatment and Treatment (SCPT).

    Science.gov (United States)

    Fernández-Barrera, Andrés H; Castro-Fresno, Daniel; Rodriguez-Hernandez, Jorge; Vega-Zamanillo, Angel

    2011-01-30

    Runoff contamination has motivated the development of different systems for its treatment in order to decrease the pollutant load that is discharged into natural water bodies. In the long term, these systems may undergo operational problems. This paper presents the results obtained in a laboratory study with a 1:1 scale prototype of a System of Catchment, Pre-treatment and Treatment (SCPT) of runoff waters. The analysis aims to establish the operational behaviour of the SCPT in the long term with respect to oil degradation and hydraulic conductivity in the geotextile filter. It is concluded that bio-degradation processes take place inside the SCPT and that hydraulic conductivity of the geotextile filtration system decreases slowly with successive simulated runoff events.

  17. Genome-wide functional analysis of CREB/long-term memory-dependent transcription reveals distinct basal and memory gene expression programs.

    Science.gov (United States)

    Lakhina, Vanisha; Arey, Rachel N; Kaletsky, Rachel; Kauffman, Amanda; Stein, Geneva; Keyes, William; Xu, Daniel; Murphy, Coleen T

    2015-01-21

    Induced CREB activity is a hallmark of long-term memory, but the full repertoire of CREB transcriptional targets required specifically for memory is not known in any system. To obtain a more complete picture of the mechanisms involved in memory, we combined memory training with genome-wide transcriptional analysis of C. elegans CREB mutants. This approach identified 757 significant CREB/memory-induced targets and confirmed the involvement of known memory genes from other organisms, but also suggested new mechanisms and novel components that may be conserved through mammals. CREB mediates distinct basal and memory transcriptional programs at least partially through spatial restriction of CREB activity: basal targets are regulated primarily in nonneuronal tissues, while memory targets are enriched for neuronal expression, emanating from CREB activity in AIM neurons. This suite of novel memory-associated genes will provide a platform for the discovery of orthologous mammalian long-term memory components.

  18. System biology analysis of long-term effect and mechanism of Bufei Yishen on COPD revealed by system pharmacology and 3-omics profiling

    Science.gov (United States)

    Li, Jiansheng; Zhao, Peng; Yang, Liping; Li, Ya; Tian, Yange; Li, Suyun

    2016-01-01

    System pharmacology identified 195 potential targets of Bufei Yishen formula (BYF), and BYF was proven to have a short-term therapeutic effect on chronic obstructive pulmonary disease (COPD) rats previously. However, the long-term effect and mechanism of BYF on COPD is still unclear. Herein, we explored its long-term effect and underlying mechanism at system level. We administered BYF to COPD rats from week 9 to 20, and found that BYF could prevent COPD by inhibiting the inflammatory cytokines expression, protease-antiprotease imbalance and collagen deposition on week 32. Then, using transcriptomics, proteomics and metabolomics analysis, we identified significant regulated genes, proteins and metabolites in lung tissues of COPD and BYF-treated rats, which could be mainly attributed to oxidoreductase-antioxidant activity, focal adhesion, tight junction or lipid metabolism. Finally, based on the comprehensive analysis of system pharmacology target, transcript, protein and metabolite data sets, we found a number of genes, proteins, metabolites regulated in BYF-treated rats and the target proteins of BYF were involved in lipid metabolism, inflammatory response, oxidative stress and focal adhension. In conclusion, BYF exerts long-term therapeutic action on COPD probably through modulating the lipid metabolism, oxidative stress, cell junction and inflammatory response pathways at system level. PMID:27146975

  19. Ground-based water vapor Raman lidar measurements up to the upper troposphere and lower stratosphere – Part 2: Data analysis and calibration for long-term monitoring

    Directory of Open Access Journals (Sweden)

    T. Leblanc

    2011-08-01

    Full Text Available The well-recognized, key role of water vapor in the upper troposphere and lower stratosphere (UT/LS and the scarcity of high-quality, long-term measurements triggered the development by JPL of a powerful Raman lidar to try to meet these needs. This development started in 2005 and was endorsed by the Network for the Detection of Atmospheric Composition Change (NDACC and the validation program for the EOS-Aura satellite. In this paper we review all the stages of the instrument data acquisition, data analysis, profile retrieval and calibration procedures, as well as selected results from the recent validation campaign MOHAVE-2009 (Measurements of Humidity in the Atmosphere and Validation Experiments. The stages in the instrumental development and the conclusions from three validation campaigns (including MOHAVE-2009 are presented in details in a companion paper (McDermid et al., 2011. In its current configuration, the lidar demonstrated capability to measure water vapor profiles from ~1 km above the ground to the lower stratosphere with an estimated accuracy of 5 %. Since 2005, nearly 1000 profiles have been routinely measured with a precision of 10 % or better near 13 km. Since 2009, the profiles have typically reached 14 km for 1 h integration times and 1.5 km vertical resolution, and can reach 21 km for 6-h integration times using degraded vertical resolutions.

  20. Morphological analysis of flowable resins after long-term storage or surface polishing with a mini-brush.

    Science.gov (United States)

    Han, Linlin; Ishizaki, Hiroko; Fukushima, Masayoshi; Okiji, Takashi

    2009-05-01

    This study evaluated the surface roughness and morphological changes of various flowable resins after long-term storage in a phosphate-buffered saline (PBS) or surface polishing with a mini-brush. The tested products were Beautifil Flow BF02 and BF10, Clearfil Majesty LV, Filtek Supreme XT, and UniFil LoFlo Plus. A paste-type resin composite, Filtek Supreme, was used as a control. The prepared specimens were 10 mm in diameter and 1 mm in height. The standard surfaces were polished with #600-1200 diamond disks and kept in deionized water for 24 hours. Surface roughness was detected after storage in PBS (pH 7.4) for either 2 weeks or 6 months, or after polishing with a mini-brush. Results of this study demonstrated that the surface roughness of the standard specimens had a lower value as compared to those after storage in PBS for 2 weeks and 6 months, or after polishing with a mini-brush.

  1. Analysis of long-term performance and microbial community structure in bio-cathode microbial desalination cells.

    Science.gov (United States)

    Zhang, Huichao; Wen, Qinxue; An, Zhongyi; Chen, Zhiqiang; Nan, Jun

    2016-03-01

    A microbial desalination cell (MDC) could desalinate salt water without energy consumption and simultaneously generate bioenergy. Compared with an abiotic cathode MDC, an aerobic bio-cathode MDC is more sustainable and is less expensive to operate. In this study, the long-term operation (5500 h) performance of a bio-cathode MDC was investigated in which the power density, Coulombic efficiency, and salt removal rate were decreased by 71, 44, and 27 %, respectively. The primary reason for the system performance decrease was biofouling on the membranes, which increased internal resistance and reduced the ionic transfer and energy conversion efficiency. Changing membranes was an effective method to recover the MDC performance. The microbial community diversity in the MDC anode was low compared with that of the reported microbial fuel cell (MFC), while the abundance of Proteobacteria was 30 % higher. The content of Planctomycetes in the cathode biofilm sample was much higher than that in biofouling on the cation exchange membrane (CEM), indicating that Planctomycetes were relevant to cathode oxygen reduction.

  2. In-situ strain analysis of potential habitat composites exposed to a simulated long-term lunar radiation exposure

    Science.gov (United States)

    Rojdev, Kristina; O'Rourke, Mary Jane E.; Hill, Charles; Nutt, Steven; Atwell, William

    2013-03-01

    NASA is studying the effects of long-term space radiation on potential multifunctional composite materials for habitats to better determine their characteristics in harsh space environments. Two epoxy-matrix composite materials were selected for the study and were mounted in a test stand that simulated the biaxial stresses of a pressure vessel wall. The samples in the test stand were exposed to radiation at fast (0.1478 krad/s) and slow (0.0139 krad/s) dose rates, and the strain and temperature were recorded during the exposure. During a fast dose rate exposure, negative strain was recorded, decreasing with time, an indication of matrix shrinkage. Given previous radiation studies of polymers, this is expected to be a result of radiation-induced crosslinking in the epoxy matrix. However, with a slow dose rate, the materials exhibited a positive strain that increased with time, corresponding to stretching of the materials. This result is consistent with scission or degradation of the matrix occurring, possibly due to oxidative degradation.

  3. A long-term evaluation of treated Class II division 2 malocclusions: a retrospective study model analysis.

    Science.gov (United States)

    Canut, J A; Arias, S

    1999-08-01

    Pre-treatment, end of treatment, and post-retention study models of 30 subjects with a Class II division 2 malocclusion were assessed, after a period of at least 3 years, in order to evaluate the long-term changes in occlusion, alignment, and arch dimensions. Molar relationship correction was found to be stable after retention. There were no variables which could be used to establish a prognosis of vertical stability. Over-correction of overbite was seen to relapse. Ten per cent of the cases showed unacceptable anterior maxillary irregularities after retention. Mandibular arch width and length usually showed a decrease after retention. An increase in lower intercanine width and arch length achieved by orthodontic treatment always relapsed. This relapse was associated with post-retention mandibular irregularity and crowding. Nine cases (30 per cent) showed an unacceptable degree of mandibular irregularity after retention. Pre-treatment crowding in the mandible showed a relationship with post-retention lower irregularity and crowding. There was a correlation between the number of years which had elapsed after retention, overbite relapse and post-retention mandibular irregularity.

  4. Mycotoxin occurrence in feed and feed raw materials worldwide: long-term analysis with special focus on Europe and Asia.

    Science.gov (United States)

    Streit, Elisabeth; Naehrer, Karin; Rodrigues, Inês; Schatzmayr, Gerd

    2013-09-01

    During an 8-year period, 17 316 samples of feed and feed raw materials from all over the world were analysed for contamination with aflatoxins, ochratoxin A, zearalenone, deoxynivalenol and fumonisins. Overall, 72% of the samples tested positive for at least one mycotoxin and 38% were found to be co-contaminated. Mycotoxin concentrations were generally low and the majority of the samples were compliant with the most stringent EU guidance values or maximum levels for mycotoxins in feed. However, in their present state these regulations do not address co-contamination and associated risks. Long-term trends are difficult to establish as strong yearly variations were observed regarding mycotoxin prevalence and contamination levels. In some cases unusual weather conditions can be linked with high observed mycotoxin loads. An exception to this rule is South-East Asia, where a steady increase of aflatoxin prevalence has been observed. The percentage of aflatoxin-positive samples in this region rose from 32% in 2005 to 71% in 2011.

  5. The role of nuclear energy in long-term climate scenarios: An analysis with the World-TIMES model

    Energy Technology Data Exchange (ETDEWEB)

    Vaillancourt, Kathleen [GERAD Research Center, 3000 Chemin de la Cote-Sainte-Catherine, Montreal, Quebec, H3T 2A7 (Canada)], E-mail: kathleen.vaillancourt@gerad.ca; Labriet, Maryse [CIEMAT Research Center, Avenida Complutense 22, 28040 Madrid (Spain); Loulou, Richard [GERAD Research Center, 3000 Chemin de la Cote-Sainte-Catherine, Montreal, Quebec, H3T 2A7 (Canada); McGill University, Faculty of Management, Montreal, Quebec (Canada); Waaub, Jean-Philippe [GERAD Research Center, 3000 Chemin de la Cote-Sainte-Catherine, Montreal, Quebec, H3T 2A7 (Canada); Departement de Geographie, Universite du Quebec a Montreal, Montreal, Quebec (Canada)

    2008-07-15

    There is a revival in the nuclear debate observed in the literature. Several analyses have shown that nuclear technologies may represent very attractive options for greenhouse gas (GHG) emission reductions, especially in countries with high growth projections for energy demand. Our objective is to analyze the role of nuclear energy in long-term climate scenarios using the World-TIMES (The Integrated MARKAL-EFOM System) bottom-up model. World-TIMES is a global model that optimizes the energy system of 15 regions over a 100-year horizon (2000-2100). We present energy and emission results for climate scenarios for two levels of CO{sub 2} concentration (450 and 550 ppmv by 2100). We analyze the penetration level of nuclear energy under various sets of assumptions on technology parameters and exogenous constraints on nuclear development to reflect social perceptions. Nuclear energy technologies satisfy a large portion of electricity production in many regions. Most regions experience an energy transition based on advanced oil and gas technologies and hydropower. Other renewable technologies might play a more important role but need further cost reductions or new regulations to penetrate the market in substantial proportions. Carbon sequestration and endogenous demand reductions for energy services are also significantly contributing to reach environmental target.

  6. Survival analysis, long-term outcomes, and percentage of recovery up to 8 years post-infection among the Houston West Nile virus cohort.

    Directory of Open Access Journals (Sweden)

    Kristy O Murray

    Full Text Available In 2012, we witnessed a resurgence of West Nile virus (WNV in the United States, with the largest outbreak of human cases reported since 2003. WNV is now endemic and will continue to produce epidemics over time, therefore defining the long-term consequences of WNV infection is critical. Over a period of eight years, we prospectively followed a cohort of 157 WNV-infected subjects in the Houston metropolitan area to observe recovery over time and define the long-term clinical outcomes. We used survival analysis techniques to determine percentage of recovery over time and the effects of demographic and co-morbid conditions on recovery. We found that 40% of study participants continued to experience symptoms related to their WNV infection up to 8 years later. Having a clinical presentation of encephalitis and being over age 50 were significantly associated with prolonged or poor recovery over time. Since the health and economic impact as a result of prolonged recovery, continued morbidity, and related disability is likely substantial in those infected with WNV, future research should be aimed at developing effective vaccines to prevent illness and novel therapeutics to minimize morbidity, mortality, and long-term complications from infection.

  7. Long-term affected energy production of waste to energy technologies identified by use of energy system analysis

    DEFF Research Database (Denmark)

    Münster, Marie; Meibom, Peter

    2010-01-01

    incineration continues to treat the largest amount of waste. Investments in new waste incineration capacity may, however, be superseded by investments in new Waste-to-Energy technologies, particularly those utilising sorted fractions such as organic waste and refuse derived fuel. The changed use of waste...... production is identified by use of energy system analysis. The focus is on different uses of waste for energy production. The Waste-to-Energy technologies analysed include co-combustion of coal and waste, anaerobic digestion and thermal gasification. The analysis is based on optimization of both investments...... and production of electricity, district heating and bio-fuel in a future possible energy system in 2025 in the countries of the Northern European electricity market (Denmark, Norway, Sweden, Finland and Germany). Scenarios with different CO2 quota costs are analysed. It is demonstrated that the waste...

  8. Long-term survival of dental implants placed in the grafted maxillary sinus: systematic review and meta-analysis of treatment modalities.

    Directory of Open Access Journals (Sweden)

    Fabian Duttenhoefer

    Full Text Available BACKGROUND: A prevalent modality to increase the amount of available bone prior to implantation is grafting of the maxillary sinus. Multiple factors such as the surgical technique, moment of implant placement as well as grafting materials and membranes are known to affect implant survival. However, the role of different factor combinations and associated reciprocal effects remain unclear. Conventional statistical methods do not consider inconsistency of study designs and do not take covariables into account. Hence, a systematic research and meta-analysis was conducted to investigate the influence of various treatment modalities on implant survival in the grafted maxillary sinus. MATERIALS AND METHODS: A meta-analysis was conducted according to the PRISMA guidelines. Articles published from 1980 through January 2013 were electronically and manually searched in MEDLINE (Ovid, the Cochrane Register of Controlled Trials, the Database of Abstracts of Effects, and the Cochrane Database of Systematic Reviews. Clinical reports on single intervention sinus augmentation with root-form implants, a minimum of 10 patients and 6 months of loading were eligible for inclusion if implant survival was stated or calculable. Results were calculated by non-parametric univariate Kaplan-Meier analysis and Bayesian multivariate interval-censored Cox regression. RESULTS: A total of 122 publications on 16268 endosseous implants placed in grafted maxillary sinus were included. The treatment parameters surgical approach, grafting material and implant type showed no selective preference. However, application of membranes showed a significantly reduced hazard-ratio, independent of other co-factors. CONCLUSIONS: The use of membranes is the most significant factor to achieve long-term implant survival in sinus augmentation procedures. More data exceeding 3 years follow-up are needed to address prospective confounding and improve clinical evidence.

  9. Analysis of early and long-term outcomes of acute type A aortic dissection according to the new international aortic arch surgery study group recommendations.

    Science.gov (United States)

    Colli, Andrea; Carrozzini, Massimiliano; Galuppo, Marco; Comisso, Marina; Toto, Francesca; Gregori, Dario; Gerosa, Gino

    2016-10-01

    To evaluate predictors of early and long-term outcomes of surgical repair of acute Type A aortic dissection. Retrospective single-centre study evaluating patients surgically treated between 1998 and 2013. Clinical follow-up was performed. Complications were classified according to the International Aortic Arch Surgery Study Group recommendations. Statistical analysis included univariate and multivariate analysis of preoperative and operative data. One hundred eighty-five patients were evaluated. The follow-up was complete for 180 patients (97 %). Mean age was 63 years, 82 % had a DeBakey type I aortic dissection, 18 % a type II. Eleven patients (6 %) died intraoperatively, 119 of the remaining (68 %) had postoperative complications. Thirty-day mortality was 21 % (38 patients). Average ICU and hospital stay were 6 and 14 days, respectively. During a mean follow-up time of 6 ± 4 years we observed 44 deaths (31 %). Twenty patients (14 %) needed late thoracic aorta reoperation. Results from the multivariate analysis are as follows. Thirty-day mortality was associated with abdominal pain at presentation (p < 0.01). The incidence of postoperative complications was related to older age at intervention (p < 0.01) and longer cross-clamp time (p < 0.01). Mortality at follow-up was significantly increased by older age at intervention (p < 0.01), with a logarithmic growth after 60 years, female sex (p < 0.01), preoperative limb ischemia (p = 0.02) and DHCA (p < 0.01). The surgical results of type A aortic dissection are affected by age at intervention with a logarithmic increase of late mortality in patients older than 60 years.

  10. Long-term performance and fouling analysis of full-scale direct nanofiltration (NF) installations treating anoxic groundwater

    KAUST Repository

    Beyer, Florian

    2014-10-01

    Long-term performance and fouling behavior of four full-scale nanofiltration (NF) plants, treating anoxic groundwater at 80% recovery for drinking water production, were characterized and compared with oxic NF and reverse osmosis systems. Plant operating times varied between 6 and 10 years and pretreatment was limited to 10μm pore size cartridge filtration and antiscalant dosage (2-2.5mgL-1) only. Membrane performance parameters normalized pressure drop (NPD), normalized specific water permeability (Kw) and salt retention generally were found stable over extended periods of operation (>6 months). Standard acid-base cleanings (once per year or less) were found to be sufficient to maintain satisfying operation during direct NF of the described iron rich (≤8.4mgL-1) anoxic groundwaters. Extensive autopsies of eight NF membrane elements, which had been in service since the plant startup (6-10 years), were performed to characterize and quantify the material accumulated in the membrane elements. Investigations using scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDS), total organic carbon (TOC) and adenosine triphosphate (ATP) measurements revealed a complex mixture of organic, biological and inorganic materials. The fouling layers that developed during half to one year of operation without chemical cleaning were very thin (<2. μm). Most bio(organic) accumulates were found in the lead elements of the installations while inorganic precipitates/deposits (aluminosilicates and iron(II)sulfides) were found in all autopsied membrane elements. The high solubility of reduced metal ions and the very slow biofilm development under anoxic conditions prevented rapid fouling during direct NF of the studied groundwaters. When compared to oxic NF and RO systems in general (e.g. aerated ground waters or surface waters), the operation and performance of the described anoxic installations (with minimal pretreatment) can be described as very stable. © 2014

  11. [Analysis of acid rain characteristics of Lin'an Regional Background Station using long-term observation data].

    Science.gov (United States)

    Li, Zheng-Quan; Ma, Hao; Mao, Yu-Ding; Feng, Tao

    2014-02-01

    Using long-term observation data of acid rain at Lin'an Regional Background Station (Lin'an RBS), this paper studied the interannual and monthly variations of acid rain, the reasons for the variations, and the relationships between acid rain and meteorological factors. The results showed that interannual variation of acid rain at Lin'an RBS had a general increasing trend in which there were two obvious intensifying processes and two distinct weakening processes, during the period ranging from 1985 to 2012. In last two decades, the monthly variation of acid rain at Lin'an RBS indicated that rain acidity and frequency of severe acid rain were increasing but the frequency of weak acid rain was decreasing when moving towards bilateral side months of July. Acid rain occurrence was affected by rainfall intensity, wind speed and wind direction. High frequency of severe acid rain and low frequency of weak acid rain were on days with drizzle, but high frequency of weak acid rain and low frequency of severe acid rain occurred on rainstorm days. With wind speed upgrading, the frequency of acid rain and the proportion of severe acid rain were declining, the pH value of precipitation was reducing too. Another character is that daily dominant wind direction of weak acid rain majorly converged in S-W section ,however that of severe acid rain was more likely distributed in N-E section. The monthly variation of acid rain at Lin'an RBS was mainly attributed to precipitation variation, the increasing and decreasing of monthly incoming wind from SSE-WSW and NWN-ENE sections of wind direction. The interannual variation of acid rain could be due to the effects of energy consumption raising and significant green policies conducted in Zhejiang, Jiangsu and Shanghai.

  12. Multiple biomarkers including cardiac troponins T and I measured by high-sensitivity assays, as predictors of long-term mortality in patients with chronic renal failure who underwent dialysis.

    Science.gov (United States)

    Hickman, Peter E; McGill, Darryl; Potter, Julia M; Koerbin, Gus; Apple, Fred S; Talaulikar, Girish

    2015-06-01

    There is a high cardiac mortality in patients on long-term renal dialysis. No studies have reported long-term outcomes relating to both high-sensitivity cardiac troponin T (hs-cTnT) and high-sensitivity cardiac troponin I (hs-cTnI) in these patients. Patients who underwent long-term dialysis at the Canberra Hospital had blood samples collected for both cardiac and other biomarkers. Samples were stored at -80°C until analysis. Mortality data were collected at 5 years, and univariate and multivariate analyses were performed to identify which biomarkers were predictive of mortality at 5 years. After multivariate analysis, albumin, C-reactive protein (CRP), and hs-cTnT remained independently predictive of all-cause mortality, with hs-cTnT having the highest hazard ratio. If hs-cTnT was excluded from the analysis, then hs-cTnI was independently predictive of mortality. For hs-cTnT, for both genders, the ninety-ninth percentile, derived from a population with subjects with subclinical disease excluded, served as an excellent partition between survivors and nonsurvivors. Receiver-operating characteristic curve analysis for hs-cTnT had area under the curve of 0.798 and for hs-cTnI of 0.774. Kaplan-Meier curves for the aggregation of albumin, CRP, and hs-cTnT showed a stronger predictive power with receiver-operating characteristic area under the curve of 0.805. The addition of echocardiographic data in an analysis of all patients who had an echocardiogram for clinical reasons (n = 105) did not alter the final observations in this subgroup. In conclusion, hs-cTnT retains a superior predictive power in a dialysis-dependent population for identifying those at risk for death and when aggregated with albumin and CRP also has substantial additive value for identifying mortality risk in a renal-dialysis population.

  13. Medium Increased Risk for Central Sleep Apnea but Not Obstructive Sleep Apnea in Long-Term Opioid Users: A Systematic Review and Meta-Analysis

    Science.gov (United States)

    Filiatrault, Marie-Lou; Chauny, Jean-Marc; Daoust, Raoul; Roy, Marie-Pier; Denis, Ronald; Lavigne, Gilles

    2016-01-01

    Study Objective: Opioids are associated with higher risk for ataxic breathing and sleep apnea. We conducted a systematic literature review and meta-analysis to assess the influence of long-term opioid use on the apnea-hypopnea and central apnea indices (AHI and CAI, respectively). Methods: A systematic review protocol (Cochrane Handbook guidelines) was developed for the search and analysis. We searched Embase, Medline, ACP Journal Club, and Cochrane Database up to November 2014 for three topics: (1) narcotics, (2) sleep apnea, and (3) apnea-hypopnea index. The outcome of interest was the variation in AHI and CAI in opioid users versus non-users. Two reviewers performed the data search and extraction, and disagreements were resolved by discussion. Results were combined by standardized mean difference using a random effect model, and heterogeneity was tested by χ2 and presented as I2 statistics. Results: Seven studies met the inclusion criteria, for a total of 803 patients with obstructive sleep apnea (OSA). We compared 2 outcomes: AHI (320 opioid users and 483 non-users) and 790 patients with CAI (315 opioid users and 475 non-users). The absolute effect size for opioid use was a small increased in apnea measured by AHI = 0.25 (95% CI: 0.02–0.49) and a medium for CAI = 0.45 (95% CI: 0.27–0.63). Effect consistency across studies was calculated, showing moderate heterogeneity at I2 = 59% and 29% for AHI and CAI, respectively. Conclusions: The meta-analysis results suggest that long-term opioid use in OSA patients has a medium effect on central sleep apnea. Citation: Filiatrault ML, Chauny JM, Daoust R, Roy MP, Denis R, Lavigne G. Medium increased risk for central sleep apnea but not obstructive sleep apnea in long-term opioid users: a systematic review and meta-analysis. J Clin Sleep Med 2016;12(4):617–625. PMID:26943709

  14. Surgical management of recurrent disc herniations with microdiscectomy and long-term results on life quality: Detailed analysis of 70 cases

    Science.gov (United States)

    Albayrak, Serdal; Ozturk, Sait; Durdag, Emre; Ayden, Ömer

    2016-01-01

    Background: Aim of this paper is to recall the surgical technique used in the recurrent lumbar disc herniations (LDHs) and to share our experiences. Materials and Methods: Out of series of 1115 patients who underwent operations for LDH between 2006 and 2013, 70 patients underwent re-operations, which were included in this study. During surgery, lateral decompression performed over the medial facet joint to the superior facet joint border was seen after widening the laminectomy defect, and microdiscectomy was performed. The demographic findings of the patients, their complaints in admission to hospital, the level of operation, the condition of dural injury, the first admission in the prospective analysis, and their quality of life were evaluated through the Oswestry scoring during their postoperative 1st, 3rd, 6th-month and 1st, 3rd, 5th and 7th-year follow-up. In the statical analysis, Friedman test was performed for the comparison of the Oswestry scores and Siegel Castellan test was used for the paired nonparametrical data. A P < 0.05 was considered statistically significant. Results: Considering the Oswestry Index during the follow-ups, the values in the postoperative early period and follow-ups were seen to be significantly lower than those at the time of admission to hospital (P < 0.05). None of the patients, who re-operated by microdiscectomy, presented with iatrogenic instability in 7 years follow-up period. Conclusion: Microdiscectomy performed through a proper technique in the re-operation of recurrent disc herniations eases complaints and improves the quality of life. Long-term follow-ups are required for more accurate results. PMID:26933352

  15. Surgical management of recurrent disc herniations with microdiscectomy and long-term results on life quality: Detailed analysis of 70 cases

    Directory of Open Access Journals (Sweden)

    Serdal Albayrak

    2016-01-01

    Full Text Available Background: Aim of this paper is to recall the surgical technique used in the recurrent lumbar disc herniations (LDHs and to share our experiences. Materials and Methods: Out of series of 1115 patients who underwent operations for LDH between 2006 and 2013, 70 patients underwent re-operations, which were included in this study. During surgery, lateral decompression performed over the medial facet joint to the superior facet joint border was seen after widening the laminectomy defect, and microdiscectomy was performed. The demographic findings of the patients, their complaints in admission to hospital, the level of operation, the condition of dural injury, the first admission in the prospective analysis, and their quality of life were evaluated through the Oswestry scoring during their postoperative 1st, 3rd, 6th-month and 1st, 3rd, 5th and 7th-year follow-up. In the statical analysis, Friedman test was performed for the comparison of the Oswestry scores and Siegel Castellan test was used for the paired nonparametrical data. A P < 0.05 was considered statistically significant. Results: Considering the Oswestry Index during the follow-ups, the values in the postoperative early period and follow-ups were seen to be significantly lower than those at the time of admission to hospital (P < 0.05. None of the patients, who re-operated by microdiscectomy, presented with iatrogenic instability in 7 years follow-up period. Conclusion: Microdiscectomy performed through a proper technique in the re-operation of recurrent disc herniations eases complaints and improves the quality of life. Long-term follow-ups are required for more accurate results.

  16. Long-term urethral catheterisation.

    Science.gov (United States)

    Turner, Bruce; Dickens, Nicola

    This article discusses long-term urethral catheterisation, focusing on the relevant anatomy and physiology, indications for the procedure, catheter selection and catheter care. It is important that nurses have a good working knowledge of long-term catheterisation as the need for this intervention will increase with the rise in chronic health conditions and the ageing population.

  17. Association between S100B Levels and Long-Term Outcome after Aneurysmal Subarachnoid Hemorrhage: Systematic Review and Pooled Analysis.

    Science.gov (United States)

    Lai, Pui Man Rosalind; Du, Rose

    2016-01-01

    S100 calcium binding protein B (S100B), a well-studied marker for neurologic injury, has been suggested as a candidate for predicting outcome after subarachnoid hemorrhage. We performed a pooled analysis summarizing the associations between S100B protein in serum and cerebrospinal fluid (CSF) with radiographic vasospasm, delayed ischemic neurologic deficit (DIND), delayed cerebral infarction, and Glasgow Outcome Scale (GOS) outcome. A literature search using PubMed, the Cochrane Library, and the EMBASE databases was performed to identify relevant studies published up to May 2015. The weighted Stouffer's Z method was used to perform a pooled analysis of outcome measures with greater than three studies. A total of 13 studies were included in this review. Higher serum S100B level was found to be associated with cerebral infarction as diagnosed by CT (padj = 3.1 x 10(-4)) and worse GOS outcome (padj = 5.5 x 10(-11)). There was no association found between serum and CSF S100B with radiographic vasospasm or DIND. S100B is a potential prognostic marker for aSAH outcome.

  18. Association between S100B Levels and Long-Term Outcome after Aneurysmal Subarachnoid Hemorrhage: Systematic Review and Pooled Analysis.

    Directory of Open Access Journals (Sweden)

    Pui Man Rosalind Lai

    Full Text Available S100 calcium binding protein B (S100B, a well-studied marker for neurologic injury, has been suggested as a candidate for predicting outcome after subarachnoid hemorrhage. We performed a pooled analysis summarizing the associations between S100B protein in serum and cerebrospinal fluid (CSF with radiographic vasospasm, delayed ischemic neurologic deficit (DIND, delayed cerebral infarction, and Glasgow Outcome Scale (GOS outcome. A literature search using PubMed, the Cochrane Library, and the EMBASE databases was performed to identify relevant studies published up to May 2015. The weighted Stouffer's Z method was used to perform a pooled analysis of outcome measures with greater than three studies. A total of 13 studies were included in this review. Higher serum S100B level was found to be associated with cerebral infarction as diagnosed by CT (padj = 3.1 x 10(-4 and worse GOS outcome (padj = 5.5 x 10(-11. There was no association found between serum and CSF S100B with radiographic vasospasm or DIND. S100B is a potential prognostic marker for aSAH outcome.

  19. Very long term development of the Dutch Inland Waterway Transport System: Policy analysis, transport projections, shipping scenarios, and a new perspective on economic growth and future discounting

    NARCIS (Netherlands)

    Van Dorsser, J.C.M.

    2015-01-01

    This thesis addresses how a new method for the evaluation of policies with a very long term impact on the Dutch Inland Waterway Transport (IWT) system can be developed. It proposes an outline for a very long term transport model, prepares a number of very long term scenarios, and indicates that a di

  20. Phenotypic malignant changes and untargeted lipidomic analysis of long-term exposed prostate cancer cells to endocrine disruptors

    Energy Technology Data Exchange (ETDEWEB)

    Bedia, Carmen, E-mail: carmen.bedia@idaea.csic.es; Dalmau, Núria, E-mail: nuria.dalmau@idaea.csic.es; Jaumot, Joaquim, E-mail: joaquim.jaumot@idaea.csic.es; Tauler, Romà, E-mail: roma.tauler@idaea.csic.es

    2015-07-15

    Endocrine disruptors (EDs) are a class of environmental toxic molecules able to interfere with the normal hormone metabolism. Numerous studies involve EDs exposure to initiation and development of cancers, including prostate cancer. In this work, three different EDs (aldrin, aroclor 1254 and chlorpyrifos (CPF)) were investigated as potential inducers of a malignant phenotype in DU145 prostate cancer cells after a chronic exposure. Epithelial to mesenchymal transition (EMT) induction, proliferation, migration, colony formation and release of metalloproteinase 2 (MMP-2) were analyzed in 50-day exposed cells to the selected EDs. As a result, aldrin and CPF exposure led to an EMT induction (loss of 16% and 14% of E-cadherin levels, respectively, compared to the unexposed cells). Aroclor and CPF presented an increased migration (134% and 126%, respectively), colony formation (204% and 144%, respectively) and MMP-2 release (137% in both cases) compared to the unexposed cells. An untargeted lipidomic analysis was performed to decipher the lipids involved in the observed transformations. As general results, aldrin exposure showed a global decrease in phospholipids and sphingolipids, and aroclor and CPF showed an increase of certain phospholipids, glycosphingolipids as well as a remarkable increase of some cardiolipin species. Furthermore, the three exposures resulted in an increase of some triglyceride species. In conclusion, some significant changes in lipids were identified and thus we postulate that some lipid compounds and lipid metabolic pathways could be involved in the acquisition of the malignant phenotype in exposed prostate cancer cells to the selected EDs. - Highlights: • Aldrin, aroclor and chlorpyrifos induced an aggressive phenotype in DU145 cells. • An untargeted lipidomic analysis has been performed on chronic exposed cells. • Lipidomic results showed changes in specific lipid species under chronic exposure. • These lipids may have a role in the

  1. Meta-analysis of net long-term benefit of different therapeutic strategies in patients with cryptogenic stroke and patent foramen ovale.

    Science.gov (United States)

    Patti, Giuseppe; Pelliccia, Francesco; Gaudio, Carlo; Greco, Cesare

    2015-03-15

    We pooled available data on follow-up events in patients with patent foramen ovale and cryptogenic stroke to evaluate the net clinical benefit of different therapeutic strategies (percutaneous closure vs antiplatelet vs anticoagulant therapy). MEDLINE/PubMed and Cochrane databases and reviewed cited references to identify relevant studies were used; 3,311 patients from 21 clinical studies, both observational and randomized, with follow-up ≥12 months were overall included. Net clinical benefit was evaluated considering the cumulative incidence of both stroke and/or transient ischemic attack and major bleeding events. Anticoagulant therapy was more effective than antiplatelet therapy in preventing recurrent stroke and/or transient ischemic attack (event rates: 7.7% vs 9.8%, respectively, p = 0.03), but at the price of more than sixfold greater risk of major bleeding (7.1% vs 1.3%; odds ratio 6.49, 95% confidence interval 3.25 to 12.99, p Patent foramen ovale closure was associated over the long term with significant net clinical benefit versus both antiplatelet and anticoagulant therapy; such benefit was driven by 50% relative reduction of stroke and/or transient ischemic attack versus antiplatelet therapy and by 82% relative reduction of major bleeding versus anticoagulant therapy. In conclusion, results of this large study-level meta-analysis may influence practice patterns in patients with patent foramen ovale and cryptogenic stroke; an individualized approach tailored on both the risk of recurrent cerebral events and the bleeding risk should be used to identify the best therapeutic option (percutaneous closure vs antiplatelet therapy vs anticoagulant therapy).

  2. Long-term donor-site morbidity after vascularized free fibula flap harvesting: Clinical and gait analysis.

    Science.gov (United States)

    Feuvrier, Damien; Sagawa, Yoshimasa; Béliard, Samuel; Pauchot, Julien; Decavel, Pierre

    2016-02-01

    The aim of this study was to determine the clinical morbidity and changes in gait temporal spatial parameters after harvesting of a vascularized free fibula flap. This study included 11 patients (mean age: 52 ± 17 years) and 11 healthy controls (mean age: 50 ± 14 years). The patients were assessed between 5 and 104 months post surgery. The study consisted of a subjective functional evaluation with two validated clinical scores (Kitaoka Score and Point Evaluation System (PES) score), clinical and neurological examination of the legs, and evaluation of gait temporal spatial parameters while walking at a comfortable speed. The mean functional Kitaoka score was 78/100, and the mean PES score of 12.18 was considered average. At the time of the review, five patients had sensory disorders, two had toe deformities, and eight had pain at the donor site. The gait analysis showed that the patient's comfortable walking speed was significantly lower in comparison to that of the controls, and that stride length and cadence were reduced. In addition, most of the gait-specific parameters were significantly different. The donor leg displayed greater variability during walking. To reduce the risk of falling, this study revealed that the patients' gait pattern had changed as they took a more cautious approach during walking. Early rehabilitation is expected to help improve and/or restore the physical abilities of patients after harvesting of the vascularized free fibula flap.

  3. The Long-Term Conditions Questionnaire: conceptual framework and item development

    Science.gov (United States)

    Peters, Michele; Potter, Caroline M; Kelly, Laura; Hunter, Cheryl; Gibbons, Elizabeth; Jenkinson, Crispin; Coulter, Angela; Forder, Julien; Towers, Ann-Marie; A’Court, Christine; Fitzpatrick, Ray

    2016-01-01

    Purpose To identify the main issues of importance when living with long-term conditions to refine a conceptual framework for informing the item development of a patient-reported outcome measure for long-term conditions. Materials and methods Semi-structured qualitative interviews (n=48) were conducted with people living with at least one long-term condition. Participants were recruited through primary care. The interviews were transcribed verbatim and analyzed by thematic analysis. The analysis served to refine the conceptual framework, based on reviews of the literature and stakeholder consultations, for developing candidate items for a new measure for long-term conditions. Results Three main organizing concepts were identified: impact of long-term conditions, experience of services and support, and self-care. The findings helped to refine a conceptual framework, leading to the development of 23 items that represent issues of importance in long-term conditions. The 23 candidate items formed the first draft of the measure, currently named the Long-Term Conditions Questionnaire. Conclusion The aim of this study was to refine the conceptual framework and develop items for a patient-reported outcome measure for long-term conditions, including single and multiple morbidities and physical and mental health conditions. Qualitative interviews identified the key themes for assessing outcomes in long-term conditions, and these underpinned the development of the initial draft of the measure. These initial items will undergo cognitive testing to refine the items prior to further validation in a survey. PMID:27621678

  4. Assessing the long-term probabilistic volcanic hazard for tephra fallout in Reykjavik, Iceland: a preliminary multi-source analysis

    Science.gov (United States)

    Tonini, Roberto; Barsotti, Sara; Sandri, Laura; Tumi Guðmundsson, Magnús

    2015-04-01

    Icelandic volcanism is largely dominated by basaltic magma. Nevertheless the presence of glaciers over many Icelandic volcanic systems results in frequent phreatomagmatic eruptions and associated tephra production, making explosive eruptions the most common type of volcanic activity. Jökulhlaups are commonly considered as major volcanic hazard in Iceland for their high frequency and potentially very devastating local impact. Tephra fallout is also frequent and can impact larger areas. It is driven by the wind direction that can change with both altitude and season, making impossible to predict a priori where the tephra will be deposited during the next eruptions. Most of the volcanic activity in Iceland occurs in the central eastern part, over 100 km to the east of the main population centre around the capital Reykjavík. Therefore, the hazard from tephra fallout in Reykjavík is expected to be smaller than for communities settled near the main volcanic systems. However, within the framework of quantitative hazard and risk analyses, less frequent and/or less intense phenomena should not be neglected, since their risk evaluation depends on the effects suffered by the selected target. This is particularly true if the target is highly vulnerable, as large urban areas or important infrastructures. In this work we present the preliminary analysis aiming to perform a Probabilistic Volcanic Hazard Assessment (PVHA) for tephra fallout focused on the target area which includes the municipality of Reykjavík and the Keflavík international airport. This approach reverts the more common perspective where the hazard analysis is focused on the source (the volcanic system) and it follows a multi-source approach: indeed, the idea is to quantify, homogeneously, the hazard due to the main hazardous volcanoes that could pose a tephra fallout threat for the municipality of Reykjavík and the Keflavík airport. PVHA for each volcanic system is calculated independently and the results

  5. Meta-analysis on the Influence of Long-term Exposure to Pesticides on Female Reproductive System%长期农药接触对女性生殖系统功能影响的Meta分析

    Institute of Scientific and Technical Information of China (English)

    孔文明; 陈金磊; 肖国兵

    2011-01-01

    目的 综合分析长期农药接触对女性生殖系统的影响.方法 检索并筛检近年来发表的关于长期农药接触对女性生殖系统影响的研究文献,将结果录入RevMan 4.2进行Meta分析,应用固定效用模型和随机效应模型进行OR值合并.结果 共有8篇文献符合纳入标准,长期农药接触与女性月经异常、自然流产和早产有相关性,合并OR值分别为4.36、2.43和2.20.结论 长期农药接触可影响女性生殖功能,使女性的月经和各种生殖结局产生异常.%Objective To evaluate the influence of long - term exposure to pesticides on female reproductive system.Methods Data corresponding to long - term exposure to pesticides were collected through literature retrieval.The meta - analysis was performed on RevMan4.2 software.Both fixed effect model and random effect model were applied to calculate the merged OR.Results Eight studies were included, and long- term exposure to pesticides was associated with female abnormal menstruation, spontaneous abortion, stillbirth, and premature birth, with the merged OR values were 4.36, 2.43, and 2.20, respectively.Conclusion Long - term exposure to pesticides could have negative effects on female reproductive function, leading to abnormality in menstruation and reproductive outcome.

  6. Analysis of creep influence in long-term pile stress test%桩基内力长期监测中的蠕变影响分析

    Institute of Scientific and Technical Information of China (English)

    刘争宏; 郑建国

    2013-01-01

    Besides elastic strain, creep would also occurred in long-term pile stress test represented by pile immersion test in loess regions for concrete pile;and the influence of creep occurred under long-term axial stress was usually be overlooked in the past when calculating stress of pile body. But creep is a real existence, influence degree of creep and how to eliminate its effect are worth studying. Based on comparative analysis of field test data, how the concrete creep affect the analytical results of pile stress is studied;and the conclusion shows that the overlook of concrete creep will lead to wrong distribution rules of axis force and friction. A formula, which calculates axial force of pile and can eliminate the creep influence, is derived from some basic theory on creep. Some measures needing be taken in pile immersion test of loess regions to attain representative creep curve are presented;mainly include:controlling the concrete strength grade of test pile, setting calibration section near pile top and keeping concrete’s temperature and moisture constant in this section and are in the same with lower pile.%  以黄土地区桩基浸水试验为代表的桩身内力长期监测过程中,桩身混凝土除发生弹性应变外还会发生蠕变,以往工作中往往忽略了混凝土在轴力长期作用下蠕变对测试结果的影响,但蠕变真实存在,它对内力测试结果的影响程度以及如何消除其影响值得研究。根据现场实测试验资料对比分析表明,长时间的桩基内力测试应考虑桩身蠕变的影响;基于混凝土蠕变的相关理论,推导了从实测应变中扣除桩身蠕变的公式;从消除蠕变影响角度分析了黄土桩基浸水试验中应采取的措施,其关键技术是控制试验桩的混凝土强度等级,在桩顶附近设置标定段,并保持标定段混凝土的温度和湿度恒定,且与下部桩体一致,获得具有代表性的蠕变度函数曲线。

  7. The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis.

    Directory of Open Access Journals (Sweden)

    Rosana E Norman

    Full Text Available BACKGROUND: Child sexual abuse is considered a modifiable risk factor for mental disorders across the life course. However the long-term consequences of other forms of child maltreatment have not yet been systematically examined. The aim of this study was to summarise the evidence relating to the possible relationship between child physical abuse, emotional abuse, and neglect, and subsequent mental and physical health outcomes. METHODS AND FINDINGS: A systematic review was conducted using the Medline, EMBASE, and PsycINFO electronic databases up to 26 June 2012. Published cohort, cross-sectional, and case-control studies that examined non-sexual child maltreatment as a risk factor for loss of health were included. All meta-analyses were based on quality-effects models. Out of 285 articles assessed for eligibility, 124 studies satisfied the pre-determined inclusion criteria for meta-analysis. Statistically significant associations were observed between physical abuse, emotional abuse, and neglect and depressive disorders (physical abuse [odds ratio (OR = 1.54; 95% CI 1.16-2.04], emotional abuse [OR = 3.06; 95% CI 2.43-3.85], and neglect [OR = 2.11; 95% CI 1.61-2.77]; drug use (physical abuse [OR = 1.92; 95% CI 1.67-2.20], emotional abuse [OR = 1.41; 95% CI 1.11-1.79], and neglect [OR = 1.36; 95% CI 1.21-1.54]; suicide attempts (physical abuse [OR = 3.40; 95% CI 2.17-5.32], emotional abuse [OR = 3.37; 95% CI 2.44-4.67], and neglect [OR = 1.95; 95% CI 1.13-3.37]; and sexually transmitted infections and risky sexual behaviour (physical abuse [OR = 1.78; 95% CI 1.50-2.10], emotional abuse [OR = 1.75; 95% CI 1.49-2.04], and neglect [OR = 1.57; 95% CI 1.39-1.78]. Evidence for causality was assessed using Bradford Hill criteria. While suggestive evidence exists for a relationship between maltreatment and chronic diseases and lifestyle risk factors, more research is required to confirm these relationships. CONCLUSIONS: This overview of the evidence

  8. Correlation between long-term marine temperature time series from the eastern and western English Channel: Scaling analysis using empirical mode decomposition

    Science.gov (United States)

    Derot, Jonathan; Schmitt, François Guillaume; Gentilhomme, Valérie; Morin, Pascal

    2016-05-01

    High-frequency temperature fluctuations recorded in the English Channel are compared using two long-term autonomous underwater monitoring stations at less than 20-min time resolution. Measurements were taken from 2005 to 2011 from two systems 460 km apart in the western and eastern parts of the English Channel. Spectral analysis reveals similar statistical behaviors, with approximate 5/3 spectra and several forcing frequencies in relation to tidal and daily cycles. A co-spectra study reveals a transition scale of 11 days. The influence of this scale is also visible though Time-Dependent Intrinsic Correlation analysis (TDIC)-a recently introduced cross-correlation analysis based on Empirical mode decomposition. This helps to spatialize high-frequency temporal records at a fixed location.

  9. Analysis and Indications on Long-term Forecasting of the Oceanic Niño Index with Wavelet-Induced Components

    Science.gov (United States)

    Deliège, Adrien; Nicolay, Samuel

    2017-02-01

    The present paper provides an analysis and a long-term forecasting scheme of the Oceanic Niño Index (ONI) using the continuous wavelet transform. First, it appears that oscillatory components with main periods of about 17, 31, 43, 61 and 140 months govern most of the variability of the signal, which is consistent with previous works. Then, this information enables us to derive a simple algorithm to model and forecast ONI. The model is based on the observation that the modes extracted from the signal are generally phased with positive or negative anomalies of ONI (El Niño and La Niña events). Such a feature is exploited to generate locally stationary curves that mimic this behavior and which can be easily extrapolated to form a basic forecast. The wavelet transform is then used again to smooth out the process and finalize the predictions. The skills of the technique described in this paper are assessed through retroactive forecasts of past El Niño and La Niña events and via classic indicators computed as functions of the lead time. The main asset of the proposed model resides in its long-lead prediction skills. Consequently, this approach should prove helpful as a complement to other models for estimating the long-term trends of ONI.

  10. Long-term high-temperature and pH stability assessment of modern commercially available stationary phases by using retention factor analysis.

    Science.gov (United States)

    Haun, Jakob; Oeste, Katja; Teutenberg, Thorsten; Schmidt, Torsten C

    2012-11-09

    High-temperature liquid chromatography provides several advantages concerning HPLC method development and is needed to realize special hyphenation techniques. However, hardware limitations and stationary phase degradation can prevent the successful application of this technique. Therefore, column stability is of major importance. The presented study contains results of long-term high-temperature stability tests for eight modern commercially available HPLC stationary phases. Six of them were silica-based reversed-phase C18 columns tested according to an earlier reported procedure (Teutenberg, 2009 [12]). On the basis of the extended data set that covers a wide range of column technologies, a comparative approach using retention factor analysis was evaluated in order to categorize the columns according to their long-term high-temperature stability at 150 °C and changing pH value. This approach offers a more objective alternative to conventional listings in which temperature maxima are compared for columns tested under different conditions. Additionally, customized tests are presented for one promising polymer-based C18 stationary phase and an amide column for hydrophilic interaction liquid chromatography.

  11. A proposal of "core enzyme" bioindicator in long-term Pb-Zn ore pollution areas based on topsoil property analysis.

    Science.gov (United States)

    Yang, JinShui; Yang, FengLong; Yang, Yang; Xing, GuanLan; Deng, ChunPing; Shen, YaTing; Luo, LiQiang; Li, BaoZhen; Yuan, HongLi

    2016-06-01

    To study the effects of long-term mining activities on the agricultural soil quality of Mengnuo town in Yunnan province, China, the heavy metal and soil enzyme activities of soil samples from 47 sites were examined. The results showed that long-term mining processes led to point source heavy metal pollution and Pb, Cd, Zn and As were the primary metal pollutants. Polyphenoloxidase was found the most sensitive soil enzyme activity and significantly correlated with almost all the metals (P < 0.05). Amylase (for C cycling), acid phosphatase (for P cycling) and catalase (for redox reaction) activities showed significantly positive correlations (P < 0.05) with Pb, Cd, Zn and As contents. The correlations between soil enzymes activities and Cd, Pb and Zn contents were verified in microcosm experiments, it was found that catalase activity had significant correlations (P < 0.05) with these three metals in short-term experiments using different soils under different conditions. Based on both field investigation and microcosm simulation analysis, oxidoreductases activities (rather than a specific enzyme activity) were suggested to be used as "core enzyme", which could simply and universally indicate the heavy metal pollution degrees of different environments. And hydrolases (for C, N, P and S recycling) could be used as a supplement to improve correlation accuracy for heavy metal indication in various polluted environments.

  12. The Use of Personal Narrative in Classroom Case Study Analysis to Improve Long-term Knowledge Retention and Cultivate Professional Qualities in Allied Health Students

    Directory of Open Access Journals (Sweden)

    Linda M. Young

    2010-11-01

    Full Text Available This study evaluated the use of two different case study formats (clinically-oriented cases versus personally-oriented cases to determine which was most effective in promoting long-term retention of clinically significant microbiology concepts, developing patient empathy, improving comprehension of patient compliance problems, and facilitating student understanding of transcultural health care concerns. The analysis was conducted in multiple sections of three different introductory microbiology classes targeting specific cohorts: nursing students, pharmacy students and other allied health students (pre-med, pre-PA, CLS, etc.. Retention of course content was determined by evaluation of multiple-choice and short answer examinations at least three weeks after completing case studies. Evaluation of patient empathy, understanding of patient compliance issues and transcultural health care concerns were determined via student surveys. The results of the study indicated that personalized cases significantly improved long-term retention of course content. In addition, student responses indicated that personalized case studies were more effective in developing patient empathy and aiding students in understanding issues patients have with complying with treatment recommendations. Finally, personalized case studies were effective tools for introducing students to the challenges of transcultural health care.

  13. Impact of donor-recipient sex match on long-term survival after heart transplantation in children: An analysis of 5797 pediatric heart transplants.

    Science.gov (United States)

    Kemna, Mariska; Albers, Erin; Bradford, Miranda C; Law, Sabrina; Permut, Lester; McMullan, D Mike; Law, Yuk

    2016-03-01

    The effect of donor-recipient sex matching on long-term survival in pediatric heart transplantation is not well known. Adult data have shown worse survival when male recipients receive a sex-mismatched heart, with conflicting results in female recipients. We analyzed 5795 heart transplant recipients ≤ 18 yr in the Scientific Registry of Transplant Recipients (1990-2012). Recipients were stratified based on donor and recipient sex, creating four groups: MM (N = 1888), FM (N = 1384), FF (N = 1082), and MF (N = 1441). Males receiving sex-matched donor hearts had increased unadjusted allograft survival at five yr (73.2 vs. 71%, p = 0.01). However, this survival advantage disappeared with longer follow-up and when adjusted for additional risk factors by multivariable Cox regression analysis. In contrast, for females, receiving a sex-mismatched heart was associated with an 18% higher risk of allograft loss over time compared to receiving a sex-matched heart (HR 1.18, 95% CI: 1.00-1.38) and a 26% higher risk compared to sex-matched male recipients (HR 1.26, 95% CI: 1.10-1.45). Females who receive a heart from a male donor appear to have a distinct long-term survival disadvantage compared to all other groups.

  14. Long-term survival after liver transplantation: an analysis of 413 patients%肝移植术后长期生存:413例分析

    Institute of Scientific and Technical Information of China (English)

    沈中阳; 孙纪三; 饶伟; 曲伟; 孙丽莹; 朱志军; 曾志贵; 薛芳箐; 邓永林; 郑虹; 潘澄; 张海明

    2009-01-01

    Objective To evaluate the long-term survival outcomes of a large cohort of liver transplant recipients and to identify static and changing factors that influenced these outcomes over time. Methods 421 consecutive patients who underwent liver transplantation between May 1 1994 and March 31 2003 at our hospital, in which 413 were included in this analysis and were followed up to March 20 2008. The study population was divided into two eras based on the date of transplant. Era I : between May 1 1994 and Dec 31 2001(n=197) s Era II : between Jan 1 2002 and March 31 2003 (n=216). The effect of recipient age at the time of transplantation, recipient's gender, diagnosis, year of transplantation, kidney function, and the time during operation were compared using the Kaplan-Meier model and log-rank test. Cox regression model was used in multivariate analysis to identify prognostic factors for survival. Among the patients survival extend 5 years, the long complications were analyzed. Results The 1 year, 3 years and 5 years survival for two eras were 50.3% and 80. 9% ,40. 1% and 71. 6% , 36. 5% and 70. 0% respectively. The overall patient survival for 1 year, 3 years and 5 years were 63. 5%,56. 0% and 53. 4%, respectively. Patient survival was significantly better in younger(55, HCC recipients, Era II , operation time beyond 12h, anhepatic phase beyond 1h are the independent risk factor of long-term survival. In earlier period post-operation, the main cause of death was infection related multple organs failure, but after one year it switched to the recurrence of HCC. In advanced stage 5 years post operation, the complication of diabetes, hypertension, renal inadequacy was very high. Conclusion Significantly improved patient survival has been observed over time, contribution to the surgical technique and the administration of perioperative. The complication of diabetes, hypertension, and renal inadequacy maybe the greatest threat to long-term survival after survival 5 years

  15. Gratitude in Long Term Care

    Directory of Open Access Journals (Sweden)

    Brooke Abrams Sunding

    2015-04-01

    Full Text Available An exploratory study was conducted to examine the effectiveness of a group gratitude intervention with 29 permanent residents at a long term care/skilled nursing facility in improving elder mood, behavior and well- being over a 3 week time period. The sample included individuals diagnosed with dementia, other cognitive impairment, major depressive disorder, insomnia and generalized anxiety disorder. The gratitude intervention consisted of asking elders to share what they are thankful for at the dinner table each day. Measures included the Elder Well Being Scale and The Dinner Rating Scale. On both measures, higher scores indicated better functioning. To test the hypothesis that post treatment elder well-being will be significantly higher than pretreatment elder well-being ratings, a one-way ANOVA was conducted. Post-hoc tests revealed a statistically significant increase in Elder Well Being Scale scores. An ANOVA of comparing Dinner Ratings demonstrated a nonsignificant increase over the 3 week experiment. Implications are discussed.

  16. A 3D Lumped Thermal Network Model for Long-term Load Profiles Analysis in High Power IGBT Modules

    DEFF Research Database (Denmark)

    Bahman, Amir Sajjad; Ma, Ke; Ghimire, Pramod;

    2016-01-01

    three-dimensional RC lumped thermal network for the high power IGBT modules. The thermal-coupling effects among the chips and among the critical layers are modelled, and boundary conditions including the cooling conditions are also taken into account. It is concluded that, the proposed thermal model...

  17. Statistical analysis of long term spatial and temporal trends of temperature parameters over Sutlej river basin, India

    Indian Academy of Sciences (India)

    Dharmaveer Singh; R D Glupta; Sanjay K Jain

    2015-02-01

    The annual and seasonal trend analysis of different surface temperature parameters (average, maximum, minimum and diurnal temperature range) has been done for historical (1971–2005) and future periods (2011–2099) in the middle catchment of Sutlej river basin, India. The future time series of temperature data has been generated through statistical downscaling from large scale predictors of CGCM3 and HadCM3 models under A2 scenario. Modified Mann–Kendall test and Cumulative Sum (CUSUM) chart have been used for detecting trend and sequential shift in time series of temperature parameters. The results of annual trend analysis for period of 1971–2005 show increasing as well as decreasing trends in average (Mean), maximum (Max), minimum (Min) temperature and increasing trends in Diurnal Temperature Range (DTR) at different stations. But the annual trend analysis of downscaled data has revealed statistically significant (95% confidence level) rising trends in Mean, Max, Min and falling trend in DTR for the period 2011–2099. The decreasing trend in DTR is due to higher rate of increase in Min compared to Max.

  18. Long-term X-ray monitoring of LS I +61 303: analysis of spectral variability and flares

    CERN Document Server

    Li, Jian; Zhang, Shu; Chen, Yupeng; Hadasch, Daniela; Ray, Paul S; Kretschmar, Peter; Rea, Nanda; Wang, Jianmin

    2011-01-01

    We report on the full analysis of a Rossi X-ray Timing Explorer (RXTE) Proportional Counter Array (PCA) monitoring of the {\\gamma}-ray binary system LS I +61 303. The data set covers 42 contiguous cycles of the system orbital motion. Analyzing this X-ray monitoring dataset, the largest to date for this source, we report on the variability of the orbital profile and the spectral distribution, and provide strong evidence for an anti-correlation between flux and spectral index (the higher the flux, the harder the spectral index). Furthermore, we present the analysis of two newly discovered ks-timescale flares, which present significant variability also on shorter timescales, and tend to occur at orbital phases between 0.6-0.9. However, a detailed timing analysis of the flares does not show any coherent or quasi-coherent (QPO) structure in their power spectra. We also investigated the possible appearance of the radio super-orbital modulation at X-rays energies, but we could not unambiguously detect such modulatio...

  19. Long-Term Coffee Consumption and Risk of Gastric Cancer: A PRISMA-Compliant Dose-Response Meta-Analysis of Prospective Cohort Studies.

    Science.gov (United States)

    Zeng, Shao-Bo; Weng, Hong; Zhou, Meng; Duan, Xiao-Li; Shen, Xian-Feng; Zeng, Xian-Tao

    2015-09-01

    Association between coffee consumption and gastric cancer risk remains controversial. Hence, we performed a meta-analysis to investigate and quantify the potential dose-response association between long-term coffee consumption and risk of gastric cancer.Pertinent studies were identified by searching PubMed and Embase from January 1996 through February 10, 2015 and by reviewing the reference lists of retrieved publications. Prospective cohort studies in which authors reported effect sizes and corresponding 95% confidence intervals (CIs) of gastric cancer for 3 or more categories of coffee consumption were eligible. Results from eligible studies were aggregated using a random effect model. All analyses were carried out using the STATA 12.0 software.Nine studies involving 15 independent prospective cohorts were finally included. A total of 2019 incident cases of gastric cancer were ascertained among 1,289,314 participants with mean follow-up periods ranging from 8 to 18 years. No nonlinear relationship of coffee consumption with gastric cancer risk was indentified (P for nonlinearity = 0.53; P for heterogeneity = 0.004). The linear regression model showed that the combined relative risk (RR) of every 3 cups/day increment of total coffee consumption was 1.07 (95% CI = 0.95-1.21). Compared with the lowest category of coffee consumption, the RR of gastric cancer was 1.18 (95% CI = 0.90-1.55) for the highest (median 6.5 cups/day) category, 1.06 (95% CI = 0.85-1.32) for the second highest category (median 3.5 cups/day), and 0.97 (95% CI = 0.79-1.20) for the third highest category (median 1.5 cups/day). Subgroup analysis showed an elevated risk in the US population (RR = 1.36, 95% CI = 1.06-1.75) and no adjustment for smoking (RR = 1.67, 95% CI = 1.08-2.59) for 6.5 cups/day.Current evidence indicated there was no nonlinear association between coffee consumption and gastric cancer risk. However, high coffee consumption (more

  20. Analysis of frequency and duration of the functional periods on the basis of long-term variability of limnetic processes within the Bug River valley

    Science.gov (United States)

    Dawidek, J.; Ferencz, B.

    2014-12-01

    Floodplain lakes (FPLs) constitute a very important element of river valleys, both in terms of ecology and hydrology. Dynamic physicochemical, morphometric and biological changes of lake waters are determined by the variability of the functional periods of lakes: limnophases, potamophases and inundations. This paper presents factors that shape long-term dynamics of the frequencies and durations of potamophases and limnophases in 20 selected FPLs. The study area included the left fraction of the Bug River valley located at the European Union's eastern border stretched along countries like Poland, Ukraine, and Belarus. The analysis covered the water years 1952 to 2013. Assigning the value of Limnological Effective Rise (LER) was essential for determining the functional periods for each of the study lakes. The dynamics of the phenomenon was analysed using volatility indicators, while factors determining functional periods were distinguished using Principal Component Analysis (PCA). Results showed that short (0-8 days) and medium-length limnophases were observed most frequently during the study period. In the case of potamophases they most often lasted from 8 to 30 days, continuously. Double-mass curves showed four periods of increasing significance of one of the functional phases: 1952-1962 (limnophases), 1963-1982 (potamophases), 1983-1997 (limnophases) and 1998-2013 (potamophases). A variability that was observed in each floodplain lake under study resulted from two main factors: water input and lake basin morphometry. The major role in FPLs' input was played by potamic supply (inflow of water from the parent river), which was a derivative of Bug River water stages and discharge. Atmospheric precipitation played a smaller role. However, the role of local precipitation was marginal in relation to precipitation in the upper part of the Bug River catchment. Spatial variability of the frequencies and durations of potamophases and limnophases was also associated with the

  1. Long-term invariant parameters obtained from 24-h Holter recordings: A comparison between different analysis techniques

    Science.gov (United States)

    Cerutti, Sergio; Esposti, Federico; Ferrario, Manuela; Sassi, Roberto; Signorini, Maria Gabriella

    2007-03-01

    Over the last two decades, a large number of different methods had been used to study the fractal-like behavior of the heart rate variability (HRV). In this paper some of the most used techniques were reviewed. In particular, the focus is set on those methods which characterize the long memory behavior of time series (in particular, periodogram, detrended fluctuation analysis, rescale range analysis, scaled window variance, Higuchi dimension, wavelet-transform modulus maxima, and generalized structure functions). The performances of the different techniques were tested on simulated self-similar noises (fBm and fGn) for values of α, the slope of the spectral density for very small frequency, ranging from -1 to 3 with a 0.05 step. The check was performed using the scaling relationships between the various indices. DFA and periodogram showed the smallest mean square error from the expected values in the range of interest for HRV. Building on the results obtained from these tests, the effective ability of the different methods in discriminating different populations of patients from RR series derived from Holter recordings, was assessed. To this extent, the Noltisalis database was used. It consists of a set of 30, 24-h Holter recordings collected from healthy subjects, patients suffering from congestive heart failure, and heart transplanted patients. All the methods, with the exception at most of rescale range analysis, were almost equivalent in distinguish between the three groups of patients. Finally, the scaling relationships, valid for fBm and fGn, when empirically used on HRV series, also approximately held.

  2. Pyroclastic Flow Deposits and InSAR: Analysis of Long-Term Subsidence at Augustine Volcano, Alaska

    Directory of Open Access Journals (Sweden)

    David B. McAlpin

    2016-12-01

    Full Text Available Deformation of pyroclastic flow deposits begins almost immediately after emplacement, and continues thereafter for months or years. This study analyzes the extent, volume, thickness, and variability in pyroclastic flow deposits (PFDs on Augustine Volcano from measuring their deformation rates with interferometric synthetic aperture radar (InSAR. To conduct this analysis, we obtained 48 SAR images of Augustine Volcano acquired between 1992 and 2010, spanning its most recent eruption in 2006. The data were processed using d-InSAR time-series analysis to measure the thickness of the Augustine PFDs, as well as their surface deformation behavior. Because much of the 2006 PFDs overlie those from the previous eruption in 1986, geophysical models were derived to decompose deformation contributions from the 1986 deposits underlying the measured 2006 deposits. To accomplish this, we introduce an inversion approach to estimate geophysical parameters for both 1986 and 2006 PFDs. Our analyses estimate the expanded volume of pyroclastic flow material deposited during the 2006 eruption to be 3.3 × 107 m3 ± 0.11 × 107 m3, and that PFDs in the northeastern part of Augustine Island reached a maximum thickness of ~31 m with a mean of ~5 m. Similarly, we estimate the expanded volume of PFDs from the 1986 eruption at 4.6 × 107 m3 ± 0.62 × 107 m3, with a maximum thickness of ~31 m, and a mean of ~7 m.

  3. Remote sensing change detection and process analysis of long-term land use change and human impacts.

    Science.gov (United States)

    Zhou, Qiming; Li, Baolin; Chen, Yumin

    2011-11-01

    This study investigates environmental change over a 30-year period and attempts to gain a better understanding of human impacts on an arid environment and their consequences for regional development. Multitemporal remotely sensed imagery was acquired and integrated to establish the basis for change detection and process analysis. Land cover changes were investigated in two categories, namely categorical change using image classification and quantitative change using a vegetation index. The results show that human-induced land cover changes have been minor in this remote area. However, the pace of growth of human-induced change has been accelerating since the early 1990s. The analysis of the multi-temporal vegetation index also shows no overall trend of rangeland deterioration, although local change of vegetation cover caused by human activities was noticeable. The results suggest that the current trend of rapid growth may not be sustainable and that the implementation of effective counter-measures for environmentally sound development is a rather urgent matter.

  4. Sensitivity Analysis of Kinetic Rate-Law Parameters Used to Simulate Long-Term Weathering of ILAW Glass Erratum

    Energy Technology Data Exchange (ETDEWEB)

    Smith, Gary L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2016-09-06

    This report refers to or contains Kg values for glasses LAWA44, LAWB45 and LAWC22 affected by calculations errors as identified by Papathanassiu et al. (2011). The corrected Kg values are reported in an erratum included in the revised version of the original report. The revised report can be referenced as follows: Pierce E. M. et al. (2004) Waste Form Release Data Package for the 2005 Integrated Disposal Facility Performance Assessment. PNNL-14805 Rev. 0 Erratum. Pacific Northwest National Laboratory, Richland, WA, USA.

  5. Microbial community analysis in a long-term membrane-less microbial electrolysis cell with hydrogen and methane production.

    Science.gov (United States)

    Rago, Laura; Ruiz, Yolanda; Baeza, Juan A; Guisasola, Albert; Cortés, Pilar

    2015-12-01

    A single-chamber microbial electrolysis cell (MEC) aiming at hydrogen production with acetate as sole carbon source failed due to methanogenesis build-up despite the significant amount of 2-bromoethanesulfonate (BES) dosage, 50 mM. Specific batch experiments and a thorough microbial community analysis, pyrosequencing and qPCR, of cathode, anode and medium were performed to understand these observations. The experimental data rebuts different hypothesis and shows that methanogenesis at high BES concentration was likely due to the capacity of some Archaea (hydrogen-oxidizing genus Methanobrevibacter) to resist high BES concentration up to 200 mM. Methanobrevibacter, of the Methanobacteriales order, represented almost the 98% of the total Archaea in the cathode whereas Geobacter was highly abundant in the anode (72% of bacteria). Moreover, at higher BES concentration (up to 200 mM), methanogenesis activity decreased resulting in an increase of homoacetogenic activity, which challenged the performance of the MEC for H2 production.

  6. Statistical Analysis of Long-Term Trend of Performance, Production and Cultivated Area of 17 Field Crops Khorasan Razavi Province

    Directory of Open Access Journals (Sweden)

    H. Zareabyaneh

    2014-12-01

    Full Text Available Any planning for the future requires estimates of future conditions. It is possible to study changes over time series. In this study, changes of production and cultivated area of 17 field crops of Khorasan Razavi province in a 25-year period were determined with Mann - Kendall test, Sen’s Estimator Slope and linear regression. Analysis of the three tests showed that performance of 76.5% from yield, 88.2% from area under cultivation and 55.8% from agricultural production were significant at the 0.01 and 0.05 level. On the other hand, trend of yields 58.8% was increase, 17.7% was reduced and 23.5% was no significant trend. Similarly, trend of 23.5% from area under cultivation was acreage, 64.7% was reduction, and 11.8% was no significant trend. For production variable, 29.4% was significantly increased and 29.4% was significant reduction. More detailed analysis showed that performance, production and area under cultivation of three crops of cotton, grain and tomatoes increased significantly. Results of all three methods showed the highest trend of negatively performance and area under cultivation variation is related to pea and melon respectively. Furthermore, most of the positive trend in production of tomatoes and grain, performance in onions, potatoes and tomatoes and area under cultivation in tomato observed. The results showed that linear trend and the nonparametric tests of important products of province: wheat, barley, sugar beet, cotton, melons, watermelons and tomatoes in 0.01 were significant. This result shows the importance of these yields in gross state province product.

  7. Effect of long-term exposure of SH-SY5Y cells to morphine: a whole cell proteomic analysis

    Directory of Open Access Journals (Sweden)

    Moulédous Lionel

    2006-12-01

    Full Text Available Abstract Background Opiate addiction reflects plastic changes that endurably alter synaptic transmission within relevant neuronal circuits. The biochemical mechanisms of these adaptations remain largely unknown and proteomics-based approaches could lead to a broad characterization of the molecular events underlying adaptations to chronic drug exposure. Results Thus, we have started proteomic analyses of the effects of chronic morphine exposure in a recombinant human neuroblastoma SH-SY5Y clone that stably overexpresses the μ-opioid receptor. Cells were treated with morphine for 6, 24 and 72 hours, the proteins were separated by 2-D gel electrophoresis and stained with Coomassie blue, and the protein map was compared with that obtained from untreated cells. Spots showing a statistically significant variation were selected for identification using mass spectrometric analyses. Conclusion A total of 45 proteins were identified, including proteins involved in cellular metabolism, cytoskeleton organization, vesicular trafficking, transcriptional and translational regulation, and cell signaling.

  8. Analysis of Temporal Changes in Botanical Composition of a Long-term Grazing Experiment in Nixinasuno, Japan

    Institute of Scientific and Technical Information of China (English)

    YI Ru-han; MASAE Shiyomi; SHIGEO Takahashi; TADAKATSU Okubo

    2004-01-01

    In order to understand the temporal changes of botanical composition in grassland ecosystem, and to clarify the relation between these changes and environmental impacts, such as climatic factors and artificial disturbance, a grazing trail was carried out during a 21-year period from 1974 at a sown grassland of the National Grassland Research Institute, located in Nishinasuno, the central area of Japan. The data sets of biomass for each mouth(from April to November)of the 21-year period were analyzed in this paper. The botanical composition of aboveground biomass varied greatly witl both season and year. The biomass ratio of improved herbage species to invaded native plants gradually decreased each year. This may have been owing to meteorological factors, such as Iow air-temperature in winter, dry and hot summers, grassland management(including grazing intensity and fertilizer application), and inter-specific competition between native and introduced herbage plants.

  9. Survival during long-term starvation: global proteomics analysis of Geobacter sulfurreducens under prolonged electron-acceptor limitation.

    Science.gov (United States)

    Bansal, Reema; Helmus, Ruth A; Stanley, Bruce A; Zhu, Junjia; Liermann, Laura J; Brantley, Susan L; Tien, Ming

    2013-10-04

    The bioavailability of terminal electron acceptors (TEAs) and other substrates affects the efficiency of subsurface bioremediation. While it is often argued that microorganisms exist under "feast or famine", in the laboratory most organisms are studied under "feast" conditions, whereas they typically encounter "famine" in nature. The work described here aims to understand the survival strategies of the anaerobe Geobacter sulfurreduces under TEA-starvation conditions. Cultures were starved for TEA and at various times sampled to perform global comparative proteomic analysis using iTRAQ to obtain insight into the dynamics of change in proteins/enzymes expression associated with change in nutrient availability/environmental stress. Proteins varying in abundance with a high level of statistical significance (p Geobacter under starvation conditions. The cell shuts down anabolic processes and becomes poised, through changes in its membrane proteins, to sense nutrients in the environment, to transport nutrients into the cell, and to detect or utilize TEAs that are encountered. Under TEA-limiting conditions, the cells turned from translucent white to red in color, indicating higher heme content. The increase in heme content supported proteomics results showing an increase in the number of cytochromes involved in membrane electron transport during the survival phase. The cell is also highly reduced with minimal change in energy charge (ATP to total adenine nucleotide ratio). Nonetheless, these proteomic and biochemical results indicate that even under TEA starvation cells remain poised for bioremediation.

  10. Long-term monitoring of a PSC box girder bridge: Operational modal analysis, data normalization and structural modification assessment

    Science.gov (United States)

    Cury, Alexandre; Cremona, Christian; Dumoulin, John

    2012-11-01

    For reliable performance of vibration-based damage detection algorithms, it is important to distinguish abnormal changes in modal parameters caused by structural damage from normal changes due to environmental fluctuations. This paper firstly addresses the modeling of temperature effects on modal frequencies of a PSC box girder bridge located on the A1 motorway in France. Based on a six-month monitoring experimental program, modal frequencies of the first seven mode shapes and temperatures have been measured at three hour intervals. Neural networks are then introduced to formulate regression models for quantifying the effect of temperature on modal parameters (frequencies and mode shapes). In 2009, this bridge underwent a strengthening procedure. In order to assess the effect of strengthening on the vibration characteristics of the bridge, modal properties had to be corrected from temperature influence. Thus, the first goal is to assess the changes on the vibration signature of this bridge induced by the strengthening. For this purpose, classical statistical analysis and clustering methods are applied to the data recorded over the period after strengthening. The second goal is to evaluate the influence of temperature effects on the clustering results. It comes that the temperature correction significantly improves the confidence in the novelty detection and in the strengthening efficiency.

  11. Sensory descriptive quantitative analysis of unpasteurized and pasteurized juçara pulp (Euterpe edulis) during long-term storage.

    Science.gov (United States)

    da Silva, Paula Porrelli Moreira; Casemiro, Renata Cristina; Zillo, Rafaela Rebessi; de Camargo, Adriano Costa; Prospero, Evanilda Teresinha Perissinotto; Spoto, Marta Helena Fillet

    2014-07-01

    This study evaluated the effect of pasteurization followed by storage under different conditions on the sensory attributes of frozen juçara pulp using quantitative descriptive analysis (QDA). Pasteurization of packed frozen pulp was performed by its immersion in stainless steel tank containing water (80°C) for 5 min, followed by storage under refrigerated and frozen conditions. A trained sensory panel evaluated the samples (6°C) on day 1, 15, 30, 45, 60, 75, and 90. Sensory attributes were separated as follows: appearance (foamy, heterogeneous, purple, brown, oily, and creamy), aroma (sweet and fermented), taste (astringent, bitter, and sweet), and texture (oily and consistent), and compared to a reference material. In general, unpasteurized frozen pulp showed the highest score for foamy appearance, and pasteurized samples showed highest scores to creamy appearance. Pasteurized samples remained stable regarding brown color development while unpasteurized counterparts presented increase. Color is an important attribute related to the product identity. All attributes related to taste and texture remained constant during storage for all samples. Pasteurization followed by storage under frozen conditions has shown to be the best conservation method as samples submitted to such process received the best sensory evaluation, described as foamy, slightly heterogeneous, slightly bitter, and slightly astringent.

  12. Analysis and comparison of precise long-term nutation series, strictly determined with OCCAM 6.1 VLBI software

    CERN Document Server

    Bourda, G; Heinkelmann, R; Schuh, H

    2008-01-01

    The IAU/IUGG Working Group on "Nutation for a non-rigid Earth", led by V\\'eronique Dehant, won the European Descartes Prize in 2003, for its work developing a new model for the precession and the nutations of the Earth. This model (MHB2000, Mathews et al. 2002) was adopted by the IAU (International Astronomical Union) during the General Assembly in Manchester, in 2000. It is based (i) on some improvements for the precession model (with respect to the previous one of Lieske et al. 1977) owing to the VLBI technique, and (ii) on a very accurate nutation model, close to the observations. With this prize, the Descartes nutation project could offer for international scientists some grants, to be used for further improvements of the precession-nutation Earth model. At the IGG (Institute of Geodesy and Geophysics), with the OCCAM 6.1 VLBI analysis software and the best data and models available, we re-analyzed the whole VLBI sessions available (from 1985 till 2005) solving for the Earth Orientation Parameters (EOP). ...

  13. Analysis of social recognition and disposal time for the long-term management scenario of high-level waste

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kang Myong; Jeong, Jin Yeop; Ha, Gyu Man [Korea Energy Technology and Emergency Management Institute, Seoul (Korea, Republic of)

    2009-02-15

    Recently, the need of high-level radioactive waste policy including spent fuel management becomes serious due to the rapid increase in oil price, the nationalism of natural resources, and the environmental issues such as Tokyo protocol. Also, the policy should be established urgently to prepare the saturation of on-site storage capacity of spent fuel, the revision of 'Agreement for Cooperation-Concerning Civil Uses of Atomic Energy' between Korea and US, the anxiety for nuclear weapon proliferation, and R and D to reduce the amount of waste to be disposed. In this study, we performed case study of US, Japan, Canada and Finland, which have special laws and plans/roadmaps for high-level waste management, to draw the policy requirements to be considered in HLW management. Also, we reviewed social conflict issues experienced in our society, and summarized the factors affecting the political and social environment. These policy requirements and factors summarized in this study should be considered seriously in the process for public consensus and the policy making regarding HLW management. Finally, the following 4 action items were drawn to manage HLW successfully : - Continuous and systematic R and D activities to obtain reliable management technology - Promoting companies having specialty in HLW management - Nurturing experts and workforce - Drive the public consensus process

  14. Long-term energy efficiency analysis requires solid energy statistics. The case of the German basic chemical industry

    Energy Technology Data Exchange (ETDEWEB)

    Saygin, D.; Worrell, E.; Weiss, M.; Patela, M.K. [Utrecht University, Copernicus Institute of Sustainable Development, Faculty of Geosciences, Heidelberglaan 2, 3584 CS Utrecht (Netherlands); Tam, C.; Trudeau, N. [International Energy Agency IEA, 9 rue de la Federation, 75739 Paris Cedex 15 (France); Gielen, D.J. [International Renewable Energy Agency IRENA, IITC, Robert-Schuman-Platz 3, 53175 Bonn (Germany)

    2012-08-15

    Analyzing the chemical industry's energy use is challenging because of the sector's complexity and the prevailing uncertainty in energy use and production data. We develop an advanced bottom-up model (PIE-Plus) which encompasses the energy use of the 139 most important chemical processes. We apply this model in a case study to analyze the German basic chemical industry's energy use and energy efficiency improvements in the period between 1995 and 2008. We compare our results with data from the German Energy Balances and with data published by the International Energy Agency (IEA). We find that our model covers 88% of the basic chemical industry's total final energy use (including non-energy use) as reported in the German Energy Balances. The observed energy efficiency improvements range between 2.2 and 3.5% per year, i.e., they are on the higher side of the values typically reported in literature. Our results point to uncertainties in the basic chemical industry's final energy use as reported in the energy statistics and the specific energy consumption values. More efforts are required to improve the quality of the national and international energy statistics to make them usable for reliable monitoring of energy efficiency improvements of the chemical industry.

  15. Using Principal Component and Tidal Analysis as a Quality Metric for Detecting Systematic Heading Uncertainty in Long-Term Acoustic Doppler Current Profiler Data

    Science.gov (United States)

    Morley, M. G.; Mihaly, S. F.; Dewey, R. K.; Jeffries, M. A.

    2015-12-01

    Ocean Networks Canada (ONC) operates the NEPTUNE and VENUS cabled ocean observatories to collect data on physical, chemical, biological, and geological ocean conditions over multi-year time periods. Researchers can download real-time and historical data from a large variety of instruments to study complex earth and ocean processes from their home laboratories. Ensuring that the users are receiving the most accurate data is a high priority at ONC, requiring quality assurance and quality control (QAQC) procedures to be developed for all data types. While some data types have relatively straightforward QAQC tests, such as scalar data range limits that are based on expected observed values or measurement limits of the instrument, for other data types the QAQC tests are more comprehensive. Long time series of ocean currents from Acoustic Doppler Current Profilers (ADCP), stitched together from multiple deployments over many years is one such data type where systematic data biases are more difficult to identify and correct. Data specialists at ONC are working to quantify systematic compass heading uncertainty in long-term ADCP records at each of the major study sites using the internal compass, remotely operated vehicle bearings, and more analytical tools such as principal component analysis (PCA) to estimate the optimal instrument alignments. In addition to using PCA, some work has been done to estimate the main components of the current at each site using tidal harmonic analysis. This paper describes the key challenges and presents preliminary PCA and tidal analysis approaches used by ONC to improve long-term observatory current measurements.

  16. Metabonomics analysis of urine and plasma from rats given long-term and low-dose dimethoate by ultra-performance liquid chromatography-mass spectrometry.

    Science.gov (United States)

    Feng, Zhijing; Sun, Xiaowei; Yang, Jindan; Hao, Dongfang; Du, Longfei; Wang, Hong; Xu, Wei; Zhao, Xiujuan; Sun, Changhao

    2012-09-30

    This study assessed the effects of long-term, low-dose dimethoate administration to rats by ultra-performance liquid chromatography-mass spectrometry (UPLC-MS). Dimethoate (0.04, 0.12, and 0.36 mg/kg body weight/day) was administered daily to male Wistar rats through their drinking water for 24 weeks. Significant changes in serum clinical chemistry were observed in the middle- and high-dose groups. UPLC-MS revealed evident separate clustering among the different dose groups using global metabolic profiling by supervised partial least squares-discriminant analysis. Metabonomic analysis showed alterations in a number of metabolites (12 from urine and 13 from plasma), such as L-tyrosine, dimethylthiophosphate (DMTP), dimethyldithiophosphate (DMDTP), citric acid, uric acid, suberic acid, glycylproline, allantoin, isovalerylglutamic acid and kinds of lipids. The results suggest that long-term, low-dose exposure to dimethoate can cause disturbances in liver function, antioxidant and nervous systems, as well as the metabolisms of lipids, glucose, fatty acids, amino acids, and collagen in rats. DMTP and DMDTP, which had the most significant changes among all other studied biomarkers, were considered as early, sensitive biomarkers of exposure to dimethoate. The other aforementioned proposed toxicity biomarkers in metabonomic analysis may be useful in the risk assessment of the toxic effects of dimethoate. Metabonomics as a systems toxicology approach was able to provide comprehensive information on the dynamic process of dimethoate induced toxicity. In addition, the results indicate that metabonomic approach could detect systemic toxic effects at an earlier stage compared to clinical chemistry. The combination of metabonomics and clinical chemistry made the toxicity of dimethoate on rats more comprehensive.

  17. Assessment of individual adaptation to microgravity during long term space flight based on stepwise discriminant analysis of heart rate variability parameters

    Science.gov (United States)

    Baevsky, Roman M.; Chernikova, Anna G.; Funtova, Irina I.; Tank, Jens

    2011-12-01

    Optimization of the cardiovascular system under conditions of long term space flight is provided by individual changes of autonomic cardiovascular control. Heart rate variability (HRV) analysis is an easy to use method under these extreme conditions. We tested the hypothesis that individual HRV analysis provides important information for crew health monitoring. HRV data from 14 Russian cosmonauts measured during long term space flights are presented (two times before and after flight, monthly in flight). HRV characteristics in the time and in the frequency domain were calculated. Predefined discriminant function equations obtained in reference groups (L1=-0.112*HR-1.006*SI-0.047*pNN50-0.086*HF; L2=0.140*HR-0.165*SI-1.293*pNN50+0.623*HF) were used to define four functional states. (1) Physiological normal, (2) prenosological, (3) premorbid and (4) pathological. Geometric mean values for the ISS cosmonauts based on L1 and L2 remained within normal ranges. A shift from the physiological normal state to the prenosological functional state during space flight was detected. The functional state assessed by HRV improved during space flight if compared to pre-flight and early post-flight functional states. Analysis of individual cosmonauts showed distinct patterns depending on the pre-flight functional state. Using the developed classification a transition process from the state of physiological normal into a prenosological state or premorbid state during different stages of space flight can be detected for individual Russian cosmonauts. Our approach to an estimation of HR regulatory pattern can be useful for prognostic purposes.

  18. Long-term analysis of spatio-temporal patterns in population dynamics and demography of juvenile Pinfish (Lagodon rhomboides)

    Science.gov (United States)

    Chacin, D. H.; Switzer, T. S.; Ainsworth, C. H.; Stallings, C. D.

    2016-12-01

    In estuarine systems, proximity to the ocean has the potential to directly and indirectly drive patterns of fish distribution and population dynamics. To test this hypothesis, we conducted a comprehensive analysis of fisheries-independent data and quantified patterns of density, biomass, and growth rates of juvenile Pinfish (Lagodon rhomboides) across spatial and temporal scales in Tampa Bay, Florida, USA. Spatially, the highest density and biomass were found in the outermost regions (closest to the Gulf of Mexico) of the Bay, and these patterns were generally consistent temporally. Inter-annually, Pinfish density and biomass were the highest during periods coinciding with favorable oceanographic conditions (e.g., anomalously intense and prolonged upwelling) for across-shelf transport of larvae from spawning grounds in the Gulf to Tampa Bay. Intra-annually, density and biomass were the highest during spring and summer likely due to the combined effects of spawning timing (and delivery of new settlers), and high somatic growth fueled by increased secondary and primary productivity. Declines in density and biomass during the late summer through early winter were possibly due to high post-settlement mortality and egress to offshore habitats. Pinfish increased predictably in size across the months of the calendar year, and tended to be larger and grew faster in the innermost regions of the Bay, which were located farthest from the Gulf. Pinfish density was related to the proximity to the Gulf of Mexico, with the outermost regions of the Bay having greater seagrass cover, higher salinity, and being closer to the offshore larval pool where spawning occurs. Thus, this study provided evidence that distance to the ocean was an important driver of biotic and abiotic factors that influenced Pinfish demographic rates across spatial and temporal scales in the largest estuary in Florida.

  19. Microstructural analysis of calcite-filled fractures inherited from basement structures, southern Ontario, Canada: long term instability of the craton?

    Science.gov (United States)

    Spalding, Jennifer; Schneider, David

    2016-04-01

    Intra-cratonic regions are generally characterized by tectonic stability and low seismicity. In southern Ontario, Canada, moderate levels of seismicity have been recorded over the last few decades reaching magnitudes of 5 MN, indicating that the geosphere is not as stable as predicted. The stratigraphy of the region consists of Ordovician limestone with a thickness of ~200 m that unconformably overlays the Mesoproterozoic crystalline Grenville Province. Subsequent tectonism including repeated Paleozoic orogenies and rifting along the east coast of North America has reactivated Proterozoic structures that have propagated into the overlying carbonate platform forming mesoscopic-scale brittle structures. Exposed along the shores of Lake Ontario are decameter-scale fracture zones, with a fracture spacing of 0.5 to 10 meters. The dominant fracture set trends E-W, and often forms conjugate sets with less prominent NNE-oriented fractures. More locally, an older NW-oriented fracture set is cross cut by the E-W and NNE oriented fractures. Regionally, there have been six directions of maximum horizontal stress in southern Ontario since the Precambrian, with the current orientation of maximum stress oriented ENE as a consequence of far field Atlantic ridge-push forces generated at distant plate boundaries. Calcite mineralization along fractured surfaces locally form sub-horizontal slickenside fabrics which are covered by a layer of euhedral calcite crystals, suggesting that fracture dilation (and fluid flow) occurred after fracture slip to allow the growth of calcite crystals. Due to the proximity of the carbonate units to the crystalline basement, we expect the calcitic veins to be enriched in rare earth elements and are presently conducting geochemical analyses. The calcite veins and surfaces vary from 2.5 cm to 1 mm thicknesses, often with larger calcite crystals in the center of the vein and smaller crystals at the vein boundaries, likely representing nucleation on small

  20. Estimation of the radionuclide inventory in LWR spent fuel assembly structural materials for long-term safety analysis

    Directory of Open Access Journals (Sweden)

    Caruso Stefano

    2016-01-01

    Full Text Available The radionuclide inventory of materials irradiated in a reactor depends on the initial material composition, irradiation history and on the magnitude and spectrum of the neutron flux. The material composition of a fuel assembly structure includes various alloys of Zircaloy, Inconel and stainless steel. The existing impurities in these materials are very important for accurate determination of the activation of all nuclides with a view to assessing the radiological consequences of their geological disposal. In fact, the safety assessments of geological repositories require the average and maximum (in the sense of very conservative inventories of the very long-lived nuclides as input. The purpose of the present work is to describe the methodology applied for determining the activation of these nuclides in fuel assembly structural materials by means of coupled depletion/activation calculations and also to crosscheck the results obtained from two approaches. UO2 and MOX PWR fuels have been simulated using SCALE/TRITON, simultaneously irradiating the fuel region in POWER mode and the cladding region in FLUX mode and aiming to produce binary macro cross-section libraries by applying accurate local neutron spectra in the cladding region as a function of irradiation history that are suitable for activation calculations. The developed activation libraries have been re-employed in a second run using the ORIGEN-S program for a dedicated activation calculation. The axial variation of the neutron flux along the fuel assembly length has also been considered. The SCALE calculations were performed using a 238-group cross-section library, according to the ENDF/B-VII. The results obtained with the ORIGEN-S activation calculations are compared with the results obtained from TRITON via direct irradiation of the cladding, as allowed by the FLUX mode. It is shown that an agreement on the total calculated activities can be found within 55% for MOX and within 22% for

  1. Clinical Significance of the Prognostic Nutritional Index for Predicting Short- and Long-Term Surgical Outcomes After Gastrectomy: A Retrospective Analysis of 7781 Gastric Cancer Patients.

    Science.gov (United States)

    Lee, Jee Youn; Kim, Hyoung-Il; Kim, You-Na; Hong, Jung Hwa; Alshomimi, Saeed; An, Ji Yeong; Cheong, Jae-Ho; Hyung, Woo Jin; Noh, Sung Hoon; Kim, Choong-Bai

    2016-05-01

    To evaluate the predictive and prognostic significance of the prognostic nutritional index (PNI) in a large cohort of gastric cancer patients who underwent gastrectomy.Assessing a patient's immune and nutritional status, PNI has been reported as a predictive marker for surgical outcomes in various types of cancer.We retrospectively reviewed data from a prospectively maintained database of 7781 gastric cancer patients who underwent gastrectomy from January 2001 to December 2010 at a single center. From this data, we analyzed clinicopathologic characteristics, PNI, and short- and long-term surgical outcomes for each patient. We used the PNI value for the 10th percentile (46.70) of the study cohort as a cut-off for dividing patients into low and high PNI groups.Regarding short-term outcomes, multivariate analysis showed a low PNI (odds ratio [OR] = 1.505, 95% CI = 1.212-1.869, P cancer recurrence.

  2. Spatio-temporal validation of long-term 3D hydrological simulations of a forested catchment using empirical orthogonal functions and wavelet coherence analysis

    Science.gov (United States)

    Fang, Zhufeng; Bogena, Heye; Kollet, Stefan; Koch, Julian; Vereecken, Harry

    2015-10-01

    Soil moisture plays a key role in the water and energy balance in soil, vegetation and atmosphere systems. According to Wood et al. (2011) there is a grand need to increase global-scale hyper-resolution water-energy-biogeochemistry land surface modelling capabilities. These modelling capabilities should also recognize epistemic uncertainties, as well as the nonlinearity and hysteresis in its dynamics. Unfortunately, it is not clear how to parameterize hydrological processes as a function of scale, and how to test deterministic models with regard to epistemic uncertainties. In this study, high resolution long-term simulations were conducted in the highly instrumented TERENO hydrological observatory of the Wüstebach catchment. Soil hydraulic parameters were derived using inverse modelling with the Hydrus-1D model using the global optimization scheme SCE-UA and soil moisture data from a wireless soil moisture sensor network. The estimated parameters were then used for 3D simulations of water transport using the integrated parallel simulation platform ParFlow-CLM. The simulated soil moisture dynamics, as well as evapotranspiration (ET) and runoff, were compared with long-term field observations to illustrate how well the model was able to reproduce the water budget dynamics. We investigated different anisotropies of hydraulic conductivity to analyze how fast lateral flow processes above the underlying bedrock affect the simulation results. For a detail investigation of the model results we applied the empirical orthogonal function (EOF) and wavelet coherence methods. The EOF analysis of temporal-spatial patterns of simulated and observed soil moisture revealed that introduction of heterogeneity in the soil porosity effectively improves estimates of soil moisture patterns. Our wavelet coherence analysis indicates that wet and dry seasons have significant effect on temporal correlation between observed and simulated soil moisture and ET. Our study demonstrates the

  3. Long-term field measurement and analysis of the natural wind characteristics at the site of Xi-hou-men Bridge

    Institute of Scientific and Technical Information of China (English)

    Ming LIU; Hai-li LIAO; Ming-shui LI; Cun-ming MA; Mei YU

    2012-01-01

    In order to investigate the wind characteristics of coastal areas of China,a long-term field measurement of natural wind was carried out.Based on the field measurement results,this paper presents the natural wind characteristics of typhoons and strong monsoons at the site of Xi-hou-men Bridge,including mean wind speed,mean wind direction,mean wind elevation angle,turbulent intensity,gust factor,turbulence integral length scales,power spectrum of wind speed and spatial correlation of gusty wind,the profiles of mean wind speed and turbulent intensity,etc.The correlation among wind characteristics is analyzed in detail,and the similarities and differences of wind characteristics between typhoons and monsoons are analyzed.These results can provide detailed wind characteristics of coastal areas of China.

  4. Uninterrupted oral anticoagulation versus bridging in patients with long-term oral anticoagulation during percutaneous coronary intervention : subgroup analysis from the WOEST trial

    NARCIS (Netherlands)

    Dewilde, Willem J. M.; Janssen, Paul W.; Kelder, Johannes C.; Verheugt, Freek W. A.; De Smet, Bart J. G. L.; Adriaenssens, Tom; Vrolix, Mathias; Brueren, Guus B.; Vandendriessche, Tom; Van Mieghem, Carlos; Cornelis, Kristoff; Vos, Jeroen; Breet, Nicoline J.; ten Berg, Jurrien M.

    2015-01-01

    Aims: To investigate the optimal periprocedural antithrombotic strategy in patients on long-term oral anticoagulation (OAC) who require percutaneous coronary intervention with stenting. Methods and results: The WOEST study was a randomised controlled trial which recruited 573 patients on long-term O

  5. Effects of long-term exposure to air pollution on natural-cause mortality : an analysis of 22 European cohorts within the multicentre ESCAPE project

    NARCIS (Netherlands)

    Beelen, Rob; Raaschou-Nielsen, Ole; Stafoggia, Massimo; Andersen, Zorana Jovanovic; Weinmayr, Gudrun; Hoffmann, Barbara; Wolf, Kathrin; Samoli, Evangelia; Fischer, Paul; Nieuwenhuijsen, Mark; Vineis, Paolo; Xun, Wei W.; Katsouyanni, Klea; Dimakopoulou, Konstantina; Oudin, Anna; Forsberg, Bertil; Modig, Lars; Havulinna, Aki S.; Lanki, Timo; Turunen, Anu; Oftedal, Bente; Nystad, Wenche; Nafstad, Per; De Faire, Ulf; Pedersen, Nancy L.; Ostenson, Claes-Goeran; Fratiglioni, Laura; Penell, Johanna; Korek, Michal; Pershagen, Goeran; Eriksen, Kirsten Thorup; Overvad, Kim; Ellermann, Thomas; Eeftens, Marloes; Peeters, Petra H.; Meliefste, Kees; Wang, Meng; Bueno-de-Mesquita, Bas; Sugiri, Dorothea; Kraemer, Ursula; Heinrich, Joachim; de Hoogh, Kees; Key, Timothy; Peters, Annette; Hampel, Regina; Concin, Hans; Nagel, Gabriele; Ineichen, Alex; Schaffner, Emmanuel; Probst-Hensch, Nicole; Kuenzli, Nino; Schindler, Christian; Schikowski, Tamara; Adam, Martin; Phuleria, Harish; Vilier, Alice; Clavel-Chapelon, Francoise; Declercq, Christophe; Grioni, Sara; Krogh, Vittorio; Tsai, Ming-Yi; Ricceri, Fulvio; Sacerdote, Carlotta; Galassi, Claudia; Migliore, Enrica; Ranzi, Andrea; Cesaroni, Giulia; Badaloni, Chiara; Forastiere, Francesco; Tamayo, Ibon; Amiano, Pilar; Dorronsoro, Miren; Katsoulis, Michail; Trichopoulou, Antonia; Brunekreef, Bert; Hoek, Gerard

    2014-01-01

    Background Few studies on long-term exposure to air pollution and mortality have been reported from Europe. Within the multicentre European Study of Cohorts for Air Pollution Effects (ESCAPE), we aimed to investigate the association between natural-cause mortality and long-term exposure to several a

  6. Long-term outcome after neoadjuvant radiochemotherapy in locally advanced noninflammatory breast cancer and predictive factors for a pathologic complete remission. Results of a multivariate analysis

    Energy Technology Data Exchange (ETDEWEB)

    Matuschek, C.; Boelke, E.; Roth, S.L. [Duesseldorf Univ. (Germany). Dept. of Radiation Oncology] [and others

    2012-09-15

    An earlier published series of neoadjuvant radiochemotherapy (NRT-CHX) in locally advanced noninflammatory breast cancer (LABC) has now been updated with a follow-up of more than 15 years. Long-term outcome data and predictive factors for pathologic complete response (pCR) were analyzed. Patients and methods: During 1991-1998, 315 LABC patients (cT1-cT4/cN0-N1) were treated with NRT-CHX. Preoperative radiotherapy (RT) consisted of external beam radiation therapy (EBRT) of 50 Gy (5 x 2 Gy/week) to the breast and the supra-/infraclavicular lymph nodes combined with an electron boost in 214 cases afterwards or - in case of breast conservation - a 10-Gy interstitial boost with {sup 192}Ir afterloading before EBRT. Chemotherapy was administered prior to RT in 192 patients, and concomitantly in 113; 10 patients received no chemotherapy. The update of all follow-up ended in November 2011. Age, tumor grade, nodal status, hormone receptor status, simultaneous vs. sequential CHX, and the time interval between end of RT and surgery were examined in multivariate terms with pCR and overall survival as end point. Results: The total pCR rate after neoadjuvant RT-CHX reached 29.2%, with LABC breast conservation becoming possible in 50.8% of cases. In initially node-positive cases (cN+), a complete nodal response (pN0) after NRT-CHX was observed in 56% (89/159). The multivariate analysis revealed that a longer time interval to surgery increased the probability for a pCR (HR 1.17 [95% CI 1.05-1.31], p < 0.01). However, in large tumors (T3-T4) a significantly reduced pCR rate (HR 0.89 [95% CI 0.80-0.99], p = 0.03) was obtained. Importantly, pCR was the strongest prognostic factor for long-term survival (HR 0.28 [95% CI 0.19-0.56], p < 0.001). Conclusion: pCR identifies patients with a significantly better prognosis for long-term survival. However, a long time interval to surgery (> 2 months) increases the probability of pCR after NRT-CHX. (orig.)

  7. Mid- to Long-Term Outcomes of Cervical Disc Arthroplasty versus Anterior Cervical Discectomy and Fusion for Treatment of Symptomatic Cervical Disc Disease: A Systematic Review and Meta-Analysis of Eight Prospective Randomized Controlled Trials.

    Directory of Open Access Journals (Sweden)

    Yan Hu

    Full Text Available This study aimed to investigate the mid- to long-term outcomes of cervical disc arthroplasty (CDA versus anterior cervical discectomy and fusion (ACDF for the treatment of 1-level or 2-level symptomatic cervical disc disease.Medline, Embase, and the Cochrane Central Register of Controlled Trials databases were searched to identify relevant randomized controlled trials that reported mid- to long-term outcomes (at least 48 months of CDA versus ACDF. All data were analyzed by Review Manager 5.3 software. The relative risk (RR and 95% confidence intervals (CIs were calculated for dichotomous variables. The weighted mean difference (WMD and 95%CIs were calculated for continuous variables. A random effect model was used for heterogeneous data; otherwise, a fixed effect model was used.Eight prospective randomized controlled trials (RCTs were retrieved in this meta-analysis, including 1317 and 1051 patients in CDA and ACDF groups, respectively. Patients after an ACDF had a significantly lower rate of follow-up than that after CDA. Pooled analysis showed patients in CDA group achieved significantly higher rates of overall success, Neck Disability Index (NDI success, neurological success and significantly lower rates of implant/surgery-related serious adverse events and secondary procedure compared with that in ACDF group. The long-term functional outcomes (NDI, Visual Analog Scale (VAS neck and arm pain scores, the Short Form 36 Health Survey physical component score (SF-36 PCS, patient satisfaction and recommendation, and the incidence of superior adjacent segment degeneration also favored patients in CDA group with statistical difference. Regarding inferior adjacent segment degeneration, patients in CDA group had a lower rate without statistical significance.This meta-analysis showed that cervical disc arthroplasty was superior over anterior discectomy and fusion for the treatment of symptomatic cervical disc disease in terms of overall success, NDI

  8. Standard practice for prediction of the long-term behavior of materials, including waste forms, used in engineered barrier systems (EBS) for geological disposal of high-level radioactive waste

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2007-01-01

    1.1 This practice describes test methods and data analyses used to develop models for the prediction of the long-term behavior of materials, such as engineered barrier system (EBS) materials and waste forms, used in the geologic disposal of spent nuclear fuel (SNF) and other high-level nuclear waste in a geologic repository. The alteration behavior of waste form and EBS materials is important because it affects the retention of radionuclides by the disposal system. The waste form and EBS materials provide a barrier to release either directly (as in the case of waste forms in which the radionuclides are initially immobilized), or indirectly (as in the case of containment materials that restrict the ingress of groundwater or the egress of radionuclides that are released as the waste forms and EBS materials degrade). 1.1.1 Steps involved in making such predictions include problem definition, testing, modeling, and model confirmation. 1.1.2 The predictions are based on models derived from theoretical considerat...

  9. LightForce Photon-pressure Collision Avoidance: Efficiency Analysis in the Current Debris Environment and Long-Term Simulation Perspective

    Science.gov (United States)

    Yang, Fan Y.; Nelson, Bron; Carlino, Roberto; Perez, Andres D.; Faber, Nicolas; Henze, Chris; Karacahoglu, Arif G.; O'Toole, Conor; Swenson, Jason; Stupl, Jan

    2015-01-01

    This work provides an efficiency analysis of the LightForce space debris collision avoidance scheme in the current debris environment and describes a simulation approach to assess its impact on the long-term evolution of the space debris environment. LightForce aims to provide just-in-time collision avoidance by utilizing photon pressure from ground-based industrial lasers. These ground stations impart minimal accelerations to increase the miss distance for a predicted conjunction between two objects. In the first part of this paper we will present research that investigates the short-term effect of a few systems consisting of 10kW class lasers directed by 1.5 m diameter telescopes using adaptive optics. The results found such a network of ground stations to mitigate more than 85 percent of conjunctions and could lower the expected number of collisions in Low Earth Orbit (LEO) by an order of magnitude. While these are impressive numbers that indicate LightForce's utility in the short-term, the remaining 15 percent of possible collisions contain (among others) conjunctions between two massive objects that would add large amount of debris if they collide. Still, conjunctions between massive objects and smaller objects can be mitigated. Hence we choose to expand the capabilities of the simulation software to investigate the overall effect of a network of LightForce stations on the long-term debris evolution. In the second part of this paper, we will present the planed simulation approach for that effort.

  10. The Melting Point of Palladium Using Miniature Fixed Points of Different Ceramic Materials: Part II—Analysis of Melting Curves and Long-Term Investigation

    Science.gov (United States)

    Edler, F.; Huang, K.

    2016-12-01

    Fifteen miniature fixed-point cells made of three different ceramic crucible materials (Al2O3, ZrO2, and Al2O3(86 %)+ZrO2(14 %)) were filled with pure palladium and used to calibrate type B thermocouples (Pt30 %Rh/Pt6 %Rh). A critical point by using miniature fixed points with small amounts of fixed-point material is the analysis of the melting curves, which are characterized by significant slopes during the melting process compared to flat melting plateaus obtainable using conventional fixed-point cells. The method of the extrapolated starting point temperature using straight line approximation of the melting plateau was applied to analyze the melting curves. This method allowed an unambiguous determination of an electromotive force (emf) assignable as melting temperature. The strict consideration of two constraints resulted in a unique, repeatable and objective method to determine the emf at the melting temperature within an uncertainty of about 0.1 μ V. The lifetime and long-term stability of the miniature fixed points was investigated by performing more than 100 melt/freeze cycles for each crucible of the different ceramic materials. No failure of the crucibles occurred indicating an excellent mechanical stability of the investigated miniature cells. The consequent limitation of heating rates to values below {± }3.5 K min^{-1} above 1100° C and the carefully and completely filled crucibles (the liquid palladium occupies the whole volume of the crucible) are the reasons for successfully preventing the crucibles from breaking. The thermal stability of the melting temperature of palladium was excellent when using the crucibles made of Al2O3(86 %)+ZrO2(14 %) and ZrO2. Emf drifts over the total duration of the long-term investigation were below a temperature equivalent of about 0.1 K-0.2 K.

  11. Mini dental implants for long-term fixed and removable prosthetics: a retrospective analysis of 2514 implants placed over a five-year period.

    Science.gov (United States)

    Shatkin, Todd E; Shatkin, Samuel; Oppenheimer, Benjamin D; Oppenheimer, Adam J

    2007-02-01

    Over the past decade, endosseous implants of increasingly smaller diameters have been introduced into the field of dentistry. Small diameter implants (SDIs) are generally 2.75 mm to 3.3 mm in diameter. They are frequently used in cases of limited alveolar anatomy Mini dental implants (MDIs) are smaller than their SDI counterparts, with diameters ranging from 1.8 mm to 2.4 mm. They are suitable for long-term use-a task for which the device was approved by the Food and Drug Administration. The following study describes the authors' experience with MDIs under this indication. Over a 5-year period, 2514 MDIs were placed in 531 patients. The mean duration of follow-up was 2.9 years. The implants supported fixed (1278) and removable prostheses (1236), with nearly equal placement in the mandible and maxilla (1256 and 1258, respectively). The overall implant survival was 94.2%. Based on a Cox proportional hazards model, statistically significant predictors of failure include use in removable prostheses (hazard ratio = 4.28), the posterior maxilla (3.37), atrophic bone (3.32), and cigarette smokers (2.28). Implant failures (145) were attributed to mobility with or without suppuration (19% vs 81%, respectively). The mean failure time for these implants was approximately 6.4 months (193+/-42 days). This temporally correlates with the osseointegration period. A learning curve was established for this procedure, and implant survival improved with placement experience. Based on these results, the authors have devised treatment guidelines for the use of MDIs in long-term fixed and removable prostheses. MDIs are not a panacea; however, proper training enables the general dentist to successfully implement MDIs into clinical practice.

  12. LightForce photon-pressure collision avoidance: Efficiency analysis in the current debris environment and long-term simulation perspective

    Science.gov (United States)

    Yang Yang, Fan; Nelson, Bron; Aziz, Jonathan; Carlino, Roberto; Dono Perez, Andres; Faber, Nicolas; Foster, Cyrus; Frost, Chad; Henze, Chris; Karacalıoğlu, Arif Göktuğ; Levit, Creon; Marshall, William; Mason, James; O'Toole, Conor; Swenson, Jason; Worden, Simon P.; Stupl, Jan

    2016-09-01

    This work provides an efficiency analysis of the LightForce space debris collision avoidance scheme in the current debris environment and describes a simulation approach to assess its impact on the long-term evolution of the space debris environment. LightForce aims to provide just-in-time collision avoidance by utilizing photon pressure from ground-based industrial lasers. These ground stations impart minimal accelerations to increase the miss distance for a predicted conjunction between two objects. In the first part of this paper we will present research that investigates the short-term effect of a few systems consisting of 20 kW class lasers directed by 1.5 m diameter telescopes using adaptive optics. The results found such a network of ground stations to mitigate more than 85 percent of conjunctions and could lower the expected number of collisions in Low Earth Orbit (LEO) by an order of magnitude. While these are impressive numbers that indicate LightForce's utility in the short-term, the remaining 15 % of possible collisions contain (among others) conjunctions between two massive objects that would add large amount of debris if they collide. Still, conjunctions between massive objects and smaller objects can be mitigated. Hence, we choose to expand the capabilities of the simulation software to investigate the overall effect of a network of LightForce stations on the long-term debris evolution. In the second part of this paper, we will present the planned simulation approach for that effort. For the efficiency analysis of collision avoidance in the current debris environment, we utilize a simulation approach that uses the entire Two Line Element (TLE) catalog in LEO for a given day as initial input. These objects are propagated for one year and an all-on-all conjunction analysis is performed. For conjunctions that fall below a range threshold, we calculate the probability of collision and record those values. To assess efficiency, we compare a baseline

  13. Issues for the long term management of radioactive waste

    Energy Technology Data Exchange (ETDEWEB)

    Schneider, T.; Schieber, C. [CEPN, 92 - Fontenay-aux-Roses (France); Lavelle, S. [ICAM, 59 - Lille (France)

    2006-07-01

    High-level radioactive waste are currently managed in interim storage installations, providing an adequate protection of the public and the workers for the short term period. However, the long-term persistence of the radioactivity of the waste gives a new timescale dimension, never experimented by the society for the development of protection systems. In the framework of the European Commission research project 'COWAM-2' (COmmunity WAste Management) dedicated to the governance of radioactive waste management, the issues of 'long term governance' have been addressed by exploring the elements which can contribute to a better integration of the technical and societal time dimensions, taking into account technical, ethical, economic and organizational considerations. The originality of this project is to address the various issues within working groups involving stakeholders from different origins and European countries together with a research team. After a discussion on the time dimensions to be taken into account from the technical and societal perspective, this paper presents, mainly based on the findings of the COWAM-2 project, a brief analysis of the ethical criteria to be considered when future generations are concerned as well as some performance criteria regarding long term governance. Finally, it proposes a discussion on the interest for the radiation protection experts to engage a process with stakeholders concerned by radioactive waste management in order to favour the emergence of a sustainable management responding to the issues at stake and including radiation protection considerations for long term periods. (authors)

  14. Comparing global-scale topographic and climatic metrics to long-term erosion rates using ArcSwath, an efficient new ArcGIS tool for swath profile analysis

    Science.gov (United States)

    Blomqvist, Niclas; Whipp, David

    2016-04-01

    The topography of the Earth's surface is the result of the interaction of tectonics, erosion and climate. Thus, topography should contain a record of these processes that can be extracted by topographic analysis. The question considered in this study is whether the spatial variations in erosion that have sculpted the modern topography are representative of the long-term erosion rates in mountainous regions. We compare long-term erosion rates derived from low-temperature thermochronometry to erosional proxies calculated from topographic and climatic data analysis. The study has been performed on a global scale including six orogens: The Himalaya, Andes, Taiwan, Olympic Mountains, Southern Alps in New Zealand and European Alps. The data was analyzed using a new swath profile analysis tool for ArcGIS called ArcSwath (https://github.com/HUGG/ArcSwath) to determine the correlations between the long-term erosion rates and modern elevations, slope angles, relief in 2.5-km- and 5-km-diameter circles, erosion potential, normalized channel steepness index ksn, and annual rainfall. ArcSwath uses a Python script that has been incorporated into an ArcMap 10.2 add-in tool, extracting swath profiles in about ten seconds compared to earlier workflows that could take more than an hour. In ArcMap, UTM-projected point or raster files can be used for creating swath profiles. Point data are projected onto the swath and the statistical parameters (minimum, mean and maximum of the values across the swath) are calculated for the raster data. Both can be immediately plotted using the Python matplotlib library, or plotted externally using the csv-file that is produced by ArcSwath. When raster and point data are plotted together, it is easier to make comparisons and see correlations between the selected data. An unambiguous correlation between the topographic or climatic metrics and long-term erosion rates was not found. Fitting of linear regression lines to the topographic/ climatic metric

  15. The long term characteristics of greenschist

    Science.gov (United States)

    Jang, Bo-An

    2016-04-01

    The greenschist in the Jinping II Hydropower Station in southwest China exhibits continuous creep behaviour because of the geological conditions in the region. This phenomenon illustrates the time-dependent deformation and progressive damage that occurs after excavation. In this study, the responses of greenschist to stress over time were determined in a series of laboratory tests on samples collected from the access tunnel walls at the construction site. The results showed that the greenschist presented time-dependent behaviour under long-term loading. The samples generally experienced two stages: transient creep and steady creep, but no accelerating creep. The periods of transient creep and steady creep increased with increasing stress levels. The long-term strength of the greenschist was identified based on the variation of creep strain and creep rate. The ratio of long-term strength to conventional strength was around 80% and did not vary much with confining pressures. A quantitative method for predicting the failure period of greenschist, based on analysis of the stress-strain curve, is presented and implemented. At a confining pressure of 40 MPa, greenschist was predicted to fail in 5000 days under a stress of 290 MPa and to fail in 85 days under the stress of 320 MPa, indicating that the long-term strength identified by the creep rate and creep strain is a reliable estimate.

  16. Very-low-carbohydrate ketogenic diet v. low-fat diet for long-term weight loss: a meta-analysis of randomised controlled trials.

    Science.gov (United States)

    Bueno, Nassib Bezerra; de Melo, Ingrid Sofia Vieira; de Oliveira, Suzana Lima; da Rocha Ataide, Terezinha

    2013-10-01

    The role of very-low-carbohydrate ketogenic diets (VLCKD) in the long-term management of obesity is not well established. The present meta-analysis aimed to investigate whether individuals assigned to a VLCKD (i.e. a diet with no more than 50 g carbohydrates/d) achieve better long-term body weight and cardiovascular risk factor management when compared with individuals assigned to a conventional low-fat diet (LFD; i.e. a restricted-energy diet with less than 30% of energy from fat). Through August 2012, MEDLINE, CENTRAL, ScienceDirect,Scopus, LILACS, SciELO, ClinicalTrials.gov and grey literature databases were searched, using no date or language restrictions, for randomised controlled trials that assigned adults to a VLCKD or a LFD, with 12 months or more of follow-up. The primary outcome was bodyweight. The secondary outcomes were TAG, HDL-cholesterol (HDL-C), LDL-cholesterol (LDL-C), systolic and diastolic blood pressure,glucose, insulin, HbA1c and C-reactive protein levels. A total of thirteen studies met the inclusion/exclusion criteria. In the overall analysis,five outcomes revealed significant results. Individuals assigned to a VLCKD showed decreased body weight (weighted mean difference 20·91 (95% CI 21·65, 20·17) kg, 1415 patients), TAG (weighted mean difference 20·18 (95% CI 20·27, 20·08) mmol/l, 1258 patients)and diastolic blood pressure (weighted mean difference 21·43 (95% CI 22·49, 20·37) mmHg, 1298 patients) while increased HDL-C(weighted mean difference 0·09 (95% CI 0·06, 0·12) mmol/l, 1257 patients) and LDL-C (weighted mean difference 0·12 (95% CI 0·04,0·2) mmol/l, 1255 patients). Individuals assigned to a VLCKD achieve a greater weight loss than those assigned to a LFD in the longterm; hence, a VLCKD may be an alternative tool against obesity.

  17. Long-term Records of Pacific Salmon Abundance From Sediment Core Analysis: Relationships to Past Climatic Change, and Implications for the Future

    Science.gov (United States)

    Finney, B.

    2002-12-01

    above and below average strength of the Aleutian Low pressure system. During periods of stronger low pressure, sea surface temperature anomalies are warm in the northeast Pacific and cool in the central and northwest Pacific, a condition referred to as the positive phase of the Pacific Interdecadal Oscillation (PDO). Historically, during positive phases of the PDO Alaska salmon abundance is generally high. Consistent with this pattern, records of reconstructed sockeye salmon generally show higher abundance during warm periods over the past 300 years. However, the long-term trend suggests generally higher abundance during the cooler Little Ice Age, which southern Alaska glacial records suggest occurred between about 1200 - 1900 AD. The apparent complexity of salmon-climate relationships may be due to several factors. Long-term paleoclimate records from this region suggest additional modes of North Pacific climate variability, relative to the PDO. In addition, data on primary and secondary production in the Northeast Pacific Ocean indicates that climatic forcing has a direct impact on lower trophic levels, which subsequently affects salmon production. Thus records of ocean productivity, which are currently unavailable, may provide a mechanistic linkage between climate change and salmon abundance. The long-term perspective provided by the paleodata suggest that historical observations provide a limited understanding of how Pacific salmon respond to climatic change, and point to important areas of research necessary to better predict future responses.

  18. Long-term effects of oil pollution in mangrove forests (Baixada Santista, Southeast Brazil detected using a GIS-based multitemporal analysis of aerial photographs

    Directory of Open Access Journals (Sweden)

    Luciana Cavalcanti Maia Santos

    2012-06-01

    Full Text Available Oil spills are potential threats to the integrity of highly productive coastal wetlands, such as mangrove forests. In October 1983, a mangrove area of nearly 300 ha located on the southeastern coast of Brazil was impacted by a 3.5 million liter crude oil spill released by a broken pipeline. In order to assess the long-term effects of oil pollution on mangrove vegetation, we carried out a GIS-based multitemporal analysis of aerial photographs of the years 1962, 1994, 2000 and 2003. Photointerpretation, visual classification, class quantification, ground-truth and vegetation structure data were combined to evaluate the oil impact. Before the spill, the mangroves exhibited a homogeneous canopy and well-developed stands. More than ten years after the spill, the mangrove vegetation exhibited three distinct zones reflecting the long-term effects of the oil pollution. The most impacted zone (10.5 ha presented dead trees, exposed substrate and recovering stands with reduced structural development. We suggest that the distinct impact and recovery zones reflect the spatial variability of oil removal rates in the mangrove forest. This study identifies the multitemporal analysis of aerial photographs as a useful tool for assessing a system's capacity for recovery and monitoring the long-term residual effects of pollutants on vegetation dynamics, thus giving support to mangrove forest management and conservation.Vazamentos de petróleo são potenciais ameaças à integridade de ecossistemas costeiros. Em outubro de 1983, devido ao rompimento de um oleoduto, um manguezal com cerca de 300 ha, localizado na costa sudeste do Brasil foi impactado por 3.5 milhões de litros de petróleo. Visando avaliar os efeitos de longo prazo do petróleo sobre a vegetação do manguezal, foi realizada uma análise multitemporal (1962, 1994, 2000 e 2003 de fotografias aéreas em SIG. Fotointerpretação, classificação visual, quantificação de áreas, dados de campo e dados

  19. Depressive morbidity among elderly individuals who are hospitalized, reside at long-term care facilities, and are under outpatient care in Brazil: a meta-analysis

    Directory of Open Access Journals (Sweden)

    Luís Fernando S. Castro-de-Araújo

    2013-06-01

    Full Text Available Objectives: i To investigate studies published between 1991 and 2010 on the prevalence of depressive morbidity (major depressive disorder [MDD], dysthymia and clinically significant depressive symptoms [CSDS] among elderly Brazilians assisted at healthcare facilities; ii to establish the prevalence of depression and identify its related factors; and iii to conduct a meta-analysis to assess the prevalence of depressive syndrome among elderly individuals assisted or hospitalized at healthcare facilities. Methods: Studies were selected from articles dated between January 1991 and June 2010 and extracted from the MEDLINE, LILACS, and SciELO databases. Results: The final analysis consisted of 15 studies, distributed as follows: i four sampled hospitalized patients, totaling 299 individuals, and found a prevalence of CSDS varying between 20 and 56%; ii four sampled outpatients, totaling 1,454 individuals; the prevalence of CSDS varied between 11 and 65%, and the prevalence of MDD varied between 23 and 42%; and iii seven sampled elderly individuals residing in long-term care facilities (LTCF, totaling 839 individuals, and the prevalence of CSDS varied between 11 and 65%. Conclusion: The present review indicated a higher prevalence of both MDD and CSDS among elderly Brazilians assisted at healthcare facilities.

  20. Long-term outcomes and prognostic analysis of modified open-door laminoplasty with lateral mass screw fusion in treatment of cervical spondylotic myelopathy

    Directory of Open Access Journals (Sweden)

    Su N

    2016-08-01

    Full Text Available Nan Su, Qi Fei, Bingqiang Wang, Dong Li, Jinjun Li, Hai Meng, Yong Yang, Ai Guo Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Xicheng District, Beijing, People’s Republic of China Objectives: The purpose of the present study was to explore and analyze the long-term outcomes and factors that affect the prognosis of expansive open-door laminoplasty with lateral mass screw fusion in treatment of cervical spondylotic myelopathy (CSM. Methods: We retrospectively reviewed 49 patients with multilevel CSM who had undergone expansive open-door laminoplasty with lateral mass screws fixation and fusion in our hospital between February 2008 and February 2012. The average follow-up period was 4.6 years. The clinical data of patients, including age, sex, operation records, pre- and postoperation Japanese Orthopedic Association (JOA scores, cervical spine canal stenosis, and cervical curvature, were collected. Increased signal intensity (ISI on T2-weighted magnetic resonance imaging and ossification of the posterior longitudinal ligament were also observed. Paired t-test was used to analyze the treatment effectiveness and recovery of neuronal function. The prognostic factors were analyzed with multivariable linear regression model. Results: Forty-nine patients with CSM with a mean age of 59.44 years were enrolled in this study. The average of preoperative JOA score was 9.14±2.25, and postoperative JOA score was 15.31±1.73. There was significant difference between the pre- and postoperative JOA scores. The clinical improvement rate was 80.27%. On follow-up, five patients had complaints of neck and shoulder pain, but no evidence of C5 nerve palsy was found. Developmental cervical spine canal stenosis was present in all patients before surgery. Before surgery, ISI was observed in eight patients, while ossification of the posterior longitudinal ligament was found in 12 patients. The average of preoperative cervical

  1. Long-Term Modeling of Coupled Processes in a Generic Salt Repository for Heat-Generating Nuclear Waste: Analysis of the Impacts of Halite Solubility Constraints

    Science.gov (United States)

    Blanco Martin, L.; Rutqvist, J.; Battistelli, A.; Birkholzer, J. T.

    2015-12-01

    Rock salt is a potential medium for the underground disposal of nuclear waste because it has several assets, such as its ability to creep and heal fractures and its water and gas tightness in the undisturbed state. In this research, we focus on disposal of heat-generating nuclear waste and we consider a generic salt repository with in-drift emplacement of waste packages and crushed salt backfill. As the natural salt creeps, the crushed salt backfill gets progressively compacted and an engineered barrier system is subsequently created [1]. The safety requirements for such a repository impose that long time scales be considered, during which the integrity of the natural and engineered barriers have to be demonstrated. In order to evaluate this long-term integrity, we perform numerical modeling based on state-of-the-art knowledge. Here, we analyze the impacts of halite dissolution and precipitation within the backfill and the host rock. For this purpose, we use an enhanced equation-of-state module of TOUGH2 that properly includes temperature-dependent solubility constraints [2]. We perform coupled thermal-hydraulic-mechanical modeling and we investigate the influence of the mentioned impacts. The TOUGH-FLAC simulator, adapted for large strains and creep, is used [3]. In order to quantify the importance of salt dissolution and precipitation on the effective porosity, permeability, pore pressure, temperature and stress field, we compare numerical results that include or disregard fluids of variable salinity. The sensitivity of the results to some parameters, such as the initial saturation within the backfill, is also addressed. References: [1] Bechthold, W. et al. Backfilling and Sealing of Underground Repositories for Radioactive Waste in Salt (BAMBUS II Project). Report EUR20621 EN: European Atomic Energy Community, 2004. [2] Battistelli A. Improving the treatment of saline brines in EWASG for the simulation of hydrothermal systems. Proceedings, TOUGH Symposium 2012

  2. Long-term Outcome and Analysis of Dysfunction of Transjugular Intrahepatic Portosystemic Shunt Placement in Chronic Primary Budd-Chiari Syndrome.

    Science.gov (United States)

    Hayek, Georges; Ronot, Maxime; Plessier, Aurélie; Sibert, Annie; Abdel-Rehim, Mohamed; Zappa, Magaly; Rautou, Pierre-Emmanuel; Valla, Dominique; Vilgrain, Valérie

    2016-10-31

    Purpose To evaluate the long-term safety, technical success, and efficacy of transjugular intrahepatic portosystemic shunt (TIPS) in a series of patients with Budd-Chiari syndrome (BCS), and to determine the predictors of shunt dysfunction. Materials and Methods From 2004 to 2013, all patients with primary BCS referred for TIPS placement were included in the study. The primary and secondary technical success rates and the number and types of early (ie, before day 7) complications were noted. Factors associated with dysfunction were analyzed with uni- and multivariate analyses. Survival was analyzed with Kaplan-Meier curves. Results Fifty-four patients (34 women [63%]; mean age, 36 years ± 12 [standard deviation]) were included. Twenty-eight patients (52%) had myeloproliferative neoplasms. The mean Model for End-Stage Liver Disease score was 14.5 ± 4. The most frequent indication for TIPS was refractory ascites (50 of 54; 93%). Primary and secondary technical success rates were 93% and 98%, respectively. Early complications occurred in 17 patients (32%). After a mean follow-up of 56 months ± 41 (interquartile range, 22-92), 22 patients (42%) experienced at least one episode of TIPS dysfunction (median delay between administration of TIPS and first episode of dysfunction, 10.8 months). Cumulative 1-, 2-, 3-, 5-, and 10-year primary patency rates were 64%, 59%, 54%, 45%, and 45%, respectively. Dysfunction was associated with a myeloproliferative neoplasm (hazard ratio, 8.18; 95% confidence interval: 1.45, 46.18; P = .017), more than two initial stents (hazard ratio, 3.90; 95% confidence interval:1.16, 13.10; P = .027), and the occurrence of early complications (hazard ratio, 11.34; 95% confidence interval: 1.82, 70.69; P = .009). The 10-year survival rate was 76%. Conclusion TIPS placement in patients with chronic primary BCS was associated with a nonnegligible rate of early complications and required endovascular revision or revisions in 42% of patients

  3. Long-term CD4+ T-cell count evolution after switching from regimens including HIV nucleoside reverse transcriptase inhibitors (NRTI plus protease inhibitors to regimens containing NRTI plus non-NRTI or only NRTI

    Directory of Open Access Journals (Sweden)

    Cicconi Paola

    2011-01-01

    did not seem to impair CD4+ trend over long-term follow-up. Although the greater CD4+ increases in patients who switched to the NRTI-only regimen was due to higher CD4+ counts before the switch, several statistical analyses consistently showed that switching to this regimen did not damage the ongoing immune-reconstitution. Lastly, the observation that CD4+ T-cell counts remained low or decreased in the long term despite virological success merits further investigation.

  4. 硅油长期眼内填充的可行性分析%Analysis of the possibility for long-term intraocular silicone oil tamponade

    Institute of Scientific and Technical Information of China (English)

    马利波; 王颖; 赵健; 李垚

    2014-01-01

    目的 探讨硅油眼内长期填充的可行性及其转归.方法 收集2004年9月至2014年6月在沈阳爱尔眼视光医院随访资料完整的硅油眼内填充达3年以上的病例23例23只眼,男16例,女7例,硅油填充时间3年至15年,对其进行分析.其中严重孔源视网膜脱离16只眼、急性视网膜坏死2只眼、增殖性糖尿病视网膜病变Ⅵ期2只眼、眼球破裂伤3只眼,均行玻璃体切除、硅油填充.其中视网膜切开6只眼,联合晶状体一期切除17只眼.结果 末次手术后依然硅油填充17只眼,其中视网膜复位良好7只眼,视网膜部分复位7只眼;全视网膜脱离2只眼,眼底不清1只眼;6只眼硅油取出,其中5只眼硅油取出后视网膜复位保持良好,1只眼视网膜脱离复发.视力0.01~0.06者6只眼,光感~指数者10只眼,无光感者3只眼.随访期间并发症有角膜带状变性、角膜大泡病变、继发青光眼、硅油乳化、晶状体混浊、视乳头颜色变淡、低眼压、虹膜红变和硅油进入视网膜下等.结论 硅油长期填充会导致眼组织结构和功能的异常,但对于一些视网膜复位不佳的严重玻璃体视网膜病变病例,硅油的长期填充可以获得维持视网膜复位,延长有用的视功能,保持眼球外观的机会.%Objective To study the etiology,symptoms and prognosis of long-term intraocular silicone tamponade.Methods This study collected 23 patients (23 eyes) with intraocular silicone oil tamponade for more than 3 years during 8 years follow-up.Male was 16; female was 7; the time of silicone oil tamponade was from 3 to 15 years,including 16 eyes of rhegmatogenous retinal detachment; 2 eyes of acute retinal necrosis; 2 eyes of proliferative diabeticretinopathy; 3 eyes of traumatic ocular rupture.All patients had been performed vitrectomy and silicone oil tamponade,including 6 eyes with retinal incision and 17 eyes with lesectomy.Results Of 17 eyes with long-term silicone oil tamponade,including

  5. Evidence of Two Component Accretion Flows as revealed by time lag properties: Results of Long-Term RXTE/ASM Data Analysis

    Science.gov (United States)

    Ghosh, Arindam; Chakrabarti, Sandip Kumar

    2016-07-01

    Long-term RXTE/ASM X-ray data of several Galactic black hole candidates (BHCs) are analyzed. The results of this analysis show the existence of two component accretion flow (TCAF) in both low-mass and high-mass X-ray binaries (LMXBs & HMXBs). Large disks with long viscous timescales in the accreting matter with high angular momentum are prevalent in LMXBs due to processes like Roche lobe overflow, while small disks with little viscous delays are observed in HMXBs, primarily because of wind accretion. Two parameters are defined as photon indices, independent of the choice of a BHC, in order to find correlation between the two components, namely, the Keplerian disk component and the sub-Keplerian component, thereby estimating the time lag between two aforesaid timescales. Fluxes of hard and soft photons are observed to be anti-correlated with respect to these photon indices. The time lags give us an idea of the viscosity in the Keplerian component.

  6. Periodic X-ray Modulation and its Possible Relation with Eccentricity in Black Hole Binaries : Long-Term Swift/BAT and RXTE/ASM Data Analysis

    Science.gov (United States)

    Ghosh, Arindam; Chakrabarti, Sandip Kumar

    2016-07-01

    X-ray binary orbits are expected to have some eccentricity, albeit small. Stellar companion of a black hole orbiting in an eccentric orbit will experience modulating tidal force with a periodicity same as that of the orbital period which will result in a modulation of accretion rates, seed photon flux, and flux of inverse Comptonized harder X-rays as well. Timing analysis of long-term X-ray data (1.5-12 keV) of RXTE/ASM and all sky survey data (15-50 keV) of Swift/BAT satellites reveal this periodicity in several black hole candidates. If this modulation is assumed to be solely due to tidal effects (without taking other effects, such as eclipses, reflection from winds, super-hump phenomena etc. into account), the RMS-value of the peak in power density spectrum allows us to estimate eccentricities of these orbits. We present these very interesting results. We show that our results generally agree with independent studies of these parameters.

  7. A minimally invasive method of piscine tissue collection and an analysis of long-term field-storage conditions for samples

    Directory of Open Access Journals (Sweden)

    Smalley John V

    2006-05-01

    Full Text Available Abstract Background The acquisition of high-quality DNA for use in phylogenetic and molecular population genetic studies is a primary concern for evolutionary and genetic researchers. Many non-destructive DNA sampling methods have been developed and are used with a variety of taxa in applications ranging from genetic stock assessment to molecular forensics. Results The authors have developed a field sampling method for obtaining high-quality DNA from sunfish (Lepomis and other freshwater fish that employs a variation on the buccal swab method and results in the collection of DNA suitable for PCR amplification and polymorphism analysis. Additionally, since the circumstances of storage are always a concern for field biologists, the authors have tested the potential storage conditions of swabbed samples and whether those conditions affect DNA extraction and PCR amplification. It was found that samples stored at room temperature in the dark for over 200 days could still yield DNA suitable for PCR amplification and polymorphism detection. Conclusion These findings suggest that valuable molecular genetic data may be obtained from tissues that have not been treated or stored under optimal field conditions. Furthermore, it is clear that the lack of adequately low temperatures during transport and long term storage should not be a barrier to anyone wishing to engage in field-based molecular genetic research.

  8. Nonlinear relationships between particulate matter and its gaseous precursors Analysis of long-term air quality monitoring data by means of neural networks

    CERN Document Server

    Konovalov, I B

    2002-01-01

    The nonlinear features of the relationships between particulate matter (PM) and volatile organic compounds (VOC) and oxides of nitrogen (NOx) are derived directly from data of long-term routine measurements of NOx, VOC, and total suspended PM. The main idea of the method used for the analysis is creation of special empirical models based on artificial neural networks of the perceptron type. These models which are in essence the nonlinear extension of commonly used linear regression models are believed to provide the best fit for the real nonlinear PM-NOx-VOC relationships under different observed levels of air pollution and various meteorological conditions. It is believed that such models may be useful in context of various scientific and practical problems concerning PM. The method is demonstrated by the example of two empirical models created with independent data-sets collected at two air quality monitoring stations at South Coast Air Basin, California. It is shown that in spite of considerable distance b...

  9. 不同长期照料服务供给下的失能老人长期照料模式选择%Analysis on model selection of disabled elders long-term care under the different long-term care supply

    Institute of Scientific and Technical Information of China (English)

    杨福; 张利; 余红剑; 朱素军

    2015-01-01

    [目的]探究长期照料服务供给(医疗康复服务供给、精神慰藉服务供给、日常生活照料服务供给)对失能老人长期照料模式选择的影响。[方法]抽取中国健康长寿纵向调查(CLHLS)2008年数据的长期失能老人样本进行列联表分析。[结果]对失能老人长期照料模式的选择均有显著影响的因素是:①医疗康复服务包括上门医疗服务(P<0.01)、社区健康教育(P<0.01)、医疗保险情况(P<0.05);②精神慰藉服务包括社区精神慰藉服务(P<0.01)、社会活动与娱乐活动(P<0.01);③日常生活照料服务包括社区起居照料服务(P<0.01)、社区日常购物服务(P<0.01)。[结论]长期照料服务供给对失能老人长期照料模式的选择具有显著影响。%Objective To explore the impact of long-term care service supply (medical rehabilitation services, psychological comfort services, daily care services) to the model selection of disabled elders long-term care. Methods Selects data from“2008 Chinese Longitudinal Healthy Longevity Survey data” (CLHLS), and analyzes the data by contingency tables. Results There is obvious significance factors of disabled elders long-term care model. 1. Medical rehabilitation services including on-site medical services (P<0.001), community health education (P<0.001), health insurance (P<0.05). 2 Psychological comfort services including community psychological comfort service s(P<0.001), community public activitiesand amusement(P<0.001), 3. Daily care services including community daily life services (P<0.001), daily shopping community service(P<0.001)). Conclusions Long-term care service supply has significant effect on long-term care model decision-making to disabled elders.

  10. 浅析新准则下长期股权投资%Analysis on Long-term Equity Investment under the New Standards

    Institute of Scientific and Technical Information of China (English)

    郭建华

    2015-01-01

    long-term equity investment is an important investment enterprises, in order to standardize the long-term equity in-vestment accounting, the minstrel of finance issued the accounting for enterprise on 2 long-term equity investment has carried on the revision. This paper form the accounting scope of the long-term equity investment, initial measurement, indirect invest-ment, confirm the investment income, held for sale, the consolidation financial statement, it expounds the increase or decrease of the long-term equity investment under the new rules.%长期股权投资是企业重要的投资举措,为了规范长期股权投资核算,国家财政部对《企业会计准则第2号———长期股权投资》进行了修订。文章从长期股权投资的核算范围、初始计量、间接投资、确认投资收益、持有待售、合并财务报表等方面,阐述了新准则下长期股权投资的增减变化。

  11. Long-Term (Six Years) Clinical Outcome Discrimination of Patients in the Vegetative State Could be Achieved Based on the Operational Architectonics EEG Analysis: A Pilot Feasibility Study

    Science.gov (United States)

    Fingelkurts, Andrew A.; Fingelkurts, Alexander A.; Bagnato, Sergio; Boccagni, Cristina; Galardi, Giuseppe

    2016-01-01

    Electroencephalogram (EEG) recordings are increasingly used to evaluate patients with disorders of consciousness (DOC) or assess their prognosis outcome in the short-term perspective. However, there is a lack of information concerning the effectiveness of EEG in classifying long-term (many years) outcome in chronic DOC patients. Here we tested whether EEG operational architectonics parameters (geared towards consciousness phenomenon detection rather than neurophysiological processes) could be useful for distinguishing a very long-term (6 years) clinical outcome of DOC patients whose EEGs were registered within 3 months post-injury. The obtained results suggest that EEG recorded at third month after sustaining brain damage, may contain useful information on the long-term outcome of patients in vegetative state: it could discriminate patients who remain in a persistent vegetative state from patients who reach a minimally conscious state or even recover a full consciousness in a long-term perspective (6 years) post-injury. These findings, if confirmed in further studies, may be pivotal for long-term planning of clinical care, rehabilitative programs, medical-legal decisions concerning the patients, and policy makers. PMID:27347266

  12. Long-term healthcare costs and functional outcomes associated with lack of remission in schizophrenia: a post-hoc analysis of a prospective observational study

    Directory of Open Access Journals (Sweden)

    Haynes Virginia S

    2012-12-01

    Full Text Available Abstract Background Little is known about the long-term outcomes for patients with schizophrenia who fail to achieve symptomatic remission. This post-hoc analysis of a 3-year study compared the costs of mental health services and functional outcomes between individuals with schizophrenia who met or did not meet cross-sectional symptom remission at study enrollment. Methods This post-hoc analysis used data from a large, 3-year prospective, non-interventional observational study of individuals treated for schizophrenia in the United States conducted between July 1997 and September 2003. At study enrollment, individuals were classified as non-remitted or remitted using the Schizophrenia Working Group Definition of symptom remission (8 core symptoms rated as mild or less. Mental health service use was measured using medical records. Costs were based on the sites’ medical information systems. Functional outcomes were measured with multiple patient-reported measures and the clinician-rated Quality of Life Scale (QLS. Symptoms were measured using the Positive and Negative Syndrome Scale (PANSS. Outcomes for non-remitted and remitted patients were compared over time using mixed effects models for repeated measures or generalized estimating equations after adjusting for multiple baseline characteristics. Results At enrollment, most of the 2,284 study participants (76.1% did not meet remission criteria. Non-remitted patients had significantly higher PANSS total scores at baseline, a lower likelihood of being Caucasian, a higher likelihood of hospitalization in the previous year, and a greater likelihood of a substance use diagnosis (all p Conclusions In this post-hoc analysis of a 3-year prospective observational study, the failure to achieve symptomatic remission at enrollment was associated with higher subsequent healthcare costs and worse functional outcomes. Further examination of outcomes for schizophrenia patients who fail to achieve remission at

  13. HBeAg Seroconversion in HBeAg-Positive Chronic Hepatitis B Patients Receiving Long-Term Nucleos(t)ide Analog Treatment: A Systematic Review and Network Meta-Analysis

    Science.gov (United States)

    Xing, Tongjing; Xu, Hongtao; Cao, Lin; Ye, Maocong

    2017-01-01

    Background HBeAg seroconversion is an important intermediate outcome in HBeAg-positive chronic hepatitis B (CHB) patients. This study aimed to compare the effect of nucleos(t)ide analogs (NAs) on HBeAg seroconversion in treating CHB with lamivudine, adefovir, telbivudine, entecavir, and tenofovir. Methods Network meta-analysis of NA treatment-induced HBeAg seroconversion after 1–2 years of treatment was performed. In addition, NA treatment-induced HBeAg seroconversion after 3–5 years of treatment was systematically evaluated. Results A total of 31 articles were included in this study. Nine and five studies respectively reporting on 1- and 2-year treatment were included in our network meta-analysis. In addition, 6, 5, and 5 studies, respectively reporting on 3-, 4-, and 5-year treatment were included in our systematic evaluation. Telbivudine showed a significantly higher HBeAg seroconversion rate after a 1 year treatment period compared to the other NAs (odds ratio (OR) = 3.99, 95% CI 0.68–23.6). This was followed by tenofovir (OR = 3.36, 95% CI 0.70–16.75). Telbivudine also showed a higher seroconversion rate compared to the other NAs after a 2 year treatment period, (OR = 1.38, 95% CI 0.92–2.22). This was followed by entecavir (OR = 1.14, 95% CI 0.72–1.72). No significant difference was observed between spontaneous induction and long-term telbivudine treatment-induced HBeAg seroconversion. However, entecavir and tenofovir treatment-induced HBeAg seroconversions were significantly lower than spontaneous seroconversion. Conclusion Long-term treatment with potent anti-HBV drugs, especially tenofovir and entecavir, may reduce HBeAg seroconversion compared with spontaneous HBeAg seroconversion rate. Telbivudine treatment, whether short term or long term, is associated with higher HBeAg seroconversion compared with the other NAs. However, the high rates of drug resistance likely limit the application of telbivudine. PMID:28107377

  14. A long-term study of AGN X-ray variability . Structure function analysis on a ROSAT-XMM quasar sample

    Science.gov (United States)

    Middei, R.; Vagnetti, F.; Bianchi, S.; La Franca, F.; Paolillo, M.; Ursini, F.

    2017-03-01

    Context. Variability in the X-rays is a key ingredient in understanding and unveiling active galactic nuclei (AGN) properties. In this band, flux variations occur on short timescales (hours) as well as on larger timescales. While short timescale variability is often investigated in single source studies, only a few works are able to explore flux variation on very long timescales. Aims: This work aims to provide a statistical analysis of the AGN long term X-ray variability. We study variability on the largest time interval ever investigated for the 0.2-2 keV band, up to approximately 20 yr rest-frame for a sample of 220 sources. Moreover, we study variability for 2700 quasars up to approximatley eight years rest-frame in the same (soft) band. Methods: We built our source sample using the 3XMM serendipitous source catalogue data release 5, and data from ROSAT All Sky Survey Bright and Faint source catalogues. To ensure that we selected AGN only, we used the Sloan Digital Sky Survey quasar catalogues data releases 7 and 12. Combining ROSAT and XMM-Newton observations, we investigated variability using the structure function analysis which describes the amount of variability as a function of the lag between the observations. Results: Our work shows an increase of the structure function up to 20 yr. We find no evidence of a plateau in the structure function on these long timescales. Conclusions: The increase of the structure function at long time lags suggests that variability in the soft X-rays can be influenced by flux variations originated in the accretion disk or that they take place in a region large enough to justify variation on such long timescales.

  15. Market Timing on Oslo Stock Exchange: A Two-dimensional Analysis of Long-term Abnormal Stock Price Performance Following Equity Issues

    OpenAIRE

    Holom, Erik Hiller

    2013-01-01

    I analyze the time-variation of long-term risk-adjusted abnormal stock price underperformances following equity issues on Oslo Stock Exchange between 1997 and 2011. Market timing effects are analyzed within a two dimensional framework reflecting both the pre-issue stock market performance and the short-term activity level in the equity capital market. An adjusted version of the Fama-French three-factor model is used for the risk-adjustment of stock returns. The long-term underperformance is h...

  16. Case presentation: long-term treatment.

    Science.gov (United States)

    Glucksman, Myron L

    2013-01-01

    The long-term (14 years) psychodynamic psychotherapy and pharmacotherapy of a depressed, suicidal, self-mutilating female patient is described. Her diagnoses included Chronic Posttraumatic Stress Disorder, Borderline Personality Disorder, and Recurrent Major Depression. Treatment was punctuated with repeated hospitalizations for self-mutilation (cutting) and suicidal ideation. A major determinant for her psychopathology was sexual abuse by her father from ages 6 to 14. This resulted in feelings of guilt and rage that she repressed and acted out through self-mutilating and suicidal behavior. A prolonged negative transference gradually became ambivalent, then positive. This was associated with her internalization of the healing qualities of the therapeutic relationship. She also gained insight into the reasons for her need to punish herself. Her initial self-representation as unworthy and bad was transformed into perceiving herself as a worthwhile, loving person. This case illustrates the role of long-term treatment for a complex, life-threatening, psychiatric disorder.

  17. A Simple Microfluidic Platform for Long-Term Analysis and Continuous Dual-Imaging Detection of T-Cell Secreted IFN-γ and IL-2 on Antibody-Based Biochip

    Directory of Open Access Journals (Sweden)

    Dieudonné R. Baganizi

    2015-12-01

    Full Text Available The identification and characterization, at the cellular level, of cytokine productions present a high interest for both fundamental research and clinical studies. However, the majority of techniques currently available (ELISA, ELISpot, flow cytometry, etc. have several shortcomings including, notably, the assessment of several cytokines in relation to individual secreting cells and the monitoring of living cell responses for a long incubation time. In the present work, we describe a system composed of a microfluidic platform coupled with an antibody microarray chip for continuous SPR imaging and immunofluorescence analysis of cytokines (IL-2 and IFN-γ secreted by T-Lymphocytes, specifically, and stably captured on the biochip under flow upon continued long-term on-chip culture (more than 24 h.

  18. Long-term field performance of a tunable diode laser absorption spectrometer for analysis of carbon isotopes of CO2 in forest air

    Directory of Open Access Journals (Sweden)

    D. R. Bowling

    2008-09-01

    Full Text Available Tunable diode laser absorption spectrometry (TDLAS is gaining in popularity for measuring the mole fraction [CO2] and stable isotopic composition (δ13C of carbon dioxide (CO2 in air in studies of biosphere-atmosphere gas exchange. Here we present a detailed examination of the performance of a commercially-available TDLAS located in a high-altitude subalpine coniferous forest (the Niwot Ridge AmeriFlux site, providing the first multi-year analysis of TDLAS instrument performance for measuring CO2 isotopes in the field. Air was sampled from five to nine vertical locations in and above the forest canopy every ten minutes for 2.4 years. A variety of methods were used to assess instrument performance. Measurement of two compressed air cylinders that were in place over the entire study establish the long-term field precision of 0.2 μmol mol−1 for [CO2] and 0.35‰ for δ13C, but after fixing several problems the isotope precision improved to 0.2permil (over the last several months. The TDLAS provided detail on variability of δ13C of atmospheric CO2 that was not represented in weekly flask samples, as well as information regarding the influence of large-scale (regional seasonal cycle and local forest processes on [CO2] and δ13C of CO2. There were also clear growing season and winter differences in the relative contributions of photosynthesis and respiration on the [CO2] and δ13C of forest air.

  19. Long-term field performance of a tunable diode laser absorption spectrometer for analysis of carbon isotopes of CO2 in forest air

    Directory of Open Access Journals (Sweden)

    J. W. C. White

    2008-05-01

    Full Text Available Tunable diode laser absorption spectrometry (TDLAS is gaining in popularity for measuring the mole fraction [CO2] and stable isotopic composition (δ13C of carbon dioxide (CO2 in air in studies of biosphere-atmosphere gas exchange. Here we present a detailed examination of the performance of a commercially-available TDLAS located in a high-altitude subalpine coniferous forest (the Niwot Ridge AmeriFlux site, providing the first multi-year analysis of TDLAS instrument performance for measuring CO2 isotopes in the field. Air was sampled from five to nine vertical locations in and above the forest canopy every ten minutes for 2.4 years. A variety of methods were used to assess instrument performance. Measurement of two compressed air cylinders that were in place over the entire study establish the long-term field precision of 0.2 μmol mol−1 for [CO2] and 0.35‰ for δ13C, but after fixing several problems the isotope precision improved to 0.2‰ (over the last several months. The TDLAS provided detail on variability of δ13C of atmospheric CO2 that was not represented in weekly flask samples, as well as information regarding the influence of large-scale (regional seasonal cycle and local forest processes on [CO2] and δ13C of CO2. There were also clear growing season and winter differences in the relative contributions of photosynthesis and respiration on the [CO2] and δ13C of forest air.

  20. A Strategy to Conduct an Analysis of the Long-Term Performance of Low-Activity Waste Glass in a Shallow Subsurface Disposal System at Hanford

    Energy Technology Data Exchange (ETDEWEB)

    BP McGrail, WL Ebert, DH Bacon, DM Strachan

    1998-02-18

    the alteration mechanisms. The recommended characterization tests are single-pass flow-through tests using a batch reactor design, Accelerated and service conditions tests include product consistency and pressurized unsaturated flow (PUF) tests. Nonradioactive glasses will be used for the majority of the laboratory testing (-80%), with the remainder performed with glasses containing a selected set of key radionuclides. Additionally, a series of PUF experiments with a natural analog of basaltic glass is recommended to confirm that the alteration products observed under accelerated conditions in the PUF tests are similar to those found associated with the natural analog. This will provide additional confidence in using the PUF test results to infer long-term corrosion behavior. Field tests are proposed as a unique way to validate the glass corrosion and contaminant transport models being used in the performance assessment. To better control the test conditions, the field tests are to be performed in lysimeters (corrugated steel containers buried flush with the ground surface). Lysimeters provide a way to combine a glass, Hanford soil, and perhaps other engineered materials in a well-controlled test, but on a scale that is not practicable in the laboratory. The recommended field tests include some experiments where a steady flow rate of water is artificially applied. These tests use a glass designed to have a high corrosion rate so that it is easier to monitor contaminant release and transport. Existing lysimeters at the Hanford Site can be used for these experiments or new lysimeters that have been equipped with the latest in monitoring equipment and located near the proposed disposal site.

  1. The effects of lifestyle interventions on (long-term) weight management, cardiometabolic risk and depressive symptoms in people with psychotic disorders : a meta-analysis

    NARCIS (Netherlands)

    Bruins, Jojanneke; Jörg, Frederike; Bruggeman, Richard; Slooff, C. J.; Corpeleijn, Eva; Pijnenborg, Marieke

    2014-01-01

    AIMS: The aim of this study was to estimate the effects of lifestyle interventions on bodyweight and other cardiometabolic risk factors in people with psychotic disorders. Additionally, the long-term effects on body weight and the effects on depressive symptoms were examined. MATERIAL AND METHODS: W

  2. Long-Term Changes of Subcutaneous Fat Mass in HIV-Infected Children on Antiretroviral Therapy : A Retrospective Analysis of Longitudinal Data from Two Pediatric HIV-Cohorts

    NARCIS (Netherlands)

    Cohen, Sophie; Innes, Steve; Geelen, SPM; Wells, Jonathan C. K.; Smit, Colette; Wolfs, Tom F. W.; van Eck-Smit, Berthe L. F.; Kuijpers, Taco W.; Reiss, Peter; Scherpbier, Henriette J.; Pajkrt, Dasja; Bunders, Madeleine J.

    2015-01-01

    Objective Longitudinal studies objectively evaluating changes in regional fat distribution of HIV-infected children assessed by whole body dual energy X-ray absorptiometry (DEXA) are scarce, whilst this long-term effect of HIV and antiretroviral therapy (cART) is an important issue in infected child

  3. Return to Work among Employees with Long-Term Sickness Absence in Eldercare: A Prospective Analysis of Register-Based Outcomes

    Science.gov (United States)

    Clausen, Thomas; Friis Andersen, Malenea; Bang Christensen, Karl; Lund, Thomas

    2011-01-01

    This study investigates whether psychosocial work characteristics and work-related psychological states predict return to work (RTW) after long-term sickness absence among eldercare staff. We followed 9947 employees in a national register on payment of sickness-absence compensation for 1 year and found that 598 employees had absence periods of 8…

  4. Natural-cause mortality and long-term exposure to particle components : An Analysis of 19 European cohorts within the multi-center ESCAPE project

    NARCIS (Netherlands)

    Beelen, Rob; Hoek, Gerard; Raaschou-Nielsen, Ole; Stafoggia, Massimo; Andersen, Zorana Jovanovic; Weinmayr, Gudrun; Hoffmann, Barbara; Wolf, Kathrin; Samoli, Evangelia; Fischer, Paul H.; Nieuwenhuijsen, Mark J.; Xun, Wei W.; Katsouyanni, Klea; Dimakopoulou, Konstantina; Marcon, Alessandro; Vartiainen, Erkki; Lanki, Timo; Yli-Tuomi, Tarja; Oftedal, Bente; Schwarze, Per E.; Nafstad, Per; de Faire, Ulf; Pedersen, Nancy L.; Östenson, Claes Göran; Fratiglioni, Laura; Penell, Johanna; Korek, Michal; Pershagen, Göran; Eriksen, Kirsten Thorup; Overvad, Kim; Sørensen, Mette; Eeftens, Marloes; Peeters, Petra H.; Meliefste, Kees; Wang, Meng; Bas Bueno-De-Mesquita, H.; Sugiri, Dorothea; Krämer, Ursula; Heinrich, Joachim; De Hoogh, Kees; Key, Timothy; Peters, Annette; Hampel, Regina; Concin, Hans; Nagel, Gabriele; Jaensch, Andrea; Ineichen, Alex; Tsai, Ming Yi; Schaffner, Emmanuel; Probst-Hensch, Nicole M.; Schindler, Christian; Ragettli, Martina S.; Vilier, Alice; Clavel-Chapelon, Françoise; Declercq, Christophe; Ricceri, Fulvio; Sacerdote, Carlotta; Galassi, Claudia; Migliore, Enrica; Ranzi, Andrea; Cesaroni, Giulia; Badaloni, Chiara; Forastiere, Francesco; Katsoulis, Michail; Trichopoulou, Antonia; Keuken, Menno; Jedynska, Aleksandra; Kooter, Ingeborg M.; Kukkonen, Jaakko; Sokhi, Ranjeet S.; Vineis, Paolo; Brunekreef, Bert

    2015-01-01

    Background: Studies have shown associations between mortality and long-term exposure to particulate matter air pollution. Few cohort studies have estimated the effects of the elemental composition of particulate matter on mortality. oBjectives: Our aim was to study the association between natural-ca

  5. Natural-cause mortality and long-term exposure to particle components : an analysis of 19 European cohorts within the multi-center ESCAPE project

    NARCIS (Netherlands)

    Beelen, Rob; Hoek, Gerard; Raaschou-Nielsen, Ole; Stafoggia, Massimo; Andersen, Zorana Jovanovic; Weinmayr, Gudrun; Hoffmann, Barbara; Wolf, Kathrin; Samoli, Evangelia; Fischer, Paul H; Nieuwenhuijsen, Mark J; Xun, Wei W; Katsouyanni, Klea; Dimakopoulou, Konstantina; Marcon, Alessandro; Vartiainen, Erkki; Lanki, Timo; Yli-Tuomi, Tarja; Oftedal, Bente; Schwarze, Per E; Nafstad, Per; De Faire, Ulf; Pedersen, Nancy L; Östenson, Claes-Göran; Fratiglioni, Laura; Penell, Johanna; Korek, Michal; Pershagen, Göran; Eriksen, Kirsten Thorup; Overvad, Kim; Sørensen, Mette; Eeftens, Marloes; Peeters, Petra H; Meliefste, Kees; Wang, Meng; Bueno-de-Mesquita, H Bas; Sugiri, Dorothea; Krämer, Ursula; Heinrich, Joachim; de Hoogh, Kees; Key, Timothy; Peters, Annette; Hampel, Regina; Concin, Hans; Nagel, Gabriele; Jaensch, Andrea; Ineichen, Alex; Tsai, Ming-Yi; Schaffner, Emmanuel; Probst-Hensch, Nicole M; Schindler, Christian; Ragettli, Martina S; Vilier, Alice; Clavel-Chapelon, Françoise; Declercq, Christophe; Ricceri, Fulvio; Sacerdote, Carlotta; Galassi, Claudia; Migliore, Enrica; Ranzi, Andrea; Cesaroni, Giulia; Badaloni, Chiara; Forastiere, Francesco; Katsoulis, Michail; Trichopoulou, Antonia; Keuken, Menno; Jedynska, Aleksandra; Kooter, Ingeborg M; Kukkonen, Jaakko; Sokhi, Ranjeet S; Vineis, Paolo; Brunekreef, Bert

    2015-01-01

    BACKGROUND: Studies have shown associations between mortality and long-term exposure to particulate matter air pollution. Few cohort studies have estimated the effects of the elemental composition of particulate matter on mortality. OBJECTIVES: Our aim was to study the association between natural-ca

  6. Long-term follow-up of patients with pituitary macroadenomas after postoperative radiation therapy. Analysis of tumor control and functional outcome

    Energy Technology Data Exchange (ETDEWEB)

    Langsenlehner, T.; Jakse, G.; Kapp, K.S.; Mayer, R. [Medical Univ. of Graz (Austria). Dept. of Therapeutic Radiology and Oncology; Stiegler, C. [Medical Univ. of Graz (Austria). Div. of Endocrinology and Nuclear Medicine; Quehenberger, F. [Medical Univ. of Graz (Austria). Inst. for Medical Informatics, Statistics and Documentation; Feigl, G.C. [Regensburg Univ. (Germany). Dept. of Neurosurgery; Mokry, M. [Medical Univ. of Graz (Austria). Dept. of Neurosurgery; Langsenlehner, U. [Medical Univ. of Graz (Austria). Div. of Oncology

    2007-05-15

    Purpose: Evaluation of long-term tumor control, normalization of hormonal hypersecretion, including incidence and time course of pituitary dysfunction following postoperative radiotherapy of pituitary macroadenomas. Patients and Methods: In a retrospective study, the data of 87 patients with pituitary macroadenomas (61 non-secreting adenomas, 26 secreting adenomas) treated between 1984 and 1994 were analyzed. All patients underwent surgery and received postoperative external-beam radiotherapy with a mean dose of 50.4 Gy (range 46-54 Gy). Results: After a follow-up of 15 years the local tumor control rate achieved was 93.0% for non-secreting adenomas and 100% for secreting adenomas, respectively. Normalization of endocrine hypersecretion was noted in 24 of 26 patients (92%). Detailed endocrinological follow-up data were analyzed by an experienced endocrinologist in 77 patients. After a median follow-up of 10.54 years (mean 10.22; range 1.39-20.75 years), in 75 of 77 patients (97%) a hypopituitarism was observed (partial hypopituitarism, n = 28 [36%], panhypopituitarism, n = 47 [61%]), and 68 out of 77 patients (88%) showed evidence of radiotherapy-induced pituitary disorders. The somatotropic function was most commonly affected, followed by gonadal, thyroid and adrenal function. The gonadal axis showed to be the first to be disturbed. 67 patients (87%) required a hormone replacement therapy. Conclusion: Radiotherapy after pituitary surgery is highly effective in reducing hormonal hypersecretion and preventing recurrences of pituitary adenomas. However, pituitary insufficiencies are commonly observed after radiotherapy requiring a close follow-up to ensure timely diagnosis of pituitary dysfunction and an early inception of hormone replacement therapy. (orig.)

  7. Economic evaluation in long-term clinical trials.

    Science.gov (United States)

    Hlatky, Mark A; Boothroyd, Derek B; Johnstone, Iain M

    2002-10-15

    Economic endpoints have been increasingly included in long-term clinical trials, but they pose several methodologic challenges, including how best to collect, describe, analyse and interpret medical cost data. Cost of care can be measured by converting billed charges, performing detailed micro-costing studies, or by measuring use of key resources and assigning cost weights to each resource. The latter method is most commonly used, with cost weights based either on empirical regression models or administratively determined reimbursement rates. In long-term studies, monetary units should be adjusted to reflect cost inflation and discounting. The temporal pattern of accumulating costs can be described using a modification of the Kaplan-Meier curve. Regression analyses to evaluate factors associated with cost are best performed on the log of costs due to their typically skewed distribution.Cost-effectiveness analysis attempts to measure the value of a new therapy by calculating the difference in cost between the new therapy and the standard therapy, divided by the difference in benefit between the new therapy and the standard therapy. The cost-effectiveness ratio based on the results of a randomized trial may change substantially with longer follow-up intervals, particularly for therapies that are initially expensive but eventually improve survival. A model that projects long-term patterns of cost and survival expected beyond the end of completed follow-up can provide an important perspective in the setting of limited trial duration.

  8. Long Term Incentives for Residential Customers Using Dynamic Tariff

    DEFF Research Database (Denmark)

    Huang, Shaojun; Wu, Qiuwei; Nielsen, Arne Hejde;

    2015-01-01

    This paper reviews several grid tariff schemes, including flat tariff, time-of-use, time-varying tariff, demand charge and dynamic tariff (DT), from the perspective of the long term incentives. The long term incentives can motivate the owners of flexible demands to change their energy consumption...

  9. A new image for long-term care.

    Science.gov (United States)

    Wager, Richard; Creelman, William

    2004-04-01

    To counter widely held negative images of long-term care, managers in the industry should implement quality-improvement initiatives that include six key strategies: Manage the expectations of residents and their families. Address customers' concerns early. Build long-term customer satisfaction. Allocate resources to achieve exceptional outcomes in key areas. Respond to adverse events with compassion. Reinforce the facility's credibility.

  10. Hypofractionated helical tomotherapy (75 Gy at 2.5 Gy per fraction for localized prostate cancer: long-term analysis of gastrointestinal and genitourinary toxicity

    Directory of Open Access Journals (Sweden)

    Kong M

    2014-04-01

    Full Text Available Moonkyoo Kong,1 Seong Eon Hong,1 Sung-Goo Chang21Department of Radiation Oncology, 2Department of Urology, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul, Republic of KoreaBackground: This study is a report on the long-term analysis of acute and late toxicities for patients with localized prostate cancer treated with hypofractionated helical tomotherapy.Methods: From January 2008 through August 2013, 70 patients with localized prostate cancer were treated definitively with hypofractionated helical tomotherapy. The helical tomotherapy was designed to deliver 75 Gy in 2.5 Gy per fraction to the prostate gland, 63 Gy in 2.1 Gy per fraction to the seminal vesicles, and 54 Gy in 1.8 Gy per fraction to the pelvic lymph nodes. Incidence rates and predictive factors for radiation toxicities were analyzed retrospectively.Results: The incidences of grades 0, 1, and 2 acute gastrointestinal (GI toxicity were 51.4%, 42.9%, and 5.7%, and those of acute genitourinary (GU toxicity were 7.1%, 64.3%, and 28.6%, respectively. The maximum dose of rectum and bladder V40 and V50 were significant predictive factors for acute GI and GU toxicity. The cutoff value of rectum maximum dose and bladder V40 and V50 by receiver-operating characteristic curves analysis were 76.5 Gy, 17.3%, and 10.2%, respectively. The incidences of grades 0, 1, and 2 late GI toxicity were 82.0%, 14.0%, and 4.0%, and those of late GU toxicity were 18.0%, 56.0%, and 26.0%, respectively. Rectum V70 and bladder V70 and V75 were significant predictive factors for late GI and GU toxicity. The cutoff value of rectum V70 and bladder V70 and V75 by receiver-operating characteristic curves analysis was 2.8%, 2.8%, and 1.0%, respectively.Conclusion: Hypofractionated helical tomotherapy using a schedule of 75 Gy at 2.5 Gy per fraction had favorable acute and late toxicity rates and no serious complication, such as grade 3 or worse toxicity. To minimize radiation

  11. Tumors of the peripheral nervous system: analysis of prognostic factors in a series with long-term follow-up and review of the literature.

    Science.gov (United States)

    Montano, Nicola; D'Alessandris, Quintino Giorgio; D'Ercole, Manuela; Lauretti, Liverana; Pallini, Roberto; Di Bonaventura, Rina; La Rocca, Giuseppe; Bianchi, Federico; Fernandez, Eduardo

    2016-08-01

    OBJECT Only a few published studies of the surgical treatment of benign peripheral nerve sheath tumors (BPNSTs), malignant peripheral nerve sheath tumors (MPNSTs), and peripheral non-neural sheath tumors (PNNSTs) have analyzed the results and possible prognostic factors using multivariate analysis. The authors report on their surgical series of cases of BPNSTs, MPNSTs, and PNNSTs with long-term follow-up and analyze the role of selected factors with respect to the prognosis and risk of recurrence of these tumors using multivariate analysis. They also review the pertinent literature and discuss their results in its context. METHODS The authors retrospectively reviewed data from cases involving patients who underwent resection of a peripheral nerve tumor between January 1983 and December 2013 at their institution. Of a total of 200 patients, 150 patients (with 173 surgically treated tumors) had adequate follow-up data available for analysis. Pain was assessed using a visual analog scale (VAS), and motor and sensory function were assessed by means of the Louisiana State University grading system. They also analyzed the relationship between tumor recurrence and patient sex, patient age, diagnosis of neurofibromatosis (NF), tumor histopathology, tumor size, tumor location, and extent of resection (subtotal vs gross-total resection), using univariate and multivariate analyses. RESULTS There was a statistically significant improvement in the mean VAS pain score (preoperative 3.96 ± 2.41 vs postoperative 0.95 ± 1.6, p = 0.0001). Motor strength and sensory function were significantly improved after resection of tumors involving the brachial plexus (p = 0.0457 and p = 0.0043, respectively), tumors involving the upper limb (p = 0.0016 and p = 0.0016, respectively), BPNSTs (p = 0.0011 and p peripheral nervous system tumors (irrespective of the supposed diagnosis and tumor dimensions) because it is associated with better prognosis in term of functional outcome and overall

  12. Long-term (2004-2015) tendencies and variabilities of tropical UTLS water vapor mixing ratio and temperature observed by AURA/MLS using multivariate regression analysis

    Science.gov (United States)

    Sridharan, S.; Sandhya, M.

    2016-09-01

    Long-term variabilities and tendencies in the tropical (30°N-30°S)monthly averaged zonal mean water vapor mixing ratio (WVMR) and temperature in the upper troposphere and lower stratosphere (UTLS), obtained from the Microwave Limb Sounder (MLS) instrument onboard Earth Observing System (EOS) satellite for the period October 2004-September 2015, are studied using multivariate regression analysis. It is found that the WVMR shows a decreasing trend of 0.02-0.1 ppmv/year in WVMR below 100 hPa while the trend is positive (0.02-0.035 ppmv/year) above 100 hPa. There is no significant trend at 121 hPa. The WVMR response to solar cycle (SC) is negative below 21 hPa. However, the magnitude decreases with height from 0.13 ppmv/100 sfu(solar flux unit) at 178 hPa to 0.07 ppmv/100sfuat 26 hPa. The response of WVMR to multivariate El Niño index (MEI), which is a proxy for El Niño Southern Oscillation (ENSO), is positive at and below 100 hPa and negative above 100 hPa. It is negative at 56-46 hPa with maximum value of 0.1 ppmv/MEI at 56 hPa. Large positive (negative) quasi-biennial oscillation (QBO) in WVMR at 56-68 hPa reconstructed from the regression analysis coincide with eastward (westward) to westward (eastward) transition of QBO winds at that level. The trend in zonal mean tropical temperature is negative above 56 hPa with magnitude increasing with height. The maximum negative trend of 0.05 K/year is observed at 21-17 hPa and the trend insignificant around tropopause. The response of temperature to SC is negative in the UTLS region and to ENSO is positive below 100 hPa and mostly negative above 100 hPa. The negative response of WVMR to MEI in the stratosphere is suggested to be due to the extended cold trap of tropopause temperature during El Niño years that might have controlled the water vapor entry into the stratosphere. The WVMR response to residual vertical velocity at 70 hPa is positive in the stratosphere, whereas the temperature response is positive in the

  13. Long-term space flights - personal impressions

    Science.gov (United States)

    Polyakov, V. V.

    During a final 4-month stage of a 1-year space flight of cosmonauts Titov and Manarov, a physician, Valery Polyakov was included on a crew for the purpose of evaluating their health, correcting physical status to prepare for the spacecraft reentry and landing operations. The complex program of scientific investigations and experiments performed by the physician included an evaluation of adaptation reactions of the human body at different stages of space mission using clinicophysiological and biochemical methods; testing of alternative regimes of exercise and new countermeasures to prevent an unfavourable effect of long-term weightlessness.

  14. Analysis of the Long-Term Corrosion Behavior of X80 Pipeline Steel in Acidic Red Soil Using Electrical Resistance Test Technique

    Directory of Open Access Journals (Sweden)

    Shuaixing Wang

    2015-01-01

    Full Text Available The long-term corrosion rate of X80 steel in an acidic red soil was monitored in situ by using a precise electrical resistance (ER test system. The corrosion characteristics of X80 steel were examined via SEM, EDS, and XRD. The results indicated that the corrosion rate determined from ER test was very similar to that obtained from the mass loss test. The ER test technique made it possible to predict the long-term corrosion rate of steel in soil in situ. The corrosion rate of X80 steel in acidic red soil was about 0.0902 mm/a at 38 weeks, but the corrosion rate was dropped to 0.0226 mm/a after 5 years. The final corrosion product layer was composed mainly of FeOOH, γ-Fe2O3, and FeCO3.

  15. Analysis of long-term care needs of the elderly%老年人长期护理需求分析

    Institute of Scientific and Technical Information of China (English)

    张爽; 马红梅; 吴凌云; 徐旭

    2013-01-01

    We applied Maslow's hierarchy of needs to analyze the long-term care needs of the elderly from physiological needs, safety needs, love and belongingness needs, esteem needs and needs of self-actualization. We hope to provide a useful reference for the establishment of multi-level integrated long-term care service system for the elderly.%应用马斯洛需要层次理论分别从老年人的生理、安全、爱与归属、尊重和自我实现五个方面分析国内外老年人长期护理需求的研究内容,以期为国内建立多层次、综合化的老年人长期护理服务体系提供参考。

  16. Long-Term Forecast 2012 - An impact analysis of existing policy instruments in energy- and climate area; Laangsiktsprognos 2012 - En konsekvensanalys av gaellande styrmedel inom energi- och klimatomraadet

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-08-01

    The Energy Agency has a mandate that under 'Ordinance on climate reporting' (SFS 2005:626) out projections for the energy sector of the European Parliament and Council Decision No 280/2004/EC concerning a 'Mechanism for monitoring the emissions of the Community greenhouse gas'. This report contains a reference trajectory until 2030, and two sensitivity scenarios. The forecast is based on existing instruments, which means that results of the report should not be regarded as a proper projection of future energy, but as the impact of current policy instruments given different conditions such as economic growth and fuel prices. The Energy Authority's long-term forecasts are studied energy system's long-term development on the basis of policy instruments and several assumed conditions. The conditions for this long-term prognosis was established in January 2012 and has its basis in the policy instruments decided until the turn of 2011/2012. The work was partially done in conjunction with the Environmental Protection Agency assignments 'Assignment to provide input to a Swedish road map for Sweden without greenhouse gas emissions in 2050' as reported in December 2012. For a short-term development of the energy system the reader is referred to the Energy Authority's short-term forecasts that extend two to three years into the future and that are produced twice a year. Energy Agency's long-term projections are impact assessments with time horizon of 10-20 years which aims to describe the energy system's future development, provided a range of assumed conditions. If any of these conditions change it will also change forecast results. Economic development is an important assumption for the assessment of future energy.

  17. The indirect association of job strain with long-term sickness absence through bullying: a mediation analysis using structural equation modeling

    OpenAIRE

    Janssens, Heidi; Braeckman, Lutgart; De Clercq, Bart; Casini, Annalisa; De Bacquer, Dirk; Kittel, France; Clays, Els

    2016-01-01

    Background: In this longitudinal study the complex interplay between both job strain and bullying in relation to sickness absence was investigated. Following the "work environment hypothesis", which establishes several work characteristics as antecedents of bullying, we assumed that job strain, conceptualized by the Job-Demand-Control model, has an indirect relation with long-term sickness absence through bullying. Methods: The sample consisted of 2983 Belgian workers, aged 30 to 55 years...

  18. Private, Social and Self-Insurance for Long-Term Care in the Presence of Family Help - A Political Economy Analysis

    OpenAIRE

    De Donder, Philippe; Pestieau, Pierre

    2013-01-01

    We study the political determination of the level of social long-term care insurance when voters also choose private insurance and saving amounts. Agents differ in income, probability of becoming dependent and of receiving family help. Social insurance redistributes across income and risk levels, while private insurance is actuarially fair. The income-to-risk ratio of agents determines whether they prefer social or private insurance. Family support crowds out the demand for both social and, e...

  19. Can Robotic Gastrectomy Surpass Laparoscopic Gastrectomy by Acquiring Long-Term Experience? A Propensity Score Analysis of a 7-Year Experience at a Single Institution

    Science.gov (United States)

    Hong, Sung-Soo; Shin, Ho-Jung; Cui, Long-Hai; Hur, Hoon; Han, Sang-Uk

    2016-01-01

    Purpose It is hypothesized that robotic gastrectomy may surpass laparoscopic gastrectomy after the operators acquire long-term experience and skills in the manipulation of robotic arms. This study aimed to evaluate the long-term learning curve of robotic distal gastrectomy (RDG) for gastric cancer compared with laparoscopic distal gastrectomy (LDG). Materials and Methods From October 2008 to December 2015, patients who underwent LDG (n=809) were matched to patients who underwent RDG (n=232) at a 1:1 ratio, by using a propensity score matching method after stratification for the operative year. The surgical outcomes, such as trends of operative time, blood loss, and complication rate, were compared between the two groups. Results The RDG group showed a longer operative time (171.3 minutes vs. 147.6 minutes, P<0.001) but less estimated blood loss (77.6 ml vs. 116.6 ml, P<0.001). The complication rate and postoperative recovery did not differ between the two groups. The RDG group showed a longer operative time and similar estimated blood loss compared with the LDG group after 5 years of experience (operative time: 159.2 minutes vs. 136.0 minutes in 2015, P=0.003; estimated blood loss: 72.9 ml vs. 78.1 ml in 2015, P=0.793). Conclusions In terms of short-term surgical outcomes, RDG may not surpass LDG after a long-term experience with the technique. PMID:28053810

  20. Asthma Medicines: Long-Term Control

    Science.gov (United States)

    ... Size Email Print Share Asthma Medicines: Long-term Control Page Content Article Body Corticosteroids Synthetic versions of ... form, they are used exclusively for long-term control; they are not very effective for acute symptoms. ...

  1. Long-term historical analysis of benthic communities and physical habitat in an agricultural stream in California's San Joaquin River watershed.

    Science.gov (United States)

    Hall, Lenwood W; Killen, William D; Alden, Raymond

    2009-05-01

    This study was designed to characterize long-term annual temporal and spatial trends (2001 to 2007) in physical habitat and benthic communities and to determine relationships of habitat and benthic communities during this 7-year period in an agricultural stream in the San Joaquin River watershed in California (Del Puerto Creek). The canonical discriminant analysis indicated that there were no overall significant temporal patterns for the habitat metrics although spatial patterns were prominent for nearly all the habitat metrics. Channel alteration, riparian vegetative zone, bank stability, vegetative protection and frequency of riffles/bends were the primary habitat metrics associated with these site effects. Approximately 3,700 to 4,500 individual macroinvertebrates were picked and identified from five Del Puerto Creek sites sampled annually from 2001 to 2007. The total number of taxa by year ranged from 81 in 2003 to 106 in 2007. These benthic assemblages were generally comprised of tolerant to moderately tolerant taxa such as blackflies, oligochaetes, snails and chironomids. The metrics % predators, % EPT index, % collectors/filterers and % shredders were the benthic metrics that were most associated with the temporal effects. Ephemeroptera taxa, trichoptera taxa, and % sensitive EPT index were the benthic metrics that were most associated with the site effects. The most upstream site in Del Puerto Creek had the most robust and healthy benthic communites. Strong statistical relationships were reported between certain benthic metrics and habitat metrics. Overall, samples taken from site-year combinations with sediments that were qualitatively less muddy (less fines) and that had higher habitat metric scores for embeddedness, riparian vegetative zone, and channel alteration tended to have benthic communities characterized by higher values of the benthic metrics such as EPT taxa, Ephemeroptera taxa, EPT index, abundance, and taxonomic richness, among others

  2. Long-term protection effects of national reserve to forest vegetation in 4 decades: Biodiversity change analysis of major forest types in Changbai Mountain Nature Reserve, China

    Institute of Scientific and Technical Information of China (English)

    BAI Fan; SANG WeiGuo; LI GuangQi; LIU RuiGang; CHEN LingZhi; WANG Kun

    2008-01-01

    The Changbai Mountain Nature Reserve (CNR) was established in 1960 to protect the virgin Korean pine mixed hardwood forest, a typical temperate forest of northeast China. We conducted systematic stud-ies of vascular diversity patterns on the north slope of the CNR mountainside forests (800-1700 m a.s.I.) in 1963 and 2006 respectively. The aim of this comparison is to assess the long-term effects of the protection on plant biodiversity of CNR during the interval 43 years. The research was carried out in three types of forests: mixed coniferous and broad-leaved forest (MCBF), mixed coniferous forest (MCF), and sub-alpine coniferous forest (SCF), characterized by different dominant species. The alpha diversity indicted by species richness and the Shannon-Wiener index were found different in the same elevations and forest types during the 43-year interval. The floral composition and the diversity of vascular species were generally similar along altitudinal gradients before and after the 43-year interval, but some substantial changes were evident with the altitude gradient. In the tree layers, the dominant species in 2006 were similar to those of 1963, though diversity declined with altitude. The indices in the three forest types did not differ significantly between 1963 and 2006, and these values even increased in the MCBF and MCF from 1963 to 2006. However, originally dominant species, P. koraiensis for ex-ample, tended to decline, while the proportion of broad-leaved trees increased, and the species turn-over in the succession layers trended to shift to higher altitudes. The diversity pattern of the under canopy fluctuated along the altitudinal gradient due to micro-environmental variations. Comparison of the alpha diversity in the three forests shows that the diversity of the shrub and herb layer decreased with time. During the process of survey, we also found some rare and medicinal species disappeared. Analysis indicates that the changes of the diversity pattern

  3. Long-term protection effects of national reserve to forest vegetation in 4 decades: biodiversity change analysis of major forest types in Changbai Mountain Nature Reserve, China

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    The Changbai Mountain Nature Reserve (CNR) was established in 1960 to protect the virgin Korean pine mixed hardwood forest, a typical temperate forest of northeast China. We conducted systematic stud- ies of vascular diversity patterns on the north slope of the CNR mountainside forests (800-1700 m a.s.l.) in 1963 and 2006 respectively. The aim of this comparison is to assess the long-term effects of the protection on plant biodiversity of CNR during the interval 43 years. The research was carried out in three types of forests: mixed coniferous and broad-leaved forest (MCBF), mixed coniferous forest (MCF), and sub-alpine coniferous forest (SCF), characterized by different dominant species. The alpha diversity indicted by species richness and the Shannon-Wiener index were found different in the same elevations and forest types during the 43-year interval. The floral composition and the diversity of vascular species were generally similar along altitudinal gradients before and after the 43-year interval, but some substantial changes were evident with the altitude gradient. In the tree layers, the dominant species in 2006 were similar to those of 1963, though diversity declined with altitude. The indices in the three forest types did not differ significantly between 1963 and 2006, and these values even increased in the MCBF and MCF from 1963 to 2006. However, originally dominant species, P. koraiensis for ex- ample, tended to decline, while the proportion of broad-leaved trees increased, and the species turn- over in the succession layers trended to shift to higher altitudes. The diversity pattern of the under canopy fluctuated along the altitudinal gradient due to micro-environmental variations. Comparison of the alpha diversity in the three forests shows that the diversity of the shrub and herb layer decreased with time. During the process of survey, we also found some rare and medicinal species disappeared. Analysis indicates that the changes of the diversity

  4. Long-term real-time measurements of aerosol particle composition in Beijing, China: seasonal variations, meteorological effects, and source analysis

    Directory of Open Access Journals (Sweden)

    Y. L. Sun

    2015-05-01

    Full Text Available High concentrations of fine particles (PM2.5 are frequently observed during all seasons in Beijing, China, leading to severe air pollution and human health problems in this megacity. In this study, we conducted real-time measurements of non-refractory submicron aerosol (NR-PM1 species (sulfate, nitrate, ammonium, chloride, and organics in Beijing using an Aerodyne Aerosol Chemical Speciation Monitor for 1 year, from July 2011 to June 2012. This is the first long-term, highly time-resolved (~ 15 min measurement of fine particle composition in China. The seasonal average (± 1σ mass concentration of NR-PM1 ranged from 52 (± 49 μg m−3 in the spring season to 62 (± 49 μg m−3 in the summer season, with organics being the major fraction (40–51%, followed by nitrate (17–25% and sulfate (12–17%. Organics and chloride showed pronounced seasonal variations, with much higher concentrations in winter than in the other seasons, due to enhanced coal combustion emissions. Although the seasonal variations of secondary inorganic aerosol (SIA = sulfate + nitrate + ammonium concentrations were not significant, higher contributions of SIA were observed in summer (57–61% than in winter (43–46%, indicating that secondary aerosol production is a more important process than primary emissions in summer. Organics presented pronounced diurnal cycles that were similar among all seasons, whereas the diurnal variations of nitrate were mainly due to the competition between photochemical production and gas–particle partitioning. Our data also indicate that high concentrations of NR-PM1 (> 60 μg m−3 are usually associated with high ambient relative humidity (RH (> 50% and that severe particulate pollution is characterized by different aerosol composition in different seasons. All NR-PM1 species showed evident concentration gradients as a function of wind direction, generally with higher values associated with wind from the south, southeast or east. This

  5. Long-term protection effects of National Reserve to forest vegetation in 4 decades: biodiversity change analysis of major forest types in Changbai Mountain Nature Reserve, China.

    Science.gov (United States)

    Bai, Fan; Sang, WeiGuo; Li, GuangQi; Liu, RuiGang; Chen, LingZhi; Wang, Kun

    2008-10-01

    The Changbai Mountain Nature Reserve (CNR) was established in 1960 to protect the virgin Korean pine mixed hardwood forest, a typical temperate forest of northeast China. We conducted systematic studies of vascular diversity patterns on the north slope of the CNR mountainside forests (800-1700 m a.s.l.) in 1963 and 2006 respectively. The aim of this comparison is to assess the long-term effects of the protection on plant biodiversity of CNR during the interval 43 years. The research was carried out in three types of forests: mixed coniferous and broad-leaved forest (MCBF), mixed coniferous forest (MCF), and sub-alpine coniferous forest (SCF), characterized by different dominant species. The alpha diversity indicted by species richness and the Shannon-Wiener index were found different in the same elevations and forest types during the 43-year interval. The floral composition and the diversity of vascular species were generally similar along altitudinal gradients before and after the 43-year interval, but some substantial changes were evident with the altitude gradient. In the tree layers, the dominant species in 2006 were similar to those of 1963, though diversity declined with altitude. The indices in the three forest types did not differ significantly between 1963 and 2006, and these values even increased in the MCBF and MCF from 1963 to 2006. However, originally dominant species, P. koraiensis for example, tended to decline, while the proportion of broad-leaved trees increased, and the species turnover in the succession layers trended to shift to higher altitudes. The diversity pattern of the under canopy fluctuated along the altitudinal gradient due to micro-environmental variations. Comparison of the alpha diversity in the three forests shows that the diversity of the shrub and herb layer decreased with time. During the process of survey, we also found some rare and medicinal species disappeared. Analysis indicates that the changes of the diversity pattern in

  6. Genomic fossils calibrate the long-term evolution of hepadnaviruses.

    Directory of Open Access Journals (Sweden)

    Clément Gilbert

    Full Text Available Because most extant viruses mutate rapidly and lack a true fossil record, their deep evolution and long-term substitution rates remain poorly understood. In addition to retroviruses, which rely on chromosomal integration for their replication, many other viruses replicate in the nucleus of their host's cells and are therefore prone to endogenization, a process that involves integration of viral DNA into the host's germline genome followed by long-term vertical inheritance. Such endogenous viruses are highly valuable as they provide a molecular fossil record of past viral invasions, which may be used to decipher the origins and long-term evolutionary characteristics of modern pathogenic viruses. Hepadnaviruses (Hepadnaviridae are a family of small, partially double-stranded DNA viruses that include hepatitis B viruses. Here we report the discovery of endogenous hepadnaviruses in the genome of the zebra finch. We used a combination of cross-species analysis of orthologous insertions, molecular dating, and phylogenetic analyses to demonstrate that hepadnaviruses infiltrated repeatedly the germline genome of passerine birds. We provide evidence that some of the avian hepadnavirus integration events are at least 19 My old, which reveals a much deeper ancestry of Hepadnaviridae than could be inferred based on the coalescence times of modern hepadnaviruses. Furthermore, the remarkable sequence similarity between endogenous and extant avian hepadnaviruses (up to 75% identity suggests that long-term substitution rates for these viruses are on the order of 10(-8 substitutions per site per year, which is a 1,000-fold slower than short-term rates estimated based on the sequences of circulating hepadnaviruses. Together, these results imply a drastic shift in our understanding of the time scale of hepadnavirus evolution, and suggest that the rapid evolutionary dynamics characterizing modern avian hepadnaviruses do not reflect their mode of evolution on a deep

  7. SOCIAL FRANCHISING IN CONTEXT OF MARKETING LONG-TERM AND REVERSIBLE CONTRACEPTIVES (LARCS IN UGANDA: ANALYSIS OF PACE SOCIAL FRANCHISE MODEL

    Directory of Open Access Journals (Sweden)

    Simon SENSALIRE

    2015-02-01

    Full Text Available Background: Uganda is TFR is among the world’s highest at six children per woman, and contributes to the rising rate of poverty and maternal and infant mortality across the country. A social franchise model was adopted in Uganda to market and scale up contraceptive prevalence through the private sector. In 2008 PACE launched the Women’s Health Project, a core component of their reproductive health strategy to increase access to and demand for affordable, quality long‐term Family Planning (FP services, through the setup of a network of private healthcare providers, branded as “ProFam” social franchise health facilities. The program expanded and included services aimed to offer and improve reproductive health services, limiting births through increased use of IUDs and implants as well change negative perceptions to FP. Until 2014, this network consisted of 189 private facilities spread out in 56 districts, following a business model of social franchising. Methods: The multifaceted effect of the social franchise intervention under PACE was then measured through a longitudinal cross sectional survey on perceptions towards Long-Term and Reversible Contraceptives (LARCs use among the target population through a cross-sectional studies over two periods. The studies covered 53 districts hosting 194 privately owned health facilities branded Profam. Multi-stage cluster sampling approaches was used to draw a representative sample of women of reproductive age group. However, for Kampala (capital city, given its population size, the catchment area was restricted to a parish/Ward. Findings: There is an evident rise in current use of FP methods among WRA. Availability of LARCs particularly IUCDs significantly increased over the two time periods. Use of FP services among WRA is a socially sanctioned behavior/practice. There was reported increase in social support for FP services. There were high levels of correct knowledge about FP services and

  8. Analysis of regulatory T-cells and of their naïve and memory-like subsets in long-term treated aviremic HIV+ patients and untreated viremic patients

    Directory of Open Access Journals (Sweden)

    L Imberti

    2012-11-01

    Full Text Available Purpose of the study: Although HIV infection impacts the proportion and phenotype of regulatory T-cells (Tregs, discrepant results have been reported depending on the surface markers employed to characterize them and on the patient populations. In addition, the effects of a long-term combined antiretroviral therapy (cART on Treg cells have not been thoroughly documented. Our study investigated the frequency and number of Tregs and their phenotype in two different groups of HIV-infected patients: one aviremic undergoing long-term cART and one viremic naïve to cART showing a similar CD4+ cell count. Methods: Thirty-six HIV+ patients with sustained suppression of plasma viremia (<37 copies/mL on effective cART for more than 6 years and 22 HIV+patients naïve to cART and without clinical signs of opportunistic infections or tumors at the time of study (untreated group were included in the study. Healthy donors (HD were used as control. Flow cytometry on fresh whole blood was used to quantify total Tregs (defined as CD25+CD127low/-CD4+ cells and the following Treg subsets: naïve (CD45RA+CCR7+ Tregs, central-memory like Tregs (CD45RA-CCR7+, TregCM, effector-memory like Tregs (CD45RA-CCR7−, TregEM Statistical comparisons of the percentages and number of Tregs and Treg subpopulations were performed by ANOVA or Kruskal-Wallis test. Analysis of covariance was employed in order to adjust for the effect of the age. The Spearman's test was used to assess correlations. Summary of results: In viremic untreated and aviremic long-term cART-treated patients the percentage and number of the total Treg cells were not different from those of HD. However, the analysis of Treg phenotype showed a marked redistribution of the Treg subpopulations: in the untreated viremic patients, both the percentage and number of the TregCM subset decreased compared to HD and cART-treated patients, whereas only the percentage of naïve Tregs increased. In particular, the percentage

  9. Long-term efficacy of implantable cardiac resynchronization therapy plus defibrillator for primary prevention of sudden cardiac death in patients with mild heart failure: an updated meta-analysis.

    Science.gov (United States)

    Sun, Wei-Ping; Li, Chun-Lei; Guo, Jin-Cheng; Zhang, Li-Xin; Liu, Ran; Zhang, Hai-Bin; Zhang, Ling

    2016-07-01

    Previous studies of implantable cardiac resynchronization therapy plus defibrillator (CRT-D) therapy used for primary prevention of sudden cardiac death have suggested that CRT-D therapy is less effective in patients with mild heart failure and a wide QRS complex. However, the long-term benefits are variable. We performed a meta-analysis of randomized trials identified in systematic searches of MEDLINE, EMBASE, and the Cochrane Database. Three studies (3858 patients) with a mean follow-up of 66 months were included. Overall, CRT-D therapy was associated with significantly lower all-cause mortality than was implantable cardioverter defibrillator (ICD) therapy (OR, 0.78; 95 % CI, 0.63-0.96; P = 0.02; I (2) = 19 %). However, the risk of cardiac mortality was comparable between two groups (OR, 0.74; 95 % CI, 0.53-1.01; P = 0.06). CRT-D treatment was associated with a significantly lower risk of hospitalization for heart failure (OR, 0.67; 95 % CI, 0.50-0.89; P = 0.005; I (2) = 55 %). The composite outcome of all-cause mortality and hospitalization for heart failure was also markedly lower with CRT-D therapy than with ICD treatment alone (OR, 0.67; 95 % CI, 0.57-0.77; P failure events in patients with mild heart failure with a wide QRS complex. However, long-term risk of cardiac mortality was similar between two groups. More randomized studies are needed to confirm these findings, especially in patients with NYHA class I heart failure or patients without LBBB.

  10. 新疆石河子市失能老年人长期护理需求调查%ANALYSIS OF LONG-TERM NURSING NEEDS FOR THE DISABILITY ELDERLY IN SHIHEZI OF XINJIANG

    Institute of Scientific and Technical Information of China (English)

    王玉环; 刘艳慧; 黄方超

    2011-01-01

    [Objective] To understand Shihezi disability of the elderly long-term care and health Status, enable the government and the community for the disability elderly health care strategy to provide relevant basis. [Methods] 640 disability the elderly in Shihezi were Stratified cluster sampling in questionnaire. [Results] In the 640 disability elderly, S50 (85.94%) of them demand for long-term care service, and 90 of them were unknown. 106 (1636%) of them required long-term care service; 202 (3136%) of them required two items of long-term care service; 242 (37.8%) of them requires long-term care service for more than 3 items. In multiple linear regression analysis: education and social support was the main factors affecting the disability elderly for the long-term care needs. [Conclusion] Shihezi the disability elderly required for more long-term care services, and we should address the different characteristics of elderly disability, actively develop in community-based home care system, encourage institutional care as supplement by long term care model.%[目的]了解石河子市失能老年人长期护理需求,以便政府和社区为失能老年人制定相关保健护理策略提供依据.[方法]采用分层整群抽样方法,对石河子市640名失能老年人进行入户问卷调查.[结果]640名失能老年人中有长期护理需求意愿的550人(85.94%),不清楚的90人.其中需要1项长期护理服务意愿106人(16.56%);需要2项长期护理服务意愿202人(31.56%);需要3项及以上长期护理服务意愿242人(37.8%).经多元线性回归分析:文化程度和社会支持是影响失能老年人长期护理需求的主要因素.[结论]失能老年人长期护理服务需求大、内容多,应针对失能老年人的不同特点,积极开展以社区为主的居家照护体系,大力发展机构照护为补充的长期护理服务模式.

  11. Long-term potentiation and long-term depression: a clinical perspective

    Directory of Open Access Journals (Sweden)

    Timothy V.P. Bliss

    2011-01-01

    Full Text Available Long-term potentiation and long-term depression are enduring changes in synaptic strength, induced by specific patterns of synaptic activity, that have received much attention as cellular models of information storage in the central nervous system. Work in a number of brain regions, from the spinal cord to the cerebral cortex, and in many animal species, ranging from invertebrates to humans, has demonstrated a reliable capacity for chemical synapses to undergo lasting changes in efficacy in response to a variety of induction protocols. In addition to their physiological relevance, long-term potentiation and depression may have important clinical applications. A growing insight into the molecular mechanisms underlying these processes, and technological advances in non-invasive manipulation of brain activity, now puts us at the threshold of harnessing long-term potentiation and depression and other forms of synaptic, cellular and circuit plasticity to manipulate synaptic strength in the human nervous system. Drugs may be used to erase or treat pathological synaptic states and non-invasive stimulation devices may be used to artificially induce synaptic plasticity to ameliorate conditions arising from disrupted synaptic drive. These approaches hold promise for the treatment of a variety of neurological conditions, including neuropathic pain, epilepsy, depression, amblyopia, tinnitus and stroke.

  12. Long-term effects of sibling incest.

    Science.gov (United States)

    Daie, N; Witztum, E; Eleff, M

    1989-11-01

    Although sexual abuse of children is recognized as a serious problem, sibling incest has received relatively little attention. A distinction has been made between power-oriented sibling incest and nurturance-oriented incest. The authors review the relevant literature and present four clinical examples. The cases illustrate the broad range of sibling incest and demonstrate its effects, including the long-term consequences for the perpetrator. Lasting difficulties in establishing and maintaining close relationships, especially sexual ones, are prominent features of each case. Without denying the occurrences of benign sex-play between siblings, the authors emphasize exploitation and abuse as pathogenic aspects of sibling incest.

  13. Hormonal changes during long-term isolation.

    Science.gov (United States)

    Custaud, M A; Belin de Chantemele, E; Larina, I M; Nichiporuk, I A; Grigoriev, A; Duvareille, M; Gharib, C; Gauquelin-Koch, G

    2004-05-01

    Confinement and inactivity induce considerable psychological and physiological modifications through social and sensory deprivation. The aim of the SFINCSS-99 experiment was to determine the cardiovascular and hormonal pattern of blood volume regulation during long-term isolation and confinement. Simulation experiments were performed in pressurized chambers similar in size to the volumes of modern space vehicles. Group I consisted of four Russian male volunteers, who spent 240 days in a 100-m(3 )chamber. Group II included four males (one German and three Russians) who spent 110 days in isolation (200-m(3) module). The blood samples, taken before, during and after the isolation period, were used to determine haematocrit (Ht), growth hormone (GH), active renin, aldosterone, and osmolality levels. From the urine samples, electrolytes, osmolality, nitrites, nitrates, cortisol, antidiuretic hormone (ADH), aldosterone, normetanephrine and metanephrine levels were determined. The increase in plasma volume (PV) that is associated with a tendency for a decrease in plasma active renin is likely to be due to decreased sympathetic activity, and concords with the changes in urinary catecholamine levels during confinement. Urinary catecholamine levels were significantly higher during the recovery period than during confinement. This suggests that the sympathoadrenal system was activated, and concords with the increase in heart rate. Vascular resistance is determined by not only the vasoconstrictor but also vasodilator systems. The ratio of nitrite/nitrate in urine, as an indicator of nitric oxide release, did not reveal any significant changes. Analysis of data suggests that the duration of the isolation was a main factor involved in the regulation of hormones.

  14. Role of brachytherapy in the treatment of cancers of the anal canal. Long-term follow-up and multivariate analysis of a large monocentric retrospective series

    Energy Technology Data Exchange (ETDEWEB)

    Lestrade, Laetitia; Pommier, Pascal; Montbarbon, Xavier; Carrie, Christian [Leon Berard Cancer Center, Radiation Oncology, Lyon (France); De Bari, Berardino [Centre hospitalier universitaire vaudois (CHUV), Radiation Oncology, Lausanne (Switzerland); Lavergne, Emilie [Leon Berard Cancer Center, Unite de Biostatistique et d' Evaluation des Therapeutiques, Lyon (France); Ardiet, Jean-Michel [Centre Hospitalier Lyon Sud, Radiation Oncology, Lyon (France)

    2014-06-15

    There are few data on long-term clinical results and tolerance of brachytherapy in anal canal cancer. We present one of the largest retrospective analyses of anal canal cancers treated with external beam radiotherapy with/without (±) chemotherapy followed by a brachytherapy boost. We performed a retrospective analysis of clinical results in terms of efficacy and toxicity. The impact of different clinical and therapeutic variables on these outcomes was studied. From May 1992 to December 2009, 209 patients received brachytherapy after external beam radiotherapy ± chemotherapy. Of these patients, 163 were stage II or stage IIIA (UICC 2002) and 58 were N1-3. According to age, ECOG performance status (PS), and comorbidities, patients received either radiotherapy alone (58/209) or radiochemotherapy (151/209). The median follow-up was 72.8 months. The 5- and 10-year local control rates were 78.6 and 73.9 %, respectively. Globally, severe acute and late G3-4 reactions (NCI-CTC scale v. 4.0) occurred in 11.2 and 6.3 % of patients, respectively. Univariate analysis showed the statistical impact of the pelvic treatment volume (p = 0.046) and of the total dose (p = 0.02) on the risk of severe acute and late toxicities, respectively. Only six patients required permanent colostomy because of severe late anorectal toxicities. After a long follow-up time, brachytherapy showed an acceptable toxicity profile and high local control rates in patients with anal canal cancer. (orig.) [German] Es gibt gegenwaertig nur wenige klinische Daten zu den Ergebnissen und Nebenwirkungen von Brachytherapie bei Analkanaltumoren. Wir praesentieren die Daten einer der groessten retrospektiven Auswertungen fuer die Behandlung von Analkanaltumoren mit perkutaner Radiotherapie ± simultaner Chemotherapie, gefolgt von einem Brachytherapie-Boost. Wir analysierten retrospektiv die Patientendaten hinsichtlich Toxizitaet und Tumorkontrolle. Der Einfluss verschiedener klinischer und therapeutischer

  15. Cost-effectiveness of oral alitretinoin in patients with severe chronic hand eczema - a long-term analysis from a Swiss perspective

    Directory of Open Access Journals (Sweden)

    Blank Patricia R

    2010-06-01

    Full Text Available Abstract Background The impact on patients suffering from chronic hand eczema (CHE is enormous, as no licensed systemic treatment option with proven efficacy for CHE is available. Alitretinoin is a novel agent which showed high clinical efficacy in patients with severe, refractory CHE. We assessed the cost-effectiveness of alitretinoin for CHE patient treatment from a Swiss third party payer perspective. A further objective of this study was to determine the burden of disease in Switzerland. Methods A long-term Markov cohort simulation model was used to estimate direct medical costs (€ and clinical effectiveness (quality adjusted life years, QALYs of treating severe CHE patients with alitretinoin. Comparison was against the standard treatment of supportive care (optimised emollient therapy. Information on response rates were derived from a randomized controlled clinical trial. Costs were considered from the perspective of the Swiss health system. Swiss epidemiological data was derived from official Swiss Statistic institutions. Results Annual costs of alitretinoin treatment accounted for €2'212. After a time horizon of 22.4 years, average remaining long-term costs accounted for €42'208 or €38'795 in the alitretinoin and the standard treatment arm, respectively. Compared with the standard therapy, the addition of alitretinoin yielded an average gain of 0.230 QALYs at the end of the simulation. Accordingly, the incremental cost-effectiveness ratio resulted in €14'816/QALY gained. These results were robust to changes in key model assumptions. Conclusion The therapy for CHE patients is currently insufficient. In our long-term model we identified the treatment with alitretinoin as a cost-effective alternative for the therapy of CHE patients in Switzerland.

  16. Analyzing on the Motivation and Factors for Building Long-term Care Insurance System-Based on Current Situation and Data Analysis of Chengdu%CHINA HEALTH INSURANCE

    Institute of Scientific and Technical Information of China (English)

    谢俊萍; 胡兆舜

    2016-01-01

    With the accelerating of population aging, besides basic medical insurance, the demands for long-term care are also increasing, especially the needs for reducing the fi nancial and caring burden of families having disabled older people are more urgent. Through analyzing current situation and the data of Chengdu, as well as considering the advanced experience of other countries in long-term care insurance system, we propose that long-term care insurance should be an independent insurance system, which is led and coordinated by government, initiated at low level while mainly protecting target population, and has system elements of fi ne rating and service industry for the elderly care. We hope these suggestions can provide reference for the system design.%随着人口老龄化进程的加快,老年人群在享受基本医疗保险制度的同时,对长期照护的需求进一步加大,特别是失能老人对减轻家庭照护经济和精力负担的诉求尤为迫切。本文通过对成都市现状和数据的分析,在借鉴其他国家经验的基础上,提出我国要建立的长期照护保险制度应是一个独立的险种、应由政府主导协调推进、建制初期应低水平起步并以保障重点人群为主、建立完善的等级评定体系、发展养老服务业等制度建设要素,为制度设计提供参考。

  17. Long-term safety evaluation of bimatoprost ophthalmic solution 0.03%: a pooled analysis of six double-masked, randomized, active-controlled clinical trials

    Directory of Open Access Journals (Sweden)

    Wirta D

    2011-06-01

    Full Text Available David Wirta1, Amanda M VanDenburgh2, Emily Weng3, Scott M Whitcup4, Sef Kurstjens5, Frederick C Beddingfield III4,61Private Practice, Newport Beach, CA, USA; 2Clinical Development, 3Biostatistics, 4Research and Development, 5Global Drug Development, Allergan, Inc, Irvine, CA, USA; 6Department of Medicine, Division of Dermatology, David Geffen School of Medicine, UCLA, Los Angeles, CA, USABackground: Bimatoprost ophthalmic solution 0.03% was approved in the US for reducing intraoccular pressure (IOP based on two double-masked, active-controlled clinical trials. Four additional long-term studies (≥ 12months were conducted; however, the aggregate safety profile of the six studies has not been reported.Methods: Adverse events (AEs were pooled from six double-masked, active-controlled, long-term clinical trials in which subjects received bimatoprost 0.03% once daily (QD or twice daily (BID as an eyedrop. AE terms were converted to MedDRA (V.11.0 Preferred Terms and analyzed.Results: In total, 1409 patients received more than one dose of bimatoprost 0.03% QD or BID. Most AEs were mild in severity and reported by 86.7% (QD and 94.8% (BID of subjects (≤ 12 months of treatment. AEs reported through month 12 (aggregate incidence of ≥ 5% were conjunctival hyperemia, increased eyelash growth, eye pruritus, periocular skin hyperpigmentation, eye irritation, dry eye, and hypertrichosis. AE onset was generally reported within four months of treatment. The cumulative incidence of common AEs in the QD treatment group at 24–48 months was similar to that measured at 12 months of treatment.Conclusion: Bimatoprost 0.03% has a favorable safety and tolerability profile as characterized by six long-term studies. Common AEs were due to the known pharmacological activity of bimatoprost and reversible with treatment cessation.Keywords: intraocular pressure, eyelids, pharmacology, clinical trial, medical treatment

  18. RepoTREND. The program package for the integrated long term safety analysis of final repository systems. Version 4.5 (State March 2016); RepoTREND. Das Programmpaket zur integrierten Langzeitsicherheitsanalyse von Endlagersystemen. Version 4.5 (Stand Maerz 2016)

    Energy Technology Data Exchange (ETDEWEB)

    Reiche, Tatiana

    2016-04-15

    The long-term safety analysis is the analysis of final repository behavior after closure includes the spreading of pollutants into the biosphere (mobilization and release of pollutants into the near field, radionuclide migration through the geosphere, radiation exposure in the biosphere) and the radiological consequences. The report describes the program package RepoTREND, the respective modules (near field, GeoTREND, BioTREND and probabilistic analyses), sequencing and postprocessing and the quality management.

  19. Long term charge retention dynamics of SONOS cells

    Science.gov (United States)

    Arreghini, A.; Akil, N.; Driussi, F.; Esseni, D.; Selmi, L.; van Duuren, M. J.

    2008-09-01

    We present a model for charge retention dynamics in SONOS non volatile memory cells which accounts for the space and energy distributions of the trapped charge in the silicon nitride, self consistently with the potential. Long term retention measurements (beyond 106 s) versus temperature allowed us to decouple two charge loss mechanisms, to calibrate the model parameters and then to reproduce a large set of measurements on devices featuring different gate stacks, initial threshold voltages (including negative ones) and operation temperatures. A detailed analysis has been also carried out to compare the retention dynamics of cells featuring thin or thick tunnel oxide barriers.

  20. Expectation value analysis of wave packet solutions for the quantum bouncer: Short-term classical and long-term revival behaviors

    Science.gov (United States)

    Doncheski, M. A.; Robinett, R. W.

    2001-10-01

    We discuss the time development of Gaussian wave packet solutions of the "quantum bouncer" (a quantum mechanical particle subject to a uniform downward force, above an impermeable flat surface). We focus on the evaluation and visualization of the expectation values and uncertainties of position and momentum variables during a single quasi-classical period as well as during the long-term collapsed phase and several revivals. This approach complements existing analytic and numerical analyses of this system, as well as being useful for comparison with similar results for the harmonic oscillator and infinite well cases.

  1. Expectation value analysis of wave packet solutions for the quantum bouncer: short-term classical and long-term revival behavior

    CERN Document Server

    Doncheski, M A

    2001-01-01

    We discuss the time development of Gaussian wave packet solutions of the quantum bouncer' (a quantum mechanical particle subject to a uniform downward force, above an impermeable flat surface). We focus on the evaluation and visualization of the expectation values and uncertainties of position and momentum variables during a single quasi-classical period as well as during the long term collapsed phase and several revivals. This approach complements existing analytic and numerical analyses of this system, as well as being useful for comparison with similar results for the harmonic oscillator and infinite well cases.

  2. Climate Predictability and Long Term Memory

    Science.gov (United States)

    Zhu, X.; Blender, R.; Fraedrich, K.; Liu, Z.

    2010-09-01

    The benefit of climate Long Term Memory (LTM) for long term prediction is assessed using data from a millennium control simulation with the atmosphere ocean general circulation model ECHAM5/MPIOM. The forecast skills are evaluated for surface temperature time series at individual grid points. LTM is characterised by the Hurst exponent in the power-law scaling of the fluctuation function which is determined by detrended fluctuation analysis (DFA). LTM with a Hurst exponent close to 0.9 occurs mainly in high latitude oceans, which are also characterized by high potential predictability. Climate predictability is diagnosed in terms of potentially predictable variance fractions. Explicit prediction experiments for various time steps are conducted on a grid point basis using an auto-correlation (AR1) predictor: in regions with LTM, prediction skills are beyond that expected from red noise persistence; exceptions occur in some areas in the southern oceans and over the northern hemisphere continents. Extending the predictability analysis to the fully forced simulation shows large improvement in prediction skills.

  3. Interannual climatic variability effects on yield, berry and wine quality indices in long-term deficit irrigated grapevines, determined by multivariate analysis

    Directory of Open Access Journals (Sweden)

    Romero P

    2016-08-01

    Full Text Available Pascual Romero,1 Jose Ignacio Fernández-Fernández,2 Pablo Botía1 1Department of Natural Resources, Irrigation Group and Physiology of Stress, 2Department of Viticulture, The Murcian Institute of Agri-Food Research and Development (IMIDA, Murcia, Spain Abstract: The effects of climatic factors on yield and berry and wine quality for long-term (7 years deficit-irrigated (DI Monastrell wine grapes under the semiarid conditions of southeast Spain were analyzed. The relationships between climatic variables and the yield, and novel technological berry quality (QItechnologicalberry, phenolic berry quality (QIphenolicberry, overall berry quality (QIoverallberry, and wine quality (QIwine indices confirmed that the most important climatic factors were rainfall, temperature, and radiation. Climate was more influential in determining yield, berry, and wine composition in some important physiological periods such as early season (budburst–fruit set and ripening (véraison–harvest. In general, climate had more influence on berry quality than on wine quality indices and greater QIoverallberry was also reflected in greater QIwine. According to the stepwise multiple regression, the best fitted models for the partial root-zone drying irrigation (PRI system were less complex (with a lower number of climatic variables than for the regulated deficit irrigation (RDI system, suggesting that PRI is less influenced by climatic factors than RDI. For PRI, the models for yield, berry and wine quality were explained by three climatic factors (rainfall, Tª, and radiation, whereas for RDI, more climatic factors came into play (number of hours of sunshine, evapotranspiration, and vapor pressure deficit. According to these models, in RDI, a sunny and drier pre-véraison period followed by higher soil water availability and associated greater crop evapotranspiration during ripening favored final berry and wine quality. In contrast, in PRI, greater rainfall during the

  4. Predicting the long-term (137)Cs distribution in Fukushima after the Fukushima Dai-ichi nuclear power plant accident: a parameter sensitivity analysis.

    Science.gov (United States)

    Yamaguchi, Masaaki; Kitamura, Akihiro; Oda, Yoshihiro; Onishi, Yasuo

    2014-09-01

    Radioactive materials deposited on the land surface of Fukushima Prefecture from the Fukushima Dai-ichi Nuclear Power Plant explosion is a crucial issue for a number of reasons, including external and internal radiation exposure and impacts on agricultural environments and aquatic biota. Predicting the future distribution of radioactive materials and their fates is therefore indispensable for evaluation and comparison of the effectiveness of remediation options regarding human health and the environment. Cesium-137, the main radionuclide to be focused on, is well known to adsorb to clay-rich soils; therefore its primary transportation mechanism is in the form of soil erosion on the land surface and transport of sediment-sorbed contaminants in the water system. In this study, we applied the Soil and Cesium Transport model, which we have developed, to predict a long-term cesium distribution in the Fukushima area, based on the Universal Soil Loss Equation and simple sediment discharge formulas. The model consists of calculation schemes of soil erosion, transportation and deposition, as well as cesium transport and its future distribution. Since not all the actual data on parameters is available, a number of sensitivity analyses were conducted here to find the range of the output results due to the uncertainties of parameters. The preliminary calculation indicated that a large amount of total soil loss remained in slope, and the residual sediment was transported to rivers, deposited in rivers and lakes, or transported farther downstream to the river mouths. Most of the sediment deposited in rivers and lakes consists of sand. On the other hand, most of the silt and clay portions transported to river were transported downstream to the river mouths. The rate of sediment deposition in the Abukuma River basin was three times as high as those of the other 13 river basins. This may be due to the larger catchment area and more moderate channel slope of the Abukuma River basin

  5. An analysis of the Long-term Therapeutic Effect of the Integrated Therapy of Traditional Chinese Medicine and Radiotherapy on Abdominal Malignant Tumor

    Institute of Scientific and Technical Information of China (English)

    Jin Hong; Wu Xiangwei; Chen Yanping; Lu Qionghui; Liu Wen

    2005-01-01

    To observe the long-term therapeutic effect of the integrated therapy of radiotherapy and Chinese herbal drugs for treatment of abdominal malignant tumor and explore the applied value of differential treatment during radiotherapy. Sixty cases of abdominal malignant tumor with hyperactivity of fire due to yin deficiency or deficiency of both qi and blood were randomly divided into an integrated treatment group of 30 cases and a control group of 30 cases. The integrated treatment group was treated by combination of radiotherapy and Chinese herbal drugs and the control group by simple radiotherapy. The results shows that in the integrated treatment group, the score of physical state was 23.17 ± 7.18, score of psychological quality 21.23 ± 4.53 and total score of living quality 44.40 ± 11.22, and survival rate for three years was 67.55%, which were significantly superior to those of the control group (P<0.01). It is then concluded that differential treatment of TCM could play a valuable role in treating abdominal malignant tumor during radiotherapy, which can improve the long-term living quality and prolong the survival time of the patients.

  6. Long-term stability of underground operated CZT detectors based on the analysis of intrinsic {sup 113}Cd β{sup −}-decay

    Energy Technology Data Exchange (ETDEWEB)

    Ebert, J. [Universität Hamburg, Institut für Experimentalphysik, Luruper Chaussee 149, 22761 Hamburg (Germany); Gößling, C. [Technische Universität Dortmund, Lehrstuhl für Experimentelle Physik IV, Otto-Hahn-Str 4, 44221 Dortmund (Germany); Gehre, D., E-mail: daniel.gehre@tu-dresden.de [Technische Universität Dresden, Institut für Kern- und Teilchenphysik, Zellescher Weg 19, 01069 Dresden (Germany); Hagner, C.; Heidrich, N. [Universität Hamburg, Institut für Experimentalphysik, Luruper Chaussee 149, 22761 Hamburg (Germany); Klingenberg, R.; Kröninger, K.; Nitsch, C. [Technische Universität Dortmund, Lehrstuhl für Experimentelle Physik IV, Otto-Hahn-Str 4, 44221 Dortmund (Germany); Oldorf, C. [Universität Hamburg, Institut für Experimentalphysik, Luruper Chaussee 149, 22761 Hamburg (Germany); Quante, T.; Rajek, S. [Technische Universität Dortmund, Lehrstuhl für Experimentelle Physik IV, Otto-Hahn-Str 4, 44221 Dortmund (Germany); Rebber, H.; Rohatsch, K. [Universität Hamburg, Institut für Experimentalphysik, Luruper Chaussee 149, 22761 Hamburg (Germany); Tebrügge, J.; Temminghoff, R.; Theinert, R. [Technische Universität Dortmund, Lehrstuhl für Experimentelle Physik IV, Otto-Hahn-Str 4, 44221 Dortmund (Germany); and others

    2016-06-11

    The COBRA collaboration operates a demonstrator setup at the underground facility Laboratori Nazionali del Gran Sasso (LNGS, located in Italy) to prove the technological capabilities of this concept for the search for neutrinoless double beta-decay. The setup consists of 64 (1×1×1) cm{sup 3} Cadmium-Zinc-Telluride (CZT) detectors in Coplanar-Grid (CPG) configuration. One purpose of this demonstrator is to test if reliable long-term operation of CZT-CPG detectors in such a setup is possible. The demonstrator has been operated under ultra low-background conditions for more than three years and collected data corresponding to a total exposure of 218 kg days. The presented study focuses on the long-term stability of CZT detectors by analyzing the intrinsic, fourfold forbidden non-unique {sup 113}Cd single beta-decay. It can be shown that CZT detectors can be operated stably for long periods of time and that the {sup 113}Cd single beta-decay can be used as an internal monitor of the detector performance during the runtime of the experiment.

  7. A single administration of the peptide NAP induces long-term protective changes against the consequences of head injury: gene Atlas array analysis.

    Science.gov (United States)

    Romano, Jacob; Beni-Adani, Liana; Nissenbaum, Orlev Levy; Brenneman, Douglas E; Shohami, Esther; Gozes, Illana

    2002-01-01

    The femtomolar-acting eight-amino-acid peptide (NAP), derived from activity-dependent neuroprotective protein (ADNP), provides long-term protection against the deleterious effects of closed head injury (CHI) in mice. Fifteen minutes after injury, mice were divided into two groups, control and NAP-treated and a single subcutaneous injection of NAP or vehicle was administered. A third group served as sham-treated (not subjected to head trauma). Each mouse was assessed for its clinical function, using neurological severity score, at various time intervals following CHI, up to 30-45 d. Total cerebral cortex RNA was prepared from the site of injury of CHI mice, and from parallel regions in peptide-treated and sham brains. RNA was then reversed transcribed to yield radioactive cDNA preparations that were hybridized to Atlas array membranes containing 1200 cDNAs spots. Comparison of sham-treated individual mice showed differential expression levels of at least 15 mRNA species. Furthermore, results indicated that one of the genes that did not change among individuals but specifically increased after CHI and decreased after NAP treatment was the cell surface glycoprotein Mac-1 (CD11B antigen). Thus, Mac-1 is suggested as a marker for the long-term outcome of head injury and as a potential target for NAP protective actions.

  8. Long-term development and effectiveness of private flood mitigation measures: an analysis for the German part of the river Rhine

    Science.gov (United States)

    Bubeck, P.; Botzen, W. J. W.; Kreibich, H.; Aerts, J. C. J. H.

    2012-11-01

    Flood mitigation measures implemented by private households have become an important component of contemporary integrated flood risk management in Germany and many other countries. Despite the growing responsibility of private households to contribute to flood damage reduction by means of private flood mitigation measures, knowledge on the long-term development of such measures, which indicates changes in vulnerability over time, and their effectiveness, is still scarce. To gain further insights into the long-term development, current implementation level and effectiveness of private flood mitigation measures, empirical data from 752 flood-prone households along the German part of the Rhine are presented. It is found that four types of flood mitigation measures developed gradually over time among flood-prone households, with severe floods being important triggers for an accelerated implementation. At present, still a large share of respondents has not implemented a single flood mitigation measure, despite the high exposure of the surveyed households to floods. The records of household's flood damage to contents and structure during two consecutive flood events with similar hazard characteristics in 1993 and 1995 show that an improved preparedness of the population led to substantially reduced damage during the latter event. Regarding the efficiency of contemporary integrated flood risk management, it is concluded that additional policies are required in order to further increase the level of preparedness of the flood-prone population. This especially concerns households in areas that are less frequently affected by flood events.

  9. Long term perfusion system supporting adipogenesis.

    Science.gov (United States)

    Abbott, Rosalyn D; Raja, Waseem K; Wang, Rebecca Y; Stinson, Jordan A; Glettig, Dean L; Burke, Kelly A; Kaplan, David L

    2015-08-01

    Adipose tissue engineered models are needed to enhance our understanding of disease mechanisms and for soft tissue regenerative strategies. Perfusion systems generate more physiologically relevant and sustainable adipose tissue models, however adipocytes have unique properties that make culturing them in a perfusion environment challenging. In this paper we describe the methods involved in the development of two perfusion culture systems (2D and 3D) to test their applicability for long term in vitro adipogenic cultures. It was hypothesized that a silk protein biomaterial scaffold would provide a 3D framework, in combination with perfusion flow, to generate a more physiologically relevant sustainable adipose tissue engineered model than 2D cell culture. Consistent with other studies evaluating 2D and 3D culture systems for adipogenesis we found that both systems successfully model adipogenesis, however 3D culture systems were more robust, providing the mechanical structure required to contain the large, fragile adipocytes that were lost in 2D perfused culture systems. 3D perfusion also stimulated greater lipogenesis and lipolysis and resulted in decreased secretion of LDH compared to 2D perfusion. Regardless of culture configuration (2D or 3D) greater glycerol was secreted with the increased nutritional supply provided by perfusion of fresh media. These results are promising for adipose tissue engineering applications including long term cultures for studying disease mechanisms and regenerative approaches, where both acute (days to weeks) and chronic (weeks to months) cultivation are critical for useful insight.

  10. Preliminary analysis of modeling of Pars and steam injectors to support long-term operation of LWR passive ECCS using a best estimate thermal-hydraulics code

    Energy Technology Data Exchange (ETDEWEB)

    Morales S, J. B.; Sanchez J, J. [UNAM, Facultad de Ingenieria, Circuito Interior s/n, Ciudad Universitaria, 04510 Mexico D. F. (Mexico); Espinosa P, G., E-mail: jaimebmoraless@gmail.co [Universidad Autonoma Metropolitana, Unidad Iztapalapa, Av. San Rafael Atlixco No. 186, Col. Vicentina, 09340 Mexico D. F. (Mexico)

    2010-10-15

    In order to control the amount of hydrogen produced, during the chemical reaction of steam and strongly overheated zirconium in a LWR severe accident, several control methos have been proposed. In a considerable number of nuclear power plants the initial preferred solution was either the use of an inert containment atmosphere or the use of igniters. However, the use of Pars (Passive autocatalytic recombiners) has been considered an important addition to this set of H{sub 2} controls. Pars have appealing features such as, low maintenance, do not require active components to start operation, and can initiate the H{sub 2} and O{sub 2} recombination at low concentrations. However, under certain conditions these Pars may trigger H{sub 2} ignition leading to deflagration s with possible containment damages. Combustions, poisons and liquid may inhibit or reduce the Pars operation. Advanced LWR designs (generation III + and IV) are also considering the use of Pars as a supporting system to the long term operation of their passive ECCS (Emergency Core Cooling Systems) because they may transport the energy of containment H{sub 2} and O{sub 2} gases to external sinks. Even when the ECCS of modern nuclear power plants are designed to maintain containment conditions under established limits, there are small amounts of O{sub 2} and H{sub 2} produced mainly by H{sub 2}O radiolysis, and after several days of containment isolation, these gases may accumulate in places where the possibility of a H{sub 2} deflagration increases. Therefore, the use of Pars looks initially as an interesting solution to long-term H{sub 2} control during a Dba. However, the H{sub 2} and O{sub 2} recombination is an exothermic process resulting in additional steam and energy releases to the containment. In order to avoid a direct deposition of the steam and energy (Pars produced) into the containment atmosphere, we propose to use them to operate steam injectors that can bring cold water to replenish ECCS

  11. Long Term Data Preservation for CDF at INFN-CNAF

    Science.gov (United States)

    Amerio, S.; Chiarelli, L.; dell'Agnello, L.; De Girolamo, D.; Gregori, D.; Pezzi, M.; Prosperini, A.; Ricci, P.; Rosso, F.; Zani, S.

    2014-06-01

    Long-term preservation of experimental data (intended as both raw and derived formats) is one of the emerging requirements coming from scientific collaborations. Within the High Energy Physics community the Data Preservation in High Energy Physics (DPHEP) group coordinates this effort. CNAF is not only one of the Tier-1s for the LHC experiments, it is also a computing center providing computing and storage resources to many other HEP and non-HEP scientific collaborations, including the CDF experiment. After the end of data taking in 2011, CDF is now facing the challenge to both preserve the large amount of data produced during several years of data taking and to retain the ability to access and reuse it in the future. CNAF is heavily involved in the CDF Data Preservation activities, in collaboration with the Fermilab National Laboratory (FNAL) computing sector. At the moment about 4 PB of data (raw data and analysis-level ntuples) are starting to be copied from FNAL to the CNAF tape library and the framework to subsequently access the data is being set up. In parallel to the data access system, a data analysis framework is being developed which allows to run the complete CDF analysis chain in the long term future, from raw data reprocessing to analysis-level ntuple production. In this contribution we illustrate the technical solutions we put in place to address the issues encountered as we proceeded in this activity.

  12. Cumulative Alendronate Dose and the Long-Term Absolute Risk of Subtrochanteric and Diaphyseal Femur Fractures: A Register-Based National Cohort Analysis

    DEFF Research Database (Denmark)

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

    2010-01-01

    are currently the subject of a U.S. Food and Drug Administration review. Objective: Our objective was to examine the risk of subtrochanteric/diaphyseal femur fractures in long term users of alendronate. Design: We conducted an age- and gender-matched cohort study using national healthcare data. Patients...... fractures occurred at a rate of 13 per 10,000 patient-years in untreated women and 31 per 10,000 patient-years in women receiving alendronate [adjusted hazard ratio (HR) = 1.88; 95% confidence interval (CI) = 1.62-2.17]. Rates for men were six and 31 per 10,000 patient-years, respectively (HR = 3.98; 95% CI...

  13. Radical cystectomy with orthotopic neobladder for invasive bladder cancer: a critical analysis of long term oncological, functional and quality of life results

    Directory of Open Access Journals (Sweden)

    Arnulf Stenzl

    2010-10-01

    Full Text Available PURPOSE: Analyze current knowledge and practice regarding tumor-related cystectomy with subsequent orthotopic neobladder both in male and female patients. DESIGN, SETTING, AND PARTICIPANTS: Evaluate literature predominantly from the last decade dealing with long-term experience in large numbers of patients with an orthotopic neobladder following cystectomy. Oncological outcome specific to an orthotopic neobladder, functional aspects such as urinary continence, renal function, sexual activity and other quality of life issues are elucidated. RESULTS: Local pelvic recurrences after urothelial bladder cancer occur in 7-12%. Urethral second primary tumors in male and female patients in contemporary series with bladder substitution are 4-6% and 1.4 o 4%, respectively. Upper tract recurrences vary between 2.4-17%. Complications regarding the upper urinary tract have dramatically diminished due to simplified forms of upper tract protection as well as a more refined technique of ureterointestinal anastomosis. Depending on the technique ureteroileal stenosis was lately reported to lie between 2.7 to 3.8%. Renal function remained stable in 96% after a mean follow-up of up to 5 years. Radical cystectomy in carefully selected patients has stood the test of time by providing adequate long-term survival and low local recurrence rates. Orthotopic bladder substitution does not compromise oncological outcome, yields excellent functional results, is cost effective compared to other types of urinary diversion, may improve quality of life and should therefore be the diversion of choice both in men and women. Chronological age is generally not a contraindication for cystectomy, but for orthotopic urinary diversion, tumor extent, functional pelvic floor deficits and general life expectancy are limiting factors.

  14. A computational analysis of the long-term regulation of arterial pressure [v2; ref status: indexed, http://f1000r.es/2hm

    Directory of Open Access Journals (Sweden)

    Daniel A. Beard

    2013-12-01

    Full Text Available The asserted dominant role of the kidneys in the chronic regulation of blood pressure and in the etiology of hypertension has been debated since the 1970s. At the center of the theory is the observation that the acute relationships between arterial pressure and urine production—the acute pressure-diuresis and pressure-natriuresis curves—physiologically adapt to perturbations in pressure and/or changes in the rate of salt and volume intake. These adaptations, modulated by various interacting neurohumoral mechanisms, result in chronic relationships between water and salt excretion and pressure that are much steeper than the acute relationships. While the view that renal function is the dominant controller of arterial pressure has been supported by computer models of the cardiovascular system known as the “Guyton-Coleman model”, no unambiguous description of a computer model capturing chronic adaptation of acute renal function in blood pressure control has been presented. Here, such a model is developed with the goals of: 1. representing the relevant mechanisms in an identifiable mathematical model; 2. identifying model parameters using appropriate data; 3. validating model predictions in comparison to data; and 4. probing hypotheses regarding the long-term control of arterial pressure and the etiology of primary hypertension. The developed model reveals: long-term control of arterial blood pressure is primarily through the baroreflex arc and the renin-angiotensin system; and arterial stiffening provides a sufficient explanation for the etiology of primary hypertension associated with ageing. Furthermore, the model provides the first consistent explanation of the physiological response to chronic stimulation of the baroreflex.

  15. A computational analysis of the long-term regulation of arterial pressure [v1; ref status: indexed, http://f1000r.es/1xq

    Directory of Open Access Journals (Sweden)

    Daniel A. Beard

    2013-10-01

    Full Text Available The asserted dominant role of the kidneys in the chronic regulation of blood pressure and in the etiology of hypertension has been debated since the 1970s. At the center of the theory is the observation that the acute relationships between arterial pressure and urine production—the acute pressure-diuresis and pressure-natriuresis curves—physiologically adapt to perturbations in pressure and/or changes in the rate of salt and volume intake. These adaptations, modulated by various interacting neurohumoral mechanisms, result in chronic relationships between water and salt excretion and pressure that are much steeper than the acute relationships. While the view that renal function is the dominant controller of arterial pressure has been supported by computer models of the cardiovascular system known as the “Guyton-Coleman model”, no unambiguous description of a computer model capturing chronic adaptation of acute renal function in blood pressure control has been presented. Here, such a model is developed with the goals of: 1. capturing the relevant mechanisms in an identifiable mathematical model; 2. identifying model parameters using appropriate data; 3. validating model predictions in comparison to data; and 4. probing hypotheses regarding the long-term control of arterial pressure and the etiology of primary hypertension. The developed model reveals: long-term control of arterial blood pressure is primarily through the baroreflex arc and the renin-angiotensin system; and arterial stiffening provides a sufficient explanation for the etiology of primary hypertension associated with ageing. Furthermore, the model provides the first consistent explanation of the physiological response to chronic stimulation of the baroreflex.

  16. Spatio-temporal Analysis on the Combined Impact of Long-term Climate and Landuse Changes on Blue and Green Water Dynamics over the Ohio River Basin

    Science.gov (United States)

    Du, L.; Rajib, M. A.; Merwade, V.

    2015-12-01

    Impacts of climate and landuse change on the overall water availability can be analytically comprehended in terms of long-term trends in surface and subsurface hydrologic fluxes. The surface and subsurface fluxes can be represented in terms of blue water (BW; surface runoff and deep aquifer recharge) and green water (GW; soil water content and actual evapotranspiration). The objective of this study is to present a comprehensive assessment of the spatial and temporal trend of BW and GW under the historical climate and landuse data over the period of 1935 to 2014 in the Ohio River Basin (490,000 km2), and thereby, quantify the relative effects of climate and landuse changes on their long-term dynamics. The Soil and Water Assessment Tool (SWAT) is used to simulate hydrologic fluxes for the Ohio River Basin by first changing both climate and landuse inputs, and then by only changing the climate input keeping landuse constant. The Mann-Kendall and Theil-Sen trend analyses over the whole basin show volumetric increase in both BW and GW. However, the trends reveal a regional pattern, where GW has increased significantly in the upper and lower parts of the basin in response to prominent landuse change. Whereas, BW has increased significantly only in the lower part that can be related to the significant change in precipitation there. The finding that BW is more affected by precipitation while landuse change is more influential in changing GW, is further supported from the BW and GW trend analyses at the individual sub-basin scale. The results from this study help to understand the collective influence of natural and anthropogenic impacts on hydrologic responses in the Ohio River basin, and thereby provide useful information for future water security and planning.

  17. Morphotectonic analysis of the long-term surface expression of the 2009 L'Aquila earthquake fault (Central Italy) using airborne LiDAR data

    Science.gov (United States)

    Civico, Riccardo; Pucci, Stefano; De Martini, Paolo Marco; Pantosti, Daniela

    2015-03-01

    In this paper we present a morphotectonic study of the Paganica-San Demetrio fault system (PSDFS) responsible for the Mw6.1 April 6, 2009 earthquake (L'Aquila, Central Italy). The discrepancy observed between the length of the seismologic-geodetic modeled fault, the limited size of the primary coseismic surface ruptures and the significant morphological expression of the PSDFS stimulated a debate about the maximum rupture length of the PSDFS and its capability to generate larger magnitude events. To image the PSDFS long-term morphological expression and define its surface geometrical arrangement (length, number of fault splays and boundaries), we took advantage of a high-resolution airborne LiDAR dataset. LiDAR topography substantially increased our confidence in detecting even subtle tectonic-controlled morphologies. We define the PSDFS as a ~ 19 km-long fault system that displays a complex structural setting characterized by two different sectors: 1) the Paganica sector to the NW, with a narrow deformation zone, and 2) the San Demetrio sector to SE, where the strain is accommodated by several fault-splays dissecting a wider Quaternary basin. We also defined a first-order hierarchy among the numerous fault splays across the PSDFS. The long-term geomorphic expression of the PSDFS suggests that it ruptured also involving the whole 19 km-long structure besides rupturing only small sections, as it occurred in 2009. This suggests a variable slip behavior. Empirical relations applied to this hypothesis allow up to M 6.6 earthquakes along the PSDFS. These results have a critical impact on the seismic hazard assessment of the area when compared with a M 6.1 event as the 2009.

  18. Signaling Cost Analysis of Location Management in Long Term Evolution%LTE位置管理中信令开销的分析

    Institute of Scientific and Technical Information of China (English)

    马俊超; 王献

    2014-01-01

    In order to tackle the defects of the Location Management (LM) scheme used in second generation (2G) and third generation (3G) mobile networks, forth generation (4G) network Long Term Evolution (LTE) uses a new LM scheme, which is called a Tracking Area List (TAL)-based LM scheme and the signaling cost of the TAL-based LM scheme is determined by the allocation of TALs. This paper develops a mathematical model of embedded Markov chain to analyze the signaling cost of the TAL-based scheme for a local User Equipment (UE) whose activity region is relatively fixed. Mathematical formulas for the LU cost and the paging cost are derived. With these formulas, an optimal TAL allocation strategy that can minimize the signaling cost can be found.%为了克服2G和3G移动通信网络位置管理方案的缺陷,4G长期演进(Long Term Evolution, LTE)采用了基于跟踪区列表(Tracking Area List, TAL)的位置管理方案。基于TAL的位置管理方案的性能取决于TAL分配方案。考虑到本地移动设备(User Equipment, UE)的活动区域相对固定,该文提出一种嵌入式马尔科夫链模型,用于分析本地UE的基于TAL的位置管理方案的信令开销。推导得到位置更新开销和寻呼开销的数学公式。利用这些公式,可搜索得到能使信令开销最低化的最佳TAL分配方案。

  19. HOME LONG-TERM CARE IN POLAND

    Directory of Open Access Journals (Sweden)

    Ewa Kułagowska

    2011-06-01

    Full Text Available The considerable proportion of the elderly, the chronically ill and the disabled in community is an economic and organizational challenge for the state social policy. It requires a large, steadily increasing financing from the public funds and creating an optional care model to fulfill the needs of citizens and guarantee high quality services. Development of the long-term care is one of the problems to be solved. This paper presents: – a long-term care forms, organization and tasks; – a role of long-term care but particularly home longterm care to protect health in Poland; – problems related with home long-term care functioning.

  20. Long-term memory, sleep, and the spacing effect.

    Science.gov (United States)

    Bell, Matthew C; Kawadri, Nader; Simone, Patricia M; Wiseheart, Melody

    2014-01-01

    Many studies have shown that memory is enhanced when study sessions are spaced apart rather than massed. This spacing effect has been shown to have a lasting benefit to long-term memory when the study phase session follows the encoding session by 24 hours. Using a spacing paradigm we examined the impact of sleep and spacing gaps on long-term declarative memory for Swahili-English word pairs by including four spacing delay gaps (massed, 12 hours same-day, 12 hours overnight, and 24 hours). Results showed that a 12-hour spacing gap that includes sleep promotes long-term memory retention similar to the 24-hour gap. The findings support the importance of sleep to the long-term benefit of the spacing effect.

  1. Gender differences in success at quitting smoking: Short- and long-term outcomes.

    Science.gov (United States)

    Marqueta, Adriana; Nerín, Isabel; Gargallo, Pilar; Beamonte, Asunción

    2016-06-14

    Smoking cessation treatments are effective in men and women. However, possible sex-related differences in the outcome of these treatments remain a controversial topic. This study evaluated whether there were differences between men and women in the success of smoking cessation treatment, including gender-tailored components, in the short and long term (> 1 year). A telephone survey was carried out between September 2008 and June 2009 in smokers attended in a Smoking Cessation Clinic. All patients who have successfully completed treatment (3 months) were surveyed by telephone to determine their long-term abstinence. Those who remained abstinent were requested to attend the Smoking Cessation Clinic for biochemical validation (expired CO ≤10 ppm). The probability of remaining abstinent in the long-term was calculated using a Kaplan-Meier survival analysis. The treatment success rate at 3-months was 41.3% (538/1302) with no differences by sex 89% (479/538) among those located in the telephonic follow-up study and 47.6% (256/479) were abstinent without differences by sex (p = .519); abstinence was validated with CO less than 10 ppm in 191 of the 256 (53.9% men and 46.1% women). In the survival analysis, the probability of men and women remaining abstinent in the long-term was not significant. There are no differences by sex in the outcome of smoking cessation treatment that included gender-tailored components in the short and long term (> 1 year).

  2. The Long-Term Conditions Questionnaire: conceptual framework and item development

    Directory of Open Access Journals (Sweden)

    Peters M

    2016-08-01

    Full Text Available Michele Peters,1 Caroline M Potter,1 Laura Kelly,1 Cheryl Hunter,1 Elizabeth Gibbons,1 Crispin Jenkinson,1 Angela Coulter,1 Julien Forder,2 Ann-Marie Towers,2 Christine A’Court,3,4 Ray Fitzpatrick1 1Health Services Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, 2Personal Social Services Research Unit, University of Kent, Canterbury, 3Nuffield Department of Primary Health Care Sciences, University of Oxford, Oxford, 4Broadshires Health Centre, Carterton, UK Purpose: To identify the main issues of importance when living with long-term conditions to refine a conceptual framework for informing the item development of a patient-reported outcome measure for long-term conditions.Materials and methods: Semi-structured qualitative interviews (n=48 were conducted with people living with at least one long-term condition. Participants were recruited through primary care. The interviews were transcribed verbatim and analyzed by thematic analysis. The analysis served to refine the conceptual framework, based on reviews of the literature and stakeholder consultations, for developing candidate items for a new measure for long-term conditions.Results: Three main organizing concepts were identified: impact of long-term conditions, experience of services and support, and self-care. The findings helped to refine a conceptual framework, leading to the development of 23 items that represent issues of importance in long-term conditions. The 23 candidate items formed the first draft of the measure, currently named the Long-Term Conditions Questionnaire.Conclusion: The aim of this study was to refine the conceptual framework and develop items for a patient-reported outcome measure for long-term conditions, including single and multiple morbidities and physical and mental health conditions. Qualitative interviews identified the key themes for assessing outcomes in long-term conditions, and these underpinned the development of the

  3. The market for long-term care services.

    Science.gov (United States)

    Grabowski, David C

    2008-01-01

    Although a large literature has established the importance of market and regulatory forces within the long-term care sector, current research in this field is limited by a series of data, measurement, and methodological issues. This paper provides a comprehensive review of these issues with an emphasis on identifying initiatives that will increase the volume and quality of long-term care research. Recommendations include: the construction of standard measures of long-term care market boundaries, the broader dissemination of market and regulatory data, the linkage of survey-based data with market measures, the encouragement of further market-based studies of noninstitutional long-term care settings, and the standardization of Medicaid cost data.

  4. Long term performance session summary

    Energy Technology Data Exchange (ETDEWEB)

    Hanauer, S.

    1996-05-01

    This paper presents brief summaries of reports given on plutonium disposal. Topics include: performance of waste forms; glass leaching; ceramic leaching; safeguards and security issues; safeguards of vitrification; and proliferation risks of geologic disposal.

  5. Short- and Long-term Therapeutic Efficacies of Intravenous Transplantation of Bone Marrow Stem Cells on Cardiac Function in Rats with Acute Myocardial Infarction:A Meta-analysis of Randomized Controlled Trials

    Institute of Scientific and Technical Information of China (English)

    Can Jiang; Dong Zheng; Yun-lu Feng; Jun Guo; Hai-rui Li; Ai-dong Zhang

    2016-01-01

    Objective To investigate the short- and long-term therapeutic efficacies of intravenous trans- plantation of bone marrow stem cells (MSCs) in rats with experimental myocardial infarction by meta- analysis. Methods Randomized controlled trials were systematically searched from PubMed, Science Citation Index (SCI), Chinese journal full-text database (CJFD) up to December 2014. While the experimental groups (MSCs groups) were injected MSCs intravenously, the control groups were injected Delubecco’s minimum essential medium (DMEM) or phosphate buffered saline (PBS).Subgroup analysis for each outcome measure was performed for the observing time point after the transplantation of MSCs. Weighted mean differences (WMD) and 95% confidence intervals (CI) were calculated for outcome parameters including ejection fraction (EF) and fractional shortening (FS), which were measured by echocardiogram after intravenous injection and analyzed by RevMan 5.2 and STATA 12.0. Results Data from 9 studies (190 rats)were included in the meta-analysis. As compared to the control groups, the cardiac function of the experimental groups were not improved at day 7 (EF: WMD=0.08, 95%CI−1.32 to 1.16,P>0.01; FS: WMD=−0.12, 95%CI−0.90 to 0.65,P>0.01) until at day 14 after MSCs’ transplantation (EF: WMD=10.79, 95%CI 9.16 to 12.42,P<0.01; FS: WMD=11.34, 95%CI 10.44 to 12.23, P<0.01), and it lasted 4 weeks or more after transplantation of MSCs (EF: WMD=13.94, 95%CI 12.24 to 15.64,P<0.01; FS: WMD=9.64, 95%CI 7.98 to 11.31,P<0.01). Conclusion The therapeutic efficacies of MSCs in rats with myocardid infarction become increasing apparent as time advances since 2 weeks after injection.

  6. Long-term survival after perforated diverticulitis

    NARCIS (Netherlands)

    J. Vermeulen (Jan); M.P. Gosselink (Martijn Pieter); W.C.J. Hop (Wim); E. van der Harst (Erwin); B.E. Hansen (Bettina); G.H.H. Mannaerts (Guido); P-P. Coene (Peter Paul); W.F. Weidema (Wibo); J.F. Lange (Johan)

    2011-01-01

    textabstractAim: Short-term survival after emergency surgery for perforated diverticulitis is poor. Less is known about long-term survival. The aims of this study were to evaluate long-term survival after discharge from hospital and to identify factors associated with prognosis. Method: All patients

  7. Virtual Models of Long-Term Care

    Science.gov (United States)

    Phenice, Lillian A.; Griffore, Robert J.

    2012-01-01

    Nursing homes, assisted living facilities and home-care organizations, use web sites to describe their services to potential consumers. This virtual ethnographic study developed models representing how potential consumers may understand this information using data from web sites of 69 long-term-care providers. The content of long-term-care web…

  8. Long term results of pneumatic retinopexy

    Directory of Open Access Journals (Sweden)

    Ellakwa AF

    2012-01-01

    Full Text Available Amin F EllakwaMenoufiya University, Shibin el Kom, Al-Menoufiya, EgyptBackground: Rhegmatogenous retinal detachment is a commonly encountered retinal problem where rapid treatment can prevent irreversible vision loss. Pneumatic retinopexy (PR is a simple, minimally invasive procedure for retinal reattachment.Purpose: This study aimed to assess the long-term anatomical and functional outcome of pneumatic retinopexy in primary rhegmatogenous retinal detachment.Patients and methods: A prospective interventional study was performed. Subjects with rhegmatogenous retinal detachment who underwent pneumatic retinopexy from May 2006 to May 2007 at Menoufiya University Hospital were included in this study with at least 3 years follow-up.Results: A total of 40 cases were included in the study. The mean age of patients was 44.25 ± 10.85 years. Reattachment of the retina was achieved in 100% of cases. In 75% of cases, the primary intervention was successful. However, the retina redetached in 20% of these during the first 6 months, requiring reinjection or another procedure. Three years after the first intervention, follow-up measurement of the mean visual acuity of the eyes without reoperation was 0.40 ± 0.21 while the mean visual acuity of the eyes which needed additional operations was 0.22 ± 0.13.Conclusion: Sixty percent of the cases obtained long-term retinal reattachment with a single operation success (SOS, with good visual recovery and less morbidity than other more invasive procedures like scleral buckling or pars plana vitrectomy, translating to higher productivity for the patient. This procedure, being quicker than the alternatives, also saves the surgeon's time, making PR a good choice for managing primary rhegmatogenous retinal detachment in developing countries.Keywords: pneumatic, retinopexy, rhegmatogenous, retinal detachment

  9. Pre-transplant dialysis modality does not influence short- or long-term outcome in kidney transplant recipients: analysis of paired kidneys from the same deceased donor.

    Science.gov (United States)

    Dipalma, Teresa; Fernández-Ruiz, Mario; Praga, Manuel; Polanco, Natalia; González, Esther; Gutiérrez-Solis, Elena; Gutiérrez, Eduardo; Andrés, Amado

    2016-09-01

    Previous studies have reported contradictory results regarding the effect of pre-transplant dialysis modality on the outcomes after kidney transplantation (KT). To minimize the confounding effect of donor-related variables, we performed a donor-matched retrospective comparison of 160 patients that received only one modality of pre-transplant dialysis (peritoneal dialysis [PD] and hemodialysis [HD] in 80 patients each) and that subsequently underwent KT at our center between January 1990 and December 2007. Cox regression models were used to evaluate the association between pre-transplant dialysis modality and primary study outcomes (death-censored graft survival and patient survival). To control for imbalances in recipient-related baseline characteristics, we performed additional adjustments for the propensity score (PS) for receiving pre-transplant PD (versus HD). There were no significant differences according to pre-transplant dialysis modality in death-censored graft survival (PS-adjusted hazard ratio [aHR]: 0.65; 95% confidence interval [95% CI]: 0.25-1.68) or patient survival (aHR: 0.58; 95% CI: 0.13-2.68). There were no differences in 10-year graft function or in the incidence of post-transplant complications either, except for a higher risk of lymphocele in patients undergoing PD (odds ratio: 4.31; 95% CI: 1.15-16.21). In conclusion, pre-transplant dialysis modality in KT recipients does not impact short- or long-term graft outcomes or patient survival.

  10. Soil Parameter Mapping and Ad Hoc Power Analysis to Increase Blocking Efficiency Prior to Establishing a Long-Term Field Experiment

    Directory of Open Access Journals (Sweden)

    Doug Collins

    2015-01-01

    Full Text Available The spatial heterogeneity of soil and weed populations poses a challenge to researchers. Unlike aboveground variability, below-ground variability is more difficult to discern without a strategic soil sampling pattern. While blocking is commonly used to control environmental variation, this strategy is rarely informed by data about current soil conditions. Fifty georeferenced sites were located in a 0.65 ha area prior to establishing a long-term field experiment. Soil organic matter (OM and weed seed bank populations were analyzed at each site and the spatial structure was modeled with semivariograms and interpolated with kriging to map the surface. These maps were used to formulate three strategic blocking patterns and the efficiency of each pattern was compared to a completely randomized design and a west to east model not informed by soil variability. Compared to OM, weeds were more variable across the landscape and had a shorter range of autocorrelation, and models to increase blocking efficiency resulted in less increase in power. Weeds and OM were not correlated, so no model examined improved power equally for both parameters. Compared to the west to east blocking pattern, the final blocking pattern chosen resulted in a 7-fold increase in power for OM and a 36% increase in power for weeds.

  11. Long-term follow-up and analysis of prediction of mortality after percutaneous coronary intervention in patients with acute ST segment elevation myocardial infarction

    Directory of Open Access Journals (Sweden)

    Dan BAO

    2015-06-01

    Full Text Available Objective To explore the risk factors for mortality after percutaneous coronary intervention (PCI in patients with acute ST segment elevation myocardial infarction (STEMI. Methods The patients who were admitted with STEMI to our hospital between July 2008 and November 2012 undergoing PCI during hospitalization were enrolled. Case control study was conducted to observe these patients during the follow-up period for exploring the independent predictors of survival. Results  A total of 3551 consecutive patients were enrolled in this study. These patients were followed up for 5 years with a median followup time of 406[179, 892] days. A total of 106 deaths occurred during the follow-up period. Estimated 5-year survival rate was 88.6% by Kaplan-Meier method. Female, age, diabetes, stroke, dysarteriotony, renal insufficiency, elevation of creatinine kinase isoenzyme MB (CK-MB, left ventricular end diastolic dimension, anemia, anterior myocardial infarction, PCI complications and intra-aortic balloon pump (IABP were independent risk factors for mortality, whereas complete revascularization was associated with decreased risk of mortality. Conclusions Long-term mortality rate of patients with STEMI is higher even after successful PCI. Less PCI complications and early complete revascularization are independent predictors for decreasing mortality rate during follow-up period. DOI: 10.11855/j.issn.0577-7402.2015.04.05

  12. Long-term follow-up and analysis of monozygotic twins concordant for 45,X/46,XY peripheral blood karyotype but discordant for phenotypic sex.

    Science.gov (United States)

    Tho, Sandra P; Jackson, Robert; Kulharya, Anita S; Reindollar, Richard H; Layman, Lawrence C; McDonough, Paul G

    2007-11-01

    We report on the follow-up of a set of monozygotic (MZ) twins who were concordant for peripheral blood karyotype 45,X/46,XY but discordant for phenotypic sex. One twin is a phenotypically normal male and the other twin has asymetrical gonadal dysgenesis. The female twin has the mos45,X/46,XY karyotype in all four tissues: left testis, right streak, vas deferens, and clitoral skin. The normal male twin has the normal 46,XY karyotype in all three tissues tested: foreskin, scrotal skin, and testis. Follow-up of the twins at age 21, revealed persistence of mos45,X/46,XY karyotype in peripheral blood into adult life. However, the male grew up with normal male stature, reaching an adult height of 182 cm. The female twin received low dose estrogen replacement with complete breast development at age 14 years. She reached an adult height of 156 cm. At 21 years of age the male twin had normal testicular endocrine function, but severe oligospermia. The long-term follow-up of this set of MZ twins indicate that the male twin has the mosaicism confined to peripheral blood and has the normal 46,XY male constitution. This was further confirmed by his normal male stature and normal testicular endocrine function. The 45X cell line is likely due to his receiving these cells passively from his twin sister via placental anastomoses in utero. The exposure to these 45,X cells during development may have had an impact on his spermatogenesis.

  13. Short and long term perinatal outcome in twin pregnancies affected by weight discordance

    DEFF Research Database (Denmark)

    Vedel, Cathrine; Oldenburg, Anna; Worda, Katharina;

    2017-01-01

    OBJECTIVE: To investigate the association between chorionicity-specific intertwin birthweight (BW) discordance and adverse outcomes including long-term follow-up at 6, 18, and 48-60 months after term via Ages and Stages Questionnaire (ASQ). MATERIAL AND METHODS: In this secondary analysis of a co...

  14. Value of long-term electroencephalogram in diagnosing epilepsy

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    BACKGROUND: Routine electroencephalogram (EEG) usually cannot accurately reflect the discharge of epileptic patients due to the short examination, and long-term EEG can make up the shortcoming.OBJECTIVE: To comparatively analyze the long-term EEG of epileptic and non-epileptic patients, and investigate the values of long-term EEG in the diagnosis and differential diagnosis of epilepsy.DESIGN: A case-controlled study.SETTING: Ningjin County People's Hospital.PARTICIPANTS: Totally 122 patients with epilepsy (epilepsy group) were selected from the EEG room of Ningjin County People's Hospital from January 2000 to December 2006, including 76 males and 44 females,7 months to 78 years of age, the disease course ranged from 7 days to 7.5 years, and they all according with the standards for epilepsy set by the International Association for Epilepsy in 1997. Meanwhile, 118 patients with non-epileptic paroxysmal diseases were selected as the control group, including 71 males and 47 females, 2.5 - 87 years of age, the disease course ranged from 3 days to 7.5 years. Informed contents were obtained from all the subjects.METHODS: OXFORD GATE WAY 2000 16-lead portable EEG recorder was used for 24-hour electroencephalographic procedure. The patients could move normally during the monitoring, their activities,sleeping conditions, time and manifestations of seizures were recorded in details. In the next day, EEG at wake was recorded for 10 minutes, followed by 3-minute hyperventilation and open/close eye induction test,the phases of non-rapid eye movement ( Ⅰ - Ⅳ) and rapid eye movement were performed using EEG at sleep according to the international EEG standard. The abnormal rates of EEG epileptic discharge at wake and sleep at different sites were calculated.MAIN OUTCOME MEASURES: Abnormal rate of long-term EEG at wake and sleep in both groups;Epileptic discharge at different sleeping phases in both groups; Abnormal rates of EEG epileptic discharge at wake and sleep at

  15. Planning long-term vegetation studies at landscape scales

    Science.gov (United States)

    Stohlgren, Thomas J.

    1995-01-01

    Long-term ecological research is receiving more attention now than ever before. Two recent books, Long-term Studies in Ecology: Approaches and Alternatives, edited by Gene Likens (1989), and Long-term Ecological Research: An International Perspective, edited by Paul Risser (1991), prompt the question, “Why are these books so thin?” Except for data from paleoecological, retrospective studies (see below), there are exceptionally few long-term data sets in terrestrial ecology (Strayer et al. 1986; Tilman 1989; this volume). In a sample of 749 papers published in Ecology, Tilman (1989) found that only 1.7% of the studies lasted at least five field seasons. Only one chapter in each of the review books dealt specifically with expanding both the temporal and the spatial scales of ecological research (Berkowitz et al. 1989; Magnuson et al. 1991). Judging by the growing number of landscape-scale long-term studies, however, such as the Long-Term Ecological Research (LTER) Program (Callahan 1991), the U.S. Environmental Protection Agency’s Environmental Monitoring and Assessment Program (EMAP; Palmer et al. 1991), the U.S. Army’s Land Condition-Trend Analysis (LCTA) Program (Diersing et al. 1992), and various agencies’ global change research programs (CEES 1993), there is a growing interest to expand ecological research both temporally and spatially.

  16. Multi Factor Analysis of Long Term Effects of Dental Implant%影响种植牙远期效果的多因素分析

    Institute of Scientific and Technical Information of China (English)

    聂建芳

    2016-01-01

    Objective:To analyze factors that influence long term effects of dental implants by control study of two different dental implant.Method:212 patients with dental implants from January 2011 to February 2014 in our hospital were randomly divided into 106 cases in observation group(used Korean OSSTEM implant system), 106 cases in the control group (used Swiss ITI implant system),each group was divided into normal,patients with hypertension diabetes,heart disease,osteoporosis,the efficacy of different dental implants technology were observed respectively for patients,as well as the total efficacy of patients with cultivated dental in two groups were compared after 2 years.Result:The implementation of dental implantation after 2 years,curative effect comparison of normal people with hypertension,diabetes,heart disease,osteoporosis in the observation group of dental implant patients had statistically significant (P0.05).Conclusion:The long term effects of dental implants are affected by the planting technology and the patients’ own conditions,improve the technical level of dental implants,adjust the patients’ own conditions and then the dental implant surgery,which is conducive to improve the dental implant effect.%目的:通过两种不同牙种植方法对照研究,分析影响牙种植远期效果的影响因素。方法:选择2011年1月-2014年2月在本院接受牙种植的212例患者,随机分为观察组106例(采用韩国奥齿泰种植系统种植),对照组106例(采用瑞士ITI种植系统),每组分成正常人、伴高血压、糖尿病、心脏病、骨质疏松的种植牙患者,观察不同种植牙患者牙种植2年后的疗效,并比较两组种植牙患者的总疗效。结果:实施牙种植术2年后,观察组牙种植患者中的正常人、伴高血压、糖尿病、心脏病、骨质疏松者的疗效比较,差异有统计学意义(P0.05)。结论:种植牙的远期疗效受种植技术与患者自身条

  17. 空调器运行性能影响因素简析%Analysis on the Long-term Performance of Air Conditioner Operation

    Institute of Scientific and Technical Information of China (English)

    夏建军; 戴兴学; 叶檀

    2013-01-01

    The effects of on-off controlled air conditioners, outdoor temperature and dust contaminate on the performance of air conditioner are carried out on the 3 different rated capacity air conditioners in the paper. The results show that the effects on the cooling capacity and energy efficiency ratio are not more than 4% and 5% by on-off controlled air conditioner, 10% and 15% by temperature, 12% and 16% by dust contaminate respectively. So the dust contaminate and temperature on the air conditioner are important factors on evaluating the air conditioner is compliance with the long-term energy saving.%  本文通过3种不同额定制冷量的热泵型房间空调器研究了开停机、室外温度以及粉尘污染等因素对空调器长期运行性能的影响规律。结果表明,开停机对空调器制冷能力的最大衰减率不超过4%,EER不超过5%,室外温度对空调器制冷能力的最大衰减率不超过10%,EER不超过15%,粉尘污染对空调器制冷能力的最大衰减率不超过12%,EER不超过16%。因此,在实际评价空调器是否满足长效节能要求时,需着重考虑粉尘污染和温度负荷两个因素对空调器长期运行性能的影响。

  18. Long-Term Changes of Subcutaneous Fat Mass in HIV-Infected Children on Antiretroviral Therapy: A Retrospective Analysis of Longitudinal Data from Two Pediatric HIV-Cohorts.

    Directory of Open Access Journals (Sweden)

    Sophie Cohen

    Full Text Available Longitudinal studies objectively evaluating changes in regional fat distribution of HIV-infected children assessed by whole body dual energy X-ray absorptiometry (DEXA are scarce, whilst this long-term effect of HIV and antiretroviral therapy (cART is an important issue in infected children in need for lifelong treatment.We assessed regional fat distribution over time, measured with sequential DEXA-scans in HIV-infected children on cART in cohorts from South Africa (SA and the Netherlands (NL, and in healthy controls (SA. Limb and trunk fat Z-scores were calculated with the lambda-mu-sigma (LMS method. Multivariable linear regression models with mixed effects were used to investigate the effect of cART compounds on body fat distribution over time.In total, 218 children underwent 445 DEXA assessments with a median follow-up of 3.5 years. Fat mass in all limbs was decreased in HIV-infected children compared to controls (arm fat Z-score: coefficient -0.4813; P = 0.006, leg fat Z-score: coefficient -0.4345; P = 0.013. In the HIV-infected group, stavudine treatment was associated with lower subcutaneous fat mass (arm fat Z-score: coefficient -0.5838; P = 0.001, with an additional cumulative exposure effect (arm fat Z-score: coefficient -0.0867; P = 0.003.Our study shows that subcutaneous fat loss is still prevalent in HIV-infected children on cART, and is strongly associated with cumulative stavudine exposure. These results underline the need for early detection of subcutaneous fat loss and alternative treatment options for HIV-infected children globally.

  19. Can videoconferencing affect older people's engagement and perception of their social support in long-term conditions management: a social network analysis from the Telehealth Literacy Project.

    Science.gov (United States)

    Banbury, Annie; Chamberlain, Daniel; Nancarrow, Susan; Dart, Jared; Gray, Len; Parkinson, Lynne

    2017-05-01

    Social support is a key component in managing long-term conditions. As people age in their homes, there is a greater risk of social isolation, which can be ameliorated by informal support networks. This study examined the relationship between changes in social support networks for older people living in a regional area following weekly videoconference groups delivered to the home. Between February and June 2014, we delivered 44 weekly group meetings via videoconference to participants in a regional town in Australia. The meetings provided participants with education and an opportunity to discuss health issues and connect with others in similar circumstances. An uncontrolled, pre-post-test methodology was employed. A social network tool was completed by 45 (87%) participants either pre- or post-intervention, of which 24 (46%) participants completed the tool pre- and post-intervention. In addition, 14 semi-structured interviews and 4 focus groups were conducted. Following the intervention, participants identified increased membership of their social networks, although they did not identify individuals from the weekly videoconference groups. The most important social support networks remained the same pre- and post-intervention namely, health professionals, close family and partners. However, post-intervention participants identified friends and wider family as more important to managing their chronic condition compared to pre-intervention. Participants derived social support, in particular, companionship, emotional and informational support as well as feeling more engaged with life, from the weekly videoconference meetings. Videoconference education groups delivered into the home can provide social support and enhance self-management for older people with chronic conditions. They provide the opportunity to develop a virtual social support network containing new and diverse social connections.

  20. Long-term trends and patterns of fatal traumatic brain injuries in the pediatric and adolescent population of austria in 1980-2012: analysis of 33 years.

    Science.gov (United States)

    Majdan, Marek; Mauritz, Walter; Rusnak, Martin; Brazinova, Alexandra; Rehorcikova, Veronika; Leitgeb, Johannes

    2014-06-01

    Traumatic brain injuries (TBIs) are of special concern in the pediatric and adolescent population because of high incidence, mortality, and potential years of life lost (PYLL). Knowledge on causes and mortality trends is essential for effective prevention. The aim of this study was to analyze the long-term trends and causes of TBI-related mortality between 1980 and 2012 in the pediatric and adolescent populations of Austria. Death certificate data on TBI-related deaths of children and adolescents 0-19 years of age and exact population numbers were obtained from the Austrian Statistical Office. Five age groups were created. Mortality trends and causes of TBI were analyzed. PYLL were used to indicate the public health impact. Of 5319 identified TBI-related deaths, 75% were male victims. The annual mortality rates per 100,000 between 1980 and 2012 decreased from 25 to 2.6 in males, from 8.5 to 1.0 in females, and from 16.9 to 1.8 in the total population. Those 15-19 years of age had the highest mortalities, followed by 0-2 years of age. Over 80% of deaths were caused by accidents, inflicted TBIs were most common in those 0-2 years of age, and traffic accidents in those 15-19 years of age. In the studied period, 295,793 PYLL could be attributed to TBIs. Measures to prevent traffic accidents contributed significantly to the decrease of mortality and PYLL, especially in 15- to 19-year-old men. Causes and trends of TBI-related mortality exhibit age-group-specific patterns, and this knowledge could contribute to planning further preventive action to reduce TBI fatalities in the studied population.

  1. Analysis of long-term climate change on per capita water demand in urban versus suburban areas in the Portland metropolitan area, USA

    Science.gov (United States)

    Parandvash, G. Hossein; Chang, Heejun

    2016-07-01

    We investigated the impacts of long-term climate variability and change on per capita water demand in urban and suburban service areas that have different degrees of development density in the Portland metropolitan area, USA. Together with historical daily weather and water production data, socioeconomic data such as population and unemployment rate were used to estimate daily per capita water demand in the two service areas. The structural time series regression model results show that the sensitivity of per capita water demand to both weather and unemployment rate variables is higher in suburban areas than in urban areas. This is associated with relatively higher proportional demand by the residential sector in the suburban area. The estimated coefficients of the historical demand model were used to project the mid-21st century (2035-2064) per capita water demand under three climate change scenarios that represent high (HadGEM2-ES), medium (MIROC5), and low (GFDL) climate changes. Without climate adaptation, compared to the historical period between 1983 and 2012, per capita water demand is projected to increase by 10.6% in the 2035-2064 period under the HadGEM2-ES in suburban areas, while per capita demand is projected to increase by 4.8% under the same scenario in urban areas. Our findings have implications for future urban water resource management and land use planning in the context of climate variability and change. A tight integration between water resource management and urban planning is needed for preparing for climate adaptation in municipal water planning and management.

  2. Analysis of linear long-term trend of aerosol optical thickness derived from SeaWiFS using BAER over Europe and South China

    Directory of Open Access Journals (Sweden)

    J. Yoon

    2011-07-01

    Full Text Available The main purpose of the present paper is to derive and discuss linear long-term trends of Aerosol Optical Thickness (AOT at 443 and 555 nm over regions in Europe and South China. These areas are densely populated and highly polluted. The study uses the Bremen AErosol Retrieval (BAER and Sea-viewing Wide Field-of-view Sensor (SeaWiFS data for AOT retrievals in the specified regions from October 1997 to May 2008. In order to validate the individually retrieved AOTs and the corresponding trends, AErosol RObotic NETwork (AERONET level 2.0 data have been used. The retrieved AOTs were in good agreement with those of AERONET (0.79 ≤ R ≤ 0.88, 0.08 ≤ RMSD ≤ 0.13. The contamination of BAER aerosol retrievals and/or AERONET observations by thin clouds can significantly degrade the AOT and lead to statistically non-representative monthly-means, especially during cloudy seasons. Therefore an inter-correction method has been developed and applied. The "corrected" trends for both BAER SeaWiFS and AERONET AOT were similar having an average of relative error ~25.19 %. In general terms, negative trends (decrease of aerosol loading were mainly observed over European regions, with magnitudes up to −0.00453 (−1.93 % and −0.00484 (−2.35 % per year at 443 and 555 nm, respectively. In contrast, the trend in Pearl River Delta was positive, most likely attributed to rapid urbanization and industrialization. The magnitudes of AOT increased by +0.00761 (+1.24 % and +0.00625 (+1.15 % per year respectively at 443 and 555 nm.

  3. Long-term oncologic results in cancer of the rectum treated by preoperative chemoradiotherapy and surgery: an analysis of 500 cases

    Directory of Open Access Journals (Sweden)

    Javier A. Cienfuegos

    2015-06-01

    Full Text Available Background: The standard treatment for locally advanced cancer of the rectum (LACR and selective cases of stage IV disease is preoperative chemoradiotherapy (CRT followed by total mesorectal excision (TME. Despite reductions in local recurrence, disease-free survival (DSF has remained stable in recent years. Objective: The objective of this study is to analyze patterns of recurrence, long-term survival and prognostic factors in a program of neoadjuvant CRT and surgery in LACR. Methods: Between January 1992 and December 2011, 446 patients with LACR and 54 patients (with single metastases were treated with pre-operative long course CRT and surgery. Three hundred forty four (66.8% anterior resections of the rectum and 123 (24.6% abdomino-perineal resections were performed. Results: With a mean follow-up of 70.06 months, local recurrence was 4.8% and distant recurrence 25.5%. No differences were found in the histopathologic prognostic factors across the three groups studied depending on distance (cm from the anal margin. Involvement of the circumferential resection margin (CRM+ was significantly greater in tumors in the distal third of the rectum (8.5%; p = 0.04. 67 patients (13.4% showed a complete pathologic response. DSF at 5 and 10 years was significantly lower in patients with tumors affecting the distal third as compared to the middle third of the rectum (61.9% vs. 57.7%; p = 0.04. Tumors at this distal location resulted in a significantly higher incidence of lung metastases (p = 0.016.

  4. Analysis and description of the long-term creep behaviour of high-temperature gas turbine materials. Ermittlung und Beschreibung des Langzeitkriechverhaltens hochwarmfester Gasturbinenwerkstoffe

    Energy Technology Data Exchange (ETDEWEB)

    Bartsch, H.

    1985-05-14

    On a series of standard high-temperature gas turbine materials, creep tests were accomplished with the aim to obtain improved data on the long-term creep behaviour. The tests were carried out in the range of the main application temperatures of the materials and in the range of low stresses and elongations similar to operation conditions. They lasted about 5000 to 16000 h at maximum. At all important temperatures additional annealing tests lasting up to about 10000 h were carried out for the determination of a material-induced structure contraction. Thermal tension tests were effected for the description of elastoplastic short-time behaviour. As typical selection of materials the nickel investment casting alloys IN-738 LC, IN-939 and Udimet 500 for industrial turbine blades, IN-100 for aviation turbine blades and IN-713 C for integrally cast wheels of exhaust gas turbochargers were investigated, and also the nickel forge alloy Inconel 718 for industrial and aviation turbine disks and Nimonic 101 for industrial turbine blades and finally the cobalt alloy FSC 414 for guide blades and heat accumulation segments of industrial gas turbines. The creep tests were started on long-period individual creep testing machines with high strain measuring accuracy and economically continued on long-period multispecimen creep testing machines with long duration of test. The test results of this mixed test method were first subjected to a conventional evaluation in logarithmic time yield and creep diagrams which besides creep strength curves provided creep stress limit curves down to 0.2% residual strain.

  5. Assessment and Analysis of QuikSCAT Vector Wind Products for the Gulf of Mexico: A Long-Term and Hurricane Analysis

    Directory of Open Access Journals (Sweden)

    Eurico D’Sa

    2008-03-01

    Full Text Available The northern Gulf of Mexico is a region that has been frequently impacted in recent years by natural disasters such as hurricanes. The use of remote sensing data such as winds from NASA’s QuikSCAT satellite sensor would be useful for emergency preparedness during such events. In this study, the performance of QuikSCAT products, including JPL’s latest Level 2B (L2B 12.5 km swath winds, were evaluated with respect to buoy-measured winds in the Gulf of Mexico for the period January 2005 to February 2007. Regression analyses indicated better accuracy of QuikSCAT’s L2B DIRTH, 12.5 km than the Level 3 (L3, 25 km wind product. QuikSCAT wind data were compared directly with buoy data keeping a maximum time interval of 20 min and spatial interval of 0.1° (≈10 km. R2 values for moderate wind speeds were 0.88 and 0.93 for L2B, and 0.75 and 0.89 for L3 for speed and direction, respectively. QuikSCAT wind comparisons for buoys located offshore were better than those located near the coast. Hurricanes that took place during 2002-06 were studied individually to obtain regressions of QuikSCAT versus buoys for those events. Results show QuikSCAT’s L2B DIRTH wind product compared well with buoys during hurricanes up to the limit of buoy measurements. Comparisons with the National Hurricane Center (NHC best track analyses indicated QuikSCAT winds to be lower than those obtained by NHC, possibly due to rain contamination, while buoy measurements appeared to be constrained at high wind speeds. This study has confirmed good agreement of the new QuikSCAT L2B product with buoy measurements and further suggests its potential use during extreme weather conditions in the Gulf of Mexico.

  6. Coping strategies of long-term cancer survivors.

    Science.gov (United States)

    Halstead, M T; Fernsler, J I

    1994-04-01

    Cancer survival is a stressful experience requiring coping for the maintenance of equilibrium. Lazarus' Theory of Stress and Coping was the framework for this descriptive study of the use and effectiveness of coping strategies as assessed by long-term survivors of cancer. The Jalowiec Coping Scale (JCS) and a subject information sheet (SIS) were mailed to 128 potential subjects, identified by the snowball technique, who survived cancer for > 5 years, were not currently receiving therapy, and were not in a terminal stage of disease. Fifty-nine subjects with a mean survival of 13.03 years correctly completed and returned the questionnaire and were included in data analysis. Respondents were predominantly white (88.1%), female (83.7%), married (72.8%), employed as professionals (57.8%), 41-65 years of age (59.3%), and diagnosed with breast cancer (50.8%). Subjects rated optimistic, supportive, and confrontive strategies as most often used and effective. Length of survival did not result in different choices of strategies. Statistically significant differences were found in coping styles between elderly and middle-aged survivors. Results of this study increase nurses' awareness of effective coping strategies and the importance of assessment of coping in long-term survivors of cancer. The importance of social support, spirituality, and helping others is emphasized.

  7. Analysis of long-term effect of high tibial osteotomy%胫骨结节高位截骨术远期疗效分析

    Institute of Scientific and Technical Information of China (English)

    郭振华; 郭瑞; 杨志波; 李向东

    2015-01-01

    Objective To investigate the long-term effect of high tibial osteotomy.Methods, 58 cases of knee osteoarthritis with varus knee patients from 1999 to 2015 received were selected.All patients were treated with high tibial osteotomy.Results the excellent and good rate was 89% in 1-5 years after surgery.The excellent and good rate of over 5 years is 73%. 3cases complications occurred in 58 patients.Complications were ifbular nerve damage,deep vein thrombosis,wound infection,and then have been effectively improved.No nonunion or delayed union occurred in all patients.Conclusion knee osteoarthritis with varus knee patients were early treated by high tibial osteotomy. It can make the patient get the ideal treatment effect, can relieve the patient's joint pain, delay the patient's condition development, it is worth in clinical application and promotion.%目的:探讨胫骨结节高位截骨术的远期疗效。方法选择1999年到2015年收治的58例膝关节骨性关节炎合并膝关节内翻患者,均接受胫骨高位截骨术治疗。结果术后随访1-5年优良率达89%,5年以上优良率73%。58例患者中3例发生并发症,并发症分别为腓总神经损伤、深静脉血栓形成、伤口感染,之后均得到有效改善。所有患者中无1例发生无骨不连或延迟愈合的情况。结论采用胫骨高位截骨术对早期膝关节骨性关节炎合并膝关节内翻患者进行治疗,可以使患者获得理想的治疗效果,可以解除患者的关节疼痛,延缓患者的病情发展,值得在临床中应用和推广。

  8. Schizophrenia symptoms and functioning in patients receiving long-term treatment with olanzapine long-acting injection formulation: a pooled analysis

    Directory of Open Access Journals (Sweden)

    Peuskens Joseph

    2012-08-01

    Full Text Available Abstract Background This analysis of pooled data evaluates treatment outcomes of patients with schizophrenia receiving maintenance treatment with olanzapine long-acting injection (OLAI by means of a categorical approach addressing the symptomatic and functional status of patients at different times. Methods Patients were grouped into 5 categories at baseline, 6 months, and 12 months. Shifts between categories were assessed for individual patients and factors associated with improvement were analyzed. 1182 patients from 3 clinical trials were included in the current analysis. Results At baseline, 434 (36.8% patients had minimal Positive and Negative Syndrome Scale (PANSS symptoms but seriously impaired Heinrich Carpenter’s Quality of Life Scale (QLS functioning; 303 (25.6% had moderate to severe symptoms and seriously impaired function; 208 (17.6% had mild to moderate symptoms but good functioning, and 162 (13.7% had minimal symptoms and good functioning. Baseline category was significantly associated with Clinical Global Impression – Severity (CGI-S, extrapyramidal symptoms, working status, age, and number of previous episodes. The majority of all patients starting OLAI treatment maintained or improved (62% at 6 months and 52% at 12 months their symptom and functioning levels on OLAI maintenance treatment. Less than 8% of the patients showed worsening of symptoms or functioning. An improvement in category was associated with high PANSS positive and low CGI-S scores at baseline. Conclusions We present evidence that a composite assessment of schizophrenic patients including symptom severity and functioning is helpful in the evaluation of maintenance treatment outcomes. This approach could also be useful for the assessment of treatment options in clinical practice. The trials from which data are reported here were registered on clinicaltrials.gov as NCT00088491, NCT00088465, and NCT00320489.

  9. Long-term effects of ionizing radiation on gene expression in a zebrafish model.

    Directory of Open Access Journals (Sweden)

    Lahcen Jaafar

    Full Text Available Understanding how initial radiation injury translates into long-term effects is an important problem in radiation biology. Here, we define a set of changes in the transcription profile that are associated with the long-term response to radiation exposure. The study was performed in vivo using zebrafish, an established radiobiological model organism. To study the long-term response, 24 hour post-fertilization embryos were exposed to 0.1 Gy (low dose or 1.0 Gy (moderate dose of whole-body gamma radiation and allowed to develop for 16 weeks. Liver mRNA profiles were then analyzed using the Affymetrix microarray platform, with validation by quantitative PCR. As a basis for comparison, 16-week old adults were exposed at the same doses and analyzed after 4 hours. Statistical analysis was performed in a way to minimize the effects of multiple comparisons. The responses to these two treatment regimes differed greatly: 360 probe sets were associated primarily with the long-term response, whereas a different 2062 probe sets were associated primarily with the response when adults of the same age were irradiated 4 hours before exposure. Surprisingly, a ten-fold difference in radiation dose (0.1 versus 1.0 Gy had little effect. Analysis at the gene and pathway level indicated that the long-term response includes the induction of cytokine and inflammatory regulators and transcription and growth factors. The acute response includes the induction of p53 target genes and modulation of the hypoxia-induced transcription factor-C/EBP axis. Results help define genes and pathways affected in the long-term, low and moderate dose radiation response and differentiate them from those affected in an acute response in the same tissue.

  10. Long-term outcome of meniscectomy

    DEFF Research Database (Denmark)

    Roos, Ewa M.; Ostenberg, A; Roos, H;

    2001-01-01

    To describe the long-term influence of meniscectomy on pain, functional limitations, and muscular performance. To assess the effects of radiographic osteoarthritis (OA), gender and age on these outcomes in patients with meniscectomy....

  11. Long Term Care Minimum Data Set (MDS)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Long-Term Care Minimum Data Set (MDS) is a standardized, primary screening and assessment tool of health status that forms the foundation of the comprehensive...

  12. Long-Term Care Ombudsman Program

    Science.gov (United States)

    ... Strategic Plan Federal Initiatives Career Opportunities Contact Us Administration on Aging (AoA) Long-Term Care Ombudsman Program ( ... Prevention HIV/AIDS Nutrition Services Oral Health Elder Justice & Adult Protective Services Elder Justice Coordinating Council Prevention ...

  13. Long-Term Ownership by Industrial Foundations

    DEFF Research Database (Denmark)

    Børsting, Christa Winther; Kuhn, Johan Moritz; Poulsen, Thomas

    2016-01-01

    Short-termism has become a serious concern for businesses and policy makers and this has inspired a search for governance arrangement to promote long term decision making. In this paper we study a particularly long-term ownership structure, which is fairly common in Northern Europe, particularly...... in Denmark. Industrial foundations are independent legal entities without owners or members typically with the dual objective of preserving the company and using excess profits for charity. We use a unique Danish data set to examine the governance of foundation-owned companies. We show that they are long-term...... in several respects. Foundations hold on to their shares for longer. Foundation-owned companies replace managers less frequently. They have more conservative capital structures with less leverage. Their companies survive longer. Their business decisions appear to be more long term. This paper supports...

  14. Pituitary diseases : long-term clinical consequences

    NARCIS (Netherlands)

    Klaauw, Agatha Apolonia van der

    2008-01-01

    This thesis describes various studies during the long-term follow-up of patients after treatment for pituitary diseases. The focus of this thesis is acromegaly, growth hormone deficiency, sleep and quality of life. Various aspects are described.

  15. Anticipating Long-Term Stock Market Volatility

    OpenAIRE

    Conrad, Christian; Loch, Karin

    2012-01-01

    We investigate the relationship between long-term U.S. stock market risks and the macroeconomic environment using a two component GARCH-MIDAS model. Our results provide strong evidence in favor of counter-cyclical behavior of long-term stock market volatility. Among the various macro variables in our dataset the term spread, housing starts, corporate profits and the unemployment rate have the highest predictive ability for stock market volatility . While the term spread and housing starts are...

  16. Long-term outcomes after severe shock.

    Science.gov (United States)

    Pratt, Cristina M; Hirshberg, Eliotte L; Jones, Jason P; Kuttler, Kathryn G; Lanspa, Michael J; Wilson, Emily L; Hopkins, Ramona O; Brown, Samuel M

    2015-02-01

    Severe shock is a life-threatening condition with very high short-term mortality. Whether the long-term outcomes among survivors of severe shock are similar to long-term outcomes of other critical illness survivors is unknown. We therefore sought to assess long-term survival and functional outcomes among 90-day survivors of severe shock and determine whether clinical predictors were associated with outcomes. Seventy-six patients who were alive 90 days after severe shock (received ≥1 μg/kg per minute of norepinephrine equivalent) were eligible for the study. We measured 3-year survival and long-term functional outcomes using the Medical Outcomes Study 36-Item Short-Form Health Survey, the EuroQOL 5-D-3L, the Hospital Anxiety and Depression Scale, the Impact of Event Scale-Revised, and an employment instrument. We also assessed the relationship between in-hospital predictors and long-term outcomes. The mean long-term survival was 5.1 years; 82% (62 of 76) of patients survived, of whom 49 were eligible for follow-up. Patients who died were older than patients who survived. Thirty-six patients completed a telephone interview a mean of 5 years after hospital admission. The patients' Physical Functioning scores were below U.S. population norms (P shock had a high 3-year survival rate. Patients' long-term physical and psychological outcomes were similar to those reported for cohorts of less severely ill intensive care unit survivors. Anxiety and depression were relatively common, but only a few patients had symptoms of posttraumatic stress disorder. This study supports the observation that acute illness severity does not determine long-term outcomes. Even extremely critically ill patients have similar outcomes to general intensive care unit survivor populations.

  17. Mapping long-term changes in savannah crop productivity in Senegal through trend analysis of time-series of remote sensing data

    DEFF Research Database (Denmark)

    Tøttrup, Christian; Rasmussen, Michael Schultz

    2004-01-01

    Remote sensing, NDVI, trend analysis, environmental change, rainfall, land cover change, Senegal......Remote sensing, NDVI, trend analysis, environmental change, rainfall, land cover change, Senegal...

  18. Technology Alignment and Portfolio Prioritization (TAPP): Advanced Methods in Strategic Analysis, Technology Forecasting and Long Term Planning for Human Exploration and Operations, Advanced Exploration Systems and Advanced Concepts

    Science.gov (United States)

    Funaro, Gregory V.; Alexander, Reginald A.

    2015-01-01

    Prioritization by Similarity to Ideal Solution (TOPSIS), and other multi­-criteria decision-making methods. These methods can be labor-intensive, often contain cognitive or parochial bias, and do not consider the competing prioritization between mission architectures. Strategic Decision-Making (SDM) processes cannot be properly understood unless the context of the technology is understood. This makes assessing technological change particularly challenging due to the relationships "between incumbent technology and the incumbent (innovation) system in relation to the emerging technology and the emerging innovation system." The central idea in technology dynamics is to consider all activities that contribute to the development, diffusion, and use of innovations as system functions. Bergek defines system functions within a TIS to address what is actually happening and has a direct influence on the ultimate performance of the system and technology development. ACO uses similar metrics and is expanding these metrics to account for the structure and context of the technology. At NASA technology and strategy is strongly interrelated. NASA's Strategic Space Technology Investment Plan (SSTIP) prioritizes those technologies essential to the pursuit of NASA's missions and national interests. The SSTIP is strongly coupled with NASA's Technology Roadmaps to provide investment guidance during the next four years, within a twenty-year horizon. This paper discusses the methods ACO is currently developing to better perform technology assessments while taking into consideration Strategic Alignment, Technology Forecasting, and Long Term Planning.

  19. LONG-TERM MONITORING SENSOR NETWORK

    Energy Technology Data Exchange (ETDEWEB)

    Stephen P. Farrington; John W. Haas; Neal Van Wyck

    2003-10-16

    Long-term monitoring (LTM) associated with subsurface contamination sites is a key element of Long Term Stewardship and Legacy Management across the Department of Energy (DOE) complex. However, both within the DOE and elsewhere, LTM is an expensive endeavor, often exceeding the costs of the remediation phase of a clean-up project. The primary contributors to LTM costs are associated with labor. Sample collection, storage, preparation, analysis, and reporting can add a significant financial burden to project expense when extended over many years. Development of unattended, in situ monitoring networks capable of providing quantitative data satisfactory to regulatory concerns has the potential to significantly reduce LTM costs. But survival and dependable operation in a difficult environment is a common obstacle to widespread use across the DOE complex or elsewhere. Deploying almost any sensor in the subsurface for extended periods of time will expose it to chemical and microbial degradation. Over the time-scales required for in situ LTM, even the most advanced sensor systems may be rendered useless. Frequent replacement or servicing (cleaning) of sensors is expensive and labor intensive, offsetting most, if not all, of the cost savings realized with unattended, in situ sensors. To enable facile, remote monitoring of contaminants and other subsurface parameters over prolonged periods, Applied Research Associates, Inc has been working to develop an advanced LTM sensor network consisting of three key elements: (1) an anti-fouling sensor chamber that can accommodate a variety of chemical and physical measurement devices based on electrochemical, optical and other techniques; (2) two rapid, cost effective, and gentle means of emplacing sensor packages either at precise locations directly in the subsurface or in pre-existing monitoring wells; and (3) a web browser-based data acquisition and control system (WebDACS) utilizing field-networked microprocessor-controlled smart

  20. Group dynamics in a long-term blind endeavor on Earth: An analog for space missions (Lewis & Clark Expedition group dynamic analysis)

    Science.gov (United States)

    Allner, M.; Rygalov, V.

    2008-12-01

    In 1803, President Thomas Jefferson set fourth a military expedition led by Captains M. Lewis and W. Clark (Lewis and Clark Expedition) on an exploration that would become an everlasting part of US national history and pride. Looking back at the events of this exploration, there are many similarities to the experiences future human space explorers will face as we look to colonize the Moon and travel to Mars and beyond (NASA Vision for Space Exploration, 2004): The Lewis and Clark Expedition lasted almost three years and involved a crew of 43 men traveling up the Missouri River to explore the unknown lands and a possible water route to the Pacific Ocean; The Expedition took place far away from customary comfortable environments known to European settlers in the early 18th century; The Expedition involved a remotely confined high-perceived risk environment with high levels of uncertainty providing stresses and every day challenges for the crew; Supplies brought on the mission were limited (mainly a mass/weight issue rather than cost), therefore the discovery and use of environmental resources (In-Situ Resource Utilization approach, including info-resources to mitigate uncertainty) was necessary for crew survival. The environments astronauts will encounter in space and on the Moon and Mars due to high risk and uncertainty will be in many aspects similar to what Lewis and Clark's crew experienced, as environments will be hostile and unforgiving if problems arise and aren't resolved quickly. The analysis provided in this research paper is relevant because the Lewis and Clark Expedition needed to move extensively and with minimal supplies. Polar remote settings, which were analyzed extensively, were different from this expedition due to the fact that these missions did not encompass extensive movement of crew facilities and supplies and were more like space missions orbiting the Earth. Using past space station results of performance on orbit in correlation with a

  1. Clinical Analysis on Suicideal Ideation among Long-term Schizophrenic Inpatients%长期住院精神分裂症患者伴自杀意念的临床分析

    Institute of Scientific and Technical Information of China (English)

    廖圣德; 朱强; 张卫东; 谢毅; 杨燕

    2015-01-01

    目的:分析长期住院精神分裂症患者伴自杀意念的临床特征,并筛选相关影响因素。方法:依据有无自杀意念,将93名长期住院精神分裂症患者分成自杀意念组(N=32)和无自杀意念组(N=61),比较2组人口社会学和临床特征的组间差异,并对自杀意念的影响因素进行Logistic回归分析。结果:自杀意念组的可支配月收入、共病躯体疾病、汉密尔顿抑郁-17项版本量表( HAMD-17)、精神分裂症病人生活质量量表( SQLS)和家庭关怀度指数量表( APGAR)评分明显高于无自杀意念组(P<0.05)。回归分析显示, HAMD-17总分(OR=0.897,P=0.005)、 SQLS总分(OR=0.949,P=0.030)和APGAR总分(OR=1.411,P=0.001)与自杀意念独立相关。结论:抑郁症状、生活质量和家庭功能是长期住院精神分裂症患者自杀意念的影响因素。%Objective:To explore clinical features and relevant factors of suicidal ideation among long-term schizophrenic inpatients. Methods:93 inpatients were divided into the suicidal ideation (n=32) and non-suicidal ideation group(n=61) on the basis of the presence/absence of suicidal ideation.and their main Socio-demographic and clinical characteristics were analyzed and compared.Statis-tically significant correlations were included in the logistic regression analysis to assess risk factors of suicidal ideation.Results:disposa-ble monthly income,medical comorbidity,and scores of 17 items Hamilton rating scale for depression(HAMD-17),the schizophrenia quality of life scale( SQLS) and family APGAR Index( APGAR) of schizophrenic with suicidal ideation were significantly higher than those of schizophrenic without suicidal ideation (P<0.05).Binary logistic regression analysis indicated that HAMD-17 score(OR=0.897,P=0.005), SQLS score(OR=0.949,P=0.030) and APGAR score(OR=1.411,P=0.001) were significantly associated with suicidal

  2. The effect of long-term homocysteine-lowering on carotid intima-media thickness and flow-mediated vasodilation in stroke patients: a randomized controlled trial and meta-analysis

    Directory of Open Access Journals (Sweden)

    Green Daniel J

    2008-09-01

    Full Text Available Abstract Background Experimental and epidemiological evidence suggests that homocysteine (tHcy may be a causal risk factor for atherosclerosis. B-vitamin supplements reduce tHcy and improve endothelial function in short term trials, but the long-term effects of the treatment on vascular structure and function are unknown. Methods We conducted a sub-study of VITATOPS, a randomised, double-blind, placebo-controlled intervention trial designed to test the efficacy of long term B-vitamin supplementation (folic acid 2 mg, vitamin B6 25 mg and vitamin B12 0.5 mg in the prevention of vascular events in patients with a history of stroke. We measured carotid intima-medial thickness (CIMT and flow-mediated dilation (FMD at least two years after randomisation in 162 VITATOPS participants. We also conducted a systematic review and meta-analysis of studies designed to test the effect of B-vitamin treatment on CIMT and FMD. Results After a mean treatment period of 3.9 ± 0.9 years, the vitamin-treated group had a significantly lower mean plasma homocysteine concentration than the placebo-treated group (7.9 μmol/L, 95% CI 7.5 to 8.4 versus 11.8 μmol/L, 95% CI 10.9 to 12.8, p Conclusion Although short-term treatment with B-vitamins is associated with increased FMD, long-term homocysteine-lowering did not significantly improve FMD or CIMT in people with a history of stroke. Trial Registration Clinical Trial Registration URL: http://www.actr.org.au/ Trial Registration number: 12605000005651

  3. 影响供应链伙伴关系长久持续的因素分析%Analysis of the Influential Factors of Long-Term Sustainable Supply Chain Partnerships

    Institute of Scientific and Technical Information of China (English)

    曹佳; 王志坚

    2011-01-01

    作为供应链管理的重要组成部分,供应链伙伴关系成为越来越多企业关注的焦点,能否建立长期稳定的伙伴关系成为决定供应链是否成功实施的关键。通过对影响供应链伙伴关系长久持续的各种因素的对比分析,发现信任关系、企业声誉、长期目标、供应链文化、组织结构和欺骗成本是其中最主要的影响因素。这些因素无论在软件还是硬件上都对供应链伙伴关系的稳定有着重大的影响,通过格力、海尔和国美的案例可以充分证明。%As an important part of supply chain management,supply chain partnerships are increasingly concerned by the companies.Establishing long-term stable partnership is the key to the successful implementation of supply chain.Through the comparative analysis of various factors of long-term sustainable supply chain partnerships,the finding is that the relationship of trust,reputation,long-term goals,supply chain culture,organizational structure and cost of fraud are the most important factors.These factors have a great impact on the supply chain partnership's stability both in software and hardware,which has demonstrated by the case of the supply chain partnerships of Gree,Harier and Gome.

  4. Downlink Scheduling in Long Term Evolution

    Directory of Open Access Journals (Sweden)

    Anwar Hossain

    2015-06-01

    Full Text Available This is an investigated research article on resource block scheduling of Long Term Evolution (LTE. LTE is one of the evolutions of the Universal Mobile Telecommunication System (UMTS. It provides internet access to mobile users through smart phone, laptop and other android devices. LTE offers a high speed data and multimedia services. It supports data rates up to 100 Mbps in the downlink and 50 Mbps in the uplink transmission. Our research investigation was aim to the downlink scheduling. We have considered The Best CQI scheduling algorithm and the Round Robin scheduling algorithm. The implementation, analysis and comparison of these scheduling algorithms have been performed through MATLAB simulator. We have analyzed the impact of the scheduling schemes on the throughput and the fairness of both scheduling schemes. Here we have proposed a new scheduling algorithm that achieves a compromise between the throughput and the fairness. Orthogonal Frequency Division Multiplexing (OFDM has been adopted as the downlink transmission scheme. We have considered the impact of the channel delay on the throughput. In addition, MIMO transceiver systems have been implemented to increase the throughput

  5. CERN Services for Long Term Data Preservation

    CERN Document Server

    Shiers, Jamie; Blomer, Jakob; Ganis, Gerardo; Dallmeier-Tiessen, Sunje; Simko, Tibor; Cancio Melia, German; CERN. Geneva. IT Department

    2016-01-01

    In this paper we describe the services that are offered by CERN for Long Term preservation of High Energy Physics (HEP) data, with the Large Hadron Collider (LHC) as a key use case. Data preservation is a strategic goal for European High Energy Physics (HEP), as well as for the HEP community worldwide and we position our work in this global content. Specifically, we target the preservation of the scientific data, together with the software, documentation and computing environment needed to process, (re-)analyse or otherwise (re-)use the data. The target data volumes range from hundreds of petabytes (PB – 10^15 bytes) to hundreds of exabytes (EB – 10^18 bytes) for a target duration of several decades. The Use Cases driving data preservation are presented together with metrics that allow us to measure how close we are to meeting our goals, including the possibility for formal certification for at least part of this work. Almost all of the services that we describe are fully generic – the exception being A...

  6. Complete Treatment Versus Residual Lesion - Long-Term Evolution After Acute Coronary Syndrome

    Science.gov (United States)

    Soeiro, Alexandre de Matos; Scanavini Filho, Marco Antônio; Bossa, Aline Siqueira; Zullino, Cindel Nogueira; Soeiro, Maria Carolina F. Almeida; Leal, Tatiana Carvalho Andreucci T; Serrano Jr, Carlos Vicente; Hajjar, Ludhmila Abrahão; Kalil Filho, Roberto; Oliveira Jr, Múcio Tavares

    2016-01-01

    Introduction A recently published study raised doubts about the need for percutaneous treatment of nonculprit lesions in patients with acute coronary syndromes (ACS). Methods Retrospective, unicentric, observational study. Objective To analyze the long-term outcomes in patients undergoing treatment of the culprit artery, comparing those who remained with significant residual lesions in nonculprit arteries (group I) versus those without residual lesions in other coronary artery beds (group II). The study included 580 patients (284 in group I and 296 in group II) between May 2010 and May 2013. We obtained demographic and clinical data, as well as information regarding the coronary treatment administered to the patients. In the statistical analysis, the primary outcome included combined events (reinfarction/angina, death, heart failure, and need for reintervention). The comparison between groups was performed using the chi-square test and ANOVA. The long-term analysis was conducted with the Kaplan-Meier method, with a mean follow-up of 9.86 months. Results The mean ages were 63 years in group I and 62 years in group II. On long-term follow-up, there was no significant difference in combined events in groups I and II (31.9% versus 35.6%, respectively, p = 0.76). Conclusion The strategy of treating the culprit artery alone seems safe. In this study, no long-term differences in combined endpoints were observed between patients who remained with significant lesions compared with those without other obstructions.

  7. Endothelial dysfunction and brachial intima-media thickness: long term cardiovascular risk with claudication related to peripheral arterial disease: a prospective analysis.

    Directory of Open Access Journals (Sweden)

    Franz Hafner

    Full Text Available OBJECTIVE: Endothelial dysfunction plays a key role in the development, progression, and clinical manifestation of atherosclerosis, and in symptomatic peripheral arterial disease, endothelial dysfunction and enlarged intima-media thickness might be associated with increased cardiovascular risk. Flow-mediated dilatation and serologic parameters are used to evaluate individual endothelial function. Brachial intima-media thickness, a less recognized parameter of cardiovascular risk, is independently associated with coronary artery disease. The aim of this study was to evaluate the prognostic value of ultrasound and serologic parameters of endothelial function in relation to cardiovascular mortality in peripheral arterial disease. DESIGN: monocentric, prospective cohort study. METHODS: Flow mediated dilatation and brachial intima-media thickness were assessed in 184 (124 male patients with peripheral arterial disease (Rutherford stages 2-3. Serologic parameters of endothelial function included asymmetric dimethylarginine (ADMA, symmetric dimethylarginine (SDMA, and L-homoarginine. Cardiovascular events were recorded during a follow-up of 99.1±11.1 months. Subjects who died of noncardiovascular causes were excluded from further analysis. RESULTS: Eighty-two patients (44.6% died during follow-up after a mean duration of 49.7±28.3 months. There were 49 cardiovascular deaths (59.8% and 33 other deaths (40.2%. Flow mediated dilatation was associated with cardiovascular death [1.17% (0.0, 4.3 vs. 4.1% (1.2, 6.4, p<0.001]. Intima-media thickness was greater in patients who succumbed to cardiovascular disease [0.37 mm (0.30, 0.41] than in survivors [0.21 mm (0.15, 0.38, p<0.001]. Brachial intima-media thickness above 0.345 mm was most predictive of cardiovascular death, with sensitivity and specificity values of 0.714 and 0.657, respectively (p<0.001. Furthermore, ADMA levels above 0.745 µmol/l and SDMA levels above 0.825 µmol/l were significantly

  8. Long-term follow-up study and long-term care of childhood cancer survivors

    Directory of Open Access Journals (Sweden)

    Hyeon Jin Park

    2010-04-01

    Full Text Available The number of long-term survivors is increasing in the western countries due to remarkable improvements in the treatment of childhood cancer. The long-term complications of childhood cancer survivors in these countries were brought to light by the childhood cancer survivor studies. In Korea, the 5-year survival rate of childhood cancer patients is approaching 70%; therefore, it is extremely important to undertake similar long-term follow-up studies and comprehensive long-term care for our population. On the basis of the experiences of childhood cancer survivorship care of the western countries and the current Korean status of childhood cancer survivors, long-term follow-up study and long-term care systems need to be established in Korea in the near future. This system might contribute to the improvement of the quality of life of childhood cancer survivors through effective intervention strategies.

  9. Methodology for assessing the effectiveness of countermeasures in rural settlements in the long term after the Chernobyl accident on the multi-attribute analysis basis

    Energy Technology Data Exchange (ETDEWEB)

    Panov, A.V.; Alexakhin, R.M. [Russian Institute of Agricultural Radiology and Agroecology, Obninsk (Russian Federation); Fesenko, S.V. [International Atomic Energy Agency (IAEA), Lab. (Austria)

    2006-07-01

    A methodology has been developed for the assessment of the effectiveness of countermeasures in agriculture based on a multi-attribute analysis of quantitative (radiological, economic, regulatory) and qualitative (social, psychological, technological) indicators characterizing their application. The method makes use of weight coefficients established for the countermeasures parameters with their subsequent comparison adjusted to a single scale. The method is realized with the P.R.I.M.E. Decision support system adapted for the task of countermeasures planning. The multi-attribute analysis of countermeasures effectiveness was made depending on the aspect of rehabilitation works considered: dose, financial or social. Presented are results from the analysis of effectiveness of individual countermeasures and most effective countermeasures and their combinations. Based on the multi attribute analysis data, rating of the most effective countermeasures and their combinations was performed. (authors)

  10. Being a long-term user of nicotine replacement therapy

    DEFF Research Database (Denmark)

    Borup, Gitte; Nørgaard, Lotte Stig; Tønnesen, Philip;

    Background During recent years a gradual shift in the application of nicotine replacement therapy (NRT) has taken place from NRT-products only being recommended to achieve smoking cessation, to now including smoking reduction, and long-term substitution of tobacco with NRT has taken place. This has...... been promoted as a way of achieving harm-reduction in highly nicotine dependent smokers who are unwilling or incapable of quitting all nicotine products, as continued use of NRT is widely accepted as being far less hazardous than continued smoking. To our knowledge no previous research has been done......, regarding long-term NRT users’ experiences with continuing the use of NRT. Results from a survey study among long-term NRT-users, who had used NRT for 12 months or more, found that out of 92 former smokers 88 % wished to quit using NRT. The primary causes stated for wishing to quit were being tired...

  11. Long-term Multiwavelength Observations of Polars

    Science.gov (United States)

    Santana, Joshua; Mason, Paul A.

    2016-06-01

    Polars are cataclysmic variables with the highest magnetic field strengths (10-250 MG). Matter is accreted after being funneled by the strong magnetic field of the white dwarf. We perform a meta-study of multi-wavelength data of polars. Many polars have been observed in surveys, such as SDSS, 2MASS, ROSAT, just to name a few. Some polars have now been detected by the JVLA, part of an expanding class of radio CVs. A large subset of polars have long-term optical light curves from CRTS and AAVSO. We suggest that the long term light curves of polars display a variety of signature behaviors and may be grouped accordingly. Additional characteristics such a binary period, magnetic field strengths, X-ray properties, and distance estimates are examined in context with long-term observations.

  12. Assessing the Feasibility of Global Long-Term Mitigation Scenarios

    Directory of Open Access Journals (Sweden)

    Ajay Gambhir

    2017-01-01

    Full Text Available This study explores the critical notion of how feasible it is to achieve long-term mitigation goals to limit global temperature change. It uses a model inter-comparison of three integrated assessment models (TIAM-Grantham, MESSAGE-GLOBIOM and WITCH harmonized for socio-economic growth drivers using one of the new shared socio-economic pathways (SSP2, to analyse multiple mitigation scenarios aimed at different temperature changes in 2100, in order to assess the model outputs against a range of indicators developed so as to systematically compare the feasibility across scenarios. These indicators include mitigation costs and carbon prices, rates of emissions reductions and energy efficiency improvements, rates of deployment of key low-carbon technologies, reliance on negative emissions, and stranding of power generation assets. The results highlight how much more challenging the 2 °C goal is, when compared to the 2.5–4 °C goals, across virtually all measures of feasibility. Any delay in mitigation or limitation in technology options also renders the 2 °C goal much less feasible across the economic and technical dimensions explored. Finally, a sensitivity analysis indicates that aiming for less than 2 °C is even less plausible, with significantly higher mitigation costs and faster carbon price increases, significantly faster decarbonization and zero-carbon technology deployment rates, earlier occurrence of very significant carbon capture and earlier onset of global net negative emissions. Such a systematic analysis allows a more in-depth consideration of what realistic level of long-term temperature changes can be achieved and what adaptation strategies are therefore required.

  13. Long-Term Neuropsychological Outcome in Preterm Twins

    Directory of Open Access Journals (Sweden)

    Giovanni Iannone

    2006-01-01

    Full Text Available Few long-term studies have yet described neuropsychological outcome in preterm twins. Our aim was to assess, by long-term evaluation, neuropsychological outcome in preterm twins in order to define a correct follow-up program. Our study was a cohort one, with an index and a comparison group. Neonatal medical records of all preterm newborns admitted to our centre between 1991 and 1997 were reviewed and selected patients were recalled. The sample population included two matched groups of children aged 6—12 years, 86 twins and 86 singletons, submitted to paediatric, neurological, psychological, and ophthalmological examinations. Inclusion criteria were twin pregnancy and gestational age 27—36 weeks for index group; same gestational age, but single pregnancy, for the comparison group. All children underwent paediatric and neuropsychiatric examinations, cognitive assessment, and psychological evaluation by standardized tests for screening of learning specific disorders and language difficulties, and finally, ophthalmological examination. In order to study their role in predicting neuropsychological outcome, we examined some perinatal prognostic factors by statistical analysis. Unfavourable neuropsychological outcome was observed in 55/172 (32% children, with different prevalence in the two groups, 42/172 (24% in twins and 13/172 (8% in singletons. Statistical analysis performed for examined prognostic factors showed significant differences in neuropsychological outcome with regard only to gestational age < 32 weeks, low birth weight, intraventricular haemorrhage, and periventricular leukomalacia. The incidence of neuropsychological diseases in the two groups showed significant difference about language and learning difficulties. Our data suggest that preterm twins represent a particular high-risk category of premature babies, mostly regarding the risk of so-called “minimal brain dysfunction”, so a careful follow-up is recommended.

  14. Proteomic Analysis of Serum and Urine of HIV-Monoinfected and HIV/HCV-Coinfected Patients Undergoing Long Term Treatment with Nevirapine

    Directory of Open Access Journals (Sweden)

    Jeerang Wongtrakul

    2014-01-01

    Full Text Available Nevirapine (NVP is an effective nonnucleoside reverse transcriptase inhibitor (NNRTI of particular interest as it is often used in resource limited countries. However, one of the main concerns with the use of NVP is hepatotoxicity and elevation of liver enzymes as a consequence of highly active antiretroviral therapy (HAART containing NVP is more often reported in HIV patients coinfected with hepatitis C virus than in HIV-monoinfected patients. To discover possible markers of NVP induced hepatotoxicity, serum and urine samples from twenty-five HIV or HIV/HCV patients, all of whom had received NVP continuously for at least four months, and healthy controls were subjected to in-solution or in-gel proteomic analysis. A total of 83 differentially regulated proteins consisted of 34 proteins identified in serum by in-solution analysis, 2 proteins identified from serum in a 2D gel electrophoresis analysis, and 47 proteins identified in urine in an in-solution analysis. Three proteins, namely, haptoglobin, Rho-related BTB domain containing protein 3, and death-associated protein kinase 3, were selected for further validation by Western blot analysis and results showed that haptoglobin has potential for further development as an additional marker of NVP induced hepatotoxicity.

  15. Keratoprosthesis: a long-term review.

    Science.gov (United States)

    Barnham, J J; Roper-Hall, M J

    1983-07-01

    A keratoprosthesis (KP), is an artificial cornea which is inserted into an opacified cornea in an attempt to restore useful vision or, less commonly, to make the eye comfortable in painful keratopathy. Results o a retrospective study of 35 patients, with 55 KP insertions, are reviewed with regard to visual acuity, length of time vision is maintained, retention time, and complication. Overall there were a number of long-term real successes, eith retention of the KP and maintenance of improved vision in eyes not amenable to conventional treatment. Careful long-term follow-up was needed, with further surgical procedures often being necessary.

  16. [Fetal pain: immediate and long term consequences].

    Science.gov (United States)

    Houfflin Debarge, Véronique; Dutriez, Isabelle; Pusniak, Benoit; Delarue, Eléonore; Storme, Laurent

    2010-06-01

    Several situations are potentially painful for fetuses, such as malformations and invasive procedures. Nociceptive pathways are known to be functional at 26 weeks. Even if it is not possible to evaluate the fetal experience of pain, it is essential to examine its immediate and long-term consequences. As early as the beginning of the second trimester, hemodynamic and hormonal responses are observed following fetal nociceptive stimulation, In experimental studies, long-term changes have been noted in the corticotrop axis, subsequent responses to pain, and behavior after perinatal nociceptive stimulation.

  17. Long-term home care scheduling

    DEFF Research Database (Denmark)

    Gamst, Mette; Jensen, Thomas Sejr

    In several countries, home care is provided for certain citizens living at home. The long-term home care scheduling problem is to generate work plans spanning several days such that a high quality of service is maintained and the overall cost is kept as low as possible. A solution to the problem...... provides detailed information on visits and visit times for each employee on each of the covered days. We propose a branch-and-price algorithm for the long-term home care scheduling problem. The pricing problem generates one-day plans for an employee, and the master problem merges the plans with respect...

  18. Predicting the long-term citation impact of recent publications

    NARCIS (Netherlands)

    Stegehuis, Clara; Litvak, Nelly; Waltman, Ludo

    2015-01-01

    A fundamental problem in citation analysis is the prediction of the long-term citation impact of recent publications. We propose a model to predict a probability distribution for the future number of citations of a publication. Two predictors are used: The impact factor of the journal in which a pub

  19. Long term impacts of international outsourcing of manufacturing on sustainability

    DEFF Research Database (Denmark)

    Moosavirad, Seyed Hamed; Kara, Sami; Hauschild, Michael Zwicky

    2014-01-01

    International outsourcing seems to be a cost efficient way of production. However, there are serious concerns about its long term impacts on the environmental, social and economic sustainability. This paper aims to quantify these impacts by using input output analysis, linear programming and syst...

  20. Should patients prescribed long-term low-dose aspirin receive proton pump inhibitors? A systematic review and meta-analysis

    NARCIS (Netherlands)

    Tran-Duy, A.; Vanmolkot, F. H.; Joore, M. A.; Hoes, A. W.; Stehouwer, C. D. A.

    2015-01-01

    Background: Several clinical guidelines recommend the use of proton pump inhibitors (PPIs) in patients taking low-dose aspirin but report no or limited supporting data. We conducted a systematic review and meta-analysis to examine the effects of co-administration of PPIs in patients taking low-dose

  1. Clustering and Symbolic Analysis of Cardiovascular Signals: Discovery and Visualization of Medically Relevant Patterns in Long-Term Data Using Limited Prior Knowledge

    Directory of Open Access Journals (Sweden)

    Syed Zeeshan

    2007-01-01

    Full Text Available This paper describes novel fully automated techniques for analyzing large amounts of cardiovascular data. In contrast to traditional medical expert systems our techniques incorporate no a priori knowledge about disease states. This facilitates the discovery of unexpected events. We start by transforming continuous waveform signals into symbolic strings derived directly from the data. Morphological features are used to partition heart beats into clusters by maximizing the dynamic time-warped sequence-aligned separation of clusters. Each cluster is assigned a symbol, and the original signal is replaced by the corresponding sequence of symbols. The symbolization process allows us to shift from the analysis of raw signals to the analysis of sequences of symbols. This discrete representation reduces the amount of data by several orders of magnitude, making the search space for discovering interesting activity more manageable. We describe techniques that operate in this symbolic domain to discover rhythms, transient patterns, abnormal changes in entropy, and clinically significant relationships among multiple streams of physiological data. We tested our techniques on cardiologist-annotated ECG data from forty-eight patients. Our process for labeling heart beats produced results that were consistent with the cardiologist supplied labels 98.6 of the time, and often provided relevant finer-grained distinctions. Our higher level analysis techniques proved effective at identifying clinically relevant activity not only from symbolized ECG streams, but also from multimodal data obtained by symbolizing ECG and other physiological data streams. Using no prior knowledge, our analysis techniques uncovered examples of ventricular bigeminy and trigeminy, ectopic atrial rhythms with aberrant ventricular conduction, paroxysmal atrial tachyarrhythmias, atrial fibrillation, and pulsus paradoxus.

  2. Clustering and Symbolic Analysis of Cardiovascular Signals: Discovery and Visualization of Medically Relevant Patterns in Long-Term Data Using Limited Prior Knowledge

    Directory of Open Access Journals (Sweden)

    Collin Stultz

    2007-01-01

    Full Text Available This paper describes novel fully automated techniques for analyzing large amounts of cardiovascular data. In contrast to traditional medical expert systems our techniques incorporate no a priori knowledge about disease states. This facilitates the discovery of unexpected events. We start by transforming continuous waveform signals into symbolic strings derived directly from the data. Morphological features are used to partition heart beats into clusters by maximizing the dynamic time-warped sequence-aligned separation of clusters. Each cluster is assigned a symbol, and the original signal is replaced by the corresponding sequence of symbols. The symbolization process allows us to shift from the analysis of raw signals to the analysis of sequences of symbols. This discrete representation reduces the amount of data by several orders of magnitude, making the search space for discovering interesting activity more manageable. We describe techniques that operate in this symbolic domain to discover rhythms, transient patterns, abnormal changes in entropy, and clinically significant relationships among multiple streams of physiological data. We tested our techniques on cardiologist-annotated ECG data from forty-eight patients. Our process for labeling heart beats produced results that were consistent with the cardiologist supplied labels 98.6% of the time, and often provided relevant finer-grained distinctions. Our higher level analysis techniques proved effective at identifying clinically relevant activity not only from symbolized ECG streams, but also from multimodal data obtained by symbolizing ECG and other physiological data streams. Using no prior knowledge, our analysis techniques uncovered examples of ventricular bigeminy and trigeminy, ectopic atrial rhythms with aberrant ventricular conduction, paroxysmal atrial tachyarrhythmias, atrial fibrillation, and pulsus paradoxus.

  3. 3D printed cellular solid outperforms traditional stochastic foam in long-term mechanical response

    Science.gov (United States)

    Maiti, A.; Small, W.; Lewicki, J. P.; Weisgraber, T. H.; Duoss, E. B.; Chinn, S. C.; Pearson, M. A.; Spadaccini, C. M.; Maxwell, R. S.; Wilson, T. S.

    2016-04-01

    3D printing of polymeric foams by direct-ink-write is a recent technological breakthrough that enables the creation of versatile compressible solids with programmable microstructure, customizable shapes, and tunable mechanical response including negative elastic modulus. However, in many applications the success of these 3D printed materials as a viable replacement for traditional stochastic foams critically depends on their mechanical performance and micro-architectural stability while deployed under long-term mechanical strain. To predict the long-term performance of the two types of foams we employed multi-year-long accelerated aging studies under compressive strain followed by a time-temperature-superposition analysis using a minimum-arc-length-based algorithm. The resulting master curves predict superior long-term performance of the 3D printed foam in terms of two different metrics, i.e., compression set and load retention. To gain deeper understanding, we imaged the microstructure of both foams using X-ray computed tomography, and performed finite-element analysis of the mechanical response within these microstructures. This indicates a wider stress variation in the stochastic foam with points of more extreme local stress as compared to the 3D printed material, which might explain the latter’s improved long-term stability and mechanical performance.

  4. Archiving primary data : Solutions for long-term studies

    NARCIS (Netherlands)

    Mills, James A.; Teplitsky, Celine; Arroyo, Beatriz; Charmantier, Anne; Becker, Peter. H.; Birkhead, Tim R.; Bize, Pierre; Blumstein, Daniel T.; Bonenfant, Christophe; Boutin, Stan; Bushuev, Andrey; Cam, Emmanuelle; Cockburn, Andrew; Cote, Steeve D.; Coulson, John C.; Daunt, Francis; Dingemanse, Niels J.; Doligez, Blandine; Drummond, Hugh; Espie, Richard H. M.; Festa-Bianchet, Marco; Frentiu, Francesca; Fitzpatrick, John W.; Furness, Robert W.; Garant, Dany; Gauthier, Gilles; Grant, Peter R.; Griesser, Michael; Gustafsson, Lars; Hansson, Bengt; Harris, Michael P.; Jiguet, Frederic; Kjellander, Petter; Korpimaki, Erkki; Krebs, Charles J.; Lens, Luc; Linne, John D. C.; Low, Matthew; McAdam, Andrew; Margalida, Antoni; Merila, Juha; Moller, Anders P.; Nakagawa, Shinichi; Nilsson, Jan-Ake; Nisbet, Ian C. T.; van Noordwijk, Arie J.; Oro, Daniel; Part, Tomas; Pelletier, Fanie; Potti, Jaime; Pujol, Benoit; Reale, Denis; Rockwel, Robert F.; Ropert-Coudert, Yan; Roulin, Alexandre; Sedinger, James S.; Swenson, Jon E.; Thebaud, Christophe; Visser, Marcel E.; Wanless, Sarah; Westneat, David F.; Wilson, Alastair J.; Zedrosser, Andreas

    2015-01-01

    The recent trend for journals to require open access to primary data included in publications has been embraced by many biologists, but has caused apprehension amongst researchers engaged in long-term ecological and evolutionary studies. A worldwide survey of 73 principal investigators (PIs) with lo

  5. Long-Term Outcome in Pyridoxine-Dependent Epilepsy

    Science.gov (United States)

    Bok, Levinus A.; Halbertsma, Feico J..; Houterman, Saskia; Wevers, Ron A.; Vreeswijk, Charlotte; Jakobs, Cornelis; Struys, Eduard; van der Hoeven, Johan H.; Sival, Deborah A.; Willemsen, Michel A.

    2012-01-01

    Aim: The long-term outcome of the Dutch pyridoxine-dependent epilepsy cohort and correlations between patient characteristics and follow-up data were retrospectively studied. Method: Fourteen patients recruited from a national reference laboratory were included (four males, 10 females, from 11 families; median age at assessment 6y; range 2y…

  6. Long-term outcome in pyridoxine-dependent epilepsy.

    NARCIS (Netherlands)

    Bok, L.A.; Halbertsma, F.J.; Houterman, S.; Wevers, R.A.; Vreeswijk, C.; Jakobs, C.; Struys, E.; Hoeven, J.H. van; Sival, D.A.; Willemsen, M.A.A.P.

    2012-01-01

    Aim The long-term outcome of the Dutch pyridoxine-dependent epilepsy cohort and correlations between patient characteristics and follow-up data were retrospectively studied. Method Fourteen patients recruited from a national reference laboratory were included (four males, 10 females, from 11 familie

  7. Long-term outcome in pyridoxine-dependent epilepsy

    NARCIS (Netherlands)

    Bok, Levinus A.; Halbertsma, Feico J.; Houterman, Saskia; Wevers, Ron A.; Vreeswijk, Charlotte; Jakobs, Cornelis; Struys, Eduard; Van der Hoeven, Johan H.; Sival, Deborah A.; Willemsen, Michel A.

    2012-01-01

    AIM: The long-term outcome of the Dutch pyridoxine-dependent epilepsy cohort and correlations between patient characteristics and follow-up data were retrospectively studied. METHOD: Fourteen patients recruited from a national reference laboratory were included (four males, 10 females, from 11 famil

  8. The Basics of Long-Term Debt Issuance and Management

    Science.gov (United States)

    Van Meter, Christine M.

    2011-01-01

    Issuing long-term debt can be a complex, multifaceted process. Although the process varies by stare, typically the school business official and the district solicitor work with the financing ream, which includes a financial adviser, bond counsel, underwriter, raring agency, and possibly a bond insurance agent, paying agent, and architect.…

  9. Extraction of DNA from human embryos after long-term preservation in formalin and Bouin's solutions.

    Science.gov (United States)

    Nagai, Momoko; Minegishi, Katsura; Komada, Munekazu; Tsuchiya, Maiko; Kameda, Tomomi; Yamada, Shigehito

    2016-05-01

    The "Kyoto Collection of Human Embryos" at Kyoto University was begun in 1961. Although morphological analyses of samples in the Kyoto Collection have been performed, these embryos have been considered difficult to genetically analyze because they have been preserved in formalin or Bouin's solution for 20-50 years. Owing to the recent advances in molecular biology, it has become possible to extract DNA from long-term fixed tissues. The purpose of this study was to extract DNA from wet preparations of human embryo samples after long-term preservation in fixing solution. We optimized the DNA extraction protocol to be suitable for tissues that have been damaged by long-term fixation, including DNA-protein crosslinking damage. Diluting Li2 CO3 with 70% ethanol effectively removed picric acid from samples fixed in Bouin's solution. Additionally, 20.0 mg/mL proteinase was valuable to lyse the long-term fixed samples. The extracted DNA was checked with PCR amplification using several sets of primers and sequence analysis. The PCR products included at least 295- and 838-bp amplicons. These results show that the extracted DNA is applicable for genetic analyses, and indicate that old embryos in the Kyoto Collection should be made available for future studies. The protocol described in this study can successfully extract DNA from old specimens and, with improvements, should be applicable in research aiming to understand the molecular mechanisms of human congenital anomalies.

  10. Long-term oncologic outcomes of laparoscopic nephroureterectomy versus open nephroureterectomy for upper tract urothelial carcinoma: a systematic review and meta-analysis

    Science.gov (United States)

    Zhang, Su; Luo, You; Wang, Cheng; Fu, Sheng-Jun

    2016-01-01

    Background. Several factors have been validated as predictors of disease recurrence in upper tract urothelial carcinoma. However, the oncological outcomes between different surgical approaches (open nephroureterectomy versus laparoscopic nephroureterectomy, ONU vs LNU) remain controversial. Therefore, we performed a meta-analysis to evaluate the oncological outcomes associated with different surgical approaches. Methods. We conducted an electronic search of the PubMed, Embase, ISI Web of Knowledge and Cochrane Library electronic databases through November 2015, screened the retrieved references, collected and evaluated the relevant information. We extracted and synthesized the corresponding hazard ratios (HRs) and 95% confidence intervals (95% CI) using Stata