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Sample records for apparent life-threatening events

  1. Infantile Apparent Life-Threatening Events, an Educational Review

    Directory of Open Access Journals (Sweden)

    Hamed Aminiahidashti

    2015-01-01

    Full Text Available Many physicians have received a frantic call from anxious parents stating that their child had stopped breathing, become limp, or turned blue but then had recovered quickly. An apparent life-threatening event (ALTE is defined as “an episode that is frightening to the observer, and is characterized by some combination of apnea, color change, marked change in muscle tone, choking, gagging, or coughing”. The incidence of ALTE is reported to be 0.05% to 6%. The knowledge about the most common causes and factors associated with higher risk of ALTE could be resulted in a more purposeful approach, improving the decision making process, and benefiting both children and parents. The aim of this review article was to report the epidemiology, etiology, evaluation, management, and disposition of ALTE. Infants with an ALTE might present no signs of acute illness and are commonly managed in the emergency settings that often require significant medical attention; hence, the emergency medicine personnel should be aware of the its clinical importance. There is no specific treatment for ALTE; therefore, the clinical evaluations should be focused on the detection of the underlying causes, which will define the outcomes and prognosis. ALTE is a confusing entity, representing a constellation of descriptive symptoms and signs; in other words, it is not a diagnosis. There are multiple possible etiologies and difficulties in evaluating and managing infants with these events, which are challenges to primary care physicians, emergency medicine specialists, and subspecialty pediatricians. The evaluation of these events in infants includes a detailed history, appropriate physical examination, diagnostic tests guided by obtained clues from the history and physical examination, and observation in the emergency department.

  2. [Severe apparent life-threatening event during "skin-to-skin": treatment with hypothermia].

    Science.gov (United States)

    Marin, N; Valverde, E; Cabañas, F

    2013-10-01

    'Skin-to-skin' in healthy newborn infants is currently routine practice in Spanish maternity wards. This practice has shown benefits in increasing the duration of breast-feeding and maternal bonding behaviour with no significant adverse events. Early sudden deaths and severe apparent life-threatening events (ALTE) during the first 24 hours of life are infrequent, but well recognised. Risk factors during 'skin to skin' have been established. These events can lead to high neonatal morbidity and mortality. Hypothermia is now the standard of care for moderate to severe hypoxic-ischaemic encephalopathy and has shown to reduce mortality and neurological morbidity in children with hypoxic-ischaemic brain injury. Although there are no clinical trials that evaluate hypothermia after a severe ALTE, neonates who suffer it should be considered for this treatment. We present a case of a healthy newborn who had an ALTE during skin-to-skin with his mother and was treated with hypothermia. PMID:24051185

  3. [Apparent life-threatening events and sudden unexpected death in infancy: Two different entities].

    Science.gov (United States)

    Naud, J

    2015-09-01

    Most infant apparent life-threatening events (ALTEs) are minor with spontaneously favorable prognosis. Frequent etiologies are gastroesophageal reflux, obstructive apneas, respiratory infections, and breath-holding spells. Some rare but potentially serious causes must be discussed. Diagnosis is usually guided by careful questioning of the parents and repeated clinical examinations. A few complementary examinations are systematically needed and their performance is increased if they are oriented by clinical aspects. Hospitalization is usual for monitoring, further etiological investigation, and management of parental anxiety. ALTE and sudden unexpected death in infancy (SUDI) etiologies are often different. SUDI is called sudden unexplained death in infancy if it remains unexplained after investigation including autopsy. The annual incidence in France fell sharply after prevention campaigns in the 1990s, and now is about 400 SUDI, including 250 unexplained SUDI. The main guidelines of prevention are back sleeping, cessation of smoking during and after pregnancy, securing the bed and bedding, prevention of hyperthermia, and avoidance of dangerous factors of bed sharing. In the future, infants with particular vulnerabilities may be identified. The Haute Autorité de santé (French National Authority for Health) has published guidelines to support SUDI, standardize procedures, and improve our understanding of the causes of death. PMID:26228810

  4. Evento com aparente risco de morte: uma revisão Evento con aparente riesgo de muerte (alte: una revisión Apparent life-threatening event: a review

    Directory of Open Access Journals (Sweden)

    Mariana Tresoldi das N. Romaneli

    2012-12-01

    Full Text Available OBJETIVO: Realizar uma revisão crítica reunindo informações disponíveis a respeito dos eventos com aparente risco de morte. FONTES DE DADOS: Revisão bibliográfica dos artigos (em português, inglês e espanhol obtidos dos bancos de dados eletrônicos Medline, Lilacs e SciELO, utilizando as palavras-chave: eventos com aparente risco de morte, evento com aparente risco de vida infantil, lactente, apneia, monitorização e cianose. SÍNTESE DOS DADOS: Os eventos com aparente risco de mortesão súbitos e caracterizados por uma combinação de apneia, alteração na coloração da pele e tônus muscular, com inúmeras causas subjacentes. Sua incidência verdadeira é desconhecida e a faixa etária mais acometida é de 11 a 12 semanas. Não há correlação entre o evento com aparente risco de morte e a síndrome da morte súbita do lactente, embora já tenham sido consideradas manifestações da mesma doença. Muitas vezes, o lactente tem aparência saudável ao ser avaliado pelo pediatra após apresentar eventos com aparente risco de morte, porém, isso não afasta a possibilidade de existir uma doença grave associada ao evento, que deve ser investigada e tratada. Quando não são encontradas as causas, o evento é idiopático, geralmente com boa evolução. CONCLUSÕES: É necessário investigar os lactentes levados ao pronto-socorro após apresentarem eventos com aparente risco de morte, devido ao risco de sequelas e mortalidade. Não há uma padronização das condutas a serem realizadas diante de um lactente com aparência saudável que tenha evento com aparente risco de morte, mas recomenda-se que o paciente seja internado e a causa do evento, investigada. A observação e o monitoramento em ambiente hospitalar devem ocorrer no mínimo 24 horas após o evento.OBJETIVO: Realizar una revisión crítica, reuniendo las informaciones disponibles respecto a los Eventos con Aparente Riesgo de Muerte (ALTE - Apparent life-threatening event

  5. Incidence and Management of Life-Threatening Adverse Events During Cardiac Catheterization for Congenital Heart Disease

    OpenAIRE

    Lin, C. Huie; Hegde, Sanjeet; Marshall, Audrey C.; Porras, Diego; Gauvreau, Kimberlee; Balzer, David T.; Beekman, Robert H.; Torres, Alejandro; Vincent, Julie A.; Moore, John W.; Holzer, Ralf; Armsby, Laurie; Bergersen, Lisa

    2013-01-01

    Continued advancements in congenital cardiac catheterization and interventions have resulted in increased patient and procedural complexity. Anticipation of life-threatening events and required rescue measures is a critical component to preprocedural preparation. We sought to determine the incidence and nature of life-threatening adverse events in congenital and pediatric cardiac catheterization, risk factors, and resources necessary to anticipate and manage events. Data from 8905 cases perfo...

  6. Evento com aparente risco de morte recorrente como manifestação inicial de síndrome miastênica congênita Evento con aparente riesgo de muerte recurrente como manifestación inicial de síndrome miasténico congénito Recurrent apparent life-threatening event as the first manifestation of congenital myasthenia

    Directory of Open Access Journals (Sweden)

    Mariana Tresoldi das N. Romaneli

    2013-03-01

    miastenia congénita. Después de la confirmación del diagnóstico, se mantuvo el tratamiento ambulatorial con piridostigmina, con recuperación nutricional y neurológica, sin nuevos eventos con aparente riesgo de muerte en los tres años siguientes. COMENTARIOS: La investigación minuciosa de las causas de eventos con aparente riesgo de muerte puede llevar a diagnósticos menos frecuentes que exigen tratamiento específico, como la miastenia congénita.OBJECTIVE: To alert pediatricians about the importance of a careful investigation on recurrent apparent life-threatening events. Reports of the association of these events with congenital myasthenic syndromes were not found. CASE DESCRIPTION: A seven-month-old infant with recurrent apparent life-threatening events was admitted for investigation. During hospital stay, she presented cyanosis and respiratory failure, requiring mechanical ventilation for three days. After clinical improvement, hypotheses of gastroesophageal reflux and pulmonary aspiration were ruled out. The presence of eyelid ptosis, general hypotonia and weak crying led to the suspicion of congenital myasthenia, which was confirmed. Treatment with oral piridostigmine led to neurological and nutritional normalization, without any other apparent life-threatening event during the next three years. COMMENTS: The careful etiological investigation of apparent life-threatening events may lead to rare diagnosis that requires specific treatments, such as congenital myasthenia.

  7. The radiology perspective: needs and tools for management of life-threatening events

    International Nuclear Information System (INIS)

    Studies have shown that life-threatening contrast agent reactions in adults are very rare, and even less common in children. The rarity of severe allergic reactions to contrast material challenges educators to achieve radiology resident competency in this setting. However, using a simulated anaphylactic contrast reaction paradigm, we have drawn two conclusions: (1) Residents are insufficiently prepared to recognize and manage these life-threatening events and (2) with an interactive, computer-based tool we can significantly improve resident performance in these situations. Simulation is a growing tool in medicine and allows standardized resident exposure to uncommon events in a setting that is conducive to resident education without fear of repercussions (see Ruddy and Patterson in this issue of Pediatric Radiology). More important, simulation provides a cornerstone in patient safety resident education without putting patients at risk. (orig.)

  8. Near-death experiences in non-life-threatening events and coma of different etiologies

    Science.gov (United States)

    Charland-Verville, Vanessa; Jourdan, Jean-Pierre; Thonnard, Marie; Ledoux, Didier; Donneau, Anne-Francoise; Quertemont, Etienne; Laureys, Steven

    2014-01-01

    Background: Near death experiences (NDEs) are increasingly being reported as a clearly identifiable physiological and psychological reality of clinical significance. However, the definition and causes of the phenomenon as well as the identification of NDE experiencers is still a matter of debate. To date, the most widely used standardized tool to identify and characterize NDEs in research is the Greyson NDE scale. Using this scale, retrospective and prospective studies have been trying to estimate their incidence in various populations but few studies have attempted to associate the experiences' intensity and content to etiology. Methods: This retrospective investigation assessed the intensity and the most frequently recounted features of self-reported NDEs after a non-life-threatening event (i.e., “NDE-like” experience) or after a pathological coma (i.e., “real NDE”) and according to the etiology of the acute brain insult. We also compared our retrospectively acquired data in anoxic coma with historical data from the published literature on prospective post-anoxic studies using the Greyson NDE scale. Results: From our 190 reports who met the criteria for NDE (i.e., Greyson NDE scale total score >7/32), intensity (i.e., Greyson NDE scale total score) and content (i.e., Greyson NDE scale features) did not differ between “NDE-like” (n = 50) and “real NDE” (n = 140) groups, nor within the “real NDE” group depending on the cause of coma (anoxic/traumatic/other). The most frequently reported feature was peacefulness (89–93%). Only 2 patients (1%) recounted a negative experience. The overall NDE core features' frequencies were higher in our retrospective anoxic cohort when compared to historical published prospective data. Conclusions: It appears that “real NDEs” after coma of different etiologies are similar to “NDE-like” experiences occurring after non-life threatening events. Subjects reporting NDEs retrospectively tend to have

  9. Life-Threatening Adverse Events Following Therapeutic Opioid Administration in Adults: Is Pharmacogenetic Analysis Useful?

    Directory of Open Access Journals (Sweden)

    Parvaz Madadi

    2013-01-01

    Full Text Available BACKGROUND: Systemic approaches are needed to understand how variations in the genes associated with opioid pharmacokinetics and response can be used to predict patient outcome. The application of pharmacogenetic analysis to two cases of life-threatening opioid-induced respiratory depression is presented. The usefulness of genotyping in the context of these cases is discussed.

  10. Evaluation and risk stratification of patients with chest pain in the emergency department. Predictors of life-threatening events.

    Science.gov (United States)

    Zalenski, R J; Shamsa, F; Pede, K J

    1998-08-01

    While assessing chest pain in the emergency department, physicians must first estimate the probability of acute ischemic states in the patient. This first estimate is based on the patient's history, physical examination, and electrocardiogram. Patients who meet the threshold for acute cardiac ischemia are further evaluated to confirm or exclude this diagnosis, while other life-threatening factors are excluded. PMID:9739772

  11. Cisplatin chemotherapy (without erythropoietin) and risk of life-threatening thromboembolic events in carcinoma of the uterine cervix: the tip of the iceberg? A review of the literature

    International Nuclear Information System (INIS)

    The risk of severe cardiovascular toxicity, specifically thromboembolic events (TE), in patients with cervical cancer receiving concurrent irradiation and cisplatin chemotherapy is reported to be less than 1% in several large prospective trials. However, the anecdotal risk appears to be far higher. A review of several prospective trials demonstrates no treatment related grade 4 cardiovascular toxicities and only two grade 5 toxicities in 1424 (0.1%) collective patients. A recent publication and our own unpublished experience finds 6 of 128 (4.7%) patients developed grade 4 to 5 cardiovascular (thrombosis/embolism) toxicity. The differenc in incidence of severe or life threatening cardiovascular toxicity of 0.1 versus 4.7% is highly statistically significant (p < 0.00001.) This dramatic difference in incidence of cardiovascular toxicity raises the possibility that cardiovascular toxicities were inadequately reported on the listed prospective trials. For those patients enrolled in prospective trials, we suggest that thromboses should be diligently documented and reported. Only after the true incidence of thromboses is established can we implement appropriate levels of early screening and intervention that may prevent life threatening complications

  12. Mutations in cytoplasmic loops of the KCNQ1 channel and the risk of life-threatening events

    DEFF Research Database (Denmark)

    Barsheshet, Alon; Goldenberg, Ilan; O-Uchi, Jin;

    2012-01-01

    β-Adrenergic stimulation is the main trigger for cardiac events in type 1 long-QT syndrome (LQT1). We evaluated a possible association between ion channel response to β-adrenergic stimulation and clinical response to β-blocker therapy according to mutation location.......β-Adrenergic stimulation is the main trigger for cardiac events in type 1 long-QT syndrome (LQT1). We evaluated a possible association between ion channel response to β-adrenergic stimulation and clinical response to β-blocker therapy according to mutation location....

  13. Engaging Active Bystanders in Mass Casualty Events and Other Life-Threatening Emergencies: A Pilot Training Course Demonstration.

    Science.gov (United States)

    Smith, Tracey O; Baker, Susan D; Roberts, Kathryn; Payne, Skip A

    2016-04-01

    Emerging research indicates the critical role members of the public can play in saving lives and reducing morbidity at the scene in the immediate aftermath of a disaster. It is anticipated that with training, more members of the public will be ready and able to assist should they be present at mass casualty events or other circumstances in which there are serious injuries or potential loss of life. This article describes a training course developed by multiple federal and nonfederal partners aimed at preparing the public to become "active bystanders" followed by a pilot demonstration project conducted by Medical Reserve Corps Units. The outcomes of the project indicated that the training was comprehensive and appropriate for members of the public with little or no first aid knowledge. National availability of the "Becoming an Active Bystander" training course is currently being planned. PMID:26841861

  14. Faces in the face of death: effects of exposure to life-threatening events and mortality salience on facial expression recognition in combat and noncombat military veterans.

    Science.gov (United States)

    Anaki, David; Brezniak, Tamar; Shalom, Liron

    2012-08-01

    Soldiers in war zones often experience life-threatening events that put their lives at stake. The present study examined how these exposures shape soldiers' social behavior, manifested by recognition of facial expressions. In addition, we investigated how explicit awareness of one's eventual death affects sensitivity to facial expressions. Veterans of elite military combat units were exposed to conditions of mortality or pain salience and later requested to label the emotions depicted in threatening and nonthreatening faces. Combat veterans were more accurate than noncombat veterans in identifying threatening expressions, both in mortality or pain salience induction (experiment 1) or under no induction at all (experiment 2). In addition, noncombat veterans primed with mortality salience identified fear expressions more accurately than those primed with pain salience. Finally, mortality salience improved accuracy for nonthreatening expressions for all veterans. The present results demonstrate that fear of death, resulting from exposure to concrete life-endangering perils or from thoughts on human's inevitable death, influences perception of facial expressions, which is critical for successful interpersonal communication. PMID:22866887

  15. Mesenteric vascular occlusion: Comparison of ancillary CT findings between arterial and venous occlusions and independent CT findings suggesting life-threatening events

    International Nuclear Information System (INIS)

    To compare the ancillary CT findings between superior mesenteric artery thromboembolism (SMAT) and superior mesenteric vein thrombosis (SMVT), and to determine the independent CT findings of life-threatening mesenteric occlusion. Our study was approved by the institution review board. We included 43 patients (21 SMAT and 22 SMVT between 1999 and 2008) of their median age of 60.0 years, and retrospectively analyzed their CT scans. Medical records were reviewed for demographics, management, surgical pathology diagnosis, and outcome. We compared CT findings between SMAT and SMVT groups. Multivariate analysis was conducted to determine the independent CT findings of life-threatening mesenteric occlusion. Of 43 patients, 24 had life-threatening mesenteric occlusion. Death related to mesenteric occlusion was 32.6%. A thick bowel wall (p < 0.001), mesenteric edema (p < 0.001), and ascites (p = 0.009) were more frequently associated with SMVT, whereas diminished bowel enhancement (p = 0.003) and paralytic ileus (p = 0.039) were more frequent in SMAT. Diminished bowel enhancement (OR = 20; p = 0.007) and paralytic ileus (OR = 16; p = 0.033) were independent findings suggesting life-threatening mesenteric occlusion. The ancillary CT findings occur with different frequencies in SMAT and SMVT. However, the independent findings indicating life-threatening mesenteric occlusion are diminished bowel wall enhancement and paralytic ileus.

  16. Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool

    International Nuclear Information System (INIS)

    Though rare, allergic reactions occur as a result of administration of low osmolality nonionic iodinated contrast material to pediatric patients. Currently available resuscitation aids are inadequate in guiding radiologists' initial management of such reactions. To compare radiology resident competency with and without a computer-based interactive resuscitation tool in the management of life-threatening events in pediatric patients. The study was approved by the IRB. Radiology residents (n=19; 14 male, 5 female; 19 certified in basic life support/advanced cardiac life support; 1 certified in pediatric advanced life support) were videotaped during two simulated 5-min anaphylaxis scenarios involving 18-month-old and 8-year-old mannequins (order randomized). No advance warning was given. In half of the scenarios, a computer-based interactive resuscitation tool with a response-driven decision tree was available to residents (order randomized). Competency measures included: calling a code, administering oxygen and epinephrine, and correctly dosing epinephrine. Residents performed significantly more essential interventions with the computer-based resuscitation tool than without (72/76 vs. 49/76, P<0.001). Significantly more residents appropriately dosed epinephrine with the tool than without (17/19 vs. 1/19; P<0.001). More residents called a code with the tool than without (17/19 vs. 14/19; P = 0.08). A learning effect was present: average times to call a code, request oxygen, and administer epinephrine were shorter in the second scenario (129 vs. 93 s, P=0.24; 52 vs. 30 s, P<0.001; 152 vs. 82 s, P=0.025, respectively). All the trainees found the resuscitation tool helpful and potentially useful in a true pediatric emergency. A computer-based interactive resuscitation tool significantly improved resident performance in managing pediatric emergencies in the radiology department. (orig.)

  17. Transgender Youth and Life-Threatening Behaviors

    Science.gov (United States)

    Grossman, Arnold H.; D'Augelli, Anthony R.

    2007-01-01

    Sexual minority status is a key risk factor for suicide among lesbian, gay, and bisexual youth; however, it has not been studied among transgender youth. Fifty-five transgender youth reported on their life-threatening behaviors. Nearly half of the sample reported having seriously thought about taking their lives and one quarter reported suicide…

  18. Life-threatening intrathyroidal parathyroid adenoma

    OpenAIRE

    Dogan, Ugur; Koc, Umit; Mayir, Burhan; Habibi, Mani; Dogan, Berna; Gomceli, Ismail; BULBULLER, Nurullah

    2015-01-01

    Acute primary hyperparathyroidism and parathyroid crisis are characterized by life-threatening hypercalcemia, a rare disorder. A 69-year-old female patient presented at our hospital’s neurology clinic with weakness, nausea, vomiting, depression, and hypercalcemia. Treatment of hypercalcemia resulted in no improvement in neurological symptoms, indicating resistance to treatment. Thyroid ultrasonography and parathyroid scintigraphy revealed hypoechoic nodules in the right lobe, pieces of nodule...

  19. Life-threatening necrotizing myometritis, due to Group A streptococcus - still a life-threatening condition

    DEFF Research Database (Denmark)

    Boie, Sidsel; Krog, Jan; Bor, Isil Pinar

    2015-01-01

    Puerperal infection with Group A streptococcus (GAS) can present with few symptoms and rapidly progress to a life-threatening condition. Often, the infection can be treated with antibiotics. Delay in diagnosis increases risk of sepsis, multiorgan failure, and death. GAS infection is a differential...

  20. Narrative review: Electrocution and life-threatening electrical injuries.

    Science.gov (United States)

    Spies, Christian; Trohman, Richard G

    2006-10-01

    The authors reviewed the mechanisms and pathophysiology of typically encountered electrical injuries by searching English-language publications listed in MEDLINE and reference lists from identified articles. They included relevant retrospective studies, case reports, and review articles published between 1966 and 2005. The authors also searched the Internet for information related to electrocution and life-threatening electrical injuries. They found that familiarity with basic principles of physics elucidates the typical injuries sustained by patients who experience electrical shock. Death due to electrocution occurs frequently. However, patients successfully resuscitated after cardiopulmonary arrest often have a favorable prognosis. Approximately 3000 patients who survive electrical shock are admitted to specialized burn units annually. Patients with serious electrical burns admitted to the intensive care unit are trauma patients and should be treated accordingly. Initial prediction of outcome for patients who have experienced electrical shock is difficult, as the full degree of injury is often not apparent. PMID:17015871

  1. Potentialities of embolization of life threatening hemorrhages

    International Nuclear Information System (INIS)

    The author analysed experience in the embolization of the abdominal vessels in 79 patients with diseases and lesions of the peritoneal cavity and retroperitoneal space accompanied by life threatening hemorrhage. In 51 cases embolization was used as an independent method of hemorrhage arrest and in 28 cases for patients' preoperative preparation. A hemostatic sponge combined with a superselective administration of 150-200 ml of aminocaproic acid was used as an emboilizing material. Complications attributed to embolization were noted in 5 patients: pancreatitis, subdiaphragmatic abscess, paranephritis, ischemia of the gluteal soft tissues, sciatic neuritis. An analysis has shown that urgent embolization of the abdominal vessels in diseases and lesions of the organs of the peritoneal cavity and retroperitoneal space accompanied by massive hemorrhage, can be used as an independent method for hemorrhage arrest

  2. Life-threatening versus non-life-threatening manual strangulation: are there appropriate criteria for MR imaging of the neck?

    Energy Technology Data Exchange (ETDEWEB)

    Christe, Andreas [Inselspital, University of Bern, Department of Radiology, Bern (Switzerland); University of Bern, Institute of Forensic Medicine, Bern (Switzerland); Thoeny, Harriet; Tshering, Dechen; Vock, Peter [Inselspital, University of Bern, Department of Radiology, Bern (Switzerland); Ross, Steffen; Spendlove, Danny; Bolliger, Stephan; Thali, Michael J. [University of Bern, Institute of Forensic Medicine, Bern (Switzerland); Grabherr, Silke [University Hospital of Lausanne, Institute of Forensic Medicine, Lausanne (Switzerland); Oesterhelweg, Lars [University of Bern, Institute of Forensic Medicine, Bern (Switzerland); Environment and Consumer Protection, State Institute of Legal Medicine Berlin, Senate Administration for Health, Berlin (Germany)

    2009-08-15

    The aim of the study was to determine objective radiological signs of danger to life in survivors of manual strangulation and to establish a radiological scoring system for the differentiation between life-threatening and non-life-threatening strangulation by dividing the cross section of the neck into three zones (superficial, middle and deep zone). Forensic pathologists classified 56 survivors of strangulation into life-threatening and non-life-threatening cases by history and clinical examination alone, and two blinded radiologists evaluated the MRIs of the neck. In 15 cases, strangulation was life-threatening (27%), compared with 41 cases in which strangulation was non-life-threatening (73%). The best radiological signs on MRI to differentiate between the two groups were intramuscular haemorrhage/oedema, swelling of platysma and intracutaneous bleeding (all p=0.02) followed by subcutaneous bleeding (p=0.034) and haemorrhagic lymph nodes (p=0.04), all indicating life-threatening strangulation. The radiological scoring system showed a sensitivity and specificity of {approx}70% for life-threatening strangulation, when at least two neck zones were affected. MRI is not only helpful in assessing the severity of strangulation, but is also an excellent documentation tool that is even admissible in court. (orig.)

  3. Life-threatening bradyarrhythmia with oral phenytoin overdose

    Directory of Open Access Journals (Sweden)

    Giridharan Srinivasan

    2015-01-01

    Full Text Available We report a case of a 41-year-old lady, who developed severe hypotension and sinus bradycardia, following oral consumption of 20 g of phenytoin and 500 mg of glibenclamide. She required high dose of inotropes and a temporary transvenous pacer for her hemodynamic instability. This life-threatening cardiotoxicity of phenytoin could have been due to its interaction with sulphonylurea. It is imperative to be aware of drug interactions, due to which, life-threatening cardiovascular manifestations following phenytoin toxicity can occur.

  4. Life-threatening bradyarrhythmia with oral phenytoin overdose.

    Science.gov (United States)

    Srinivasan, Giridharan; Wyawahare, Mukta; Mathen, Pratheesh George; Subrahmanyam, Dharanipragada K

    2015-01-01

    We report a case of a 41-year-old lady, who developed severe hypotension and sinus bradycardia, following oral consumption of 20 g of phenytoin and 500 mg of glibenclamide. She required high dose of inotropes and a temporary transvenous pacer for her hemodynamic instability. This life-threatening cardiotoxicity of phenytoin could have been due to its interaction with sulphonylurea. It is imperative to be aware of drug interactions, due to which, life-threatening cardiovascular manifestations following phenytoin toxicity can occur. PMID:26312007

  5. Life-threatening colonic hemorrhage in Crohn's disease: angiographic appearance

    International Nuclear Information System (INIS)

    Life-threatening colonic hemorrhage is a very rare condition in Crohn's disease. Lower gastroinstestinal hemorrhage in Crohn's disease occurs in 0.6-2.5% of cases. In a patient presenting with severe gastrointestinal bleeding after ileocolectomy, mesenteric angiography provided precise localisation of the bleeding site in the area of the splenic flexure. (orig.)

  6. Tension pneumothorax, is it a really life-threatening condition?

    OpenAIRE

    Yoon, Jeong Seob; Choi, Si Young; Suh, Jong Hui; Jeong, Jin Yong; Lee, Bae Young; Park, Yong Gue; Kim, Chi Kyung; Park, Chan Beom

    2013-01-01

    Background Tension pneumothorax is a life-threatening occurrence that is infrequently the consequence of spontaneous pneumothorax. The aim of this study was to identify the risk factors for the development of tension pneumothorax and its effect on clinical outcomes. Methods We reviewed patients who were admitted with spontaneous pneumothorax between August 1, 2003 and December 31, 2011. Electronic medical records and the radiological findings were reviewed with chest x-ray and high-resolution...

  7. Phenytoin induced life threatening macroglossia in a child

    Directory of Open Access Journals (Sweden)

    Rakesh Mondal

    2013-01-01

    Full Text Available Isolated acquired macroglossia of tongue rarely reported. It occurs due to causes like hereditary angioedema, localized angioedema, etc., Here we describe an 8-year-old boy developing life threatening localized angioedema of tongue due to phenytoin without any association with drug reaction with eosinophilia and systemic symptoms (DRESS syndrome or pseudolymphoma encountered in rural medical college. Anticonvulsants, that is, phenytoin induced this isolated peculiar complication, which was not described before.

  8. Ectopic pregnancy: a life-threatening gynecological emergency

    OpenAIRE

    Lawani OL; Anozie OB; Ezeonu PO

    2013-01-01

    Osaheni L Lawani, Okechukwu B Anozie, Paul O Ezeonu Department of Obstetrics and Gynecology, Federal Teaching Hospital, Abakaliki, Nigeria Background: Ectopic pregnancy is a life-threatening gynecological emergency, and a significant cause of maternal morbidity and mortality in Nigeria. Objective: The aim of this work was to determine and evaluate the incidence, clinical presentation, risk factors, and management outcomes of ectopic pregnancies at Ebonyi State University Teaching Hospital (E...

  9. Life-threatening ventricular arrhythmia recognition by nonlinear descriptor

    OpenAIRE

    Krishnan Shankar; Chan Kap; Sun Yan

    2005-01-01

    Abstract Background Ventricular tachycardia (VT) and ventricular fibrillation (VF) are ventricular cardiac arrhythmia that could be catastrophic and life threatening. Correct and timely detection of VT or VF can save lives. Methods In this paper, a multiscale-based non-linear descriptor, the Hurst index, is proposed to characterize the ECG episode, so that VT and VF can be recognized as different from normal sinus rhythm (NSR) in the descriptor domain. Results This newly proposed technique wa...

  10. Life-Threatening Hypokalemic Paralysis in a Young Bodybuilder

    OpenAIRE

    Cheung, Kitty K. T.; Wing-Yee So; Kong, Alice P S; Ma, Ronald C.W.; Chow, Francis C. C.

    2014-01-01

    We report a case of life-threatening hypokalemia in a 28-year-old bodybuilder who presented with sudden onset bilateral lower limbs paralysis few days after his bodybuilding competition. His electrocardiogram (ECG) showed typical u-waves due to severe hypokalemia (serum potassium 1.6 mmol/L, reference range (RR) 3.5–5.0 mmol/L). He was admitted to the intensive care unit (ICU) and was treated with potassium replacement. The patient later admitted that he had exposed himself to weight loss age...

  11. ACUTE LIFE-THREATENING ASTHMA IN ASIR CENTRAL HOSPITAL

    OpenAIRE

    Al-Ghamdi, Badr R.; Taklu, Bayu G.

    1997-01-01

    Aim: This study was conducted to analyze the severe acute asthma admissions in Asir Central Hospital (ACH) in Abha, Saudi Arabia. In particular, it aimed to identify risk factors and final outcome of acute life-threatening asthma. Method: All patients admitted to the Intensive Care Unit (ICU) with acute bronchial asthma from June 1989 to May 1995 were analyzed. Total admis-sions to the ICU were obtained to determine the prevalence of asthma admission to the ICU. Results: There were 13 admissi...

  12. Life-threatening asthma attack during prolonged fingolimod treatment: case report

    Directory of Open Access Journals (Sweden)

    Zecca C

    2014-07-01

    Full Text Available Chiara Zecca,1,* Matteo Caporro,1,* Sandor Györik,2 Claudio Gobbi11Neurocenter of Southern Switzerland, Department of Neurology, Ospedale Regionale di Lugano, Lugano, Switzerland; 2Department of Internal Medicine, Ospedale Regionale di Bellinzona, Bellinzona, Switzerland*These authors contributed equally to this workBackground: Fingolimod (FTY mediates bronchoconstriction by interacting with sphingosine-1-phosphate receptors. The majority of the reported adverse respiratory events occur during the first weeks of treatment.Case presentation: A 49-year-old woman developed a life-threatening asthma attack after 6 months of continuous FTY treatment. The adverse event required prolonged hospitalization, and the patient recovered without sequelae after FTY interruption. A history of previous airway hyperreactivity and a concurrent viral respiratory infection possibly acted as predisposing factors.Conclusion: This first description of a severe, life-threatening asthma attack during prolonged FTY treatment suggests the need for long-term clinical surveillance, especially in patients with known predisposing factors.Keywords: multiple sclerosis, bronchial hyper-reactivity

  13. Tracheal intubation in the ICU: Life saving or life threatening?

    Directory of Open Access Journals (Sweden)

    Jigeeshu V Divatia

    2011-01-01

    Full Text Available Tracheal intubation (TI is a routine procedure in the intensive care unit (ICU, and is often life saving. However, life-threatening complications occur in a significant proportion of procedures, making TI perhaps one the most common but underappreciated airway emergencies in the ICU. In contrast to the controlled conditions in the operating room (OR, the unstable physiologic state of critically ill patients along with underevaluation of the airways and suboptimal response to pre-oxygenation are the major factors for the high incidence of life-threatening complications like severe hypoxaemia and cardiovascular collapse in the ICU. Studies have shown that strategies planned for TI in the OR can be adapted and extrapolated for use in the ICU. Non-invasive positive-pressure ventilation for pre-oxygenation provides adequate oxygen stores during TI for patients with precarious respiratory pathology. The intubation procedure should include not only airway management but also haemodynamic, gas exchange and neurologic care, which are often crucial in critically ill patients. Hence, there is a necessity for the implementation of an Intubation Bundle during routine airway management in the ICU. Adherence to a plan for difficult airway management incorporating the use of intubation aids and airway rescue devices and strategies is useful.

  14. Warfarin-induced sublingual hematoma mimicking Ludwig angina: Conservative management of a potentially life-threatening condition.

    LENUS (Irish Health Repository)

    Cashman, Emma

    2011-02-01

    Sublingual hematoma secondary to excessive anticoagulation is a rare, life-threatening condition. Reports in the literature have emphasized the importance of a prompt reversal of the causative coagulopathy by intravenous administration of vitamin K and fresh frozen plasma. In the event of an unstable airway, surgical intervention via tracheostomy or cricothyroidectomy is advocated. We report a case of sublingual hematoma that was treated conservatively, and we discuss the presentation and management of this entity.

  15. Warfarin-induced sublingual hematoma mimicking Ludwig angina: Conservative management of a potentially life-threatening condition.

    LENUS (Irish Health Repository)

    Cashman, Emma

    2012-02-01

    Sublingual hematoma secondary to excessive anticoagulation is a rare, life-threatening condition. Reports in the literature have emphasized the importance of a prompt reversal of the causative coagulopathy by intravenous administration of vitamin K and fresh frozen plasma. In the event of an unstable airway, surgical intervention via tracheostomy or cricothyroidectomy is advocated. We report a case of sublingual hematoma that was treated conservatively, and we discuss the presentation and management of this entity.

  16. Life-Threatening Lactation or "Bovine" Ketoacidosis: A Case Report.

    Science.gov (United States)

    Greaney, David J; Benson, Pat

    2016-08-15

    Lactation or "bovine" ketoacidosis is a rare cause of raised anion gap metabolic acidosis whereby a perfect storm of negative calorie balance (starvation/glucose preferentially used for milk production) and insulin resistance (counter regulatory stress hormone release/infection) leads to a dysregulated ketogenic state. We present a case of life-threatening lactation-related ketoacidosis in a patient 9 weeks postpartum, who presented to the emergency department with an arterial pH of 6.88, HCO3 of 5.8 mmol/L and blood ketone level of 5.8 mmol/L. Treatment consists of aggressive glucose loading, triggering supraphysiologic endogenous insulin release, and subsequent inhibition of ketone body formation. PMID:27310899

  17. [Life-threatening adverse effects of pharmacologic antihyperuricemic therapy].

    Science.gov (United States)

    Russmann, St; Lauterburg, B

    2004-09-01

    Minor hypersensitivity reactions to allopurinol presenting as skin rash occur in approximately 2% of patients. A more severe, albeit rare, hypersensitivity reaction with fever, eosinophilia, dermatitis, renal failure, vasculitis and hepatic dysfunction carries a mortality of up to 20%. The incidence of this severe reaction can probably be reduced by adjusting the dose of allopurinol in patients with impaired renal function. Azathioprine and mercaptopurine are metabolised by xanthine oxidase, the enzyme that is inhibited by allopurinol. Concomitant administration can result in life-threatening neutropenia unless the dose of allopurinol is reduced by approximately 75%. The uricosuric agent benzbromarone has recently been withdrawn from the market because of several cases of fulminant hepatic failure with subsequent death of the patient or liver transplantation. PMID:15493119

  18. Life-threatening cardiotoxicity due to chronic oral phenytoin overdose

    Directory of Open Access Journals (Sweden)

    Su Chih-Min

    2009-01-01

    Full Text Available Severe cardiac adverse effects are often related to intravenous phenytoin overdose. However, there is no reported cardiotoxicity resulting from oral overdose of phenytoin. We report a patient with post-traumatic epilepsy who received oral phenytoin for five months and developed life-threatening junctional bradycardia, with his serum phenytoin level reaching up to 91µg/mL. The patient was successfully treated with temporary transvenous pacemaker implantation for his severe bradycardia and hypotension. To our knowledge, our patient had the most serious cardiovascular toxicity ever reported with chronic oral phenytoin overdose. From emergency department (ED physician′s perspective, when a patient with dysrhythmias and cardiovascular collapse is presented to the ED, severe phenytoin overdose should be considered in patients on oral phenytoin with hyperbilirubinemia, hypoalbuminemia, and severe electrolyte imbalance.

  19. Ectopic pregnancy: a life-threatening gynecological emergency

    Directory of Open Access Journals (Sweden)

    Lawani OL

    2013-08-01

    Full Text Available Osaheni L Lawani, Okechukwu B Anozie, Paul O Ezeonu Department of Obstetrics and Gynecology, Federal Teaching Hospital, Abakaliki, Nigeria Background: Ectopic pregnancy is a life-threatening gynecological emergency, and a significant cause of maternal morbidity and mortality in Nigeria. Objective: The aim of this work was to determine and evaluate the incidence, clinical presentation, risk factors, and management outcomes of ectopic pregnancies at Ebonyi State University Teaching Hospital (EBSUTH in Abakaliki. Methods: This was a retrospective, descriptive study of ectopic pregnancies managed in EBSUTH during the study period (June 1, 2002 to May 31, 2012. The medical records of the patients managed for ectopic pregnancy as well as the total birth record and gynecological admission records during the period under review were retrieved, and data were collected with the aid of data-entry forms designed for this purpose. There were 4,610 gynecological admissions and 9,828 deliveries, with 215 cases of ectopic pregnancies. A total of 205 cases were suitable for analysis after excluding cases with incomplete records. The relevant data collected were analyzed with SPSS version 15.0 for Windows. Results: Ectopic pregnancy constituted 4.5% of all gynecological admissions, and its incidence was 2.1%. The mean age of the patients was 27 ± 2 years, 196 of 205 (95.6% had ruptured ectopic pregnancies, and the remaining nine (4.4% were unruptured. The commonest (166 of 205, 80.0% clinical presentation was abdominal pain, and the commonest (105 of 205, 51.2% identified risk factor was a previous history of induced abortion. Three deaths were recorded, giving a case-fatality rate of 1.4% (three of 205. Conclusion: Ectopic pregnancy is a recognized cause of maternal morbidity and mortality and has remained a reproductive health challenge to Nigerian women, as well as a threat to efforts in achieving the UN's Millennium Development Goal 5 in sub-Saharan Africa

  20. The generalized second law of gravitational thermodynamics on the apparent and event horizons in FRW cosmology

    Energy Technology Data Exchange (ETDEWEB)

    Karami, K; Ghaffari, S; Soltanzadeh, M M, E-mail: KKarami@uok.ac.i [Department of Physics, University of Kurdistan, Pasdaran St, Sanandaj (Iran, Islamic Republic of)

    2010-10-21

    We investigate the validity of the generalized second law (GSL) of gravitational thermodynamics on the apparent and event horizons in a non-flat Friedmann-Robertson-Walker (FRW) universe containing dark energy interacting with dark matter. We show that for the dynamical apparent horizon, the GSL is always satisfied throughout the history of the universe for any spatial curvature and it is independent of the equation of state parameter of the interacting dark energy model. On the other hand, for the cosmological event horizon, the validity of the GSL depends on the equation of state parameter of the model.

  1. The generalized second law of gravitational thermodynamics on the apparent and event horizons in FRW cosmology

    International Nuclear Information System (INIS)

    We investigate the validity of the generalized second law (GSL) of gravitational thermodynamics on the apparent and event horizons in a non-flat Friedmann-Robertson-Walker (FRW) universe containing dark energy interacting with dark matter. We show that for the dynamical apparent horizon, the GSL is always satisfied throughout the history of the universe for any spatial curvature and it is independent of the equation of state parameter of the interacting dark energy model. On the other hand, for the cosmological event horizon, the validity of the GSL depends on the equation of state parameter of the model.

  2. Pseudohypoaldosteronism in a Neonate Presenting as Life-Threatening Hyperkalemia.

    Science.gov (United States)

    Attia, Najya A; Marzouk, Yousef I

    2016-01-01

    Context. Pseudohypoaldosteronism type 1 (PHA1) is a life-threatening disease that causes severe hyperkalemia and cardiac arrest if not treated appropriately or if diagnosis is missed. Objective. To report a case of a newborn with vomiting and lethargy, ultimately diagnosed with pseudohypoaldosteronism. Patient. This case presented to the ED at an age of 14 days in hypovolemic shock. There was a family history of sudden infant death, her sister who was diagnosed with CAH and passed away at 3 months of age despite regular hormone replacement. Our patient had cardiac arrest in ED, due to hyperkalemia; while receiving fluid boluses, cardiopulmonary resuscitation was initiated. After stabilization, diagnostic workup demonstrated persistently low sodium, acidosis, and high potassium, which required peritoneal dialysis. Based on these findings, the patient was diagnosed with CAH. It turned out later that the patient had PHA1. Two years later, the patient had a new sibling with the same disease diagnosed at birth and started immediately on treatment without any complication. Conclusions and Outcome. This case highlights the significant diagnostic and therapeutic challenges in treating children with PHA1. Adrenal crisis is not always CAH; delayed diagnosis can lead to complication and even death. The presence of high plasma renin activity, aldosterone, and cortisol, along with the presence of hyponatremia and hyperkalemia, established the diagnosis of PHA type 1 and ruled out CAH. PMID:26904317

  3. Life-Threatening Hypokalemic Paralysis in a Young Bodybuilder

    Directory of Open Access Journals (Sweden)

    Kitty K. T. Cheung

    2014-01-01

    Full Text Available We report a case of life-threatening hypokalemia in a 28-year-old bodybuilder who presented with sudden onset bilateral lower limbs paralysis few days after his bodybuilding competition. His electrocardiogram (ECG showed typical u-waves due to severe hypokalemia (serum potassium 1.6 mmol/L, reference range (RR 3.5–5.0 mmol/L. He was admitted to the intensive care unit (ICU and was treated with potassium replacement. The patient later admitted that he had exposed himself to weight loss agents of unknown nature, purchased online, and large carbohydrate loads in preparation for the competition. He made a full recovery after a few days and discharged himself from the hospital against medical advice. The severe hypokalemia was thought to be caused by several mechanisms to be discussed in this report. With the ever rising number of new fitness centers recently, the ease of online purchasing of almost any drug, and the increasing numbers of youngsters getting into the bodybuilding arena, clinicians should be able to recognize the possible causes of sudden severe hypokalemia in these patients in order to revert the pathophysiology.

  4. Life-threatening hypokalemic paralysis in a young bodybuilder.

    Science.gov (United States)

    Cheung, Kitty K T; So, Wing-Yee; Kong, Alice P S; Ma, Ronald C W; Chow, Francis C C

    2014-01-01

    We report a case of life-threatening hypokalemia in a 28-year-old bodybuilder who presented with sudden onset bilateral lower limbs paralysis few days after his bodybuilding competition. His electrocardiogram (ECG) showed typical u-waves due to severe hypokalemia (serum potassium 1.6 mmol/L, reference range (RR) 3.5-5.0 mmol/L). He was admitted to the intensive care unit (ICU) and was treated with potassium replacement. The patient later admitted that he had exposed himself to weight loss agents of unknown nature, purchased online, and large carbohydrate loads in preparation for the competition. He made a full recovery after a few days and discharged himself from the hospital against medical advice. The severe hypokalemia was thought to be caused by several mechanisms to be discussed in this report. With the ever rising number of new fitness centers recently, the ease of online purchasing of almost any drug, and the increasing numbers of youngsters getting into the bodybuilding arena, clinicians should be able to recognize the possible causes of sudden severe hypokalemia in these patients in order to revert the pathophysiology. PMID:24660073

  5. Life-threatening ventricular arrhythmia recognition by nonlinear descriptor

    Directory of Open Access Journals (Sweden)

    Krishnan Shankar

    2005-01-01

    Full Text Available Abstract Background Ventricular tachycardia (VT and ventricular fibrillation (VF are ventricular cardiac arrhythmia that could be catastrophic and life threatening. Correct and timely detection of VT or VF can save lives. Methods In this paper, a multiscale-based non-linear descriptor, the Hurst index, is proposed to characterize the ECG episode, so that VT and VF can be recognized as different from normal sinus rhythm (NSR in the descriptor domain. Results This newly proposed technique was tested using MIT-BIH malignant ventricular arrhythmia database. The relationship between the ECG episode length and the corresponding recognition performance was studied. The experiments demonstrated good performance of the proposed descriptor. An accuracy rate as high as 100% was obtained for VT/VF to be recognized from NSR; for VT and VF to be recognized from each other, the recognition accuracy varies from 84.24% to 100%. In addition, the results were compared favorably against those obtained using Complexity measure. Conclusions There is strong potential for using the Hurst index for malignant ventricular arrhythmia recognition in clinical applications.

  6. Event and Apparent Horizon Finders for 3+1 Numerical Relativity

    Directory of Open Access Journals (Sweden)

    Thornburg Jonathan

    2007-06-01

    Full Text Available Event and apparent horizons are key diagnostics for the presence and properties of black holes. In this article I review numerical algorithms and codes for finding event and apparent horizons in numerically-computed spacetimes, focusing on calculations done using the 3+1 ADM formalism. The event horizon of an asymptotically-flat spacetime is the boundary between those events from which a future-pointing null geodesic can reach future null infinity and those events from which no such geodesic exists. The event horizon is a (continuous null surface in spacetime. The event horizon is defined nonlocally in time: it is a global property of the entire spacetime and must be found in a separate post-processing phase after all (or at least the nonstationary part of spacetime has been numerically computed.There are three basic algorithms for finding event horizons, based on integrating null geodesics forwards in time, integrating null geodesics backwards in time, and integrating null surfaces backwards in time. The last of these is generally the most efficient and accurate.In contrast to an event horizon, an apparent horizon is defined locally in time in a spacelike slice and depends only on data in that slice, so it can be (and usually is found during the numerical computation of a spacetime. A marginally outer trapped surface (MOTS in a slice is a smooth closed 2-surface whose future-pointing outgoing null geodesics have zero expansion Theta. An apparent horizon is then defined as a MOTS not contained in any other MOTS. The MOTS condition is a nonlinear elliptic partial differential equation (PDE for the surface shape, containing the ADM 3-metric, its spatial derivatives, and the extrinsic curvature as coefficients. Most “apparent horizon” finders actually find MOTSs.There are a large number of apparent horizon finding algorithms, with differing trade-offs between speed, robustness, accuracy, and ease of programming. In axisymmetry, shooting

  7. Suppurative meningitis: A life-threatening complication in male macroprolactinomas

    Directory of Open Access Journals (Sweden)

    Farida Chentli

    2013-01-01

    Full Text Available Background: Suppurative meningitis (SM or bacterial meningitis is a life-threatening condition, which is exceptionally due to pituitary tumors (PT. Our aim was to analyze its frequency among male macroprolactinomas (MPRL deemed to be aggressive, to report the cases we observed in our practice and describe the circumstances under which SM appeared. Materials and Methods: We retrospectively analyzed 82 male MPRL in order to look for a history of well proved SM and the circumstances under which SM appeared. We also took into account the possibility of SM relapsing. Results: Four out of 82 male MPRL had SM = 4.87%. Three consulted for SM symptoms. SM was confirmed in Infectious Diseases department, but only one had rhinorrhea. Hormonal assessment and cerebral magnetic resonance imaging pleaded for aggressive prolactinomas. After antibiotics, SM was sterilized. Then, MPRL were treated with bromocriptine, which normalized prolactin and reduced PT. SM never relapsed. The 4 th case was hospitalized for a large multidirectional prolactinoma invading and/or arising from the skull base. He was operated on 3 times and then he was given Bromocriptine. After 3 months, he had rhinorrhea and then SM which was successfully treated by antibiotics. SM never relapsed after tumor reduction. Conclusion: SM was demonstrated in 4.87%. SM has revealed MPRL in 3 cases and appeared after bromocriptine intake in the 4 th one. Endocrinologists should be aware of this severe condition, which can be avoided by repairing as soon as possible the bony defect secondary to aggressive tumors, unless it is clogged by fibrosis: What probably happened in our cases.

  8. A Life-Threatening Multilocalized Hidradenitis Suppurativa Case

    Science.gov (United States)

    Buyukasik, Oktay; Osmanoglu, C. Gokhan; Polat, Yilmaz; Kargici, Hulagu; Kaya, Gulay

    2005-01-01

    Abstract and Introduction Abstract The patient was a 38-year-old man. He had been suffering from hidradenitis suppurativa (HS) for approximately 20 years. He had active lesions at both axillas, hip, scrotum, and perineum, and inactive lesions located behind the ears, lower abdomen, and posterior neck. He was monitored and treated at different branches; he continuously used antibiotics and was given steroids at times. Antibiotic resistance developed subsequently. His general situation was bad; vital signs were poor; and he was in a state of sepsis and preshock, so this case was regarded as life-threatening. Total excision was performed first on the lesion at the right axilla, then on the lesion at the left axilla, and the parascapular fasciocutaneous flap was reversed. A skin graft was applied to the triangular defect on the scapula. No relapse occurred. Then the lesions at the hip were managed. Broad excision was used twice with the patient under general anesthesia; because the lesions spread to the retrococcygeal and gluteal muscles, coccyx resection and partial gluteal muscle resection were implemented. The defect was eliminated with a progressive flap. At the intergluteal sulcus, small lesions emerging at the median line were debrided with the patient under local anesthesia, and together with secondary recovery, the disease was completely managed. Lesions at the perineum and scrotum and at both inguinal areas were broadly excised and grafted. No lesion has relapsed so far. One year later, Hodgkin's lymphoma was diagnosed, and the patient was treated with chemoradiotherapy easily, because there was no infective focus. The disease is in remission now. The patient weighs 110 kg, is healthy, and is working again. Introduction HS is a disease that is characterized by intensive development of sclerosis due to abscess, sinus and fistula formation, and fibrosis as a result of a chronic infection of the apocrine sweat glands. The disease can be seen at the scrotum

  9. Successfull Management of a Life Threatening Cerebellar Haemorrhage Following Spine Surgery - A Case Report -

    OpenAIRE

    Pallud, Johan; Belaïd, Hayat; Aldea, Sorin

    2009-01-01

    Cerebellar haemorrhages are rare life-threatening complications following spine surgery that present challenges for their diagnostic and their therapeutic management. Their patho-physiology remains unclear. We report a case of a life-threatening cerebellar haemorrhage secondary to an occult dural tear following a planned L5-S1 laminectomy. The patient was treated with emergent external ventriculostomy following by a posterior fossa decompressive craniectomy. Cerebellar haemorrhages have to be...

  10. Comparison of psychological functioning in children and their mothers living through a life-threatening and non life-threatening chronic disease: A pilot study.

    Science.gov (United States)

    Graziano, Sonia; Rossi, Angela; Spano, Barbara; Petrocchi, Michela; Biondi, Gianni; Ammaniti, Massimo

    2016-06-01

    Childhood chronic illness is a potential source of distress and can be a traumatic experience both for the child and for the family. Several studies highlighted the importance of integrating psychosocial care and standard medical practice in the child's care. The current pilot study is the first investigation that compared distress in children and their mothers living through a life-threatening illness (cancer) and a non life-threatening (juvenile rheumatoid arthritis) chronic disease. Findings show that there are differences in the psychological functioning in children with respect to age. Moreover, the presence of posttraumatic stress symptoms in mothers of children with cancer seems to be a possible key to understanding the psychological response in this specific population. PMID:25561695

  11. Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences

    OpenAIRE

    Surita Fernanda G; Pinto e Silva João L; Passini Renato; Costa Maria L; Zanardi Dulce T; Silveira Carla; Pacagnella Rodolfo C; Camargo Rodrigo S; Haddad Samira M; Parpinelli Mary A; Souza João P; Cecatti Jose G; Sousa Maria H; Calderon Iracema MP; Say Lale

    2009-01-01

    Abstract Background It has been suggested that the study of women who survive life-threatening complications related to pregnancy (maternal near-miss cases) may represent a practical alternative to surveillance of maternal morbidity/mortality since the number of cases is higher and the woman herself is able to provide information on the difficulties she faced and the long-term repercussions of the event. These repercussions, which may include sexual dysfunction, postpartum depression and post...

  12. Enteral voriconazole induced hypoglycemia: A potentially life threatening complication

    Directory of Open Access Journals (Sweden)

    Tanmoy Ghatak

    2012-01-01

    Full Text Available Voriconazole is a newer effective antifungal agent currently available for the treatment of invasive aspergillosis. The case we present describes an episode of serious persistent hypoglycemia after voriconazole therapy and we believe that this strongly contributed to this event. It is a warning to all that voriconazole has a propensity to alter glucose homeostasis in the presence of kidney disturbance.

  13. Self-reported recognition of undiagnosed life threatening conditions in chiropractic practice: a random survey

    Directory of Open Access Journals (Sweden)

    Daniel Dwain M

    2012-07-01

    Full Text Available Abstract Background The purpose of this study was to identify the type and frequency of previously undiagnosed life threatening conditions (LTC, based on self-reports of chiropractic physicians, which were first recognized by the chiropractic physician. Additionally this information may have a preliminary role in determining whether chiropractic education provides the knowledge necessary to recognize these events. Methods The study design was a postal, cross-sectional, epidemiological self-administered survey. Two thousand Doctors of Chiropractic in the US were randomly selected from a list of 57878. The survey asked respondents to state the number of cases from the list where they were the first physician to recognize the condition over the course of their practice careers. Space was provided for unlisted conditions. Results The response rate was 29.9%. Respondents represented 11442 years in practice and included 3861 patients with a reported undiagnosed LTC. The most commonly presenting conditions were in rank order: carcinoma, abdominal aneurysm, deep vein thrombosis, stroke, myocardial infarction, subdural hematoma and a large group of other diagnoses. The occurrence of a previously undiagnosed LTC can be expected to present to the chiropractic physician every 2.5 years based on the responding doctors reports. Conclusion Based on this survey chiropractic physicians report encountering undiagnosed LTC’s in the normal course of practice. The findings of this study are of importance to the chiropractic profession and chiropractic education. Increased awareness and emphasis on recognition of LTC is a critical part of the education process and practice life.

  14. Knee Pain in Children, Part II: Limb- and Life-threatening Conditions, Hip Pathology, and Effusion.

    Science.gov (United States)

    Wolf, Michael

    2016-02-01

    On the basis of primarily consensus due to lack of relevant clinical studies, the most important evaluative step for knee pain is to identify any emergent conditions, including limb- and life-threatening disorders (septic arthritis, osteomyelitis, and malignancy), hip pathology, or conditions associated with effusions. (2)(3)(6)(8)(11)(13)(14) PMID:26834226

  15. Early onset life-threatening myelosuppression after low dose of intravesical thiotepa

    OpenAIRE

    Agnelli, Giancarlo; Gresele, Paolo; de Cunto, Maria; del Favero, Albano

    1982-01-01

    Intravesical instillation of thiotepa is a popular treatment for localized bladder carcinoma. The drug can enter the systemic circulation, and such absorption may be enhanced by extensive tumour infiltration or by a recent tumour resection. A case is reported of early onset life-threatening pancytopenia following an unusually low dose of the drug in a patient who had undergone a recent tumour resection.

  16. An extended family suddenly confronted with a life-threatening hereditary arrhythmia

    NARCIS (Netherlands)

    Hendriks, K.S.W.H.; Van Langen, I.M.; Van Tintelen, J.P.; Grosfeld, F.J.M.; Wilde, A.A.M.; Ten Kroode, H.F.J.

    2005-01-01

    Objective. This exploratory study serves to illustrate the psychological impact on an extended family in the process of genetic counselling and testing for a potentially life-threatening arrhythmia, the long-QT syndrome (LQTS). Method. All members of the third generation and their partners (n=11) we

  17. The Encounter With Life-Threatening Danger: Its Nature and Impact.

    Science.gov (United States)

    Noyes, Russell, Jr.

    1981-01-01

    A factor analysis of questionnaire responses from (N=189) victims of life-threatening accidents identified three dimensions of the altered state of consciousness produced by dangerous circumstances. These dimensions, included depersonalization, hyperalertness, and mystical consciousness, appeared meaningful in terms of the endangered personality's…

  18. Candida albicans-associated necrotizing vasculitis producing life-threatening gastrointestinal hemorrhage.

    LENUS (Irish Health Repository)

    Sargent, Jeremy

    2012-02-01

    Patients undergoing treatment of acute lymphoblastic leukemia are at risk for fungal infections including disseminated candidiasis. We describe a case of systemic Candida albicans infection associated with life-threatening gastrointestinal hemorrhage due to unusual necrotizing vasculitis involving the gastrointestinal tract. We explore the association between Candida and such vasculopathy.

  19. A life-threatening case of disseminated nocardiosis due to Nocardia brasiliensis

    Directory of Open Access Journals (Sweden)

    Elisabeth Paramythiotou

    2012-01-01

    Full Text Available Nocardiosis is a rare disease caused by infection with Nocardia species, aerobic actinomycetes with a worldwide distribution. A rare life-threatening disseminated Nocardia brasiliensis infection is described in an elderly, immunocompromised patient. Microorganism was recovered from bronchial secretions and dermal lesions, and was identified using molecular assays. Prompt, timely diagnosis and appropriate treatment ensured a favorable outcome.

  20. Preparing School Personnel to Assist Students with Life-Threatening Food Allergies.

    Science.gov (United States)

    Hay, Genevieve H.; And Others

    1994-01-01

    Knowledge of and preparation for life-threatening food allergies will enable school personnel to better respond to students who have severe allergic reactions. Given the high incidence of food-related anaphylaxis in public places, teachers and school personnel should be aware of and prepared to handle severe food allergy reactions. (SM)

  1. Can we identify patients at risk of life-threatening allergic reactions to food?

    Science.gov (United States)

    Turner, P J; Baumert, J L; Beyer, K; Boyle, R J; Chan, C-H; Clark, A T; Crevel, R W R; DunnGalvin, A; Fernández-Rivas, M; Gowland, M H; Grabenhenrich, L; Hardy, S; Houben, G F; O'B Hourihane, J; Muraro, A; Poulsen, L K; Pyrz, K; Remington, B C; Schnadt, S; van Ree, R; Venter, C; Worm, M; Mills, E N C; Roberts, G; Ballmer-Weber, B K

    2016-09-01

    Anaphylaxis has been defined as a 'severe, life-threatening generalized or systemic hypersensitivity reaction'. However, data indicate that the vast majority of food-triggered anaphylactic reactions are not life-threatening. Nonetheless, severe life-threatening reactions do occur and are unpredictable. We discuss the concepts surrounding perceptions of severe, life-threatening allergic reactions to food by different stakeholders, with particular reference to the inclusion of clinical severity as a factor in allergy and allergen risk management. We review the evidence regarding factors that might be used to identify those at most risk of severe allergic reactions to food, and the consequences of misinformation in this regard. For example, a significant proportion of food-allergic children also have asthma, yet almost none will experience a fatal food-allergic reaction; asthma is not, in itself, a strong predictor for fatal anaphylaxis. The relationship between dose of allergen exposure and symptom severity is unclear. While dose appears to be a risk factor in at least a subgroup of patients, studies report that individuals with prior anaphylaxis do not have a lower eliciting dose than those reporting previous mild reactions. It is therefore important to consider severity and sensitivity as separate factors, as a highly sensitive individual will not necessarily experience severe symptoms during an allergic reaction. We identify the knowledge gaps that need to be addressed to improve our ability to better identify those most at risk of severe food-induced allergic reactions. PMID:27138061

  2. Guidelines for Managing Life-Threatening Food Allergies in Massachusetts Schools

    Science.gov (United States)

    Sheetz, Anne H.; Goldman, Patricia G.; Millett, Kathleen; Franks, Jane C.; McIntyre, C. Lynne; Carroll, Constance R.; Gorak, Diane; Harrison, Christanne Smith; Carrick, Michele Abu

    2004-01-01

    During the past decade, prevalence of food allergies among children increased. Caring for children with life-threatening food allergies has become a major challenge for school personnel Prior to 2002, Massachusetts did not provide clear guidelines to assist schools in providing a safe environment for these children and preparing for an emergency…

  3. Use of thalidomide to diminish growth velocity in a life-threatening congenital intracranial hemangioma

    OpenAIRE

    Frei-Jones, Melissa; Robert C. McKinstry; Perry, Arie; Leonard, Jeffrey R.; Park, Tae Sung; Rubin, Joshua B.

    2008-01-01

    Infantile or capillary hemangioma is the most common vascular tumor of childhood. The tumors most frequently affect the head and neck area, but rare cases of intracranial lesions have been reported. Their natural history is marked by initial rapid growth velocity followed by a plateau and, in most cases, subsequent involution. Although the lesions are considered benign, 10% of affected children develop life-threatening complications (mortality rate 20–80% in this subgroup). When surgical inte...

  4. Early onset life-threatening myelosuppression after low dose of intravesical thiotepa

    Science.gov (United States)

    Agnelli, Giancarlo; Gresele, Paolo; de Cunto, Maria; del Favero, Albano

    1982-01-01

    Intravesical instillation of thiotepa is a popular treatment for localized bladder carcinoma. The drug can enter the systemic circulation, and such absorption may be enhanced by extensive tumour infiltration or by a recent tumour resection. A case is reported of early onset life-threatening pancytopenia following an unusually low dose of the drug in a patient who had undergone a recent tumour resection. PMID:6812036

  5. Life-threatening acute pneumonitis in mixed connective tissue disease: a case report and literature review.

    Science.gov (United States)

    Rath, Eva; Zandieh, Shahin; Löckinger, Alexander; Hirschl, Mirko; Klaushofer, Klaus; Zwerina, Jochen

    2015-10-01

    Mixed connective tissue disease (MCTD) is a rare connective tissue disease frequently involving the lungs. The main characteristic is a systemic sclerosis-like picture of slowly progressing interstitial lung disease consistent with lung fibrosis, while pulmonary arterial hypertension is rare. Herein, we present a case of a newly diagnosed MCTD patient developing life-threatening acute pneumonitis similar to lupus pneumonitis. Previous literature on this exceptionally rare complication of MCTD is reviewed and differential diagnosis and management discussed. PMID:26142172

  6. Life-threatening influenza and impaired interferon amplification in human IRF7 deficiency

    OpenAIRE

    Ciancanelli, Michael J.; Huang, Sarah X.L.; Luthra, Priya; Garner, Hannah; Itan, Yuval; Volpi, Stefano; Lafaille, Fabien G.; Trouillet, Céline; Schmolke, Mirco; Albrecht, Randy A; Israelsson, Elisabeth; Lim, Hye Kyung; Casadio, Melina; Hermesh, Tamar; Lorenzo, Lazaro

    2015-01-01

    Severe influenza disease strikes otherwise healthy children and remains unexplained. We report compound heterozygous null mutations in IRF7, which encodes the transcription factor interferon regulatory factor 7, in an otherwise healthy child who suffered life-threatening influenza during primary infection. In response to influenza virus, the patient’s leukocytes and plasmacytoid dendritic cells produced very little type I and III interferons (IFNs). Moreover, the patient’s dermal fibroblasts ...

  7. High frequency oscillatory ventilation as the most appropriate treatment for life threatening thoracic trauma

    OpenAIRE

    2012-01-01

    Acute respiratory failure is common in trauma patients and can be a threat to life in severe thoracic injury. We represent a case of severe respiratory failure after blunt thoracic injury with uncontrollable bleeding and massive air leak which was successfully managed with high frequency oscillatory ventilation. In our opinion high frequency oscillatory ventilation represent a safe and effective treatment of life threatening acute respiratory failure in trauma patients.

  8. A life-threatening respiratory complication of gastro-oesophageal reflux in a patient with tetraplegia.

    OpenAIRE

    Donald, I P; Gear, M. W.; Wilkinson, S P

    1987-01-01

    Recurrent attacks of life-threatening dyspnoea and choking occurred in a patient with tetraplegia. Conventional investigations for gastro-oesophageal reflux were normal, but 24-hour oesophageal pH recording revealed gross reflux in association with an attack of dyspnoea. Surgical correction of the reflux abolished the attacks. The possibility of autonomic dysreflexia as the mechanism linking reflux and respiratory symptoms in this patient is discussed.

  9. Maternal morbidity in Uganda : Studies on life-threatening pregnancy complcations in low-income settings

    OpenAIRE

    Okong, Pius

    2004-01-01

    Introduction: Life-threatening complications in pregnancy rarely achieves public health prominence in the same way as maternal mortality partly because they represent a wide spectrum of conditions. The improved level of care in many high-income countries has significantly reduced morbidity and risk of death from these conditions. However in low-income countries, such as Uganda, weak and poorly resourced health systems, socio -cultural factors and the threat by HIV/AIDS combi...

  10. APLASIA CUTIS CONGENITA SCALP PRESENTING WITH LIFE THREATENING HEMORRHAGE: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Farrukh Mahmood

    2012-01-01

    Full Text Available Aplasia cutis congenita is a rare congenital anomaly characterized by the absence of a patch of skin since birth. It may lead to life threatening complications at times. A 5-day-old neonate with Aplasia cutis congenita was received in a state of shock due to tremendous blood loss from the superior sagittal sinus. The neonate was resuscitated immediately followed by closure of the superior sagittal sinus and flap coverage to the defect as a life saving procedure.

  11. Case-control study of severe life threatening asthma (SLTA) in adults: psychological factors

    OpenAIRE

    KOLBE, J; Fergusson, W; Vamos, M; Garrett, J

    2002-01-01

    Background: Severe life threatening asthma (SLTA) is important in its own right and as a proxy for asthma death. In order to target hospital based intervention strategies to those most likely to benefit, risk factors for SLTA among those admitted to hospital need to be identified. Adverse psychological factors are purported risk factors for asthma death and SLTA /near fatal asthma. A study was undertaken to determine whether, in comparison with patients admitted to hospital with acute asthma,...

  12. Mammalian Target of Rapamycin Inhibitors and Life-Threatening Conditions in Tuberous Sclerosis Complex.

    Science.gov (United States)

    Moavero, Romina; Romagnoli, Gloria; Graziola, Federica; Curatolo, Paolo

    2015-12-01

    Tuberous sclerosis complex (TSC) is a multisystem disease associated with an overall reduction in life expectancy due to the possible occurrence of different life-threatening conditions. Subjects affected by TSC are, in fact, at risk of hydrocephalus secondary to the growth of subependymal giant cell astrocytomas, or of sudden unexpected death in epilepsy. Other nonneurological life-threatening conditions include abdominal bleeding owing to renal angiomyolipomas rupture, renal insufficiency due to progressive parenchymal destruction by multiple cysts, pulmonary complications due to lymphangioleiomyomatosis, and cardiac failure or arrhythmias secondary to rhabdomyomas. In the last decades, there has been a great progress in understanding the pathophysiology of TSC-related manifestations, which are mainly linked to the hyperactivation of the so-called mammalian target of rapamycin (mTOR) pathway, as a consequence of the mutation in 1 of the 2 genes TSC1 or TSC2. This led to the development of new treatment strategies for this disease. In fact, it is now available as a biologically targeted therapy with everolimus, a selective mTOR inhibitor, which has been licensed in Europe and USA for the treatment of subependymal giant cell astrocytomas and angiomyolipomas in subjects with TSC. This drug also proved to benefit other TSC-related manifestations, including pulmonary lymphangioleiomyomatosis, cardiac rhabdomyomas, and presumably epileptic seizures. mTOR inhibitors are thus proving to be a systemic therapy able to simultaneously address different and potentially life-threatening complications, giving the hope of improving life expectation in individuals with TSC. PMID:26706015

  13. Life-threatening false alarm rejection in ICU: using the rule-based and multi-channel information fusion method.

    Science.gov (United States)

    Liu, Chengyu; Zhao, Lina; Tang, Hong; Li, Qiao; Wei, Shoushui; Li, Jianqing

    2016-08-01

    False alarm (FA) rates as high as 86% have been reported in intensive care unit monitors. High FA rates decrease quality of care by slowing staff response times while increasing patient burdens and stresses. In this study, we proposed a rule-based and multi-channel information fusion method for accurately classifying the true or false alarms for five life-threatening arrhythmias: asystole (ASY), extreme bradycardia (EBR), extreme tachycardia (ETC), ventricular tachycardia (VTA) and ventricular flutter/fibrillation (VFB). The proposed method consisted of five steps: (1) signal pre-processing, (2) feature detection and validation, (3) true/false alarm determination for each channel, (4) 'real-time' true/false alarm determination and (5) 'retrospective' true/false alarm determination (if needed). Up to four signal channels, that is, two electrocardiogram signals, one arterial blood pressure and/or one photoplethysmogram signal were included in the analysis. Two events were set for the method validation: event 1 for 'real-time' and event 2 for 'retrospective' alarm classification. The results showed that 100% true positive ratio (i.e. sensitivity) on the training set were obtained for ASY, EBR, ETC and VFB types, and 94% for VTA type, accompanied by the corresponding true negative ratio (i.e. specificity) results of 93%, 81%, 78%, 85% and 50% respectively, resulting in the score values of 96.50, 90.70, 88.89, 92.31 and 64.90, as well as with a final score of 80.57 for event 1 and 79.12 for event 2. For the test set, the proposed method obtained the score of 88.73 for ASY, 77.78 for EBR, 89.92 for ETC, 67.74 for VFB and 61.04 for VTA types, with the final score of 71.68 for event 1 and 75.91 for event 2. PMID:27454710

  14. [Pre-hospital management of adults with life-threatening emergencies].

    Science.gov (United States)

    Wattel, Francis; Dubois, François

    2012-01-01

    In France, acute life-threatening situations are handled by the French Secours a Personne (assistance to persons) and emergency medical facilities. An unequivocal success, this early management of life-threatening emergency situations relies upon centralized call reception, medical dispatching, and immediate on-site emergency medical care. We describe the different emergency care providers and steps involved in the response to emergency situations. Each call centre (Samu, phone number 15; Sapeurs-Pompiers, 18) provides a response tailored to the nature of incoming calls for assistance. A check-list of grounds for an "automatic response" by the SDIS (Service Départemental d'Incendie et de Secours--the French fire brigade) is in use, ensuring that firefighters are often the first on the spot, while the knowledge and skills of the dispatching physician are essential to ascertain the patient's needs, to preserve life and vital functions, and to ensure the patient is sent to the appropriate emergency healthcare facility. In life-threatening emergency situations, patients must be brought straight to the appropriate reference emergency healthcare facility, as quickly as possible, without prior admittance to an emergency department. This is the procedure for extremely acute emergency situations in the following areas: trauma (multiple trauma and/or uncontrolled bleeding, spinal cord trauma), delivery bleeding, other life-threatening situations such as ischemic heart disease, cardiac arrest (sudden death), cerebrovascular stroke and ensuing brain damage, some acute respiratory situations such as anaphylactic shock, foreign-body inhalation, electrocution, drowning, drug overdose, certain forms of poisoning, and conditions requiring initial hyperbaric oxygen (diving accidents, acute carbon monoxide and smoke poisoning). The reasons for suboptimal emergency care in life-threatening situations are currently a major issue, with medical facilities being reduced in some areas

  15. Life-threatening ACE inhibitor-induced angio-oedema successfully treated with icatibant

    DEFF Research Database (Denmark)

    Ostenfeld, Sarah; Bygum, Anette; Rasmussen, Eva Rye

    2015-01-01

    We present a case of a 75-year-old woman treated with an ACE inhibitor, who presented with angio-oedema of the tongue and had difficulty speaking. No symptoms of anaphylaxis or urticaria were present. The patient was treated intravenously with antihistamine and glucocorticoid in combination....... Although the angio-oedema was potentially life threatening, the patient avoided intubation and mechanical ventilation. ACE inhibitor-induced angio-oedema is most likely caused by an accumulation of bradykinin and substance P. Consequently, a bradykinin receptor antagonist is the rational treatment...

  16. A pediatric case of life-threatening airway obstruction caused by a cervicomediastinal thymic cyst

    Energy Technology Data Exchange (ETDEWEB)

    Komura, Makoto; Kanamori, Yutaka; Sugiyama, Masahiko; Iwanaka, Tadashi [University of Tokyo Hospital, Department of Pediatric Surgery, Tokyo (Japan); Fukushima, Noriyoshi [University of Tokyo Hospital, Department of Pathology, Tokyo (Japan)

    2010-09-15

    Most patients with thymic cysts complain of a slowly enlarging, asymptomatic cervical mass. Only 6-10% suffer dysphagia, dyspnoea, stridor, cervical pain or vocal paralysis. In some rare cases sudden onset of severe dyspnoea or asphyxia is the first symptom, especially in neonates and small infants. We report a unique case of a 20-month-old child, who required emergency tracheal intubation due to asphyxia. Cervicomediastinal thymic cyst might need to be included in causes of life-threatening airway obstruction in young children. (orig.)

  17. Life Threatening, Allopurinol-related Dress Syndrome as a Rare Cause of Fever of Unknown Origin.

    Science.gov (United States)

    Civardi, Giuseppe; Zanlari, Luca; Bassi, Emanuele; Zangrandi, Adriano; Maria Cesinaro, Anna; Nosseir, Sofia; De Maria, Nicola

    2015-01-01

    Drug reaction eosinophilia with systemic symptoms (DRESS) syndrome is a potentially life threatening condition secondary to the usage of a wide type of drugs. A 38-year-old woman under allopurinol therapy for hyperuricemia was admitted in our department with fever and a diffuse cutaneous erythematous eruption. A few days after admission she developed rapidly progressive signs of acute liver and kidney failure. Subsequently, her clinical conditions shortly improved. The histologic findings obtained from skin and liver biopsies were consistent with a toxic drug reaction. The patient completely recovered and has been healthy for five years. PMID:26278306

  18. High-pressure cornstarch inhalation--a rare but life-threatening occupational injury.

    Science.gov (United States)

    Stromps, Jan-Philipp; Demir, Erhan; Pallua, Norbert

    2010-08-01

    Cornstarch is a white, taste- and odorless powder widely used for food processing, papermaking, production of industrial adhesives, and is also a component of many cosmetic products. We herein report a case of severe cornstarch inhalation in a 49-year-old male who was exposed to high amounts of cornstarch powder while unloading a cornstarch transporter system. To our knowledge this is the first report on a high-pressure cornstarch inhalation during occupational activities. This report demonstrates the initial clinical situation, the patient's symptoms, and the severe clinical course. Finally the problems during the management of this rare but life-threatening accident are discussed. PMID:20507256

  19. Life threatening severe Influenza A Virus (H1N1) infection in Pregnancy

    OpenAIRE

    Patil, Harsha V.; Patil, Virendra C.; Vaibhav Agrawal

    2012-01-01

    H1N1 influenza is an emerging threat that is life threatening to pregnant women in the third trimester. Pregnant women are a high-risk group for morbidity and mortality from influenza (H1N1). During the current pandemic of H1N1 influenza, few cases of H1N1 have been reported in pregnancy. We report a case of H1N1 influenza in a 23-year old female with 28 weeks of gestation, who developed acute respiratory distress syndrome, required mechanical ventilation and eventually recovered.

  20. [Importation of rare but life-threatening and highly contagious diseases. Current situation and outlook].

    Science.gov (United States)

    Burchard, G D

    2015-10-01

    Internists should expect to be the first contact for patients with rare, but highly contagious, life-threatening illnesses. Although certainly not encountered often, it is associated with significant consequences. Thus, physicians should be familiar with viral hemorrhagic fevers: filoviruses cause Ebola and Marburg fever, arenaviruses cause Lassa fever and South American hemorrhagic fevers, and the bunyaviruses cause among others Crimean-Congo hemorrhagic fever. Furthermore, physicians should be familiar with highly contagious respiratory infections, such as hantavirus pulmonary syndrome, pneumonic plague, and Middle East respiratory syndrome (MERS). PMID:26391557

  1. Severely handicapped infants with life-threatening conditions: federal intrusions into the decision not to treat.

    Science.gov (United States)

    Huefner, D S

    1986-01-01

    In recent years the federal government has attempted to intervene in certain family-medical decisions to withhold treatment from seriously handicapped newborns with life-threatening conditions. Invoking section 504 of the Rehabilitation Act of 1973, which prohibits discrimination against "otherwise qualified handicapped" individuals, the Reagan Administration promulgated regulations allowing federal government investigations of such decisions. Recently, the U.S. Supreme Court upheld lower court decisions invalidating these "Baby Doe" regulations. The federal government's fall-back position is reflected in the Child Abuse Prevention and Treatment Amendments of 1984, requiring states accepting funds under the Child Abuse Prevention and Treatment Act to establish and maintain procedures to assure that cases of medical neglect of handicapped infants are investigated by the states. Although the primary oversight of parental decision-making has been returned to the states where it has traditionally belonged, the federal government's definition of medical neglect of handicapped infants with life-threatening conditions is an ethically inadequate response to the complex needs of the handicapped child, the family, the medical profession, and society as a whole. After examining the relevance of Kantian, utilitarian, and Rawlsian ethical positions, the author contends that an effective governmental policy, capable of enforcement and acceptance by the public, must utilize the strengths of each philosophy and reflect the pragmatism of American society. PMID:2964778

  2. Embolization of Life-Threatening Arterial Rupture in Patients with Vascular Ehlers–Danlos Syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Okada, Takuya, E-mail: okabone@gmail.com [Assistance Publique des Hôpitaux de Paris, Georges Pompidou European Hospital, Interventional Radiology Department (France); Frank, Michael, E-mail: michael.frank@egp.aphp.fr [Assistance Publique des Hôpitaux de Paris, Georges Pompidou European Hospital, Rare Vascular Diseases Reference Center (France); Pellerin, Olivier, E-mail: olivier@pellerin.as; Primio, Massimiliano Di, E-mail: massimiliano.di.primio@gmail.com; Angelopoulos, Georgios, E-mail: giorginos78@msn.com [Assistance Publique des Hôpitaux de Paris, Georges Pompidou European Hospital, Interventional Radiology Department (France); Boughenou, Marie-Fazia, E-mail: marie-fazia.boughenou@egp.aphp.fr [Assistance Publique des Hôpitaux de Paris, Georges Pompidou European Hospital, Anesthesia and Surgical Intensive Care Unit (France); Pagny, Jean-Yves, E-mail: jean-yves.pagny@egp.aphp.fr [Assistance Publique des Hôpitaux de Paris, Georges Pompidou European Hospital, Interventional Radiology Department (France); Messas, Emmanuel, E-mail: emmanuel.messas@egp.aphp.fr [Assistance Publique des Hôpitaux de Paris, Georges Pompidou European Hospital, Rare Vascular Diseases Reference Center (France); Sapoval, Marc, E-mail: marc.sapoval2@egp.aphp.fr [Assistance Publique des Hôpitaux de Paris, Georges Pompidou European Hospital, Interventional Radiology Department (France)

    2013-05-09

    PurposeTo evaluate the safety and efficacy of transarterial embolization of life-threatening arterial rupture in patients with vascular Ehlers–Danlos syndrome (vEDS) in a single tertiary referral center.MethodsWe retrospectively analyzed transarterial embolization for vEDS performed at our institution from 2000 to 2012. The indication of embolization was spontaneous arterial rupture or pseudoaneurysm with acute bleeding. All interventions used a percutaneous approach through a 5F or less introducer sheath. Embolic agents were microcoils and glue in 3 procedures, glue alone in 2, and microcoils alone in 2.ResultsFive consecutive vEDS patients were treated by 7 embolization procedures (4 women, mean age 29.8 years). All procedures were successfully performed. Two patients required a second procedure for newly arterial lesions at a different site from the first procedure. Four of the five patients were still alive after a mean follow-up of 19.4 (range 1–74.7) months. One patient died of multiple organ failure 2 days after procedure. Minor procedural complications were observed in 3 procedures (43 %), all directly managed during the same session. Remote arterial lesions occurred after 3 procedures (43 %); one underwent a second embolization, and the other 2 were observed conservatively. Puncture site complication was observed in only one procedure (14 %).ConclusionEmbolization for vEDS is a safe and effective method to manage life-threatening arterial rupture.

  3. Mutations in SCN4A: a rare but treatable cause of recurrent life-threatening laryngospasm.

    Science.gov (United States)

    Singh, Rahul R; Tan, S Veronica; Hanna, Michael G; Robb, Stephanie A; Clarke, Antonia; Jungbluth, Heinz

    2014-11-01

    Laryngospasm is a rare but potentially life-threatening occurrence in infants and usually has infective, allergic, metabolic, or anatomic causes. Underlying genetic conditions are rarely considered. Mutations in SCN4A encoding the voltage-gated sodium channel NaV1.4 have been implicated in a wide spectrum of neuromuscular disorders with variable onset, ranging from a rare form of congenital myasthenic syndrome to both hypokalemic and hyperkalemic forms of periodic paralysis and paramyotonia congenita. Here we report on 3 unrelated patients without family history presenting with recurrent, life-threatening episodes of laryngospasm from the first months of life. Clinical features more typically associated with SCN4A-related disorders such as generalized muscle hypertrophy with clinical or electrical myotonia evolved later in life. All patients were found to be heterozygous for the same SCN4A mutation, c.3917G>A; p.Gly1306Glu. Treatment with carbamazepine resulted in complete abolition of recurrent laryngospasm and alleviated symptoms associated with myotonia and muscle stiffness. We conclude that SCN4A mutations ought to be considered in the differential diagnosis of recurrent infantile laryngospasm because timely institution of treatment can be life-saving. PMID:25311598

  4. Evento com aparente risco de morte recorrente como manifestação inicial de síndrome miastênica congênita Evento con aparente riesgo de muerte recurrente como manifestación inicial de síndrome miasténico congénito Recurrent apparent life-threatening event as the first manifestation of congenital myasthenia

    OpenAIRE

    Mariana Tresoldi das N. Romaneli; Carla Cristina T. de S. Castro; Fraga, Andrea de Melo A.; Elizete Aparecida Lomazi; Anamarli Nucci; Antonia Teresinha Tresoldi

    2013-01-01

    OBJETIVO: Alertar os pediatras sobre a necessidade de investigar criteriosamente a etiologia de eventos com aparente risco de morte recorrente. Não foram encontrados relatos associando tais eventos à miastenia congênita. DESCRIÇÃO DO CASO: Lactente de sete meses apresentando história de eventos com aparente risco de morte recorrente foi internado para investigação. Durante a internação, apresentou cianose e dispneia progressiva, com necessidade de ventilação mecânica por três dias. Após a mel...

  5. Does Time Really Slow Down during a Frightening Event?

    OpenAIRE

    Stetson, Chess; Fiesta, Matthew P.; Eagleman, David M.

    2007-01-01

    Observers commonly report that time seems to have moved in slow motion during a life-threatening event. It is unknown whether this is a function of increased time resolution during the event, or instead an illusion of remembering an emotionally salient event. Using a hand-held device to measure speed of visual perception, participants experienced free fall for 31 m before landing safely in a net. We found no evidence of increased temporal resolution, in apparent conflict with the fact that pa...

  6. The Event Detection and the Apparent Velocity Estimation Based on Computer Vision

    Science.gov (United States)

    Shimojo, M.

    2012-08-01

    The high spatial and time resolution data obtained by the telescopes aboard Hinode revealed the new interesting dynamics in solar atmosphere. In order to detect such events and estimate the velocity of dynamics automatically, we examined the estimation methods of the optical flow based on the OpenCV that is the computer vision library. We applied the methods to the prominence eruption observed by NoRH, and the polar X-ray jet observed by XRT. As a result, it is clear that the methods work well for solar images if the images are optimized for the methods. It indicates that the optical flow estimation methods in the OpenCV library are very useful to analyze the solar phenomena.

  7. The new data about the anomalously delayed events apparent on the Tien Shan shower installation

    International Nuclear Information System (INIS)

    The Tien Shan shower installation arranged at the altitude 3,340 meters above sea level and consisting from the neutron monitor HM64 and different detectors was essentially upgraded with the purpose of learning dependence of intensity of fission particles of a extensive atmospheric shower (EAS) from depth of an absorbent and their nature. For finding out of re-productivity results and uptake abnormal components of EAS in an atmosphere at the altitude 1,700 meters above sea level the new point of recording is built, that consists of the neutron monitor and detector of recording EPC. The obtained data confirm a made earlier about existence in a blanket stream of abnormal events with the delayed time-shared neutral and charged components

  8. Severe Life Threatening Maxillofacial Infection in Pregnancy Presented as Ludwig's Angina

    Directory of Open Access Journals (Sweden)

    M. Franklin Dolwick

    2006-08-01

    Full Text Available Background. Ludwig's angina is a rapidly spreading cellulitis that may produce upper airway obstruction often leading to death. There is very little published information regarding this condition in the pregnant patient. Case. A 24-year old black female was admitted at 26 weeks gestation with tooth pain, submandibular swelling, severe trismus, and dysphagea, consistent with Ludwig's angina. Her treatment included emergent tracheostomy, incision and drainage of associated spaces, teeth extraction, and antibiotic therapy. Conclusions. During a life threatening infectious situation such as the one described, risks of maternal and fetal morbidity include both septicemia and asphyxia. Furthermore, the healthcare provider must consider the risks that the condition and the possible treatments may cause the mother and her unborn child.

  9. Life-threatening intoxication with methylene bis(thiocyanate: clinical picture and pitfalls. A case report

    Directory of Open Access Journals (Sweden)

    Schnuelle Peter

    2006-04-01

    Full Text Available Abstract Background Methylene bis(thiocyanate (MBT is a microbiocidal agent mainly used in industrial water cooling systems and paper mills as an inhibitor of algae, fungi, and bacteria. Case presentation We describe the first case of severe intoxication following inhalation of powder in an industrial worker. Profound cyanosis and respiratory failure caused by severe methemoglobinemia developed within several minutes. Despite immediate admission to the intensive care unit, where mechanical ventilation and hemodialysis for toxin elimination were initiated, multi-organ failure involving liver, kidneys, and lungs developed. While liver failure was leading, the patient was successfully treated with the MARS (molecular adsorbent recirculating system procedure. Conclusion Intoxication with MBT is a potentially life-threatening intoxication causing severe methemoglobinemia and multi-organ failure. Extracorporeal liver albumin dialysis (MARS appears to be an effective treatment to allow recovery of hepatic function.

  10. Infectious disease. Life-threatening influenza and impaired interferon amplification in human IRF7 deficiency.

    Science.gov (United States)

    Ciancanelli, Michael J; Huang, Sarah X L; Luthra, Priya; Garner, Hannah; Itan, Yuval; Volpi, Stefano; Lafaille, Fabien G; Trouillet, Céline; Schmolke, Mirco; Albrecht, Randy A; Israelsson, Elisabeth; Lim, Hye Kyung; Casadio, Melina; Hermesh, Tamar; Lorenzo, Lazaro; Leung, Lawrence W; Pedergnana, Vincent; Boisson, Bertrand; Okada, Satoshi; Picard, Capucine; Ringuier, Benedicte; Troussier, Françoise; Chaussabel, Damien; Abel, Laurent; Pellier, Isabelle; Notarangelo, Luigi D; García-Sastre, Adolfo; Basler, Christopher F; Geissmann, Frédéric; Zhang, Shen-Ying; Snoeck, Hans-Willem; Casanova, Jean-Laurent

    2015-04-24

    Severe influenza disease strikes otherwise healthy children and remains unexplained. We report compound heterozygous null mutations in IRF7, which encodes the transcription factor interferon regulatory factor 7, in an otherwise healthy child who suffered life-threatening influenza during primary infection. In response to influenza virus, the patient's leukocytes and plasmacytoid dendritic cells produced very little type I and III interferons (IFNs). Moreover, the patient's dermal fibroblasts and induced pluripotent stem cell (iPSC)-derived pulmonary epithelial cells produced reduced amounts of type I IFN and displayed increased influenza virus replication. These findings suggest that IRF7-dependent amplification of type I and III IFNs is required for protection against primary infection by influenza virus in humans. They also show that severe influenza may result from single-gene inborn errors of immunity. PMID:25814066

  11. Life-threatening influenza and impaired interferon amplification in human IRF7 deficiency

    Science.gov (United States)

    Ciancanelli, Michael J.; Huang, Sarah X. L.; Luthra, Priya; Garner, Hannah; Itan, Yuval; Volpi, Stefano; Lafaille, Fabien G.; Trouillet, Céline; Schmolke, Mirco; Albrecht, Randy A.; Israelsson, Elisabeth; Lim, Hye Kyung; Casadio, Melina; Hermesh, Tamar; Lorenzo, Lazaro; Leung, Lawrence W.; Pedergnana, Vincent; Boisson, Bertrand; Okada, Satoshi; Picard, Capucine; Ringuier, Benedicte; Troussier, Françoise; Chaussabel, Damien; Abel, Laurent; Pellier, Isabelle; Notarangelo, Luigi D.; García-Sastre, Adolfo; Basler, Christopher F.; Geissmann, Frédéric; Zhang, Shen-Ying; Snoeck, Hans-Willem; Casanova, Jean-Laurent

    2015-01-01

    Severe influenza disease strikes otherwise healthy children and remains unexplained. We report compound heterozygous null mutations in IRF7, which encodes the transcription factor interferon regulatory factor 7, in an otherwise healthy child who suffered life-threatening influenza during primary infection. In response to influenza virus, the patient’s leukocytes and plasmacytoid dendritic cells produced very little type I and III interferons (IFNs). Moreover, the patient’s dermal fibroblasts and induced pluripotent stem cell (iPSC)–derived pulmonary epithelial cells produced reduced amounts of type I IFN and displayed increased influenza virus replication. These findings suggest that IRF7-dependent amplification of type I and III IFNs is required for protection against primary infection by influenza virus in humans. They also show that severe influenza may result from single-gene inborn errors of immunity. PMID:25814066

  12. Premenstrual Exacerbation of Life-Threatening Asthma: Effect of Gonadotrophin Releasing Hormone Analogue Therapy

    Directory of Open Access Journals (Sweden)

    Alun L Edwards

    1996-01-01

    Full Text Available Variability in the severity of asthma during various phases of the menstrual cycle has been frequently suspected. However, the hormonal changes that might affect mediators of bronchospasm have yet to be elucidated. The case of a 41-year-old woman suffering from longstanding asthma with life-threatening exacerbations is reported. The patient was treated with buserelin, a gonadotropin releasing hormone (GnRH analogue, which created a temporary chemical menopause and thus permitted diagnosis of a premenstrual exacerbation of asthma and offered insight into potential therapy. GnRH analogues may therefore be of value in assessing women with severe asthma suspected to vary with the menstrual cycle. The addition of estrogens and progestins at the same time as treatment with GnRH analogue may be of value in determining the role of these hormones in the pathogenesis of menstrually related exacerbations of asthma.

  13. [Toxoplasma infection, a rare but life-threatening complication after kidney transplantation: report of two cases].

    Science.gov (United States)

    Jugant, Sébastien; Pernin, Vincent; Vetromile, Fernando; Garrigue, Valérie; Delmas, Sylvie; Szwarc, Ilan; Sterkers, Yvon; Mourad, Georges

    2013-02-01

    Toxoplasma infection is uncommon after renal transplantation. As a result, Toxoplasma gondii is often missed from the list of microbial agents which may be responsible of an infectious complication after renal transplantation. However, establishing this diagnosis is very important because toxoplasmosis can be life-threatening in an immunocompromised host, particularly when the diagnosis is too delayed. Here we report two cases of severe toxoplasmosis after renal transplantation. In the first case, primary infection transmitted by a cat developed in a seronegative recipient five years after renal transplantation. In the second case, reactivation of latent infection developed in a seropositive recipient 9 months after transplantation. In both cases, systematic screening for Toxoplasma gondii using polymerase chain reaction (PCR) in biological fluids was essential to suggest the diagnosis. Both recipients rapidly recovered after institution of antiparasitic therapy. PMID:23059352

  14. Thyrotoxic periodic paralysis in a Saudi patient complicated by life-threatening arrhythmia

    International Nuclear Information System (INIS)

    Thyrotoxic periodic paralysis (TPP) is rare in non-Orientals, and sporadic case reports were reported world-wide. Eight cases were reported in Arabs, including 3 Saudis. We present an additional case of TPP in a 38-year-old Saudi man, and review the literature on TPP in Arabs. Our patient presented with complete flaccid quadriplegia, 5 weeks after he was diagnosed with Graves' disease that was treated with carbimazole and propranolol. He was hyperthyroid, and his potassium was extremely low (1.5 mmol/L). During initial evaluation in the emergency room, he developed transient asystole manifested by syncope. He was resuscitated and his hypokalemia was corrected, and he had a full recovery. This case emphasizes the notion that TPP can occur in patients of any ethnic background. The development of serious cardiac complications in our patient underscores the importance of early and correct diagnosis of this potentially life-threatening complication of hyperthyroidism. (author)

  15. Endoclipping treatment of life-threatening rectal bleeding after prostate biopsy

    Institute of Scientific and Technical Information of China (English)

    Panagiotis Katsinelos,; Jannis Kountouras,; Georgios Dimitriadis,; Grigoris Chatzimavroudis,; Christos Zavos,; Ioannis Pilpilidis,; George Paroutoglou,; George Germanidis,; Kostas Mimidis

    2009-01-01

    Rectal bleeding is frequently seen in patients undergoing transrectal ultrasound (TRUS)-guided multiple biopsy of the prostate, but is usually mild and stops spontaneously. We report what is believed to be the first case of life-threatening rectal bleeding following this procedure, which was successfully treated by endoscopic intervention through placement of three clips on the sites of bleeding. This case emphasizes endoscopic intervention associated with endoclipping as a safe and effective method to achieve hemostasis in massive rectal bleeding after prostate biopsy. Additionally, current data on the complications of the TRUS-guided multiple biopsy of the prostate and the options for treating fulminant rectal bleeding, a consequence of this procedure, are described.

  16. Life threatening biphasic adverse reactions to desmopressin: case report and review of the literature.

    Science.gov (United States)

    Wang, Lijun; Chen, Ruijun; Tian, Fang; Wang, Wei; Wang, Li; Yu, Baojun; Huang, Xianwen; Zhang, Yuehui; Su, Shengyuan; Ma, Guangnian; Wang, Kaichen

    2016-08-01

    Treatment with desmopressin diacetate arginine vasopressin (DDAVP) and its withdrawal are associated with side effects. We present a rare case of severe biphasic adverse reactions induced by DDAVP and its withdrawal in a 63-year-old female patient. A lump in the left axillary region was biopsied, and she received DDAVP after surgery. The following day, she lost consciousness, with foaming at the mouth and seizures. Hypotonic encephalopathy was considered. DDAVP was ceased, and she received electrolytes. On day 1, she displayed low blood pressure and increased urine output. She received DDAVP and dopamine as well as electrolytes. The patient was ambulatory on day 7 and was discharged without brain abnormalities on MRI. In conclusion, severe hyponatremia induced by DDAVP and massive polyuria and hypovolemic shock induced by DDAVP withdrawal are life-threatening conditions. This case underlines the need to be vigilant when administering DDAVP and to monitor for any side effects. PMID:27142268

  17. Diffuse Alveolar Hemorrhage: A Rare Life-Threatening Condition in Systemic Lupus Erythematosus

    Directory of Open Access Journals (Sweden)

    Ravi Paul Singh Virdi

    2012-01-01

    Full Text Available Diffuse alveolar hemorrhage (DAH is a rare life-threatening complication in systemic lupus erythematosus (SLE associated with high mortality rates. DAH is more common in women, and mean age of onset is around 30 years. It mostly occurs in patients with established diagnosis of SLE but can be the initial presentation of lupus in approximately 20%. DAH should be suspected in lupus patient presenting with new pulmonary infiltrates, decline in hemoglobin, hemoptysis, dyspnea, hypoxemia, and increase in carbon monoxide diffusion capacity. Radiographic evidence of bilateral pulmonary alveolar infiltrates that are usually perihilar or basilar with sparing of apices is seen. DAH can often mimic clinically and radiologically severe pneumonia or ARDS. Treatment includes high-dose corticosteroids, cyclophosphamide, and plasmapheresis. We report a case of diffuse alveolar hemorrhage complicating SLE flare-up in a male patient.

  18. Life-threatening coagulopathy and hypofibrinogenaemia induced by tigecycline in a patient with advanced liver cirrhosis.

    Science.gov (United States)

    Rossitto, Giacomo; Piano, Salvatore; Rosi, Silvia; Simioni, Paolo; Angeli, Paolo

    2014-06-01

    Bacterial infections because of multidrug-resistant (MDR) bacteria are spreading worldwide. In patients with advanced liver cirrhosis, healthcare-acquired and hospital-acquired infections are common and are frequently sustained by MDR bacteria. In these settings, tigecycline, a new antibiotic, has been shown to be useful in the treatment of MDR bacteria, and it has been proposed for the treatment of hospital-acquired infections in patients with cirrhosis. Nevertheless, poor data exist on the safety profile of tigecycline in patients with cirrhosis. Here, an experience is reported in a female patient with advanced liver cirrhosis, who developed sepsis by an MDR Stenotrophomonas maltophilia and was treated with tigecycline. She experienced life-threatening side effects consisting of severe coagulopathy with hypofibrinogenaemia and subsequent gastrointestinal haemorrhage. The side effect disappeared after the withdrawal of tigecycline. Therefore, a strict monitoring of coagulation parameters in patients with cirrhosis treated with tigecycline is recommended. PMID:24667348

  19. Genome-wide association of implantable cardioverter-defibrillator activation with life-threatening arrhythmias.

    Directory of Open Access Journals (Sweden)

    Sarah S Murray

    Full Text Available OBJECTIVES: To identify genetic factors that would be predictive of individuals who require an implantable cardioverter-defibrillator (ICD, we conducted a genome-wide association study among individuals with an ICD who experienced a life-threatening arrhythmia (LTA; cases vs. those who did not over at least a 3-year period (controls. BACKGROUND: Most individuals that receive implantable cardioverter-defibrillators never experience a life-threatening arrhythmia. Genetic factors may help identify who is most at risk. METHODS: Patients with an ICD and extended follow-up were recruited from 34 clinical sites with the goal of oversampling those who had experienced LTA, with a cumulative 607 cases and 297 controls included in the analysis. A total of 1,006 Caucasian patients were enrolled during a time period of 13 months. Arrhythmia status of 904 patients could be confirmed and their genomic data were included in the analysis. In this cohort, there were 704 males, 200 females, and the average age was 73.3 years. We genotyped DNA samples using the Illumina Human660 W Genotyping BeadChip and tested for association between genotype at common variants and the phenotype of having an LTA. RESULTS AND CONCLUSIONS: We did not find any associations reaching genome-wide significance, with the strongest association at chromosome 13, rs11856574 at P = 5×10⁻⁶. Loci previously implicated in phenotypes such as QT interval (measure of the time between the start of the Q wave and the end of the T wave as measured by electrocardiogram were not found to be significantly associated with having an LTA. Although powered to detect such associations, we did not find common genetic variants of large effect associated with having a LTA in those of European descent. This indicates that common gene variants cannot be used at this time to guide ICD risk-stratification. TRIAL REGISTRATION: ClinicalTrials.gov NCT00664807.

  20. The emergency department ECG and immediately life-threatening complications in initially uncomplicated suspected myocardial ischemia.

    Science.gov (United States)

    Zalenski, R J; Sloan, E P; Chen, E H; Hayden, R F; Gold, I W; Cooke, D

    1988-03-01

    The emergency physician's disposition of patients with suspected myocardial ischemia is currently debated; some physicians believe that a subgroup of patients can be managed safely outside the coronary care unit. Clinical predictors are needed in assessing the patient with suspected myocardial ischemia to help identify this subgroup. Through a retrospective cohort study, we investigated the value of the initial emergency department ECG in discriminating between chest pain patients with low and high risk for immediately life-threatening complications. Two hundred eleven initially uncomplicated consecutive coronary care unit admissions with suspected unstable angina or myocardial infarction were studied. Patient outcome, including the incidence of myocardial infarction, complications, and mechanical and pharmacologic interventions, was reviewed. Immediately life-threatening complications included ventricular fibrillation, ventricular tachycardia, shock, 2 degrees and 3 degrees block, and death. Mechanical interventions included electrocardioversion or defibrillation, endotracheal intubation, intra-aortic balloon pump, Swan-Ganz catheter, or pacemaker insertion. Pressors, antiarrhythmics, and vasodilators were the reviewed pharmacologic interventions. A positive ECG was defined by the presence of ST elevation or depression, T wave inversion, left ventricular hypertrophy, left bundle branch block, paced rhythm, or new Q waves. All other ECG interpretations were considered negative. Patients were divided into two groups based on this initial emergency physician ECG interpretation and their complication incidences compared. Of the 211 patients, 96 had a positive ECG; 115 had negative ECGs. Patients with positive ECGs were older, had a greater history and concurrent incidence of myocardial infarction, and more complications and intensive interventions.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:3345014

  1. Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences

    Directory of Open Access Journals (Sweden)

    Surita Fernanda G

    2009-09-01

    Full Text Available Abstract Background It has been suggested that the study of women who survive life-threatening complications related to pregnancy (maternal near-miss cases may represent a practical alternative to surveillance of maternal morbidity/mortality since the number of cases is higher and the woman herself is able to provide information on the difficulties she faced and the long-term repercussions of the event. These repercussions, which may include sexual dysfunction, postpartum depression and posttraumatic stress disorder, may persist for prolonged periods of time, affecting women's quality of life and resulting in adverse effects to them and their babies. Objective The aims of the present study are to create a nationwide network of scientific cooperation to carry out surveillance and estimate the frequency of maternal near-miss cases, to perform a multicenter investigation into the quality of care for women with severe complications of pregnancy, and to carry out a multidimensional evaluation of these women up to six months. Methods/Design This project has two components: a multicenter, cross-sectional study to be implemented in 27 referral obstetric units in different geographical regions of Brazil, and a concurrent cohort study of multidimensional analysis. Over 12 months, investigators will perform prospective surveillance to identify all maternal complications. The population of the cross-sectional component will consist of all women surviving potentially life-threatening conditions (severe maternal complications or life-threatening conditions (the maternal near miss criteria and maternal deaths according to the new WHO definition and criteria. Data analysis will be performed in case subgroups according to the moment of occurrence and determining cause. Frequencies of near-miss and other severe maternal morbidity and the association between organ dysfunction and maternal death will be estimated. A proportion of cases identified in the cross

  2. No apparent superluminal motion in the first-known jetted tidal disruption event Swift J1644+5734

    CERN Document Server

    Yang, J; Gurvits, L I; Campbell, R M; Giannios, D; An, T; Komossa, S

    2016-01-01

    The first-known tidal disruption event (TDE) with strong evidence for a relativistic jet -- based on extensive multi-wavelength campaigns -- is Swift J1644+5734. In order to directly measure the apparent speed of the radio jet, we performed very long baseline interferometry (VLBI) observations with the European VLBI network (EVN) at 5 GHz. Our observing strategy was to identify a very nearby and compact radio source with the real-time e-EVN, and then utilise this source as a stationary astrometry reference point in the later five deep EVN observations. With respect to the in-beam source FIRST J1644+5736, we have achieved a statistical astrometric precision about 12 micro-arcsecond (68 % confidence level) per epoch. This is one of the best phase-referencing measurements available to date. No proper motion has been detected in the Swift J1644+5734 radio ejecta. We conclude that the apparent average ejection speed between 2012.2 and 2015.2 was less than 0.3c with a confidence level of 99 %. This tight limit is d...

  3. Life-threatening angio-oedema after the first dose of an ACE inhibitor-not an anaphylactic reaction

    DEFF Research Database (Denmark)

    Krogh Nielsen, Troels; Bygum, Anette; Rye Rasmussen, Eva

    2016-01-01

    We present a case of a 60-year-old Caucasian woman, with no prior history of swellings, who was admitted to a hospital due to life-threatening angio-oedema. She had, the previous day, been prescribed an ACE inhibitor for her essential hypertension. She had taken one tablet at night-time, and awoke...

  4. Trends in a Life Threatening Condition: Morbid Obesity in Dutch, Turkish and Moroccan Children in The Netherlands

    NARCIS (Netherlands)

    Dommelen, P. van; Schönbeck, Y.; Buuren, S. van; Hirasing, R.

    2014-01-01

    Background: Morbid obesity can be a life threatening condition. The aim of our study is to assess the trend in morbid obesity in The Netherlands among children of Dutch origin since 1980, and among children of Turkish and Moroccan origin since 1997. Methods and Findings: Cross-sectional height and w

  5. Trends in a life threatening condition : Morbid obesity in Dutch, Turkish and Moroccan children in the Netherlands

    NARCIS (Netherlands)

    Van Dommelen, Paula; Schönbeck, Yvonne; Van Buuren, Stef; HiraSing, Remy A.

    2014-01-01

    Background: Morbid obesity can be a life threatening condition. The aim of our study is to assess the trend in morbid obesity in The Netherlands among children of Dutch origin since 1980, and among children of Turkish and Moroccan origin since 1997. Methods and Findings: Cross-sectional height and w

  6. Awareness about a Life-Threatening Condition: Ectopic Pregnancy in a Network for Surveillance of Severe Maternal Morbidity in Brazil

    OpenAIRE

    Edilberto Alves Rocha Filho; Danielly Scaranello Santana; Jose Guilherme Cecatti; Maria Laura Costa; Samira Maerrawe Haddad; Mary Angela Parpinelli; Maria Helena de Sousa; Rodrigo Soares Camargo; Rodolfo de Carvalho Pacagnella; Fernanda Garanhani Surita; Joao Luiz Pinto e Silva

    2014-01-01

    Objective. To assess occurrence of severe maternal complications associated with ectopic pregnancy (EP). Method. A multicenter cross-sectional study was conducted, with prospective surveillance of potentially life-threatening conditions (PLTC), maternal near miss (MNM), and maternal death (MD). EP complications, patient sociodemographic/obstetric characteristics, and conditions of severity management were assessed, estimating prevalence ratios with respective 95% CI. Factors independently ass...

  7. Near-death-like experiences without life-threatening conditions or brain disorders: a hypothesis from a case report

    Directory of Open Access Journals (Sweden)

    ChristianAgrillo

    2012-11-01

    This is a report on a case with most of the features typical of NDEs except that it occurred entirely without any life-threatening conditions. This evidence is theoretically incompatible with either of the above hypotheses, suggesting that a broader interpretation of the phenomenon is needed.

  8. [A Case of Life-Threatening Angioedema Occurred During Prolonged Angiotensin-Converting Enzyme Inhibitor Treatment].

    Science.gov (United States)

    Nakamura, Rintaro; Nihei, Shun-Ichi; Arai, Hideaki; Nagata, Keiji; Isa, Yasuki; Harayama, Nobuya; Aibara, Keiji; Kamochi, Msayuki

    2016-03-01

    Although angiotensin-converting enzyme (ACE) inhibitors are widely used as the first choice drug for treating hypertension, we have only a superficial understanding of their relationship to angioedema. We report a case of life-threatening angioedema. The case was a 60-year-old man who had been taking an ACE inhibitor for hypertension for 11 years. He visited his home doctor for dyspnea, and tongue and neck swelling. He was transported to our hospital because of the possibility of airway obstruction. On admission, his tongue and neck swelling became more severe. We performed an intubation using an endoscope and started airway management. We also stopped his ACE inhibitor. The severe tongue and neck swelling improved gradually and he was extubated on day 3. On the fifth day he was discharged. We diagnosed angioedema caused by an ACE inhibitor. Although the risk of airway obstruction with ACE inhibitors is acknowledged, we have only a superficial understanding of how prolonged ACE inhibitor treatment induces angioedema. So we should consider angioedema in cases of taking ACE inhibitors, especially in cases of prolonged treatment. PMID:26972946

  9. Treatment of life-threatening hypercapnia with isoflurane in an infant with status asthmaticus.

    Science.gov (United States)

    Masuda, Yoshiki; Tatsumi, Hiroomi; Goto, Kyoko; Imaizumi, Hitoshi; Yoshida, Shin-ichiro; Kimijima, Tomohiko; Yamakage, Michiaki

    2014-08-01

    We encountered a 2-year-old child with life-threatening hypercapnia, with a PaCO(2) of 238 mm Hg and severe respiratory and metabolic acidosis, due to status asthmaticus that was refractory to steroid and bronchodilator therapy. Suspecting ventilatory failure and excessive ventilation-induced obstructive shock, we started respiratory physiotherapy in synchrony with her respiration, to facilitate exhalation from her over-inflated lungs. Isoflurane inhalation was commenced in preparation for extracorporeal circulation, to reduce the hypercapnia. The combination of respiratory physiotherapy and isoflurane inhalation resulted in a rapid decrease in ventilatory resistance and PaCO(2) levels within a few minutes, with recovery of consciousness within 60 min. Isoflurane inhalation was gradually discontinued and steroid and aminophylline therapy were commenced. The patient recovered completely without any recurrence of her bronchospasm and without any residual neurological deficits. In our patient with a severe asthmatic attack, decreased exhalation secondary to asthma and overventilation during artificial ventilation resulted in overinflation of the lungs, which in turn led to cerebral edema and obstructive cardiac failure. The favorable outcome in this case was due to the short duration of hypercapnia. Hence, we conclude that the duration of hypercapnia is an important determinant of the morbidity and mortality of status asthmaticus-induced severe hypercapnia. PMID:24310852

  10. Pulmonary hemorrhage complicating radiofrequency ablation, from mild hemoptysis to life-threatening pattern

    Energy Technology Data Exchange (ETDEWEB)

    Nour-Eldin, Nour-Eldin A.; Naguib, Nagy N.N.; Mack, Martin; Abskharon, John E.; Vogl, Thomas J. [Johann Wolfgang Goethe-University Hospital, Institute for Diagnostic and Interventional Radiology, Frankfurt am Main (Germany)

    2011-01-15

    To assess risk factors and the extent of pulmonary hemorrhage complicating radiofrequency ablation (RFA) of pulmonary neoplasms. This retrospective study involved 248 ablation sessions for lung tumors (20 primary lesions and 228 metastatic lesions) in 164 patients (mean age 59.7 years, SD: 10.2). Both unipolar and bipolar radiofrequency systems were used under CT fluoroscopic guidance. Extent and underlying factors associated with development of pulmonary hemorrhage were analyzed. Incidence of intra-parenchymal pulmonary hemorrhage, pleural effusion, and hemoptysis were 17.7% (44/248 sessions), 4% (8/248 sessions), and 16.1% (40/248 sessions), respectively. Death because of massive bleeding occurred in one session (0.4%). Significant risk factors associated with intra-parenchymal hemorrhage included: lesions of <1.5 cm diameter (P = 0.007); basal and middle lung zone lesions (P = 0.026); increased needle track distance traversing the lung parenchyma >2.5 cm (P = 0.0017); traversing pulmonary vessels in the track of ablation (P < 0.001); and the use of multi-tined electrodes (P = 0.004). Concomitant incidence of pulmonary hemorrhage and pneumothorax was 29.2% (14/48 sessions). While typically safe, RFA of pulmonary neoplasms can result in pulmonary hemorrhage ranging from mild to life-threatening. Management of this complication is mainly preventive through adequate patient selection for ablation therapy and exclusion of technically avoidable risk factors. (orig.)

  11. Inhaled and intravenous treatment in acute severe and life-threatening asthma.

    Science.gov (United States)

    Sellers, W F S

    2013-02-01

    Management of life-threatening acute severe asthma in children and adults may require anaesthetic and intensive care. The inhaled route for drug delivery is not appropriate when only small respiratory gas volumes are shifted; the i.v. route may be associated with greater side-effects. Magnesium sulphate i.v. has a place in acute asthma management because it is a mild bronchodilator, and has a stabilizing effect on the atria which may attenuate tachycardia occurring after inhaled and i.v. salbutamol. If intubation and ventilation are required, a reduction in bronchoconstriction by any means before and during these procedures should reduce morbidity. This narrative review aims to show strengths and weakness of the evidence, present controversies, and forward opinions of the author. The review contains a practical guide to the setting up, use and efficiency of nebulizers, metered dose inhalers, and spacers (chambers). It also presents a commonsense approach to the management of severe asthmatics in whom delay in bronchodilatation would cause clinical deterioration. When self-inhaled agents have had no effect, i.v. drugs may help avoid intubation and ventilation. The review includes suggestions for the use of inhaled anaesthetics, anaesthetic induction, and brief notes on subsequent ventilation of the lungs. PMID:23234642

  12. A glucagon analog chemically stabilized for immediate treatment of life-threatening hypoglycemia.

    Science.gov (United States)

    Chabenne, Joseph; Chabenne, Maria Dimarchi; Zhao, Yan; Levy, Jay; Smiley, David; Gelfanov, Vasily; Dimarchi, Richard

    2014-06-01

    For more than half a century glucagon has been used as a critical care medicine in the treatment of life-threatening hypoglycemia. It is commercially supplied as a lyophilized powder intended to be solubilized in dilute aqueous hydrochloric acid immediately prior to administration. We have envisioned a "ready-to-use" glucagon as a drug of more immediate and likely use. Through a series of iterative changes in the native sequence we have identified glucagon analogs of appreciably enhanced aqueous solubility at physiological pH, and of chemical stability suitable for routine medicinal use. The superior biophysical properties were achieved in part through adjustment of the isoelectric point by use of a C-terminal Asp-Glu dipeptide. The native glutamines at positions 3, 20 and 24 as well as the methionine at 27 were substituted with amino acids of enhanced chemical stability, as directed by a full alanine scan of the native hormone. Of utmost additional importance was the dramatically enhanced stability of the peptide when Ser16 was substituted with alpha,aminoisobutyric acid (Aib), a substitution that stabilizes peptide secondary structure. The collective set of changes yield glucagon analogs of comparable in vitro and in vivo biological character to native hormone but with biophysical properties much more suitable for clinical use. PMID:24749059

  13. Spontaneous bacterial peritonitis: How to deal with this life-threatening cirrhosis complication?

    Directory of Open Access Journals (Sweden)

    Tarsila CR Ribeiro

    2008-07-01

    Full Text Available Tarsila CR Ribeiro1, Julio MF Chebli2, Mario Kondo1, Pedro Duarte Gaburri3, Liliana Andrade Chebli2, Ana Cristina Amaral Feldner11Division of Gastroenterology, Department of Medicine of University Federal de São Paulo, UNIFESP, EPM, São Paulo, São Paulo, Brazil; 2Division of Gastroenterology, Department of Medicine of University Federal de Juiz de Fora, UFJF, Juiz de Fora, Minas Gerais, Brazil; 3Liver Unit Coordinator of Santa Casa de Misericórdia de Juiz de Fora, Minas Gerais, BrazilAbstract: Spontaneous bacterial peritonitis (SBP is one of the most common and life-threatening complications of cirrhosis. It occurs in 10% to 30% of patients admitted to hospital and recent studies tend to demonstrate that SBP incidence seems to be decreasing in its frequency. A bacterial overgrowth with translocation through the increased permeable small intestinal wall and impaired defense mechanisms is considered to be the main mechanism associated with its occurrence. The Gram-negative aerobic bacteria are the major responsible for SBP episodes and Gram-positive bacteria, mainly Staphylococcus aureus, are being considered an emergent agent causing SBP. The prompt diagnosis of SBP is the key factor for reduction observed in mortality rates in recent years. The clinical diagnosis of SBP is neither sensitive nor specific and the search for new practical and available tools for a rapid diagnosis of SBP is an important endpoint of current studies. Reagent strips were considered a promising and faster way of SBP diagnosis. The prompt use of empirical antibiotics, mostly cefotaxime, improves significantly the short-term prognosis of cirrhotic patients with SBP. The recurrence rate of SBP is high and antibiotic prophylaxis has been recommended in high-risk settings. Unfortunately, the long-term prognosis remains poor.Keywords: cirrhosis, ascites, diagnosis, peritonitis, treatment

  14. Life-threatening hyperkalemia following zoledronic acid infusion for Paget's disease: a case report

    Directory of Open Access Journals (Sweden)

    Naysmith Morag

    2011-08-01

    Full Text Available Abstract Introduction Zoledronic acid is a highly effective treatment in Paget's disease for persistent bone pain and prevention of further progression of the disease. The commonest electrolyte abnormality is hypocalcemia. To the best of our knowledge this is the first case of hyperkalemia secondary to zoledronic acid to be published in the world literature. The commonest arrhythmia related to zoledronic acid is atrial fibrillation. Case presentation We describe the case of an 80-year-old Caucasian man, with a history of ischemic heart disease, who had an in-hospital cardiac arrest related to hyperkalemia. Increasing potassium levels were noted following his first zoledronic acid infusion for symptomatic control of bone pain secondary to Paget's disease. Our patient suffered a cardiac arrest 10 days following the zoledronic acid infusion. Our patient's biochemistry and electrocardiogram output were monitored until his death 26 days after his cardiac arrest. Our patient developed paroxysmal atrial fibrillation in the post-resuscitation period and there was persistent hyperkalemia that required prolonged treatment with calcium resonium. All other possible causes of hyperkalemia were excluded. Conclusion In our patient's case persistent hyperkalemia and life-threatening arrhythmias were associated with use of zoledronic acid. These side effects have not been reported before and the causative mechanism is far from clear as there are no obvious systemic effects of zoledronic acid. The combination of zoledronic acid with predisposing factors such as structural heart disease might account for the clinical picture we witnessed. As a result, electrolyte monitoring should be adopted early in zoledronic acid use. Further studies are required to elucidate the underlying mechanism of hyperkalemia and identify the target group of patients where zoledronic acid can be safely administered. Great caution is advised in patients with underlying heart conditions.

  15. Novel biomarkers for risk stratification and identification of life-threatening cardiovascular disease: troponin and beyond.

    Science.gov (United States)

    Razzouk, Louai; Fusaro, Mario; Esquitin, Ricardo

    2012-05-01

    Chest pain and other symptoms that may represent acute coronary syndromes (ACS) are common reasons for emergency department (ED) presentations, accounting for over six million visits annually in the United States [1]. Chest pain is the second most common ED presentation in the United States. Delays in diagnosis and inaccurate risk stratification of chest pain can result in serious morbidity and mortality from ACS, pulmonary embolism (PE), aortic dissection and other serious pathology. Because of the high morbidity, mortality, and liability issues associated with both recognized and unrecognized cardiovascular pathology, an aggressive approach to the evaluation of this patient group has become the standard of care. Clinical history, physical examination and electrocardiography have a limited diagnostic and prognostic role in the evaluation of possible ACS, PE, and aortic dissection, so clinicians continue to seek more accurate means of risk stratification. Recent advances in diagnostic imaging techniques particularly computed-tomography of the coronary arteries and aorta, have significantly improved our ability to diagnose life-threatening cardiovascular disease. In an era where health care utilization and cost are major considerations in how disease is managed, it is crucial to risk-stratify patients quickly and efficiently. Historically, biomarkers have played a significant role in the diagnosis and risk stratification of several cardiovascular disease states including myocardial infarction, congestive heart failure, and pulmonary embolus. Multiple biomarkers have shown early promise in answering questions of risk stratification and early diagnosis of cardiovascular pathology however many do not yet have wide clinical availability. The goal of this review will be to discuss these novel biomarkers and describe their potential role in direct patient care. PMID:22708908

  16. Life-threatening bleeding from peristomal varices after cystoprostatectomy: multimodal approach in a cirrhotic, encephalopathic patient with severe portal hypertension.

    Science.gov (United States)

    Staubli, Sergej E L; Gramann, Tobias; Schwab, Christoph; Semela, David; Hechelhammer, Lukas; Engeler, Daniel S; Schmid, Hans-Peter; Abt, Dominik; Mordasini, Livio

    2015-01-01

    The bleeding of peristomal varices due to a portosystemic shunt is rare but potentially life-threatening in cirrhotic patients with portal hypertension. The scarce case reports in the literature recommend transjugular intrahepatic portosystemic shunt (TIPS) to prevent further bleeding. We report on a 72-year-old man who was referred to our hospital because of life-threatening bleeding from peristomal varices, three years after radical cystoprostatectomy for invasive bladder cancer. CT imaging showed liver cirrhosis with a prominent portosystemic shunt leading to massively enlarged peristomal varices. TIPS was taken into consideration, but not possible due to hepatic encephalopathy (HE). Medical therapy with lactulose and the nonselective beta-blocker carvedilol was initiated to treat HE and portal hypertension. In a second step, the portosystemic shunt was percutaneously embolized. Here, we present a multimodal approach to treat intractable bleeding from peristomal varices in a patient with ileal conduit urinary diversion, not suitable for TIPS. PMID:25709851

  17. Transvaginal Oocyte Retrieval Complicated by Life-Threatening Obturator Artery Haemorrhage and Managed by a Vessel-Preserving Technique.

    Science.gov (United States)

    Bolster, Ferdia; Mocanu, Edgar; Geoghegan, Tony; Lawler, Leo

    2014-01-01

    We report the case of a 36-year-old woman with secondary infertility who underwent routine transvaginal oocyte retrieval as part of IVF treatment. Four days following the procedure she presented with life threatening haemorrhagic shock. She underwent surgical laparotomy followed by CT and selective angiography, which demonstrated haemorrhage from a pseudoaneurysm of the obturator artery. The haemorrhage was successfully managed endovascularly with a vessel preserving covered stent. PMID:25484463

  18. Barriers to emergency obstetric care services: accounts of survivors of life threatening obstetric complications in Malindi District, Kenya

    OpenAIRE

    Echoka, Elizabeth; Makokha, Anselimo; Dubourg, Dominique; Kombe, Yeri; Nyandieka, Lillian; Byskov, Jens

    2014-01-01

    Introduction Pregnancy-related mortality and morbidity in most low and middle income countries can be reduced through early recognition of complications, prompt access to care and appropriate medical interventions following obstetric emergencies. We used the three delays framework to explore barriers to emergency obstetric care (EmOC) services by women who experienced life threatening obstetric complications in Malindi District, Kenya. Methods A facility-based qualitative study was conducted ...

  19. Non-invasive tools for the diagnosis of potentially life-threatening gynaecological emergencies : a systematic review

    OpenAIRE

    Viola Polena; Cyrille Huchon; Catalina Varas Ramos; Roman Rouzier; Alexandre Dumont; Arnaud Fauconnier

    2015-01-01

    Objective To identify non- invasive tools for diagnosis of the major potentially life-threatening gynaecological emergencies (G-PLEs) reported in previous studies, and to assess their diagnostic accuracy. Methods MEDLINE; EMBASE; Cochrane Central Register of Controlled Trials (CENTRAL; The Cochrane Library) were searched to identify all eligible studies published in English or French between January 1990 and December 2012. Studies were considered eligible if they were primary diagnostic studi...

  20. Life threatening intracerebral haemorrhage following saw- scaled viper (Echis carinatus) envenoming-authenticated case report from Sri Lanka

    OpenAIRE

    Fonseka, Chathuranga Lakmal; jeevagan, Vijayabala; Gnanathasan, Christeine Ariaranee

    2013-01-01

    Background Echis carinatus (Saw scaled viper {SSV}) is a venomous snake found in the parts of Middle East and Central Asia. SSV envenoming is characterized by local swelling and coagulopathy. Various bleeding manifestations are commonly seen with SSV envenoming. In contrast to other part of Asia, saw scale viper envenoming has not been reported to cause life threatening haemorrhagic manifestations in Sri Lanka. Case presentation We report a 19 years old healthy boy who developed massive left ...

  1. Life- threatening hemothorax due to the inferior pulmonary ligament injury without obvious organ injuries: a case report

    OpenAIRE

    Kim, Jae Jun; Kim, Yong Hwan; Choi, Si Young; Jeong, Seong Cheol; Moon, Seok Whan

    2015-01-01

    Traumatic hemothorax is usually associated with obvious organ injuries, such as rib fractures, pulmonary injuries, and other mediastinal injuries. We present a rare case in which a 42-year- old Korean man who fell off of a roof, approximately 3 meters in height, resulting in a life-threatening hemothorax without obvious injuries to the thoracic organs. Chest CT showed a large amount of hemothorax in the right side of the thoracic cavity, and an active bleeding, presumably from the posterior i...

  2. Transarterial microcatheter glue embolization of the bronchial artery for life-threatening hemoptysis: Technical and clinical results

    Energy Technology Data Exchange (ETDEWEB)

    Baltacioglu, Feyyaz [Marmara University School of Medicine, Department of Radiology, Istanbul (Turkey)], E-mail: fbaltaci@yahoo.com; Cimsit, Nuri Cagatay [Marmara University School of Medicine, Department of Radiology, Istanbul (Turkey)], E-mail: cagataycimsit@gmail.com; Bostanci, Korkut [Marmara University School of Medicine, Department of Thoracic Surgery, Istanbul (Turkey)], E-mail: kbostanci@marmara.edu.tr; Yueksel, Mustafa [Marmara University School of Medicine, Department of Thoracic Surgery, Istanbul (Turkey)], E-mail: myuksel@marmara.edu.tr; Kodalli, Nihat [Marmara University School of Medicine, Department of Radiology, Istanbul (Turkey)], E-mail: nihatkodalli@yahoo.com

    2010-02-15

    Objectives: To report our experience with transarterial glue embolization of the bronchial artery for life-threatening hemoptysis. Materials and methods: Twenty-five patients underwent bronchial artery embolization, using coaxial microcatheter technique, with a liquid agent, n-butyl-2-cyanoacrylate (NBCA), named glue, for life-threatening hemoptysis. The technical and clinical outcomes were followed in terms of immediate control of bleeding, recurrence of hemoptysis and complications of the procedure. Results: Four patients had acute hemoptysis when they were evaluated. The average number of arteries embolized per patient was 2.9. BAEs were successful in controlling hemoptysis immediately in all 25 patients (100%) and in 24 patients (96%) at 1 month follow-ups. One patient had recurrent hemoptysis on the tenth day after embolization. The follow-up time ranged from 2 to 63 months (mean 14 months). Six patients (25%) died all as a result of their disease process. Bleeding recurred in 3 patients after 30 days (7th, 11th, 12th months). One patient had vomitting attacks with dysphagia after the procedure that lasted 24 h. Three patients had transient thoracic pain lasting 3-5 days. There were no procedure related spinal or vascular complications. Conclusions: Glue embolization with microcatheter technique is a safe and effective treatment in cases of life-threatening hemoptysis with a very high rate of success and low rate of complications.

  3. Deficient supplies of drugs for life threatening diseases in an African community

    Directory of Open Access Journals (Sweden)

    Andrew Marit

    2007-06-01

    Full Text Available Abstract Background In Malawi essential drugs are provided free of charge to patients at all public health facilities in order to ensure equitable access to health care. The country thereby spends about 30% of the national health budget on drugs. In order to investigate the level of drug shortages and eventually find the reasons for the drugs shortages in Malawi, we studied the management of the drug supplies for common and life threatening diseases such as pneumonia and malaria in a random selection of health centres. Methods In July and August 2005 we visited eight out of a total of 37 health centres chosen at random in the Lilongwe District, Malawi. We recorded the logistics of eight essential and widely used drugs which according to the treatment guidelines should be available at all health centres. Five drugs are used regularly to treat pneumonia and three others to treat acute malaria. Out-of-stock situations in the course of one year were recorded retrospectively. We compared the quantity of each drug recorded on the Stock Cards with the actual stock of the drug on the shelves at the time of audit. We reviewed 8,968 Patient Records containing information on type and amount of drugs prescribed during one month. Results On average, drugs for treating pneumonia were out of stock for six months during one year of observation (median value 167 days; anti-malarial drugs were lacking for periods ranging from 42 to138 days. The cross-sectional audit was even more negative, but here too the situation was more positive for anti-malarial drugs. The main reason for the shortage of drugs was insufficient deliveries from the Regional Medical Store. Benzyl penicillin was in shortest supply (4% received. The median value for non-availability was 240 days in the course of a year. The supply was better for anti-malarial drugs, except for quinine injections (9 %. Only 66 % of Stock Card records of quantities received were reflected in Patient Records

  4. Clinical risk factors for life-threatening lower respiratory tract infections in children: a retrospective study in an urban city in Malaysia.

    Directory of Open Access Journals (Sweden)

    Anna Marie Nathan

    Full Text Available AIM: Lower respiratory tract infections (LRTIs are an important cause of morbidity and mortality, especially in low income countries. The aim of this study was to determine risk factors of life-threatening LRTIs in hospitalised children in Malaysia. METHODS: This retrospective study included children aged less than 18 years admitted for LRTIs over 13 months in a tertiary referral centre in Kuala Lumpur, Malaysia. Neonates, children with asthma and those with either no or a normal chest radiograph were excluded. Life-threatening infection was defined as that needing non-invasive ventilation or admission to the paediatric intensive care unit. Routine blood investigations and nasopharyngeal secretion results (bacterial and viral were obtained. Chest radiographs were reviewed by a designated radiologist. Environmental data (rainfall, particulate matter ≤ 10 µm [PM10] and air pollution index [API] was obtained from the respective government departments. RESULTS: Three hundred and ninety-one episodes of LRTIs were included. Viruses were implicated in 48.5% of LRTIs, with respiratory syncytial virus (RSV being detected in 44% of viral LRTIs. Forty-six (11.8% children had life-threatening disease and the overall mortality rate was 1.3% (5 children. RSV was detected in 26% of children with life-threatening LRTIs. In multivariate logistic regression, chronic lung disease, presenting history of apnoea and signs of hypoxia, was associated with life threatening LRTIs. Increased LRTI admissions were associated with low rainfall but not PM10 nor API. Of those on follow-up, 39% had persistent respiratory symptoms. CONCLUSION: One in nine children admitted with LRTI had a life-threatening LRTI. The aetiology was viral in almost half of admitted children. RSV was detected in a quarter of children with life-threatening LRTIs. Children who present with LRTIs and either have chronic lung disease, presenting history of apnoea or signs of hypoxia, should be

  5. Life-threatening rupture of a renal angiomyolipoma in a patient taking over-the-counter horse chestnut seed extract.

    LENUS (Irish Health Repository)

    Snow, Aisling

    2011-02-09

    BACKGROUND: Alternative medical therapies are increasingly being prescribed due to their good safety profile and perceived limited side effects. They are often unregulated and prescribed over the counter. One such medication is horse chestnut seed extract (HCSE), which is used for the treatment of chronic venous insufficiency and is known to affect blood coagulation. Angiomyolipoma (AML) is a benign fat-containing mesenchymal tumor of the kidney. It is often found incidentally and in most cases can be managed conservatively. Rupture of the kidney with hemorrhage is a well-known complication that may be serious and life-threatening. Known risk factors for hemorrhage include anticoagulation as well as pregnancy, increased size of the lesion, high lesion vascularity, and aneurysm formation within the tumor. OBJECTIVES: The aim is to raise awareness of potential HCSE-induced anticoagulation, including, as in the case presented, acute renal AML hemorrhage. CASE REPORT: The case of a patient taking HCSE for venous insufficiency is presented. The patient suffered a life-threatening rupture of the kidney in the presence of known renal AML. She underwent emergency embolization with a successful outcome. Because HCSE-containing products are thought to be generally safe in the treatment of chronic venous insufficiency, it is important to be mindful of their potential anticoagulant properties and, therefore, their relative contraindication both in patients taking other anticoagulants and those with known renal AML. CONCLUSION: We demonstrate a potentially life-threatening association between HSCE-containing products and renal AML, highlighting the risk associated with HSCE-induced anticoagulation.

  6. Trends in a Life Threatening Condition: Morbid Obesity in Dutch, Turkish and Moroccan Children in The Netherlands

    OpenAIRE

    van Dommelen, P; Schönbeck, Y.; van Buuren, S.; Hirasing, R.

    2014-01-01

    Background: Morbid obesity can be a life threatening condition. The aim of our study is to assess the trend in morbid obesity in The Netherlands among children of Dutch origin since 1980, and among children of Turkish and Moroccan origin since 1997. Methods and Findings: Cross-sectional height and weight data of children of Dutch, Turkish and Moroccan origin aged 2- 18 years were selected from three national Dutch Growth Studies performed in 1980, 1997 and 2009 (n = 54,814). Extended internat...

  7. Hypertension and Life-Threatening Bleeding in Children with Relapsed Acute Myeloblastic Leukemia Treated with FLT3 Inhibitors.

    Science.gov (United States)

    Yılmaz Karapınar, Deniz; Karadaş, Nihal; Önder Siviş, Zühal; Balkan, Can; Kavaklı, Kaan; Aydınok, Yeşim

    2015-09-01

    Experiences with new multikinase inhibitors are limited, especially in children. In this report we summarize our experience with 2 patients with relapsed acute myeloblastic leukemia (AML), one with FMS-like tyrosine kinase-3-internal tandem duplication mutation and the other with a single base mutation (D835Y). Both patients received sorafenib, one for 19 days and the other for 42 days, with clofarabine-including chemotherapy. One additionally received sunitinib for a total of 20 days. Both patients developed severe pancytopenia, hypertension, life-threatening bleedings from the gastrointestinal system, and, finally, intrapulmonary hemorrhage. Although both reached severe aplasia of the bone marrow without blastic infiltration, death occurred with neutropenic sepsis. PMID:25912283

  8. Hypertension and Life-Threatening Bleeding in Children with Relapsed Acute Myeloblastic Leukemia Treated with FLT3 Inhibitors

    Directory of Open Access Journals (Sweden)

    Deniz Yılmaz Karapınar

    2015-09-01

    Full Text Available Experiences with new multikinase inhibitors are limited, especially in children. In this report we summarize our experience with 2 patients with relapsed acute myeloblastic leukemia (AML, one with FMS-like tyrosine kinase-3-internal tandem duplication mutation and the other with a single base mutation (D835Y. Both patients received sorafenib, one for 19 days and the other for 42 days, with clofarabine-including chemotherapy. One additionally received sunitinib for a total of 20 days. Both patients developed severe pancytopenia, hypertension, life-threatening bleedings from the gastrointestinal system, and, finally, intrapulmonary hemorrhage. Although both reached severe aplasia of the bone marrow without blastic infiltration, death occurred with neutropenic sepsis.

  9. Acute life-threatening arrhythmias caused by severe hyperkalemia after induction of anesthesia in an infant with methylmalonic acidemia.

    Science.gov (United States)

    Chao, Pei-Wen; Chang, Wen-Kuei; Lai, I-Wen; Liu, Chinsu; Chan, Kwok-Hon; Tsao, Cheng-Ming

    2012-05-01

    Methylmalonic acidemia (MMA) is a very rare genetic disease of metabolism that progressively leads to neurological and renal sequelae. This report describes an unusual case of a patient with MMA who developed severe hyperkalemia and severe dysrhythmia during anesthesia. A 13-month-old male infant with MMA underwent urgent insertion of a port-a-cath under general anesthesia. A life-threatening arrhythmia suddenly occurred, with severe hyperkalemia (up to 7.4 mmol/L), immediately following induction of anesthesia. Emergent resuscitation was successfully carried out, with a complete neurological recovery after 7 days after surgery. Although MMA is a rare complication, the possibility of severe hyperkalemia should be considered in the differential diagnosis of patients with MMA presenting with wide QRS complex tachycardia. The management and intraoperative complications of this disorder are reported here, and the available literature is reviewed. PMID:22632992

  10. Life-threatening colonic hemorrhage in Crohn`s disease: angiographic appearance; Angiographische Diagnostik einer lebensbedrohlichen Kolonblutung bei Morbus Crohn

    Energy Technology Data Exchange (ETDEWEB)

    Muhr, T.; Lenglinger, F.X.; Froehler, W.; Meindl, S.; Spoettl, A. [Allgemeines oeffentliches Krankenhaus der Barmherzigen Schwestern vom Heiligen Kreuz, Wels (Austria). Inst. Radiologie I; Allinger, S. [Allgemeines oeffentliches Krankenhaus der Barmherzigen Schwestern vom Heiligen Kreuz, Wels (Austria). Abt. Interne I; Balon, R. [Allgemeines oeffentliches Krankenhaus der Barmherzigen Schwestern vom Heiligen Kreuz, Wels (Austria). Inst. Pathologie I

    1997-09-01

    Life-threatening colonic hemorrhage is a very rare condition in Crohn`s disease. Lower gastroinstestinal hemorrhage in Crohn`s disease occurs in 0.6-2.5% of cases. In a patient presenting with severe gastrointestinal bleeding after ileocolectomy, mesenteric angiography provided precise localisation of the bleeding site in the area of the splenic flexure. (orig.) [Deutsch] Lebensbedrohliche durch einen Morbus Crohn hervorgerufene Blutungen im Dickdarmbereich sind mit einer Inzidenz von 0,6-2,5% eine Raritaet. Wir berichten ueber einen an Morbus Crohn erkrankten Patienten, bei dem nach einer Ileozoekalresektion eine massive Blutung des unteren Gastrointestinaltraktes aufgetreten war. Angiographisch gelang eine exakte Lokalisation der Blutungsquelle im Bereich der linken Kolonflexur. (orig.)

  11. Life-threatening hypersplenism due to idiopathic portal hypertension in early childhood: case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Duck Christina

    2010-10-01

    Full Text Available Abstract Background Idiopathic portal hypertension (IPH is a disorder of unknown etiology and is characterized clinically by portal hypertension, splenomegaly, and hypersplenism accompanied by pancytopenia. This study evaluates the pathogenic concept of the disease by a systematic review of the literature and illustrates novel pathologic and laboratory findings. Case Presentation We report the first case of uncontrolled splenic hyperperfusion and enlargement with subsequent hypersplenism leading to life-threatening complications of IPH in infancy and emergent splenectomy. Conclusions Our results suggest that splenic NO and VCAM-1, rather than ET-1, have a significant impact on the development of IPH, even at a very early stage of disease. The success of surgical interventions targeting the splenic hyperperfusion suggests that the primary defect in the regulation of splenic blood flow seems to be crucial for the development of IPH. Thus, beside other treatment options splenectomy needs to be considered as a prime therapeutic option for IPH.

  12. Crouzon’s Syndrome with Life-Threatening Ear Bleed: Ruptured Jugular Vein Diverticulum Treated by Endovascular Embolization

    International Nuclear Information System (INIS)

    Crouzon’s syndrome is the commonest variety of syndromic craniosynostosis. Life-threatening ear bleed due to ruptured jugular venous diverticulum in Crouzon’s syndrome has not been described previously. In patients with syndromic craniosynostosis, definitive repair of jugular diverticulum by open surgery is fraught with high risk of bleeding, poor functional outcomes, and even death. A 24-year-old woman with Crouzon’s syndrome presented with conductive hearing loss and recurrent episodes of torrential bleeding from her left ear. On computed tomography, a defect in the roof of jugular fossa containing jugular venous diverticulum immediately inferior to the bony external auditory canal was seen. The clinical presentation, imaging features, and endovascular management of Crouzon’s syndrome due to a ruptured jugular venous diverticulum is described

  13. Life- threatening hemothorax due to the inferior pulmonary ligament injury without obvious organ injuries: a case report.

    Science.gov (United States)

    Kim, Jae Jun; Kim, Yong Hwan; Choi, Si Young; Jeong, Seong Cheol; Moon, Seok Whan

    2015-01-01

    Traumatic hemothorax is usually associated with obvious organ injuries, such as rib fractures, pulmonary injuries, and other mediastinal injuries. We present a rare case in which a 42-year- old Korean man who fell off of a roof, approximately 3 meters in height, resulting in a life-threatening hemothorax without obvious injuries to the thoracic organs. Chest CT showed a large amount of hemothorax in the right side of the thoracic cavity, and an active bleeding, presumably from the posterior intercostal or the phrenic artery, with a focal aneurysmal change. The emergency thoracotomy was performed to bring the active bleeding under control. The operative findings showed there were only the inferior pulmonary ligament tears, and the active bleeding from it. The postoperative course was uneventful and the patient was discharged without any complications. We should consider the inferior pulmonary ligamental injury as one of causes for traumatic hemothorax. PMID:25885049

  14. Life-Threatening Contraceptive-Related Pulmonary Embolism in a 14-Year-Old Girl with Hereditary Thrombophilia

    DEFF Research Database (Denmark)

    Hellfritzsch, Maja; Grove, Erik Lerkevang

    2015-01-01

    BACKGROUND: The prothrombotic effect of combined oral contraceptives (COCs) is well-established, with a 3-6-fold increased risk of VTE compared to non-users. When initiation of COCs is considered, it is therefore of paramount importance to carefully evaluate all other potential risk factors for VTE....... Based on a case of life-threatening COC-associated pulmonary embolism in a girl heterozygous for the prothrombin G20210A mutation and with a family history of thrombotic disease, we discuss the importance of assessing not just the genotype but also the phenotype when considering initiation of COCs in...... total occlusion of the right pulmonary artery, and several minor peripheral embolisms bilaterally. She was successfully treated with thrombolysis (alteplase) followed by aPTT-adjusted heparin infusion until adequate anticoagulation with warfarin was achieved. Two years earlier, the patient had been...

  15. Crouzon’s Syndrome with Life-Threatening Ear Bleed: Ruptured Jugular Vein Diverticulum Treated by Endovascular Embolization

    Energy Technology Data Exchange (ETDEWEB)

    Mondel, Prabath Kumar, E-mail: prabathmondel@gmail.com; Anand, Sunanda, E-mail: sunandaanand@gmail.com; Limaye, Uday S., E-mail: uslkem@gmail.com [Lilavati Hospital and Research Centre, Department of Interventional Neuroradiology (India)

    2015-08-15

    Crouzon’s syndrome is the commonest variety of syndromic craniosynostosis. Life-threatening ear bleed due to ruptured jugular venous diverticulum in Crouzon’s syndrome has not been described previously. In patients with syndromic craniosynostosis, definitive repair of jugular diverticulum by open surgery is fraught with high risk of bleeding, poor functional outcomes, and even death. A 24-year-old woman with Crouzon’s syndrome presented with conductive hearing loss and recurrent episodes of torrential bleeding from her left ear. On computed tomography, a defect in the roof of jugular fossa containing jugular venous diverticulum immediately inferior to the bony external auditory canal was seen. The clinical presentation, imaging features, and endovascular management of Crouzon’s syndrome due to a ruptured jugular venous diverticulum is described.

  16. Life-threatening arrhythmia verification in ICU patients using the joint cardiovascular dynamical model and a Bayesian filter.

    Science.gov (United States)

    Sayadi, Omid; Shamsollahi, Mohammad B

    2011-10-01

    In this paper, a novel nonlinear joint dynamical model is presented, which is based on a set of coupled ordinary differential equations of motion and a Gaussian mixture model representation of pulsatile cardiovascular (CV) signals. In the proposed framework, the joint interdependences of CV signals are incorporated by assuming a unique angular frequency that controls the limit cycle of the heart rate. Moreover, the time consequence of CV signals is controlled by the same phase parameter that results in the space dimensionality reduction. These joint equations together with linear assignments to observation are further used in the Kalman filter structure for estimation and tracking. Moreover, we propose a measure of signal fidelity by monitoring the covariance matrix of the innovation signals throughout the filtering procedure. Five categories of life-threatening arrhythmias were verified by simultaneously tracking the signal fidelity and the polar representation of the CV signal estimations. We analyzed data from Physiobank multiparameter databases (MIMIC I and II). Performance evaluation results demonstrated that the sensitivity of the detection ranges over 93.50% and 100.00%. In particular, the addition of more CV signals improved the positive predictivity of the proposed method to 99.27% for the total arrhythmic types. The method was also used for false arrhythmia suppression issued by ICU monitors, with an overall false suppression rate reduced from 42.3% to 9.9%. In addition, false critical ECG arrhythmia alarm rates were found to be, on average, 42.3%, with individual rates varying between 16.7% and 86.5%. The results illustrate that the method can contribute to, and enhance the performance of clinical life-threatening arrhythmia detection. PMID:21324772

  17. Sodium hypochlorite accident resulting in life-threatening airway obstruction during root canal treatment: a case report

    Directory of Open Access Journals (Sweden)

    Al-Sebaei MO

    2015-03-01

    Full Text Available Maisa O Al-Sebaei,1 Omar A Halabi,2 Ibrahim E El-Hakim3 1Department of Oral and Maxillofacial Surgery, King Abdulaziz University – Faculty of Dentistry, Jeddah, Kingdom of Saudi Arabia; 2Saudi Board of Oral and Maxillofacial Surgery, Al-Noor Specialist Hospital, Makkah, Kingdom of Saudi Arabia; 3Department of Oral and Maxillofacial Surgery, Riyadh Colleges of Dentistry and Pharmacy, Riyadh, Kingdom of Saudi Arabia Aim: This case report describes a serious and life-threatening complication of the use of sodium hypochlorite as an irrigation solution in root canal therapy. Summary: This case report describes a hypochlorite accident that occurred in a healthy 42-year-old female who was undergoing routine root canal therapy for the lower right central incisor (tooth #41. After approximately 1 hour of irrigation with 3% sodium hypochlorite (for a total of 12 cc, the patient complained of severe pain and burning in the lip. The swelling progressed over the next 8 hours to involve the sublingual and submental fascial spaces with elevation of the tongue and resultant upper airway obstruction. The patient was intubated and remained on mechanical ventilation for 3 days. She recovered without any skin necrosis or nerve deficits. Key learning points: This case report highlights the importance of carefully performing root canal irrigation with sodium hypochlorite to avoid complications. Careful injection without pressure, the use of proper rubber dam isolation, and the use of the endodontic needle are necessary to avoid this type of complication. Although it is a safe root canal irrigation solution, its use may lead to life-threatening complications. Early recognition and management of the untoward effects of sodium hypochlorite are vital for the patient's safety. Keywords: complications of root canal, facial edema, root canal irrigation, root canal therapy, sodium hypochlorite, upper airway obstruction

  18. Acquired hemophilia as the cause of life-threatening hemorrhage in a 94-year-old man: a case report

    Directory of Open Access Journals (Sweden)

    Blanchard Elizabeth

    2010-07-01

    Full Text Available Abstract Introduction Acquired factor VIII deficiency is a rare entity that can lead to severe and life-threatening bleeding. We describe a case of severe bleeding from the tongue secondary to acquired hemophilia and discuss treatment options, including aminocaproic acid and recombinant factor VIII, which have not been widely reported in the literature for the management of such patients. Case presentation A 94-year-old Caucasian man presented to our institution with diffuse bruising and extensive bleeding from the tongue secondary to mechanical trauma. He had no prior history of bleeding and his medical history was unremarkable except for dementia and hypertension. Coagulation studies revealed a prolonged activated partial thromboplastin time and a mixing study was consistent with the presence of an inhibitor. Quantitative assays revealed a reduced level of factor VIII activity (1% and the presence of a factor VIII inhibitor, measured at seven Bethesda units, in the serum. Oral prednisone therapy (60mg/day was given. He also received intravenous aminocaproic acid and human concentrate of factor VIII (Humate-P and topical anti-thrombolytic agents (100 units of topical thrombin cream. His hospital course was prolonged because of persistent bleeding and the development of profuse melena. He required eight units of packed red blood cells for transfusion. Hospitalization was also complicated by bradycardia of unclear etiology, which started after infusion of aminocaproic acid. His activated partial thromboplastin time gradually normalized. He was discharged to a rehabilitation facility three weeks later with improving symptoms, stable hematocrit and resolving bruises. Conclusions Clinicians should suspect a diagnosis of acquired hemophilia in older patients with unexplained persistent and profound bleeding from uncommon soft tissues, including the tongue. Use of factor VIII (Humate-P and aminocaproic acid can be useful in this coagulopathy but

  19. Efficacy of selective arterial embolisation for the treatment of life-threatening post-partum haemorrhage in a large population.

    Directory of Open Access Journals (Sweden)

    Cyril Touboul

    Full Text Available BACKGROUND: The objective of this study was to assess efficacy and determine the optimal indication of selective arterial embolisation (SAE in patients with life-threatening post-partum haemorrhage (PPH. METHODOLOGY/PRINCIPAL FINDINGS: One hundred and two patients with PPH underwent SAE and were included from January 1998 to January 2002 in our university care center. Embolisation was considered effective when no other surgical procedure was required. Univariate and multivariate statistical analysis were performed. SAE was effective for 73 patients (71.5%, while 29 required surgical procedures. SAE was effective in 88.6% of women with uterine atony that was associated with positive outcome (OR 4.13, 1.35-12.60, whereas caesarean deliveries (OR 0.16, 0.04-0.5 and haemodynamic shock (OR 0.21, 0.07-0.60 were associated with high failure rates, 47.6% and 39.1%, respectively. CONCLUSIONS/SIGNIFICANCE: Success rate for SAE observed in a large population is lower than previously reported. It is most likely to succeed for uterine atony but not recommended in case of haemodynamic shock or after caesarean section.

  20. Awareness about a Life-Threatening Condition: Ectopic Pregnancy in a Network for Surveillance of Severe Maternal Morbidity in Brazil

    Directory of Open Access Journals (Sweden)

    Edilberto Alves Rocha Filho

    2014-01-01

    Full Text Available Objective. To assess occurrence of severe maternal complications associated with ectopic pregnancy (EP. Method. A multicenter cross-sectional study was conducted, with prospective surveillance of potentially life-threatening conditions (PLTC, maternal near miss (MNM, and maternal death (MD. EP complications, patient sociodemographic/obstetric characteristics, and conditions of severity management were assessed, estimating prevalence ratios with respective 95% CI. Factors independently associated with greater severity were identified using multiple regression analysis. Results. Of the 9.555 severe maternal morbidity patients, 312 women (3.3% had complications after EP: 286 (91.7% PLTC, 25 (8.0% MNM, and 1 (0.3% MD. Severe maternal outcome ratio (SMOR was 0.3/1000 LB among EP cases and 10.8/1000 LB among other causes. Complicated EP patients faced a higher risk of blood transfusion, laparotomy, and lower risk of ICU admission and prolonged hospitalization than women developing complications resulting from other causes. Substandard care was the most common in more severe maternal morbidity and EP cases (22.7% MNM and MD versus 15% PLTC, although not significant. Conclusion. Increased maternal morbidity due to EP raised awareness about the condition and its impact on female reproductive life. No important risk factors for greater severity were identified. Care providers should develop specific guidelines and interventions to prevent severe maternal morbidity.

  1. Life-threatening hyperkalaemia developing following excessive ingestion of orange juice in a patient with baseline normal renal function.

    Science.gov (United States)

    Javed, R A; Marrero, K; Rafique, M; Khan, M U; Jamarai, D; Vieira, J

    2007-11-01

    Hyperkalaemia is a less-recognised life-threatening cause of paralysis. We describe a 51-year-old African-American man, who suffered from muscle weakness progressing to ascending symmetric paralysis, and inability to masticate. Physical examination revealed flaccid paralysis with areflexia of the four limbs. Computed tomography of the brain and cervical spine did not demonstrate any organic lesions. Laboratory investigations revealed serum potassium 9.0 mEq/L (not haemolysed), blood urea nitrogen 34 mg/dL, and serum creatinine 2.0 mg/dL. Electrocardiography showed typical features of hyperkalaemia. After emergent treatment for hyperkalaemia was initiated, serum potassium was rapidly-normalised to 5 mEq/L and all neuromuscular symptoms reversed within one hour. Upon reviewing his food and medication history, he admitted drinking 2.5 litres of orange juice (which contains about 450 mg of potassium in 1,000 ml) per day for the past three weeks to quench his thirst. Hyperkalaemia should be borne in mind in the differential diagnosis of acute paralysis. Hidden sources of potassium intake, such as orange juice, should not be overlooked, even in patients with baseline normal renal function. PMID:17975680

  2. [Life threatening pneumocystis carinii pneumonia in a 4-month-old boy with hyper-IgM syndrome].

    Science.gov (United States)

    Heiming, R; Beuschausen, T; Liebner, T; Seidenberg, J; Roesler, J

    1993-11-01

    At the age of four months, a boy with a normal history and family history, suddenly fell ill with a life-threatening pneumocystis carinii-pneumonia. Surprisingly, this opportunistic infection was not brought about by a T-cell deficiency. However, the patient's diagnosis turned out to be the rare "Hyper-IgM-syndrome", confirmed by: serum levels of IgM always at least normal whereas IgG, IgA and IgE were markedly decreased or absent; the development of neutropenia and occasional diarrhea. Generally, infections with pneumocystis carinii are rare in isolated deficiencies of immunoglobulines, but relatively frequent in primary "Hyper-IgM-syndrome" (approx. 12% of the cases described). The boy finally recovered after receiving Cotrimoxacol (20 mg/kg bw/d) in an intensive care unit. Now, at the age of nearly two his condition is almost good under regular substitution of IgG. Cotrimoxacol (4 mg/kg bw/d) is recommended to prevent further pneumocystis carinii infections and most of the pathogenes which frequently appear in neutropenias. PMID:8283991

  3. Non-invasive tools for the diagnosis of potentially life-threatening gynaecological emergencies: a systematic review.

    Directory of Open Access Journals (Sweden)

    Viola Polena

    Full Text Available To identify non-invasive tools for diagnosis of the major potentially life-threatening gynaecological emergencies (G-PLEs reported in previous studies, and to assess their diagnostic accuracy.MEDLINE; EMBASE; Cochrane Central Register of Controlled Trials (CENTRAL; The Cochrane Library were searched to identify all eligible studies published in English or French between January 1990 and December 2012. Studies were considered eligible if they were primary diagnostic studies of any designs, with a gold standard and with sufficient information for construction of a 2 × 2 contingency table, concerning at least one of the following G-PLEs: complicated ectopic pregnancy, complicated pelvic inflammatory disease, adnexal torsion and haemoperitoneum of any gynaecological origin. Extraction of data and assessment of study quality were conducted by two independent reviewers. We set the thresholds for the diagnostic value of signs retrieved at Sensibility ≥ 95% and LR-≤ 0.25, or Specificity ≥ 90% and LR+ ≥ 4.We identified 8288 reports of diagnostic studies for the selected G-PLEs, 45 of which met the inclusion criteria. The methodological quality of the included studies was generally low. The most common diagnostic tools evaluated were transvaginal ultrasound (20/45, followed by medical history (18/45, clinical examination (15/45 and laboratory tests (14/45. Standardised questioning about symptoms, systolic blood pressure0.85, identification of a mass by abdominal palpation or vaginal examination, haemoglobin concentration <10 g/dl and six ultrasound and Doppler signs presented high performances for the diagnosis of G-PLEs. Transvaginal ultrasound was the diagnostic tool with the best individual performance for the diagnosis of all G-PLEs.This systematic review suggests that blood pressure measurement, haemoglobin tests and transvaginal ultrasound are cornerstone examinations for the diagnosis of G-PLEs that should be available in all

  4. Should a patient with a life threatening illness be informed of the diagnosis? A survey of physicians and medical students in Calicut

    Directory of Open Access Journals (Sweden)

    Purakkal Divya

    2004-01-01

    Full Text Available AIM: To ascertain how doctors and under graduate medical students in a teaching hospital felt about revealing and knowing the diagnosis of a life threatening illness. MATERIALS AND METHODS: 850 respondents (200 pre clinical students, 300 clinical students, 100 interns, 150 postgraduate registrars and 100 faculty were interviewed with the help of a set questionnaire. RESULTS: 70% of pre clinical students, 85% of clinical students and 89% of doctors stated that the diagnosis should be revealed. Women preclinical students, (60%, were significantly less in favour of the diagnosis being revealed than other groups. 81% of pre - clinical students, 89% of clinical students, 94% of postgraduates and 95% of faculty would want to know the diagnosis if they themselves were to develop a life threatening illness.

  5. Traumatic bilateral carotid artery dissection following severe blunt trauma: a case report on the difficulties in diagnosis and therapy of an often overlooked life-threatening injury

    OpenAIRE

    Crönlein, Moritz; Sandmann, Gunther H.; Beirer, Marc; Wunderlich, Silke; Biberthaler, Peter; Huber-Wagner, Stefan

    2015-01-01

    Background Traumatic carotid artery dissections are very rare, often overlooked and life-threatening injuries. Diagnosis and treatment are difficult especially in multiple injured patients. Case presentation We report on a 28-year-old female major trauma patient (injury severity score, ISS 50) who was involved in a motor vehicle accident. She was primarily transferred to a level II trauma center. After initial assessment and operative management, an anisocoria was diagnosed on the intensive c...

  6. How should we manage a patient with invasive mucoromycosis who develops life-threatening reaction to amphotericin B? Report of two cases and literature review

    Directory of Open Access Journals (Sweden)

    Fereshte Sheybani

    2015-06-01

    Full Text Available This report presents two cases of invasive rhino-orbital mucormycosis who had life-threatening reactions to amphotericin B. Both cases were treated with a combination of posaconazole–caspofungin favorably with no evidence of recurrence upon long-term follow-up. To our knowledge, this is the first report of successful treatment of invasive mucormycosis with azole–echinocandin combination. It may suggest that caspofungin exerts additional or even synergistic antimucoral effects to posaconazole.

  7. Life-threatening postpartum hemolysis, elevated liver functions tests, low platelets syndrome versus thrombocytopenic purpura – Therapeutic plasma exchange is the answer

    OpenAIRE

    Prashant Nasa; J M Dua; Sudha Kansal; Geeta Chadha; Rajesh Chawla; Manav Manchanda

    2011-01-01

    The differential diagnosis of life-threatening microangiopathic disorders in a postpartum female includes severe preeclampsia-eclampsia, hemolysis, elevated liver functions tests, low platelets syndrome and thrombotic thrombocytopenic purpura. There is considerable overlapping in the clinical and laboratory findings between these conditions, and hence an exact diagnosis may not be always possible. However, there is considerable maternal mortality and morbidity associated with these disorders....

  8. Tuberculosis associated immune reconstitution inflammatory syndrome in patients infected with HIV: meningitis a potentially life threatening manifestation

    Directory of Open Access Journals (Sweden)

    Agarwal Upasna

    2012-05-01

    Full Text Available Abstract Background Tuberculosis (TB is the most common co infection in HIV-infected persons in India, requiring concomitant administration of anti TB and antiretroviral therapies. Paradoxical worsening of tuberculosis after anti-retroviral therapy (ART initiation is frequently seen. Objective To study the frequency, clinical presentation and outcome of paradoxical tuberculosis associated immune reconstitution inflammatory syndrome (TB-IRIS in HIV infected patients in a TB hospital in North India. Design A retrospective chart review of HIV-infected TB patients on anti-tubercular treatment (ATT at time of ART initiation over a 3 year period. Medical records were reviewed for clinical manifestations and outcome in patients who developed TB-IRIS. Results 514 HIV-infected patients were enrolled between January 2006 and December 2008. Thirteen (12.6% of 103 patients who had received ART and ATT simultaneously developed paradoxical TB-IRIS. Clinical presentations of paradoxical TB-IRIS included new lymphadenopathy (n = 3, increase in size of existing lymphadenopathy (n = 3, worsening of existing pulmonary lesions (n = 2, appearance of new pleural effusion (n = 1 and prolonged high grade fever (n = 2. Four patients developed new tubercular meningitis as manifestation of TB-IRIS. Our cases developed TB-IRIS a median of 15 days after starting ART (IQR 15–36. TB-IRIS patients were older (> 35 years than those with no IRIS (P = 0.03, but were not distinguishable by CD4 T-cell count, duration of ATT before ART or the outcome of TB treatment. Eight (62% patients had a complete recovery while 5 (38% patients with TB-IRIS died, of which majority (n = 3 had meningitis. Conclusions Paradoxical TB-IRIS is a frequent problem during concomitant ATT and ART in HIV-TB co infected patients in north India. Meningitis is a potentially life threatening manifestation of TB-IRIS.

  9. Life-threatening ventricular arrhythmia due to silent coronary artery spasm: usefulness of I-123 metaiodobenzylguanidine scintigraphy for detecting coronary artery spasm in the era of automated external defibrillators: a case report

    OpenAIRE

    Kaku, Bunji; Katsuda, Shoji; Taguchi, Tomio

    2015-01-01

    Introduction Cardiac arrhythmia is sometimes life-threatening, and automated external defibrillators are presently used in some countries. Coronary artery spasm is one of the primary causes of life-threatening arrhythmia. In general, chest symptoms are key indicators of possible coronary artery spasm; however, if chest symptoms are not present, clinicians may not suspect this disease. We encountered a patient who had recovered from ventricular fibrillation treated by using an automated extern...

  10. A rare case of acute pancreatitis and life-threatening hemolytic anemia associated with Epstein-Barr virus infection in a young healthy adult.

    Science.gov (United States)

    Singh, Sukhchain; Khosla, Pam

    2016-01-01

    Epstein-Barr virus (EBV) is a common infection that affects 95% of adults worldwide at some point during life. It is usually asymptomatic or causes a self-limiting clinical syndrome known as infectious mononucleosis. It rarely causes complications. Here, we present a case of a healthy 21-year-old female college student who suffered from severe pancreatitis and life-threatening autoimmune hemolytic anemia in association with EBV infection, and we also discuss the common presentation of EBV infection and the diagnosis and treatment of simple and complicated EBV infection. PMID:26190854

  11. Delayed, life-threatening lower gastrointestinal hemorrhage in an infant after serial transverse enteroplasty: treatment with transcatheter n-butyl-2-cyanoacrylate embolization

    International Nuclear Information System (INIS)

    We report a case of n-butyl-2-cyanoacrylate glue embolization of life-threatening lower gastrointestinal (LGI) hemorrhage in a 10-month-old boy. The child had a history of gastroschisis and short-bowel syndrome. Six months prior to the LGI bleed, he had undergone a serial transverse enteroplasty (STEP) to lengthen his intestine. To the best of our knowledge this is both the first report of successful glue embolization for LGI bleeding in a child and also the first report of severe hemorrhage after the STEP procedure. (orig.)

  12. Delayed, life-threatening lower gastrointestinal hemorrhage in an infant after serial transverse enteroplasty: treatment with transcatheter n-butyl-2-cyanoacrylate embolization

    Energy Technology Data Exchange (ETDEWEB)

    Bogue, Conor O.; Alzahrani, Amin I.; John, Philip R.; Amaral, Joao G. [Hospital for Sick Children, Division of Image Guided Therapy, Department of Diagnostic Imaging, Toronto (Canada); Wales, Paul W. [Hospital for Sick Children, Department of Surgery and the Group for Improvement of Intestinal Function and Treatment (GIFT), Toronto (Canada)

    2009-10-15

    We report a case of n-butyl-2-cyanoacrylate glue embolization of life-threatening lower gastrointestinal (LGI) hemorrhage in a 10-month-old boy. The child had a history of gastroschisis and short-bowel syndrome. Six months prior to the LGI bleed, he had undergone a serial transverse enteroplasty (STEP) to lengthen his intestine. To the best of our knowledge this is both the first report of successful glue embolization for LGI bleeding in a child and also the first report of severe hemorrhage after the STEP procedure. (orig.)

  13. Life-threatening postpartum hemolysis, elevated liver functions tests, low platelets syndrome versus thrombocytopenic purpura - Therapeutic plasma exchange is the answer

    Directory of Open Access Journals (Sweden)

    Prashant Nasa

    2011-01-01

    Full Text Available The differential diagnosis of life-threatening microangiopathic disorders in a postpartum female includes severe preeclampsia-eclampsia, hemolysis, elevated liver functions tests, low platelets syndrome and thrombotic thrombocytopenic purpura. There is considerable overlapping in the clinical and laboratory findings between these conditions, and hence an exact diagnosis may not be always possible. However, there is considerable maternal mortality and morbidity associated with these disorders. This case underlines the complexity of pregnancy-related microangiopathies regarding their differential diagnosis, multiple organ dysfunction and role of therapeutic plasma exchange in their management.

  14. Typhoid ulcer causing life-threatening bleeding from Dieulafoy's lesion of the ileum in a seven-year-old child: a case report

    Directory of Open Access Journals (Sweden)

    Rashid Abbas

    2010-06-01

    Full Text Available Abstract Introduction We describe a case of rare complication of typhoid fever in a seven-year-old child and review the literature with regard to other rare causes of bleeding per rectum. Dieulafoy's lesion is an uncommon but important cause of recurrent gastrointestinal bleeding. Dieulafoy's lesion located extragastrically is rare. We report a case of typhoid ulcer with Dieulafoy's lesion of the ileum causing severe life-threatening bleeding and discuss the management of this extremely uncommon entity. Case presentation As a complication of typhoid fever, a seven-year-old Kurdish girl from Northern Iraq developed massive fresh bleeding per rectum. During colonoscopy and laparotomy, she was discovered to have multiple bleeding ulcers within the Dieulafoy's lesion in the terminal ileum and ileocecal region. Conclusion Although there is no practical way of predicting the occurrence of such rare complications, we emphasize in this case report the wide array of pathologies that can result from typhoid fever.

  15. Life-Threatening Contraceptive-Related Pulmonary Embolism in a 14-Year-Old Girl with Hereditary Thrombophilia

    OpenAIRE

    Hellfritzsch, Maja; Grove, Erik Lerkevang

    2015-01-01

    Patient: Female, 14 Final Diagnosis: Pulmonary embolism Symptoms: Chest pain • dyspnea • syncope Medication: Combined oral contraceptives Clinical Procedure: — Specialty: Internal Medicine Objective: Adverse events of drug therapy Background: The prothrombotic effect of combined oral contraceptives (COCs) is well-established, with a 3–6-fold increased risk of VTE compared to non-users. When initiation of COCs is considered, it is therefore of paramount importance to carefully evaluate all oth...

  16. Recognizing Life-threatening Features of Dengue in Children and Health Seeking Behavior in Dengue Emergency Amongst Parents and Carers: A Cross-sectional study in Gombak District, Malaysia.

    Science.gov (United States)

    Ariffin, F; Ramli, A S; Naim, N; Selamat, M I; Syed-Jamal, S J

    2014-10-01

    Dengue is life-threatening and the paediatric population is highly susceptible to complications. Deterioration can occur rapidly and ability to recognise early warning signs is crucial. This study aims to determine the knowledge and awareness of parents and carers and to predict their ability in recognising life-threatening symptoms and signs of dengue in children and to assess their health-seeking behaviour in dengue emergency. Methods This is a crosssectional study involving parents and carers of children ≤ 12 years old in schools and kindergartens in the Gombak district. Demographic details, knowledge on life-threatening symptoms and signs of dengue and health-seeking behaviour were collected using a self-administered questionnaire and knowledge scoring was done. The questionnaire was pilot tested with a Cronbach alpha of 0.82. The results were analysed using SPSS version 20.0. Results Total respondents were 866 with 44.8% men and 55.2% women. The mean age was 40.3 years (SD ± 5.7). Knowledge score of dengue life threatening features among respondents were good (30.0%) to average (56.8%). Respondents were able to recognise fever (98.5%), petechial rash (97.1%) and bleeding (65.2%) but were less able to recognise abdominal pain (22.3%) and passing less urine (28.2%) as life threatening dengue features. However, the ability to recognise fever is a poor predictor in recognising life threatening dengue in children compared to all other symptoms which were good predictors. A respondent that recognise stomach pain or neck stiffness were five times more likely to recognise life-threatening dengue. Respondents preferred to bring their children to the clinic (50.8%) or hospital (37.8%) themselves Instead of calling for ambulance. Worryingly, some would give antipyretics (3.6%) or wait for improvements (7.8%). Conclusion Concerted efforts by the schools, healthcare professionals and health authorities are required to educate parents and carers to identify life-threatening

  17. Liraglutide Treatment Is Associated with a Low Frequency and Magnitude of Antibody Formation with No Apparent Impact on Glycemic Response or Increased Frequency of Adverse Events

    DEFF Research Database (Denmark)

    Buse, John B; Garber, Alan; Rosenstock, Julio;

    2011-01-01

    Context: Therapeutic proteins/peptides can produce immunogenic responses that may increase the risk of adverse events or reduce efficacy. Objective: The objectives were to measure and characterize antibody formation to liraglutide, a glucagon-like peptide-1 receptor agonist, to investigate the...

  18. Impact of sympathetic innervation on recurrent life-threatening arrhythmias in the follow-up of patients with idiopathic ventricular fibrillation

    Energy Technology Data Exchange (ETDEWEB)

    Paul, Matthias; Acil, Tayfun; Breithardt, Guenter; Wichter, Thomas [Hospital of the University of Muenster, Department of Cardiology and Angiology, Muenster (Germany); Schaefers, Michael; Kies, Peter; Schaefers, Klaus; Schober, Otmar [Hospital of the University of Muenster, Department of Nuclear Medicine, Muenster (Germany)

    2006-08-15

    Idiopathic ventricular fibrillation (IVF) is defined as VF in the absence of any identifiable structural or functional cardiac disease. The underlying pathophysiological mechanisms are unknown. This study was performed to investigate the potential impact of sympathetic dysfunction, assessed by {sup 123}I-meta-iodo-benzylguanidine scintigraphy ({sup 123}I-MIBG SPECT), on the long-term prognosis of patients with IVF. {sup 123}I-MIBG SPECT was performed in 20 patients (mean age 37{+-}13 years) with IVF. Mean follow-up of patients after study entry was 7.2{+-}1.5 years (range 4.9-10.5 years). Ten patients (five men, five women; mean age 43{+-}12 years; p=NS versus study group) with medullary carcinoma of the thyroid gland served as an age-matched control group. Abnormal {sup 123}I-MIBG uptake was observed in 13 patients (65%). During follow-up, 18 episodes of VF/fast polymorphic ventricular tachycardias occurred in four IVF patients with abnormal {sup 123}I-MIBG uptake whereas only two episodes of monomorphic ventricular tachycardia (and no VF) occurred in a single IVF patient with normal {sup 123}I-MIBG uptake. Impairment of sympathetic innervation may indicate a higher risk of future recurrent episodes of life-threatening ventricular tachyarrhythmias in patients with IVF. Studies in larger cohorts are required to validate the significance of {sup 123}I-MIBG SPECT during the long-term follow-up of these patients. (orig.)

  19. Impact of sympathetic innervation on recurrent life-threatening arrhythmias in the follow-up of patients with idiopathic ventricular fibrillation

    International Nuclear Information System (INIS)

    Idiopathic ventricular fibrillation (IVF) is defined as VF in the absence of any identifiable structural or functional cardiac disease. The underlying pathophysiological mechanisms are unknown. This study was performed to investigate the potential impact of sympathetic dysfunction, assessed by 123I-meta-iodo-benzylguanidine scintigraphy (123I-MIBG SPECT), on the long-term prognosis of patients with IVF. 123I-MIBG SPECT was performed in 20 patients (mean age 37±13 years) with IVF. Mean follow-up of patients after study entry was 7.2±1.5 years (range 4.9-10.5 years). Ten patients (five men, five women; mean age 43±12 years; p=NS versus study group) with medullary carcinoma of the thyroid gland served as an age-matched control group. Abnormal 123I-MIBG uptake was observed in 13 patients (65%). During follow-up, 18 episodes of VF/fast polymorphic ventricular tachycardias occurred in four IVF patients with abnormal 123I-MIBG uptake whereas only two episodes of monomorphic ventricular tachycardia (and no VF) occurred in a single IVF patient with normal 123I-MIBG uptake. Impairment of sympathetic innervation may indicate a higher risk of future recurrent episodes of life-threatening ventricular tachyarrhythmias in patients with IVF. Studies in larger cohorts are required to validate the significance of 123I-MIBG SPECT during the long-term follow-up of these patients. (orig.)

  20. Apparent Clustering and Apparent Background Earthquakes Biased by Undetected Seismicity

    CERN Document Server

    Sornette, D

    2005-01-01

    In models of triggered seismicity and in their inversion with empirical data, the detection threshold m_d is commonly equated to the magnitude m_0 of the smallest triggering earthquake. This unjustified assumption neglects the possibility of shocks below the detection threshold triggering observable events. We introduce a formalism that distinguishes between the detection threshold m_d and the minimum triggering earthquake m_0 < m_d. By considering the branching structure of one complete cascade of triggered events, we derive the apparent branching ratio n_a (which is the apparent fraction of aftershocks in a given catalog) and the apparent background source S_a that are observed when only the structure above the detection threshold m_d is known due to the presence of smaller undetected events that are capable of triggering larger events. If earthquake triggering is controlled in large part by the smallest magnitudes as several recent analyses have shown, this implies that previous estimates of the cluster...

  1. Events

    Directory of Open Access Journals (Sweden)

    Igor V. Karyakin

    2016-02-01

    Full Text Available The 9th ARRCN Symposium 2015 was held during 21st–25th October 2015 at the Novotel Hotel, Chumphon, Thailand, one of the most favored travel destinations in Asia. The 10th ARRCN Symposium 2017 will be held during October 2017 in the Davao, Philippines. International Symposium on the Montagu's Harrier (Circus pygargus «The Montagu's Harrier in Europe. Status. Threats. Protection», organized by the environmental organization «Landesbund für Vogelschutz in Bayern e.V.» (LBV was held on November 20-22, 2015 in Germany. The location of this event was the city of Wurzburg in Bavaria.

  2. Remembering apparent behavior

    DEFF Research Database (Denmark)

    Wagoner, Brady

    2011-01-01

    The present experiment systematically investigates the role of narrative templates (Wertsch, 2002) in remembering. To stimulate the construction of a diversity of narratives I used Heider and Simmel’s (1944) celebrated “apparent behavior” film, in which geometric shapes moving around a screen are...

  3. Severe cytomegalovirus infection in apparently immunocompetent patients: a systematic review

    Directory of Open Access Journals (Sweden)

    Varbobitis Ioannis C

    2008-03-01

    Full Text Available Abstract Background The morbidity and mortality associated with cytomegalovirus (CMV infection in immunocompromised patients (especially in HIV-infected patients and transplant recipients, as well as with congenital CMV infection are well known. In contrast, relatively little attention has been paid to the morbidity and mortality that CMV infection may cause in immunocompetent patients. Methods We reviewed the evidence associated with severe manifestations of CMV infection in apparently immunocompetent patients and the potential role of antiviral treatment for these infections. We searched in PubMed, Scopus, and the Cochrane Library for the period of 1950–2007 to identify relevant articles. Results We retrieved 89 articles reporting on severe CMV infection in 290 immunocompetent adults. Among these reports, the gastrointestinal tract (colitis and the central nervous system (meningitis, encephalitis, transverse myelitis were the most frequent sites of severe CMV infection. Manifestations from other organ-systems included haematological disorders (haemolytic anaemia, thrombocytopenia, thrombosis of the venous or arterial vascular system, ocular involvement (uveitis, and lung disease (pneumonitis. The clinical practice reported in the literature has been to prescribe antiviral treatment for the most severe manifestations of monophasic meningoencephalitis (seizures and coma, ocular involvement, and lung involvement due to CMV. Conclusion Severe life-threatening complications of CMV infection in immunocompetent patients may not be as rare as previously thought.

  4. Apparent Superluminal Behavior

    CERN Document Server

    Jackson, A D; Lautrup, B

    2000-01-01

    The apparent superluminal propagation of electromagnetic signals seen in recent experiments is shown to be the result of simple and robust properties of relativistic field equations. Although the wave front of a signal passing through a classically forbidden region can never move faster than light, an attenuated replica of the signal is reproduced ``instantaneously'' on the other side of the barrier. The reconstructed signal, causally connected to the forerunner rather than the bulk of the input signal, appears to move through the barrier faster than light.

  5. The apparent Universe

    Science.gov (United States)

    Binétruy, P.; Helou, A.

    2015-10-01

    We exploit the parallel between dynamical black holes and cosmological spacetimes to describe the evolution of Friedmann-Lemaître-Robertson-Walker universes from the point of view of an observer in terms of the dynamics of the apparent horizon. Using the Hayward-Kodama formalism of dynamical black holes, we clarify the role of the Clausius relation to derive the Friedmann equations for a Universe, in the spirit of Jacobson’s work on the thermodynamics of spacetime. We also show how dynamics at the horizon naturally leads to the quantum-mechanical process of Hawking radiation. We comment on the connection of this work with recent ideas to consider our observable Universe as a Bose-Einstein condensate and on the corresponding role of vacuum energy.

  6. Apparent capitellar fractures.

    Science.gov (United States)

    Ring, David

    2007-11-01

    Isolated capitellar fractures are rare but are identified as such, even when they are more complex, because the displaced capitellar fracture is usually the most obvious and identifiable radiographic finding and because teaching has traditionally underemphasized the involvement of the trochlea in such fractures. The author prefers the term 'apparent capitellar fractures' and draws on his experience to explain why he favors three-dimensional CT for depicting fracture detail. This article discusses treatment options, emphasizing open reduction and internal fixation to restore the native elbow. Operative techniques, including extensile lateral exposure and olecranon osteotomy; fixation techniques; and elbow arthroplasty, are described. Complications, such as ulnar neuropathy and infection, are also covered. PMID:18054674

  7. Rationale for a long-term evaluation of the consequences of potentially life-threatening maternal conditions and maternal "near-miss" incidents using a multidimensional approach.

    Science.gov (United States)

    Pacagnella, Rodolfo C; Cecatti, Jose G; Camargo, Rodrigo P; Silveira, Carla; Zanardi, Dulce T; Souza, Joao P; Parpinelli, Mary A; Haddad, Samira M

    2010-08-01

    Recent advances in health care mean that women survive severe conditions and events related to pregnancy that would previously have resulted in death. Therefore, a greater number of women will experience significant maternal morbidity with significant consequences. Little is known, however, about these long-term consequences. Some investigators have evaluated the repercussions of severe biological or traumatic events, and have reported that survivors are at an increased risk of death in the five years after the event. In addition, they continue to experience both organic and emotional problems such as clinical, cardiac, respiratory, and neurological complications, as well as anxiety and depression, following discharge from hospital. Following a maternal "near-miss" incident, various life domains may be affected (organic, mental, cognitive, and social function), and these must be evaluated in addition to the related economic issues and quality of life. However, because of the diversity of methods and instruments used to evaluate possible repercussions, comparisons between the few studies available on the subject are difficult. An in-depth debate should be initiated to discuss the methodological aspects of such investigation. We propose a conceptual and methodological discussion on the long-term repercussions of severe maternal morbidity based on the evaluation of the following variables: reproductive health, quality of life, posttraumatic stress syndrome, sexual function, postpartum depression, daily functioning, and the physical, neurological, and psychomotor development of the children born after a complicated pregnancy. PMID:21050503

  8. Use of the non-pneumatic anti-shock garment (NASG for life-threatening obstetric hemorrhage: a cost-effectiveness analysis in Egypt and Nigeria.

    Directory of Open Access Journals (Sweden)

    Tori Sutherland

    Full Text Available OBJECTIVE: To assess the cost-effectiveness of a non-pneumatic anti-shock garment (NASG for obstetric hemorrhage in tertiary hospitals in Egypt and Nigeria. METHODS: We combined published data from pre-intervention/NASG-intervention clinical trials with costs from study sites. For each country, we used observed proportions of initial shock level (mild: mean arterial pressure [MAP] >60 mmHg; severe: MAP ≤60 mmHg to define a standard population of 1,000 women presenting in shock. We examined three intervention scenarios: no women in shock receive the NASG, only women in severe shock receive the NASG, and all women in shock receive the NASG. Clinical data included frequencies of adverse health outcomes (mortality, severe morbidity, severe anemia, and interventions to manage bleeding (uterotonics, blood transfusions, hysterectomies. Costs (in 2010 international dollars included the NASG, training, and clinical interventions. We compared costs and disability-adjusted life years (DALYs across the intervention scenarios. RESULTS: For 1000 women presenting in shock, providing the NASG to those in severe shock results in decreased mortality and morbidity, which averts 357 DALYs in Egypt and 2,063 DALYs in Nigeria. Differences in use of interventions result in net savings of $9,489 in Egypt (primarily due to reduced transfusions and net costs of $6,460 in Nigeria, with a cost per DALY averted of $3.13. Results of providing the NASG for women in mild shock has smaller and uncertain effects due to few clinical events in this data set. CONCLUSION: Using the NASG for women in severe shock resulted in markedly improved health outcomes (2-2.9 DALYs averted per woman, primarily due to reduced mortality, with net savings or extremely low cost per DALY averted. This suggests that in resource-limited settings, the NASG is a very cost-effective intervention for women in severe hypovolemic shock. The effects of the NASG for mild shock are less certain.

  9. Co-infusion of ex vivo-expanded, parental MSCs prevents life-threatening acute GVHD, but does not reduce the risk of graft failure in pediatric patients undergoing allogeneic umbilical cord blood transplantation.

    Science.gov (United States)

    Bernardo, M E; Ball, L M; Cometa, A M; Roelofs, H; Zecca, M; Avanzini, M A; Bertaina, A; Vinti, L; Lankester, A; Maccario, R; Ringden, O; Le Blanc, K; Egeler, R M; Fibbe, W E; Locatelli, F

    2011-02-01

    When compared with BMT, umbilical cord blood transplantation (UCBT) is associated with a lower rate of engraftment and delayed hematological/immunological recovery. This leads to increased risk of TRM in the early post transplantation period due to infection. Acute GVHD, although occurring less frequently in UCBT compared with BMT, is also significantly associated with increased rate of early TRM. BM MSCs are known to support normal in vivo hematopoiesis, and co-transplantation of MSCs has been shown to enhance engraftment of human cord blood hematopoietic cells in nonobese diabetic/SCID mice. In 13 children with hematological disorders (median age 2 years) undergoing UCBT, we co-transplanted paternal, HLA-disparate MSCs with the aim of improving hematological recovery and reducing rejection. We observed no differences in hematological recovery or rejection rates compared with 39 matched historical controls, most of whom received G-CSF after UCBT. However, the rate of grade III and IV acute GVHD was significantly decreased in the study cohort when compared with controls (P=0.05), thus resulting in reduced early TRM. Although these data do not support the use of MSCs in UCBT to support hematopoietic engraftment, they suggest that MSCs, possibly because of their immunosuppressive effect, may abrogate life-threatening acute GVHD and reduce early TRM. PMID:20400983

  10. Loperamide Induced Life Threatening Ventricular Arrhythmia

    Science.gov (United States)

    Bodar, Vijaykumar; Singh, Sharanjit; Frumkin, William; Mangla, Aditya; Doshi, Kaushik

    2016-01-01

    Loperamide is over-the-counter antidiarrheal agent acting on peripherally located μ opioid receptors. It is gaining popularity among drug abusers as opioid substitute. We report a case of a 46-year-old male that was presented after cardiac arrest. After ruling out ischemia, cardiomyopathy, pulmonary embolism, central nervous system pathology, sepsis, and other drug toxicity, we found out that patient was using around 100 mg of Loperamide to control his chronic diarrhea presumably because of irritable bowel syndrome for last five years and consumed up to 200 mg of Loperamide daily for last two days before the cardiac arrest. We hypothesize that the patient's QTc prolongation and subsequent cardiac arrest are due to Loperamide toxicity. Patient experienced gradual resolution of tachyarrhythmia and gradual decrease in QTc interval during hospitalization which supports the evidence of causal relationship between Loperamide overdose and potentially fatal arrhythmias. It also provided the clue that patient may have congenital long QT syndrome which was unmasked by Loperamide causing ventricular arrhythmias. This case adds one more pearl in the literature to support that Loperamide overdose related cardiac toxicity does exist and it raises concerns over Loperamide abuse in the community.

  11. Loperamide Induced Life Threatening Ventricular Arrhythmia.

    Science.gov (United States)

    Upadhyay, Ankit; Bodar, Vijaykumar; Malekzadegan, Mohammad; Singh, Sharanjit; Frumkin, William; Mangla, Aditya; Doshi, Kaushik

    2016-01-01

    Loperamide is over-the-counter antidiarrheal agent acting on peripherally located μ opioid receptors. It is gaining popularity among drug abusers as opioid substitute. We report a case of a 46-year-old male that was presented after cardiac arrest. After ruling out ischemia, cardiomyopathy, pulmonary embolism, central nervous system pathology, sepsis, and other drug toxicity, we found out that patient was using around 100 mg of Loperamide to control his chronic diarrhea presumably because of irritable bowel syndrome for last five years and consumed up to 200 mg of Loperamide daily for last two days before the cardiac arrest. We hypothesize that the patient's QTc prolongation and subsequent cardiac arrest are due to Loperamide toxicity. Patient experienced gradual resolution of tachyarrhythmia and gradual decrease in QTc interval during hospitalization which supports the evidence of causal relationship between Loperamide overdose and potentially fatal arrhythmias. It also provided the clue that patient may have congenital long QT syndrome which was unmasked by Loperamide causing ventricular arrhythmias. This case adds one more pearl in the literature to support that Loperamide overdose related cardiac toxicity does exist and it raises concerns over Loperamide abuse in the community. PMID:27547470

  12. A life threatening intracerebral hemorrhage during pregnancy

    OpenAIRE

    Kamala Verma; Sudesh Agrawal

    2015-01-01

    Intracerebral hemorrhage (ICH) during antenatal period is an infrequent but serious complication. This is a case of elderly woman with pregnancy induced hypertension who developed spontaneous ICH during the thirty five week of pregnancy. She presented to our emergency department with altered sensorium, aphasia and hemiparesis. Intracerebral hemorrhage was diagnosed by MRI. Magnetic resonance angiography failed to identify an aneurysm or arteriovenous malformation. She underwent successful em...

  13. Life-Threatening Sochi Virus Infections, Russia.

    Science.gov (United States)

    Kruger, Detlev H; Tkachenko, Evgeniy A; Morozov, Vyacheslav G; Yunicheva, Yulia V; Pilikova, Olga M; Malkin, Gennadiy; Ishmukhametov, Aydar A; Heinemann, Patrick; Witkowski, Peter T; Klempa, Boris; Dzagurova, Tamara K

    2015-12-01

    Sochi virus was recently identified as a new hantavirus genotype carried by the Black Sea field mouse, Apodemus ponticus. We evaluated 62 patients in Russia with Sochi virus infection. Most clinical cases were severe, and the case-fatality rate was as high as 14.5%. PMID:26584463

  14. Cognitive deficits following exposure to pneumococcal meningitis: an event-related potential study

    OpenAIRE

    Kihara Michael; de Haan Michelle; Were Eugene O; Garrashi Harrun H; Neville Brian GR; Newton Charles RJC

    2012-01-01

    Abstract Background Pneumococcal meningitis (PM) is a severe and life-threatening disease that is associated with cognitive impairment including learning difficulties, cognitive slowness, short-term memory deficits and poor academic performance. There are limited data on cognitive outcomes following exposure to PM from Africa mainly due to lack of culturally appropriate tools. We report cognitive processes of exposed children as measured by auditory and visual event-related potentials. Method...

  15. Cardiovascular Response to Manual Acupuncture Needle Stimulation among Apparently Healthy Nigerian Adults.

    Science.gov (United States)

    Sokunbi, Ganiyu; Maduagwu, Stanley; Jaiyeola, Olabode; Gambo, Hassan; Blasu, Cephas

    2016-06-01

    This study investigated experience with acupuncture needle stimulation of apparently healthy adult Nigerians and the responses of the systolic blood pressure (SBP), diastolic blood pressure, heart rate (HR), and rate pressure products (RPP) to acupuncture at both real acupuncture points relevant to the treatment of cardiovascular disorder and sham acupuncture points not relevant to the treatment of cardiovascular disorder. Seventy-eight participants were randomly placed into three groups: the real acupuncture group (RAG); the sham acupuncture group (SAG); and the control group, with 26 participants per group. Data were collected preintervention, 15 minutes into acupuncture stimulation, postintervention, and 15 minutes after intervention. Changes (postintervention - preintervention scores) in the SBP, HR, and RPP were statistically lower in the RAG than in the SAG. Changes in the DBP showed a significant difference between the SAG and the RAG (p > 0.05). Findings from this study showed that among apparently healthy Nigerian adults, acupuncture needle stimulation at acupoints relevant to cardiovascular disorders was more effective than sham intervention in reducing the SBP, HR, and RPP. Participants reported heaviness, numbness, and increasing pain, but no dizziness, fainting and/or life-threatening side effects, during and after the acupuncture needle stimulation. PMID:27342888

  16. Development of a drug safety ePlatform for physicians, pharmacists, and consumers based on post-marketing adverse events

    OpenAIRE

    Keith B. Hoffman; Brian M. Overstreet; Murali Doraiswamy, P.

    2013-01-01

    Rigorous clinical trials under the watchful eye of regulators remain the cornerstone of drug safety. However, the emergence of serious and life-threatening Adverse Events (AEs) across best-selling drug classes [sometimes many years after winning Food and Drug Administration (FDA) approval] underscores the limitations of current clinical trial processes and reinforces the need for careful post-approval pharmacovigilance. The FDA’s sizeable repository of patient case reports linking AEs to appr...

  17. Apparent Solar Tornado - Like Prominences

    CERN Document Server

    Panasenco, Olga; Velli, Marco

    2013-01-01

    Recent high-resolution observations from the Solar Dynamics Observatory (SDO) have reawakened interest in the old and fascinating phenomenon of solar tornado-like prominences. This class of prominences was first introduced by Pettit (1932), who studied them over many years. Observations of tornado prominences similar to the ones seen by SDO had already been documented by Secchi (1877) in his famous "Le Soleil". High resolution and high cadence multiwavelength data obtained by SDO reveal that the tornado-like appearance of these prominences is mainly an illusion due to projection effects. We discuss two different cases where prominences on the limb might appear to have a tornado-like behavior. One case of apparent vortical motions in prominence spines and barbs arises from the (mostly) 2D counterstreaming plasma motion along the prominence spine and barbs together with oscillations along individual threads. The other case of apparent rotational motion is observed in prominence cavities and results from the 3D ...

  18. Wormhole Thermodynamics at Apparent Horizons

    OpenAIRE

    Jamil, Mubasher; Akbar, M

    2009-01-01

    In this paper, we discuss the thermodynamic properties of the evolving Lorentzian wormhole. For the shape function $b(r) = r_{0}^2/r$, it is shown that the wormhole spacetime admits two apparent horizons, the inner and the outer one. The inner horizon expands while the outer contracts with the passage of time. Corresponding to these horizons, we have three types of wormholes, regular, extreme and the naked wormholes. Moreover, it is shown that the Einstein field equations can be rewritten as ...

  19. Cosmological and black hole apparent horizons

    CERN Document Server

    Faraoni, Valerio

    2015-01-01

    This book overviews the extensive literature on apparent cosmological and black hole horizons. In theoretical gravity, dynamical situations such as gravitational collapse, black hole evaporation, and black holes interacting with non-trivial environments, as well as the attempts to model gravitational waves occurring in highly dynamical astrophysical processes, require that the concept of event horizon be generalized. Inequivalent notions of horizon abound in the technical literature and are discussed in this manuscript. The book begins with a quick review of basic material in the first one and a half chapters, establishing a unified notation. Chapter 2 reminds the reader of the basic tools used in the analysis of horizons and reviews the various definitions of horizons appearing in the literature. Cosmological horizons are the playground in which one should take baby steps in understanding horizon physics. Chapter 3 analyzes cosmological horizons, their proposed thermodynamics, and several coordinate systems....

  20. Apparent Clustering and Apparent Background Earthquakes Biased by Undetected Seismicity

    OpenAIRE

    Sornette, D.; Werner, M. J.

    2005-01-01

    In models of triggered seismicity and in their inversion with empirical data, the detection threshold m_d is commonly equated to the magnitude m_0 of the smallest triggering earthquake. This unjustified assumption neglects the possibility of shocks below the detection threshold triggering observable events. We introduce a formalism that distinguishes between the detection threshold m_d and the minimum triggering earthquake m_0 < m_d. By considering the branching structure of one complete casc...

  1. Partner experiences of "near-miss" events in pregnancy and childbirth in the UK: a qualitative study.

    Directory of Open Access Journals (Sweden)

    Lisa Hinton

    Full Text Available OBJECTIVE: Severe life-threatening complications in pregnancy that require urgent medical intervention are commonly known as "near-miss" events. Although these complications are rare (1 in 100 births, there are potentially 8,000 women and their families in the UK each year who live through a life-threatening emergency and its aftermath. Near-miss obstetric emergencies can be traumatic and frightening for women, and their impact can last for years. There is little research that has explored how these events impact on partners. The objective of this interview study was to explore the impact of a near-miss obstetric emergency, focusing particularly on partners. DESIGN: Qualitative study based on narrative interviews, video and audio recorded and transcribed for analysis. A qualitative interpretative approach was taken, combining thematic analysis with constant comparison. The analysis presented here focuses on the experiences of partners. PARTICIPANTS: Maximum variation sample included 35 women, 10 male partners, and one lesbian partner who had experienced a life-threatening obstetric emergency. SETTING: Interviews were conducted in participants' own homes. RESULTS: In the hospital, partner experiences were characterized by powerlessness and exclusion. Partners often found witnessing the emergency shocking and distressing. Support (from family or staff was very important, and clear, honest communication from medical staff highly valued. The long-term emotional effects for some were profound; some experienced depression, flashbacks and post-traumatic stress disorder months and years after the emergency. These, in turn, affected the whole family. Little support was felt to be available, nor acknowledgement of their ongoing distress. CONCLUSION: Partners, as well as women giving birth, can be shocked to experience a life-threatening illness in childbirth. While medical staff may view a near-miss as a positive outcome for a woman and her baby, there

  2. Hawking Radiation of Apparent Horizon in a FRW Universe

    CERN Document Server

    Cai, Rong-Gen; Hu, Ya-Peng

    2008-01-01

    Hawking radiation is an important quantum phenomenon of black hole, which is closely related to the existence of event horizon of black hole. The cosmological event horizon of de Sitter space is also of the Hawking radiation with thermal spectrum. By use of the tunneling approach proposed by Parikh and Wilczek, we show that there is indeed a Hawking radiation with temperature, $T=1/2\\pi \\tilde r_A$, for locally defined apparent horizon of Friedmann-Robertson-Walker universe with any spatial curvature, where $\\tilde r_A$ is the apparent horizon radius. Thus we fill in the gap existing in the literature investigating the relation between the first law of thermodynamics and Friedmann equations. In addition, we stress the implication of the Hawking temperature associated with the apparent horizon.

  3. Precursory specialties of apparent stresses in Yunnan earthquake series

    Institute of Scientific and Technical Information of China (English)

    LIU Hong-gui; LIU Jie; DING Ye-ling; SUN Ye-jun; YU Xin

    2006-01-01

    On the basis of the assumption that ω2 model accords with source displacement spectra, we have obtained the mathematical expressions for calculating apparent stresses of moderate-small shocks from low-frequency flat level and comer frequency. By using digital seismic records, apparent stress values are calculated for 823 moderate-small shocks of 4 earthquake series in Yunnan area following corrections for instrument response, propagation influence and site effect. The results show that for the 4 earthquake series in Yunnan area, apparent stress hints precursory information, which means that if a moderate-small shock occurs with apparent stress larger than 1 MPa in an earthquake series, a moderate-strong earthquake will occur afterwards; and if there is not moderate-small shock with apparent stress larger than 1 MPa after a moderate-strong event in an earthquake series, strong aftershock will not occur. The research also indicates that the average apparent stress value is 0.8 MPa in Yunnan area, therefore, apparent stress is not obviously related to seismic magnitude.

  4. Life-threatening angioedema of the tongue: the detection of the RNA of B henselae in the saliva of a male patient and his dog as well as of the DNA of three Bartonella species in the blood of the patient.

    Science.gov (United States)

    Lösch, Barbara; Wank, Rudolf

    2014-01-01

    Non-hereditary angioedema is a common disease with a prevalence between 5% and 19% and approximately half of the patients experience a swelling of the tongue. We report a case of a 49-year-old Caucasian man with a gross life-threatening angioedema of the tongue, whose attacks occurred every 4 weeks. The most frequent causes of angioedema were excluded. We detected DNA and RNA from Bartonella henselae in the blood and saliva of the patient and in the saliva of the patient's hunting dog. Treatment with azithromycin plus minocycline cleared the blood and saliva of RNA and DNA of Bartonella species, and the patient has been free from angioedema for 1 year. None of the therapy modalities used to treat the hereditary form or ACE or allergy-induced angioedema affect the detrimental course caused by Bartonella species. We therefore suggest that a molecular Bartonella test be included in the analysis of angioedema. PMID:24654245

  5. Public events, private events: the visible structure of media events

    Directory of Open Access Journals (Sweden)

    Lígia Campos de Cerqueira lana

    2012-07-01

    Full Text Available Facts apparently irrelevant about the private life of celebrities compose the agenda of contemporary media. Despite its weak public interest, these events have major repercussions in collective life, repositioning the rigid opposition between public and private events. When events gain publicity in the media, they become relevant through a work to make visible specific aspects of its constitution. The targeting of certain issues is related to causal network of meanings. Public and private events, when subjected to the regime of media visibility, have a similar structure, conditioned to its configuration and activity of individuals involved.

  6. Prevention of Medical Events During Air Travel: A Narrative Review.

    Science.gov (United States)

    Naouri, Diane; Lapostolle, Frederic; Rondet, Claire; Ganansia, Olivier; Pateron, Dominique; Yordanov, Youri

    2016-09-01

    Prior to traveling, and when seeking medical pretravel advice, patients consult their personal physicians. Inflight medical issues are estimated to occur up to 350 times per day worldwide (1/14,000-40,000 passengers). Specific characteristics of the air cabin environment are associated with hypoxia and the expansion of trapped gases into body cavities, which can lead to harm. The most frequent medical events during air travel include abdominal pain; ear, nose, and throat pathologies; psychiatric disorders; and life-threatening events such as acute respiratory failure or cardiac arrest. Physicians need to be aware of the management of these conditions in this unusual setting. Chronic respiratory and cardiovascular diseases are common and are at increased risk of acute exacerbation. Physicians must be trained in these conditions and inform their patients about their prevention. PMID:27267286

  7. Serious Asthma Events with Fluticasone plus Salmeterol versus Fluticasone Alone

    DEFF Research Database (Denmark)

    Stempel, David A; Raphiou, Ibrahim H; Kral, Kenneth M;

    2016-01-01

    alone for 26 weeks. All the patients had a history of a severe asthma exacerbation in the year before randomization but not during the previous month. Patients were excluded from the trial if they had a history of life-threatening or unstable asthma. The primary safety end point was the first serious...... asthma-related event (death, endotracheal intubation, or hospitalization). Noninferiority of fluticasone-salmeterol to fluticasone alone was defined as an upper boundary of the 95% confidence interval for the risk of the primary safety end point of less than 2.0. The efficacy end point was the first.......001). CONCLUSIONS: Patients who received salmeterol in a fixed-dose combination with fluticasone did not have a significantly higher risk of serious asthma-related events than did those who received fluticasone alone. Patients receiving fluticasone-salmeterol had fewer severe asthma exacerbations than did those...

  8. Distribution of apparent stress in western China

    Institute of Scientific and Technical Information of China (English)

    吴忠良; 黄静; 林碧苍

    2002-01-01

    Distribution of apparent stress in Chinese mainland and its surrounding regions was presented using the NEIC broadband radiated energy catalogue and the Harvard CMT catalogue from January 1987 to December 1998. Due to the limitation on the number of samples, reliable results are only for the western China. It is observed that the average apparent stress in Chinese mainland is 0.8 MPa; The maximum apparent stress to the east of the Tibetan plateau is 2.6 MPa; And the average apparent stress in the north-south seismic belt is more than one time higher than its adjacent regions. Distribution pattern of apparent stress seems to have a large-scale correlation with the cumulative energy release level in the 20th century.

  9. Uncovering undetected hypoglycemic events

    Directory of Open Access Journals (Sweden)

    Unger J

    2012-03-01

    Full Text Available Jeff UngerCatalina Research Institute, Chino, CA, USAAbstract: Hypoglycemia is the rate-limiting factor that often prevents patients with diabetes from safely and effectively achieving their glycemic goals. Recent studies have reported that severe hypoglycemia is associated with a significant increase in the adjusted risks of major macrovascular events, major microvascular events, and mortality. Minor hypoglycemic episodes can also have serious implications for patient health, psychological well being, and adherence to treatment regimens. Hypoglycemic events can impact the health economics of the patient, their employer, and third-party payers. Insulin treatment is a key predictor of hypoglycemia, with one large population-based study reporting an overall prevalence of 7.1% (type 1 diabetes mellitus and 7.3% (type 2 diabetes mellitus in insulin-treated patients, compared with 0.8% in patients with type 2 diabetes treated with an oral sulfonylurea. Patients with type 1 diabetes typically experience symptomatic hypoglycemia on average twice weekly and severe hypoglycemia once annually. The progressive loss of islet cell function in patients with type 2 diabetes results in a higher risk of both symptomatic and unrecognized hypoglycemia over time. Patients with diabetes who become hypoglycemic are also more susceptible to developing defective counter-regulation, also known as hypoglycemia awareness autonomic failure, which is life-threatening and must be aggressively addressed. In patients unable to recognize hypoglycemia symptoms, frequent home monitoring or use of continuous glucose sensors are critical. Primary care physicians play a key role in the prevention and management of hypoglycemia in patients with diabetes, particularly in those requiring intensive insulin therapy, yet physicians are often unaware of the multitude of consequences of hypoglycemia or how to deal with them. Careful monitoring, adherence to guidelines, and use of optimal

  10. Random variability explains apparent global clustering of large earthquakes

    Science.gov (United States)

    Michael, A.J.

    2011-01-01

    The occurrence of 5 Mw ≥ 8.5 earthquakes since 2004 has created a debate over whether or not we are in a global cluster of large earthquakes, temporarily raising risks above long-term levels. I use three classes of statistical tests to determine if the record of M ≥ 7 earthquakes since 1900 can reject a null hypothesis of independent random events with a constant rate plus localized aftershock sequences. The data cannot reject this null hypothesis. Thus, the temporal distribution of large global earthquakes is well-described by a random process, plus localized aftershocks, and apparent clustering is due to random variability. Therefore the risk of future events has not increased, except within ongoing aftershock sequences, and should be estimated from the longest possible record of events.

  11. Wilcox Group Apparent Thickness, Gulf Coast (wlcxthkg)

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Apparent Wilcox Group thickness maps are contoured from location and top information derived from the Petroleum Information (PI) Wells database. The Wilcox...

  12. The epidemiology of traumatic event exposure worldwide: results from the World Mental Health Survey Consortium

    Science.gov (United States)

    Benjet, C.; Bromet, E.; Karam, E. G.; Kessler, R. C.; McLaughlin, K. A.; Ruscio, A. M.; Shahly, V.; Stein, D. J.; Petukhova, M.; Hill, E.; Alonso, J.; Atwoli, L.; Bunting, B.; Bruffaerts, R.; Caldas-de-Almeida, J. M.; de Girolamo, G.; Florescu, S.; Gureje, O.; Huang, Y.; Lepine, J. P.; Kawakami, N.; Kovess-Masfety, Viviane; Medina-Mora, M. E.; Navarro-Mateu, F.; Piazza, M.; Posada-Villa, J.; Scott, K. M.; Shalev, A.; Slade, T.; ten Have, M.; Torres, Y.; Viana, M. C.; Zarkov, Z.; Koenen, K. C.

    2016-01-01

    Background Considerable research has documented that exposure to traumatic events has negative effects on physical and mental health. Much less research has examined the predictors of traumatic event exposure. Increased understanding of risk factors for exposure to traumatic events could be of considerable value in targeting preventive interventions and anticipating service needs. Method General population surveys in 24 countries with a combined sample of 68 894 adult respondents across six continents assessed exposure to 29 traumatic event types. Differences in prevalence were examined with cross-tabulations. Exploratory factor analysis was conducted to determine whether traumatic event types clustered into interpretable factors. Survival analysis was carried out to examine associations of sociodemographic characteristics and prior traumatic events with subsequent exposure. Results Over 70% of respondents reported a traumatic event; 30.5% were exposed to four or more. Five types – witnessing death or serious injury, the unexpected death of a loved one, being mugged, being in a life-threatening automobile accident, and experiencing a life-threatening illness or injury – accounted for over half of all exposures. Exposure varied by country, sociodemographics and history of prior traumatic events. Being married was the most consistent protective factor. Exposure to interpersonal violence had the strongest associations with subsequent traumatic events. Conclusions Given the near ubiquity of exposure, limited resources may best be dedicated to those that are more likely to be further exposed such as victims of interpersonal violence. Identifying mechanisms that account for the associations of prior interpersonal violence with subsequent trauma is critical to develop interventions to prevent revictimization. PMID:26511595

  13. Viscous Cosmology and Thermodynamics of Apparent Horizon

    OpenAIRE

    Akbar, M.

    2008-01-01

    It is shown that the differential form of Friedmann equations of FRW universe can be recast as a similar form of the first law, $T_{h}dS_{h} = dE + WdV$, of thermodynamics at the apparent horizon of FRW universe filled with the viscous fluid. It is also shown that the generalized second law of thermodynamics holds at the apparent horizon of FRW universe and preserves dominant energy condition.

  14. Toward a Typology of High-Risk Major Stressful Events and Situations in Posttraumatic Stress Disorder and Related Psychopathology.

    Science.gov (United States)

    Dohrenwend, B P

    2010-06-01

    The diagnosis of posttraumatic stress disorder (PTSD) was introduced in 1980 with the publication of the Diagnostic and Statistical Manual of the American Psychiatric Association, Third Edition (DSM-III). DSM-III put forward a novel syndrome consisting of intrusive, avoidance/numbing, and arousal symptoms as distinctive psychopathology following exposure to traumatic events. The traumatic stressors, although expanded in later editions published in 1987 (DSM-III-R) and 1994 (DSM-IV), focus on life-threatening events and situations. However, at least 12 studies, most of them recent, have found associations between the PTSD symptoms and the PTSD symptom syndrome with stressors, such as unemployment and divorce that would not qualify, even in the broadened DSM-IV diagnosis, as traumatic stressors. These findings challenge the basic assumption on which the PTSD diagnosis is based, the assumption that exposure to life-threatening stressors is the primary cause of a unique set of stress response symptoms. The purpose of this paper is to show how to confront this challenge by developing a typology of stressful situations and events that can be tested systematically for their relation to the PTSD symptom syndrome and other relevant variables. The typology includes but is not limited to the types of situations and events defined as "traumatic" in the DSMs. PMID:20975984

  15. Exploring the Incentive Structure of NASCAR Events

    OpenAIRE

    Christopher Azevedo; Crooker, John R.

    2008-01-01

    The existing literature on the incentive structure of NASCAR events has focused on the apparent "NASCAR Exception," which refers to the relative flatness of the finishing order monetary payouts in NASCAR events compared to other sporting events. This apparent exception to standard tournament theory is motivated as a result of the high penalty for accidents in racing events compared to other tournament events such as professional golf, where the first place finisher often receives a payout tha...

  16. Viscous Cosmology and Thermodynamics of Apparent Horizon

    Institute of Scientific and Technical Information of China (English)

    M. Akbar

    2008-01-01

    @@ It is shown that the differential form of Friedmann equations of Friedman-Robertson-Walker (FRW) universe can be recast as a similar form of the first law ThdSh=dE + W dV of thermodynamics at the apparent horizon of FRW universe filled with the viscous fluid.It is also shown that by employing the general expression of temperature Th=|k|/2π=1/2π(r)A(1-(r)A/2H(r)A) associated with the apparent horizon of an FRW universe and assumed that the temperature Tm of the energy inside the apparent horizon is proportional to the horizon temperature Tm = bTh,we are able to show that the generalized second law of thermodynamics holds in the Einstein gravity provided Th-Tm/(r)A≤(p+(P)).

  17. Superluminal apparent motions in distant radio sources

    CERN Document Server

    Chodorowski, Michal

    2004-01-01

    In this brief and pedagogical note, I derive a prediction of the standard model of superluminal radio sources for the apparent transverse velocity of a radio source located at a redshift z. The apparent velocity is reduced by a factor 1 + z, compared to that of a similar nearby source. The cause of this reduction is the recession velocity of the distant source. The apparent velocity of a source can be estimated from its redshift and proper motion, given the values of the Hubble constant and the mean densities of different energy components in the Universe. I provide a formula for the velocity valid for the currently favoured cosmological model: a flat universe with a non-zero cosmological constant.

  18. Short-duration radio bursts with apparent extragalactic dispersion

    Energy Technology Data Exchange (ETDEWEB)

    Saint-Hilaire, P. [Space Sciences Laboratory, University of California, Berkeley, CA 94720 (United States); Benz, A. O.; Monstein, C., E-mail: shilaire@ssl.berkeley.edu [Institute for Astronomy, ETH Zurich, 8093 Zurich (Switzerland)

    2014-11-01

    We present the results of the longest yet undertaken search for apparently extragalactic radio bursts at the Bleien Radio Observatory covering 21,000 hr (898 days). The data were searched for events of less than 50 ms FWHM duration showing a ν{sup –2} drift in the spectrogram characteristic of the delay of radio waves in plasma. We have found five cases suggesting dispersion measures between 350 and 400 cm{sup –3} pc while searching in the range of 75-2000 cm{sup –3} pc. Four of the five events occurred between 10:27 and 11:24 a.m. local civil time. The only exception occurred at night with the full Moon in the beam. It was an event that poorly fits plasma dispersion, but had the characteristics of a solar Type III burst. However, we were not able to confirm that it was a lunar reflection. All events were observed with a log-periodic dipole within 6800 hr, but none with a more directional horn antenna observing the rest of the time. These properties suggest a terrestrial origin of the 'peryton' type reported before. However, the cause of these events remains ambiguous.

  19. Mass density at geostationary orbit and apparent mass refilling

    Science.gov (United States)

    Denton, R. E.; Takahashi, Kazue; Amoh, Justice; Singer, H. J.

    2016-04-01

    We used the inferred equatorial mass density ρm,eq based on measurements of Alfvén wave frequencies measured by the GOES satellites during 1980-1991 in order to construct a number of different models of varying complexity for the equatorial mass density at geostationary orbit. The most complicated models are able to account for 66% of the variance with a typical variation from actual values of a factor of 1.56. The factors that influenced ρm,eq in the models were, in order of decreasing importance, the F10.7 EUV index, magnetic local time, the solar wind dynamic pressure Pdyn, the phase of the year, and the solar wind BZ (GSM Z direction). During some intervals, some of which were especially geomagnetically quiet, ρm,eq rose to values that were significantly higher than those predicted by our models. For 10 especially quiet intervals, we examined long-term (>1 day) apparent refilling, the increase in ρm,eq at a fixed location. We found that the behavior of ρm,eq varies for different events. In some cases, there is significant apparent refilling, whereas in other cases ρm,eq stays the same or even decreases slightly. Nevertheless, we showed that on average, ρm,eq increases exponentially during quiet intervals. There is variation of apparent refilling with respect to the phase of the solar cycle. On the third day of apparent refilling, ρm,eq has on average a similar value at solar maximum or solar minimum, but at solar maximum, ρm,eq begins with a larger value and rises relatively less than at solar minimum.

  20. Pre-eclampsia: a Life-threatening Pregnancy Syndrom

    Czech Academy of Sciences Publication Activity Database

    Brázdová, A.; Keprová, Alena; Zídková, J.; Madar, J.

    2014-01-01

    Roč. 57, č. 5 (2014), s. 701-705. ISSN 1516-8913 Grant ostatní: GA AV ČR(CZ) IAA600110902 Institutional support: RVO:61388963 Keywords : placenta * pre-eclampsia * pregnancy * oxidative stress Subject RIV: CE - Biochemistry Impact factor: 0.546, year: 2014

  1. Life-threatening complications of ibogaine: three case reports.

    Science.gov (United States)

    Paling, F P; Andrews, L M; Valk, G D; Blom, H J

    2012-11-01

    Ibogaine is a naturally occurring psychoactive alkaloid extracted from the roots of the Tabernanthe iboga plant, which in alternative medicine is used to treat drug dependency. However, this upcoming, online advocated therapy can be dangerous due to its potentially lethal adverse effects. We present three cases in which toxic side effects were noted. We used the Naranjo scale to estimate the probability of a causal relationship between these effects and ibogaine. Findings in these three cases are suggestive of a causal relationship between the use of ibogaine and serious respiratory and cardiac problems (including lengthening of the QT interval). In our opinion it is of great importance that clinicians are aware of these potentially serious side effects and realise that widespread online marketing practices will give many more people access to ibogaine. PMID:23123541

  2. Life-threatening overdose with lamotrigine, citalopram, and chlorpheniramine

    Directory of Open Access Journals (Sweden)

    Venkatraman N

    2008-01-01

    Full Text Available Lamotrigine is a commonly used agent for seizure control in epilepsy. There are limited data on the adverse effects of lamotrigine in overdose. We report a number of serious side-effects associated with a large overdose of lamotrigine. A 23-year-old female presented to the emergency department after taking an intentional overdose of 9.2 g of lamotrigine, 56 mg of chlorpheniramine, and 220 mg of citalopram. On admission, she had a reduced level of consciousness and electrocardiographic abnormalities; a widened QRS and a prolonged corrected QT (QTc interval. Prompt treatment with early intubation, along with the use of magnesium for cardioprotection and administration of sodium bicarbonate may have aided in a quick recovery with a short intensive care stay and good outcome.

  3. Life-threatening systemic symptoms in a cystic fibrosis patient

    OpenAIRE

    Gohy, Sophie; Froidure, Antoine; Lebecque, Patrick; ECFS

    2014-01-01

    Case report A 20-year-old male patient with cystic fibrosis (CF) (F508del/F508del, last FEV1: 92% predicted) was admitted for the sudden occurrence of high-grade fever, FEV1 drop (72% predicted) without increased cough, malaise, diffuse pain and generalized lymphadenopathies. Initial check-up revealed the presence of very recent bilateral hilar lymphadenopathies along with a marked inflammatory syndrome (WBC: 35,680/µl, neutrophils: 28,220/µl, CRP: 163mg/L). Within 24 hours, the patient devel...

  4. Subcutaneous mucor zygomycosis with potential life-threatening visceral complication

    Directory of Open Access Journals (Sweden)

    Angeline

    2013-01-01

    Full Text Available A mass in right supraclavicular fossa in a diabetic patient mimicking tuberculosis (TB adenitis that ultimately proved to be subcutaneous zygomycosis. A high degree of clinical suspicion is needed for diagnosis especially when these lesions occur at typical sites for the more common indolent infections like TB. This case is being presented not only because of its rarity, but to emphasize the role of early diagnosis and appropriate treatment to prevent serious complications due to proximity to major structures. Fluconazole was used despite not being the ideal drug, solely due to cost constraints. Our patient responded well. However, we do emphasize that response to fluconazole is the exception rather than the rule.

  5. Apparent Directional Scanning for DNA Repair

    OpenAIRE

    Zhao, Tong; Dinner, Aaron R.

    2007-01-01

    Recently it was observed that the DNA repair protein human O6-alkylguanine-DNA alkyltransferase repairs lesions at the 5′ ends of 70-nucleotide single-stranded DNA roughly threefold more frequently than lesions at the 3′ ends. Here, we introduce a coarse-grained model to show how a local asymmetry in binding kinetics (rather than thermodynamics) together with irreversible alkyl transfer can give rise to this apparent bias in sequence scanning. Exploration of the parameter space provides quant...

  6. Rotational Vicometry under Apparent Wall Slip

    Czech Academy of Sciences Publication Activity Database

    Večeř, M.; Wein, Ondřej

    Bratislava: Slovak Society of Chemical Engineering, 2011 - (Markoš, J.), s. 90 ISBN 978-80-227-3503-2. [International Conference of Slovak Society of Chemical Engineering /38./. Tatranské Matliare (SK), 23.05.2011-27.05.2011] R&D Projects: GA ČR GA104/09/0972 Institutional research plan: CEZ:AV0Z40720504 Keywords : rotational viscometry * polymer solution * apparent wall slip Subject RIV: CI - Industrial Chemistry, Chemical Engineering

  7. Apparent Solar Tornado-Like Prominences

    Science.gov (United States)

    Panasenco, Olga; Martin, Sara F.; Velli, Marco

    2014-02-01

    Recent high-resolution observations from the Solar Dynamics Observatory (SDO) have reawakened interest in the old and fascinating phenomenon of solar tornado-like prominences. This class of prominences was first introduced by Pettit ( Astrophys. J. 76, 9, 1932), who studied them over many years. Observations of tornado prominences similar to the ones seen by SDO had already been documented by Secchi ( Le Soleil, 1877). High-resolution and high-cadence multiwavelength data obtained by SDO reveal that the tornado-like appearance of these prominences is mainly an illusion due to projection effects. We discuss two different cases where prominences on the limb might appear to have a tornado-like behavior. One case of apparent vortical motions in prominence spines and barbs arises from the (mostly) 2D counterstreaming plasma motion along the prominence spine and barbs together with oscillations along individual threads. The other case of apparent rotational motion is observed in a prominence cavity and results from the 3D plasma motion along the writhed magnetic fields inside and along the prominence cavity as seen projected on the limb. Thus, the "tornado" impression results either from counterstreaming and oscillations or from the projection on the plane of the sky of plasma motion along magnetic-field lines, rather than from a true vortical motion around an (apparent) vertical or horizontal axis. We discuss the link between tornado-like prominences, filament barbs, and photospheric vortices at their base.

  8. Apparent magnitude of earthshine: a simple calculation

    Science.gov (United States)

    Agrawal, Dulli Chandra

    2016-05-01

    The Sun illuminates both the Moon and the Earth with practically the same luminous fluxes which are in turn reflected by them. The Moon provides a dim light to the Earth whereas the Earth illuminates the Moon with somewhat brighter light which can be seen from the Earth and is called earthshine. As the amount of light reflected from the Earth depends on part of the Earth and the cloud cover, the strength of earthshine varies throughout the year. The measure of the earthshine light is luminance, which is defined in photometry as the total luminous flux of light hitting or passing through a surface. The expression for the earthshine light in terms of the apparent magnitude has been derived for the first time and evaluated for two extreme cases; firstly, when the Sun’s rays are reflected by the water of the oceans and secondly when the reflector is either thick clouds or snow. The corresponding values are -1.30 and -3.69, respectively. The earthshine value -3.22 reported by Jackson lies within these apparent magnitudes. This paper will motivate the students and teachers of physics to look for the illuminated Moon by earthlight during the waning or waxing crescent phase of the Moon and to reproduce the expressions derived here by making use of the inverse-square law of radiation, Planck’s expression for the power in electromagnetic radiation, photopic spectral luminous efficiency function and expression for the apparent magnitude of a body in terms of luminous fluxes.

  9. Apparent exchange rate imaging in anisotropic systems

    DEFF Research Database (Denmark)

    Sønderby, Casper Kaae; Lundell, Henrik M; Søgaard, Lise V; Dyrby, Tim B

    2014-01-01

    Double-wave diffusion experiments offer the possibility of probing correlation between molecular diffusion at multiple time points. It has recently been shown that this technique is capable of measuring the exchange of water across cellular membranes. The aim of this study was to investigate the ...... effect of macroscopic tissue anisotropy on the measurement of the apparent exchange rate (AXR) in multicompartment systems.......Double-wave diffusion experiments offer the possibility of probing correlation between molecular diffusion at multiple time points. It has recently been shown that this technique is capable of measuring the exchange of water across cellular membranes. The aim of this study was to investigate the...

  10. Apparent resistivity of azimuthal anisotropy layered media

    Institute of Scientific and Technical Information of China (English)

    阮爱国; 毛桐恩; 李清河; 葛双成

    2002-01-01

    The electric field, equations of boundary conditions and calculation formula of apparent resistivity are derived for azimuthal anisotropy layered media with DC method based on anisotropic Ohm(s law. Taking Schlumberger symmetric system as an example and using recurrence formula of nuclear function, the paper theoretically simulates a model of four layers with the same anisotropy coefficient for each layer. The deep sounding curves of resistivity and the pattern of contours are obtained for the model. The results shows the theoretical formula of this paper is correct, the deep sounding curves not only exhibit the difference of resistivity among layers but also indicate the anisotropy characteristics of layers.

  11. Area Invariance of Apparent Horizons under Arbitrary Boosts

    CERN Document Server

    Akcay, Sarp

    2007-01-01

    It is a well known analytic result in general relativity that the 2-dimensional area of the horizon of a black hole remains invariant regardless of the motion of the observer, and in fact is independent of the $ t=constant $ slice, which can be quite arbitrary in general relativity. Nonetheless the explicit computation of horizon area is often substantially more difficult in some frames (complicated by the coordinate form of the metric), than in other frames. Here we give an explicit demonstration for very restricted metric forms of (Schwarzschild and Kerr) vacuum black holes. In the Kerr-Schild coordinate expression for these spacetimes they have an explicit Lorentz-invariant form. We consider {\\it boosted} versions with the black hole moving through the coordinate system. Since these are stationary black hole spacetimes, the apparent horizons are 2D crosssections of their event horizons, so we compute the areas of apparent horizons in the boosted space with (boosted) $ t = constant $, and obtain the same re...

  12. A "fair sampling" perspective on an apparent violation of duality

    CERN Document Server

    Bolduc, Eliot; Miatto, Filippo M; Leuchs, Gerd; Boyd, Robert W

    2014-01-01

    In the event in which a quantum mechanical particle can pass from an initial state to a final state along two possible paths, the duality principle states that "the simultaneous observation of wave and particle behavior is prohibited". [M. O. Scully, B.-G. Englert, and H. Walther. Nature, 351:111-116, 1991.] emphasized the importance of additional degrees of freedom in the context of complementarity. In this paper, we show how the consequences of duality change when allowing for biased sampling, that is, postselected measurements on specific degrees of freedom of the environment of the two-path state. Our work contributes to the explanation of previous experimental apparent violations of duality [R. Menzel, D. Puhlmann, A. Heuer, and W. P. Schleich. Proc. Natl. Acad. Sci., 109(24):9314-9319, 2012.] and opens up the way for novel experimental tests of duality.

  13. Apparent discordant redshift QSO-galaxy associations

    CERN Document Server

    Lopez-Corredoira, Martin

    2009-01-01

    An "exotic" idea proposed by Viktor Ambartsumian was that new galaxies are formed through the ejection from older active galaxies. Galaxies beget galaxies, instead of the standard scenario in which galaxies stem from the evolution of the seeds derived from fluctuations in the initial density field. This idea is in some way contained in the speculative proposal that some or all QSOs might be objects ejected by nearby galaxies, and that their redshift is not cosmological (Arp, G./M. Burbidge and others). I will discuss some of the arguments for and against this scenario; in particular, I shall talk about the existence of real physical connections in apparently discordant QSO-galaxy redshift associations. On the one hand, there are many statistical correlations of high-redshift QSOs and nearby galaxies that cannot yet be explained in terms of gravitational lensing, biases, or selection effects; and some particular configurations have very low probabilities of being a projection of background objects. Our underst...

  14. Field signature for apparently superluminal particle motion

    CERN Document Server

    Land, Martin

    2016-01-01

    In the context of Stueckelberg's covariant symplectic mechanics, Horwitz and Aharonovich have proposed a simple mechanism by which a particle traveling below light speed almost everywhere may exhibit a transit time that suggests superluminal motion. This mechanism, which requires precise measurement of the particle velocity, involves a subtle perturbation affecting the particle's recorded time coordinate caused by virtual pair processes. The Stueckelberg framework is particularly well suited to such problems, because it permits pair creation/annihilation at the classical level. In this paper, we study a trajectory of the type proposed by Horwitz and Aharonovich, and derive the Maxwell 4-vector potential associated with the motion. We show that the resulting fields carry a signature associated with the apparent superluminal motion, providing an independent test for the mechanism that does not require direct observation of the trajectory, except at the detector.

  15. Distribution of apparent magnetization for Asia

    Institute of Scientific and Technical Information of China (English)

    徐元芳; 安振昌; 黄宝春; V.P.Golovkov; N.M.Rotanova; A.L.Kharitonov

    2000-01-01

    Magsat total field anomalies over Asia were used to construct an equivalent magnetization model, which represents the apparent magnetization distribution within an equivalent layer 40 km thick and correlates well with large-scale tectonics, for example, the Kazakhstan, Tarim, Yangtze, India, Sino-Korea and Indochina blocks. The basin, plain, sea basin, and islands are delineated by magnetization lows whereas the plateau and marine ridge correspond to magnetization highs. The boundary between Tibetan Plateau and India marked by a strong gradient along its length coincides with the Yarlung Zangbo River fault roughly. The Tanlu fault belt is the boundary between positive and negative anomalies. This boundary stretches in southwest direction and joins Sanjiang fault belt. The boundary between the Southeast China block and the Yangtze block is also clearly delineated by the magnetization anomalies. Generally, the magnetization boundaries are consistent with the collisional suture of blocks.

  16. Stochastic modeling of central apnea events in preterm infants.

    Science.gov (United States)

    Clark, Matthew T; Delos, John B; Lake, Douglas E; Lee, Hoshik; Fairchild, Karen D; Kattwinkel, John; Randall Moorman, J

    2016-04-01

    A near-ubiquitous pathology in very low birth weight infants is neonatal apnea, breathing pauses with slowing of the heart and falling blood oxygen. Events of substantial duration occasionally occur after an infant is discharged from the neonatal intensive care unit (NICU). It is not known whether apneas result from a predictable process or from a stochastic process, but the observation that they occur in seemingly random clusters justifies the use of stochastic models. We use a hidden-Markov model to analyze the distribution of durations of apneas and the distribution of times between apneas. The model suggests the presence of four breathing states, ranging from very stable (with an average lifetime of 12 h) to very unstable (with an average lifetime of 10 s). Although the states themselves are not visible, the mathematical analysis gives estimates of the transition rates among these states. We have obtained these transition rates, and shown how they change with post-menstrual age; as expected, the residence time in the more stable breathing states increases with age. We also extrapolated the model to predict the frequency of very prolonged apnea during the first year of life. This paradigm-stochastic modeling of cardiorespiratory control in neonatal infants to estimate risk for severe clinical events-may be a first step toward personalized risk assessment for life threatening apnea events after NICU discharge. PMID:26963049

  17. EVENT MARKETING

    OpenAIRE

    Cajnko, Katja

    2014-01-01

    In a highly developed consumer society saturated with advertisements, events are getting more and more popular as a marketing communication element. In literature events are mentioned in connection with tourism and event management, but recent research shows an increase in using events as an element of the marketing communication mix. Two of the most important advantages of events are: it is the consumer's own decision to attend the events and they can offer to the consumer a positive experie...

  18. Event management

    OpenAIRE

    Urban, Zdeněk

    2013-01-01

    The thesis deals with event management and is formally divided into three sections. The first section provides the theoretical basis for the practical part. It primarily defines the terms event, event management and event marketing. The theoretical part proceeds from the general introduction to more detailed examination of the issue, which includes the classification of event marketing within the marketing and communication mix of the company, the typology of events and explanation of various...

  19. Event management

    OpenAIRE

    Jandová, Dita

    2011-01-01

    The thesis deal with event management. For better insight into this field event management is described on case of management of conference. The thesis has three main parts. In the theoretical part there are definitions of terms like event management, conference and other related terms. Further chapters are concerned with the position of event management in the communication mix, typologies of events and mostly with the crucial aspects of event management. In the second part of the thesis the...

  20. Event management

    OpenAIRE

    Šubrtová, Veronika

    2013-01-01

    This bachelor thesis on the topic event management develops this concept, focuses mainly on the creation of the event and its application in practice. Management, event and event management are described in the theoretical section. The importace of event management in the marketing communications mix is shown subsequently and especially the creation of the event is more detailed described. This is then reflected in the practical part of the thesis, in which the awards gala is planed and orga...

  1. Event management

    OpenAIRE

    Grebíková, Kristýna

    2014-01-01

    The thesis in theoretical part focuses on the concepts of event management and their interaction. The theoretical part focuses on the creation of event planning and marketing strategies, typology of events, and provides a situational analysis, objectives events, defines the target group, plan the resources, establish a budget and will focus on event controlling. The practical part carries theory into practice and deals with the organization of the event in the company TON in Chile. Based on a...

  2. Event marketing

    OpenAIRE

    Pham, Quynh Trang

    2008-01-01

    This study aims to analyze event-marketing activities of the small firm and propose new events. At first the theoretical part describes marketing and communication mix and then especially planning and development of event marketing campaign. Research data were collected by the method of survey to propose the new events. Randomly selected customers were asked to fill the questionnaire. Its results were integrated into the proposal of the new events. The interview was realized with the owner of...

  3. Event management

    OpenAIRE

    Pavléková, Markéta

    2013-01-01

    The main theme of the work is event management, which deals with the social events of various types. Event as a mean of communication is a common part of business strategy today and the organization became a separate industry. Procedures how to implement successful event are the essential part of the work. Organizationally demanding activity of event managers, which includes planning, organizing, staffing, leadership and control is supported by marketing activities, which are described in the...

  4. Event management

    OpenAIRE

    Michňa, Michal

    2011-01-01

    The theoretical part of this thesis deals with event management in general. The stress of its theoretical part is put on relation between event management and the other communication channels usually used by marketing experts in a firm. There is also described a confrontation of event management with processes which are basically used in project management. The theoretical part is mainly concerned with event management and organisation of events. There is a deep description of its prepara...

  5. Event management

    OpenAIRE

    Vomáčková, Kateřina

    2013-01-01

    This thesis deals with event management from theory to practice. First part of the thesis consists of literature review of this topic – from definition of basic terms, through event management’s classification in marketing of a company, to description of different stages of event management process. The second part of the thesis is based on practice – an agency that organized for the third year an event focusing on children and sport, is presented here. Last year of this event including...

  6. Event management

    OpenAIRE

    Palkosková, Barbora

    2011-01-01

    The diploma thesis deals with a term of event management and its connection to the event marketing. First part of the work focuses on terms that are superior to event management and those are marketing and marketing mix of 4P´s. Communication mix is than separated into smaller parts, defining the position of event marketing and management among them. Accent is put on the current possibilities of typology and separation of event and its practical use. Issue of events is connected to the...

  7. Pluto-charon mutual events

    International Nuclear Information System (INIS)

    Since 1985, planetary astronomers have been working to take advantage of a once-per-century apparent alignment between Pluto and its satellite, Charon, which has allowed mutual occultation and transit events to be observed. There events, which will cease in 1990, have permitted the first precise determinations of their individual radii, densities, and surface compositions. In addition, information on their surface albedo distributions can be obtained

  8. Event management

    OpenAIRE

    Štefl, Petr

    2011-01-01

    This bachelor thesis on the topic of event management deals with planning, organizing, managing, monitoring and implementation of special social events, termed event. It explains what they mean by this term we can imagine and as you can in terms of typology to distinguish events. Literature review consists of the acquired theoretical knowledge in management, project management and marketing. It describes the principles and procedure in place, we should keep the successful organization of ...

  9. Event management

    OpenAIRE

    Strýhalová, Veronika

    2013-01-01

    The Diploma thesis is focused on the Event management company, which organizes a big family minded sport day and describes its activity plan. The thesis consists three main parts, the first – the teoretic part specifices proffesional terms about an event management. This part also describes different event forms which are focused on the right selection and final strategy, the following control of financial situation and event overall what is in general a part of marketing mixture. The second ...

  10. Event management

    OpenAIRE

    Stružková, Tereza

    2014-01-01

    The main objective of this thesis is based on theoretical knowledge and analysis of the actual implementation event action in congress centre of 4*hotel. Asesment of importance, correctnesand effectivess of the vatious procedures of organizin events and create new complete schematic principle of organizin events Implementation actions will be considered from two sides – from side of the company organizer and from the side of event managment coordinator. All the outputs of these two aspect ...

  11. Quasar Apparent Proper Motion Observed by Geodetic VLBI Networks

    OpenAIRE

    D. S. MacMillan

    2003-01-01

    In our standard geodetic VLBI solutions, we estimate the positions of quasars assuming that their positions do not vary in time. However, in solutions estimating proper motion, a significant number of quasars show apparent proper motion greater than 50 uas/yr. For individual quasars, there are source structure effects that cause apparent proper motion. To examine how coherent the pattern of apparent proper motion is over the sky, we have estimated the vector spherical harmonic components of t...

  12. Apparent molar volumes and compressibilities of selected electrolytes in dimethylsulfoxide

    International Nuclear Information System (INIS)

    Densities at T = (293.15, 298.15, 303.15, 313.15, 323.15, and 333.15) K and sound velocities at T = 298.15 K of tetraphenylphosphonium bromide, sodium tetraphenylborate, sodium bromide, and sodium perchlorate in dimethylsulfoxide have been measured over the composition range from (0 to 0.3) mol . kg-1. From these data, apparent molar volumes and apparent molar isentropic compressibilities at infinite dilution as well as the expansibilities have been evaluated. The results have been discussed in terms of employing tetraphenylphosphonium tetraphenylborate as a reference electrolyte in splitting the limiting apparent molar volumes and apparent molar isentropic compressibilities into ionic contributions.

  13. Multiple weather factors affect apparent survival of European passerine birds.

    Directory of Open Access Journals (Sweden)

    Volker Salewski

    Full Text Available Weather affects the demography of animals and thus climate change will cause local changes in demographic rates. In birds numerous studies have correlated demographic factors with weather but few of those examined variation in the impacts of weather in different seasons and, in the case of migrants, in different regions. Using capture-recapture models we correlated weather with apparent survival of seven passerine bird species with different migration strategies to assess the importance of selected facets of weather throughout the year on apparent survival. Contrary to our expectations weather experienced during the breeding season did not affect apparent survival of the target species. However, measures for winter severity were associated with apparent survival of a resident species, two short-distance/partial migrants and a long-distance migrant. Apparent survival of two short distance migrants as well as two long-distance migrants was further correlated with conditions experienced during the non-breeding season in Spain. Conditions in Africa had statistically significant but relatively minor effects on the apparent survival of the two long-distance migrants but also of a presumably short-distance migrant and a short-distance/partial migrant. In general several weather effects independently explained similar amounts of variation in apparent survival for the majority of species and single factors explained only relatively low amounts of temporal variation of apparent survival. Although the directions of the effects on apparent survival mostly met our expectations and there are clear predictions for effects of future climate we caution against simple extrapolations of present conditions to predict future population dynamics. Not only did weather explains limited amounts of variation in apparent survival, but future demographics will likely be affected by changing interspecific interactions, opposing effects of weather in different seasons, and

  14. Event Modeling

    DEFF Research Database (Denmark)

    Bækgaard, Lars

    2001-01-01

    The purpose of this chapter is to discuss conceptual event modeling within a context of information modeling. Traditionally, information modeling has been concerned with the modeling of a universe of discourse in terms of information structures. However, most interesting universes of discourse...... are dynamic and we present a modeling approach that can be used to model such dynamics.We characterize events as both information objects and change agents (Bækgaard 1997). When viewed as information objects events are phenomena that can be observed and described. For example, borrow events in a library can...... temporarily from bookcases to borrowers. When we characterize events as change agents we focus on concepts like transactions, entity processes, and workflow processes....

  15. Event Modeling

    DEFF Research Database (Denmark)

    Bækgaard, Lars

    2001-01-01

    The purpose of this chapter is to discuss conceptual event modeling within a context of information modeling. Traditionally, information modeling has been concerned with the modeling of a universe of discourse in terms of information structures. However, most interesting universes of discourse...... are dynamic and we present a modeling approach that can be used to model such dynamics. We characterize events as both information objects and change agents (Bækgaard 1997). When viewed as information objects events are phenomena that can be observed and described. For example, borrow events in a library can...... temporarily from bookcases to borrowers. When we characterize events as change agents we focus on concepts like transactions, entity processes, and workflow processes....

  16. Detection of Flux Emergence, Splitting, Merging, and Cancellation of Network Fields. II Apparent Unipolar Flux Change and Cancellation

    CERN Document Server

    Iida, Y; Yokoyama, T

    2015-01-01

    In this second paper in the series, we investigate occurrence frequencies of apparent unipolar processes, cancellation, and emergence of patch structures in quiet regions. Apparent unipolar events are considerably more frequent than cancellation and emergence as per our definition, which is consistent with Lamb et al. (2013). Furthermore, we investigate the frequency distributions of changes in flux during apparent unipolar processes are and found that they concentrate around the detection limit of the analysis. Combining these findings with the results of our previous paper, Iida et al. (2012), that merging and splitting are more dominant than emergence and cancellation, these results support the understanding that apparent unipolar processes are actually interactions with and among patches below the detection limit and that there still are numerous flux interactions between the flux range in this analysis and below the detection limit. We also investigate occurrence frequency distributions of flux decrease ...

  17. Apparent Ionic Charge in Electrolyte and Polyelectrolyte Solutions

    Science.gov (United States)

    Magdelenat, H.; And Others

    1978-01-01

    Compares average displacements of charged particles under thermal motion alone with those obtained by the action of an external electric field to develop a concept of "apparent charge" to approximate actual structural charge in an electrolyte solution. (SL)

  18. Apparent molar volumes and compressibilities of selected electrolytes in dimethylsulfoxide

    Energy Technology Data Exchange (ETDEWEB)

    Warminska, Dorota, E-mail: dorota@chem.pg.gda.p [Department of Physical Chemistry, Chemical Faculty, Gdansk University of Technology, 80-233 Gdansk (Poland); Grzybkowski, Waclaw [Department of Physical Chemistry, Chemical Faculty, Gdansk University of Technology, 80-233 Gdansk (Poland)

    2010-12-15

    Densities at T = (293.15, 298.15, 303.15, 313.15, 323.15, and 333.15) K and sound velocities at T = 298.15 K of tetraphenylphosphonium bromide, sodium tetraphenylborate, sodium bromide, and sodium perchlorate in dimethylsulfoxide have been measured over the composition range from (0 to 0.3) mol . kg{sup -1}. From these data, apparent molar volumes and apparent molar isentropic compressibilities at infinite dilution as well as the expansibilities have been evaluated. The results have been discussed in terms of employing tetraphenylphosphonium tetraphenylborate as a reference electrolyte in splitting the limiting apparent molar volumes and apparent molar isentropic compressibilities into ionic contributions.

  19. Analysis of Apparent Elasticity Constants of Woven Fabrics

    Institute of Scientific and Technical Information of China (English)

    董侠; 张建春; 张燕

    2001-01-01

    The woven fabric can be defined as orthogonal elastomer if the extension force that puts on the fabric is very small. Based on the precondition, the apparent elasticity constants of a woven fabric were analyzed theoretically in the paper. The bias angle (which is between weft yarns and extension direction ) affects apparent elasticity modulus and elasticity coefficient of the fabric in the extension direction. And the experiment describes fluxes of elasticity constants going with the bias angle of the fabric.

  20. Finding Apparent Horizons in Dynamic 3D Numerical Spacetimes

    OpenAIRE

    Anninos, P.; Camarda, K.; Libson, J.; Masso, J.; Seidel, E; Suen, W.

    1996-01-01

    We have developed a general method for finding apparent horizons in 3D numerical relativity. Instead of solving for the partial differential equation describing the location of the apparent horizons, we expand the closed 2D surfaces in terms of symmetric trace--free tensors and solve for the expansion coefficients using a minimization procedure. Our method is applied to a number of different spacetimes, including numerically constructed spacetimes containing highly distorted axisymmetric blac...

  1. Physical processes responsible for ENSO events

    International Nuclear Information System (INIS)

    We use the author's theory of sun-weather/climate links and climatic change to develop and explain the physical processes which give rise to El Nino and Southern Oscillation (ENSO) events. Our analysis apparently accounts well for all major characteristics of ENSO events already established from past observations. Finally we propose possible ways by which future ENSO events may be predicted. (author). 32 refs, 2 figs

  2. EVENT SEGMENTATION

    OpenAIRE

    Zacks, Jeffrey M.; Swallow, Khena M.

    2007-01-01

    One way to understand something is to break it up into parts. New research indicates that segmenting ongoing activity into meaningful events is a core component of ongoing perception, with consequences for memory and learning. Behavioral and neuroimaging data suggest that event segmentation is automatic and that people spontaneously segment activity into hierarchically organized parts and sub-parts. This segmentation depends on the bottom-up processing of sensory features such as movement, an...

  3. Event management

    OpenAIRE

    Plechatý, Josef

    2012-01-01

    This theses focused on Event management is divided into two parts. First part includes theoretical knowledge while the second part is strictly practical. The first part is focused on marketing, its importance and basic terms. The chapter about marketing is followed by marketing mix, which is shortly characterized and divided into advertisement, sales promotion, public relations and other elements of the communication mix. The last part is a detailed study of Event marketing which includes th...

  4. Climate control of decadal-scale increases in apparent ages of eogenetic karst spring water

    Science.gov (United States)

    Martin, Jonathan B.; Kurz, Marie J.; Khadka, Mitra B.

    2016-09-01

    Water quantity and quality in karst aquifers may depend on decadal-scale variations in recharge or withdrawal, which we hypothesize could be assessed through time-series measurements of apparent ages of spring water. We tested this hypothesis with analyses of various age tracers (3H/3He, SF6, CFC-11, CFC-12, CFC-113) and selected solute concentrations [dissolved oxygen (DO), NO3, Mg, and SO4] from 6 springs in a single spring complex (Ichetucknee springs) in northern Florida over a 16-yr period. These springs fall into two groups that reflect shallow short (Group 1) and deep long (Group 2) flow paths. Some tracer concentrations are altered, with CFC-12 and CFC-113 concentrations yielding the most robust apparent ages. These tracers show a 10-20-yr monotonic increase in apparent age from 1997 to 2013, including the flood recession that followed Tropical Storm Debby in mid-2012. This increase in age indicates most water discharged during the study period recharged the aquifer within a few years of 1973 for Group 2 springs and 1980 for Group 1 springs. Inverse correlations between apparent age and DO and NO3 concentrations reflect reduced redox state in older water. Positive correlations between apparent age and Mg and SO4 concentrations reflect increased water-rock reactions. Concentrated recharge in the decade around 1975 resulted from nearly 2 m of rain in excess of the monthly average that fell between 1960 and 2014, followed by a nearly 4 m deficit to 2014. This excess rain coincided with two major El Niño events during the maximum cool phase in the Atlantic Multidecadal Oscillation. Although regional water withdrawal increased nearly 5-fold between 1980 and 2005, withdrawals represent only 2-5% of Ichetucknee River flow and are less important than decadal-long variations in precipitation. These results suggest that groundwater management should consider climate cycles as predictive tools for future water resources.

  5. Event management

    OpenAIRE

    Myslivcová, Hana Bc.

    2007-01-01

    V práci je popsán teoretický postup při pořádání eventů, který vychází ze zásad projektového řízení. Tyto postupy jsou také aplikovány v praktické realizaci eventu. Následuje výzkum aktuálních trendů v event managementu a výzkum cílových skupin s pomocí dat MML/TGI.

  6. Tortoise Coordinate Transformation on Apparent Horizon of a Dynamical Black Hole

    Science.gov (United States)

    Liu, Xianming; Zhao, Zheng; Liu, Wenbiao

    Thinking of Hawking radiation calculation from a Schwarzschild black hole using Damour-Ruffini method, some key requirements of the tortoise coordinate transformation are pointed out. Extending these requirements to a dynamical black hole, a dynamical tortoise coordinate transformation is proposed. Under this new dynamical tortoise coordinate transformation, Hawking radiation from a Vaidya black hole can be got successfully using Damour-Ruffini method. Moreover, we also find that the radiation should be regarded as originating from the apparent horizon rather than the event horizon at least from the viewpoint of the first law of thermodynamics.

  7. Shape reconstruction from apparent contours theory and algorithms

    CERN Document Server

    Bellettini, Giovanni; Paolini, Maurizio

    2015-01-01

    Motivated by a variational model concerning the depth of the objects in a picture and the problem of hidden and illusory contours, this book investigates one of the central problems of computer vision: the topological and algorithmic reconstruction of a smooth three dimensional scene starting from the visible part of an apparent contour. The authors focus their attention on the manipulation of apparent contours using a finite set of elementary moves, which correspond to diffeomorphic deformations of three dimensional scenes. A large part of the book is devoted to the algorithmic part, with implementations, experiments, and computed examples. The book is intended also as a user's guide to the software code appcontour, written for the manipulation of apparent contours and their invariants. This book is addressed to theoretical and applied scientists working in the field of mathematical models of image segmentation.

  8. Topography's event

    DEFF Research Database (Denmark)

    Munck Petersen, Rikke

    The aim of the paper is first to discuss how horizon and scale can be understood, secondly how they differ and what they might have in common? If topography can be seen as a way of working with these relations experiences, creations and latencies? Thirdly if diagrams and diagrammatology can bring...... space formation - to stimulate and elaborate the event of conception and topological thinking....

  9. Enhancement of apparent resistance to ethanol in Lactobacillus hilgardii

    OpenAIRE

    Couto, José António; Pina, Cristina; Hogg, Tim

    1997-01-01

    The survival of Lactobacillus hilgardii, a highly ethanol-tolerant organism, after an ethanol challenge at 25% (v/v) for 10 min, increased by several log cycles when cells, grown in the absence of ethanol, were pre-treated with 10% (v/v) ethanol, 15% (v/v) methanol or 2% (v/v) butanol for 4 h. A temperature upshift (25 to 40°C) before ethanol challenge demonstrated a similar enhancement of apparent resistance to ethanol. Ethanol shock enhanced apparent resistance to methanol, butanol and heat...

  10. Measurement of Temperature Dependent Apparent Specific Heat Capacity in Electrosurgery.

    Science.gov (United States)

    Karaki, Wafaa; Akyildiz, Ali; Borca Tasciuc, Diana-Andra; De, Suvranu

    2016-01-01

    This paper reports on the measurement of temperature dependent apparent specific heat of ex-vivo porcine liver tissue during radiofrequency alternating current heating for a large temperature range. The difference between spatial and temporal evolution of experimental temperature, obtained during electrosurgical heating by infrared thermometry, and predictions based on finite element modeling was minimized to obtain the apparent specific heat. The model was based on transient heat transfer with internal heat generation considering heat storage along with conduction. Such measurements are important to develop computational models for real time simulation of electrosurgical procedures. PMID:27046573

  11. No apparent lock-in depth of the Laschamp geomagnetic excursion: Evidence from the Malan loess

    Institute of Scientific and Technical Information of China (English)

    ZHU; Rixiang; LIU; Qingsong; PAN; Yongxin; DENG; Chenglong; ZHANG; Rui; WANG; Xianfeng

    2006-01-01

    The first-order chronological framework of the long-term Chinese loess/paleosol sequences was based mainly on magnetostratigraphy. However, there remain arguments on the lock-in ages of the major geomagnetic reversals. This study systematically compared the stratigraphic locations of the Laschamp excursion and Henrich events (H4 at~39 ka and H5 at~48 ka) recorded by the Luochuan loess profile in the central Chinese Loess Plateau. Results show that the Lascchamp excursion is bracketed well by these two cold events, and the corresponding estimated age is between about 41.7-43.7 ka, which is close to the widely accepted age of ~40-41 ka for the excursion.Therefore, our new results do not suggest apparent lock-in effects in the last glacial Malan loess.

  12. Imaging malignant and apparent malignant transformation of benign gynaecological disease

    Energy Technology Data Exchange (ETDEWEB)

    Lee, A.Y.; Poder, L.; Qayyum, A.; Wang, Z.J.; Yeh, B.M. [Department of Radiology, University of California San Francisco, San Francisco, CA (United States); Coakley, F.V., E-mail: Fergus.Coakley@radiology.ucsf.ed [Department of Radiology, University of California San Francisco, San Francisco, CA (United States)

    2010-12-15

    Common benign gynaecological diseases, such as leiomyoma, adenomyosis, endometriosis, and mature teratoma, rarely undergo malignant transformation. Benign transformations that may mimic malignancy include benign metastasizing leiomyoma, massive ovarian oedema, decidualization of endometrioma, and rupture of mature teratoma. The aim of this review is to provide a contemporary overview of imaging findings in malignant and apparent malignant transformation of benign gynaecological disease.

  13. Imaging malignant and apparent malignant transformation of benign gynaecological disease

    International Nuclear Information System (INIS)

    Common benign gynaecological diseases, such as leiomyoma, adenomyosis, endometriosis, and mature teratoma, rarely undergo malignant transformation. Benign transformations that may mimic malignancy include benign metastasizing leiomyoma, massive ovarian oedema, decidualization of endometrioma, and rupture of mature teratoma. The aim of this review is to provide a contemporary overview of imaging findings in malignant and apparent malignant transformation of benign gynaecological disease.

  14. CCD photometry of apparent dwarf galaxies in Fornax

    International Nuclear Information System (INIS)

    Blue and red CCD surface photometry of two apparent dwarf galaxies in the Fornax cluster region is presented. Luminosity profiles are derived and their form discussed. The fainter galaxy resembles an archetypal diffuse dwarf elliptical but the brighter of the pair is either an unusual red dwarf or a background galaxy in chance juxtaposition. (author)

  15. On the apparent horizon in fluid-gravity duality

    NARCIS (Netherlands)

    I. Booth; M.P. Heller; G. Plewa; M. Spalinski

    2011-01-01

    This article develops a computational framework for determining the location of boundary-covariant apparent horizons in the geometry of conformal fluid-gravity duality in arbitrary dimensions. In particular, it is shown up to second order and conjectured to hold to all orders in the gradient expansi

  16. Studying the cosmological apparent horizon with quasistatic coordinates

    Indian Academy of Sciences (India)

    Rui-Yan Yu; Towe Wang

    2013-02-01

    This article aims at a natural generalization of the static coordinates to the ( + 1)-dimensional Friedmann–Lemaître–Robertson–Walker (FLRW) Universe. After demonstrating a no-go theorem, we put forward the quasistatic coordinates for the FLRW Universe. Then, the quasistatic coordinates are utilized to study the unified first law and the scalar-type perturbations on the cosmological apparent horizon.

  17. Apparent mineralocorticoid excess: time of manifestation and complications despite treatment

    NARCIS (Netherlands)

    Knops, N.B.; Monnens, L.A.H.; Lenders, J.W.M.; Levtchenko, E.N.

    2011-01-01

    Here we describe the case of a patient followed from birth because of a positive family history for apparent mineralocorticoid excess (AME) in an older brother. The patient, a girl, had normal serum electrolyte and blood pressure measurements in the first months after birth. Not until the age of 11

  18. Apparently Ipsilateral Parkinsonism in a Patient with Chronic Subdural Hematoma

    Directory of Open Access Journals (Sweden)

    Tae Hwan Roh

    2012-05-01

    Full Text Available Symptomatic parkinsonism secondary to ipsilateral lesion is rarely reported. Although the contribution of the contralateral lesions was assumed in some cases, the pathomechanism remains undetermined. Herein we report a patient with a subdural hematoma, who developed parkinsonism in the ipsilateral hemibody. Structural and functional imaging suggests the contralateral dopaminergic dysfunction as the major culprit of apparently ipsilateral parkinsonism.

  19. Visual Benefits in Apparent Motion Displays: Automatically Driven Spatial and Temporal Anticipation Are Partially Dissociated.

    Science.gov (United States)

    Ahrens, Merle-Marie; Veniero, Domenica; Gross, Joachim; Harvey, Monika; Thut, Gregor

    2015-01-01

    Many behaviourally relevant sensory events such as motion stimuli and speech have an intrinsic spatio-temporal structure. This will engage intentional and most likely unintentional (automatic) prediction mechanisms enhancing the perception of upcoming stimuli in the event stream. Here we sought to probe the anticipatory processes that are automatically driven by rhythmic input streams in terms of their spatial and temporal components. To this end, we employed an apparent visual motion paradigm testing the effects of pre-target motion on lateralized visual target discrimination. The motion stimuli either moved towards or away from peripheral target positions (valid vs. invalid spatial motion cueing) at a rhythmic or arrhythmic pace (valid vs. invalid temporal motion cueing). Crucially, we emphasized automatic motion-induced anticipatory processes by rendering the motion stimuli non-predictive of upcoming target position (by design) and task-irrelevant (by instruction), and by creating instead endogenous (orthogonal) expectations using symbolic cueing. Our data revealed that the apparent motion cues automatically engaged both spatial and temporal anticipatory processes, but that these processes were dissociated. We further found evidence for lateralisation of anticipatory temporal but not spatial processes. This indicates that distinct mechanisms may drive automatic spatial and temporal extrapolation of upcoming events from rhythmic event streams. This contrasts with previous findings that instead suggest an interaction between spatial and temporal attention processes when endogenously driven. Our results further highlight the need for isolating intentional from unintentional processes for better understanding the various anticipatory mechanisms engaged in processing behaviourally relevant stimuli with predictable spatio-temporal structure such as motion and speech. PMID:26623650

  20. Visual Benefits in Apparent Motion Displays: Automatically Driven Spatial and Temporal Anticipation Are Partially Dissociated.

    Directory of Open Access Journals (Sweden)

    Merle-Marie Ahrens

    Full Text Available Many behaviourally relevant sensory events such as motion stimuli and speech have an intrinsic spatio-temporal structure. This will engage intentional and most likely unintentional (automatic prediction mechanisms enhancing the perception of upcoming stimuli in the event stream. Here we sought to probe the anticipatory processes that are automatically driven by rhythmic input streams in terms of their spatial and temporal components. To this end, we employed an apparent visual motion paradigm testing the effects of pre-target motion on lateralized visual target discrimination. The motion stimuli either moved towards or away from peripheral target positions (valid vs. invalid spatial motion cueing at a rhythmic or arrhythmic pace (valid vs. invalid temporal motion cueing. Crucially, we emphasized automatic motion-induced anticipatory processes by rendering the motion stimuli non-predictive of upcoming target position (by design and task-irrelevant (by instruction, and by creating instead endogenous (orthogonal expectations using symbolic cueing. Our data revealed that the apparent motion cues automatically engaged both spatial and temporal anticipatory processes, but that these processes were dissociated. We further found evidence for lateralisation of anticipatory temporal but not spatial processes. This indicates that distinct mechanisms may drive automatic spatial and temporal extrapolation of upcoming events from rhythmic event streams. This contrasts with previous findings that instead suggest an interaction between spatial and temporal attention processes when endogenously driven. Our results further highlight the need for isolating intentional from unintentional processes for better understanding the various anticipatory mechanisms engaged in processing behaviourally relevant stimuli with predictable spatio-temporal structure such as motion and speech.

  1. Fatal thyrocardiac event

    Directory of Open Access Journals (Sweden)

    Samit Kumar Khutia

    2010-01-01

    Full Text Available Atrial fibrillation occurs frequently (2-20% in chronic hyperthyroidism patients. Poorly treated thyrotoxic patients may present with a life-threatening cerebrovascular accident giving little scope to revert the situation. At times, it is difficult to make a patient euthyroid with conventional management. The definitive treatment of choice is 131 I, radioiodine. An adjusted dose of an oral anticoagulant is highly efficacious for the prevention of all types of strokes. Timely intervention by a skilled airway manager with right instruments is the key to success in airway management. A 50-year-old thyrotoxic, semiconscious male presented with a sudden onset of haemiplegia. He had chronic AF, a huge thyroid swelling with gross tracheal deviation and dilated cardiomyopathy. A CT scan showed infarction in the left middle cerebral artery territory. After initial improvement with conservative management, patient′s condition deteriorated in the next 48 h. Repeat CT scan showed increase in the infarct size with haemorrhage and midline shift. Finally, he died despite all resuscitative measures.

  2. Serious Asthma Events with Budesonide plus Formoterol vs. Budesonide Alone.

    Science.gov (United States)

    Peters, Stephen P; Bleecker, Eugene R; Canonica, Giorgio W; Park, Yong B; Ramirez, Ricardo; Hollis, Sally; Fjallbrant, Harald; Jorup, Carin; Martin, Ubaldo J

    2016-09-01

    Background Concerns remain about the safety of adding long-acting β2-agonists to inhaled glucocorticoids for the treatment of asthma. In a postmarketing safety study mandated by the Food and Drug Administration, we evaluated whether the addition of formoterol to budesonide maintenance therapy increased the risk of serious asthma-related events in patients with asthma. Methods In this multicenter, double-blind, 26-week study, we randomly assigned patients, 12 years of age or older, who had persistent asthma, were receiving daily asthma medication, and had had one to four asthma exacerbations in the previous year to receive budesonide-formoterol or budesonide alone. Patients with a history of life-threatening asthma were excluded. The primary end point was the first serious asthma-related event (a composite of adjudicated death, intubation, and hospitalization), as assessed in a time-to-event analysis. The noninferiority of budesonide-formoterol to budesonide was defined as an upper limit of the 95% confidence interval for the risk of the primary safety end point of less than 2.0. The primary efficacy end point was the first asthma exacerbation, as assessed in a time-to-event analysis. Results A total of 11,693 patients underwent randomization, of whom 5846 were assigned to receive budesonide-formoterol and 5847 to receive budesonide. A serious asthma-related event occurred in 43 patients who were receiving budesonide-formoterol and in 40 patients who were receiving budesonide (hazard ratio, 1.07; 95% confidence interval [CI], 0.70 to 1.65]); budesonide-formoterol was shown to be noninferior to budesonide alone. There were two asthma-related deaths, both in the budesonide-formoterol group; one of these patients had undergone an asthma-related intubation. The risk of an asthma exacerbation was 16.5% lower with budesonide-formoterol than with budesonide (hazard ratio, 0.84; 95% CI, 0.74 to 0.94; P=0.002). Conclusions Among adolescents and adults with predominantly

  3. Reconciling Horse Welfare, Worker Safety, and Public Expectations: Horse Event Incident Management Systems in Australia.

    Science.gov (United States)

    Fiedler, Julie M; McGreevy, Paul D

    2016-01-01

    Human-horse interactions have a rich tradition and can be highly rewarding, particularly within sport and recreation pursuits, but they can also be dangerous or even life-threatening. In parallel, sport and recreation pursuits involving animals, including horses, are facing an increased level of public scrutiny in relation to the use of animals for these purposes. However, the challenge lies with event organisers to reconcile the expectations of the public, the need to meet legal requirements to reduce or eliminate risks to paid and volunteer workers, and address horse welfare. In this article we explore incident management at horse events as an example of a situation where volunteers and horses can be placed at risk during a rescue. We introduce large animal rescue skills as a solution to improving worker safety and improving horse welfare outcomes. Whilst there are government and horse industry initiatives to improve safety and address animal welfare, there remains a pressing need to invest in a strong communication plan which will improve the safety of workplaces in which humans and horses interact. PMID:26927189

  4. Event Index - a LHCb Event Search System

    CERN Document Server

    Ustyuzhanin, Andrey; Kazeev, Nikita; Redkin, Artem

    2015-01-01

    LHC experiments generate up to $10^{12}$ events per year. This paper describes Event Index - an event search system. Event Index's primary function is quickly selecting subsets of events from a combination of conditions, such as the estimated decay channel or stripping lines output. Event Index is essentially Apache Lucene optimized for read-only indexes distributed over independent shards on independent nodes.

  5. Apparent Dissolution Kinetics of Diatomite in Alkaline Solution

    Institute of Scientific and Technical Information of China (English)

    DU Gaoxiang; L(U) Guocheng; HE Xuwen

    2013-01-01

    The dissolution kinetics of diatomite in alkaline solution is the theoretical basis for the process optimization of alkali-diatomite reaction and its applications.In this study,the dissolution kinetics of diatomite in NaOH solution is investigated.The results indicate that the dissolution reaction fits well the unreacted shrinking core model for solid-liquid heterogeneous reactions.The apparent reaction order for NaOH is 2 and the apparent activation energy for the reaction (Ea) is 28.06 kJ.mol-1.The intra-particle diffusion through the sodium silicate layer is the rate-controlling step.When the dissolution reaction occurs at the interface of unreacted diatomite solid core,the diffusion in the trans-layer (the liquid film around the wetted particle) reduces the rate of whole dissolution process.

  6. The Apparent and Intrinsic Shape of the APM Galaxy Clusters

    CERN Document Server

    Basilakos, S; Manolis, P; Basilakos, Spyros; Maddox, Steve; Plionis, Manolis

    2000-01-01

    We estimate the distribution of intrinsic shapes of APM galaxy clusters fromthe distribution of their apparent shapes. We measure the projected clusterellipticities using two alternative methods. The first method is based onmoments of the discrete galaxy distribution while the second is based onmoments of the smoothed galaxy distribution. We study the performance of bothmethods using Monte Carlo cluster simulations covering the range of APM clusterdistances and including a random distribution of background galaxies. We findthat the first method suffers from severe systematic biases, whereas the secondis more reliable. After excluding clusters dominated by substructure andquantifying the systematic biases in our estimated shape parameters, we recovera corrected distribution of projected ellipticities. We use the non-parametrickernel method to estimate the smooth apparent ellipticity distribution, andnumerically invert a set of integral equations to recover the correspondingdistribution of intrinsic ellipticiti...

  7. Rheometric Study of Apparent Wall Slip in Microdispersions

    Czech Academy of Sciences Publication Activity Database

    Večeř, M.; Pěnkavová, Věra; Wein, Ondřej

    Göteborg: Chalmers Reproservice, 2011 - (Sjoqvist, M.), s. 307-312 ISBN 978-952-15-2589-6. ISSN 1601-4057. [The Nordic Rheology Conference. Helsinki (FI), 08.06.2011-10.06.2011] R&D Projects: GA ČR GA104/09/0972; GA ČR GA104/07/1110 Institutional research plan: CEZ:AV0Z40720504 Keywords : apparent wall slip * microdispersion * rheology Subject RIV: CI - Industrial Chemistry, Chemical Engineering

  8. Apparent Viscosity of Active Nematics in Poiseuille Flow

    Science.gov (United States)

    Cui, Zhenlu; Su, Jianbing; Zeng, Xiaoming

    2015-09-01

    A Leslie-Erickson continuum hydrodynamic for flowing active nematics has been used to characterize active particle systems such as bacterial suspensions. The behavior of such a system under a plane pressure-driven Poiseuille flow is analyzed. When plate anchoring is tangential and normal, we find the apparent viscosity formula indicating a significant difference between tangential anchoring and normal anchoring conditions for both active rodlike and discoid nematics.

  9. Definition of apparent activation energy on DTG curves

    Directory of Open Access Journals (Sweden)

    A. K. Serikbayeva

    2016-07-01

    Full Text Available The article gives the results of sulphidation oxidized copper ores and tailings with sulfur. Defined by the apparent activation energy in the conditions of heating the mixture of substances interacting with a constant speed by differential thermogravimetry (DTG. It was established that the sulfiding may occur in a kinetic mode , since the interaction is charged, in the presence of liquid and gaseous sulfur , i.e. transport of sulfur to the surface of the mineral is not a limiting process.

  10. Information Limits on Identification of Natural Surfaces by Apparent Colour

    OpenAIRE

    Foster, David H.; Nascimento, Sérgio M. C.; Amano, Kinjiro

    2005-01-01

    By adaptational and other mechanisms, the visual system can compensate for moderate changes in the colour of the illumination on a scene. Although the colours of most surfaces are perceived to be constant (“colour constancy”), some are not. The effect of these residual colour changes on the ability of observers to identify surfaces by their apparent colour was determined theoretically from high-resolution hyperspectral images of natural scenes under different daylights with correlated colour ...

  11. Infants' perception of subjective contours from apparent motion.

    Science.gov (United States)

    Yamaguchi, Masami K; Kanazawa, So; Okamura, Hiromi

    2008-01-01

    We examined infants' perception of subjective contours in Subjective-Contour-from-Apparent-Motion (SCAM) stimuli [e.g., Cicerone, C. M., Hoffman, D. D., Gowdy, P. D., & Kim, J. S. (1995). The perception of color from motion. Perception & Psychophysics, 57, 761-777] using the preferential looking technique. The SCAM stimulus is composed of random dots which are assigned two different colors. Circular region assigned one color moved apparently, keeping all dots' location unchanged. In the SCAM stimulus, adults can perceive subjective color spreading and subjective contours in apparent motion (http://c-faculty.chuo-u.ac.jp/ approximately ymasa/okamura/ibd_demo.html). In the present study, we conducted two experiments by using this type of SCAM stimulus. A total of thirty-six 3-8-month-olds participated. In experiment 1, we presented two stimuli to the infants side by side: a SCAM stimulus consisting of different luminance, and a non-SCAM stimulus consisting of isoluminance dots. The results indicated that the 5-8-month-olds showed preference for the SCAM stimuli. In experiments 2 and 3, we confirmed that the infants' preference for the SCAM stimulus was not generated by the local difference and local change made by luminance of dots but by the subjective contours. These results suggest that 5-8-month-olds were able to perceive subjective contours in the SCAM stimuli. PMID:17727955

  12. Apparent directional spectral emissivity determination of semitransparent materials

    Science.gov (United States)

    Chun-Yang, Niu; Hong, Qi; Ya-Tao, Ren; Li-Ming, Ruan

    2016-04-01

    An inverse estimation method and corresponding measurement system are developed to measure the apparent spectral directional emissivities of semitransparent materials. The normal spectral emissivity and transmissivity serve as input for the inverse analysis. Consequently, the refractive index and absorption coefficient of the semitransparent material could be retrieved by using the pseudo source adding method as the forward method and the stochastic particle swarm optimization algorithm as the inverse method. Finally, the arbitrary apparent spectral directional emissivity of semitransparent material is estimated by using the pseudo source adding method given the retrieval refractive index and absorption coefficient. The present system has the advantage of a simple experimental structure, high accuracy, and excellent capability to measure the emissivity in an arbitrary direction. Furthermore, the apparent spectral directional emissivity of sapphire at 773 K is measured by using this system in a spectral range of 3 μm–12 μm and a viewing range of 0°–90°. The present method paves the way for a new directional spectral emissivity measurement strategy. Project supported by the National Natural Science Foundation of China (Grant Nos. 51476043 and 51576053) and the Foundation for Innovative Research Groups of the National Natural Science Foundation of China (Grant No. 51421063).

  13. Simulating events

    Energy Technology Data Exchange (ETDEWEB)

    Ferretti, C.; Bruzzone, L. [Techint Italimpianti, Milan (Italy)

    2000-06-01

    The Petacalco Marine terminal on the Pacific coast in the harbour of Lazaro Carclenas (Michoacan) in Mexico, provides coal to the thermoelectric power plant at Pdte Plutarco Elias Calles in the port area. The plant is being converted from oil to burn coal to generate 2100 MW of power. The article describes the layout of the terminal and equipment employed in the unloading, coal stacking, coal handling areas and the receiving area at the power plant. The contractor Techint Italimpianti has developed a software system, MHATIS, for marine terminal management which is nearly complete. The discrete event simulator with its graphic interface provides a real-type decision support system for simulating changes to the terminal operations and evaluating impacts. The article describes how MHATIS is used. 7 figs.

  14. Events diary

    Science.gov (United States)

    2000-01-01

    as Imperial College, the Royal Albert Hall, the Royal College of Art, the Natural History and Science Museums and the Royal Geographical Society. Under the heading `Shaping the future together' BA2000 will explore science, engineering and technology in their wider cultural context. Further information about this event on 6 - 12 September may be obtained from Sandra Koura, BA2000 Festival Manager, British Association for the Advancement of Science, 23 Savile Row, London W1X 2NB (tel: 0171 973 3075, e-mail: sandra.koura@britassoc.org.uk ). Details of the creating SPARKS events may be obtained from creating.sparks@britassoc.org.uk or from the website www.britassoc.org.uk . Other events 3 - 7 July, Porto Alegre, Brazil VII Interamerican conference on physics education: The preparation of physicists and physics teachers in contemporary society. Info: IACPE7@if.ufrgs.br or cabbat1.cnea.gov.ar/iacpe/iacpei.htm 27 August - 1 September, Barcelona, Spain GIREP conference: Physics teacher education beyond 2000. Info: www.blues.uab.es/phyteb/index.html

  15. Apparent faster than light propagation from light sterile neutrinos

    CERN Document Server

    Hannestad, Steen

    2011-01-01

    Recent data from the OPERA experiment seem to point to neutrinos propagating faster than light. One possible physics explanation for such a result is the existence of light sterile neutrinos which can propagate in a higher dimensional bulk and achieve apparent superluminal velocities when measured by an observer confined to the 4D brane of the standard model. Such a model has the advantage of easily being able to explain the non-observation of superluminal neutrinos from SN1987A. Here we discuss the phenomenological implications of such a model and show that it can provide an explanation for the observed faster than light propagation of neutrinos.

  16. Hjertestop associeret med syndrome of apparent mineralocorticoid excess

    DEFF Research Database (Denmark)

    Meldgaard-Nielsen, Anne; Laugesen, Esben; Poulsen, Per Løgstrup

    Ventricular fibrillation is an unknown complication to the syndrome of apparent mineralocorticoid excess (SAME). This case report describes a young woman admitted with hypo-kalaemia and hypertension. Concentrations of both P-renin and P-aldosterone were low and urinary steroid metabolites revealed...... an abnormal excretion pattern pointing to the diagnosis of SAME. Three years later the woman suffered from ventricular fibrillation due to the hypokalaemia caused by her disease. This case report demonstrates the need for increased attention on the potassium concentration in patients with SAME....

  17. Mechanical Components from Highly Recoverable, Low Apparent Modulus Materials

    Science.gov (United States)

    Padula, Santo, II (Inventor); Noebe, Ronald D. (Inventor); Stanford, Malcolm K. (Inventor); DellaCorte, Christopher (Inventor)

    2015-01-01

    A material for use as a mechanical component is formed of a superelastic intermetallic material having a low apparent modulus and a high hardness. The superelastic intermetallic material is conditioned to be dimensionally stable, devoid of any shape memory effect and have a stable superelastic response without irrecoverable deformation while exhibiting strains of at least 3%. The method of conditioning the superelastic intermetallic material is described. Another embodiment relates to lightweight materials known as ordered intermetallics that perform well in sliding wear applications using conventional liquid lubricants and are therefore suitable for resilient, high performance mechanical components such as gears and bearings.

  18. Apparent dose equivalents resulting from severe heating of film dosimeters

    International Nuclear Information System (INIS)

    Unusual reported dose equivalents due to high-energy photons for two individuals prompted the investigation of the effects of severe heating conditions expected in closed vehicles during southwestern summer months on commercial film dosimeters. A historical review of dosimetry records revealed several additional reported high-energy photon exposures for individuals using only beta-emitting radioisotopes during hot summer months. Between 20-100% of experimentally heated badges had apparent dose equivalents exceeding the minimal detectable dose equivalent that were not flagged as being heat damaged or having unusual exposure patterns by the dosimetry companies. Reported dose equivalents for these badges were as high as 2.1 mSv

  19. Downscaling Smooth Tomographic Models: Separating Intrinsic and Apparent Anisotropy

    Science.gov (United States)

    Bodin, Thomas; Capdeville, Yann; Romanowicz, Barbara

    2016-04-01

    In recent years, a number of tomographic models based on full waveform inversion have been published. Due to computational constraints, the fitted waveforms are low pass filtered, which results in an inability to map features smaller than half the shortest wavelength. However, these tomographic images are not a simple spatial average of the true model, but rather an effective, apparent, or equivalent model that provides a similar 'long-wave' data fit. For example, it can be shown that a series of horizontal isotropic layers will be seen by a 'long wave' as a smooth anisotropic medium. In this way, the observed anisotropy in tomographic models is a combination of intrinsic anisotropy produced by lattice-preferred orientation (LPO) of minerals, and apparent anisotropy resulting from the incapacity of mapping discontinuities. Interpretations of observed anisotropy (e.g. in terms of mantle flow) requires therefore the separation of its intrinsic and apparent components. The "up-scaling" relations that link elastic properties of a rapidly varying medium to elastic properties of the effective medium as seen by long waves are strongly non-linear and their inverse highly non-unique. That is, a smooth homogenized effective model is equivalent to a large number of models with discontinuities. In the 1D case, Capdeville et al (GJI, 2013) recently showed that a tomographic model which results from the inversion of low pass filtered waveforms is an homogenized model, i.e. the same as the model computed by upscaling the true model. Here we propose a stochastic method to sample the ensemble of layered models equivalent to a given tomographic profile. We use a transdimensional formulation where the number of layers is variable. Furthermore, each layer may be either isotropic (1 parameter) or intrinsically anisotropic (2 parameters). The parsimonious character of the Bayesian inversion gives preference to models with the least number of parameters (i.e. least number of layers, and

  20. The Risk Assessment of Adverse Events of Nursing Activities as the Element of Quality Management in Healhcare

    Directory of Open Access Journals (Sweden)

    Wiśniewska Malgorzata Z.

    2015-02-01

    Full Text Available The purpose of the paper is to present MedCARVER+Shock method and Pareto analysis and its usability for the risk assessment of adverse events of nursing activities. 888 activities carried out by all 190 nurses working at the District Hospital X located in Poland were taken into account. During the research the qualitative approach was used. As the result sixteen groups of nursing activities causing the highest risk of adverse events were selected. Special attention required in: admission of a patient to the ward, sterilization, verbal communication with the patient, using of intravenous cannulas, needles, syringes, devices for transfusion of infusion liquids, servicing of hospital rooms, first aid in life-threatening situations, using medical devices and equipment. Ten basic causes of the risk of adverse events were identified, among others: lack of trainings, of modern equipment, of staff, failure to comply with procedures, lack of staff supervision, poor quality of ancillary materials, lack of management commitment. Finally MedCARVER+Shock method and Pareto analysis usability has been confirmed but it appeared that it is time-consuming and requires support from skilled professionals. Several suggestions have been put forward to improve the utility of MedCARVER+Shock.

  1. Development of a drug safety ePlatform for physicians, pharmacists, and consumers based on post-marketing adverse events

    Directory of Open Access Journals (Sweden)

    Keith B. Hoffman

    2013-07-01

    Full Text Available Rigorous clinical trials under the watchful eye of regulators remain the cornerstone of drug safety. However, the emergence of serious and life-threatening Adverse Events (AEs across best-selling drug classes [sometimes many years after winning Food and Drug Administration (FDA approval] underscores the limitations of current clinical trial processes and reinforces the need for careful post-approval pharmacovigilance. The FDA’s sizeable repository of patient case reports linking AEs to approved drugs is the Adverse Event Reporting System (FAERS. We believe that open and user-friendly access to the millions of case reports in FAERS would help advance the field of post-marketing pharmacovigilance. However, FAERS data are virtually inaccessible to most physicians, pharmacists, and consumers. Accordingly, we have recently launched a big data platform (www.AdverseEvents.com that, unlike previous efforts, provides on-demand, user-friendly, and high-impact access to FAERS data. Bringing the power of big data to regular users, such as clinicians, pharmacists, and patients, is the logical next step in the transformation of health care to a model of shared decision making between consumers and the system.

  2. Postmarketing safety surveillance for typhoid fever vaccines from the Vaccine Adverse Event Reporting System, July 1990 through June 2002.

    Science.gov (United States)

    Begier, Elizabeth M; Burwen, Dale R; Haber, Penina; Ball, Robert

    2004-03-15

    Vaccines against Salmonella enterica serotype Typhi are used for prophylaxis of international travelers and have potential use as counterbioterrorism agents. The Vaccine Adverse Event Reporting System (VAERS) cannot usually establish causal relationships between vaccines and reported adverse events without further research but has successfully detected unrecognized side effects of vaccine. We reviewed reports to VAERS for US-licensed typhoid fever vaccines for the period of July 1990 through June 2002. We received 321 reports for parenteral Vi capsular polysaccharide vaccine and 345 reports for live, oral, attenuated Ty21a vaccine, with 7.5% and 5.5%, respectively, describing death, hospitalization, permanent disability, or life-threatening illness. Unexpected frequently reported symptoms included dizziness and pruritus for Vi vaccine and fatigue and myalgia for Ty21a vaccine. Gastroenteritis-like illness after receipt of Ty21a vaccine and abdominal pain after receipt of Vi vaccine, which are previously recognized events, occasionally required hospitalization. Nonfatal anaphylaxis was reported after both vaccines. VAERS reports do not indicate any unexpected serious side effects that compromise these vaccines' use for travelers' prophylaxis. PMID:14999618

  3. Apparent diffusion coefficient correlation with oesophageal tumour stroma and angiogenesis

    Energy Technology Data Exchange (ETDEWEB)

    Aoyagi, Tomoyoshi; Shuto, Kiyohiko; Okazumi, Shinichi; Hayano, Kohichi; Satoh, Asami; Saitoh, Hiroshige; Shimada, Hideaki; Nabeya, Yoshihiro; Matsubara, Hisahiro [Chiba University, Department of Frontier Surgery, Graduate School of Medicine, Chiba (Japan); Kazama, Toshiki [Chiba University, Department of Radiology, Graduate School of Medicine, Chiba (Japan)

    2012-06-15

    Because diffusion-weighted imaging (DWI) can predict the prognosis of patients with oesophageal squamous cell carcinoma (ESCC), we hypothesised that apparent diffusion coefficient (ADC) values might be correlated with the collagen content and tumour angiogenesis. The purpose of this study was to determine the correlation between ADC values of ESCC before treatment and oesophageal tumour stroma and angiogenesis. Seventeen patients with ESCC were enrolled. The ADC values were calculated from the DWI score. Seventeen patients who had undergone oesophagectomy were analysed for tumour stroma, vascular endothelial growth factor (VEGF) and CD34. Tissue collagen was stained with azocarmine and aniline blue to quantitatively analyse the extracellular matrix in cancer stroma. Tissues were stained with VEGF and CD34 to analyse the angiogenesis. The ADC values decreased with stromal collagen growth. We found a negative correlation between the tumour ADC and the amount of stromal collagen (r = -0.729, P = 0.001), i.e. the ADC values decreased with growth of VEGF. We also found a negative correlation between the ADC of the tumours and the amount of VEGF (r = 0.538, P = 0.026). Our results indicated that the ADC value may be a novel prognostic factor and contribute to the treatment of oesophageal cancer. circle Magnetic resonance apparent diffusion coefficient values inversely indicate tumour stromal collagen circle There is also negative correlation between ADCs and vascular endothelial growth factor circle ADC values may contribute to the treatment of oesophageal cancer. (orig.)

  4. Apparent diffusion coefficient correlation with oesophageal tumour stroma and angiogenesis

    International Nuclear Information System (INIS)

    Because diffusion-weighted imaging (DWI) can predict the prognosis of patients with oesophageal squamous cell carcinoma (ESCC), we hypothesised that apparent diffusion coefficient (ADC) values might be correlated with the collagen content and tumour angiogenesis. The purpose of this study was to determine the correlation between ADC values of ESCC before treatment and oesophageal tumour stroma and angiogenesis. Seventeen patients with ESCC were enrolled. The ADC values were calculated from the DWI score. Seventeen patients who had undergone oesophagectomy were analysed for tumour stroma, vascular endothelial growth factor (VEGF) and CD34. Tissue collagen was stained with azocarmine and aniline blue to quantitatively analyse the extracellular matrix in cancer stroma. Tissues were stained with VEGF and CD34 to analyse the angiogenesis. The ADC values decreased with stromal collagen growth. We found a negative correlation between the tumour ADC and the amount of stromal collagen (r = -0.729, P = 0.001), i.e. the ADC values decreased with growth of VEGF. We also found a negative correlation between the ADC of the tumours and the amount of VEGF (r = 0.538, P = 0.026). Our results indicated that the ADC value may be a novel prognostic factor and contribute to the treatment of oesophageal cancer. circle Magnetic resonance apparent diffusion coefficient values inversely indicate tumour stromal collagen circle There is also negative correlation between ADCs and vascular endothelial growth factor circle ADC values may contribute to the treatment of oesophageal cancer. (orig.)

  5. Prendre au sérieux les apparences

    Directory of Open Access Journals (Sweden)

    Mark Wynn

    2012-07-01

    Full Text Available Ce texte explore certaines implications de l'idée selon laquelle des pensées religieuses peuvent faire partie de l'apparence sensorielle des choses. Je commence par clarifier cette idée en utilisant des exemples exposés par Roger Scruton qui discute la phénoménologie de l'expérience architecturale. Ensuite, je considère, d'un point de vue pragmatique et épistémique, l'apport de cette idée pour l'argument pour les croyances religieuses. Plus précisément, j'explore comment l'idée d'une relation interne entre la pensée religieuse et les apparences sensorielles des choses peut être utilisée i pour formuler avec nuances l'argument de William James dans « La volonté de croire » et ii pour présenter un argument épistémique pour les croyances religieuses dont l'importance des affirmations centrales est assez couramment reconnue par les croyants mais qui n'a pas été beaucoup discutée par les philosophes.

  6. Apparent Yield Strength of Hot-Pressed SiCs

    Energy Technology Data Exchange (ETDEWEB)

    Daloz, William L [ORNL; Wereszczak, Andrew A [ORNL; Jadaan, Osama M. [University of Wisconsin, Platteville

    2008-01-01

    Apparent yield strengths (YApp) of four hot-pressed silicon carbides (SiC-B, SiC-N,SiC-HPN, and SiC-SC-1RN) were estimated using diamond spherical or Hertzian indentation. The von Mises and Tresca criteria were considered. The developed test method was robust, simple and quick to execute, and thusly enabled the acquisition of confident sampling statistics. The choice of indenter size, test method, and method of analysis are described. The compressive force necessary to initiate apparent yielding was identified postmortem using differential interference contrast (or Nomarski) imaging with an optical microscope. It was found that the YApp of SiC-HPN (14.0 GPa) was approximately 10% higher than the equivalently valued YApp of SiC-B, SiC-N, and SiC-SC-1RN. This discrimination in YApp shows that the use of this test method could be insightful because there were no differences among the average Knoop hardnesses of the four SiC grades.

  7. Why does the apparent mass of a coronal mass ejection increase?

    CERN Document Server

    Feng, Li; Shen, Fang; Shen, Chenglong; Inhester, Bernd; Lu, Lei; Gan, Weiqun

    2015-01-01

    Mass is one of the most fundamental parameters characterizing the dynamics of a coronal mass ejection (CME). It has been found that CME apparent mass measured from the brightness enhancement in coronagraph images shows an increasing trend during its evolution in the corona. However, the physics behind it is not clear. Does the apparent mass gain come from the mass outflow from the dimming regions in the low corona, or from the pileup of the solar wind plasma around the CME when it propagates outwards from the Sun? We analyzed the mass evolution of six CME events. Their mass can increase by a factor of 1.6 to 3.2 from 4 to 15 Rs in the field of view (FOV) of the coronagraph on board the Solar Terrestrial Relations Observatory (STEREO). Over the distance about 7 to 15 Rs, where the coronagraph occulting effect can be negligible, the mass can increase by a factor of 1.3 to 1.7. We adopted the `snow-plough' model to calculate the mass contribution of the piled-up solar wind in the height range from about 7 to 15 ...

  8. Pharmacovigilance Analysis of Serious Adverse Events Reported for Biologic Response Modifiers Used as Prophylaxis against Transplant Rejection: a Real-World Postmarketing Experience from the US FDA Adverse Event Reporting System (FAERS)

    Science.gov (United States)

    Ali, A. K.

    2013-01-01

    Background: Immunosuppression by biologic response modifiers (BRM) is a crucial component for successful organ transplantation. In addition to their variable effectiveness in the prevention of organ rejection, these medications have safety concerns that complicate therapeutic outcomes in organ transplant patients. Objective: This study aims at identifying and characterizing safety signals of serious adverse events associated with exposure to BRM among organ transplant patients in a real-world environment. Methods: The FDA Adverse Event Reporting System was utilized to apply a pharmacovigilance disproportionality analysis to indentify serious adverse events. Associations between drugs and events were measured by empirical Bayes geometric mean (EBGM) and the corresponding 95% confidence intervals (EB05–EB95). Associations with EBGM≥2 were considered significant safety signals. Results: From 1997 to 2012, a total of 12,151 serious adverse event reports for BRM were reported; 15.6% of them (n=1,711) met the safety signal threshold of EB05>1, and 11.6% of these signals (n=199) were significant (EBGM≥2). Sirolimus and mycophenolate accounted for the majority of all signals; antithymocyte immunoglobulin (ATI) and cyclosporine contributed to the majority of significant signals. The following significant signals were identified for ATI (reduced therapeutic response, pulmonary edema, hypotension, serum sickness, infusion-related reaction, and anaphylactic reaction); for azathioprine (alternaria infection, fungal skin infection, and lymphoproliferative disorder); for cyclosporine (neurotoxicity, graft vs. host disease, and thyroid cancer); for cyclophosphamide (disease progression); for daclizumab (cytomegalovirus infection); and for tacrolimus (coma and tremor). 33.6% of these events contributed to patient death (n=67); 6.5% were life-threatening (n=13); 32.1% lead to hospitalization (n=64); and 27.6% resulted in other serious outcomes (n=55). Conclusion: Utilization

  9. Pharmacovigilance Analysis of Serious Adverse Events Reported for Biologic Response Modifiers Used as Prophylaxis against Transplant Rejection: a Real-World Postmarketing Experience from the US FDA Adverse Event Reporting System (FAERS

    Directory of Open Access Journals (Sweden)

    A. K. Ali

    2013-04-01

    Full Text Available Background: Immunosuppression by biologic response modifiers (BRM is a crucial component for successfulorgan transplantation. In addition to their variable effectiveness in the prevention of organ rejection,these medications have safety concerns that complicate therapeutic outcomes in organ transplantpatients.Objective: This study aims at identifying and characterizing safety signals of serious adverse events associatedwith exposure to BRM among organ transplant patients in a real-world environment.Methods: The FDA Adverse Event Reporting System was utilized to apply a pharmacovigilance disproportionalityanalysis to indentify serious adverse events. Associations between drugs and events weremeasured by empirical Bayes geometric mean (EBGM and the corresponding 95% confidence intervals(EB05–EB95. Associations with EBGM≥2 were considered significant safety signals.Results: From 1997 to 2012, a total of 12,151 serious adverse event reports for BRM were reported; 15.6%of them (n=1,711 met the safety signal threshold of EB05>1, and 11.6% of these signals (n=199 weresignificant (EBGM≥2. Sirolimus and mycophenolate accounted for the majority of all signals; antithymocyteimmunoglobulin (ATI and cyclosporine contributed to the majority of significant signals. The followingsignificant signals were identified for ATI (reduced therapeutic response, pulmonary edema, hypotension,serum sickness, infusion-related reaction, and anaphylactic reaction; for azathioprine (alternariainfection, fungal skin infection, and lymphoproliferative disorder; for cyclosporine (neurotoxicity,graft vs. host disease, and thyroid cancer; for cyclophosphamide (disease progression; for daclizumab(cytomegalovirus infection; and for tacrolimus (coma and tremor. 33.6% of these events contributedto patient death (n=67; 6.5% were life-threatening (n=13; 32.1% lead to hospitalization (n=64; and27.6% resulted in other serious outcomes (n=55.Conclusion: Utilization of BRM for the

  10. Energy Dissipation and Apparent Viscosity of Semi-solid Metal during Rheological Processes Part Ⅱ: Apparent Viscosity

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    This study investigated the rheological properties of semi-solid metal. An analytical model of apparent viscosity was built up based on analysis of energy dissipation during rheological processes such as slurry preparing,delivering and model filling. The rheological properties of SSM (semi-solid metal) slurry was described by an analytical model in terms of microstructural parameters, which consist of effective solid fraction, particle size and shape, and flow parameters such as mean velocity, fluctuant velocity and relative velocity between liquid and solid phase. The model was verified in the experiment of A356 alloys with a coaxial double-bucket rheometer. And the maximum relative error between the theoretical value and measured one is less than 10%.The results of experiment and theoretical calculation also indicate that the microstructural parameters and flow parameters are two major factors that affect the apparent viscosity of semi-solid alloys, and fluctuant velocity and relative velocity between liquid and solid phase are the key factors to distinguish between steady and transient rheological properties.

  11. The Adverse Events and Hemodynamic Effects of Adenosine-Based Cardiac MRI

    International Nuclear Information System (INIS)

    We wanted to prospectively assess the adverse events and hemodynamic effects associated with an intravenous adenosine infusion in patients with suspected or known coronary artery disease and who were undergoing cardiac MRI. One hundred and sixty-eight patients (64 ± 9 years) received adenosine (140 μg/kg/min) during cardiac MRI. Before and during the administration, the heart rate, systemic blood pressure, and oxygen saturation were monitored using a MRI-compatible system. We documented any signs and symptoms of potential adverse events. In total, 47 out of 168 patients (28%) experienced adverse effects, which were mostly mild or moderate. In 13 patients (8%), the adenosine infusion was discontinued due to intolerable dyspnea or chest pain. No high grade atrioventricular block, bronchospasm or other life-threatening adverse events occurred. The hemodynamic measurements showed a significant increase in the heart rate during adenosine infusion (69.3 ± 11.7 versus 82.4 ± 13.0 beats/min, respectively; p < 0.001). A significant but clinically irrelevant increase in oxygen saturation occurred during adenosine infusion (96 ± 1.9% versus 97 ± 1.3%, respectively; p < 0.001). The blood pressure did not significantly change during adenosine infusion (systolic: 142.8 ± 24.0 versus 140.9 ± 25.7 mmHg; diastolic: 80.2 ± 12.5 mmHg versus 78.9 ± 15.6, respectively). This study confirms the safety of adenosine infusion during cardiac MRI. A considerable proportion of all patients will experience minor adverse effects and some patients will not tolerate adenosine infusion. However, all adverse events can be successfully managed by a radiologist. The increased heart rate during adenosine infusion highlights the need to individually adjust the settings according to the patient, e.g., the number of slices of myocardial perfusion imaging.

  12. Apparent distribution coefficients of transuranium elements in UK coastal waters

    International Nuclear Information System (INIS)

    The authorized inputs of low-level radioactive waste into the Irish Sea from the British Nuclear Fuels plc reprocessing plant at Sellafield may be used to advantage to study the distribution and behaviour of artificial radionuclides in the marine environment. Apparent distribution coefficients (Ksub(d)) for the transuranium elements Np, Pu, Am and Cm have been determined by the analysis of environmental samples collected from UK coastal waters. The sampling methodology for obtaining suspended sediment-seawater Ksub(d)s by filtration is described and critically evaluated. Artefacts may be introduced in the sample collection stage. Ksub(d) values have also been determined for seabed sediment-interstitial waters and the precautions taken to preserve in-situ chemical conditions are described. Variations in Ksub(d) values are discussed in relation to distance from Sellafield, suspended load, redox conditions and oxidation state changes. (author)

  13. An Apparent Paradox in Verification of Rainfall Estimates.

    Science.gov (United States)

    Ciach, G. J.

    2009-05-01

    A problem that is a source of permanent cognitive confusion in comprehensive evaluations of different rainfall estimates is presented. The problem stems from the existence of two conditional biases (CB) inherent to the uncertainties of the estimates. The two CBs, called "CB type 1" and "CB type 2," are recognized by researchers familiar with the distribution-oriented framework for complete verification of hydrological and meteorological products. Although the mathematical definitions of the two CBs are clear, a reality check reveals that their meaningful interpretation is problematic. It can even result in self-contradictory conclusions suggesting both systematic overestimation and underestimation of strong rainfall by the same rainfall estimation products. A solution to this apparent paradox is discussed. This investigation is based on large data samples of different radar rainfall estimates and the corresponding highly accurate ground reference. Understanding the two CBs, their physical consequences and the fundamental inter-relations between them is essential for informed usage of these uncertainty characteristics.

  14. Apparent diffusion coefficient measurements in progressive supranuclear palsy

    Energy Technology Data Exchange (ETDEWEB)

    Ohshita, T.; Oka, M.; Imon, Y.; Yamaguchi, S.; Mimori, Y.; Nakamura, S. [Hiroshima Univ. (Japan). School of Medicine

    2000-09-01

    We measured the apparent diffusion coefficient (ADC), using diffusion-weighted imaging (DWI) and signal intensity on T2-weighted MRI in the cerebral white matter of patients with progressive supranuclear palsy (PSP) and age-matched normal subjects. In PSP, ADC in the prefrontal and precentral white matter was significantly higher than in controls. There was no significant difference in signal intensity on T2-weighted images. The ADC did correlate with signal intensity. The distribution of the elevation of ADC may be the consequence of underlying pathological changes, such as neurofibrillary tangles or glial fibrillary tangles in the cortex. Our findings suggest that ADC measurement might be useful for demonstrating subtle neuropathological changes. (orig.)

  15. Considerations about the apparent superluminal expansions in astrophysics

    International Nuclear Information System (INIS)

    The ortodox models devised to explain the apparent ''superluminal expansions'' observed in astrophysics, and here briefly summarized and discussed together with th experimental data, do not seem to be to much successful. Especially when confronted with the most recent observations, suggesting complicated expansion patterns, even with possible accelerations. At this point it may be, therefore, of some interest to explore the possible alternative models in which actual superluminal motion take place. To prepare the ground one starts from a variational principle, introduces the elements of a tachyon mechanics within special relativity, and argues about the expected behaviour of tachyonic objects when interacting (gravitationally, for instance) among themselves or with ordinary matter. Then the simplest ''superluminal models'', paying particular attention to the observations which they would give rise to are revie wed and developed. It is concluded that some of them appear to be physically acceptable and are statistically favoured with respect to the ortodox ones

  16. Considerations about the apparent 'superluminal expansions' in astrophysics

    International Nuclear Information System (INIS)

    The orthodox models devised to explain the apparent 'superluminal expansions' observed in astrophysics - and here briefly summarized and discussed together with the experimental data - do not seem to be too much succesful. Especially when confronted with the most recent observations, suggesting complicated expansion patterns, even with possible accelerations. At this point it may be, therefore, of some interest to explore the possible alternative models in which actual Superluminal motions take place. The ground is prepared starting from a variational principle, introducing the elements of a tachyon mechanics within special relativity, and arguing about the expected behaviour of tachyonic objects when interacting (gravitationally, for instance) among themselves or with ordinary matter. Then the simplest 'Superluminal models' are reviewed and developed, paying particular attention to the observations which they would give rise to. Itis concluded that some of them appear to be physically acceptable and are statistically favoured with respect to the orthodox ones. (Author)

  17. Deforestation and apparent extinctions of endemic forest beetles in Madagascar.

    Science.gov (United States)

    Hanski, Ilkka; Koivulehto, Helena; Cameron, Alison; Rahagalala, Pierre

    2007-06-22

    Madagascar has lost about half of its forest cover since 1953 with much regional variation, for instance most of the coastal lowland forests have been cleared. We sampled the endemic forest-dwelling Helictopleurini dung beetles across Madagascar during 2002-2006. Our samples include 29 of the 51 previously known species for which locality information is available. The most significant factor explaining apparent extinctions (species not collected by us) is forest loss within the historical range of the focal species, suggesting that deforestation has already caused the extinction, or effective extinction, of a large number of insect species with small geographical ranges, typical for many endemic taxa in Madagascar. Currently, roughly 10% of the original forest cover remains. Species-area considerations suggest that this will allow roughly half of the species to persist. Our results are consistent with this prediction. PMID:17341451

  18. Gravitational energy as dark energy: Cosmic structure and apparent acceleration

    CERN Document Server

    Wiltshire, David L

    2011-01-01

    Below scales of about 100/h Mpc our universe displays a complex inhomogeneous structure dominated by voids, with clusters of galaxies in sheets and filaments. The coincidence that cosmic expansion appears to start accelerating at the epoch when such structures form has prompted a number of researchers to question whether dark energy is a signature of a failure of the standard cosmology to properly account, on average, for the distribution of matter we observe. Here I discuss the timescape scenario, in which cosmic acceleration is understood as an apparent effect, due to gravitational energy gradients that grow when spatial curvature gradients become significant with the nonlinear growth of cosmic structure. I discuss conceptual issues related to the averaging problem, and their impact on the calibration of local geometry to the solutions of the volume-average evolution equations corrected by backreaction, and the question of nonbaryonic dark matter in the timescape framework. I further discuss recent work on ...

  19. Apparent diffusion coefficient measurements in progressive supranuclear palsy

    International Nuclear Information System (INIS)

    We measured the apparent diffusion coefficient (ADC), using diffusion-weighted imaging (DWI) and signal intensity on T2-weighted MRI in the cerebral white matter of patients with progressive supranuclear palsy (PSP) and age-matched normal subjects. In PSP, ADC in the prefrontal and precentral white matter was significantly higher than in controls. There was no significant difference in signal intensity on T2-weighted images. The ADC did correlate with signal intensity. The distribution of the elevation of ADC may be the consequence of underlying pathological changes, such as neurofibrillary tangles or glial fibrillary tangles in the cortex. Our findings suggest that ADC measurement might be useful for demonstrating subtle neuropathological changes. (orig.)

  20. Event-by-event analysis of heavy ion collisions and thermodynamical fluctuations

    OpenAIRE

    Shuryak, E. V.

    1997-01-01

    The event-by-event analysis of heavy ions collisions is becoming possible with advent of large acceptance detectors: it can provide dynamical information which cannot be obtained from inclusive spectra. We identify some observables which can be related to standard thermodynamical fluctuations and therefore may provide information about properties of hadronic matter at the freeze-out stage. Among those are fluctuations of ``apparent temperature'' (the $p_t$ slope), as well as the population of...

  1. Time course of the apparent diffusion coefficient after cerebral infarction

    Energy Technology Data Exchange (ETDEWEB)

    Ahlhelm, F.; Backens, M.; Reith, W.; Hagen, T. [Department of Neuroradiology, University of Saarland, 66424 Homburg/Saar (Germany); Schneider, G. [Department of Radiology, University of Saarland, 66424 Homburg/Saar (Germany)

    2002-09-01

    The purpose of this study was to evaluate quantitative apparent diffusion changes in the center of infarction by measurement of the apparent diffusion coefficient (ADC), and to investigate the influence of ischemia on the contralateral hemisphere. By diffusion echo-planar imaging (EPI) 52 patients showing cerebral infarction were studied within 5 h to >12 months after onset of clinical symptoms. Using three diffusion gradient strengths (b1=30 s/mm{sup 2}; b2=300 s/mm{sup 2}, b3=1100 s/mm{sup 2}) ADC maps were generated. After onset of ischemia, ADC in the center of infarction was lower than in the contralateral regions of human brain. At first ADC declined for approximately 28 h to a minimum of approximately 150 x 10{sup -8} cm{sup 2}/s. Then the ADC reincreased and reached a ''pseudonormalization'' after approximately 5 days. Chronic infarctions did show much higher ADC values (2000 x 10{sup -8} cm{sup 2}/s) than unaffected areas. Neither localization nor size of infarctions showed a significant influence on this time course. In the center of infarction diffusion is isotropic. Even brain regions of the contralateral hemisphere are influenced by cerebral ischemia. In these regions ADC is higher than for physiological conditions. The ADC also declines especially for the first 2-3 days after onset of symptoms, also followed by reincrease. The ADC calculation enables determination of the onset of infarction more exactly than is possible using only diffusion-weighted imaging. Diffusion in the center of infarction is isotropic; hence, orientation of the diffusion gradients has no significant influence on sensitivity of measurements. The calculation of the ADC ratio based on data derived from the center of infarction and the contralateral hemisphere seems to be critical because the ADC in the unaffected contralateral hemisphere also changes. (orig.)

  2. Time course of the apparent diffusion coefficient after cerebral infarction

    International Nuclear Information System (INIS)

    The purpose of this study was to evaluate quantitative apparent diffusion changes in the center of infarction by measurement of the apparent diffusion coefficient (ADC), and to investigate the influence of ischemia on the contralateral hemisphere. By diffusion echo-planar imaging (EPI) 52 patients showing cerebral infarction were studied within 5 h to >12 months after onset of clinical symptoms. Using three diffusion gradient strengths (b1=30 s/mm2; b2=300 s/mm2, b3=1100 s/mm2) ADC maps were generated. After onset of ischemia, ADC in the center of infarction was lower than in the contralateral regions of human brain. At first ADC declined for approximately 28 h to a minimum of approximately 150 x 10-8 cm2/s. Then the ADC reincreased and reached a ''pseudonormalization'' after approximately 5 days. Chronic infarctions did show much higher ADC values (2000 x 10-8 cm2/s) than unaffected areas. Neither localization nor size of infarctions showed a significant influence on this time course. In the center of infarction diffusion is isotropic. Even brain regions of the contralateral hemisphere are influenced by cerebral ischemia. In these regions ADC is higher than for physiological conditions. The ADC also declines especially for the first 2-3 days after onset of symptoms, also followed by reincrease. The ADC calculation enables determination of the onset of infarction more exactly than is possible using only diffusion-weighted imaging. Diffusion in the center of infarction is isotropic; hence, orientation of the diffusion gradients has no significant influence on sensitivity of measurements. The calculation of the ADC ratio based on data derived from the center of infarction and the contralateral hemisphere seems to be critical because the ADC in the unaffected contralateral hemisphere also changes. (orig.)

  3. On the apparent CO2 absorption by alkaline soils

    Directory of Open Access Journals (Sweden)

    X. Chen

    2014-02-01

    Full Text Available Alkaline soils in the Gubantonggut Desert were recently demonstrated socking away large quantities of CO2 in an abiotic form. This demands a better understanding of abiotic CO2 exchange in alkaline sites. Reaction of CO2 with the moisture or dew in the soil was conjectured as a potential mechanism. The main goal of this study is to determine the extent to which the dew deposition modulates Land–Atmosphere CO2 exchange at highly alkaline sites (pH ~ 10. Experiments were conducted at the most barren sites (canopy coverage 2 fluxes were measured using a micro-lysimeters and an automated flux system (LI-COR, Lincoln, Nebraska, USA, respectively. There is an evident increase of dew deposition in nocturnal colder temperatures and decrease in diurnal warmer temperatures. Variations of soil CO2 flux are almost contrary, but the increase in diurnal warmer temperatures is obscure. It was shown that the accumulation and evaporation of dew in the soil motivates the apparent absorption and release of CO2. It was demonstrated that dew amounts in the soil has an exponential relation with the part in Fc beyond explanations of the worldwide utilized Q10 model. Therefore dew deposition in highly alkaline soils exerted a potential CO2 sink and can partly explain the apparent CO2 absorption. This implied a crucial component in the net ecosystem carbon balance (NECB at alkaline sites which occupies approximately 5% of the Earth's land surface (7 million km. Further explorations for its mechanisms and representativeness over other arid climate systems have comprehensive perspectives in the quaternary research.

  4. Event Segmentation Ability Uniquely Predicts Event Memory

    OpenAIRE

    Sargent, Jesse Q.; Zacks, Jeffrey M.; Hambrick, David Z.; Zacks, Rose T.; Kurby, Christopher A.; Bailey, Heather R.; Eisenberg, Michelle L.; Beck, Taylor M.

    2013-01-01

    Memory for everyday events plays a central role in tasks of daily living, autobiographical memory, and planning. Event memory depends in part on segmenting ongoing activity into meaningful units. This study examined the relationship between event segmentation and memory in a lifespan sample to answer the following question: Is the ability to segment activity into meaningful events a unique predictor of subsequent memory, or is the relationship between event perception and memory accounted for...

  5. Event Index - an LHCb Event Search System

    OpenAIRE

    Ustyuzhanin, Andrey; Artemov, Alexey; Kazeev, Nikita; Redkin, Artem

    2015-01-01

    During LHC Run 1, the LHCb experiment recorded around $10^{11}$ collision events. This paper describes Event Index - an event search system. Its primary function is to quickly select subsets of events from a combination of conditions, such as the estimated decay channel or number of hits in a subdetector. Event Index is essentially Apache Lucene optimized for read-only indexes distributed over independent shards on independent nodes.

  6. Event Index - an LHCb Event Search System

    CERN Document Server

    Ustyuzhanin, Andrey

    2015-01-01

    During LHC Run 1, the LHCb experiment recorded around 1011 collision events. This paper describes Event Index | an event search system. Its primary function is to quickly select subsets of events from a combination of conditions, such as the estimated decay channel or number of hits in a subdetector. Event Index is essentially Apache Lucene [1] optimized for read-only indexes distributed over independent shards on independent nodes.

  7. Extracting Event Dynamics from Event-by-Event Analysis

    OpenAIRE

    Fu, Jinghua; Liu, Lianshou

    2003-01-01

    The problem of eliminating the statistical fluctuations and extracting the event dynamics from event-by-event analysis is discussed. New moments $G_p$ (for continuous distribution), and $G_{q,p}$ (for anomalous distribution) are proposed, which are experimentally measurable and can eliminate the Poissonian type statistical fluctuations to recover the dynamical moments $C_p$ and $C_{q,p}$. In this way, the dynamical distribution of the event-averaged transverse momentum $\\bar{\\pt}$ can be extr...

  8. Certifying the Absence of Apparent Randomness under Minimal Assumptions

    OpenAIRE

    de la Torre, Gonzalo; Dhara, Chirag; Acin, Antonio

    2013-01-01

    Contrary to classical physics, the predictions of quantum theory for measurement outcomes are of a probabilistic nature. Questions about the completeness of such predictions lie at the core of quantum physics and can be traced back to the foundations of the field. Recently, the completeness of quantum probabilistic predictions could be established based on the assumption of freedom of choice. Here we ask when can events be established to be as unpredictable as we observe them to be relying on...

  9. Contribution of Chlorophyll Fluorescence to the Apparent Reflectance of Vegetation

    Science.gov (United States)

    Campbell, P. K. Entcheva; Middleton, E. M.; Kim, M. S.

    2007-01-01

    Current strategies for monitoring the physiologic status of terrestrial vegetation rely on remote sensing reflectance (R) measurements, whi ch provide estimates of relative vegetation vigor based primarily on chlorophyll content. Vegetation chlorophyll fluorescence (CF) offers a non-destructive alternative and a more direct approach for diagnosis of vegetation stress before a significant reduction in chlorophyll content has occurred. Thus, monitoring of vegetation vigor based on CF may allow earlier stress detection and more accurate carbon sequestra tion estimates, than is possible using R data alone. However, the observed apparent vegetation reflectance (Ra) in reality includes contrib utions from both the reflected and fluoresced radiation. The aim of t his study is to determine the relative R and CF fractions contributing to Ra from the vegetation in the red to near-infrared region of the spectrum. The practical objectives of the study are to: 1) evaluate t he relationship between CF and R at the foliar level for corn, soybean, maple; and 2) for corn, determine if the relationship established f or healthy (optimal N) vegetation changes under N defiiency. To obtai n generally applicable results, experimental measurements were conducted on unrelated crop and tree species (maple, soybean and corn), unde r controlled conditions and a gradient of inorganic N fertilization l evels. Optical R spectra and actively induced CF emissions were obtained on the same foliar samples, in conjunction with measurements of p hotosynthetic function, pigment levels, and C and N content. The comm on spectral trends or similarities were examined. On average, 10-20% of apparent R at 685 nm was actually due to CF. The spectral trends in steady and maximum F varied significantly, with Fs (especially red) showing higher ability for species and treatment separation. The relative contribution of ChF to R varied significantly among species, with maple emitting much higher F amounts, as

  10. Earth's Climate Sensitivity: Apparent Inconsistencies in Recent Assessments

    Science.gov (United States)

    Schwartz, Stephen E.; Charlson, Robert J.; Kahn, Ralph; Rodhe, Henning

    2014-12-01

    Earth's equilibrium climate sensitivity (ECS) and forcing of Earth's climate system over the industrial era have been re-examined in two new assessments: the Fifth Assessment Report (AR5) of the Intergovernmental Panel on Climate Change (IPCC), and a study by Otto et al. (2013). The ranges of these quantities given in these assessments and also in the Fourth (2007) IPCC Assessment are analyzed here within the framework of a planetary energy balance model, taking into account the observed increase in global mean surface temperature over the instrumental record together with best estimates of the rate of increase of planetary heat content. This analysis shows systematic differences among the several assessments and apparent inconsistencies within individual assessments. Importantly, the likely range of ECS to doubled CO2 given in AR5, 1.5-4.5 K/(3.7 W m-2) exceeds the range inferred from the assessed likely range of forcing, 1.2-2.9 K/(3.7 W m-2), where 3.7 W m-2 denotes the forcing for doubled CO2. Such differences underscore the need to identify their causes and reduce the underlying uncertainties. Explanations might involve underestimated negative aerosol forcing, overestimated total forcing, overestimated climate sensitivity, poorly constrained ocean heating, limitations of the energy balance model, or a combination of effects.

  11. Massively parallel implementations of theories for apparent motion.

    Science.gov (United States)

    Grzywacz, N M; Yuille, A L

    1988-01-01

    Two solutions for the correspondence problem for long-range motion are investigated. The first is a modification of the Minimal Mapping Theory (S. Ullman: The Interpretation of Visual Motion, MIT Press, Cambridge, 1979) that is implemented by a massively parallel network. In this network, every two units are interconnected, and thus, its convergence is fast and relatively independent of the number of image features. Computer simulations show that our method accounts as well as the Minimal Mapping Theory for apparent-motion phenomena, although some differences exist. Mathematical proofs provide conditions for the convergence of the network. The second 'solution' for the correspondence problem is called the Structural Theory. This theory assumes that the three-dimensional structure of viewed objects does not change fast in time. Then, the theory looks for the correspondence and three-dimensional structure that best fulfill this assumption. A massively parallel network implementation of this theory is also possible. However, its performance is poor due to the high complexity of its solution space. This supports Ullman's (1979) suggestion that the visual system separates the structure-from-motion process into two stages. First, a stage for motion measurement, and then a stage for structure recovery. PMID:3153661

  12. Apparent diffusion coefficients of breast tumors. Clinical application

    International Nuclear Information System (INIS)

    The purpose of this study was to evaluate the usefulness of apparent diffusion coefficient (ADC) for the differential diagnosis of breast tumors and to determine the relation between ADC and tumor cellularity. One hundred and thirty-six female patients (age range, 17-83 years; average age, 51.7 years) with 140 histologically proven breast tumors underwent diffusion-weighted magnetic resonance (MR) imaging (DWI) using the spin-echo echo-planar technique, and the ADCs of the tumors were calculated using 3 different b values, 0, 500, and 1000 s/mm2. The diagnoses consisted of fibroadenoma (FA, n=16), invasive ductal carcinoma, not otherwise specified (IDC, n=117), medullary carcinoma (ME, n=3) and mucinous carcinoma (MU, n=4). Tumor cellularity was calculated from surgical specimens. The ADCs of breast tumors and cellularity were compared between different histological types by analysis of variance and Scheffe's post hoc test. The correlation between tumor cellularity and ADC was analyzed by Pearson correlation test. Significant differences were observed in ADCs between FA and all types of cancers (P2=0.451). The ADC may potentially help in differentiating benign and malignant breast tumors. Tumor ADC correlates inversely with tumor cellularity. (author)

  13. Apparent wavelength dependence of v sin i for Zeta Tauri

    Science.gov (United States)

    Heap, S. R.

    1977-01-01

    It was previously reported that the derived projected rotational velocity (v sin i) of the B shell star, Zeta Tau, appeared to depend on the wavelength of the line used in the analysis. This letter documents the apparent wavelength dependence of v sin i for Zeta Tau in order to provide an observational basis against which quantitative explanations can be tested. A value of 300 km/s is adopted for v sin i on the basis of an examination of the visual line spectrum, particularly the lines of He I at 4026 and 4471 A and Mg II at 4481 A. Analysis of the far-UV resonance lines of Si III at 1206 A and Si IV at 1393 and 1463 A in Copernicus spectrograms of Zeta Tau yields a representative value of no more than 150 km/s for v sin i. Gravity darkening of the star's atmosphere and distention of the atmosphere by rapid differential rotation are considered as possible explanations for the discrepancy between the v sin i values determined from the UV and visual lines.

  14. Isotropic apparent diffusion coefficient mapping of postnatal cerebral development

    International Nuclear Information System (INIS)

    Diffusion-weighted imaging (DWI) allows us to image the motion of tissue water. This has been used to demonstrate acute ischaemia. Diffusion imaging is also sensitive to water movement along neuronal tracts. Our objective was to map brain maturation in vivo using maps of apparent diffusion coefficient (ADC). We studied 22 children without neurological disease aged between 2 and 720 days. MRI was performed at 1.5 tesla. Multislice single-shot echoplanar DWI was performed at b 0 and 1000 s/mm2. ADC maps were generated automatically and measurements were performed in the basal ganglia, frontal and temporal white matter and the pons. There was a decrease over time in water diffusion in the areas examined, most marked in the frontal (0.887-1.898 x 10-3 mm2/s) and temporal (1.077-1.748 x 10-3 mm2/s)lobes. There was little change, after an initial decrease, in the basal ganglia (0.690-1.336 x 10-3 mm2/s). There was a difference in water diffusion between the anterior (0.687-1.581 x 10-3 mm2/s) and posterior (0.533-1.393 x 10-3 mm2/s) pons. These changes correlate well with those observed in progressive myelination: the increased water content probably reflects incomplete myelination and the decrease with time in water motion reflects the increase in myelinated brain. (orig.)

  15. Two Qatari siblings with cystic fibrosis and apparent mineralocorticoid excess

    Directory of Open Access Journals (Sweden)

    Khalid Zahraldin

    2015-01-01

    Full Text Available Cystic fibrosis (CF and apparent mineralocorticoid excess (AME syndrome are both autosomal recessive disorders that result from mutations of specific identified genes for each condition. CF is caused by defects in the Cystic fibrosis trans membrane conductance regulator (CFTR gene which encodes for a protein that functions as a chloride channel and regulates the flow of other ions across the apical surface of epithelial cells. AME is due to the deficiency of 11β-hydroxysteroid dehydrogenase type 2 enzyme (11βHSD2, which is responsible for the peripheral inactivation of cortisol to cortisone. Cortisol excess stimulates the mineralocoritoid receptors (MR resulting in intense sodium retention, hypokalemia and hypertension. We report on a consanguineous Arab family, in which two sibs inherited both CF and AME. Gene testing for AME revealed previously unreported mutation in the 11βHSD2 gene. This report draws attention to the importance of recognizing the possibility of two recessive disorders in the same child in complex consanguineous families. Moreover, it provides a unique opportunity to highlight the implications of the coexistence of two genetic disorders on patient care and genetic counseling of the family.

  16. Apparent thermal conductivity measurements by an unguarded technique

    Science.gov (United States)

    Graves, R. S.; Yarbrough, D. W.; McElroy, D. L.

    An unguarded longitudinal heat flow apparatus for measuring the apparent thermal conductivity (lambda/sub a) of insulations was tested. Heat flow is provided by a horizontal electrically heated Nichrome screen sandwiched between test samples that are bounded by temperature controlled copper plates and 9 cm of mineral fiber insulation. A determinate error analysis shows lambda/sub a/ measurement uncertainty to be less than + or - 1.7% for insulating materials as thin as 3 cm. Three-dimensional thermal modeling indicates negligible error in lambda/sub a/ due to edge loss for insulations up to 7.62 cm thick when the temperature difference across the sample is measured at the screen center. System repeatability and reproducibility were determined to be + or - 0.2%. Differences of lambda/sub a/ results from the screen tester and results from the National Bureau of Standards were 0.1% for a 10-kg/m(3) Calibration Transfer Standard and 0.9% for 127-kg/m(3) fibrous glass board (SRM 1450b). Measurements on fiberglass and rock wool batt insulations showed the dependence of lambda/sub a/ on density, temperature, temperature difference, plate emittance, and heat flow direction. Results obtained for lambda/sub a/ as a function of density at 240C differed by less than 2% from values obtained with a guarded hot plate. It is demonstrated that this simple technique has the accuracy and sensitivity needed for useful lambda/sub a/ measurements on thermal insulating materials.

  17. Age dependence of the renal apparent diffusion coefficient in children

    International Nuclear Information System (INIS)

    Diffusion imaging has proved to be a powerful tool for diagnosing ischemic lesions in the brain, and the technique is now being applied to other organs, including the kidneys. For quantitative studies it is important to define the normal values of the apparent diffusion coefficient (ADC), given the important physiological changes that occur in the kidney during early childhood it is likely that the ADC changes markedly during this period. To evaluate the age dependent changes in the ADC of normal kidneys in the pediatric population. The whole kidney ADC was calculated for 62 pediatric patients on a 1.5-T system using a respiratory-triggered, single-shot diffusion tensor imaging sequence with b values of 50, 200, and 350 mm2/s. The ADC was found to increase with age with the largest increase being in the first year of life, the rate of change being described by a constant plus a power function, specifically 1349+{358.5*{age0.34}}, (P < 0.001). The renal ADC changes significantly during childhood. (orig.)

  18. Discrimination of paediatric brain tumours using apparent diffusion coefficient histograms

    Energy Technology Data Exchange (ETDEWEB)

    Bull, Jonathan G.; Clark, Christopher A. [UCL Institute of Child Health, Imaging and Biophysics Unit, London (United Kingdom); Saunders, Dawn E. [Great Ormond Street Hospital for Children NHS Trust, Department of Radiology, London (United Kingdom)

    2012-02-15

    To determine if histograms of apparent diffusion coefficients (ADC) can be used to differentiate paediatric brain tumours. Imaging of histologically confirmed tumours with pre-operative ADC maps were reviewed (54 cases, 32 male, mean age 6.1 years; range 0.1-15.8 years) comprising 6 groups. Whole tumour ADC histograms were calculated; normalised for volume. Stepwise logistic regression analysis was used to differentiate tumour types using histogram metrics, initially for all groups and then for specific subsets. All 6 groups (5 dysembryoplastic neuroectodermal tumours, 22 primitive neuroectodermal tumours (PNET), 5 ependymomas, 7 choroid plexus papillomas, 4 atypical teratoid rhabdoid tumours (ATRT) and 9 juvenile pilocytic astrocytomas (JPA)) were compared. 74% (40/54) were correctly classified using logistic regression of ADC histogram parameters. In the analysis of posterior fossa tumours, 80% of ependymomas, 100% of astrocytomas and 94% of PNET-medulloblastoma were classified correctly. All PNETs were discriminated from ATRTs (22 PNET and 4 supratentorial ATRTs) (100%). ADC histograms are useful in differentiating paediatric brain tumours, in particular, the common posterior fossa tumours of childhood. PNETs were differentiated from supratentorial ATRTs, in all cases, which has important implications in terms of clinical management. (orig.)

  19. Image statistics and the perception of apparent motion.

    Science.gov (United States)

    Gilden, D L; Bertenthal, B I; Othman, S

    1990-11-01

    The short- and long-range apparent motion processes are discussed in terms of the statistical properties of images. It is argued that the short-range process, exemplified by the random-dot kinematogram, is primarily sensitive to the dipole statistics, whereas the long-range process, exemplified by illusory occlusion, is treated by the visual system primarily in terms of the tripole and higher statistical correlation functions. The studies incorporate the balanced dot, which is a unique stimulus element that permits high pass filtering while preserving detailed positional information. Low spatial frequencies are shown to be critical for texture segregation in random-dot kinematograms, independent of the grain size or number density of texture elements. Illusory path perception in the long-range process is shown not to require low spatial frequencies, but is sensitive rather to global temporal phase coherency. These results are interpreted in terms of the respective roles of the power and phase spectra in perceptual organization. The construction of balanced dots is discussed in detail. PMID:2148586

  20. Psychological impact of chronic hepatitis C: Comparison with other stressful life events and chronic diseases

    Institute of Scientific and Technical Information of China (English)

    Laurent Castera; Aymery Constant; Pierre-Henri Bernard; Victor de Ledinghen; Patrice Couzigou

    2006-01-01

    AIM: To examine the psychological impact of chronic hepatitis C (CHC) diagnosis in a large cohort of CHC patients as compared with other stressful life events and chronic diseases carrying a risk of life-threatening complications.METHODS: One hundred and eighty-five outpatients with compensated CHC were asked to self-grade, using a 100-mm visual analogue scale (VAS), the degree of stress caused by the learning of CHC diagnosis and the perceived severity of their disease. Diagnosis-related stress was compared to four other stressful life events and perceived CHC severity was compared to four other common chronic diseases.RESULTS: Learning of CHC diagnosis was considered a major stressful event (mean ± SD scores: 72±25),significantly less than death of a loved-one (89±13,P<0.0001) and divorce (78± 23, P<0.007), but more than job dismissal (68 ± 30, P<0.04) and home removal (26±24, P< 0.0001). CHC was considered a severe disease (74±19), after AIDS (94±08, P<0.001) and cancer (91±11, P<0.001), but before diabetes (66±23,P<0.001) and hypertension (62±20, P<0.001).Perceived CHC severity was not related to the actual severity of liver disease, assessed according to Metavir fibrosis score. In multivariate analysis, diagnosisrelated stress was related to perceived disease severity (P< 0.001), trait anxiety (P< 0.001) and infection through blood transfusion (P< 0.001).CONCLUSION: Our results show the considerable psychological and emotional burden that a diagnosis of CHC represents, even in the absence of significant liver disease. They should be taken into account when announcing a diagnosis of CHC in order to reduce its negative effects.

  1. Reconciling Horse Welfare, Worker Safety, and Public Expectations: Horse Event Incident Management Systems in Australia

    Science.gov (United States)

    Fiedler, Julie M.; McGreevy, Paul D.

    2016-01-01

    Simple Summary Although often highly rewarding, human-horse interactions can also be dangerous. Using examples from equine and other contexts, this article acknowledges the growing public awareness of animal welfare, work underway towards safer equestrian workplaces, and the potential for adapting large animal rescue skills for the purposes of horse event incident management. Additionally, we identity the need for further research into communication strategies that address animal welfare and safety issues that arise when humans and horses interact in the workplace. Abstract Human-horse interactions have a rich tradition and can be highly rewarding, particularly within sport and recreation pursuits, but they can also be dangerous or even life-threatening. In parallel, sport and recreation pursuits involving animals, including horses, are facing an increased level of public scrutiny in relation to the use of animals for these purposes. However, the challenge lies with event organisers to reconcile the expectations of the public, the need to meet legal requirements to reduce or eliminate risks to paid and volunteer workers, and address horse welfare. In this article we explore incident management at horse events as an example of a situation where volunteers and horses can be placed at risk during a rescue. We introduce large animal rescue skills as a solution to improving worker safety and improving horse welfare outcomes. Whilst there are government and horse industry initiatives to improve safety and address animal welfare, there remains a pressing need to invest in a strong communication plan which will improve the safety of workplaces in which humans and horses interact. PMID:26927189

  2. Delayed life-threatening hemothorax without rib fractures after blunt chest trauma

    Directory of Open Access Journals (Sweden)

    Chinnan Nevin

    2006-01-01

    Full Text Available Delayed hemothorax in blunt chest trauma is described as a late presentation of hemothorax after a normal chest X-ray on admission. To detect this clinical entity a repeat chest X-ray is advised after six hours, especially when the first radiograph reveals rib or thoracic vertebral fractures or any significant injury to the thoracic viscera. However, this repeats chest X-ray examination is often not done in patients in whom a significant thoracic trauma has been excluded in the primary and secondary survey. Here, we discuss a case of massive delayed hemothorax after 16 hours of the blunt chest trauma despite a near normal admission chest X-ray and absence of significant chest trauma in the primary and secondary surveys.

  3. A Rare Cause of Chronic Life Threatening Bleeding in a Girl: The Ulcerated Blind Loops.

    Science.gov (United States)

    Sawant, Abhijeet D; Shah, Rasik; Shah, Nitin; Gupta, Tarun

    2016-01-01

    Ulceration in a blind loop can lead to massive gastrointestinal tract (GIT) bleeding. A 13-year old girl presented with symptomatic melena requiring repeated blood transfusion since childhood. She was an operated case of small bowel atresia in neonatal life. Her upper and lower gastrointestinal endoscopies were normal. Operation showed presence of multiple ulcers in two blind loops (parts of previous side to side anastomosis) and at the anastomotic site. She underwent resection and end-to-end anastomosis of the small bowel leading to complete resolution of melena and anemia. PMID:27170918

  4. A Review of Methods to Control Bleeding from Life-Threatening Traumatic Wounds

    OpenAIRE

    Sody Abby Naimer

    2014-01-01

    The large selection of techniques and modalities for field treatment of the bleeding wound may appear as a potpourri of arbitrarily introduced devices. Nevertheless, if we analyze the various offered solutions systematically in an orderly approach, they can be differentiated into set categories. It is necessary to recognize the pros and cons of each available product in order to decide when and where each is the most applicable for any given clinical scenario. Identification, development and ...

  5. Management of Varicella Gangrenosa: A Life-Threatening Condition from Chickenpox

    Directory of Open Access Journals (Sweden)

    Judith P. M. Schots

    2014-01-01

    Full Text Available Varicella gangrenosa, in which gangrenous ulceration of the skin and/or deeper tissues is seen, is a rare but alarming complication of Varicella infection. An early surgical intervention is generally advised, especially in case of sepsis and/or the presence of large necrotic lesions. We describe a case of a previously healthy 12-month-old boy presenting with sepsis due to Varicella gangrenosa. He presented with moderate lesions of moist gangrene. We treated our patient initially with antibiotics (ceftriaxone and metronidazole and later on flucloxacillin and antiviral therapy (acyclovir whereupon his condition rapidly improved and all skin lesions healed entirely. This report highlights the possibility of conservative treatment and emphasizes the significance of acyclovir in the management of chickenpox complicated by moist gangrene due to bacterial superinfection.

  6. Embolization of a Hemorrhoid Following 18 Hours of Life-Threatening Bleeding

    International Nuclear Information System (INIS)

    Hemorrhoids usually do not pose diagnostic difficulties and they rarely cause massive bleeding. We report a case of massive rectal bleeding over 18 h needing 22 U blood transfusion treated by superselective transcatheter coil embolization 12 h following operative treatment performed in a different hospital. Diagnostic angiography with a view to superselective embolization, following failure of sigmoidoscopy to localize and treat the cause of hemorrhage, might act as a life-saving treatment in massive rectal bleeding, obviating the need for repeated endoscopy or emergency surgery

  7. The Relation of Delusional Content in Psychotic Depression to Life-Threatening Behavior.

    Science.gov (United States)

    Miller, Frank; Chabrier, Linda Ann

    1987-01-01

    Analyzed suicide attempts by 45 psychiatric patients hospitalized consecutively at the Payne Whitney Clinic with the discharge diagnosis of Unipolar Major Depression, Recurrent, with Psychotic Features. Patients with delusions of bodily disease, damage, and malfunction were significantly less likely to make medically serious suicide attempts than…

  8. Late onset ipilimumab-induced pericarditis and pericardial effusion: a rare but life threatening complication.

    Science.gov (United States)

    Yun, Seongseok; Vincelette, Nicole D; Mansour, Iyad; Hariri, Dana; Motamed, Sara

    2015-01-01

    Metastatic cutaneous melanoma has poor prognosis with 2-year survival rate of 10-20%. Melanoma cells express various antigens including gp100, melanoma antigen recognized by T cells 1 (MART-1), and tyrosinase, which can induce immune-mediated anticancer response via T cell activation. Cytotoxic T-lymphocyte associated antigen-4 (CTLA-4) is an immune check point molecule that negatively regulates T cell activation and proliferation. Accordingly, recent phase III clinical trials demonstrated significant survival benefit with ipilimumab, a human monoclonal antibody (IgG1) that blocks the interaction of CTLA-4 with its ligands. Since the efficacy of ipilimumab depends on T cell activation, it is associated with substantial risk of immune mediated adverse reactions such as colitis, hepatitis, thyroiditis, and hypophysitis. We report the first case of late onset pericarditis and cardiac tamponade associated with ipilimumab treatment in patient with metastatic cutaneous melanoma. PMID:25918658

  9. Late Onset Ipilimumab-Induced Pericarditis and Pericardial Effusion: A Rare but Life Threatening Complication

    Directory of Open Access Journals (Sweden)

    Seongseok Yun

    2015-01-01

    Full Text Available Metastatic cutaneous melanoma has poor prognosis with 2-year survival rate of 10–20%. Melanoma cells express various antigens including gp100, melanoma antigen recognized by T cells 1 (MART-1, and tyrosinase, which can induce immune-mediated anticancer response via T cell activation. Cytotoxic T-lymphocyte associated antigen-4 (CTLA-4 is an immune check point molecule that negatively regulates T cell activation and proliferation. Accordingly, recent phase III clinical trials demonstrated significant survival benefit with ipilimumab, a human monoclonal antibody (IgG1 that blocks the interaction of CTLA-4 with its ligands. Since the efficacy of ipilimumab depends on T cell activation, it is associated with substantial risk of immune mediated adverse reactions such as colitis, hepatitis, thyroiditis, and hypophysitis. We report the first case of late onset pericarditis and cardiac tamponade associated with ipilimumab treatment in patient with metastatic cutaneous melanoma.

  10. Spontaneous rupture of incisional hernia: A rare life-threatening complication of incisional hernia

    OpenAIRE

    2013-01-01

    An incisional hernia develops in the scar of a surgical incision. Spontaneous rupture of an abdominal hernia is very rare and usually occurs in incisional or recurrent groin hernia. This is a report of 50-year-old female who presented with sudden spontaneous rupture of an incisional hernia. This hernia was repaired by mesh repair after repositioning the bowel into the peritoneal cavity and excising the excess atrophied skin. The patient recovered well and was discharge after the 4th day. Spon...

  11. Multimodality Evaluation of Intravenous Leiomyomatosis: A Rare, Benign but Potentially Life-Threatening Tumor

    Science.gov (United States)

    Fornaris, Reinaldo J.; Rivera, Melisa; Jiménez, Luis; Maldonado, José

    2015-01-01

    Patient: Female, 40 Final Diagnosis: Intravenous leiomyomatosis Symptoms: Chest pain • syncope Medication: — Clinical Procedure: Thoracotomy Specialty: Radiology • Cardiology Objective: Rare disease Background: Intravenous leiomyomatosis (IVL) is a rare tumor, which is usually of uterine origin, characterized by intravascular nodular masses of histologically benign smooth muscle that may extend variable distances, including into the inferior vena cava, right atrium and pulmonary arteries. Tumors may arise from uterine leiomyoma, walls of the uterine vessel, or myometrium. It usually occurs at between 20–70 years of age with a median age of 45 years. The most commonly affected women are pre-menopausal and multiparous. Intra-cardiac extension may represent a diagnostic challenge as it is usually misdiagnosed as a right atrial myxoma and may cause multiple symptoms, such as shortness of breath, tachycardia, chest pain, syncope, and even death. Case Report: We present the case of a 40-year-old female patient with past medical history of arterial hypertension, who was referred to a cardiovascular center due to an intra-cardiac mass found on 2D echocardiogram. The patient was given the rare diagnosis of intravenous leiomyomatosis of the uterus with extension into the gonadal veins, inferior vena cava, right atrium, right ventricle, and main pulmonary arteries. Imaging workup including trans-esophageal echocardiogram, cardiac catheterization, contrast-enhanced abdomen and pelvic CT scans, and cardiac MRI was performed for evaluation. Conclusions: Intravenous leiomyomatosis is a rare diagnosis that merits consideration in a young pre-menopausal female patient with cardiac symptoms associated with a right atrial mass. Radiologists play a vital role in the diagnosis and follow-up of patients with the diagnosis of intravenous leiomyomatosis. Differential diagnosis includes vascular thrombus as well as primary and metastatic tumors. Early detection is imperative for appropriate treatment and surgical planning. PMID:26546569

  12. Emphysematous pyelonephritis: A rare life-threatening complication after extracorporeal shock wave lithotripsy

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Su Ho; Chung, Dong Jin; Yeo, Dong Myung; Sonh, Dong Wan; Hahn, Sung Tae [Yeouido St. Mary' s Hospital, College of Medicine, The Catholic University of Korea, Seoul (Korea, Republic of)

    2015-09-15

    Emphysematous pyelonephritis (EPN), caused by extracorporeal shock wave lithotripsy (ESWL), has not been reported in the literature; and the mechanism of this disease is unknown. Although many studies have conjectured about the various causes of EPN, ESWL was not one of them. The patient in this report was a 65-year-old woman with a past medical history of diabetes; the patient underwent an ESWL that caused the EPN. To the best of our knowledge, this is the first report of an EPN case that was caused by ESWL.

  13. Unusual case of life threatening subcutaneous hemorrhage in a blunt trauma patient

    Directory of Open Access Journals (Sweden)

    Ashraf F. Hefny

    2015-01-01

    Conclusion: Bleeding into the subcutaneous plane in closed degloving injury can cause severe hypovolemic shock. It is important for the clinicians managing trauma patients to be aware this serious injury.

  14. Intrathecal baclofen withdrawal syndrome- a life-threatening complication of baclofen pump: A case report

    OpenAIRE

    Mohammed, Imran; Hussain, Asif

    2004-01-01

    Background Intrathecal baclofen pump has been used effectively with increasing frequency in patients with severe spasticity, particularly for those patients who are unresponsive to conservative pharmacotherapy or develop intolerable side effects at therapeutic doses of oral baclofen. Drowsiness, nausea, headache, muscle weakness, light-headedness and return of pretreatment spasticity can be caused by intrathecal pump delivering an incorrect dose of baclofen. Intrathecal baclofen withdrawal sy...

  15. Life threatening deep scald burns in a neonate: A rare case report

    Directory of Open Access Journals (Sweden)

    Vijay Y Bhatia

    2013-01-01

    Full Text Available Domestic burns in neonate are rare in literature. Neonates are high risk for burns because of their thin and fragile skin, fluid overload or dehydration as the fluid balance range is small and immature immune system leading to septicaemia. Neonates are not small adults, owing to their different physiological response makes the management of neonates challenging as the clinical signs are different from the adults and the resuscitation protocols or end points are also different. We present a case of 11 days old neonate, who sustained 51% scald burns when the hot water bag being used by her mother accidentally burst, the youngest reported case of domestic scald burns with such high percentage. The baby was managed by fluid resuscitation, antibiotics, dressings, ventilatory support for septicaemia and subsequently homograft application. The neonate was discharged with completely healed areas after 35 days of burns and is on regular follow up and no complications have been observed.

  16. Life threatening deep scald burns in a neonate: A rare case report.

    Science.gov (United States)

    Bhatia, Vijay Y; Mishra, Susant; Menon, Pramod A; Nanavati, Nidhish

    2013-01-01

    Domestic burns in neonate are rare in literature. Neonates are high risk for burns because of their thin and fragile skin, fluid overload or dehydration as the fluid balance range is small and immature immune system leading to septicaemia. Neonates are not small adults, owing to their different physiological response makes the management of neonates challenging as the clinical signs are different from the adults and the resuscitation protocols or end points are also different. We present a case of 11 days old neonate, who sustained 51% scald burns when the hot water bag being used by her mother accidentally burst, the youngest reported case of domestic scald burns with such high percentage. The baby was managed by fluid resuscitation, antibiotics, dressings, ventilatory support for septicaemia and subsequently homograft application. The neonate was discharged with completely healed areas after 35 days of burns and is on regular follow up and no complications have been observed. PMID:23960320

  17. A Rare Cause of Chronic Life Threatening Bleeding in a Girl: The Ulcerated Blind Loops

    Directory of Open Access Journals (Sweden)

    Abhijeet D Sawant

    2016-04-01

    Full Text Available Ulceration in a blind loop can lead to massive gastrointestinal tract (GIT bleeding. A 13-year old girl presented with symptomatic melena requiring repeated blood transfusion since childhood. She was an operated case of small bowel atresia in neonatal life. Her upper and lower gastrointestinal endoscopies were normal. Operation showed presence of multiple ulcers in two blind loops (parts of previous side to side anastomosis and at the anastomotic site. She underwent resection and end-to-end anastomosis of the small bowel leading to complete resolution of melena and anemia.

  18. Life-Threatening Simultaneous Bilateral Spontaneous Tension Pneumothorax - A case report -

    OpenAIRE

    Rim, Taegeun; Bae, Joo Suck; Yuk, Yong Soo

    2011-01-01

    Spontaneous pneumothorax is a common clinical problem in emergency care. However, the overall incidences of primary spontaneous pneumothorax has been reported from as low as 1.4% to 7.6%. The clinical findings of simultaneous bilateral spontaneous pneumothorax can be variable. Clinical presentation is variable, ranging from mild dyspnea to tension pneumothorax. Bilateral tension pneumothorax can defined as cases where no tracheal deviation is detected in chest X-ray, and symptoms may be equal...

  19. Sotalol: a rescue drug in the face of life-threatening refractory ventricular tachycardia.

    Science.gov (United States)

    Kandasamy, Ashok; Arumugham, Sukumar; Krupanandha, Harshavardhan; Reddy, Bhaktavatsala

    2014-01-01

    We describe postoperative refractory ventricular tachycardia (VT) in a patient following aortic and mitral valve replacement. Following an uneventful separation from cardiopulmonary bypass with dobutamine, the patient developed recurrent VT, 4 hours into the postoperative period. The VT did not respond to standard doses of xylocard, magnesium and amiodarone. Electrolyte and acid base parameters were normal. Multiple cardioversions failed to revert back to a stable rhythm. Intra-aortic balloon pumping was instituted and overdrive right ventricular pacing was unsuccessful. Following intravenous sotalol 80 mg, the VT came under control and reverted to a nodal rhythm, which required atrial pacing for the next 8 hours. Oral sotalol therapy was continued at 40 mg daily. The VT did not recur. PMID:24732625

  20. Life-Threatening Disparities: The Treatment of Black and White Cancer Patients

    OpenAIRE

    Penner, Louis A.; Eggly, Susan; Griggs, Jennifer J.; Underwood, Willie; Orom, Heather; Albrecht, Terrance L.

    2012-01-01

    Cancer mortality and survival rates are much poorer for Black patients than for White patients. We argue that Black–White treatment disparities are a major reason for these disparities. We examine three specific kinds of Black–White treatment disparities: disparities in information exchange in oncology interactions, disparities in the treatment of breast cancer, and disparities in the treatment of clinically localized prostate cancer. In the final section, we discuss possible causes of these ...

  1. Development of an Educational Packet for Persons with Life-Threatening Food Allergies

    Science.gov (United States)

    Olson, Bradley F.; Teuber, Suzanne; Bruhn, Christine M.

    2009-01-01

    Previous studies have shown that those with severe food allergies have significant gaps in knowledge about their disease and how to prevent recurrences. The purpose of this study was to address these deficiencies by creating and testing an educational packet, "Coping with Food Allergies." Participants included 46 of 58 adults with documented…

  2. Life-threatening interaction between the root extract of Pueraria lobata and methotrexate in rats

    International Nuclear Information System (INIS)

    Isoflavone supplements are nowadays widely used as alternative for hormone replacement therapy. However, the safety remains unanswered. This study attempted to investigate the effect of Pueraria lobata root decoction (PLRD), an isoflavone-rich herb, on the pharmacokinetics of methotrexate (MTX), a bicarboxylate antimetabolite with narrow therapeutic window. Rats were orally and intravenously given methotrexate alone and coadministered with PLRD. Blood samples were withdrawn via cardiopuncture at specific time points after drug administration. Serum methotrexate concentrations were assayed by specific monoclonal fluorescence polarization immunoassay method. Pharmacokinetic parameters were calculated using noncompartment model of WINNONLIN for both oral and intravenous data of MTX. Our results showed that coadministration of 4.0 g/kg and 2.0 g/kg of PLRD significantly increased the AUC0-t by 207.8% and 127.9%, prolonged the mean residence time (MRT) by 237.8 and 155.2%, respectively, finally resulted in surprisingly high mortalities of 57.1% and 14.3% in rats. When MTX was given intravenously, the coadministration of PLRD at 4.0 g/kg significantly increased the half-life by 53.9% and decreased the clearance by 47.9%. In conclusion, the coadministration of PLRD significantly decreased the elimination and resulted in markedly increased exposure of MTX in rats

  3. Penetrated sigmoid colon by air gun pellet could be life threatening: A case report

    OpenAIRE

    Krasniqi, Avdyl S; Hamza, Astrit R; Valon A. Zejnullahu; Fatos E. Sada; Besnik X. Bicaj

    2014-01-01

    INTRODUCTION: Air and paintball guns have been in existence for over 400 year. Although serious injury or death can result from the use of such guns, previous literature has not mentioned the issue of the penetration of the sigmoid colon by an air gun pellet. PRESENTATION OF CASE: We report a rare case of a 44-year-old Caucasian woman referred to abdominal surgery after an accidental small wound had occurred in the lower left abdominal quadrant that was caused by an air gun pellet. The blo...

  4. Penetrated sigmoid colon by air gun pellet could be life threatening: A case report

    Science.gov (United States)

    Krasniqi, Avdyl S.; Hamza, Astrit R.; Zejnullahu, Valon A.; Sada, Fatos E.; Bicaj, Besnik X.

    2014-01-01

    INTRODUCTION Air and paintball guns have been in existence for over 400 year. Although serious injury or death can result from the use of such guns, previous literature has not mentioned the issue of the penetration of the sigmoid colon by an air gun pellet. PRESENTATION OF CASE We report a rare case of a 44-year-old Caucasian woman referred to abdominal surgery after an accidental small wound had occurred in the lower left abdominal quadrant that was caused by an air gun pellet. The blood and biochemical analyses were normal but the CT scan revealed the presence of a foreign body – an air gun pellet in the left iliac region of the abdomen. Clinically, during the initial 24 h significant changes were not noticed. After 42 h, however, pain and local tenderness in the lower left abdominal quadrant was expressed. A laparotomy revealed a retained pellet in the wall of the sigmoid colon and a small leak with colonic content with consecutive local peritonitis also occurred. The foreign body was removed and the opening edges in the colon were excised and closed with the primary suture. DISCUSSION The hollow organs of the digestive tract, albeit very rarely penetrated by an air gun pellet, do not typically show all signs of an acute abdomen in the early posttraumatic phase. Such injuries can lead to a pronounced infection, which may cause septic shock if not appropriately treated. CONCLUSION For correct diagnosis, a careful approach and several daily clinical observations are required. PMID:25437671

  5. Communicating with Patients with a Life-Threatening Illness and Their Families.

    Science.gov (United States)

    McCorkle, Ruth

    A non-experimental, exploratory field study was designed to investigate the impact of a diagnosis of nonresectable lung cancer on eight subjects' relationships with others and plans for the future. Participant observation, systematic verbal and behavioral communications between subjects and investigator were the primary methods of inquiry. Such…

  6. An unusual case of pleural-based tumor with life-threatening post-operative complication

    Directory of Open Access Journals (Sweden)

    Manoj K Goel

    2012-01-01

    Full Text Available A 57-year-old male presented with hemoptysis of 4 years duration and a gradually increasing pleural mass on chest X-ray. The mass was causing pressure effects on the liver and the lungs. To rule out malignancy, thoracotomy was performed, which revealed large, thick-walled hematoma. Complete excision of mass was performed. Post-operative course was complicated by massive pleural bleeding requiring massive blood transfusions and re-exploratory thoracotomy. Subsequent tests revealed factor IX deficiency and, hence, he was managed with recombinant factor IX concentrate. This case stresses upon the fact that hereditary bleeding disorders may be diagnosed even in late adulthood with atypical presentations such as pseudotumor in pleural space. Moreover, hemophilia B may present with normal APTT levels making the diagnosis even more difficult.

  7. Common adder bite to the tongue causing life threatening toxicity from airway compromise

    DEFF Research Database (Denmark)

    Hoegberg, Lotte C G; Jessen, Casper L; Lambertsen, Karin; Stensballe, Jakob; Jensen, Kenneth

    2010-01-01

    We illustrate the acute phase and development of symptoms in a 24-year-old man following a European Common Viper bite to the tongue.......We illustrate the acute phase and development of symptoms in a 24-year-old man following a European Common Viper bite to the tongue....

  8. Successful reversal of life threatening cardiac effect following dosulepin overdose using intravenous lipid emulsion

    DEFF Research Database (Denmark)

    Boegevig, Soeren; Rothe, Anders; Tfelt-Hansen, Jacob; Høgberg, Lotte Christine Groth

    2011-01-01

    submission the QRS complex was 120 ms and the QT interval was 348 ms (BP 129/71 mmHg, HR 113 beats/min). Her level of consciousness deteriorated and the patient had episodes of seizures. The patient received bicarbonate, 200 mmol, and assisted ventilation. Ninety minutes following submission, the QRS complex...... interval became shorter. DISCUSSION. Cyclic antidepressants affect the cardiac conduction system and the myocardium. The exact mechanism of action from intravenous lipid emulsions may not be determined from the data presented, and the obtained effect does not rule out the supposed effects of alkalinisation...

  9. FAST: towards safe and effective subcutaneous immunotherapy of persistent life-threatening food allergies

    Directory of Open Access Journals (Sweden)

    Zuidmeer-Jongejan Laurian

    2012-03-01

    Full Text Available Abstract The FAST project (Food Allergy Specific Immunotherapy aims at the development of safe and effective treatment of food allergies, targeting prevalent, persistent and severe allergy to fish and peach. Classical allergen-specific immunotherapy (SIT, using subcutaneous injections with aqueous food extracts may be effective but has proven to be accompanied by too many anaphylactic side-effects. FAST aims to develop a safe alternative by replacing food extracts with hypoallergenic recombinant major allergens as the active ingredients of SIT. Both severe fish and peach allergy are caused by a single major allergen, parvalbumin (Cyp c 1 and lipid transfer protein (Pru p 3, respectively. Two approaches are being evaluated for achieving hypoallergenicity, i.e. site-directed mutagenesis and chemical modification. The most promising hypoallergens will be produced under GMP conditions. After pre-clinical testing (toxicology testing and efficacy in mouse models, SCIT with alum-absorbed hypoallergens will be evaluated in phase I/IIa and IIb randomized double-blind placebo-controlled (DBPC clinical trials, with the DBPC food challenge as primary read-out. To understand the underlying immune mechanisms in depth serological and cellular immune analyses will be performed, allowing identification of novel biomarkers for monitoring treatment efficacy. FAST aims at improving the quality of life of food allergic patients by providing a safe and effective treatment that will significantly lower their threshold for fish or peach intake, thereby decreasing their anxiety and dependence on rescue medication.

  10. Life-Threatening Autoimmune Hemolytic Anemia and Idhiopatic Thrombocytopenic Purpura. Successful Selective Splenic Artery Embolization

    Science.gov (United States)

    Molica, Matteo; Massaro, Fulvio; Annechini, Giorgia; Baldacci, Erminia; D’Elia, Gianna Maria; Rosati, Riccardo; Trisolini, Silvia Maria; Volpicelli, Paola; Foà, Robin; Capria, Saveria

    2016-01-01

    Selective splenic artery embolization (SSAE) is a nonsurgical intervention characterized by the transcatheter occlusion of the splenic artery and/or its branch vessels using metallic coils or other embolic devices. It has been applied for the management of splenic trauma, hypersplenism with portal hypertension, hereditary spherocytosis, thalassemia and splenic hemangioma. We hereby describe a case of a patient affected by idiopathic thrombocytopenic purpura (ITP) and warm auto-immune hemolytic anemia (AIHA) both resistant to immunosuppressive and biological therapies, not eligible for a surgical intervention because of her critical conditions. She underwent SSAE and achieved a hematologic complete response within a few days without complications. SSAE is a minimally invasive procedure to date not considered a standard option in the management of AIHA and ITP. However, following the progressive improvement of the techniques, its indications have been extended, with a reduction in morbidity and mortality compared to splenectomy in patients with critical clinical conditions. SSAE was a lifesaving therapeutic approach for our patient and it may represent a real alternative for the treatment of resistant AIHA and ITP patients not eligible for splenectomy. PMID:27158433

  11. Life-Threatening Cardiac Tamponade Secondary to Chylopericardium Following Orthotopic Heart Transplantation-A Case Report.

    Science.gov (United States)

    Wierzbicki, Karol; Mazur, Piotr; Węgrzyn, Piotr; Kapelak, Bogusław

    2016-08-23

    Chylopericardium is a rare complication in cardiac surgery, and an extremely rare occurrence in patients following orthotopic heart transplantation (OHT), which, however, can lead to cardiac tamponade. Here we present a case of a 59-year-old man who underwent OHT and suffered from chylopericardium resulting in cardiac tamponade late in the postoperative course, despite the initially uneventful early postoperative period (decreasing blood drainage was observed directly after the procedure, and the drains were safely removed). After the diagnosis of chylopericardium was made, the conservative treatment was initiated, which turned out to be insufficient, and eventually invasive approach for the recurrence of tamponade secondary to chylopericardium was required. We discuss the available therapeutic options for chylopericardium and demonstrate the successful invasive therapeutic approach with use of the absorbable fibrin sealant patch. PMID:26548537

  12. A case of traumatic intracranial vertebral artery injury presenting with life-threatening symptoms

    Directory of Open Access Journals (Sweden)

    Kishi S

    2012-04-01

    Full Text Available Seiji Kishi1, Kenji Kanaji2, Toshio Doi1, Tadashi Matsumura21Department of Nephrology, Tokushima University Hospital, Kuramoto-cho Tokushima, 2Department of General Internal Medicine, Rakuwakai Otowa Hospital, Otowachinji-cho Yamashina-ku Kyoto, JapanAbstract: Traumatic intracranial vertebral artery injury is a relatively rare but potentially fatal disease. We present a case of a 63-year-old man who presented with sudden onset of loss of consciousness after hitting his head. After immediate resuscitation, he showed quadriplegia and absence of spontaneous breathing. Brain and cervical spine magnetic resonance imaging revealed an atlantoaxial subluxation, fractured C2 odontoid process, left vertebral artery occlusion, and bilateral extensive ischemia in the medulla oblongata and high cervical spinal cord. Digital subtraction angiography demonstrated left vertebral artery dissection just below the level of vertebral body C2.Keywords: vertebral artery dissection, brainstem infarction, bilateral spinal cord infarction, neck trauma

  13. Emphysematous pyelonephritis: A rare life-threatening complication after extracorporeal shock wave lithotripsy

    International Nuclear Information System (INIS)

    Emphysematous pyelonephritis (EPN), caused by extracorporeal shock wave lithotripsy (ESWL), has not been reported in the literature; and the mechanism of this disease is unknown. Although many studies have conjectured about the various causes of EPN, ESWL was not one of them. The patient in this report was a 65-year-old woman with a past medical history of diabetes; the patient underwent an ESWL that caused the EPN. To the best of our knowledge, this is the first report of an EPN case that was caused by ESWL

  14. Sotalol: A rescue drug in the face of life-threatening refractory ventricular tachycardia

    Directory of Open Access Journals (Sweden)

    Ashok Kandasamy

    2014-01-01

    Full Text Available We describe postoperative refractory ventricular tachycardia (VT in a patient following aortic and mitral valve replacement. Following an uneventful separation from cardiopulmonary bypass with dobutamine, the patient developed recurrent VT, 4 hours into the postoperative period. The VT did not respond to standard doses of xylocard, magnesium and amiodarone. Electrolyte and acid base parameters were normal. Multiple cardioversions failed to revert back to a stable rhythm. Intra-aortic balloon pumping was instituted and overdrive right ventricular pacing was unsuccessful. Following intravenous sotalol 80 mg, the VT came under control and reverted to a nodal rhythm, which required atrial pacing for the next 8 hours. Oral sotalol therapy was continued at 40 mg daily. The VT did not recur.

  15. A life-threatening infective pseudoaneurysm of the left ventricle in a toddler

    OpenAIRE

    Mani Ram Krishna; Kottayil, Brijesh P; Gopalraj Sumangala Sunil; Raman Krishna Kumar

    2015-01-01

    Pseudoaneurysms of the ventricle are an uncommon occurrence in children. They may be secondary to previous cardiac surgery or infection of the pericardial space. Infective pseudoaneurysms require urgent surgery because rupture of the pseudoaneurysm may have catastrophic consequences. The outcome with surgery is excellent. We report a toddler with ruptured pseudoaneurysm secondary to purulent pericarditis who recovered with an emergency surgical closure of the opening of the pseudo-aneurysm.

  16. A life-threatening infective pseudoaneurysm of the left ventricle in a toddler

    Directory of Open Access Journals (Sweden)

    Mani Ram Krishna

    2015-01-01

    Full Text Available Pseudoaneurysms of the ventricle are an uncommon occurrence in children. They may be secondary to previous cardiac surgery or infection of the pericardial space. Infective pseudoaneurysms require urgent surgery because rupture of the pseudoaneurysm may have catastrophic consequences. The outcome with surgery is excellent. We report a toddler with ruptured pseudoaneurysm secondary to purulent pericarditis who recovered with an emergency surgical closure of the opening of the pseudo-aneurysm.

  17. Just 6 Percent of Chest Pain Cases in ER Are Life-Threatening

    Science.gov (United States)

    ... department and director of medical education at Mount Carmel St. Ann's Hospital, in Westerville, Ohio. Weinstock's own ... chairman, Emergency Department, and director, medical education, Mount Carmel St. Ann's Hospital, Westerville, Ohio. June 13, 2016, ...

  18. A method to prevent life-threatening intraperitoneal bleeding during transjugular intrahepatic portosystemic shunt creation

    International Nuclear Information System (INIS)

    To prevent intraperitoneal bleeding, it is critical that the extrahepatic portal vein should not be punctured during transjugular intrahepatic portosystemic shunt (TIPS). There has, however, been no procedure for defining the anatomic relationship between the hepatic capsule and the portal vein segment before shunt formation. To avoid a possibly catastrophic outcome of extrahepatic portal puncture before shunt creation, we therefore devised a new method; the purpose of this study is to report its efficacy and feasibility. whenever a portal vein was punctured, we advanced a 9 F sheath over a guidewire into the portal vein before balloon dilatation of the tract. Contrast material was then injected through the sheath as this was slowly extravasated or spilled into the peritoneal segment of the portal vein was punctured, and a shunt was created using this new tract. We applied this method to 130 consecutive patients who underwent TIPS to control variceable bleeding due to liver cirrhosis. In all cases, photography and ultrasonography were used for immediate confirmation of the procedure. For preventing intraperitoneal hemorrhage during TIPS creation, our method is effective and feasible. (author). 7 refs., 1 fig

  19. Life-threatening ketoacidosis in a pregnant woman with psychotic disorder.

    Science.gov (United States)

    Frise, Charlotte; Attwood, Ben; Watkinson, Peter; Mackillop, Lucy

    2016-03-01

    Pregnancy is an insulin resistant state. Hyperglycaemia and gestational diabetes mellitus are well-recognised complications even in women without existing metabolic syndrome or obesity. Pregnant women also appear to be more vulnerable to ketoacidosis, particularly after short periods of reduced oral intake in the third trimester, and may present with very severe starvation ketoacidosis, prompting emergent delivery. We present a case of a woman with a background of depression and psychotic episodes. Olanzapine had been commenced after a psychotic episode at 20 weeks' gestation. Gestational diabetes mellitus was diagnosed at 28 weeks, and she was then admitted at 31 weeks with severe euglycaemic ketoacidosis following a short period of vomiting. She underwent caesarean section when the metabolic disturbances did not resolve with medical treatment. We believe atypical antipsychotic therapy contributed to the profound insulin resistance seen here, and that obstetricians, physicians and psychiatrists must be aware of the risks conferred by these agents in pregnancy. PMID:27512491

  20. Ionic Liquids as Unforeseen Assets to Fight Life-Threatening Mycotic Diseases.

    Science.gov (United States)

    Hartmann, Diego O; Petkovic, Marija; Silva Pereira, Cristina

    2016-01-01

    Ionic liquids discovery has celebrated 100 years. They consist solely of ions, one of which is typically organic and asymmetrical. Remarkable physical and chemical properties stirred their use as alternative solvents in many chemical processes. The recent demonstration of their occurrence in nature might boost their interest in biological sciences. In the search of mechanistic understandings of ionic liquids' ecotoxicological impacts in fungi, we have analyzed the proteome, transcriptome, and metabolome responses to this chemical stress. Data illuminated new hypotheses that altered our research path - exploit ionic liquids as tools for the discovery of pathways and metabolites that may impact fungal development and pathogenicity. As we get closer to solve the primary effects of each ionic liquid family and their specific gene targets, the vision of developing antifungal ionic liquids and/or materials, by taking advantage of elegant progresses in this field, might become a reality. Task-designed formulations may improve the performance of conventional antifungal drugs, build functional coatings for reducing allergens production, or aid in the recovery of antifungal plant polymers. The frontier research in this cross-disciplinary field may provide us unforeseen means to address the global concern of mycotic diseases. Pathogenic and opportunistic fungi are responsible for numerous infections, killing annually nearly 1.5 million immunocompromised individuals worldwide, a similar rate to malaria or tuberculosis. This perspective will review our major findings and current hypotheses, contextualizing how they might bring us closer to efficient strategies to prevent and fight mycotic diseases. PMID:26903990

  1. Gastro-tracheal fistula - unusual and life threatening complication after esophagectomy for cancer: a case report

    Directory of Open Access Journals (Sweden)

    Droissart Raphaël

    2009-11-01

    Full Text Available Abstract Background A gastro-tracheal fistula following esophagectomy for cancer is a rare but potentially lethal complication. We report the successful surgical closure after failed endoscopic treatment, of a gastro-tracheal fistula following esophago-gastrectomy for cancer after induction chemo-radiotherapy. Case presentation A 58 year-old male patient presented with a distal third uT3N1 carcinoma of the esophagus. After induction chemo-radiotherapy, he underwent an esophago-gastrectomy with radical lymphadenectomy and reconstruction by gastric pull-up. Immediate postoperative outcome was uneventful. On the 15th postoperative day however, our patient was readmitted in the Intensive Care Unit with severe bilateral basal pneumonia. Three days later a gastro-tracheal fistula was diagnosed upon gastroscopy and bronchoscopy. His good general condition allowed for an endoscopic primary approach which consisted in the insertion of a covered stent in the trachea along with clipping and glueing of the gastric fistular orifice. Two attempts proved unsuccessful. Conclusion After several weeks of conservative measures, surgical re-intervention through a right thoracotomy with transection of the fistula and closure by primary interrupted sutures of both fistular orifices along with intercostal muscle flap interposition led to excellent patient outcome. Oral feeding was started and our patient was discharged.

  2. Life-threatening posterior fossa cyst induced by pseudomeningocele after operation for acoustic neuroma

    Directory of Open Access Journals (Sweden)

    Jung-Ying Chiang

    2015-01-01

    Conclusion: We discuss the clinical features, possible pathophysiological mechanisms, and treatment options for pseudomeningocele. Although most cases of pseudomeningocele follow a benign course and need only conservative treatment, the potential attendant complications, such as an enlarged cyst, may still have fatal consequences. We believe that it is beneficial to take an aggressive attitude toward this condition and to consider the possibility of surgical interventions more seriously.

  3. Peritoneal adhesion: it can be life-threatening, and life-saving

    Directory of Open Access Journals (Sweden)

    Huang Jiun-Chi

    2012-09-01

    Full Text Available Abstract Background The inevitable post-inflammatory fibrosis and adhesion often compromises future treatment in peritoneal dialysis patients. Here, we describe a patient who experienced an unusual form of peritoneal adhesion that made her give up peritoneal dialysis. However, its unique pattern also saved her from infection caused by bowel perforation. Case presentation The female patient discontinued peritoneal dialysis due to gradual dialysis inadequacy. Two months after shifting to hemodialysis with generally improved sense of well-being and no sign of abdominal illness, she was admitted to remove the Tenckhoff catheter. The procedure was smooth, but fever and abdominal pain not at the site of operation developed the next day. Abdominal ultrasound showed the presence of ascites and aspiration revealed slimy, green-yellowish pus that gave a negative result on bacterial culture. Abdominal computed tomography (CT with oral contrast medium was performed, but failed to demonstrate the suspected bowel perforation. The examination, however, did show accumulation of pus inside the abdomen but outside the peritoneal cavity. We drained the pus with two 14-F Pig-tail catheters and the total amount of drainage approached 4000 ml. The second CT was performed with double dose of the contrast medium and found a leak of the contrast from the jejunum. She then received laparotomy and had the perforation site closed. Conclusions In summary, this uremic patient suffered from pus accumulation inside her abdomen without obvious systemic toxic effect. The bowel perforation and pus formation might be caused by repeated peritonitis, but the peritoneal adhesion itself might also isolate her peritoneal cavity from the anticipated toxic injuries of bowel perforation.

  4. Non-Life Threatening Maternal Morbidity: Cross Sectional Surveys from Malawi and Pakistan.

    Directory of Open Access Journals (Sweden)

    Shamsa Zafar

    Full Text Available For more accurate estimation of the global burden of pregnancy associated disease, clarity is needed on definition and assessment of non-severe maternal morbidity. Our study aimed to define maternal morbidity with clear criteria for identification at primary care level and estimate the distribution of and evaluate associations between physical (infective and non-infective and psychological morbidities in two different low-income countries.Cross sectional study with assessment of morbidity in early pregnancy (34%, late pregnancy (35% and the postnatal period (31% among 3459 women from two rural communities in Pakistan (1727 and Malawi (1732. Trained health care providers at primary care level used semi-structured questionnaires documenting signs and symptoms, clinical examination and laboratory tests which were bundled to reflect infectious, non-infectious and psychological morbidity.One in 10 women in Malawi and 1 in 5 in Pakistan reported a previous pregnancy complication with 1 in 10 overall reporting a previous neonatal death or stillbirth. In the index pregnancy, 50.1% of women in Malawi and 53% in Pakistan were assessed to have at least one morbidity (infective or non-infective. Both infective (Pakistan and non-infective morbidity (Pakistan and Malawi was lower in the postnatal period than during pregnancy. Multiple morbidities were uncommon ( 9. Complications during a previous pregnancy, infective morbidity (p <0.001, intra or postpartum haemorrhage (p <0.02 were associated with psychological morbidity in both settings.Our findings highlight the need to strengthen the availability and quality of antenatal and postnatal care packages. We propose to adapt and improve the framework and criteria used in this study, ensuring a basic set of diagnostic tests is available, to ensure more robust assessment of non-severe maternal morbidity.

  5. Autologous Peripheral Blood Stem Cell Transplantation in Patients With Life Threatening Autoimmune Diseases

    Science.gov (United States)

    2005-06-23

    Purpura, Schoenlein-Henoch; Graft Versus Host Disease; Anemia, Hemolytic, Autoimmune; Rheumatoid Arthritis; Churg-Strauss Syndrome; Hypersensitivity Vasculitis; Wegener's Granulomatosis; Systemic Lupus Erythematosus; Giant Cell Arteritis; Pure Red Cell Aplasia; Juvenile Rheumatoid Arthritis; Polyarteritis Nodosa; Autoimmune Thrombocytopenic Purpura; Takayasu Arteritis

  6. Assessing qualitative usability in life-threatening, time-critical and unstable situations

    Directory of Open Access Journals (Sweden)

    Nestler, Simon

    2011-01-01

    Full Text Available We developed a heuristic for assessing the usability of mobile user-interfaces in life-threating, time-critical and unstable situations in a qualitative way. The major advantages of our approach as opposed to standardized quantitative questionnaires is the independence from a baseline, the possibility to make absolute statements and the potential for adaptations. When creating a qualitative semi structured interview we adhere to the common modus operandi of the qualitative social research. On the basis of 17 common quantitative questionnaires on usability we identified the five major categories Utility, Intuitiveness, Memorability, Learnability and Personal Effect. We selected all questions from the questionnaires which are useful for assessing the usability of user-interfaces in emergencies. Furthermore, we rephrased the closed-ended questions to open-ended ones. The quantification of research results is possible by weighting the qualitative results in dependence to the research question.

  7. Wing pathology of white-nose syndrome in bats suggests life-threatening disruption of physiology

    Science.gov (United States)

    Cryan, Paul M.; Meteyer, Carol U.; Boyles, Justin G.; Blehert, David S.

    2010-01-01

    White-nose syndrome (WNS) is causing unprecedented declines in several species of North American bats. The characteristic lesions of WNS are caused by the fungus Geomyces destructans, which erodes and replaces the living skin of bats while they hibernate. It is unknown how this infection kills the bats. We review here the unique physiological importance of wings to hibernating bats in relation to the damage caused by G. destructans and propose that mortality is caused by catastrophic disruption of wing-dependent physiological functions. Mechanisms of disease associated with G. destructans seem specific to hibernating bats and are most analogous to disease caused by chytrid fungus in amphibians.

  8. Life-threatening hemorrhagic pneumonia caused by Stenotrophomonas maltophilia in the treatment of hematologic diseases.

    Science.gov (United States)

    Mori, Minako; Tsunemine, Hiroko; Imada, Kazunori; Ito, Kiminari; Kodaka, Taiichi; Takahashi, Takayuki

    2014-06-01

    Since the late 1990s, Stenotrophomonas maltophilia (S. maltophilia) has become one of the most common nonfermenting Gram-negative bacilli that cause opportunistic infection. Patients with hematologic diseases are the most risky candidate for S. maltophilia pneumonia or sepsis because of chemotherapy-induced neutropenia or immunodeficiency. Frequent exposure to broad-spectrum antibiotics and prolonged insertion of central venous catheter further enhance the risk of S. maltophilia infection. One of the most severe S. maltophilia infections is hemorrhagic pneumonia. This type of infection is mostly fatal because of pulmonary alveolar hemorrhage that leads to acute respiratory failure. Furthermore, S. maltophilia exhibits a high-level intrinsic resistance to conventional antibiotics such as β-lactams and aminoglycosides and, more recently, the increasing acquired resistance to co-trimoxazole and quinolones. According to our experienced and previously reported cases, all of the patients with hemorrhagic pneumonia caused by S. maltophilia had a fatal course within a few days after the onset of the pneumonia. In this article, we perform a systematic review on a total 30 cases of hemorrhagic pneumonia induced by S. maltophilia from our institutions and the literature, and we describe its early diagnosis, prophylaxis, and recommended therapeutic strategy for the infection in the treatment of hematologic disease. PMID:24535696

  9. Dig-event: let's socialize around events

    OpenAIRE

    Zhao, Zhenzhen; Liu, Ji; Crespi, Noel

    2012-01-01

    International audience Traditional social networks socialize around the contents that have uploaded to these sites and discover interesting contents uploaded by others. In this demo we aim to explore the idea of activity-oriented social networks. We design a novel social networking site called Dig-Event (Do-it-together Event), where people are able to share events through calendar, while discover interesting events shared by others. Our demo has been inspired by previous research on calend...

  10. Apparent Luminosity Function and Statistical Properties of Fast Radio Bursts

    CERN Document Server

    Li, LongBiao; Zhang, ZhiBin; Li, Di; Li, Bing

    2016-01-01

    Fast Radio Bursts (FRBs) are intense radio flashes from the sky that are astonishingly characterized by millisecond durations and Jansky-level flux densities. Only 16 FRBs have been reported in the literature till now. We carry out a statistical analysis on these events. Their mean dispersion measure, after subtracting the contribution from the interstellar medium of our Galaxy, is found to be $\\sim 655 \\; \\rm pc\\,cm^{-3}$, strongly supporting the idea that they are of cosmological origin. Their energy release in radio band spans about three orders of magnitude, with a mean value of $\\sim 6.42\\times10^{38}$ ergs. The radio energy is found to be positively correlated with the observed fluence and the dispersion measure excess, and the fluence also shows a clear positive correlation with the FRB duration. Among all these events, FRBs 010621 and 010724 seem to form a distinct group in a few plots, indicating that there may be at lease two classes of FRBs. More interestingly, although the FRB study is still in a ...

  11. Apparent resistivity and spectral induced polarization in the submarine environment

    Directory of Open Access Journals (Sweden)

    HERCULES DE SOUZA

    2001-09-01

    Full Text Available Relatively few investigations have employed electrical methods in the submarine environment, which may be promising for mineral deposits or threatened by environmental problems. We have measured the electric field using both disk and bar electrodes in the sea water at three different levels: sea surface, seven meters deep, and sea bottom at a depth of ten meters, employing a 2 m spacing dipole-dipole array with 7 array spacings of investigation, and 13 values of frequencies at steps of (2N hertz, N = -2, -1, 0, 1, 2,.....10. The measurement allowed the analysis of the electric field as a function of frequency and spacing, and of the spectral induced polarization. Modelling and interpretation of the apparent resistivity yielded a good fit with previous drilling data. Analysis of the spectrum of the complex apparent resistivity and the comparison with equivalent circuits, provided information about the grain size, the mineral composition and the major induced polarization phenomenon occurring below the sea. Therefore the result of the present research show the feasibility of measuring the variation of seawater resistivity in situ, as well as the resistivity of sea bottom sediments.Relativamente poucas investigações têm empregado métodos elétricos no ambiente submarino, o qual pode ser promissor para depósitos minerais ou ameaçado por problemas ambientais. Nós medimos o campo elétrico usando eletrodos em forma de disco e de barra na água do mar, em três níveis distintos: superfície, sete metros de profundidade, e fundo do mar a dez metros de profundidade, empregando um dispositivo dipolo-dipolo com 2m de afastamento, 7 níveis de investigação e 13 valores de freqüência a intervalos de (2N hertz, N = -2, -1, 0, 1, 2, ... 10. A medida permitiu a análise do campo elétrico como uma função de freqüência e afastamento, e da polarização induzida espectral. A modelagem e a interpretação da resistividade aparente se ajustaram bem

  12. Apparent rotation and jazzing in Leviant's Enigma illusion.

    Science.gov (United States)

    Hamburger, Kai

    2007-01-01

    In 1981 Leviant devised Enigma, a figure that elicits perceived rotary motion in the absence of real motion. However, despite its striking appearance there is no good explanation for this motion illusion to date. Gregory (1993 Proceedings of the Royal Society of London B 253 123) pointed out a similarity to MacKay's 'complementary' afterimage in his ray pattern and suggested accommodative fluctuations and small eye movements as a potential origin for these phenomena. Furthermore, Zeki et al (1993 Proceedings of the Royal Society of London B 252 215-222) found PET-activation in response to Enigma in visual area V5 and immediately surrounding areas (called V5 complex) suggesting that the illusory motion could be mediated by the same neurons as real motion. In the experiments reported here, I show that the rotary motion is perceived on coloured as well as achromatic annuli intercepting the radial lines. More importantly, the illusory streaming motion continues to be seen with a cycloplegic lens as well as through a pinhole (ie ruling out transient changes of accommodation), and in the positive after-image (ie in the absence of eye movements). Apparent rotation is strongest with radial inducers impinging at right angles onto the annuli, but persist, although to a lesser degree, when the inducing lines are tilted in opposite directions, non-collinear, or replaced by dotted lines or lines with rounded terminators. For an explanation, the Enigma illusion requires a neural mechanism that uses lines abutting an empty annulus to elicit orthogonal streaming motion in one or the other direction. PMID:17718359

  13. The apparent charge of nanoparticles trapped at a water interface.

    Science.gov (United States)

    Bossa, Guilherme Volpe; Roth, Joseph; Bohinc, Klemen; May, Sylvio

    2016-05-14

    Charged spherical nanoparticles trapped at the interface between water and air or water and oil exhibit repulsive electrostatic forces that contain a long-ranged dipolar and a short-ranged exponentially decaying component. The former are induced by the unscreened electrostatic field through the non-polar low-permittivity medium, and the latter result from the overlap of the diffuse ion clouds that form in the aqueous phase close to the nanoparticles. The magnitude of the long-ranged dipolar interaction is largely determined by the residual charges that remain attached to the air- (or oil-) exposed region of the nanoparticle. In the present work we address the question to what extent the charges on the water-immersed part of the nanoparticle provide an additional contribution to the dipolar interaction. To this end, we model the electrostatic properties of a spherical particle - a nanoparticle or a colloid - that partitions equatorially to the air-water interface, thereby employing nonlinear Poisson-Boltzmann theory in the aqueous solution and accounting for the propagation of the electric field through the interior of the particle. We demonstrate that the apparent charge density on the air-exposed region of the particle, which determines the dipole potential, is influenced by the electrostatic properties in the aqueous solution. We also show that this electrostatic coupling through the particle can be reproduced qualitatively by a simple analytic planar capacitor model. Our results help to rationalize the experimentally observed weak but non-vanishing salt dependence of the forces that stabilize ordered two-dimensional arrays of interface-trapped nanoparticles or colloids. PMID:27049110

  14. Gene Tree Discordance Causes Apparent Substitution Rate Variation.

    Science.gov (United States)

    Mendes, Fábio K; Hahn, Matthew W

    2016-07-01

    Substitution rates are known to be variable among genes, chromosomes, species, and lineages due to multifarious biological processes. Here, we consider another source of substitution rate variation due to a technical bias associated with gene tree discordance. Discordance has been found to be rampant in genome-wide data sets, often due to incomplete lineage sorting (ILS). This apparent substitution rate variation is caused when substitutions that occur on discordant gene trees are analyzed in the context of a single, fixed species tree. Such substitutions have to be resolved by proposing multiple substitutions on the species tree, and we therefore refer to this phenomenon as Substitutions Produced by ILS (SPILS). We use simulations to demonstrate that SPILS has a larger effect with increasing levels of ILS, and on trees with larger numbers of taxa. Specific branches of the species trees are consistently, but erroneously, inferred to be longer or shorter, and we show that these branches can be predicted based on discordant tree topologies. Moreover, we observe that fixing a species tree topology when performing tests of positive selection increases the false positive rate, particularly for genes whose discordant topologies are most affected by SPILS. Finally, we use data from multiple Drosophila species to show that SPILS can be detected in nature. Although the effects of SPILS are modest per gene, it has the potential to affect substitution rate variation whenever high levels of ILS are present, particularly in rapid radiations. The problems outlined here have implications for character mapping of any type of trait, and for any biological process that causes discordance. We discuss possible solutions to these problems, and areas in which they are likely to have caused faulty inferences of convergence and accelerated evolution. PMID:26927960

  15. Solid focal liver lesion characterisation with apparent diffusion coefficient ratios

    International Nuclear Information System (INIS)

    Non-invasive characterisation of focal liver lesions using diffusion-weighted imaging (DWI) has been heavily investigated and has shown substantial overlap between benign and malignant lesions. We have calculated a ratio of lesion to normal liver to determine if it improves accuracy for correct categorisation. All hepatic MRI studies performed between 1st April 2009 and 26th September 2011 were retrospectively reviewed. Patients with solid focal liver lesions in whom a diagnosis could be established and had lesions over 10mm were included. Haemangiomas, cysts and patients with chronic liver disease were excluded. Apparent diffusion coefficient (ADC) values were calculated for each lesion and adjacent normal liver on breath hold DWI. Two hundred fifty-eight studies were performed and 206 were excluded leaving 52 scans and 58 lesions of which 47 were benign and 11 were malignant. The mean ADC value for benign lesions was 1196.6 (two standard deviations (2SD)=±399.9) and of benign liver 1101.5 (2SD=±329.8) with a ratio of benign lesion to benign liver of 1.1005 (2SD=±0.3783). The mean ADC of malignant lesions was 1153.0 (2SD=±604.9) and malignant liver of 1080.7 (2SD=±533.4) giving a malignant lesion to malignant liver ratio of 1.0890 (2SD=±0.4975). None of these results were statistically significant (all P>0.5). DWI is unable to reliably differentiate solid benign lesions from solid malignant lesions.

  16. The apparency hypothesis applied to a local pharmacopoeia in the Brazilian northeast

    OpenAIRE

    Lozano, Alejandro; de Araújo, Elcida Lima; Medeiros, Maria Franco Trindade; Albuquerque, Ulysses Paulino

    2014-01-01

    Background Data from an ethnobotanical study were analyzed to see if they were in agreement with the biochemical basis of the apparency hypothesis based on an analysis of a pharmacopeia in a rural community adjacent to the Araripe National Forest (Floresta Nacional do Araripe - FLONA) in northeastern Brazil. The apparency hypothesis considers two groups of plants, apparent and non-apparent, that are characterized by conspicuity for herbivores (humans) and their chemical defenses. Methods This...

  17. Contribution of chlorophyll fluorescence to the apparent vegetation reflectance

    International Nuclear Information System (INIS)

    Current strategies for monitoring the physiologic status of terrestrial vegetation rely on remote sensing reflectance data, which provide estimates of vigor based primarily on chlorophyll content. Chlorophyll fluorescence (ChlF) measurements offer a non-destructive alternative and a more direct approach for diagnosis of vegetation stress before a significant reduction in chlorophyll content has occurred. Thus, technology based on ChlF may allow more accurate carbon sequestration estimates and earlier stress detection than is possible when using reflectance data alone. However, the observed apparent vegetation reflectance (Ra) in reality includes contributions from both the reflected and fluoresced radiation. The aim of this study is to determine the relative contributions of reflectance and ChlF fractions to Ra in the red to near-infrared region (650-800 nm) of the spectrum. The practical objectives of the study are to: 1) evaluate the relationship between ChlF and reflectance at the foliar level for corn, soybean and maple; and 2) for corn, determine if the relationship established for healthy vegetation changes under nitrogen (N) deficiency. To obtain generally applicable results, experimental measurements were conducted on unrelated crop and tree species (corn, soybean and maple) under controlled conditions and a gradient of inorganic N fertilization levels. Optical reflectance spectra and actively induced ChlF emissions were collected on the same foliar samples, in conjunction with measurements of photosynthetic function, pigment levels, and carbon (C) and N content. The spectral trends were examined for similarities. On average, 10-20% of Ra at 685 nm was actually due to ChlF. The spectral trends in steady state and maximum fluorescence varied significantly, with steady state fluorescence (especially red, 685 nm) showing higher ability for species and treatment separation. The relative contribution of ChlF to Ra varied significantly among species, with maple

  18. A comparison of urban heat islands mapped using skin temperature, air temperature, and apparent temperature (Humidex), for the greater Vancouver area.

    Science.gov (United States)

    Ho, Hung Chak; Knudby, Anders; Xu, Yongming; Hodul, Matus; Aminipouri, Mehdi

    2016-02-15

    Apparent temperature is more closely related to mortality during extreme heat events than other temperature variables, yet spatial epidemiology studies typically use skin temperature (also known as land surface temperature) to quantify heat exposure because it is relatively easy to map from satellite data. An empirical approach to map apparent temperature at the neighborhood scale, which relies on publicly available weather station observations and spatial data layers combined in a random forest regression model, was demonstrated for greater Vancouver, Canada. Model errors were acceptable (cross-validated RMSE=2.04 °C) and the resulting map of apparent temperature, calibrated for a typical hot summer day, corresponded well with past temperature research in the area. A comparison with field measurements as well as similar maps of skin temperature and air temperature revealed that skin temperature was poorly correlated with both air temperature (R(2)=0.38) and apparent temperature (R(2)=0.39). While the latter two were more similar (R(2)=0.87), apparent temperature was predicted to exceed air temperature by more than 5 °C in several urban areas as well as around the confluence of the Pitt and Fraser rivers. We conclude that skin temperature is not a suitable proxy for human heat exposure, and that spatial epidemiology studies could benefit from mapping apparent temperature, using an approach similar to the one reported here, to better quantify differences in heat exposure that exist across an urban landscape. PMID:26706765

  19. Apparent horizon and gravitational thermodynamics of the Universe: The temperature confusion, first and second laws, and extensions to modified gravity

    CERN Document Server

    Tian, David Wenjie

    2014-01-01

    The thermodynamics of the Universe is re-studied by requiring its compatibility with the holographic-style gravitational equations which govern the dynamics of both the cosmological apparent horizon and the entire Universe. We start from the Lambda Cold Dark Matter ($\\Lambda$CDM) cosmology of general relativity (GR) to establish a framework for the gravitational thermodynamics. The Clausius equation $T_AdS_A=-A_A \\psi_t$ for the isochoric process of an instantaneous apparent horizon indicates that, the Universe and its horizon entropies encode the Positive Out thermodynamic sign convention, which encourage us to adjust the traditional positive-heat-in Gibbs equation into the positive-heat-out version $dE_m=-T_mdS_m-P_mdV$. It turns out that the standard and the generalized second laws (GSLs) of nondecreasing entropies are always respected by the event-horizon system as long as the expanding Universe is dominated by nonexotic matter $-1\\leq w_m\\leq 1$, while for the apparent-horizon simple open system the two ...

  20. Real causes of apparent abnormal results in heavy ion reactions

    Directory of Open Access Journals (Sweden)

    Mandaglio G.

    2015-01-01

    Full Text Available We study the effect of the static characteristics of nuclei and dynamics of the nucleus-nucleus interaction in the capture stage of reaction, in the competition between quasifission and complete fusion processes, as well as the angular momentum dependence of the competition between fission and evaporation processes along the de-excitation cascade of the compound nucleus. The results calculated for the mass-asymmetric and less mass-asymmetric reactions in the entrance channel are analyzed in order to investigate the role of the dynamical effects on the yields of the evaporation residue nuclei. We also discuss about uncertainties at the extraction of such relevant physical quantities as Γn/Γtot ratio or also excitation functions from the experimental results due to the not always realistic assumptions in the treatment and analysis of the detected events. This procedure can lead to large ambiguity when the complete fusion process is strongly hindered or when the fast fission contribution is large. We emphasize that a refined multiparameter model of the reaction dynamics as well as a more detailed and checked data analysis are strongly needed in heavy-ion collisions.

  1. Hyperlocal event extraction of future events

    OpenAIRE

    Arrskog, Tobias; Exner, Peter; Jonsson, Håkan; Norlander, Peter; Nugues, Pierre

    2012-01-01

    From metropolitan areas to tiny villages, there is a wide variety of organizers of cultural, business, entertainment, and social events. These organizers publish such information to an equally wide variety of sources. Every source of published events uses its own document structure and provides dierent sets of information. This raises signicant customization issues. This paper explores the possibilities of extracting future events from a wide range of web sources, to determine if the document...

  2. Global Seismic Event Detection Using Surface Waves: 15 Possible Antarctic Glacial Sliding Events

    Science.gov (United States)

    Chen, X.; Shearer, P. M.; Walker, K. T.; Fricker, H. A.

    2008-12-01

    To identify overlooked or anomalous seismic events not listed in standard catalogs, we have developed an algorithm to detect and locate global seismic events using intermediate-period (35-70s) surface waves. We apply our method to continuous vertical-component seismograms from the global seismic networks as archived in the IRIS UV FARM database from 1997 to 2007. We first bandpass filter the seismograms, apply automatic gain control, and compute envelope functions. We then examine 1654 target event locations defined at 5 degree intervals and stack the seismogram envelopes along the predicted Rayleigh-wave travel times. The resulting function has spatial and temporal peaks that indicate possible seismic events. We visually check these peaks using a graphical user interface to eliminate artifacts and assign an overall reliability grade (A, B or C) to the new events. We detect 78% of events in the Global Centroid Moment Tensor (CMT) catalog. However, we also find 840 new events not listed in the PDE, ISC and REB catalogs. Many of these new events were previously identified by Ekstrom (2006) using a different Rayleigh-wave detection scheme. Most of these new events are located along oceanic ridges and transform faults. Some new events can be associated with volcanic eruptions such as the 2000 Miyakejima sequence near Japan and others with apparent glacial sliding events in Greenland (Ekstrom et al., 2003). We focus our attention on 15 events detected from near the Antarctic coastline and relocate them using a cross-correlation approach. The events occur in 3 groups which are well-separated from areas of cataloged earthquake activity. We speculate that these are iceberg calving and/or glacial sliding events, and hope to test this by inverting for their source mechanisms and examining remote sensing data from their source regions.

  3. Keterlibatan Event Stakeholders pada Keberhasilan Event PR

    OpenAIRE

    Lidya Wati Evelina

    2013-01-01

    The objective of this article is to determine how event organizers collaborate with stakeholders including the media, particular community, sponsors, participants, venue providers, accommodation providers, carteres, legal and finance personnel, production, local trade, transportation providers, government and associations for implementation Public Relations event. This paper discusses about the things that must be done for the cooperation and the benefits of cooperation undertaken. The method...

  4. Practices Surrounding Event Photos

    OpenAIRE

    Vyas, Dhaval; Nijholt, Anton; Veer, van der, P.T.; Kotzé, P; Marsden, G.; Lindgaard, G.; Wesson, J.; Winckler, M.

    2013-01-01

    Sharing photos through mobile devices has a great potential for creating shared experiences of social events between co-located as well as remote participants. In order to design novel event sharing tools, we need to develop indepth understanding of current practices surrounding these so called ‘event photos’- photos about and taken during different social events such as weddings picnics, and music concert visits among others. We studied people’s practices related to event photos through in-d...

  5. Serotype IV Streptococcus agalactiae ST-452 has arisen from large genomic recombination events between CC23 and the hypervirulent CC17 lineages.

    Science.gov (United States)

    Campisi, Edmondo; Rinaudo, C Daniela; Donati, Claudio; Barucco, Mara; Torricelli, Giulia; Edwards, Morven S; Baker, Carol J; Margarit, Imma; Rosini, Roberto

    2016-01-01

    Streptococcus agalactiae (Group B Streptococcus, GBS) causes life-threatening infections in newborns and adults with chronic medical conditions. Serotype IV strains are emerging both among carriers and as cause of invasive disease and recent studies revealed two main Sequence Types (STs), ST-452 and ST-459 assigned to Clonal Complexes CC23 and CC1, respectively. Whole genome sequencing of 70 type IV GBS and subsequent phylogenetic analysis elucidated the localization of type IV isolates in a SNP-based phylogenetic tree and suggested that ST-452 could have originated through genetic recombination. SNPs density analysis of the core genome confirmed that the founder strain of this lineage originated from a single large horizontal gene transfer event between CC23 and the hypervirulent CC17. Indeed, ST-452 genomes are composed by two parts that are nearly identical to corresponding regions in ST-24 (CC23) and ST-291 (CC17). Chromosome mapping of the major GBS virulence factors showed that ST-452 strains have an intermediate yet unique profile among CC23 and CC17 strains. We described unreported large recombination events, involving the cps IV operon and resulting in the expansion of serotype IV to CC23. This work sheds further light on the evolution of GBS providing new insights on the recent emergence of serotype IV. PMID:27411639

  6. Post-Marketing Surveillance of Human Rabies Diploid Cell Vaccine (Imovax) in the Vaccine Adverse Event Reporting System (VAERS) in the United States, 1990‒2015

    Science.gov (United States)

    Moro, Pedro L.; Woo, Emily Jane; Paul, Wendy; Lewis, Paige; Petersen, Brett W.; Cano, Maria

    2016-01-01

    Background In 1980, human diploid cell vaccine (HDCV, Imovax Rabies, Sanofi Pasteur), was licensed for use in the United States. Objective To assess adverse events (AEs) after HDCV reported to the US Vaccine Adverse Event Reporting System (VAERS), a spontaneous reporting surveillance system. Methods We searched VAERS for US reports after HDCV among persons vaccinated from January 1, 1990–July 31, 2015. Medical records were requested for reports classified as serious (death, hospitalization, prolonged hospitalization, disability, life-threatening-illness), and those suggesting anaphylaxis and Guillain-Barré syndrome (GBS). Physicians reviewed available information and assigned a primary clinical category to each report using MedDRA system organ classes. Empirical Bayesian (EB) data mining was used to identify disproportional AE reporting after HDCV. Results VAERS received 1,611 reports after HDCV; 93 (5.8%) were serious. Among all reports, the three most common AEs included pyrexia (18.2%), headache (17.9%), and nausea (16.5%). Among serious reports, four deaths appeared to be unrelated to vaccination. Conclusions This 25-year review of VAERS did not identify new or unexpected AEs after HDCV. The vast majority of AEs were non-serious. Injection site reactions, hypersensitivity reactions, and non-specific constitutional symptoms were most frequently reported, similar to findings in pre-licensure studies. PMID:27410239

  7. Serotype IV Streptococcus agalactiae ST-452 has arisen from large genomic recombination events between CC23 and the hypervirulent CC17 lineages

    Science.gov (United States)

    Campisi, Edmondo; Rinaudo, C. Daniela; Donati, Claudio; Barucco, Mara; Torricelli, Giulia; Edwards, Morven S.; Baker, Carol J.; Margarit, Imma; Rosini, Roberto

    2016-01-01

    Streptococcus agalactiae (Group B Streptococcus, GBS) causes life-threatening infections in newborns and adults with chronic medical conditions. Serotype IV strains are emerging both among carriers and as cause of invasive disease and recent studies revealed two main Sequence Types (STs), ST-452 and ST-459 assigned to Clonal Complexes CC23 and CC1, respectively. Whole genome sequencing of 70 type IV GBS and subsequent phylogenetic analysis elucidated the localization of type IV isolates in a SNP-based phylogenetic tree and suggested that ST-452 could have originated through genetic recombination. SNPs density analysis of the core genome confirmed that the founder strain of this lineage originated from a single large horizontal gene transfer event between CC23 and the hypervirulent CC17. Indeed, ST-452 genomes are composed by two parts that are nearly identical to corresponding regions in ST-24 (CC23) and ST-291 (CC17). Chromosome mapping of the major GBS virulence factors showed that ST-452 strains have an intermediate yet unique profile among CC23 and CC17 strains. We described unreported large recombination events, involving the cps IV operon and resulting in the expansion of serotype IV to CC23. This work sheds further light on the evolution of GBS providing new insights on the recent emergence of serotype IV. PMID:27411639

  8. Functional Apparent Moduli (FAMs) as Predictors of Oral Implant Osseointegration Dynamics

    OpenAIRE

    Chang, Po-Chun; Seol, Yang-Jo; Kikuchi, Noboru; Goldstein, Steven A.; Giannobile, William V.

    2010-01-01

    At present, limited functional data exists regarding the application and use of biomechanical and imaging technologies for oral implant osseointegration assessment. The objective of this investigation was to determine the functional apparent moduli (FAMs) that could predict the dynamics of oral implant osseointegration. Using an in vivo dental implant osseous healing model, two FAMs, functional bone apparent modulus (FBAM) and composite tissue apparent modulus (FCAM), of the selected peri-imp...

  9. Iron, folate and vitamin B12 status of apparently healthy Irish adult women attending general practitioners in inner-city Dublin

    OpenAIRE

    Casey, Helen R., (Thesis)

    2002-01-01

    There is substantial related morbidity and mortality among men and women in developed countries. Certain events during the course of a woman’s life such as menstruation, pregnancy, lactation and the menopause may compromise haematinic nutrient status. The purpose of this study was to investigate iron, folate and vitamin B12 status among a sample of apparently healthy, non-pregnant Irish adult women attending general practitioners in inner-city Dublin. Dietary, socio-economic, medical and life...

  10. Achieving High Resolution Timer Events in Virtualized Environment

    OpenAIRE

    Adamczyk, Blazej; Chydzinski, Andrzej

    2015-01-01

    Virtual Machine Monitors (VMM) have become popular in different application areas. Some applications may require to generate the timer events with high resolution and precision. This however may be challenging due to the complexity of VMMs. In this paper we focus on the timer functionality provided by five different VMMs—Xen, KVM, Qemu, VirtualBox and VMWare. Firstly, we evaluate resolutions and precisions of their timer events. Apparently, provided resolutions and precisions are far too low ...

  11. Dose-Effect Relationships for Adverse Events After Cranial Radiation Therapy in Long-term Childhood Cancer Survivors

    International Nuclear Information System (INIS)

    Purpose: To evaluate the prevalence and severity of clinical adverse events (AEs) and treatment-related risk factors in childhood cancer survivors treated with cranial radiation therapy (CRT), with the aim of assessing dose-effect relationships. Methods and Materials: The retrospective study cohort consisted of 1362 Dutch childhood cancer survivors, of whom 285 were treated with CRT delivered as brain irradiation (BI), as part of craniospinal irradiation (CSI), and as total body irradiation (TBI). Individual CRT doses were converted into the equivalent dose in 2-Gy fractions (EQD2). Survivors had received their diagnoses between 1966 and 1996 and survived at least 5 years after diagnosis. A complete inventory of Common Terminology Criteria for Adverse Events grade 3.0 AEs was available from our hospital-based late-effect follow-up program. We used multivariable logistic and Cox regression analyses to examine the EQD2 in relation to the prevalence and severity of AEs, correcting for sex, age at diagnosis, follow-up time, and the treatment-related risk factors surgery and chemotherapy. Results: There was a high prevalence of AEs in the CRT group; over 80% of survivors had more than 1 AE, and almost half had at least 5 AEs, both representing significant increases in number of AEs compared with survivors not treated with CRT. Additionally, the proportion of severe, life-threatening, or disabling AEs was significantly higher in the CRT group. The most frequent AEs were alopecia and cognitive, endocrine, metabolic, and neurologic events. Using the EQD2, we found significant dose-effect relationships for these and other AEs. Conclusion: Our results confirm that CRT increases the prevalence and severity of AEs in childhood cancer survivors. Furthermore, analyzing dose-effect relationships with the cumulative EQD2 instead of total physical dose connects the knowledge from radiation therapy and radiobiology with the clinical experience

  12. Dose-Effect Relationships for Adverse Events After Cranial Radiation Therapy in Long-term Childhood Cancer Survivors

    Energy Technology Data Exchange (ETDEWEB)

    Dijk, Irma W.E.M. van, E-mail: i.w.vandijk@amc.uva.nl [Department of Radiation Oncology, Academic Medical Center, Amsterdam (Netherlands); Cardous-Ubbink, Mathilde C. [Department of Medical Oncology, Academic Medical Center, Amsterdam (Netherlands); Pal, Helena J.H. van der [Department of Medical Oncology, Academic Medical Center, Amsterdam (Netherlands); Department of Pediatric Oncology, Emma Children' s Hospital/Academic Medical Center, Amsterdam (Netherlands); Heinen, Richard C. [Department of Pediatric Oncology, Emma Children' s Hospital/Academic Medical Center, Amsterdam (Netherlands); Leeuwen, Flora E. van [Department of Epidemiology, Netherlands Cancer Institute, Amsterdam (Netherlands); Oldenburger, Foppe; Os, Rob M. van [Department of Radiation Oncology, Academic Medical Center, Amsterdam (Netherlands); Ronckers, Cécile M. [Dutch Childhood Oncology Group, Long-term Effects after Childhood Cancer, The Hague (Netherlands); Schouten–van Meeteren, Antoinette Y.N. [Department of Pediatric Oncology, Emma Children' s Hospital/Academic Medical Center, Amsterdam (Netherlands); Caron, Huib N. [Department of Medical Oncology, Academic Medical Center, Amsterdam (Netherlands); Department of Pediatric Oncology, Emma Children' s Hospital/Academic Medical Center, Amsterdam (Netherlands); Koning, Caro C.E. [Department of Radiation Oncology, Academic Medical Center, Amsterdam (Netherlands); Kremer, Leontien C.M. [Department of Medical Oncology, Academic Medical Center, Amsterdam (Netherlands); Department of Pediatric Oncology, Emma Children' s Hospital/Academic Medical Center, Amsterdam (Netherlands)

    2013-03-01

    Purpose: To evaluate the prevalence and severity of clinical adverse events (AEs) and treatment-related risk factors in childhood cancer survivors treated with cranial radiation therapy (CRT), with the aim of assessing dose-effect relationships. Methods and Materials: The retrospective study cohort consisted of 1362 Dutch childhood cancer survivors, of whom 285 were treated with CRT delivered as brain irradiation (BI), as part of craniospinal irradiation (CSI), and as total body irradiation (TBI). Individual CRT doses were converted into the equivalent dose in 2-Gy fractions (EQD{sub 2}). Survivors had received their diagnoses between 1966 and 1996 and survived at least 5 years after diagnosis. A complete inventory of Common Terminology Criteria for Adverse Events grade 3.0 AEs was available from our hospital-based late-effect follow-up program. We used multivariable logistic and Cox regression analyses to examine the EQD{sub 2} in relation to the prevalence and severity of AEs, correcting for sex, age at diagnosis, follow-up time, and the treatment-related risk factors surgery and chemotherapy. Results: There was a high prevalence of AEs in the CRT group; over 80% of survivors had more than 1 AE, and almost half had at least 5 AEs, both representing significant increases in number of AEs compared with survivors not treated with CRT. Additionally, the proportion of severe, life-threatening, or disabling AEs was significantly higher in the CRT group. The most frequent AEs were alopecia and cognitive, endocrine, metabolic, and neurologic events. Using the EQD{sub 2}, we found significant dose-effect relationships for these and other AEs. Conclusion: Our results confirm that CRT increases the prevalence and severity of AEs in childhood cancer survivors. Furthermore, analyzing dose-effect relationships with the cumulative EQD{sub 2} instead of total physical dose connects the knowledge from radiation therapy and radiobiology with the clinical experience.

  13. Initiating events frequency determination

    International Nuclear Information System (INIS)

    The paper describes work performed for the Nuclear Power Station (NPS). Work is related to the periodic initiating events frequency update for the Probabilistic Safety Assessment (PSA). Data for all relevant NPS initiating events (IE) were reviewed. The main focus was on events occurring during most recent operating history (i.e., last four years). The final IE frequencies were estimated by incorporating both NPS experience and nuclear industry experience. Each event was categorized according to NPS individual plant examination (IPE) initiating events grouping approach. For the majority of the IE groups, few, or no events have occurred at the NPS. For those IE groups with few or no NPS events, the final estimate was made by means of a Bayesian update with general nuclear industry values. Exceptions are rare loss-of-coolant-accidents (LOCA) events, where evaluation of engineering aspects is used in order to determine frequency.(author)

  14. Initial external events: floods

    International Nuclear Information System (INIS)

    The initial external event, specifically flood in a Nuclear power plant, and the calculation necessary to determine the contribution of this type of event in a Probabilistic Safety Analysis, are presented. (M.I.)

  15. Traumatic events and children

    Science.gov (United States)

    ... over and over are: Physical or emotional abuse Sexual abuse Gang violence War Terrorist events ... Force on Community Preventive Services. The effectiveness of interventions to reduce psychological harm from traumatic events among ...

  16. Bike Race Event

    OpenAIRE

    Hasan, M. Mehedi

    2013-01-01

    In this workshop project, our intention is to arrange a Bike race event for the bike club’s members. Our project is based upon through a market research of Bike race event market. After analysing the market we have done a plan for our event, which structured by different tools of the project management, such as WBS, RBS etc. project management is the key tool in this project. Lastly we have shown our budget and financial structure of the event.

  17. Advertising Effectiveness In Events

    OpenAIRE

    Jain, Sushilkumar

    2012-01-01

    Confronted with decreasing effectiveness of the classic marketing communications, events have become an increasingly popular alternative for marketers. Events constitute one of the most exciting and fastest growing forms of leisure and business. With time, the decreasing effectiveness of classical marketing communications boosted the use of events for marketing and making brand awareness. Event marketing is seen as the unique opportunity to integrate the firm’s communication activities like p...

  18. Initiating Events for Multi-Reactor Plant Sites

    Energy Technology Data Exchange (ETDEWEB)

    Muhlheim, Michael David [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Flanagan, George F. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Poore, III, Willis P. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2014-09-01

    Inherent in the design of modular reactors is the increased likelihood of events that initiate at a single reactor affecting another reactor. Because of the increased level of interactions between reactors, it is apparent that the Probabilistic Risk Assessments (PRAs) for modular reactor designs need to specifically address the increased interactions and dependencies.

  19. Event generators at BESⅢ

    Institute of Scientific and Technical Information of China (English)

    PING Rong-Gang

    2008-01-01

    We present a brief remark and introduction to event generators for tau-charm physics currently used at BESⅢ,including KKMC,BesEvtGen,Bhlumi,Bhwide,Babayaga and inclusive Monte-Carlo event generators.This paper provides basic information on event generators for BESⅢ users.

  20. Event matrix system

    International Nuclear Information System (INIS)

    The number of background events in nuclear and particle physics experiments which use multiwire proportional chambers can be extremely high. Using a computer to resolve these events results in a high deadtime for the experiment. A fast matrix system for decreasing the number of background events is described in this report. 4 figures

  1. A study of changes in apparent ionospheric reflection height within individual lightning flashes

    Science.gov (United States)

    Somu, Vijaya B.; Rakov, Vladimir A.; Haddad, Michael A.; Cummer, Steven A.

    2015-12-01

    Ionospheric reflection heights estimated using the zero-to-zero and peak-to-peak methods to measure skywave delay relative to the ground wave were compared for 108 first and 124 subsequent strokes at distances greater than 100 km. For either metric there was a considerable decrease in average reflection height for subsequent strokes relative to first strokes. We showed that the observed difference cannot be explained by the difference in frequency content of first and subsequent return-stroke currents. Apparent changes in reflection height (estimated using the peak-to-peak method) within individual flashes for 54 daytime and 11 nighttime events at distances ranging from 50 km to 330 km were compared, and significant differences were found. For daytime conditions, the majority of the flashes showed either decrease (57%) or non-monotonic variation (39%) in reflection height with respect to the immediately preceding stroke. With respect to the first stroke, 91% of the flashes showed monotonic decrease in height. For nighttime flashes, patterns in reflection height changes with respect to the immediately preceding stroke were as follows: 46% no change, 27% monotonic decrease, and 27% non-monotonic variation. When changes were measured with respect to the first stroke, 54% of nighttime flashes showed monotonic decrease and 46% no change. Ionospheric reflection height tends to increase with return-stroke peak current. The observed daytime effects can be explained by (a) the dependence of EMP penetration depth on source intensity, which decreases with stroke order, (b) additional ionization associated with elves, or (c) combination of (a) and (b) above.

  2. Financial Barriers for Students with Non-Apparent Disabilities within Canadian Postsecondary Education

    Science.gov (United States)

    Chambers, Tony; Bolton, Melissa; Sukhai, Mahadeo A.

    2013-01-01

    This study examined the education-related debt, sources of debt, and the process of acquiring accommodations for students with non-apparent (such as learning disabilities and mental health disabilities) and apparent disabilities in Canadian postsecondary education. A third group emerged during analyses, students with medical disabilities, which…

  3. Equipartition of energy and the first law of thermodynamics at the apparent horizon

    OpenAIRE

    Shu, Fu-Wen; Gong, Yungui

    2010-01-01

    We apply the holographic principle and the equipartition law of energy to the apparent horizon of a Friedmann-Robertson-Walker universe and derive the Friedmann equation describing the dynamics of the universe. We also show that the equipartition law of energy can be interpreted as the first law of thermodynamics at the apparent horizon.

  4. Application of BP neural network to semi-solid apparent viscosity simulation

    Institute of Scientific and Technical Information of China (English)

    罗中华; 张质良

    2003-01-01

    Two-layer BP neural network was designed for the semi-solid apparent viscosity simulation. The apparent viscosity simulations of Sn-15%Pb alloy and Al-4.5%Cu-1.5%Mg alloy stirred slurries were carried out. The trained BP neural network forecast the curve of the apparent viscosity versus solid volume fraction of Sn-15%Pb alloy, under the condition of shear rate, =150 s-1, and cooling rate of G=0.33 ℃/min. The simulation results are well agreement with the experimental values given in references The fitted mathematical formula of Sn-15%Pb alloy apparent viscosity, under the condition of the cooling rate of G=0.33 ℃/min, was obtained by optimization method. The results show that the precision of apparent viscosity simulation value by neural network is much better than that of its calculation value by fitted mathematical formula.

  5. Scenario evolution: Interaction between event tree construction and numerical analyses

    International Nuclear Information System (INIS)

    Construction of well-posed scenarios for the range of conditions possible at any proposed repository site is a critical first step to assessing total system performance. Event tree construction is the method that is being used to develop potential failure scenarios for the proposed nuclear waste repository at Yucca Mountain. An event tree begins with an initial event or condition. Subsequent events are listed in a sequence, leading eventually to release of radionuclides to the accessible environment. Ensuring the validity of the scenarios requires iteration between problems constructed using scenarios contained in the event tree sequence, experimental results, and numerical analyses. Details not adequately captured within the tree initially may become more apparent as a result of analyses. To illustrate this process, the authors discuss the iterations used to develop numerical analyses for PACE-90 (Performance Assessment Calculational Exercises) using basaltic igneous activity and human-intrusion event trees

  6. Adrenal Crisis : Still a Deadly Event in the 21(st) Century

    NARCIS (Netherlands)

    Puar, Troy H K; Stikkelbroeck, Nike M M L; Smans, Lisanne C C J; Zelissen, Pierre M J; Hermus, Ad R M M

    2015-01-01

    Adrenal crisis is a life-threatening medical emergency, associated with a high mortality unless it is appropriately recognized and early treatment is rendered. Despite it being a treatable condition for almost 70 years, failure of adequate preventive measures or delayed treatment has often led to un

  7. On temporal and spatial distribution of seismic apparent stresses in Yunnan area

    Institute of Scientific and Technical Information of China (English)

    QIN Jia-zheng; QIAN Xiao-dong

    2006-01-01

    motion is applied to a detailed study on the temporal and spatial distribution of the seismic apparent stresses (σa)for the moderate and small earthquakes and two aftershock sequences in Yunnan area. The results show that there exists an obvious non-homogeneity for the seismic apparent stresses in the spatial distribution. The concentrated regions of the high apparent stresses are related to the active places of the moderate and small earthquakes. Before the Dayao M=6.2 earthquake, there was a period in which the apparent stresses were high and the value was 5times of the average value, 0.25 MPa. The relatively high values of apparent stresses distribute around the epicentral area of the major shock and nearby. It indicates that the variation characteristics of the apparent stresses can be taken as a new kind of criterion for the earthquake-risk forecast. Usually the ratio of the apparent stresses of the aftershock sequence σaA to the ones σaM of main shock is less than 1.0.

  8. Thermodynamics of the Apparent Horizon in FRW Universe with Massive Gravity

    International Nuclear Information System (INIS)

    Applying Clausius relation with energy-supply defined by the unified first law of thermodynamics formalism to the apparent horizon of a massive gravity model in cosmology proposed lately, the corrected entropic formula of the apparent horizon is obtained with the help of the modified Friedmann equations. This entropy-area relation, together with the identified Misner-Sharp internal energy, verifies the first law of thermodynamics for the apparent horizon with a volume change term for consistency. On the other hand, by means of the corrected entropy-area formula and the Clausius relation δQ = T d S, where the heat Bow δQ is the energy-supply of pure matter projecting on the vector ξ tangent to the apparent horizon and should be looked on as the amount of energy crossing the apparent horizon during the time interval dt and the temperature of the apparent horizon for energy crossing during the same interval is 1/(2πrA), the modified Friedmann equations governing the dynamical evolution of the universe are reproduced with the known energy density and pressure of massive graviton. The integration constant is found to correspond to a cosmological term which could be absorbed into the energy density of matter. Having established the correspondence of massive cosmology with the unified first law of thermodynamics on the apparent horizon, the validity of the generalized second law of thermodynamics is also discussed by assuming the thermal equilibrium between the apparent horizon and the matter field bounded by the apparent horizon. It is found that, in the limit Hc → 0, which recovers the Minkowski reference metric solution in the fiat case, the generalized second law of thermodynamics holds if α3 + 4α4 3 = α4 = 0, the generalized second law of thermodynamics could be violated. (general)

  9. Event sponsorship in China

    OpenAIRE

    Y. Fan; Pfitzenmaier, N

    2002-01-01

    Event marketing is currently at the infant stage in China, but holds a great potential in future. This is concluded from an Internet-based survey. The respondents believe that event marketing provides international companies with a viable alternative to the increasingly cluttered mass media, and plays a key role in the integrated marketing communications (IMC). Sponsoring sports and music events is found particularly effective in reaching the opinion leaders and innovators, and establishing f...

  10. LIFE EVENTS AND DEPRESSION

    OpenAIRE

    R N Chatterjee; Mukherjee, S. P.; Nandi, D.N.

    1981-01-01

    SUMMARY The life events occurring in a 6 month period preceding onset of illness in 50 OPD primary depressives were inquired into by a Life Events Inventory and compared with those in a corresponding time period of 50 matched controls. The relation between life events and the depth of depression at initial interview was also studied. The results are analysed and the probable pitfalls discussed.

  11. Event Detection in Tweets

    Directory of Open Access Journals (Sweden)

    Houssem Eddine Dridi

    Full Text Available We present a system for finding, from Twitter data, events that raised the interest of users within a given time period and the important dates for each event. An event is represented by many terms whose frequency increases suddenly at one or more moments during the analysed period. In order to determine the terms (especially the hashtags dealing with a topic, we propose methods to cluster similar terms: phonetic methods adapted to the writing mode used by users and some statistical methods. In order to select the set of events, we used three main criteria: frequency, variation and Tf*Idf.

  12. Apparent linear attenuation coefficients in phase contrast X-ray tomography

    International Nuclear Information System (INIS)

    In the inline phase contrast X-ray tomography the reconstructed apparent linear attenuation coefficient values may be greatly larger than sample's linear attenuation coefficients or even be negative. In this work we present a general formula to quantitatively relate the apparent linear attenuation coefficient values in cone-beam phase contrast tomography to sample's linear attenuation coefficients and refractive indices. This formula overcomes the gross inaccuracy of the existing formula in the literature in analyzing high-resolution phase contrast tomography, and it will be useful for correctly interpreting and quantifying the apparent linear attenuation coefficients in cone-beam X-ray phase contrast tomography.

  13. Tritium/Helium-3 Apparent Ages of Shallow Ground Water, Portland Basin, Oregon, 1997-98

    Science.gov (United States)

    Hinkle, Stephen R.

    2009-01-01

    Water samples for tritium/helium-3 age dating were collected from 12 shallow monitoring wells in the Portland basin, Oregon, in 1997, and again in 1998. Robust tritium/helium-3 apparent (piston-flow) ages were obtained for water samples from 10 of the 12 wells; apparent ages ranged from 1.1 to 21.2 years. Method precision was demonstrated by close agreement between data collected in 1997 and 1998. Tritium/helium-3 apparent ages generally increase with increasing depth below the water table, and agree well with age/depth relations based on assumptions of effects of recharge rate on vertical ground-water movement.

  14. Safeguards summary event list (SSEL)

    International Nuclear Information System (INIS)

    The List contains nine categories of events involving NRC licensed material or licensees. It is deliberately broad in scope for two main reasons. First, the list is designed to serve as a reference document. It is as complete and accurate as possible. Second, the list is intended to provide as broad a perspective of the nature of licensee-related events as possible. The nine categories of events are as follows: bomb-related events; intrusion events; missing and/or allegedly stolen events; transportation-related events; vandalism events; arson events; firearms-related events; sabotage events; and miscellaneous events

  15. Computer simulation of nuclear pollutant diffusion from Shimane nuclear power plants and development of an evacuation strategy in the event of a nuclear incident

    International Nuclear Information System (INIS)

    Beginning from Tohoku (northeastern) Earthquake on March 11, an accident at the Fukushima Dai-ichi Nuclear Power Plant resulted in a substantial release of radioactivity to the environment. The accident forced a large number of residents to evacuate from surrounding areas. Moreover, the nuclear incident was life-threatening for the elderly and for people with serious illnesses who were confined in hospital or nursing homes. Strikingly, the causes of death were not directly attributed to radiation exposure but to problems encountered during evacuation. Using nuclear diffusion data from the Fukushima incident, we simulated nuclear pollutant dispersion using computer software A2C in an area of Tottori and Shimane Prefectures surrounding the Shimane Nuclear Power Plant. We generated a model for the spread of nuclear pollutants around the Emergency Planning Zone, id est (i.e.) EPZ. From these findings, we proposed evacuation strategies for residents near the power plant to ensure a safe and reliable escape from nuclear pollutants. Our recommendations include: immediate evacuation from PAZ area (within 5 km), securing indoor shelter in the area of the UPZ (from 5 km to 30 km) and preparations to evacuate further outwards from the nuclear plant site, daytime evacuation within a 30 km area after considering wind direction and velocity, and preparation of a planned evacuation strategy that identifies secure facilities for weaker people in the event of a disaster. (author)

  16. Features, Events, and Processes: Disruptive Events

    Energy Technology Data Exchange (ETDEWEB)

    J. King

    2004-03-31

    The primary purpose of this analysis is to evaluate seismic- and igneous-related features, events, and processes (FEPs). These FEPs represent areas of natural system processes that have the potential to produce disruptive events (DE) that could impact repository performance and are related to the geologic processes of tectonism, structural deformation, seismicity, and igneous activity. Collectively, they are referred to as the DE FEPs. This evaluation determines which of the DE FEPs are excluded from modeling used to support the total system performance assessment for license application (TSPA-LA). The evaluation is based on the data and results presented in supporting analysis reports, model reports, technical information, or corroborative documents that are cited in the individual FEP discussions in Section 6.2 of this analysis report.

  17. Features, Events, and Processes: Disruptive Events

    International Nuclear Information System (INIS)

    The primary purpose of this analysis is to evaluate seismic- and igneous-related features, events, and processes (FEPs). These FEPs represent areas of natural system processes that have the potential to produce disruptive events (DE) that could impact repository performance and are related to the geologic processes of tectonism, structural deformation, seismicity, and igneous activity. Collectively, they are referred to as the DE FEPs. This evaluation determines which of the DE FEPs are excluded from modeling used to support the total system performance assessment for license application (TSPA-LA). The evaluation is based on the data and results presented in supporting analysis reports, model reports, technical information, or corroborative documents that are cited in the individual FEP discussions in Section 6.2 of this analysis report

  18. Apparent size contrasts of retinal images and size constancy as determinants of the moon illusion.

    Science.gov (United States)

    Smith, O W; Smith, P C; Geist, C C; Zimmermann, R R

    1978-06-01

    Kaufman and Rock (1962) and Rock and Kaufman (1962) concluded that the moon illusion is a function of and attributable to apparent distance. They also reported a large framing effect as an exception. Analysis of the effect suggests two components which can account for the illusion independently of apparent distance. These are apparent size contrasts of visual images of discriminable features or objects of the earth with the moon's image and size constancy of the features or objects plus the interactions of the two. Apparent distances to horizons are always a consequence of the necessary conditions for the illusion. They are related to the illusion but are not a determinant of it. PMID:673635

  19. An apparent inconsistency between the Dyson and renormalization group equations in QCD

    International Nuclear Information System (INIS)

    We show that there is an apparent inconsistency between the renormalization group and Dyson equations for the fermion propagator in QCD except in the special QED-like gauge. This has some bearing on the electromagnetic mass shift problem. (author)

  20. The apparent fine-tuning of the cosmological, gravitational and fine structure constants

    Science.gov (United States)

    Eaves, Laurence

    2016-02-01

    A numerical coincidence relating the values of the cosmological, gravitational and electromagnetic fine structure constants is presented and discussed in relation to the apparent anthropic fine-tuning of these three fundamental constants of nature.

  1. Features, Events, and Processes: Disruptive Events

    International Nuclear Information System (INIS)

    The purpose of this analysis report is to evaluate and document the inclusion or exclusion of the disruptive events features, events, and processes (FEPs) with respect to modeling used to support the total system performance assessment for license application (TSPA-LA). A screening decision, either ''Included'' or ''Excluded,'' is given for each FEP, along with the technical basis for screening decisions. This information is required by the U.S. Nuclear Regulatory Commission (NRC) at 10 CFR 63.114 (d), (e), and (f) [DIRS 156605]. The FEPs addressed in this report deal with both seismic and igneous disruptive events, such as fault displacements through the repository and an igneous intrusion into the repository. For included FEPs, this analysis summarizes the implementation of the FEP in TSPA-LA (i.e., how the FEP is included). For excluded FEPs, this analysis provides the technical basis for exclusion from TSPA-LA (i.e., why the FEP is excluded). Previous versions of this report were developed to support the total system performance assessments (TSPA) for various prior repository designs. This revision addresses the repository design for the license application (LA)

  2. Features, Events, and Processes: Disruptive Events

    Energy Technology Data Exchange (ETDEWEB)

    P. Sanchez

    2004-11-08

    The purpose of this analysis report is to evaluate and document the inclusion or exclusion of the disruptive events features, events, and processes (FEPs) with respect to modeling used to support the total system performance assessment for license application (TSPA-LA). A screening decision, either ''Included'' or ''Excluded,'' is given for each FEP, along with the technical basis for screening decisions. This information is required by the U.S. Nuclear Regulatory Commission (NRC) at 10 CFR 63.114 (d), (e), and (f) [DIRS 156605]. The FEPs addressed in this report deal with both seismic and igneous disruptive events, such as fault displacements through the repository and an igneous intrusion into the repository. For included FEPs, this analysis summarizes the implementation of the FEP in TSPA-LA (i.e., how the FEP is included). For excluded FEPs, this analysis provides the technical basis for exclusion from TSPA-LA (i.e., why the FEP is excluded). Previous versions of this report were developed to support the total system performance assessments (TSPA) for various prior repository designs. This revision addresses the repository design for the license application (LA).

  3. The ATLAS Event Builder

    CERN Document Server

    Vandelli, W; Battaglia, A; Beck, H P; Blair, R; Bogaerts, A; Bosman, M; Ciobotaru, M; Cranfield, R; Crone, G; Dawson, J; Dobinson, Robert W; Dobson, M; Dos Anjos, A; Drake, G; Ermoline, Y; Ferrari, R; Ferrer, M L; Francis, D; Gadomski, S; Gameiro, S; Gorini, B; Green, B; Haberichter, W; Haberli, C; Hauser, R; Hinkelbein, C; Hughes-Jones, R; Joos, M; Kieft, G; Klous, S; Korcyl, K; Kordas, K; Kugel, A; Leahu, L; Lehmann, G; Martin, B; Mapelli, L; Meessen, C; Meirosu, C; Misiejuk, A; Mornacchi, G; Müller, M; Nagasaka, Y; Negri, A; Pasqualucci, E; Pauly, T; Petersen, J; Pope, B; Schlereth, J L; Spiwoks, R; Stancu, S; Strong, J; Sushkov, S; Szymocha, T; Tremblet, L; Ünel, G; Vermeulen, J; Werner, P; Wheeler-Ellis, S; Wickens, F; Wiedenmann, W; Yu, M; Yasu, Y; Zhang, J; Zobernig, H; 2007 IEEE Nuclear Science Symposium and Medical Imaging Conference

    2008-01-01

    Event data from proton-proton collisions at the LHC will be selected by the ATLAS experiment in a three-level trigger system, which, at its first two trigger levels (LVL1+LVL2), reduces the initial bunch crossing rate of 40~MHz to $sim$3~kHz. At this rate, the Event Builder collects the data from the readout system PCs (ROSs) and provides fully assembled events to the Event Filter (EF). The EF is the third trigger level and its aim is to achieve a further rate reduction to $sim$200~Hz on the permanent storage. The Event Builder is based on a farm of O(100) PCs, interconnected via a Gigabit Ethernet to O(150) ROSs. These PCs run Linux and multi-threaded software applications implemented in C++. All the ROSs, and substantial fractions of the Event Builder and Event Filter PCs have been installed and commissioned. We report on performance tests on this initial system, which is capable of going beyond the required data rates and bandwidths for Event Building for the ATLAS experiment.

  4. The Blayais event

    International Nuclear Information System (INIS)

    This document provides the main events occurred to the Blayais installation during the year 2000. For each events, the detailed chronology, the situation analysis, the crisis management and the public information are provided. Some recommendations are also provided by the nuclear safety authorities. (A.L.B.)

  5. Human Performance Event Database

    International Nuclear Information System (INIS)

    The purpose of this paper is to describe several aspects of a Human Performance Event Database (HPED) that is being developed by the Nuclear Regulatory Commission. These include the background, the database structure and basis for the structure, the process for coding and entering event records, the results of preliminary analyses of information in the database, and plans for the future. In 1992, the Office for Analysis and Evaluation of Operational Data (AEOD) within the NRC decided to develop a database for information on human performance during operating events. The database was needed to help classify and categorize the information to help feedback operating experience information to licensees and others. An NRC interoffice working group prepared a list of human performance information that should be reported for events and the list was based on the Human Performance Investigation Process (HPIP) that had been developed by the NRC as an aid in investigating events. The structure of the HPED was based on that list. The HPED currently includes data on events described in augmented inspection team (AIT) and incident investigation team (IIT) reports from 1990 through 1996, AEOD human performance studies from 1990 through 1993, recent NRR special team inspections, and licensee event reports (LERs) that were prepared for the events. (author)

  6. Event generator overview

    International Nuclear Information System (INIS)

    Due to their ability to provide detailed and quantitative predictions, the event generators have become an important part of studying relativistic heavy ion physics and of designing future experiments. In this talk, the author will briefly summarize recent progress in developing event generators for the relativistic heavy ion collisions

  7. A Self-Alignment Algorithm for SINS Based on Gravitational Apparent Motion and Sensor Data Denoising

    OpenAIRE

    Yiting Liu; Xiaosu Xu; Xixiang Liu; Yiqing Yao; Liang Wu; Jin Sun

    2015-01-01

    Initial alignment is always a key topic and difficult to achieve in an inertial navigation system (INS). In this paper a novel self-initial alignment algorithm is proposed using gravitational apparent motion vectors at three different moments and vector-operation. Simulation and analysis showed that this method easily suffers from the random noise contained in accelerometer measurements which are used to construct apparent motion directly. Aiming to resolve this problem, an online sensor data...

  8. Prevalence of upper airway obstruction in patients with apparently asymptomatic euthyroid multi nodular goitre

    OpenAIRE

    Menon, Sunil K.; Jagtap, Varsha S.; Vijaya Sarathi; Lila, Anurag R.; Bandgar, Tushar R.; Menon, Padmavathy S; Nalini S. Shah

    2011-01-01

    Aims: To study the prevalence of upper airway obstruction (UAO) in "apparently asymptomatic" patients with euthyroid multinodular goitre (MNG) and find correlation between clinical features, UAO on pulmonary function test (PFT) and tracheal narrowing on computerised tomography (CT). Materials and Methods: Consecutive patients with apparently asymptomatic euthyroid MNG attending thyroid clinic in a tertiary centre underwent clinical examination to elicit features of UAO, PFT, and CT of neck an...

  9. Apparent Contact Angle and Contact Angle Hysteresis on Liquid Infused Surfaces

    OpenAIRE

    Semprebon, Ciro; McHale, Glen; Kusumaatmaja, Halim

    2016-01-01

    We theoretically investigate the apparent contact angle and contact angle hysteresis of a droplet placed on a liquid infused surface. We show that the apparent contact angle is not uniquely defined by material parameters, but also has a strong dependence on the relative size between the droplet and its surrounding wetting ridge formed by the infusing liquid. We derive a closed form expression for the contact angle in the limit of vanishing wetting ridge, and compute the correction for small b...

  10. Apparent Linear Attenuation Coefficients in Phase Contrast X-Ray Tomography

    OpenAIRE

    Yan, Aimin; Wu, Xizeng

    2011-01-01

    In the inline phase contrast x-ray tomography the reconstructed apparent linear attenuation coefficient values may be greatly larger than sample’s linear attenuation coefficients or even be negative. In this work we present a general formula to quantitatively relate the apparent linear attenuation coefficient values in cone-beam phase contrast tomography to sample’s linear attenuation coefficients and refractive indices. This formula overcomes the gross inaccuracy of the existing formula in t...

  11. Comparison between apparent viscosity related to irradiation dose for corn starch and black pepper

    OpenAIRE

    Oprita N.; Ferdes O.S.; Casandroiu T.

    1999-01-01

    Dose-effect relationship was studied in the rheoviscometric behaviour of geliffied suspensions of irradiated corn starch and black pepper, as the variation of the apparent viscosity and the shear stress related to the dose. Irradiation has been performed up to 16 kGy. Black pepper was ground and sieved to three particle sizes to analyse also the influence of particle size on the apparent viscosity variation by dose. The rheoviscometric measu- rements have been carried out by a rotationary vis...

  12. Apparent viscosity of human blood in a high static magnetic field

    Energy Technology Data Exchange (ETDEWEB)

    Haik, Yousef E-mail: haik@eng.fsu.edu; Pai, Vinay; Chen Chingjen

    2001-07-01

    This study investigates the apparent additive viscosity due to magnetic effects on the human blood. Experimental results show that blood flow rate under gravity decreases by 30% when subjected to a high magnetic field of 10 T. The decrease in the flow rate is due to an increase in the apparent viscosity of the blood due to the magnetic field. A correlation describing the viscosity of blood under these conditions is introduced which depends on the Langevin function and parameters.

  13. Acute Coronary Events

    Science.gov (United States)

    Arbab-Zadeh, Armin; Nakano, Masataka; Virmani, Renu; Fuster, Valentin

    2012-01-01

    In the United States alone, more than 400,000 Americans die annually from coronary artery disease and more than 1,000,000 suffer acute coronary events, i.e., myocardial infarction and sudden cardiac death.1 Considering the aging of our population and increasing incidence of diabetes and obesity, the morbidity from coronary artery disease, and its associated costs, will place an increasing, substantial burden on our society.2 Between 2010 and 2030, total direct medical costs spent in the US for cardiovascular diseases are projected to triple from 273 to 818 billion dollars.2 Although effective treatments are available and considerable efforts are ongoing to identify new strategies for the prevention of coronary events, predicting such events in an individual has been challenging.3 In hopes of improving our ability to determine the risk of coronary events, it is prudent to review our knowledge of factors that lead to acute coronary events. PMID:22392862

  14. Scenario evolution: Interaction between event tree construction and numerical analyses

    International Nuclear Information System (INIS)

    Construction of well-posed scenarios for the range of conditions possible at any proposed repository site is a critical first step to assessing total system performance. Even tree construction is the method that is being used to develop potential failure scenarios for the proposed nuclear waste repository at Yucca Mountain. An event tree begins with an initial event or condition. Subsequent events are listed in a sequence, leading eventually to release of radionuclides to the accessible environment. Ensuring the validity of the scenarios requires iteration between problems constructed using scenarios contained in the event tree sequence, experimental results, and numerical analyses. Details not adequately captured within the tree initially may become more apparent as a result of analyses. To illustrate this process, we discuss the iterations used to develop numerical analyses for PACE-90 using basaltic igneous activity and human-intrusion event trees

  15. "Universe" event at AIMS

    Science.gov (United States)

    2008-06-01

    Report of event of 11 May 2008 held at the African Institute of Mathematical Sciences (Muizenberg, Cape), with speakers Michael Griffin (Administrator of NASA), Stephen Hawking (Cambridge), David Gross (Kavli Institute, Santa Barbara) and George Smoot (Berkeley).

  16. FLOOD EVENT MAPPING IMAGES

    Science.gov (United States)

    OSEI flood products (FLD) include multichannel color composite imagery and single-channel grayscale imagery of enlarged river areas or increased sediment flow. Typically, these events are displayed by comparison to imagery taken when flooding was not occurring.

  17. Event shape sorting

    Science.gov (United States)

    Kopečná, Renata; Tomášik, Boris

    2016-04-01

    We propose a novel method for sorting events of multiparticle production according to the azimuthal anisotropy of their momentum distribution. Although the method is quite general, we advocate its use in analysis of ultra-relativistic heavy-ion collisions where a large number of hadrons is produced. The advantage of our method is that it can automatically sort out samples of events with histograms that indicate similar distributions of hadrons. It takes into account the whole measured histograms with all orders of anisotropy instead of a specific observable ( e.g., v_2 , v_3 , q_2 . It can be used for more exclusive experimental studies of flow anisotropies which are then more easily compared to theoretical calculations. It may also be useful in the construction of mixed-events background for correlation studies as it allows to select events with similar momentum distribution.

  18. Solar extreme events

    OpenAIRE

    Hudson, Hugh S.

    2015-01-01

    Solar flares and CMEs have a broad range of magnitudes. This review discusses the possibility of "extreme events," defined as those with magnitudes greater than have been seen in the existing historical record. For most quantitative measures, this direct information does not extend more than a century and a half into the recent past. The magnitude distributions (occurrence frequencies) of solar events (flares/CMEs) typically decrease with the parameter measured or inferred (peak flux, mass, e...

  19. Successful event promotions

    OpenAIRE

    Vitikainen, Anna; Pakarinen, Siiri

    2015-01-01

    The field of event promotions is a growing industry. As it is still a new area of business, the information available is broad and not very detailed. Promotions are usually seen as a bigger field in advertising and specific information about event promotions is more difficult to find. Today marketing is shifting from basic, traditional advertising to digital marketing and telling the brands’ story by creating an unforgettable and positive experience. Companies are trying to come up with new w...

  20. Gargamelle: neutral current event

    CERN Multimedia

    1973-01-01

    This event shows real tracks of particles from the 1200 litre Gargamelle bubble chamber that ran on the PS from 1970 to 1976 and on the SPS from 1976 to 1979. In this image a neutrino passes close to a nucleon and reemerges as a neutrino. Such events are called neutral curent, as they are mediated by the Z0 boson which has no electric charge.

  1. Detecting Priming News Events

    CERN Document Server

    Wu, Di; Yu, Jeffrey Xu; Liu, Zheng

    2012-01-01

    We study a problem of detecting priming events based on a time series index and an evolving document stream. We define a priming event as an event which triggers abnormal movements of the time series index, i.e., the Iraq war with respect to the president approval index of President Bush. Existing solutions either focus on organizing coherent keywords from a document stream into events or identifying correlated movements between keyword frequency trajectories and the time series index. In this paper, we tackle the problem in two major steps. (1) We identify the elements that form a priming event. The element identified is called influential topic which consists of a set of coherent keywords. And we extract them by looking at the correlation between keyword trajectories and the interested time series index at a global level. (2) We extract priming events by detecting and organizing the bursty influential topics at a micro level. We evaluate our algorithms on a real-world dataset and the result confirms that ou...

  2. 1997: notifiable events

    International Nuclear Information System (INIS)

    In May 1998, the German Federal Ministry for the Environment, Nature Conservation, and Rector Safety (BMU) presented the 1997 survey of 'Notifiable events in plants for nuclear fuel fission - nuclear power and research reactors whose maximum power exceeds 50 kW of continuous thermal power - in the Federal Republic of Germany'. Since 1975, the operators of nuclear power plants in the Federal Republic of Germany have been required to report to the nuclear supervisory authorities all notifiable events in accordance with standard national reporting criteria. This official reporting system serves for monitoring the safety status of notifiable plants and use the findings derived from the events reported to improve the safety status of plants within the supervisory procedures where necessary. The reports constitute an important base for the early detection of defects and for preventing the occurrence of similar defects in other plants. In 1997, there were 117 notifiable events in nuclear power plants in the Federal Republic of Germany. None of these events is to be classified as an accident, and in none of the events were dose limits under the German Radiation Protection Ordinance exceeded. (orig.)

  3. Thermodynamics of the Apparent Horizon in FRW Universe with Massive Gravity

    Institute of Scientific and Technical Information of China (English)

    LI Hui; ZHANG Yi

    2013-01-01

    Applying Clausius relation with energy-supply defined by the unified first law of thermodynamics formalism to the apparent horizon of a massive gravity model in cosmology proposed lately,the corrected entropic formula of the apparent horizon is obtained with the help of the modified Friedmann equations.This entropy-area relation,together with the identified Misner-Sharp internal energy,verifies the first law of thermodynamics for the apparent horizon with a volume change term for consistency.On the other hand,by means of the corrected entropy-area formula and the Clausius relation δQ =T dS,where the heat flow δQ is the energy-supply of pure matter projecting on the vector ξ tangent to the apparent horizon and should be looked on as the amount of energy crossing the apparent horizon during the time interval dt and the temperature of the apparent horizon for energy crossing during the same interval is 1/(2π(r)A),the modified Friedmann equations governing the dynamical evolution of the universe are reproduced with the known energy density and pressure of massive graviton.The integration constant is found to correspond to a cosmological term which could be absorbed into the energy density of matter.Having established the correspondence of massive cosmology with the unified first law of thermodynamics on the apparent horizon,the validity of the generalized second law of thermodynamics is also discussed by assuming the thermal equilibrium between the apparent horizon and the matter field bounded by the apparent horizon.It is found that,in the limit Hc → 0,which recovers the Minkowski reference metric solution in the flat case,the generalized second law of thermodynamics holds if α3 + 4α4 < 0.Without this condition,even for the simplest model of dRGT massive cosmology with α3 =α4 =0,the generalized second law of thermodynamics could be violated.

  4. The apparent contact angle of water droplet on the micro-structured hydrophobic surface

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The apparent contact angle of Cassie-Baxter state water droplets can be calculated by the existing theoretical formula, but due to the defects of the micro-structured hydrophobic surface and some inevitable tiny disturbances in the experiment, Cassie-Baxter state water droplets will appear partly in Wenzel state, that is, the mixed state water droplets. In this paper, apparent contact angles of Cassie-Baxter state and mixed state water droplets on micro-structured hydrophobic surfaces are compared. The research shows that if the projected area fraction of water-solid F in the Cassie-Baxter formula is replaced by the local projected area fraction of water-solid F′, the apparent contact angles of water droplets in both Cassie-Baxter state and the mixed state can be calculated. Further experimental results indicate that the contact state of water droplets nearby the outermost three-phase contact line plays a more important role in determining the apparent contact angle. This conclusion is significant to the understanding of the apparent contact angle and wetting property.

  5. Osmotic and apparent molar properties of binary mixtures alcohol + 1-butyl-3-methylimidazolium trifluoromethanesulfonate ionic liquid

    International Nuclear Information System (INIS)

    Highlights: ► Osmotic and physical properties of binary mixtures {alcohol + [BMim][TfO]} were measured. ► From experimental data, apparent molar properties and osmotic coefficients were calculated. ► The apparent properties were fitted using a Redlich–Meyer type equation. ► The osmotic coefficients were correlated using the Extended Pitzer model. -- Abstract: In this work, physical properties (densities and speeds of sound) for the binary systems {1-propanol, or 2-propanol, or 1-butanol, or 2-butanol, or 1-pentanol + 1-butyl-3-methylimidazolium trifluoromethanesulfonate} were experimentally measured from T = (293.15 to 323.15) K and at atmospheric pressure. These data were used to calculate the apparent molar volume and apparent molar isentropic compression which were fitted to a Redlich–Meyer type equation. This fit was used to obtain the corresponding apparent molar properties at infinite dilution. On the other hand, the osmotic and activity coefficients and vapor pressures of these binary mixtures were also determined at T = 323.15 K using the vapor pressure osmometry technique. The Extended Pitzer model of Archer was employed to correlate the experimental osmotic coefficients. From the parameters obtained in the correlation, the mean molal activity coefficients and the excess Gibbs free energy for the studied mixtures were calculated

  6. Correlation between apparent electrical conductivity and chemical and physical attributes of a Rhodic Hapludox

    Directory of Open Access Journals (Sweden)

    Eduardo Leonel Bottega

    2015-07-01

    Full Text Available Precision agriculture has been used as an important technique for localized management of soil fertility. Therefore, it is essential to characterize the spatial variability of chemical and physical attributes of the soil by sampling can represent such variations. This study aimed to analyze the correlation between the apparent electrical conductivity with the chemical and physical attributes of an Rhodic Hapludox. The work was performed on a property located in the Brazilian Cerrado. In an area of 90 hectare were collected 181 georeferenced soil samples at depths from 0.00 to 0.20 meters. The same sites and removal of samples were made apparent electrical conductivity of the soil. The samples were sent to the laboratory to perform the physical and chemical analysis. Were selected randomly sampling 30 points and calculated the Pearson correlation coefficient between the variable physical, chemical and apparent soil electrical conductivity. There was no significant correlation between the apparent electrical conductivity with the soil physical attributes. There was a significant positive correlation of apparent electrical conductivity of the soil at a depth of 0.20 m with the chemical attributes match, remaining phosphorus and zinc.

  7. Assessing the temporal stability of spatial patterns of soil apparent electrical conductivity using geophysical methods

    Science.gov (United States)

    De Caires, Sunshine A.; Wuddivira, Mark N.; Bekele, Isaac

    2014-10-01

    Cocoa remains in the same field for decades, resulting in plantations dominated with aging trees growing on variable and depleted soils. We determined the spatio-temporal variability of key soil properties in a (5.81 ha) field from the International Cocoa Genebank, Trinidad using geophysical methods. Multi-year (2008-2009) measurements of apparent electrical conductivity at 0-0.75 m (shallow) and 0.75-1.5 m (deep) were conducted. Apparent electrical conductivity at deep and shallow gave the strongest linear correlation with clay-silt content (R = 0.67 and R = 0.78, respectively) and soil solution electrical conductivity (R = 0.76 and R = 0.60, respectively). Spearman rank correlation coefficients ranged between 0.89-0.97 and 0.81- 0.95 for apparent electrical conductivity at deep and shallow, respectively, signifying a strong linear dependence between measurement days. Thus, in the humid tropics, cocoa fields with thick organic litter layer and relatively dense understory cover, experience minimal fluctuations in transient properties of soil water and temperature at the topsoil resulting in similarly stable apparent electrical conductivity at shallow and deep. Therefore, apparent electrical conductivity at shallow, which covers the depth where cocoa feeder roots concentrate, can be used as a fertility indicator and to develop soil zones for efficient application of inputs and management of cocoa fields.

  8. Holocene cold events on the Tibetan Plateau

    Science.gov (United States)

    Mischke, Steffen; Zhang, Chengjun

    2010-06-01

    A lake sediment core from the eastern Tibetan Plateau was investigated by multi-proxy geochemical, sedimentological and magnetic analyses and its age determined using 14C AMS dating in an approach to use short-lived climate periods for a spatial assessment of the Holocene climate history on the Tibetan Plateau. Six cold events were identified from the Lake Ximencuo record which occurred between 10.3-10.0, 7.9-7.4, 5.9-5.5, 4.2-2.8, 1.7-1.3 and 0.6-0.1 cal ka BP. A comparison with previously published Holocene records from lake and peat sections, ice cores and glacial remains of the Tibetan Plateau revealed that the cold event starting around 4.2 cal ka BP had the most significant and widespread impact on almost all of the examined sites. This cold event lasted about a millennium in the western and central part of the Tibetan Plateau and possibly several hundred years longer at some sites in its eastern realm. The cold event inferred between 7.9 and 7.4 cal ka BP from Lake Ximencuo was recorded at a number of sites on the eastern Tibetan Plateau too and probably corresponds to a cold event identified around 8.2 cal ka BP at the sites on the western and central Tibetan Plateau. The coincidence with the 8.2 ka event of the North Atlantic region implies that the latter exerted a significant environmental impact on the Tibetan Plateau too. The cold spell between 10.3 and 10.0 cal ka BP was recorded at some marginal sites of the Tibetan Plateau but had apparently a less significant environmental impact. The more irregular pattern of cold events between about 7 cal ka BP and the onset of the cold event after 4.2 cal ka BP might be related to the catchment-specific response of the lake sediment and peat accumulation to the termination of the Holocene 'climatic optimum' on the Tibetan Plateau. The final two cold events between 1.7 and 1.3 cal ka BP and in the last several hundred years representing the Little Ice Age are more widely seen on the Tibetan Plateau although they

  9. Concepts of event-by-event analysis

    Energy Technology Data Exchange (ETDEWEB)

    Stroebele, H. [Universitaet Frankfurt (Germany)

    1995-07-15

    The particles observed in the final state of nuclear collisions can be divided into two classes: those which are susceptible to strong interactions and those which are not, like leptons and the photon. The bulk properties of the {open_quotes}matter{close_quotes} in the reaction zone may be read-off the kinematical characteristics of the particles observable in the final state. These characteristics are strongly dependent on the last interaction these particles have undergone. In a densly populated reaction zone strongly interacting particles will experience many collisions after they have been formed and before they emerge into the asymptotic final state. For the particles which are not sensitive to strong interactions their formation is also their last interaction. Thus photons and leptons probe the period during which they are produced whereas hadrons reflect the so called freeze-out processes, which occur during the late stage in the evolution of the reaction when the population density becomes small and the mean free paths long. The disadvantage of the leptons and photons is their small production cross section; they cannot be used in an analysis of the characteristics of individual collision events, because the number of particles produced per event is too small. The hadrons, on the other hand, stem from the freeze-out period. Information from earlier periods requires multiparticle observables in the most general sense. It is one of the challenges of present day high energy nuclear physics to establish and understand global observables which differentiate between mere hadronic scenarios, i.e superposition of hadronic interactions, and the formation of a partonic (short duration) steady state which can be considered a new state of matter, the Quark-Gluon Plasma.

  10. Apparent Multi-Decadal Trend in Shortwave Cloud Forcing Over the Tropical Pacific

    Energy Technology Data Exchange (ETDEWEB)

    Somerville, R C J; Potter, G L; Kanamitsu, M; Hnilo, J J; Woolen, J

    2000-10-03

    The NCEP/NCAR reanalysis (Kalnay et al. 1996) of atmospheric data beginning in 1948 has provided an opportunity to study a consistent half-century record of assimilated weather observations. Through the examination of several fields, we find an apparent long-term decrease in relative humidity, and hence a decrease in inferred cloud amount, in a large region in the central tropical Pacific. As a result, the apparent short-wave cloud radiative forcing in that region decreased by nearly 15 Wm{sup -2} Over the duration of the period. Two major questions arise from these preliminary results. The first question involves the extent to which the apparent trend over the 50-year period is a real phenomenon rather than an artifact, either of the reanalysis methodology or of observing system evolution. The second question is, if the phenomenon is not entirely an artifact, but is at least partially real, what is its cause?

  11. APPARENT DIGESTIBILTY EXPERIMENT WITH NILE TILAPIA (OREOCHROMIS NILOTICUS FED DIETS CONTAINING CITRULLUS LANATUS SEEDMEAL

    Directory of Open Access Journals (Sweden)

    Wasiu Adeyemi JIMOH

    2015-12-01

    Full Text Available Apparent digestibility coefficients of nutrients in Citrullus lanatus based diets were determined for Nile tilapia (Oreochromis niloticus using AIA as marker or indicator. 150 tilapia fingerlings of average weight 6.12±0.05g were acclimatized for a week, weighed and allotted into five dietary treatments; CTR, DT2, DT3, DT4 and DT5 containing 0, 15, 30, 45 and 60% Citrullus lanatus respectively. The diets were isonitrogenous, isocaloric and isolipidic. Each treatment was replicated three times with ten fish per replicate. Fish were fed 5% body weight on two equal proportions per day. The results from the study indicated that there was no significant variation (p>0.05 in the apparent organic matter and gross energy digestibility coefficients of the diets; that there was significant (p0.05 in the apparent digestibility coefficients of nutrients (protein, energy, lipid and carbohydrates between the diets up to 30% replacement levels for tilapia.

  12. Evidence that a Highway Reduces Apparent Survival Rates of Squirrel Gliders

    Directory of Open Access Journals (Sweden)

    Silvana Cesarini

    2010-09-01

    Full Text Available Roads and traffic are prominent components of most landscapes throughout the world, and their negative effects on the natural environment can extend for hundreds or thousands of meters beyond the road. These effects include mortality of wildlife due to collisions with vehicles, pollution of soil and air, modification of wildlife behavior in response to noise, creation of barriers to wildlife movement, and establishment of dispersal conduits for some plant and animal species. In southeast Australia, much of the remaining habitat for the squirrel glider, Petaurus norfolcensis, is located in narrow strips of Eucalyptus woodland that is adjacent to roads and streams, as well as in small patches of woodland vegetation that is farther from roads. We evaluated the effect of traffic volume on squirrel gliders by estimating apparent annual survival rates of adults along the Hume Freeway and nearby low-traffic-volume roads. We surveyed populations of squirrel gliders by trapping them over 2.5 years, and combined these data with prior information on apparent survival rates in populations located away from freeways to model the ratio of apparent annual survival rates in both site types. The apparent annual survival rate of adult squirrel gliders living along the Hume Freeway was estimated to be approximately 60% lower than for squirrel gliders living near local roads. The cause of the reduced apparent survival rate may be due to higher rates of mortality and/or higher emigration rates adjacent to the Hume Freeway compared with populations near smaller country roads. Management options for population persistence will be influenced by which of these factors is the primary cause of a reduced apparent survival rate.

  13. Mixing effects on apparent reaction rates and isotope fractionation during denitrification in a heterogeneous aquifer

    Science.gov (United States)

    Green, C.T.; Böhlke, J.K.; Bekins, B.A.; Phillips, S.P.

    2010-01-01

    Gradients in contaminant concentrations and isotopic compositions commonly are used to derive reaction parameters for natural attenuation in aquifers. Differences between field-scale (apparent) estimated reaction rates and isotopic fractionations and local-scale (intrinsic) effects are poorly understood for complex natural systems. For a heterogeneous alluvial fan aquifer, numerical models and field observations were used to study the effects of physical heterogeneity on reaction parameter estimates. Field measurements included major ions, age tracers, stable isotopes, and dissolved gases. Parameters were estimated for the O2 reduction rate, denitrification rate, O 2 threshold for denitrification, and stable N isotope fractionation during denitrification. For multiple geostatistical realizations of the aquifer, inverse modeling was used to establish reactive transport simulations that were consistent with field observations and served as a basis for numerical experiments to compare sample-based estimates of "apparent" parameters with "true" (intrinsic) values. For this aquifer, non-Gaussian dispersion reduced the magnitudes of apparent reaction rates and isotope fractionations to a greater extent than Gaussian mixing alone. Apparent and true rate constants and fractionation parameters can differ by an order of magnitude or more, especially for samples subject to slow transport, long travel times, or rapid reactions. The effect of mixing on apparent N isotope fractionation potentially explains differences between previous laboratory and field estimates. Similarly, predicted effects on apparent O2 threshold values for denitrification are consistent with previous reports of higher values in aquifers than in the laboratory. These results show that hydrogeological complexity substantially influences the interpretation and prediction of reactive transport. ?? 2010 by the American Geophysical Union.

  14. Interacting entropy-corrected holographic dark energy with apparent horizon as an infrared cutoff

    OpenAIRE

    Khodam-Mohammadi, A.; Malekjani, M.

    2011-01-01

    In this work we consider the entropy-corrected version of interacting holographic dark energy (HDE), in the non-flat universe enclosed by apparent horizon. Two corrections of entropy so-called logarithmic 'LEC' and power-law 'PLEC' in HDE model with apparent horizon as an IR-cutoff are studied. The ratio of dark matter to dark energy densities $u$, equation of state parameter $w_D$ and deceleration parameter $q$ are obtained. We show that the cosmic coincidence is satisfied for both interacti...

  15. Ablative radioactive iodine therapy for apparently localized thyroid carcinoma. A decision analytic perspective

    Energy Technology Data Exchange (ETDEWEB)

    Wong, J.B.; Kaplan, M.M.; Meyer, K.B.; Pauker, S.G. (Tufts Univ. School of Medicine, Boston, MA (USA))

    1990-09-01

    Adjuvant therapy with ablative radioiodine after surgical resection of apparently localized thyroid carcinoma remains controversial because of the favorable prognosis of thyroid carcinoma and the risk of leukemia from the radioiodine. No controlled trials have been performed to examine this issue. We constructed a decision analytic model to examine whether patients with apparently localized thyroid carcinoma should receive radioiodine. Our analysis suggests that radioiodine modestly improves life expectancy by 2 to 15 months, depending on the patient's age and sex. This model predicts that the benefit of a reduction in the likelihood of recurrence outweighs the risk of leukemia from radioiodine.

  16. Prestanda av användargränssnitt i cross-platform-appar

    OpenAIRE

    Lygnebrandt, Emil; Holm, Jonathan

    2016-01-01

    Syftet med denna studie är att undersöka fördröjningsskillnader inom användargränssnitt mellan native­utvecklade appar (utveckling till varje plattform) och appar av typen generated apps. Eftersom arbetet syftar till att bidra med information om prestanda ansågs en experimentell metod vara det bästa valet. Mätning av laddningstider gjordes med hjälp av en videokamera som filmade utförandet av experimenten vilket gjorde metoden simpel och liknar det som en användare kommer att uppleva. Avgräns...

  17. Two-dimensional modeling of apparent resistivity pseudosections in the Cerro Prieto region

    Energy Technology Data Exchange (ETDEWEB)

    Vega, R.; Martinez, M.

    1981-01-01

    Using a finite-difference program (Dey, 1976) for two-dimensional modeling of apparent resistivity pseudosections obtained by different measuring arrays, four apparent resistivity pseudosections obtained at Cerro Prieto with a Schlumberger array by CFE personnel were modeled (Razo, 1978). Using geologic (Puente and de la Pena, 1978) and lithologic (Diaz, et al., 1981) data from the geothermal region, models were obtained which show clearly that, for the actual resistivity present in the zone, the information contained in the measured pseudosections is primarily due to the near-surface structure and does not show either the presence of the geothermal reservoir or the granitic basement which underlies it.

  18. Apparently persistent weakness after recurrent hypokalemic paralysis: a tale of two disorders.

    Science.gov (United States)

    Ramachandiran, Nandhagopal

    2008-09-01

    A 19-year-old woman presented with recurrent hypokalemic paralysis, followed by apparently persistent symptoms due to coexisting osteomalacia. Distal renal tubular acidosis type 1 (dRTA1) linked the metabolic abnormalities and occurred as an extraglandular feature of Sjögren syndrome (SS). This case highlights the fact that in the setting of recurrent hypokalemia, apparently progressive weakness should be distinguished from primary hypokalemic paralysis and evaluated for dRTA1, as the metabolic alterations are potentially treatable. Further dRTA1 may precede the occurrence of sicca syndrome in SS. PMID:18708979

  19. Study of the measurement about the apparent heat transfer coefficient of solid uranium hexafluoride

    International Nuclear Information System (INIS)

    In order to provide the conditions for designing the congealed accept container of uranium hexafluoride, a set of experiment system of measuring apparent heat transfer coefficient in which the small-sized congealed accept container was considered as main equipment was set up. Then the experiments of loading and unloading uranium hexafluoride were carried out. The process of loading and unloading uranium hexafluoride in small-sized congealed accept container were simulated by the barrel model of steady heat transfer in this paper, and the apparent heat transfer coefficient of solid uranium hexafluoride was obtained. (authors)

  20. Apparent molar volumes and compressibilities of alkaline earth metal ions in methanol and dimethylsulfoxide

    Energy Technology Data Exchange (ETDEWEB)

    Warminska, Dorota, E-mail: dorota@chem.pg.gda.p [Department of Physical Chemistry, Chemical Faculty, Gdansk University of Technology, 80-233 Gdansk (Poland); Wawer, Jaroslaw; Grzybkowski, Waclaw [Department of Physical Chemistry, Chemical Faculty, Gdansk University of Technology, 80-233 Gdansk (Poland)

    2010-09-15

    Temperature dependencies of density of magnesium (II), calcium (II), strontium (II), barium (II) perchlorates as well as beryllium (II), and sodium trifluoromethanesulfonates in methanol and dimethylsulfoxide have been determined over the composition range studied. From density data the apparent molar volumes and partial molar volumes of the salts at infinite dilution as well as the expansibilities have been evaluated. The apparent molar isentropic compressibilities of alkaline earth metal perchlorates and beryllium (II) and sodium triflates in methanol and DMSO have been calculated from sound speed data obtained at T = 298.15 K.

  1. Apparent molar volumes and compressibilities of alkaline earth metal ions in methanol and dimethylsulfoxide

    International Nuclear Information System (INIS)

    Temperature dependencies of density of magnesium (II), calcium (II), strontium (II), barium (II) perchlorates as well as beryllium (II), and sodium trifluoromethanesulfonates in methanol and dimethylsulfoxide have been determined over the composition range studied. From density data the apparent molar volumes and partial molar volumes of the salts at infinite dilution as well as the expansibilities have been evaluated. The apparent molar isentropic compressibilities of alkaline earth metal perchlorates and beryllium (II) and sodium triflates in methanol and DMSO have been calculated from sound speed data obtained at T = 298.15 K.

  2. "Near-miss" obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study

    Directory of Open Access Journals (Sweden)

    Daniel Olusoji J

    2005-11-01

    Full Text Available Abstract Aim To determine the frequency of near-miss (severe acute maternal morbidity and the nature of near-miss events, and comparatively analysed near-miss morbidities and maternal deaths among pregnant women managed over a 3-year period in a Nigerian tertiary centre. Methods Retrospective facility-based review of cases of near-miss and maternal death which occurred between 1 January 2002 and 31 December 2004. Near-miss case definition was based on validated disease-specific criteria, comprising of five diagnostic categories: haemorrhage, hypertensive disorders in pregnancy, dystocia, infection and anaemia. The near-miss morbidities were compared with maternal deaths with respect to demographic features and disease profiles. Mortality indices were determined for various disease processes to appreciate the standard of care provided for life-threatening obstetric conditions. The maternal death to near-miss ratios for the three years were compared to assess the trend in the quality of obstetric care. Results There were 1501 deliveries, 211 near-miss cases and 44 maternal deaths. The total near-miss events were 242 with a decreasing trend from 2002 to 2004. Demographic features of cases of near-miss and maternal death were comparable. Besides infectious morbidity, the categories of complications responsible for near-misses and maternal deaths followed the same order of decreasing frequency. Hypertensive disorders in pregnancy and haemorrhage were responsible for 61.1% of near-miss cases and 50.0% of maternal deaths. More women died after developing severe morbidity due to uterine rupture and infection, with mortality indices of 37.5% and 28.6%, respectively. Early pregnancy complications and antepartum haemorrhage had the lowest mortality indices. Majority of the cases of near-miss (82.5% and maternal death (88.6% were unbooked for antenatal care and delivery in this hospital. Maternal mortality ratio for the period was 2931.4 per 100

  3. RETRIEVAL EVENTS EVALUATION

    International Nuclear Information System (INIS)

    The purpose of this analysis is to evaluate impacts to the retrieval concept presented in the Design Analysis ''Retrieval Equipment and Strategy'' (Reference 6), from abnormal events based on Design Basis Events (DBE) and Beyond Design Basis Events (BDBE) as defined in two recent analyses: (1) DBE/Scenario Analysis for Preclosure Repository Subsurface Facilities (Reference 4); and (2) Preliminary Preclosure Design Basis Event Calculations for the Monitored Geologic Repository (Reference 5) The objective of this task is to determine what impacts the DBEs and BDBEs have on the equipment developed for retrieval. The analysis lists potential impacts and recommends changes to be analyzed in subsequent design analyses for developed equipment, or recommend where additional equipment may be needed, to allow retrieval to be performed in all DBE or BDBE situations. This analysis supports License Application design and therefore complies with the requirements of Systems Description Document input criteria comparison as presented in Section 7, Conclusions. In addition, the analysis discusses the impacts associated with not using concrete inverts in the emplacement drifts. The ''Retrieval Equipment and Strategy'' analysis was based on a concrete invert configuration in the emplacement drift. The scope of the analysis, as presented in ''Development Plan for Retrieval Events Evaluation'' (Reference 3) includes evaluation and criteria of the following: Impacts to retrieval from the emplacement drift based on DBE/BDBEs, and changes to the invert configuration for the preclosure period. Impacts to retrieval from the main drifts based on DBE/BDBEs for the preclosure period

  4. Event Marketing : En Begreppsutredning

    OpenAIRE

    Linge, Johan; Skantze Carlsson, Johanna

    2004-01-01

    Event marketing har allt sedan begreppet instiftades runt tiden för OS i Los Angeles 1984 varit starkt praktikerdrivet, vilket även återspeglas i den litteratur som skrivits om fenomenet. Den största delen av denna är av normativ karaktär och antar skepnaden av handböcker snarare än av akademisk litteratur. Bland författarna råder dessutom stor oenighet angående vad som faktiskt innefattas av begreppet event marketing. För den person som försöker förstå vad event marketing handlar om utgör de...

  5. Detection of anomalous events

    Energy Technology Data Exchange (ETDEWEB)

    Ferragut, Erik M.; Laska, Jason A.; Bridges, Robert A.

    2016-06-07

    A system is described for receiving a stream of events and scoring the events based on anomalousness and maliciousness (or other classification). The system can include a plurality of anomaly detectors that together implement an algorithm to identify low-probability events and detect atypical traffic patterns. The anomaly detector provides for comparability of disparate sources of data (e.g., network flow data and firewall logs.) Additionally, the anomaly detector allows for regulatability, meaning that the algorithm can be user configurable to adjust a number of false alerts. The anomaly detector can be used for a variety of probability density functions, including normal Gaussian distributions, irregular distributions, as well as functions associated with continuous or discrete variables.

  6. Reporting of safeguards events

    International Nuclear Information System (INIS)

    On June 9, 1987, the Commission published in the Federal Register a final rule revising the reporting requirements for safeguards events. Safeguards events include actual or attempted theft of special nuclear material (SNM); actual or attempted acts or events which interrupt normal operations at power reactors due to unauthorized use of or tampering with machinery, components, or controls; certain threats made against facilities possessing SNM; and safeguards system failures impacting the effectiveness of the system. The revised rule was effective October 8, 1987. On September 14, 1987, the NRC held a workshop in Bethesda, MD, to answer affected licensees' questions on the final rule. This report documents questions discussed at the September 14 meeting, reflects a completed staff review of the answers, and supersedes previous oral comment on the topics covered

  7. Discrete-Event Simulation

    Directory of Open Access Journals (Sweden)

    Prateek Sharma

    2015-04-01

    Full Text Available Abstract Simulation can be regarded as the emulation of the behavior of a real-world system over an interval of time. The process of simulation relies upon the generation of the history of a system and then analyzing that history to predict the outcome and improve the working of real systems. Simulations can be of various kinds but the topic of interest here is one of the most important kind of simulation which is Discrete-Event Simulation which models the system as a discrete sequence of events in time. So this paper aims at introducing about Discrete-Event Simulation and analyzing how it is beneficial to the real world systems.

  8. First Indico Virtual Event

    CERN Document Server

    CERN. Geneva

    2014-01-01

    The first Indico virtual event will take place on February 4th 15:00 and will focus on two main topics The release of Indico v1.2 The migration of the OO Indico backend database (ZODB) to a more standard DBMS It will be fully virtual using the CERN Vidyo service and will foster discussions between developers and administrators of Indico servers worldwide. Connections to the virtual room will be open, but attendees are encouraged to register to the event, in order to be informed of any changes in the organisation if any. If you would like to add a topic of discussion or propose yourself a contribution, please let us know at indico-team@cern.ch. Connection to Vidyo Vidyo connection details are available here CERN Vidyo service documentation can be found here First-time users are encouraged to try the service before connecting to the real event

  9. Forecasting Turbine Icing Events

    DEFF Research Database (Denmark)

    Davis, Neil; Hahmann, Andrea N.; Clausen, Niels-Erik;

    In this study, we present a method for forecasting icing events. The method is validated at two European wind farms in with known icing events. The icing model used was developed using current ice accretion methods, and newly developed ablation algorithms. The model is driven by inputs from the WRF...... mesoscale model, allowing for both climatological estimates of icing and short term icing forecasts. The current model was able to detect periods of icing reasonably well at the warmer site. However at the cold climate site, the model was not able to remove ice quickly enough leading to large ice...... accumulations, which have not been seen in observations. In addition to the model evaluation we were able to investigate the potential occurrence of ice induced power loss at two wind parks in Europe using observed data. We found that the potential loss during an icing event is large even when the turbine...

  10. Forecasting Turbine Icing Events

    DEFF Research Database (Denmark)

    Davis, Neil; Hahmann, Andrea N.; Clausen, Niels-Erik;

    2012-01-01

    In this study, we present a method for forecasting icing events. The method is validated at two European wind farms in with known icing events. The icing model used was developed using current ice accretion methods, and newly developed ablation algorithms. The model is driven by inputs from the WRF...... mesoscale model, allowing for both climatological estimates of icing and short term icing forecasts. The current model was able to detect periods of icing reasonably well at the warmer site. However at the cold climate site, the model was not able to remove ice quickly enough leading to large ice...... accumulations, which have not been seen in observations. In addition to the model evaluation we were able to investigate the potential occurrence of ice induced power loss at two wind parks in Europe using observed data. We found that the potential loss during an icing event is large even when the turbine...

  11. Conflicting HLA assignment by three different typing methods due to the apparent loss of heterozygosity in the MHC region.

    Science.gov (United States)

    Linjama, T; Impola, U; Niittyvuopio, R; Kuittinen, O; Kaare, A; Rimpiläinen, J; Volin, L; Peräsaari, J; Jaatinen, T; Lauronen, J; Saarinen, T; Juvonen, E; Partanen, J; Koskela, S

    2016-05-01

    Loss of heterozygosity (LOH) has been reported to cause false human leukocyte antigen (HLA) homozygous typing results in pre-transplant patients suffering from haematological malignancies, who in fact are HLA heterozygous. This poses a challenge for histocompatibility testing, as a stem cell graft from a genuinely HLA homozygous donor to a mistyped patient may lead to acute life-threatening graft-vs-host disease. LOH in the HLA region on chromosome 6 is known to be quite common in solid tumours, helping malignant cells to escape T-cell surveillance, but the incidence in haematological malignancies is less well known and the estimates vary. Here we report LOH in the HLA region of five patients with haematological malignancy. We found considerable differences in sensitivity between the three different HLA typing methods used in our laboratory: SSP was clearly the most sensitive method for detecting the lost haplotype, followed by rSSO, while SBT was the least sensitive technique. A subsequent, retrospective genotyping of 65 HLA homozygous haematological patients by SSP method showed no mistyped LOH cases in our laboratory in the past 10 years. The frequency of HLA homozygosity was found to be similar between haematological patients and control groups. It is important for an HLA laboratory to be aware of the differences in various HLA typing techniques' sensitivity for detecting an under-represented haplotype between HLA typing techniques when genotyping patients with haematological diseases. It is advisable for HLA laboratories to have at least two different methods with different sensitivities in their repertoire to be able to retype samples when a false homozygous result is suspected. PMID:26969202

  12. Electrocardiogram events detection

    OpenAIRE

    Teixeira, João Paulo; Lopes, Vanda

    2011-01-01

    This work aims to create a system of medical diagnosis of the Electrocardiogram (ECG). The events of the ECG are related with the functioning of the heart and different disorders of the heart functioning have their own ECG pattern allowing the connection between ECG patterns and cardiac disorders. For this purpose, we present here an algorithm that detects the P, QRS and T events of the ECG under MATLAB environment. The algorithm is based in two techniques. The search for picks and valleys an...

  13. DER 83: outstanding events

    International Nuclear Information System (INIS)

    The DER's activity is presented through 82 ''outstanding events''. Each one is a stage in the effort of research and development of the DER. These events concern the following fields: new applications of electric power for customers; environment protection and new energy sources; improvements of electric power production units; electrical materials; electric network planning and control; computer codes. In the production field, one deals more particularly with nuclear reactor safety studies: analysis of the behaviour of different components; reactor safety experiments; reliability of different systems (safety, communications...)

  14. Blogimarkkinointi : Case: Laurea Events

    OpenAIRE

    Kronberg, Anna

    2014-01-01

    Tämän opinnäytetyön toimeksiantaja oli Laurea Events. Työn aiheena oli blogimarkkinointi. Opinnäytetyön tavoitteena oli tuoda esiin blogimarkkinoinnin käytettävyyteen vaikuttavia tekijöitä ja kehittää sisältöideoita blogiin, jolla Laurea Eventsin palveluita ja Laureaammattikorkeakoulun restonomikoulutusta voidaan markkinoida mielekkäämmin perinteisen markkinoinnin ohella. Opinnäytetyön tarkoituksena oli se, että toimeksiantaja Laurea Events voi hyödyntää saatuja tuloksia blogim...

  15. Recurring events - Volume 2

    International Nuclear Information System (INIS)

    The feedback of operating experience from nuclear power plants (NPP) is intended to help avoid occurrence or recurrence of safety significant events. Regulatory bodies, and utilities operating nuclear power plants, have established operating experience feedback systems since the beginning of commercial nuclear power production. Well-established operating experience feedback systems exist on national and international level. An example of an international system is the Incident Reporting System (IRS) jointly operated by the International Atomic Energy Agency (IAEA) and the Nuclear Energy Agency (NEA). There also are systems maintained by the operating organizations, including the World Association of Nuclear Operators (WANO), and owner groups of different NPP vendors. Committee on the Safety of Nuclear Installations (CSNI) Working Group on Operating Experience (WGOE; formerly Principal Working Group No. 1, PWG1) carried out a study on recurring events some years ago. This report, published in 1999, highlighted some areas of safety significance involving recurrent events in different NPPs around the world. Based on the important findings of this report, CSNI requested two additional studies: 1. first an international workshop should be organized and second, 2. a task group should be established to develop a second report on the topic and to evaluate the findings of the workshop. The workshop, hosted by the Swiss Regulatory Authority, HSK, was held in Switzerland in March 2002. It was attended by 32 experts representing the regulatory, nuclear power plant, vendor, and international agency communities. Several insights and recommendations were presented and are integrated in this report with respect to causes of recurring events: - Operating experience feedback processes had not always been effective, that is, the existing operating experiences had not been effectively applied, - Actions to be taken were not implemented in a timely manner, - The root cause was not

  16. Profile Method for Measuring Apparent Optical Parameters (AOP)in Class-Ⅱ Waters

    Institute of Scientific and Technical Information of China (English)

    李铜基; 陈清莲

    2004-01-01

    The profile method is the principal method first to be chosen to measure the apparent optical parameters of waters. This paper first introduces the profile method briefly,then modifies the applied algorithm in the light of the properties of the class- Ⅱ waters and lastly, analyses the effect of application.

  17. 45 CFR 73.735-904 - Resolution of apparent or actual conflicts of interest.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Resolution of apparent or actual conflicts of interest. 73.735-904 Section 73.735-904 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL... activity giving rise to the problem: (1) Bears a direct or indirect relationship to...

  18. Analytical criteria for predicting apparent digestibility of soybean protein in preruminant calves.

    Science.gov (United States)

    Lalles, J P; Tukur, H M; Toullec, R; Miller, B G

    1996-03-01

    A series of experiments on the use of soybean as a protein source in milk replacers for veal calves was undertaken to determine the relationships between the physicochemical and antinutritional properties and apparent digestibilities of nine soybean products. Soybean provided between 58 and 71% of dietary CP, and skim milk or whey powder provided the remainder. Soybean products were analyzed for CP, native protein, aggregated protein, carbohydrate-linked protein, peptides, antitryptic activity, and immunoreactivity of lectin, glycinin, alpha-conglycinin, and beta-conglycinin. The apparent digestibility of N calculated for soybean protein varied between 59 and 84%. Simple linear correlations were significant between apparent digestibility of soybean N and concentrations of native protein, antitryptic activity, glycinin, alpha-conglycinin, and beta-conglycinin. However, only variation in antitryptic activity, alpha-conglycinin, and beta-conglycinin contributed significantly to an explanation for the variation in apparent digestibility of soybean N in a multiple linear equation. Under our experimental conditions, beta-conglycinin was the best predictor of digestibility of soybean N. Antitryptic activity became the best predictor when soybean products had no detectable beta-conglycinin. PMID:8708110

  19. Dermatophytes from Apparently Healthy Toe-webs of Service Personnel Stationed in Northeastren Region of India

    OpenAIRE

    R. R. Mattada; Das, T. K.; K. Zachariah

    1982-01-01

    Apparently healthy toe-webs of 230 individuals belonging to various Army units stationed India were studied for dermatophytes. 35 were found positive. This revealed the presence of 28 Trichophyton mentagrophytes, 4 Epidermophyton floccosum, 2 Microsporum gypseum and 1 T. rubrum.

  20. The effect of interaural-time-difference fluctuations on apparent source width

    DEFF Research Database (Denmark)

    Käsbach, Johannes; May, Tobias; Oskarsdottir, Gudrun;

    2014-01-01

    For the perception of spaciousness, the temporal fluctuations of the interaural time differences (ITDs) and interaural level differences (ILDs) provide important binaural cues. One major characteristic of spatial perception is apparent source width (ASW), which describes the perceived width of a ...

  1. Gamow's bicycle: The Appearance of Bodies at Relativistic Speeds and Apparent Superluminal Velocities

    CERN Document Server

    Nowojewski, A

    2005-01-01

    A human creates an image basing on the information delivered by photons that arrived at his retina simultaneously. Due to finite and constant velocity of light these photons left the moving body at different times, since not all points of the body are equidistant. In other words its image represents the body as it was in several different times i.e. it is distorted and does not correspond to its real appearance. The useful experimental arrangement is set and then used to derive the general expression that transforms two-dimensional stationary shapes to their apparent forms, which could be photographed once they are set in motion. It is then used to simulate the so-called Gamow's bicycle combined out of circles and straight lines. The simulation outlines two important aspects of bike's motion: apparent distance of two points and apparent velocity which are then discussed thoroughly. It is found that the approaching body is elongated and its apparent speed is greater than its real one (under certain conditions ...

  2. Primary School Students' Ideas Concerning the Apparent Movement of the Moon

    Science.gov (United States)

    Starakis, John; Halkia, Krystallia

    2010-01-01

    In the present study, primary school students' ideas concerning the apparent movement of the Moon are investigated. The research was carried out in five primary schools of Athens (Greece) with a sample of forty (40), fifth and sixth grade students. Semistructured interviews were used to gather scientific data and students had the opportunity to…

  3. Association of early CT abnormalities, infarct size, and apparent diffusion coefficient reduction in acute ischemic stroke

    NARCIS (Netherlands)

    Somford, DM; Marks, MP; Thijs, VN; Tong, DC

    2004-01-01

    BACKGROUND AND PURPOSE: Diffusion-weighted (DW) imaging is more sensitive for early ischemia than CT, and apparent diffusion coefficient (ADC) mapping permits quantification of the severity of cytotoxic edema. We examined the relationship between early CT findings, ischemic lesion volume on DW image

  4. [Effect of drought stress on apparent resource utilization efficiency of Quercus mongolica].

    Science.gov (United States)

    Wang, Miao; Dai, Limin; Ji, Lanzhu

    2002-03-01

    To study the effect of drought stress on the physiological characteristics and resource utilization efficiency of Quercus mongolica, a dominant species in the Korean pine broad-leaved forest in Changbai Mountain, a comparative experiment was carried out under three soil moisture gradients as 85%-100% (high water, CK), 65%-85% (Medium water, MW), and 45%-65% (low water, LW) of field water-bolding capacity. The results showed that net photosynthetic rate, stomatal conduction, transpiration rate, water utilization efficiency, apparent CO2 utilization efficiency and apparent light utilization efficiency of the seedlings of Quercus mongolica were all significantly influenced by simulated drought stress. Stomatal conduction, water utilization efficiency and net photosynthetic rate of large tress of Quercus mongolica were affected by the soil drought stress, while transpiration rate, apparent CO2 utilization efficiency, and apparent light utilization efficiency were not influenced. Moderate soil water condition could greatly increase gas exchange and water utilization efficiency. These results indicated that the responses of gas exchange and resource utilization efficiency to various water stresses were different. Quercus mongolica was a species with variable resistance to drought stress, and the resistance would be improved by drought stress, especially moderate water stress. PMID:12132152

  5. The apparent influence of climatic change on recent changes of range by European insects (Lepidoptera, Orthoptera)

    NARCIS (Netherlands)

    Burton, J.F.

    2003-01-01

    The apparent influence of climatic change on recent changes of range by European insects (Lepidoptera, Orthoptera) For several years I have been collecting data concerning changes in the ranges of European insects, especially Lepidoptera and Orthoptera. The vast majority of those species which have

  6. In vivo measurement of apparent diffusion coefficients of hyperpolarized 13C‐labeled metabolites

    DEFF Research Database (Denmark)

    Søgaard, Lise Vejby; Schilling, Franz; Janich, Martin A.; Menzel, Marion I.; Ardenkjær-Larsen, Jan Henrik

    2014-01-01

    The combination of hyperpolarized MRS with diffusion weighting (dw) allows for determination of the apparent diffusion coefficient (ADC), which is indicative of the intra‐ or extracellular localization of the metabolite. Here, a slice‐selective pulsed‐gradient spin echo sequence was implemented t...

  7. Unified first law and the thermodynamics of the apparent horizon in the FRW universe

    International Nuclear Information System (INIS)

    In this paper we revisit the relation between the Friedmann equations and the first law of thermodynamics. We find that the unified first law first proposed by Hayward to treat the outertrapping horizon of a dynamical black hole can be used to the apparent horizon (a kind of inner trapping horizon in the context of the FRW cosmology) of the FRW universe. We discuss three kinds of gravity theorties: Einstein theory, Lovelock thoery, and scalar-tensor theory. In Einstein theory, the first law of thermodynamics is always satisfied on the apparent horizon. In Lovelock theory, treating the higher derivative terms as an effective energy-momentum tensor, we find that this method can give the same entropy formula for the apparent horizon as that of black hole horizon. This implies that the Clausius relation holds for the Lovelock theory. In scalar-tensor gravity, we find, by using the same procedure, the Clausius relation no longer holds. This indicates that the apparent horizon of the FRW universe in the scalar-tensor gravity corresponds to a system of nonequilibrium thermodynamics. We show this point by using the method developed recently by Eling et al. for dealing with the f(R) gravity

  8. Effect of Soil Water on Apparent Soil Electrical Conductivity and Texture Relationships in a Dryland Field.

    Science.gov (United States)

    Precision farming (PF) research has shown that when high salinity levels are not present, apparent soil electrical conductivity (ECa) is usually strongly correlated with soil texture. Mapping ECa has been promoted as a means for identifying management zones that are needed for variable application ...

  9. Apparent-contact-angle model at partial wetting and evaporation: Impact of surface forces

    Science.gov (United States)

    Janeček, V.; Nikolayev, V. S.

    2013-01-01

    This theoretical and numerical study deals with evaporation of a fluid wedge in contact with its pure vapor. The model describes a regime where the continuous wetting film is absent and the actual line of the triple gas-liquid-solid contact appears. A constant temperature higher than the saturation temperature is imposed at the solid substrate. The fluid flow is solved in the lubrication approximation. The introduction of the surface forces in the case of the partial wetting is discussed. The apparent contact angle (the gas-liquid interface slope far from the contact line) is studied numerically as a function of the substrate superheating, contact line velocity, and parameters related to the solid-fluid interaction (Young and microscopic contact angles, Hamaker constant, etc.). The dependence of the apparent contact angle on the substrate temperature is in agreement with existing approaches. For water, the apparent contact angle may be 20∘ larger than the Young contact angle for 1 K superheating. The effect of the surface forces on the apparent contact angle is found to be weak.

  10. Measuring the unevenness of yarn apparent diameter from yarn sequence images

    Science.gov (United States)

    Li, Zhongjian; Pan, Ruru; Zhang, Jie; Li, Bianbian; Gao, Weidong; Bao, Wei

    2016-01-01

    This article presents a novel method for measuring the unevenness of yarn apparent diameter based on yarn sequence images captured from a moving yarn. A dynamic threshold module was designed to gain the global threshold for segmenting yarns in the sequence images. In the module, a K-means clustering algorithm was employed to classify the pixels of each frame in the sequence into two clusters—yarn and background. The cluster center of the current frame was used as the initial value of the cluster center for the next frame in the sequence to expedite the segmentation process. From the segmented yarn image, the yarn core was further extracted utilizing the characteristics of yarn hairiness, and two judgment templates were adopted to remove burrs, isolated points and unrelated small areas in the images. The yarn apparent diameter was measured on the yarn core at a given interval. The same kind of yarns were tested by using this method and Uster Evenness Tester 5. The experimental results show that the proposed method can accurately detect the unevenness of yarn apparent diameter and provide new useful information about yarn unevenness, such as the short-term, the long-term, and the periodic variations of yarn apparent diameters.

  11. The reductive decomposition of calcium sulphate I. Kinetics of the apparent solid-solid reaction

    NARCIS (Netherlands)

    Kamphuis, B.; Potma, A.W.; Prins, W.; Swaaij, van W.P.M.

    1992-01-01

    The reductive decomposition of calcium sulphate by hydrogen is used for the regeneration of calcium-based atmospheric fluidized bed combustion (AFBC) SO2 sorbents. The apparent solid¿solid reaction between CaS and CaSO4, one of the steps involved in the reaction mechanism of the reductive decomposit

  12. Irreversible thermodynamics of dark energy on the entropy-corrected apparent horizon

    Energy Technology Data Exchange (ETDEWEB)

    Karami, K; Sahraei, N [Department of Physics, University of Kurdistan, Pasdaran Street, Sanandaj (Iran, Islamic Republic of); Jamil, M, E-mail: KKarami@uok.ac.i, E-mail: mjamil@camp.nust.edu.p [Center for Advanced Mathematics and Physics (CAMP), National University of Sciences and Technology (NUST), Islamabad (Pakistan)

    2010-10-15

    We study the irreversible (non-equilibrium) thermodynamics of the Friedmann-Robertson-Walker (FRW) universe containing only dark energy. Using the modified entropy-area relation that is motivated by loop quantum gravity, we calculate the entropy-corrected form of the apparent horizon of the FRW universe.

  13. Apparent Temperature and Cause-Specific Mortality in Copenhagen, Denmark: A Case-Crossover Analysis

    DEFF Research Database (Denmark)

    Wichmann, Janine; Jovanovic Andersen, Zorana; Ketzel, Matthias; Ellermann, Thomas; Loft, Steffen

    2011-01-01

    Temperature, a key climate change indicator, is expected to increase substantially in the Northern Hemisphere, with potentially grave implications for human health. This study is the first to investigate the association between the daily 3-hour maximum apparent temperature (Tapp(max)), and...

  14. Constraints on dark energy from H II starburst galaxy apparent magnitude versus redshift data

    International Nuclear Information System (INIS)

    In this Letter we use H II starburst galaxy apparent magnitude versus redshift data from Siegel et al. (2005) to constrain dark energy cosmological model parameters. These constraints are generally consistent with those derived using other data sets, but are not as restrictive as the tightest currently available constraints.

  15. Definition of management zones in coffee production fields based on apparent soil electrical conductivity

    Directory of Open Access Journals (Sweden)

    Domingos Sárvio Magalhães Valente

    2012-06-01

    Full Text Available Fertilizer application at variable rates requires dense sampling to determine the resulting field spatial variability. Defining management zones is a technique that facilitates the variable-rate application of agricultural inputs. The apparent electrical conductivity of the soil is an important factor in explaining the variability of soil physical-chemical properties. Thus, the objective of this study was to define management zones for coffee (Coffea Arabica L. production fields based on spatial variability of the apparent electrical conductivity of the soil. The resistivity method was used to measure the apparent soil electrical conductivity. Soil samples were collected to measure the chemical and physical soil properties. The maps of spatial variability were generated using ordinary kriging method. The fuzzy k-means algorithm was used to delimit the management zones. To analyze the agreement between the management zones and the soil properties, the kappa coefficients were calculated. The best results were obtained for the management zones defined using the apparent electrical conductivity of the soil and the digital elevation model. In this case, the kappa coefficient was 0.45 for potassium, which is an element that is associated with quality coffee. The other variable that had a high kappa coefficient was remaining phosphorous; the coefficient obtained was 0.49. The remaining phosphorus is an important parameter for determining which fertilizers and soil types to study.

  16. Apparent violation of thermodynamics second law under Van der Waals gas expansion in vacuum

    OpenAIRE

    Koksharov, Yury A.

    2006-01-01

    Examining textbooks of thermodynamics we have not able to find a proof of increasing of entropy under free adiabatic expansion in vacuum based on the state equation of the Van der Waals gas. This communication remedies the situation. During proving we faced with an amusing example of apparent violation of thermodynamics second law.

  17. Structure of Gamma-Ray Burst jets: intrinsic versus apparent properties

    CERN Document Server

    Salafia, O S; Pescalli, A; Ghirlanda, G; Nappo, F

    2015-01-01

    With this paper we introduce the concept of apparent structure of a GRB jet, as opposed to its intrinsic structure. The latter is customarily defined specifying the functions epsilon(theta) (the energy emitted per jet unit solid angle) and Gamma(theta) (the Lorentz factor of the emitting material); the apparent structure is instead defined by us as the isotropic equivalent energy E_iso(theta_v) as a function of the viewing angle theta_v. We show how to predict the apparent structure of a jet given its intrinsic structure. We find that a Gaussian intrinsic structure yields a power law apparent structure: this opens a new viewpoint on the Gaussian (which can be understood as a proxy for a realistic narrow, well collimated jet structure) as a possible candidate for a quasi-universal GRB jet structure. We show that such a model (a) is consistent with recent constraints on the observed luminosity function of GRBs; (b) implies fewer orphan afterglows with respect to the standard uniform model; (c) can break out the...

  18. Bacteriophage T4 genes sp and 40 apparently are the same.

    OpenAIRE

    Obringer, J; McCreary, P.; Bernstein, H

    1988-01-01

    The bacteriophage T4 spackle gene, which maintains host membrane integrity, mapped at the same position as gene 40 (head morphogenesis). The cloned spackle gene complemented and cross-reactivated a gene 40 mutant. Like the spackle mutant, gene 40 mutants were defective in genetic exclusion. Apparently, genes spackle and 40 are the same gene.

  19. Linseed dietary fibers reduce apparent digestibility of energy and fat and weight gain in growing rats

    DEFF Research Database (Denmark)

    Kristensen, M.; Knudsen, K. E. B.; Jørgensen, H.;

    2013-01-01

    Dietary fibers (DF) may affect energy balance, an effect often ascribed to the viscous nature of some water soluble DF, which affect luminal viscosity and thus multiple physiological processes. We have tested the hypothesis that viscous linseed DF reduce apparent nutrient digestibility, and limit...

  20. Dietary factors associated with plasma high molecular weight and total adiponectin levels in apparently healthy women

    NARCIS (Netherlands)

    Yannakoulia, Mary; Yiannakouris, Nikos; Melistas, Labros; Fappa, Evaggelia; Vidra, Nikoletta; Kontogianni, Meropi D; Mantzoros, Christos S

    2008-01-01

    OBJECTIVE: Our aim was to investigate associations between dietary factors and high molecular weight (HMW) as well as total adiponectin in a sample of apparently healthy adult Mediterranean women. DESIGN AND METHODS: Two hundred and twenty women were enrolled in this study. Anthropometric and body c