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Sample records for assessing donor suitability

  1. 21 CFR 1270.21 - Determination of donor suitability for human tissue intended for transplantation.

    Science.gov (United States)

    2010-04-01

    ... tissue intended for transplantation. 1270.21 Section 1270.21 Food and Drugs FOOD AND DRUG ADMINISTRATION... FOOD AND DRUG ADMINISTRATION HUMAN TISSUE INTENDED FOR TRANSPLANTATION Donor Screening and Testing § 1270.21 Determination of donor suitability for human tissue intended for transplantation. (a) Donor...

  2. 21 CFR 640.63 - Suitability of donor.

    Science.gov (United States)

    2010-04-01

    ... are within normal limits, unless the examining physician is satisfied that an individual with blood pressures outside these limits is an otherwise qualified donor under the provisions of this section; (3) A...) Freedom from acute respiratory diseases; (8) Freedom from any infectious skin disease at the site of...

  3. 21 CFR 640.3 - Suitability of donor.

    Science.gov (United States)

    2010-04-01

    ... are within normal limits, unless the examining physician is satisfied that an individual with blood pressures outside these limits is an otherwise qualified donor under the provisions of this section; (3) For... mL of blood or a hematocrit value of 33 percent. (4) Freedom from acute respiratory diseases; (5...

  4. MULTIFACTORIAL ASSESSMENT OF POSTMORTEM LUNG DONOR

    Directory of Open Access Journals (Sweden)

    M. S. Khubutiya

    2013-01-01

    Full Text Available The appropriate evaluation and the development of special measures to protect donor lungs are important factors for successful lung transplantation. Aim. To develop and determine the effectiveness of the protocol of morpho- functional assessment of potential lung donor. Methods and results. During the period from May, 2011 to May, 2012, 37 donors with diagnoses of brain death were surveyed. 5 bilateral lung transplantations were performed only in 2 cases donors have been evaluated as «ideal». In the majority of recipients early postoperative period was evaluated as satisfactory. Conclusion. Designed multivariate algorithm of donor with brain death assess- ment, effectively implemented through the selection of donors for lung transplantation with satisfactory results in the early postoperative period. However, compliance with ideal criteria will not allow to effectively provide care for patients with terminal lung disease under conditions of continuous growth of «waiting list». 

  5. Suitability

    NARCIS (Netherlands)

    Bokdam, J.; Braeckel, van A.

    2002-01-01

    The suitability of grazing, burning, mowing and cutting as tools for succession control in peatland was assessed and expressed on a scale from 0 - 1. All management tools are suitable, but their effects are conditional. The suitability depends on the targeted vegetation transition and on their

  6. Suitability of olive oil washing water as an electron donor in a feed batch operating bio-electrochemical system

    Directory of Open Access Journals (Sweden)

    F. G. Fermoso

    2017-06-01

    Full Text Available Olive oil washing water derived from the two-phase manufacturing process was assessed as an electron donor in a bio-electrochemical system (BES operating at 35 ºC. Start-up was carried out by using acetate as a substrate for the BES, reaching a potential of around +680 mV. After day 54, BES was fed with olive oil washing water. The degradation of olive oil washing water in the BES generated a maximum voltage potential of around +520 mV and a Chemical Oxygen Demand (COD removal efficiency of 41%. However, subsequent loads produced a decrease in the COD removal, while current and power density diminished greatly. The deterioration of these parameters could be a consequence of the accumulation of recalcitrant or inhibitory compounds, such as phenols. These results demonstrated that the use of olive oil washing water as an electron donor in a BES is feasible, although it has to be further investigated in order to make it more suitable for a real application.

  7. Being Sherlock Holmes: the Internet as a tool for assessing live organ donors.

    Science.gov (United States)

    Bramstedt, Katrina A; Katznelson, Steven

    2009-01-01

    Donor advocacy is a critical feature of live donor transplantation. Donor Advocates and Donor Advocate Teams (DAT) are now routine to the practice of live donor evaluation in the USA. Multidisciplinary in nature, DATs gather both medical and psychosocial information about potential live organ donors and then render a decision as to whether or not these individuals are suitable to participate. Because of the critical ethical and psychosocial concerns about live donation, thorough donor evaluations are essential. Additionally, the information gathered must be accurate, and this requires honest disclosure by the donor candidate. In this paper, we describe how DATs can use various forms of free, public content available on the Internet to aid live donor assessments. In this way, the DAT assumes somewhat of an investigative role; however, this is ethically justified in light of the DAT duty to protect the donor. The protective effect can also spread to the transplant program, in general, when inappropriate donors are excluded from the donation process.

  8. The live donor assessment tool: a psychosocial assessment tool for live organ donors.

    Science.gov (United States)

    Iacoviello, Brian M; Shenoy, Akhil; Braoude, Jenna; Jennings, Tiane; Vaidya, Swapna; Brouwer, Julianna; Haydel, Brandy; Arroyo, Hansel; Thakur, Devendra; Leinwand, Joseph; Rudow, Dianne LaPointe

    2015-01-01

    Psychosocial evaluation is an important part of the live organ donor evaluation process, yet it is not standardized across institutions, and although tools exist for the psychosocial evaluation of organ recipients, none exist to assess donors. We set out to develop a semistructured psychosocial evaluation tool (the Live Donor Assessment Tool, LDAT) to assess potential live organ donors and to conduct preliminary analyses of the tool's reliability and validity. Review of the literature on the psychosocial variables associated with treatment adherence, quality of life, live organ donation outcome, and resilience, as well as review of the procedures for psychosocial evaluation at our center and other centers around the country, identified 9 domains to address; these domains were distilled into several items each, in collaboration with colleagues at transplant centers across the country, for a total of 29 items. Four raters were trained to use the LDAT, and they retrospectively scored 99 psychosocial evaluations conducted on live organ donor candidates. Reliability of the LDAT was assessed by calculating the internal consistency of the items in the scale and interrater reliability between raters; validity was estimated by comparing LDAT scores between those with a "positive" evaluation outcome and "negative" outcome. The LDAT was found to have good internal consistency, inter-rater reliability, and showed signs of validity: LDAT scores differentiated the positive vs. negative outcome groups. The LDAT demonstrated good reliability and validity, but future research on the LDAT and the ability to implement the LDAT prospectively is warranted. Copyright © 2015 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.

  9. Identifying the most suitable endogenous control for determining gene expression in hearts from organ donors

    Directory of Open Access Journals (Sweden)

    Gómez Enrique

    2007-12-01

    Full Text Available Abstract Background Quantitative real-time reverse transcription PCR (qRT-PCR is a useful tool for assessing gene expression in different tissues, but the choice of adequate controls is critical to normalise the results, thereby avoiding differences and maximizing sensitivity and accuracy. So far, many genes have been used as a single reference gene, without having previously verified their value as controls. This practice can lead to incorrect conclusions and recent evidence indicates a need to use the geometric mean of data from several control genes. Here, we identified an appropriate set of genes to be used as an endogenous reference for quantifying gene expression in human heart tissue. Results Our findings indicate that out of ten commonly used reference genes (GADPH, PPIA, ACTB, YWHAZ, RRN18S, B2M, UBC, TBP, RPLP and HPRT, PPIA, RPLP and GADPH show the most stable gene transcription levels in left ventricle specimens obtained from organ donors, as assessed using geNorm and Normfinder software. The expression of TBP was found to be highly regulated. Conclusion We propose the use of PPIA, RPLP and GADPH as reference genes for the accurate normalisation of qRT-PCR performed on heart tissue. TBP should not be used as a control in this type of tissue.

  10. AN ASSESSMENT OF LAND SUITABILITY FOR RICE ...

    African Journals Online (AJOL)

    Osondu

    Abstract. This study examined the suitability of the soil in Dobi, Gwagwalada Area Council, FCT, Nigeria for rice cultivation. Soil samples were collected from the plot using systematic sampling procedure, at two standard depths of 0-15cm (top soil) and 16-30cm (sub soil). Standard procedures as applied to tropical soils ...

  11. Criteria for Viability Assessment of Discarded Human Donor Livers during Ex Vivo Normothermic Machine Perfusion

    NARCIS (Netherlands)

    Sutton, Michael E.; op den Dries, Sanna; Karimian, Negin; Weeder, Pepijn D.; de Boer, Marieke T.; Wiersema-Buist, Janneke; Gouw, Annette S. H.; Leuvenink, Henri G. D.; Lisman, Ton; Porte, Robert J.

    2014-01-01

    Although normothermic machine perfusion of donor livers may allow assessment of graft viability prior to transplantation, there are currently no data on what would be a good parameter of graft viability. To determine whether bile production is a suitable biomarker that can be used to discriminate

  12. Combined cell index in assessing blood donor iron stores.

    Science.gov (United States)

    Vuk, T; Bingulac-Popović, J; Očić, T; Mayer, L J; Milošević, M; Jukić, I

    2017-02-01

    The aim of this study was to assess the appropriateness of using combined cell index (CCI) in the assessment of iron stores in blood donors. This index is calculated by the formula: red blood cell distribution width (RDW) × 104 × mean corpuscular volume (MCV)-1 × mean corpuscular haemoglobin (MCH)-1 . Ferritin measurement is a reliable method for estimating iron stores in blood donors. The sensitivity of red blood cell (RBC) parameters of complete blood count in detecting non-anaemic iron deficiency is significantly lower. Consequently, there were several attempts to increase the detection sensitivity by combining these parameters in different indices. This study included 1084 male and 792 female whole blood donors accepted for blood donation. For six RBC parameters with the highest level of correlation relative to ferritin [Hgb, MCV, MCH, mean corpuscular haemoglobin concentration (MCHC), RDW and CCI], diagnostic efficacy in the detection of iron depletion (ferritin stores in blood donors. © 2016 British Blood Transfusion Society.

  13. The suitability of corneas stored by organ culture for penetrating keratoplasty and influence of donor and recipient factors on 5-year graft survival.

    Science.gov (United States)

    Armitage, W John; Jones, Mark N A; Zambrano, Isaac; Carley, Fiona; Tole, Derek M

    2014-02-10

    To determine the impact of donor factors on the suitability of corneas stored by organ culture for penetrating keratoplasty (PK) and the influence of donor and recipient factors on 5-year survival of first PK. Logistic regression analyses were carried out to determine the influence of donor factors on, respectively, the risk of microbial contamination during organ culture, the suitability of corneas for PK (endothelial cell density ≥ 2200 cells/mm(2)), and the quality of corneas (endothelial cell density ≥ 2500 cells/mm(2)). Only one cornea, randomly selected, from each donor was included in these analyses. A Cox regression analysis was used to determine the influence of donor and recipient factors on 5-year PK survival. Risk of contamination (n = 8317): Causes of donor death including infection, respiratory disease, and cancer all increased the risk of contamination during organ culture (P culture (P influence. Corneas from organ donors were more likely to be suitable for PK (P = 0.0003). Five-year graft survival (n = 3014): Graft survival was dominated by the indication for PK (P influenced the suitability of corneas for PK. The indication for PK and other recipient factors were the main predictors of graft failure.

  14. Assessment of a travel question to identify donors with risk of Trypanosoma cruzi: operational validity and field testing.

    Science.gov (United States)

    O'Brien, Sheila F; Chiavetta, Jo Anne; Fan, Wenli; Xi, Guoliang; Yi, Qi-Long; Goldman, Mindy; Scalia, Vito; Fearon, Margaret A

    2008-04-01

    Because Trypanosoma cruzi (T. cruzi) infection in Canada and the United States is largely contracted in endemic countries, targeted testing of blood donors with risk travel may improve safety. The operational validity of a travel question suitable for donor screening was tested, and it was field-tested. After 1331 donors completed a short travel question, operational validity was assessed by detailed travel histories in face-to-face interviews. Two nationwide donor surveys were carried out assessing donor responses to similar travel questions in 2001 (13,623 donors) and in 2006 (20,037 donors). All donors in Toronto, Ontario, answered a travel question in 1997 and those born in or who spent 6 months or more in Mexico, Central America, or South America were tested for antibody to T. cruzi. There was 97.3 percent agreement between the travel question and detailed interviews, with 15 donors (1.1%) failing to acknowledge risk travel (false-negative questioning responses). Of these, 6 donors were born there and 7 others had less than 1 year of cumulative travel. In 2001 and 2006, there were 2.1 and 2.0 percent of donors with risk travel, respectively, but 16.5 and 11.2 percent of these donors were identified only because they were born there (travel not acknowledge). There were 1337 (1.6%) donors in Toronto in 1997 with risk travel and none were positive for the presence of T. cruzi antibody. Donors can answer a short question about cumulative time in Latin America with similar accuracy to detailed questioning, but screening questions should also include country of birth.

  15. Land suitability assessment of some degraded forest reserves and ...

    African Journals Online (AJOL)

    Land suitability assessment of some degraded forest reserves and headwaters for the establishment of Ceiba pentandra plantations in the dry semi-deciduous ... Data on soil and climatic conditions of the site were matched with the species' growth requirements to assess the potential of the land for the establishment of silk ...

  16. Assessment of dysplastic hematopoiesis: lessons from healthy bone marrow donors.

    Science.gov (United States)

    Parmentier, Stefani; Schetelig, Johannes; Lorenz, Kerstin; Kramer, Michael; Ireland, Robin; Schuler, Ulrich; Ordemann, Rainer; Rall, Gabi; Schaich, Markus; Bornhäuser, Martin; Ehninger, Gerhard; Kroschinsky, Frank

    2012-05-01

    According to WHO 2008 guidelines, the required percentage of cells manifesting dysplasia in the bone marrow to qualify as significant is 10% or over in one or more hematopoietic cell lineages, but this threshold is controversial. No 'normal' values have been established. Therefore, we investigated dyshematopoiesis in bone marrow aspirate squash preparations of 120 healthy bone marrow donors. Bone marrow squash slides of 120 healthy unrelated bone marrow donors were examined independently by 4 experienced morphologists. Samples were taken from the first aspiration during the harvest. Bone marrow preparation and assessment were performed according to WHO recommendations and ICSH guidelines. More than 10% dysmyelopoiesis could be detected in 46% of bone marrow aspirate squash preparations with 26% in 2 or more cell lineages and 7% in 3 cell lineages in healthy bone marrow donors. Donors under the age of 30 years exhibited more dysgranulopoietic changes and dysmegakaryopoietic changes (Pdonors. Female donors showed more dysgranulopoietic changes than male donors (P = 0.025). The concordance rate between the 4 investigators was modest in dysgranulopoiesis but poor in dyserythropoiesis and dysmegakaryopoiesis. The poor reliability of the 10% cut off was partly related to the proximity of the current criteria to the observed cut-off mean values of the normal population. These findings question the current WHO threshold of the 10% or over necessary for the percentage of cells manifesting dysplasia to be considered significant, and suggest that either a higher threshold would be more appropriate or different thresholds should be set for each lineage.

  17. Donor Infectious Disease Testing Multinational assessment of blood ...

    African Journals Online (AJOL)

    Donor Infectious Disease Testing Multinational assessment of blood-borne virus testing and transfusion safety on the African continent... ... A newly formed network of African blood transfusion specialists has therefore decided to perform a baseline evaluation of serologic testing performance. Building on the experience of a ...

  18. Assessment of Suitability of Wood Fibres of Four Nigerian Fruit ...

    African Journals Online (AJOL)

    Wood fibres of four fruit trees of Nigeria commonly found in Nsukka metropolis were studied and assessed for their suitability for paper-making. These trees include Mangifera indica, Anacardium occidentale, Persea americana and Dacryodes edulis. The parameters used in the study were the fibre dimensions and derived ...

  19. Irrigation Suitability Assessment of Effluents From West Kano Rice ...

    African Journals Online (AJOL)

    Choice-Academy

    This paper assesses the suitability of West Kano Rice Irrigation Scheme effluents for recycling. Water and wastewater quality variables of ten samples from two sites were determined. The variables were .... degraded soils, increased health risks to farm households, water .... bridge measurement (Gregg, 1989). The data.

  20. Assessment of Groundwater Quality and its Suitability for Domestic ...

    African Journals Online (AJOL)

    Groundwater in parts of the Central Region of Ghana was assessed to determine its suitability for domestic use and irrigation activities. Stiff and Piper diagrams show that the predominant water type in the area is Na-Cl, which is characterized by relatively high salinities. This water type occurs in aquifers underlying six ...

  1. assessing the suitability of woven fabric and composite textile

    African Journals Online (AJOL)

    User

    ASSESSING THE SUITABILITY OF WOVEN FABRIC AND. COMPOSITE TEXTILE TECHNIQUES FOR MURAL. PRODUCTION. E. K. Howard1 and N. A. Opoku-Asare2. 1 Department of Industrial Art, KNUST, Kumasi. 2 Department of General Art Studies, KNUST, Kumasi. ABSTRACT: This art studio experimental study ...

  2. Assessment of Fibre Characteristics and Suitability of Maize Husk ...

    African Journals Online (AJOL)

    Maize husk and stalk were assessed for their fibre characteristics and suitability for pulp and paper production. Fifteen (15) fibres were randomly selected and measured from each representative sample. It was observed that fibre length of maize husk was 1.37mm and that of maize stalk was 1.52mm. The fibre diameter (D) ...

  3. Irrigation Suitability Assessment of Effluents From West Kano Rice ...

    African Journals Online (AJOL)

    Choice-Academy

    This paper assesses the suitability of West Kano Rice Irrigation Scheme effluents for recycling. Water and wastewater quality variables of ten samples from two ..... becomes alkaline. High sodium soils are, therefore, plastic and sticky when wet and prone to clod and crust formation when dring. Excess sodium in irrigation ...

  4. Irrigation Suitability Assessment of Effluents From West Kano Rice ...

    African Journals Online (AJOL)

    This paper assesses the suitability of West Kano Rice Irrigation Scheme effluents for recycling. Water and wastewater quality variables of ten samples from two sites were determined. The variables were Temperature, Electrolytic conductivity, Total suspended solids, pH, Calcium, Nitrates, Potassium, Sodium and Total ...

  5. Land Suitability Assessment And Precision Farming Prospects For ...

    African Journals Online (AJOL)

    serve as a good foundation for precision farming practices with favourable environmental conservation. Geospatial information technology and soil expert knowledge are potentially powerful tools to save the land from degradation through high-quality land suitability assessment for agricultural sustainability and resource ...

  6. Evaluation of habitat suitability index models for assessing biotic resources

    Science.gov (United States)

    John C. Rennie; Joseph D. Clark; James M. Sweeney

    2000-01-01

    Existing habitat suitability index (HSI) models are evaluated for assessing the biotic resources on Champion International Corporation (CIC) lands with data from a standard and an expanded timber inventory. Forty HSI models for 34 species that occur in the Southern Appalachians have been identified from the literature. All of the variables for 14 models are provided (...

  7. Assessment Methods of Quality of Life of Living Organ Donors

    Directory of Open Access Journals (Sweden)

    S. V. Gautier

    2017-01-01

    Full Text Available The study of quality of life of living organ donors in transplantation by questionnaires has increasingly become the subject of clinical studies. However, there are no unified criteria and standard norms of quality of life. Each questionnaire has its own criteria and evaluation scale. This review presents the main general questionnaires that have been applied worldwide for the quality of life assessment of living kidney and liver donors. Special questionnaires used to refine the parameters of quality of life and their coordination with common questionnaires are considered. Optimal questionnaire to detect quality of life in modern research for living organ donors is identified.

  8. Land Suitability Assessment for Sugarcane in "Herois de Caxito" (Angola

    Directory of Open Access Journals (Sweden)

    Baert, G.

    2005-01-01

    Full Text Available The suitability of the soils surrounding the sugarcane plantation at "Herois de Caxito" (7068 ha is assessed. The main goal is to identify land suitability for the enlargement of the present plantation, using FAO land evaluation models (modified to suit Herois de Caxito conditions and GIS. Calculations of the radiationthermal production potential (RPP, land production potential (LPP, irrigation suitability index, and evaluation of the irrigation water quality are done. The water-limited production potential (WPP is found equal to the RPP, because water needs were fully met under irrigation. Maps showing the spatial distribution of the LPP and the suitability for irrigation are generated. The matching of irrigation and fertility indices has shown that, about 40% of the soils with good fertility for sugarcane production present low suitability for irrigation, the main limitations being the very fine texture and the drainage. The available surface water at Herois de Caxito (Dande river is of very good quality for irrigation of sugarcane.

  9. EXPERT MODEL OF LAND SUITABILITY ASSESSMENT FOR CROPS

    Directory of Open Access Journals (Sweden)

    Boris Đurđević

    2010-12-01

    Full Text Available A total of 17404 soil samples (2003rd-2009th year were analysed in the eastern Croatia. The largest number of soil samples belongs to the Osijek-Baranya county, which together with both Eastern sugar beet Factories (Osijek and Županja, conduct the soil fertility control (~4200 samples/yr.. Computer model suitability assessment for crops, supported by GIS, proved to be fast, efficient enough reliable in terms of the number of analyzed soil samples. It allows the visualization of the agricultural area and prediction of its production properties for the purposes of analysis, planning and rationalization of agricultural production. With more precise data about the soil (soil, climate and reliable Digital Soil Map of Croatia, the model could be an acceptable, not only to evaluate the suitability for growing different crops but also their need for fertilizer, necessary machinery, repairs (liming, and other measures of organic matter input. The abovementioned aims to eliminate or reduce effects of limiting factors in primary agricultural production. Assessment of the relative benefits of soil presented by computer model for the crops production and geostatistical method kriging in the Osijek-Baranya county showed: 1 Average soil suitability being 60.06 percent. 2 Kriging predicted that 51751 ha (17.16% are of limited resources (N1 for growing crops whereas a 86142 ha (28.57% of land is limited suitably (S3, b 132789 ha (44.04% are moderately suitable (S2 and c 30772 ha (10.28% are of excellent fertility (S1. A large number of eastern Croatian land data showed that the computer-geostatistical model for determination of soil benefits for growing crops was automated, fast and simple to use and suitable for the implementation of GIS and automatically downloading the necessary benefit indicators from the input base (land, analytical and climate as well as data from the digital soil maps able to: a visualize the suitability for soil tillage, b predict the

  10. Assessment of the degree of satisfaction among living kidney donors.

    Science.gov (United States)

    Oliveira, B; Mascarenhas, C; Cardoso, G; Sá, J; Casal, M

    2011-01-01

    Organ donation during life is an act of great altruism, with unique family, social, economic, and psychological impacts. The group of anesthesiologists involved in this program sought to assess the degree of satisfaction among kidney donors between 2007 and 2008 and, in particular, with the anesthetic approach. A telephone survey of kidney donors in 2007 and 2008 complemented a retrospective evaluation of the records of the Acute Pain Unit. Among 32 kidney donors, 2 were excluded as impossible to contact. Their mean age was 44.33 years including 60% women. The degree of relationship was fathers (43.3%), siblings (50%) or spouses (6.7%). Donors who underwent outpatient anesthesia were satisfied (40%) or very satisfied (60%) with the information received, all willing to repeat the experience of kidney donation. The positive aspects were: good reception (83.4%), help to a family member (30%), good information (13.3%), and confidence in the team (6.6%). No downside was mentioned by 50% of donors. Postoperative analgesia was performed using an epidural catheter (93.3%) or patient-controlled analgesia with morphine (6.7%) associated with intravenous paracetamol in all cases. With regard to analgesia using an epidural catheter, the mean total dose of morphine was 7.7 mg and 27.4 mg for 0.2% ropivacaine over an average of 3.32 days. Pain was assessed in the first 24 hours postoperatively using a scale ranging from 0 (no pain) to 4 (unbearable pain): 30% reported 0; 60% 1; and 10% 2. The complaints were pruritus (40%), nausea/vomiting (16.7%), constipation (6.7%) and/or urinary retention (3.3%). No donor showed an altered state of consciousness, motor block, or paresthesias. Living kidney donors showed a high degree of overall satisfaction. The anesthesia consultation was extremely helpful with a positive impact on kidney donation. An epidural catheter for analgesia after surgery proved to be effective and appropriate for this type of procedure. Copyright © 2011 Elsevier

  11. Assessing the Amazon Cloud Suitability for CLARREO's Computational Needs

    Science.gov (United States)

    Goldin, Daniel; Vakhnin, Andrei A.; Currey, Jon C.

    2015-01-01

    In this document we compare the performance of the Amazon Web Services (AWS), also known as Amazon Cloud, with the CLARREO (Climate Absolute Radiance and Refractivity Observatory) cluster and assess its suitability for computational needs of the CLARREO mission. A benchmark executable to process one month and one year of PARASOL (Polarization and Anistropy of Reflectances for Atmospheric Sciences coupled with Observations from a Lidar) data was used. With the optimal AWS configuration, adequate data-processing times, comparable to the CLARREO cluster, were found. The assessment of alternatives to the CLARREO cluster continues and several options, such as a NASA-based cluster, are being considered.

  12. Qualitative assessment of pica experienced by frequent blood donors.

    Science.gov (United States)

    Chansky, Melanie C; King, Melissa R; Bialkowski, Walter; Bryant, Barbara J; Kiss, Joseph E; D'Andrea, Pam; Cable, Ritchard G; Spencer, Bryan R; Mast, Alan E

    2017-04-01

    Pica, the compulsive consumption of ice or other nonnutritious substances, is associated with iron deficiency, a common negative consequence of frequent blood donation. Because of this, blood donors, such as those participating in the Strategies to Reduce Iron Deficiency (STRIDE) study, are an ideal population to explore pica and iron deficiency. STRIDE was a 2-year intervention trial to assess the effectiveness of iron supplementation for mitigating iron deficiency in frequent blood donors. Subjects completed baseline and follow-up questionnaires that included questions about pica symptoms. In-depth telephone interviews were conducted with 14 of these subjects reporting pica symptoms and eight presumed controls (casual ice chewers) to gain a deeper understanding of pica symptoms and their impact on daily life and to make a final determination on the presence of pica. Pica was confirmed in five of the 14 subjects reporting symptoms and in two of eight controls. Outcome misclassification based on the questionnaire was attributed to inadequate assessment of several pica symptoms identified during the interview. Comparison of subjects' repeated quantitative iron measurements taken throughout STRIDE with subjects' final adjudicated pica status revealed a positive relationship between development of pica and worsening iron status; the opposite was found in those whose pica symptoms resolved. Continued refinement of pica symptom questions will allow for rapid and accurate detection of pica in frequent blood donors and confirmation of successful treatment with iron supplements. © 2016 AABB.

  13. Criteria for viability assessment of discarded human donor livers during ex vivo normothermic machine perfusion.

    Directory of Open Access Journals (Sweden)

    Michael E Sutton

    Full Text Available Although normothermic machine perfusion of donor livers may allow assessment of graft viability prior to transplantation, there are currently no data on what would be a good parameter of graft viability. To determine whether bile production is a suitable biomarker that can be used to discriminate viable from non-viable livers we have studied functional performance as well as biochemical and histological evidence of hepatobiliary injury during ex vivo normothermic machine perfusion of human donor livers. After a median duration of cold storage of 6.5 h, twelve extended criteria human donor livers that were declined for transplantation were ex vivo perfused for 6 h at 37 °C with an oxygenated solution based on red blood cells and plasma, using pressure controlled pulsatile perfusion of the hepatic artery and continuous portal perfusion. During perfusion, two patterns of bile flow were identified: (1 steadily increasing bile production, resulting in a cumulative output of ≥ 30 g after 6 h (high bile output group, and (2 a cumulative bile production <20 g in 6 h (low bile output group. Concentrations of transaminases and potassium in the perfusion fluid were significantly higher in the low bile output group, compared to the high bile output group. Biliary concentrations of bilirubin and bicarbonate were respectively 4 times and 2 times higher in the high bile output group. Livers in the low bile output group displayed more signs of hepatic necrosis and venous congestion, compared to the high bile output group. In conclusion, bile production could be an easily assessable biomarker of hepatic viability during ex vivo machine perfusion of human donor livers. It could potentially be used to identify extended criteria livers that are suitable for transplantation. These ex vivo findings need to be confirmed in a transplant experiment or a clinical trial.

  14. The importance of biologically relevant microclimates in habitat suitability assessments.

    Directory of Open Access Journals (Sweden)

    Johanna Varner

    Full Text Available Predicting habitat suitability under climate change is vital to conserving biodiversity. However, current species distribution models rely on coarse scale climate data, whereas fine scale microclimate data may be necessary to assess habitat suitability and generate predictive models. Here, we evaluate disparities between temperature data at the coarse scale from weather stations versus fine-scale data measured in microhabitats required for a climate-sensitive mammal, the American pika (Ochotona princeps. We collected two years of temperature data in occupied talus habitats predicted to be suitable (high elevation and unsuitable (low elevation by the bioclimatic envelope approach. At low elevations, talus surface and interstitial microclimates drastically differed from ambient temperatures measured on-site and at a nearby weather station. Interstitial talus temperatures were frequently decoupled from high ambient temperatures, resulting in instantaneous disparities of over 30 °C between these two measurements. Microhabitat temperatures were also highly heterogeneous, such that temperature measurements within the same patch of talus were not more correlated than measurements at distant patches. An experimental manipulation revealed that vegetation cover may cool the talus surface by up to 10 °C during the summer, which may contribute to this spatial heterogeneity. Finally, low elevation microclimates were milder and less variable than typical alpine habitat, suggesting that, counter to species distribution model predictions, these seemingly unsuitable habitats may actually be better refugia for this species under climate change. These results highlight the importance of fine-scale microhabitat data in habitat assessments and underscore the notion that some critical refugia may be counterintuitive.

  15. Assessment of donor heart viability during ex vivo heart perfusion.

    Science.gov (United States)

    White, Christopher W; Ambrose, Emma; Müller, Alison; Li, Yun; Le, Hoa; Hiebert, Brett; Arora, Rakesh; Lee, Trevor W; Dixon, Ian; Tian, Ganghong; Nagendran, Jayan; Hryshko, Larry; Freed, Darren

    2015-10-01

    Ex vivo heart perfusion (EVHP) may facilitate resuscitation of discarded donor hearts and expand the donor pool; however, a reliable means of demonstrating organ viability prior to transplantation is required. Therefore, we sought to identify metabolic and functional parameters that predict myocardial performance during EVHP. To evaluate the parameters over a broad spectrum of organ function, we obtained hearts from 9 normal pigs and 37 donation after circulatory death pigs and perfused them ex vivo. Functional parameters obtained from a left ventricular conductance catheter, oxygen consumption, coronary vascular resistance, and lactate concentration were measured, and linear regression analyses were performed to identify which parameters best correlated with myocardial performance (cardiac index: mL·min(-1)·g(-1)). Functional parameters exhibited excellent correlation with myocardial performance and demonstrated high sensitivity and specificity for identifying hearts at risk of poor post-transplant function (ejection fraction: R(2) = 0.80, sensitivity = 1.00, specificity = 0.85; stroke work: R(2) = 0.76, sensitivity = 1.00, specificity = 0.77; minimum dP/dt: R(2) = 0.74, sensitivity = 1.00, specificity = 0.54; tau: R(2) = 0.51, sensitivity = 1.00, specificity = 0.92), whereas metabolic parameters were limited in their ability to predict myocardial performance (oxygen consumption: R(2) = 0.28; coronary vascular resistance: R(2) = 0.20; lactate concentration: R(2) = 0.02). We concluded that evaluation of functional parameters provides the best assessment of myocardial performance during EVHP, which highlights the need for an EVHP device capable of assessing the donor heart in a physiologic working mode.

  16. Concrete with carpet recyclates: suitability assessment by surface energy evaluation.

    Science.gov (United States)

    Schmidt, H; Cieślak, M

    2008-01-01

    Worn out textile floor coverings are burdensome wastes that are degraded in landfill sites after a very long period of time. One of the ways to manage this kind of waste may be the use of carpet recyclate (CR) as an additive for concrete reinforcement. Therefore, an attempt was made to predict the effects of recyclate additives on the durability a concrete-carpet mixture by employing the method of assessing surface properties of components in the concrete-carpet recyclates composite. Testing was performed on carpet wastes, containing polyamide (PA) and polypropylene (PP) piles and butadiene-styrene resin with chalk filler (BSC) as back coating, to assess the suitability of CR additive for concrete reinforcement by surface energy evaluation. Based on the measurements of contact angles, the free surface energy of recyclate components was determined. The reversible work of adhesion at the interface between these components in dry and wet states was also calculated. The results show that CR with both PA and PP fibers form a strong and water-resistant bond with concrete.

  17. THE ROLE OF PEDOLOGICAL INFORMATION IN AGRICULTURAL LAND SUITABILITY ASSESSING

    Directory of Open Access Journals (Sweden)

    D. Dicu

    2012-12-01

    Full Text Available Soil characteristics can exert an influence on the development of root systems, mineral nutrition, providing the required heat treatment and conduct aerohidric main physiological processes, and plants (phytocoenosis, in turn, act both directly and indirectly on the state of soil fertility. In the soil conditions can be defined certain characteristics that may be conducive to land productivity and other properties derived from the first. Attributes such as size and composition of soil, humus content are crucial features, while cationic exchange capacity is determined by the first two and by the mineralogical nature of clay. Similarly, available water capacity can be considered as determined by soil texture and structure. Our research concerns an area of 141,249 ha. (72721ha. in Timis county and 68,528 ha in Arad county, belonging to areas located in Vinga Plain and its connection to the low plains or Lipova hills. The research of ecopedological conditions, data ordering and processing was done according to the Methodology of pedological studies elaboration; (vol I, II, III, developed by ICPA Bucharest in 1987 and the Romanian System of Soil Taxonomy (SRTS-2003. In assessing of land pretability for culture systems are considered soil factors who determine the degree of suitability, soil texture and soil moisture excess. Pretability estimation can be based on the information contained in existing soil studies in the area but also in the field research conducted on soils representative of a particular physical and geographical space.

  18. Physiologic assessment of the ex vivo donor lung for transplantation.

    Science.gov (United States)

    Yeung, Jonathan C; Cypel, Marcelo; Machuca, Tiago N; Koike, Terumoto; Cook, Douglas J; Bonato, Riccardo; Chen, Manyin; Sato, Masaaki; Waddell, Thomas K; Liu, Mingyao; Slutsky, Arthur S; Keshavjee, Shaf

    2012-10-01

    The evaluation of donor lungs by normothermic ex vivo acellular perfusion has improved the safety of organ utilization. However, this strategy requires a critical re-evaluation of the parameters used to assess lungs during ex vivo perfusion compared with those traditionally used to evaluate the donor lung in vivo. Using a porcine model, we studied the physiology of acellular lung perfusion with the aim of improving the accuracy of clinical ex vivo evaluation. Porcine lungs after 10 hours of brain death and 24 hours of cold ischemia and uninjured control lungs were perfused for 12 hours and then transplanted. PaO2, compliance, airway pressure and pulmonary vascular resistance were measured. Ventilation with 100% nitrogen and addition of red blood cells to the perfusate were used to clarify the physiologic disparities between in vivo blood perfusion and ex vivo acellular perfusion. During 12 hours of ex vivo perfusion, injured lungs developed edema with decreased compliance and increased airway pressure, but ex vivo PO2 remained stable. After transplantation, injured lungs demonstrated high vascular resistance and poor PaO2. A reduced effect of shunt on ex vivo lung perfusion PO2 was found to be attributable to the linearization of the relationship between oxygen content and PO2, which occurs with acellular perfusate. Ex vivo PO2 may not be the first indication of lung injury and, taken alone, may be misleading in assessing the ex vivo lung. Thus, evaluation of other physiologic parameters takes on greater importance. Copyright © 2012 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.

  19. Assessment of Lungs for Transplant Recovered from Uncontrolled Donation after Circulatory Determination of Death Donors.

    Science.gov (United States)

    Egan, Thomas; Blackwell, John; Birchard, Katherine; Haithcock, Benjamin; Long, Jason; Gazda, Stephen; Casey, Nissa; Thys, Caitlin

    2017-09-01

    To address the lung donor shortage, we obtained institutional review board and US Food and Drug Administration approval to transplant lungs recovered from uncontrolled donation after circulatory determination of death donors (uDCDDs). To compare outcomes of recipients of lungs recovered from uDCDDs vs. brain-dead donors. After consent and screening, lungs recovered from uDCDDs were assessed by 4 hours ex vivo lung perfusion (EVLP) and computed tomography (CT) scan. Over the course of 29 months, 502 potential uDCDDs younger than 66 years were identified in a single county, with death declaration by emergency medical services and four emergency departments in this and two other countries. We determined reasons that lungs from these uDCDDs were not able to be transplanted: uDCDDs could not have lungs recovered (224), next-of-kin could not be found or refused to discuss (67), next-of-kin refused (48), medical examiner case (39), logistics/missed (35), and miscellaneous (35). There were 247 medical contraindications: 141 pulmonary and 106 nonpulmonary. Lungs were recovered from 31 uDCDDs. Thirteen lungs did not have EVLP: 5 injured lungs (one pulmonary embolism [PE] with perforated infarct, two motor vehicle crash with severe injuries, one adhesion, and one lightning strike), two large PE, two prolonged ischemic time, two obvious chronic obstructive pulmonary disease, one technical, and one consent withdrawn. Eighteen lungs had EVLP: 10 with immediate edema (three PE, three unknown down time, three long ischemic time, and one ruptured aneurysm into L pleural space, making long cardiopulmonary resuscitation ineffective), and one myocarditis, possible lung involvement. In three lungs, CT showed edema after EVLP: one poor flush and poor EVLP performance, one edema after myocardial infarction (MI) with 10-year history of chronic heart failure, and one edema with MI, resuscitated, arrested again. One concurrent pneumonia was diagnosed by bronchoscopy, CT, and cultures; one

  20. Land Suitability Assessment for Pineapple Production in the A ...

    African Journals Online (AJOL)

    Combination (WLC) techniques were used to integrate fi1zzy suitability criteria maps of decision groups and a ... Though often described as a decision support system, the adequacy of GIS as a decision support tool' has been ..... infrastructure). water bodies (mainly rivers and streams). and roads for. · pineapple cultivation .

  1. Land Suitability Assessment for Pineapple Production in the ...

    African Journals Online (AJOL)

    In this paper, we report on a GIS-based multi-criteria approach to land suitability evaluation for pineapple production in the Akwapim South Municipality of Ghana. The crop is an important export earner, having contributed significantly to foreign exchange receipts of the counfly since the 1980s, although its cultivation has ...

  2. Assessing the Suitability of Woven Fabric and Composite Textile ...

    African Journals Online (AJOL)

    This art studio experimental study explored the suitability of woven cotton fabric as alternative material for creating pictorial designs for murals based on the batik, tie-and-dye, screen printing, appliqué and embroidery techniques in textiles. While painted and sculpted murals abound in Ghana, the study found textile murals a ...

  3. Assessing the suitability and profitability of the system of rice ...

    African Journals Online (AJOL)

    The results were significantly different at p = 0.05 for practices and location effects. The enriched ... The basic SRI without any organic matter raised paddy yields by 60 % over conventional methods, (3.2 and 2.0 t/ha, respectively). The number of ... Key Words : Suitability, profitability, organic matter, SRI, economic analysis.

  4. Assessment of Irrigation Water Quality and Suitability for Irrigation in ...

    African Journals Online (AJOL)

    A number of factors like geology, soil, effluents, sewage disposal and other environmental conditions in which the water stays or moves and interacts are among the factors that affect the quality of irrigation water. This study was conducted to determine the quality and suitability of different water sources for irrigation purpose ...

  5. Laparoscopic donor nephrectomy

    Directory of Open Access Journals (Sweden)

    Gupta Nitin

    2005-01-01

    Full Text Available Of the various options for patients with end stage renal disease, kidney transplantation is the treatment of choice for a suitable patient. The kidney for transplantation is retrieved from either a cadaver or a live donor. Living donor nephrectomy has been developed as a method to address the shortfall in cadaveric kidneys available for transplantation. Laparoscopic living donor nephrectomy (LLDN, by reducing postoperative pain, shortening convalescence, and improving the cosmetic outcome of the donor nephrectomy, has shown the potential to increase the number of living kidney donations further by removing some of the disincentives inherent to donation itself. The technique of LLDN has undergone evolution at different transplant centers and many modifications have been done to improve donor safety and recipient outcome. Virtually all donors eligible for an open surgical procedure may also undergo the laparoscopic operation. Various earlier contraindications to LDN, such as right donor kidney, multiple vessels, anomalous vasculature and obesity have been overcome with increasing experience. Laparoscopic live donor nephrectomy can be done transperitoneally or retroperitoneally on either side. The approach is most commonly transperitoneal, which allows adequate working space and easy dissection. A review of literature and our experience with regards to standard approach and the modifications is presented including a cost saving model for the developing countries. An assessment has been made, of the impact of LDN on the outcome of donor and the recipient.

  6. Donor facilitated strategic business alliances: an assessment of ...

    African Journals Online (AJOL)

    Due to the inability of firms from developing countries to attract collaborative partners from the developed economies, donor agencies have set up schemes that facilitate business to business collaboration between firms in the developed economies and developing country based counterparts. One such scheme is Private ...

  7. Characteristics of meat packaging materials and their environmental suitability assessment

    Directory of Open Access Journals (Sweden)

    Šuput Danijela Z.

    2013-01-01

    Full Text Available After functional phase, packaging becomes waste that is recycled or disposed of in landfills. Recently, numerus packages have been developed for assessing the packaging risk on the environment. We applied Gabi 4 Education software on polymer product packaging for meat products. The objective of first part of the paper was characterization of materials used for meat and meat products packaging in terms of mechanical and barrier properties. Results show that tested materials are able to keep protective atmosphere and contribute to the quality and sustainability of the product. Air permeability was 3.60 and 26.60 ml/m224h, and water vapor was 6.90 and 9.50 ml/m224h, respectively, for foils 1 and 2, as a result of different film composition. In second part, based on real data, Gabi 4 Education software is applied. The obtained results showed that organic compounds emissions have the highest impact on human health and the most damaging environmental impact observed was the emission of CO2.

  8. Assessment of cryopreserved donor skin viability: the experience of the regional tissue bank of Siena.

    Science.gov (United States)

    Pianigiani, E; Tognetti, L; Ierardi, F; Mariotti, G; Rubegni, P; Cevenini, G; Perotti, R; Fimiani, M

    2016-06-01

    Skin allografts from cadaver donors are an important resource for treating extensive burns, slow-healing wounds and chronic ulcers. A high level of cell viability of cryopreserved allografts is often required, especially in burn surgery, in Italy. Thus, we aimed to determine which conditions enable procurement of highly viable skin in our Regional Skin Bank of Siena. For this purpose, we assessed cell viability of cryopreserved skin allografts procured between 2011 and 2013 from 127 consecutive skin donors, before and after freezing (at day 15, 180, and 365). For each skin donor, we collected data concerning clinical history (age, sex, smoking, phototype, dyslipidemia, diabetes, cause of death), donation process (multi-tissue or multi-organ) and timing of skin procurement (assessment of intervals such as death-harvesting, harvesting-banking, death-banking). All these variables were analysed in the whole case study (127 donors) and in different groups (e.g. multi-organ donors, non refrigerated multi-tissue donors, refrigerated multi-tissue donors) for correlations with cell viability. Our results indicated that cryopreserved skin allografts with higher cell viability were obtained from female, non smoker, heartbeating donors died of cerebral haemorrhage, and were harvested within 2 h of aortic clamping and banked within 12 h of harvesting (13-14 h from clamping). Age, cause of death and dyslipidaemia or diabetes did not appear to influence cell viability. To maintain acceptable cell viability, our skin bank needs to reduce the time interval between harvesting and banking, especially for refrigerated donors.

  9. Donor disc attachment assessment with intraoperative spectral optical coherence tomography during descemet stripping automated endothelial keratoplasty

    Directory of Open Access Journals (Sweden)

    Edward Wylegala

    2013-01-01

    Full Text Available Optical coherence tomography has already been proven to be useful for pre- and post-surgical anterior eye segment assessment, especially in lamellar keratoplasty procedures. There is no evidence for intraoperative usefulness of optical coherence tomography (OCT. We present a case report of the intraoperative donor disc attachment assessment with spectral-domain optical coherence tomography in case of Descemet stripping automated endothelial keratoplasty (DSAEK surgery combined with corneal incisions. The effectiveness of the performed corneal stab incisions was visualized directly by OCT scan analysis. OCT assisted DSAEK allows the assessment of the accuracy of the Descemet stripping and donor disc attachment.

  10. Behavioral Ecology of Captive Species: Using Bibliographic Information to Assess Pet Suitability of Mammal Species

    Science.gov (United States)

    Koene, Paul; de Mol, Rudi M.; Ipema, Bert

    2016-01-01

    Which mammal species are suitable to be kept as pet? For answering this question many factors have to be considered. Animals have many adaptations to their natural environment in which they have evolved that may cause adaptation problems and/or risks in captivity. Problems may be visible in behavior, welfare, health, and/or human–animal interaction, resulting, for example, in stereotypies, disease, and fear. A framework is developed in which bibliographic information of mammal species from the wild and captive environment is collected and assessed by three teams of animal scientists. Oneliners from literature about behavioral ecology, health, and welfare and human–animal relationship of 90 mammal species are collected by team 1 in a database and strength of behavioral needs and risks is assessed by team 2. Based on summaries of those strengths the suitability of the mammal species is assessed by team 3. Involvement of stakeholders for supplying bibliographic information and assessments was propagated. Combining the individual and subjective assessments of the scientists using statistical methods makes the final assessment of a rank order of suitability as pet of those species less biased and more objective. The framework is dynamic and produces an initial rank ordered list of the pet suitability of 90 mammal species, methods to add new mammal species to the list or remove animals from the list and a method to incorporate stakeholder assessments. A model is developed that allows for provisional classification of pet suitability. Periodical update of the pet suitability framework is expected to produce an updated list with increased reliability and accuracy. Furthermore, the framework could be further developed to assess the pet suitability of additional species of other animal groups, e.g., birds, reptiles, and amphibians. PMID:27243023

  11. Assessing Non-Technical Site Suitability Criteria for Stormwater Capture, Treatment and Recharge

    Science.gov (United States)

    Eisenstein, W.

    2016-12-01

    This presentation will describe a new method for assessing non-technical site suitability criteria for the siting of stormwater capture, treatment and recharge (or stormwater CTR) facilities in Sonoma County, California, USA. "Non-technical site suitability criteria" include issues such as community acceptance, aesthetics, nuisances and hazards, and compatibility with neighboring land uses, and are distinguished from "technical criteria" such as hydrology and soil characteristics that are the traditional subject of suitability analyses. Non-technical criteria are rarely, if ever, considered in formal siting suitability studies conducted by agencies and municipalities, yet can be fatal to the prospects of a given project's construction if not identified and mitigated. The researchers developed a new method for identifying and spatially characterizing relevant non-technical criteria through interviews and questionnaires with community stakeholders, and introducing those criteria into a spatial multi-criteria decision analysis framework that assesses site suitabilty across a study watershed (the Upper Petaluma River watershed in Sonoma County).

  12. Assessing Land Suitability for Rainwater Harvesting Using Geospatial Techniques: A Case Study of Njoro Catchment, Kenya

    Directory of Open Access Journals (Sweden)

    C. W. Maina

    2016-01-01

    Full Text Available Water demand increases as population increases leading to overexploitation of water resource. Consequently, there is need for improved water resources management complemented with rain water harvesting within the catchments. This study sought to assess land suitability for surface runoff harvesting using geospatial techniques. Land use/land cover maps of the area were derived from Landsat image. Land use and soils data were used in generating curve number map of the catchment. Lineaments greatly affect the storage depending on whether runoff is for surface storage or ground water recharge purposes. As a result, ArcGIS was used in delineating the lineaments from Digital Elevation Model (DEM of the catchment. Further, using weighted overlay the catchment was grouped into categories of restricted, not suitable, moderately suitable, suitable, or highly suitable. The study found that forest, agriculture, and built-up areas occupied about 39.42%, 36.32%, and 1.35% of catchment area, respectively. A large part of catchment was found to have curve number range of 82–89. About 50% of the catchment was found to fall within suitable and highly suitable categories. This implied that a great potential exists for rain water harvesting within the catchment.

  13. Guidelines for the assessment and acceptance of potential brain-dead organ donors.

    Science.gov (United States)

    Westphal, Glauco Adrieno; Garcia, Valter Duro; Souza, Rafael Lisboa de; Franke, Cristiano Augusto; Vieira, Kalinca Daberkow; Birckholz, Viviane Renata Zaclikevis; Machado, Miriam Cristine; Almeida, Eliana Régia Barbosa de; Machado, Fernando Osni; Sardinha, Luiz Antônio da Costa; Wanzuita, Raquel; Silvado, Carlos Eduardo Soares; Costa, Gerson; Braatz, Vera; Caldeira Filho, Milton; Furtado, Rodrigo; Tannous, Luana Alves; Albuquerque, André Gustavo Neves de; Abdala, Edson

    2016-09-01

    Organ transplantation is the only alternative for many patients with terminal diseases. The increasing disproportion between the high demand for organ transplants and the low rate of transplants actually performed is worrisome. Some of the causes of this disproportion are errors in the identification of potential organ donors and in the determination of contraindications by the attending staff. Therefore, the aim of the present document is to provide guidelines for intensive care multi-professional staffs for the recognition, assessment and acceptance of potential organ donors.

  14. Suitability of voltage stability study methods for real-time assessment

    DEFF Research Database (Denmark)

    Perez, Angel; Jóhannsson, Hjörtur; Vancraeyveld, Pieter

    2013-01-01

    This paper analyzes the suitability of existing methods for long-term voltage stability assessment for real-time operation. An overview of the relevant methods is followed with a comparison that takes into account the accuracy, computational efficiency and characteristics when used for security...... assessment. The results enable an evaluation of the run time of each method with respect to the number of inputs. Furthermore, the results assist in identifying which of the methods is most suitable for realtime operation in future power system with production based on fluctuating energy sources....

  15. The use of computer simulation to assess the suitability of RWH ...

    African Journals Online (AJOL)

    Meaningful extrapolation is a problem. With this in mind the SUA-Newcastle RWH project pursued a twin-track approach in which the experimental. effort was linked to the development of a simulation model, which was designed to assess the suitability of RWH technology interventions for any new site. The simulation model ...

  16. The Use of Computer Simulation to Assess the Suitability of RWH ...

    African Journals Online (AJOL)

    effOlt .. was lillked.to the development of a simulatioll model, which was designed to assess the suitability of RWH technology intervelltions for allY Ilew site. The simulation model is briefly described (lIzd typical examples of its use as a toul for agro- technology transfer are presented. The interface is user-friendly alld the n ...

  17. Suitability assessment of the partial safety factors of CP110 used in ...

    African Journals Online (AJOL)

    Suitability assessment of the partial safety factors of CP110 used in the design of ultimate strength of reinforced concrete columns. ... term variables that affect the ultimate strength of a rectangular column section was studied using Monte Carlo technique by the input of statistical parameters of these variables into a computer

  18. [Preoperative assessment of renal vascular anatomy for donor nephrectomy: Is CT superior to MRI?].

    Science.gov (United States)

    Arvin-Berod, A; Bricault, I; Terrier, N; Skowron, O; Cadi, P; Boillot, B; Thuillier, C; Cluze, C; Descotes, J-L; Rambeaud, J-J; Long, J-A

    2011-01-01

    computed tomography angiography (CTA) and magnetic resonance angiography (MRA) are both used in the preoperative assessment of vascular anatomy before donor nephrectomy. Our objective was to determine retrospectively and to compare the sensitivity of CTA and MRA imaging in preoperative renal vascularisation in living kidney donors. between 1999 and 2007, 42 kidney donors were assessed in our center: 27 by MRA, 10 by CTA, and five by both techniques. Images were interpreted using multiplanar reconstructions. Results were compared retrospectively with peroperative findings; discordant cases were re-examined by an experienced radiologist. Numbers of vessels detected with imaging methods was compared with numbers actually found at the operating time. MRA showed 35/43 arteries (Se 81.4 %) and 33/34 veins (Se 97.1 %), and CTA showed 18/18 arteries (Se 100 %) and 15/16 veins (Se 93.8 %). The presence of multiple arteries was detected in only one third of cases (3/9) on MRI scans; this difference was statistically significant. The missed arteries were not detected on second examination of the MRI scans with the knowledge of peroperative findings. MRA is less sensitive than CTA for preoperative vascularisation imaging in living renal donors, especially in the detection of multiple renal arteries. 2010 Elsevier Masson SAS. All rights reserved.

  19. Critical Appraisal of Translational Research Models for Suitability in Performance Assessment of Cancer Centers

    Science.gov (United States)

    Rajan, Abinaya; Sullivan, Richard; Bakker, Suzanne

    2012-01-01

    Background. Translational research is a complex cumulative process that takes time. However, the operating environment for cancer centers engaged in translational research is now financially insecure. Centers are challenged to improve results and reduce time from discovery to practice innovations. Performance assessment can identify improvement areas that will help reduce translational delays. Currently, no standard method exists to identify models for use in performance assessment. This study aimed to critically appraise translational research models for suitability in performance assessment of cancer centers. Methods. We conducted a systematic review to identify models and developed a set of criteria based on scientometrics, complex adaptive systems, research and development processes, and strategic evaluation. Models were assessed for linkage between research and care components, new knowledge, systems integration, performance assessment, and review of other models. Results. Twelve models were identified; six described phases/components for translational research in different blocks (T models) and six described the process of translational research (process models). Both models view translational research as an accumulation of new knowledge. However, process models more clearly address systems integration, link research and care components, and were developed for evaluating and improving the performance of translational research. T models are more likely to review other models. Conclusion. Process models seem to be more suitable for performance assessment of cancer centers than T models. The most suitable process models (the Process Marker Model and Lean and Six Sigma applications) must be thoroughly tested in practice. PMID:23263926

  20. Suitability of the Social Skills Performance Assessment (SSPA) for the assessment of social skills in adults with autism spectrum disorders

    NARCIS (Netherlands)

    Verhoeven, E.W.M.; Smeekens, I.; Didden, H.C.M.

    2013-01-01

    The present study aims at examining whether the 'Social Skills Performance Assessment' (SSPA; Patterson et al. in Schizophr Res 48(2-3):351-360, 2001) is a suitable performance-based measure to assess social skills in adults with autism spectrum disorders (ASD). For this purpose, social skills of

  1. Assessing the suitability of stream water for five different uses and its aquatic environment.

    Science.gov (United States)

    Fulazzaky, Mohamad Ali

    2013-01-01

    Surface water is one of the essential resources for supporting sustainable development. The suitability of such water for a given use depends both on the available quantity and tolerable quality. Temporary status for a surface water quality has been identified extensively. Still the suitability of the water for different purposes needs to be verified. This study proposes a water quality evaluation system to assess the aptitude of the Selangor River water for aquatic biota, drinking water production, leisure and aquatic sport, irrigation use, livestock watering, and aquaculture use. Aptitude of the water has been classified in many parts of the river segment as unsuitable for aquatic biota, drinking water production, leisure and aquatic sport as well as aquaculture use. The water quality aptitude classes of the stream water for nine locations along the river are evaluated to contribute to decision support system. The suitability of the water for five different uses and its aquatic ecosystem are verified.

  2. A protocol for identifying suitable biomarkers to assess fish health: A systematic review

    Science.gov (United States)

    2017-01-01

    Background Biomarkers have been used extensively to provide the connection between external levels of contaminant exposure, internal levels of tissue contamination, and early adverse effects in organisms. Objectives To present a three-step protocol for identifying suitable biomarkers to assess fish health in coastal and marine ecosystems, using Gladstone Harbour (Australia) as a case study. Methods Prior to applying our protocol, clear working definitions for biomarkers were developed to ensure consistency with the global literature on fish health assessment. First, contaminants of concern were identified based on the presence of point and diffuse sources of pollution and available monitoring data for the ecosystem of interest. Second, suitable fish species were identified using fisheries dependent and independent data, and prioritised based on potential pathways of exposure to the contaminants of concern. Finally, a systematic and critical literature review was conducted on the use of biomarkers to assess the health of fish exposed to the contaminants of concern. Results/Discussion We present clear working definitions for bioaccumulation markers, biomarkers of exposure, biomarkers of effect and biomarkers of susceptibility. Based on emission and concentration information, seven metals were identified as contaminants of concern for Gladstone Harbour. Twenty out of 232 fish species were abundant enough to be potentially suitable for biomarker studies; five of these were prioritised based on potential pathways of exposure and susceptibility to metals. The literature search on biomarkers yielded 5,035 articles, of which 151met the inclusion criteria. Based on our review, the most suitable biomarkers include bioaccumulation markers, biomarkers of exposure (CYP1A, EROD, SOD, LPOX, HSP, MT, DNA strand breaks, micronuclei, apoptosis), and biomarkers of effect (histopathology, TAG:ST). Conclusion Our protocol outlines a clear pathway to identify suitable biomarkers to

  3. A Proposed Model to Assess and Map Irrigation Water Well Suitability Using Geospatial Analysis

    Directory of Open Access Journals (Sweden)

    El-Sayed E. Omran

    2012-07-01

    Full Text Available Assessing the vulnerability of groundwater is the first step toward careful management of water resources to avoid or, at least, to minimize impacts on agriculture. The objective of this study was to propose a simple method to assess the groundwater quality and to map its spatial variation in terms of suitability for irrigation in the Darb El-Arbaein area, Southwestern Desert, Egypt. Thirty-six surveyed wells were used to assess and map the groundwater quality. For calculating the Water Quality Index (WQI, a total of 20 (13 chemical, two physical, and five calculated parameters were considered e.g., EC, pH, Cl, SAR, B, Zn, iron, Mn, Pb and Cd. The results of analyses were used to propose a water quality model. The different water quality maps were produced using GIS software. The results show that three water samples fall into the moderate WQI. Most of the samples (26 fall into the unsuitable WQI category. Seven samples fall into the suitable WQI category. Groundwater samples that fall into the low salinity hazard class and high WQI can be used for irrigation of most crops and the majority of soils. The WQI for the samples ranges from 47.9 to 88.6. The WQI distribution maps delineating an area of 266.66 ha are suitable for irrigation in villages (3,4 and areas of 382.35 ha are moderately suitability for villages (1,2. Since the final map shows the spatial distribution of irrigation water quality in the area, it is now much easier for a decision maker to assess the water quality for irrigation and to locate the most suitable site for drilling wells. The present study demonstrates high efficiency for GIS to analyze complex spatial data and groundwater quality mapping.

  4. Donor Safety in Haemapheresis: Development of an Internet-Based Registry for Comprehensive Assessment of Adverse Events from Healthy Donors.

    Science.gov (United States)

    Heuft, Hans-Gert; Fischer, Eike; Weingand, Tina; Burkhardt, Thomas; Leitner, Gerda; Baume, Hagen; Schmidt, Jörg-Peter; Buser, Andreas; Fauchald, Gabriele; Reinicke Voigt, Ute; Mansouri-Taleghani, Behrouz

    2017-06-01

    Currently, there is an extensive but highly inconsistent body of literature regarding donor adverse events (AEs) in haemapheresis. As the reports diverge with respect to types and grading of AEs, apheresis procedures and machines, the range of haemapheresis-related AEs varies widely from about 0.03% to 6.6%. The German Society for Transfusion Medicine and Immunohaematology (DGTI) formed a 'Haemapheresis Vigilance Working Party' (Arbeitsgemeinschaft Hämapheresevigilanz; AGHV) to create an on-line registry for comprehensive and comparable AE assessment with all available apheresis devices in all types of preparative haemapheresis: plasmapheresis (PLS), plateletpheresis (PLT), red blood cell apheresis, all kind of leukaphereses (autologous/allogeneic blood stem cell apheresis, granulocyte apheresis, lymphocyte/monocyte apheresis) and all possible types of multi-component apheresis. To ensure the comparability of the data, the AGHV adopted the 'Standard for Surveillance of Complications Related to Blood Donation' from the International Society for Blood Transfusion in cooperation with the International Haemovigilance Network (IHN) and the American Association of Blood Banks for AE acquisition and automated evaluation. The registry is embedded in a prospective observational multi-centre study with a study period of 7 years. A preliminary evaluation encompassed the time period from January, 2012 to December, 2015. During this time, the system proved to be safe and stable. Out of approximately 345,000 haemaphereses 16,477 AEs were reported (4.9%) from 20 participating centres. The majority of AEs occurred in PLSs (63%), followed by PLT (34.5%) and SC (2.2%). Blood access injuries (BAI) accounted for about 55% of the supplied AEs, whereas citrate toxicity symptoms, vasovagal reactions and technical events (e.g. disposable leakages, software failures) rather equally affected haemaphereses at 8-15%. Out of 12,348 finalized AEs, 8,759 (70.1%) were associated with a procedure

  5. An Expert-Based Assessment Model for Evaluating Habitat Suitability of Pond-Breeding Amphibians

    Directory of Open Access Journals (Sweden)

    Shin-Ruoh Juang

    2017-02-01

    Full Text Available Farm ponds are important habitats for amphibians, birds, and other wildlife. In Taiwan, artificial ponds were originally created on farmlands for irrigation purposes and the needs of the domestic water supply. Although pond creation is a typical farming practice, it also provides habitats for pond-breeding amphibians. Thus, it is essential to understand the current status of habitats and their vulnerability regarding urgent conservation needs for target species. Günther’s frog (Hylarana guentheri, a pond-breeding amphibian, has a high sensitivity towards surrounding environmental changes, and can be used as an indicator species to assess habitat suitability. The purpose of this study is to establish a systematic framework to assess the habitat suitability of pond-breeding amphibians by using Günther’s frog as a pilot-study species. First, we collected frog survey data from Chiayi, Taiwan, from winter 2013 to spring 2015, and investigated the present status of the environmental conditions around the ponds. Next, expert questionnaires and the fuzzy Delphi method were applied to establish the hierarchical evaluation criteria regarding the habitat suitability assessment. Four indicators: the aquatic environments of farm ponds; the terrestrial environments around ponds; landscape connectivity; and the conservation perceptions of the residents, were determined as first-layer factors in the assessment criteria, while ten other indicators were defined as second-layer factors. Based on the established assessment criteria, we performed in situ habitat suitability evaluations on 69 selected sites and surveyed the perceptions of the residents using questionnaires. Results revealed that 19% of locations were rich in frog species with a high habitat suitability. However, 67% of locations showed signs of habitat degradation, which may imply a higher need in practicing habitat improvement or restoration. The Kappa value was 0.6061, which indicated a high

  6. Using a standardized donor ratio to assess the performance of organ procurement organizations.

    Science.gov (United States)

    Stogis, Sheryl; Hirth, Richard A; Strawderman, Robert L; Banaszak-Holl, Jane; Smith, Dean G

    2002-10-01

    To develop a Standardized Donor Ratio (SDR) as an outcome measure for evaluating the effectiveness of organ procurement organizations (OPOs). All deaths by cause in the United States during 1993-1994 as reported in the Vital Mortality Statistics, Multiple Cause of Death files. The OPO-specific data were provided by the United Network for Organ Sharing (UNOS). Each OPO's expected number of donors was calculated by applying national donation rates to deaths with potential for donation in 24 age, sex, and race cells. The SDR was calculated by dividing the observed number of donors by the expected number. The chi2 tests of the hypothesis that the OPO's performance differed from the national norm of 1.0 were performed. The SDR was compared to the existing performance standard based on the unadjusted number of donors per million live population in the OPO's service area. An ordinary least squares (OLS) regression assessed predictors of the SDR. The SDRs ranged from 0.41 to 1.99. Twenty-nine of 64 OPOs had SDRs significantly different than 1.0. The SDRs were positively associated with the percent of white living population and the number of organ types transplanted per transplant center served by the OPO. The SDRs can be used by Centers for Medicare and Medicaid Services (CMS), UNOS, and OPOs to target quality improvement initiatives, present more accurate comparisons of OPO performance, and develop public policy on the evaluation of the effectiveness of organ procurement efforts.

  7. The attitude of Canadian university students toward a behavior-based blood donor health assessment questionnaire.

    Science.gov (United States)

    Go, Stephanie L; Lam, Cindy T Y; Lin, Yahui T; Wong, Deborah J; Lazo-Langner, Alejandro; Chin-Yee, Ian

    2011-04-01

    In Canada, all men who have sex with men (MSM) are indefinitely deferred from donating blood. The purpose of this study was to determine the acceptability of an alternative behavior-based donor health questionnaire among Canadian university students. Further we sought to determine the perception of blood safety associated with specific risk behaviors. Questions found on the Canadian Blood Services' donor health assessment questionnaire as well as from studies assessing high-risk behavior for human immunodeficiency virus infection were included. For each question participants were asked to rate the acceptability, comfort in answering, perceived effect on blood safety, and whether the question would deter them from donating blood. Data were analyzed using nonparametric tests. A total of 741 students participated in the study. Questions regarding sexual practices of the donor were rated less important for blood safety compared to those assessing for sexually transmitted infections, sex for money, and injection drug use (30%-62% vs. 69%-95% unsafe). A total of 24.4% of students rated both questions on MSM status and a behavior-based alternative as equally unacceptable. We found an inverse correlation between perception of safety and acceptability of questions. Our findings suggest that a behavior-based screening modification is unlikely to change opinions or satisfy those who object to the MSM current policy in place. Acceptability of these questions might be related to a poor understanding of the effect of sexual practices on blood supply safety. © 2010 American Association of Blood Banks.

  8. An Assessment of Ada’s Suitability in General Purpose Programming Applications.

    Science.gov (United States)

    1985-09-01

    the solution is implemented at a lower level. 5. Information Hiding. To make inaccesible certain implementation details that should not affect other...NAATIONAL BUREAU OF STANDARDS - 96 3-A * - -- . . . . II AN ASSESSMENT OF ADA’S SUITABILITY IN GENERAL PURPOSE PROGRAMMING APPLICATIONS THES I S Larry D...accurate, and no sensitive items, detrimental ideas, or deleterious information are contained therein. Furthermore, the views expressed in the document are

  9. Deceased donor uterine transplantation.

    Science.gov (United States)

    Flyckt, Rebecca; Kotlyar, Alexander; Arian, Sara; Eghtesad, Bijan; Falcone, Tommaso; Tzakis, Andreas

    2017-03-01

    To share our experience in performing the first-ever deceased-donor uterine transplant in the United States. This video uses an animation and footage from a uterine transplantation procedure to review the steps and techniques involved in performing a uterine transplant. Academic, multisite medical center. A reproductive-age patient with Mayer-Rokitansky-Kuster-Hauser syndrome. Transplantation of a viable uterus from a deceased donor. Assessment of posttransplantation uterine graft viability. This video article describes the essential steps in the uterine transplant process, including selecting an appropriate donor with no history of infertility or uterine malformations. Furthermore, a deceased donor should exhibit brain death but not cardiac death. We also review our inclusion criteria for suitable recipients. In this video we outline the key steps in a uterine transplantation procedure and demonstrate footage from an actual transplant procedure. These steps include establishing bilateral end-to-side vascular anastomoses between the donor uterine artery and vein and the recipient's external iliac vessels. Once this has been completed and reperfusion noted of the donor uterus, connection to the recipient vaginal cuff is then performed. Uterine transplantation, although currently experimental, has gained the potential to become the first true treatment for uterine factor infertility. This procedure can become a promising option for the approximately 1.5 million women worldwide for whom pregnancy is not possible because of the absence of the uterus or presence of a nonfunctional uterus. Deceased donor uterine transplantation will further serve to broaden accessibility for this procedure. Copyright © 2016 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  10. Readability, Suitability and Health Content Assessment of Cancer Screening Announcements in Municipal Newspapers in Japan.

    Science.gov (United States)

    Okuhara, Tsuyoshi; Ishikawa, Hirono; Okada, Hiroko; Kiuchi, Takahiro

    2015-01-01

    The objective of this study was to assess the readability, suitability, and health content of cancer screening information in municipal newspapers in Japan. Suitability Assessment of Materials (SAM) and the framework of Health Belief Model (HBM) were used for assessment of municipal newspapers that were published in central Tokyo (23 wards) from January to December 2013. The mean domain SAM scores of content, literacy demand, and layout/typography were considered superior. The SAM scores of interaction with readers, an indication of the models of desirable actions, and elaboration to enhance readers' self-efficacy were low. According to the HBM coding, messages of medical/clinical severity, of social severity, of social benefits, and of barriers of fear were scarce. The articles were generally well written and suitable. However, learning stimulation/motivation was scarce and the HBM constructs were not fully addressed. Articles can be improved to motivate readers to obtain cancer screening by increasing interaction with readers, introducing models of desirable actions and devices to raise readers' self-efficacy, and providing statements of perceived barriers of fear for pain and time constraints, perceived severity, and social benefits and losses.

  11. THE UNCERTAINTIES ON THE GIS BASED LAND SUITABILITY ASSESSMENT FOR URBAN AND RURAL PLANNING

    Directory of Open Access Journals (Sweden)

    H. Liu

    2017-09-01

    Full Text Available The majority of the research on the uncertainties of spatial data and spatial analysis focuses on some specific data feature or analysis tool. Few have accomplished the uncertainties of the whole process of an application like planning, making the research of uncertainties detached from practical applications. The paper discusses the uncertainties of the geographical information systems (GIS based land suitability assessment in planning on the basis of literature review. The uncertainties considered range from index system establishment to the classification of the final result. Methods to reduce the uncertainties arise from the discretization of continuous raster data and the index weight determination are summarized. The paper analyzes the merits and demerits of the “Nature Breaks” method which is broadly used by planners. It also explores the other factors which impact the accuracy of the final classification like the selection of class numbers, intervals and the autocorrelation of the spatial data. In the conclusion part, the paper indicates that the adoption of machine learning methods should be modified to integrate the complexity of land suitability assessment. The work contributes to the application of spatial data and spatial analysis uncertainty research on land suitability assessment, and promotes the scientific level of the later planning and decision-making.

  12. The Uncertainties on the GIS Based Land Suitability Assessment for Urban and Rural Planning

    Science.gov (United States)

    Liu, H.; Zhan, Q.; Zhan, M.

    2017-09-01

    The majority of the research on the uncertainties of spatial data and spatial analysis focuses on some specific data feature or analysis tool. Few have accomplished the uncertainties of the whole process of an application like planning, making the research of uncertainties detached from practical applications. The paper discusses the uncertainties of the geographical information systems (GIS) based land suitability assessment in planning on the basis of literature review. The uncertainties considered range from index system establishment to the classification of the final result. Methods to reduce the uncertainties arise from the discretization of continuous raster data and the index weight determination are summarized. The paper analyzes the merits and demerits of the "Nature Breaks" method which is broadly used by planners. It also explores the other factors which impact the accuracy of the final classification like the selection of class numbers, intervals and the autocorrelation of the spatial data. In the conclusion part, the paper indicates that the adoption of machine learning methods should be modified to integrate the complexity of land suitability assessment. The work contributes to the application of spatial data and spatial analysis uncertainty research on land suitability assessment, and promotes the scientific level of the later planning and decision-making.

  13. [Ecological suitability assessment and optimization of urban land expansion space in Guiyang City].

    Science.gov (United States)

    Qiu, Cong-hao; Li, Yang-bing; Feng, Yuan-song

    2015-09-01

    Based on the case study of Guiyang City, the minimum cumulative resistance model integrating construction land source, ecological rigid constraints and ecological function type resistance factor, was built by use of cost-distance analysis of urban spatial expansion resistance value through ArcGIS 9.3 software in this paper. Then, the ecological resistance of city spatial expansion of Guiyang from 2010 was simulated dynamically and the ecological suitability classification of city spatial expansion was assessed. According to the conflict between the newly increased city construction land in 2014 and its ecological suitability, the unreasonable city land spatial allocation was discussed also. The results showed that the ecological suitability zonation and the city expansion in the study area were basically consistent during 2010-2014, but the conflict between the new city construction and its land ecological suitability was more serious. The ecological conflict area accounted for 58.2% of the new city construction sites, 35.4% of which happened in the ecological control area, 13.9% in the limited development area and 8.9% in the prohibition development area. The intensification of ecological land use conflict would impair the ecological service function and ecological safety, so this paper put forward the city spatial expansion optimal path to preserve the ecological land and improve the construction land space pattern of Guiyang City so as to ensure its ecological safety.

  14. A pilot study of potential brain donor satisfaction and attitudes towards telephone assessment.

    Science.gov (United States)

    Costello, Helen; Hayes, Gillian M; Highton-Williamson, Elizabeth; Nurock, Shirley; Hanbury, Dave; Francis, Paul T

    2017-12-01

    Test the feasibility of assessing cognition, psychiatric symptoms and daily living skills of potential brain donors by telephone and compare satisfaction and attitudes across telephone and face-to-face assessment. Data were collected from 108 healthy participants from the Brains for Dementia Research cohort. Purposive sampling was used to assess feasibility and a randomised control trial design compared satisfaction and attitudes towards telephone and face-to-face assessment. Non-parametric tests were conducted to compare groups, and logistic regression was performed to assess the relationship between satisfaction and participant characteristics. Of the 80 participants offered telephone assessment, 67 (83.8%) agreed, 2 (2.5%) had a significant hearing impairment, 4 (5.0%) had potential memory problems and 7 (8.7%) declined. On average, telephone assessments lasted 38 min and duration was negatively associated with Telephone Interview of Cognitive Status-Modified scores (p = 0.001) and positively associated with age (p = 0.040), Neuropsychiatric Inventory scores (p = 0.019), Geriatric Depression Scale (p = 0.035) and Global Deterioration Scale (p = 0.022). Satisfaction was high in respect to organisational and personal aspects; ratings did not differ significantly across telephone and face-to-face assessment groups and were not related to socio-demographic characteristics. Participants undergoing telephone assessment were significantly more likely to hold positive attitudes towards this mode of assessment. Telephone assessment is feasible, time-efficient and acceptable to healthy, potential brain donors. When used with other assessment modes and within the context of established contact, telephone assessment offers greater flexibility to researchers and participants and represents an effective mechanism for overcoming the challenges of growing, ageing cohorts and uncertain resources. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016

  15. Suitability assessment of health education brochures in Qassim province, Kingdom of Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Saulat Jahan

    2014-01-01

    Full Text Available Background: Health education is the cornerstone of primary health care. Health education materials distributed to the community should, therefore, be suitable and effective. The purpose of this study was to evaluate the health education brochures, designed and disseminated by Ministry of Health institutions in the Qassim province. Materials and Methods: The study was a cross-sectional review of health education brochures. We used a structured evaluation form, comprising general information on the brochures and a modified Suitability Assessment of Materials (SAM score sheet. The SAM consisting of 22 criteria in six groups, includes content, literacy demands, graphics, layout/typography, learning stimulation/motivation, and cultural appropriateness. SAM criteria categorize written material into "superior," "adequate" and "not suitable." Two qualified consultant family physicians evaluated the brochures. Data were analyzed using Epi Info version 3.4 statistical package. Results: We evaluated 110 brochures, the majority of which addressed chronic health conditions such as mental health, diabetes mellitus and hypertension. Seventy-four (67.3% brochures were evaluated as "adequate," 34 (30.9% as "not suitable" and 2 (1.8% as "superior." "Cultural appropriateness" was the highest scoring factor, with 92 (83.6% brochures falling into either the "superior" or "adequate" category. With regard to "content," 88 (80.0% brochures fell into either the "superior" or "adequate" category. This was the second highest scoring factor. Graphics was the factor that scored the least. Seventy-five (68.2% brochures were rated in this factor as "not suitable." Conclusions: Although two-thirds of our brochures were considered "adequate," the majority needed improvement to their graphics and learning stimulation factors. We recommend that guidelines for designing health education brochures should be formulated to improve the quality of health education brochures.

  16. Suitability assessment of health education brochures in Qassim province, Kingdom of Saudi Arabia.

    Science.gov (United States)

    Jahan, Saulat; Al-Saigul, Abdullah M; Alharbi, Ali M; Abdelgadir, Muzamil H

    2014-09-01

    Health education is the cornerstone of primary health care. Health education materials distributed to the community should, therefore, be suitable and effective. The purpose of this study was to evaluate the health education brochures, designed and disseminated by Ministry of Health institutions in the Qassim province. The study was a cross-sectional review of health education brochures. We used a structured evaluation form, comprising general information on the brochures and a modified Suitability Assessment of Materials (SAM) score sheet. The SAM consisting of 22 criteria in six groups, includes content, literacy demands, graphics, layout/typography, learning stimulation/motivation, and cultural appropriateness. SAM criteria categorize written material into "superior," "adequate" and "not suitable." Two qualified consultant family physicians evaluated the brochures. Data were analyzed using Epi Info version 3.4 statistical package. We evaluated 110 brochures, the majority of which addressed chronic health conditions such as mental health, diabetes mellitus and hypertension. Seventy-four (67.3%) brochures were evaluated as "adequate," 34 (30.9%) as "not suitable" and 2 (1.8%) as "superior." "Cultural appropriateness" was the highest scoring factor, with 92 (83.6%) brochures falling into either the "superior" or "adequate" category. With regard to "content," 88 (80.0%) brochures fell into either the "superior" or "adequate" category. This was the second highest scoring factor. Graphics was the factor that scored the least. Seventy-five (68.2%) brochures were rated in this factor as "not suitable." Although two-thirds of our brochures were considered "adequate," the majority needed improvement to their graphics and learning stimulation factors. We recommend that guidelines for designing health education brochures should be formulated to improve the quality of health education brochures.

  17. Assessment of Managed Aquifer Recharge Site Suitability Using a GIS and Modeling.

    Science.gov (United States)

    Russo, Tess A; Fisher, Andrew T; Lockwood, Brian S

    2015-01-01

    We completed a two-step regional analysis of a coastal groundwater basin to (1) assess regional suitability for managed aquifer recharge (MAR), and (2) quantify the relative impact of MAR activities on groundwater levels and sea water intrusion. The first step comprised an analysis of surface and subsurface hydrologic properties and conditions, using a geographic information system (GIS). Surface and subsurface data coverages were compiled, georeferenced, reclassified, and integrated (including novel approaches for combining related datasets) to derive a spatial distribution of MAR suitability values. In the second step, results from the GIS analysis were used with a regional groundwater model to assess the hydrologic impact of potential MAR placement and operating scenarios. For the region evaluated in this study, the Pajaro Valley Groundwater Basin, California, GIS results suggest that about 7% (15 km2) of the basin may be highly suitable for MAR. Modeling suggests that simulated MAR projects placed near the coast help to reduce sea water intrusion more rapidly, but these projects also result in increased groundwater flows to the ocean. In contrast, projects placed farther inland result in more long-term reduction in sea water intrusion and less groundwater flowing to the ocean. This work shows how combined GIS analysis and modeling can assist with regional water supply planning, including evaluation of options for enhancing groundwater resources. © 2014, National Ground Water Association.

  18. Assessing the Effects of Management Alternatives on Habitat Suitability in a Forested Landscape of Northeastern China

    Science.gov (United States)

    Longru, Jin; He, Hong S.; Yufei, Zhou; Rencang, Bu; Keping, Sun

    2010-05-01

    Forest management often has cumulative, long-lasting effects on wildlife habitat suitability and the effects may be impractical to evaluate using landscape-scale field experiments. To understand such effects, we linked a spatially explicit landscape disturbance and succession model (LANDIS) with habitat suitability index (HSI) models to assess the effects of management alternatives on habitat suitability in a forested landscape of northeastern China. LANDIS was applied to simulate future forest landscape changes under four management alternatives (no cutting, clearcutting, selective cutting I and II) over a 200-year horizon. The simulation outputs were linked with HSI models for three wildlife species, the red squirrel ( Sciurus vulgaris), the red deer ( Cervus elaphus) and the hazel grouse ( Bonasa bonasia). These species are chosen because they represent numerous species that have distinct habitat requirements in our study area. We assessed their habitat suitability based on the mean HSI values, which is a measure of the average habitat quality. Our simulation results showed that no one management scenario was the best for all species and various forest management scenarios would lead to conflicting wildlife habitat outcomes. How to choose a scenario is dependent on the trade-off of economical, ecological and social goals. Our modeling effort could provide decision makers with relative comparisons among management scenarios from the perspective of biodiversity conservation. The general simulation results were expected based on our knowledge of forest management and habitat relationships of the species, which confirmed that the coupled modeling approach correctly simulated the assumed relationships between the wildlife, forest composition, age structure, and spatial configuration of habitat. However, several emergent results revealed the unexpected outcomes that a management scenario may lead to.

  19. Assessment of brown trout habitat suitability in the Jucar River Basin (SPAIN): comparison of data-driven approaches with fuzzy-logic models and univariate suitability curves.

    Science.gov (United States)

    Muñoz-Mas, Rafael; Martínez-Capel, Francisco; Schneider, Matthias; Mouton, Ans M

    2012-12-01

    The implementation of the Water Framework Directive implies the determination of an environmental flow (E-flow) in each running water body. In Spain, many of the minimum flow assessments were determined with the physical habitat simulation system based on univariate habitat suitability curves. Multivariate habitat suitability models, widely applied in habitat assessment, are potentially more accurate than univariate suitability models. This article analyses the microhabitat selection by medium-sized (10-20 cm) brown trout (Salmo trutta fario) in three streams of the Jucar River Basin District (eastern Iberian Peninsula). The data were collected with an equal effort sampling approach. Univariate habitat suitability curves were built with a data-driven process for depth, mean velocity and substrate classes; three types of data-driven fuzzy models were generated with the FISH software: two models of presence-absence and a model of abundance. FISH applies a hill-climbing algorithm to optimize the fuzzy rules. A hydraulic model was calibrated with the tool River-2D in a segment of the Cabriel River (Jucar River Basin). The fuzzy-logic models and three methods to produce a suitability index from the three univariate curves were applied to evaluate the river habitat in the tool CASiMiR©. The comparison of results was based on the spatial arrangement of habitat suitability and the curves of weighted usable area versus discharge. The differences were relevant in different aspects, e.g. in the estimated minimum environmental flow according to the Spanish legal norm for hydrological planning. This work demonstrates the impact of the model's selection on the habitat suitability modelling and the assessment of environmental flows, based on an objective data-driven procedure; the conclusions are important for the water management in the Jucar River Basin and other river systems in Europe, where the environmental flows are a keystone for the achievement of the goals established

  20. Suitability assessment of groundwater for drinking, irrigation and industrial use in some North Indian villages.

    Science.gov (United States)

    Haritash, A K; Kaushik, C P; Kaushik, A; Kansal, Ankur; Yadav, Asheesh Kumar

    2008-10-01

    The study comprised suitability assessment of groundwater for drinking, irrigation, and industrial use. A total of 34 groundwater samples were collected from Rewari town and its perimeter from the land chiefly used for agriculture. Physico-chemical characterization of the samples revealed that groundwater from most of the sources was not fit for drinking owing to a high concentration of calcium, magnesium, hardness and fluoride. Suitability for irrigation, too, was low since most of the sources had high value of sodium adsorption ratio (SAR), residual sodium carbonate (RSC), soluble sodium percentage (SSP) and magnesium hazard which can render salinity and alkali hazard to soils on long term use in irrigation. No source of water was found to be suitable for industrial application since it had high concentration of calcium carbonate which can precipitate very easily. It was observed that sodium, sulphate, and chloride were the chief ions present in water and based on the abundance of ions and their correlation type, most of the groundwater samples are of sodium sulphate and/or sodium chloride type. The high concentration of the chemical constituents is attributed to the lithologic composition of the area. It was observed that the water of deep meteoric percolation type was of sodium sulphate type and the shallow of sodium chloride type.

  1. A novel GIS-based approach to assess beekeeping suitability of Mediterranean lands.

    Science.gov (United States)

    Zoccali, Paolo; Malacrinò, Antonino; Campolo, Orlando; Laudani, Francesca; Algeri, Giuseppe M; Giunti, Giulia; Strano, Cinzia P; Benelli, Giovanni; Palmeri, Vincenzo

    2017-07-01

    Honeybees are critically important for the environment and to the economy. However, there are in substantial decline worldwide, leading to serious threat to the stability and yield of food crops. Beekeeping is of pivotal importance, combining the wide economical aspect of honey production and the important ecological services provided by honeybees. In this scenario, the prompt identification of beekeeping areas is strategic, since it maximised productivity and lowered the risks of colony losses. Fuzzy logic is an ideal approach for problem-solving tasks, as it is specifically designed to manage problems with a high degree of uncertainty. This research tested a novel GIS-based approach to assess beekeeping suitability of lands located in Calabria (Southern Italy), without relying to Analytic Hierarchy Process - Multiple Criteria Decision Making (AHP-MCDM), thus avoiding the constraints due to the technique and decision makers' influences. Furthermore, the data used here were completely retrieved from open access sources, highlighting that our approach is characterized by low costs and can be easily reproduced for a wide arrays of geographical contexts. Notably, the results obtained by our experiments were validated by the actual beekeeping reality. Besides beekeeping, the use of this system could not only be applied in beekeeping land suitability evaluations, but may be successfully extended to other types of land suitability evaluations.

  2. Suitability assessment of physical examination standards for selection of pilot trainees

    Directory of Open Access Journals (Sweden)

    Zhi-gang JIAO

    2012-03-01

    Full Text Available Objective To investigate and evaluate whether the present physical examination standards for selection of pilot trainees meet the requirements for the medical selection of pilot trainees. Methods The experimental procedure was divided into three steps to evaluate the physical examination standards for the selection of pilot trainees. The first step was to compile a manual of investigation, which was composed of suitability assessments and the result of its use. The second step was to screen for specialists. A social science survey was adopted, and 119 specialists were selected composing 98 specialists in recruitment of pilots and 21 aviation medical clinicians. A total of 359 standard items were evaluated for suitability approval, and then the reliability of evaluation results was analyzed. The final step was the formation of criteria for final judgment. The worthiness of the items was based on the specialists' opinions. When a certain item was deemed suitable by more than 80% of the specialists, it was considered as appropriate, and when a certain item was deemed suitable by less than 60% of the specialists, it was not appropriate. Results A total of 134 survey brochures were sent out, and 128 out of 134 were retrieved. The positive index of specialist participation was 0.95, and the authority index was 0.86. 271 (75.5% of the 359 items were generally accepted by specialists as appropriate, and 27 (7.5% items were not accepted. Most of these rejected items involved function evaluation, the concept and essence of which could not be easily grasped. Conclusions Although the majority of the items in the physical examination standards were deemed appropriate by the specialists, there were a few items not accepted. These standards should be revised after being applied in the future.

  3. Assessing the habitat suitability of agricultural landscapes for characteristic breeding bird guilds using landscape metrics.

    Science.gov (United States)

    Borges, Friederike; Glemnitz, Michael; Schultz, Alfred; Stachow, Ulrich

    2017-04-01

    Many of the processes behind the decline of farmland birds can be related to modifications in landscape structure (composition and configuration), which can partly be expressed quantitatively with measurable or computable indices, i.e. landscape metrics. This paper aims to identify statistical relationships between the occurrence of birds and the landscape structure. We present a method that combines two comprehensive procedures: the "landscape-centred approach" and "guild classification". Our study is based on more than 20,000 individual bird observations based on a 4-year bird monitoring approach in a typical agricultural area in the north-eastern German lowlands. Five characteristic bird guilds, each with three characteristic species, are defined for the typical habitat types of that area: farmland, grassland, hedgerow, forest and settlement. The suitability of each sample plot for each guild is indicated by the level of persistence (LOP) of occurrence of three respective species. Thus, the sample plots can be classified as "preferred" or "less preferred" depending on the lower and upper quartiles of the LOP values. The landscape structure is characterized by 16 different landscape metrics expressing various aspects of landscape composition and configuration. For each guild, the three landscape metrics with the strongest rank correlation with the LOP values and that are not mutually dependent were identified. For four of the bird guilds, the classification success was better than 80%, compared with only 66% for the grassland bird guild. A subset of six landscape metrics proved to be the most meaningful and sufficiently classified the sample areas with respect to bird guild suitability. In addition, derived logistic functions allowed the production of guild-specific habitat suitability maps for the whole landscape. The analytical results show that the proposed approach is appropriate to assess the habitat suitability of agricultural landscapes for characteristic

  4. Integrated and holistic suitability assessment of recycling options for masonry rubble

    Science.gov (United States)

    Herbst, T.; Rübner, K.; Meng, B.

    2012-04-01

    Our industrial society depends on continuous mining and consumption of raw materials and energy. Besides, the building sector causes one of the largest material streams in Germany. On the one hand, the building sector is connected with a high need in material and energetic resources as well as financial expenditures. On the other hand, nearly 50 % of the volume of waste arises from the building industry. During the last years, the limitation of natural resources, increasing negative environmental consequences as well as rising prices and shortages of dump space have led to a change in thinking in the building and waste industry to a closed substance cycle waste management. In consideration of the production figures of the main kinds of masonry units (clay bricks, sand-lime bricks, autoclaved aerated concrete brick, concrete blocks), a not unimportant quantity of masonry rubble (including gypsum plaster boards, renders, mortars and mineral insulating materials) of more than 20 million tons per year is generated in the medium term. With regard to a sustainable closed substance cycle waste management, these rest masses have to be recycled if possible. Processed aggregates made from masonry rubble can be recycled in the production of new masonry units under certain conditions. Even carefully deconstructed masonry units can once more re-used as masonry units, particularly in the area of the preservation of monuments and historical buildings. In addition, masonry rubble in different processing qualities is applied in earth and road construction, horticulture and scenery construction as well as concrete production. The choice of the most suitable recycling option causes technical, economical and ecological questions. At present, a methodology for a comprehensive suitability assessment with a passable scope of work does not exist. Basic structured and structuring information on the recycling of masonry rubble is absent up to now. This as well as the economic and technical

  5. Using forest inventory data to assess fisher resting habitat suitability in California.

    Science.gov (United States)

    Zielinski, William J; Truex, Richard L; Dunk, Jeffrey R; Gaman, Tom

    2006-06-01

    The fisher (Martes pennanti) is a forest-dwelling carnivore whose current distribution and association with late-seral forest conditions make it vulnerable to stand-altering human activities or natural disturbances. Fishers select a variety of structures for daily resting bouts. These habitat elements, together with foraging and reproductive (denning) habitat, constitute the habitat requirements of fishers. We develop a model capable of predicting the suitability of fisher resting habitat using standard forest vegetation inventory data. The inventory data were derived from Forest Inventory and Analysis (FIA), a nationwide probability-based sample used to estimate forest characteristics. We developed the model by comparing vegetation and topographic data at 75 randomly selected fisher resting structures in the southern Sierra Nevada with 232 forest inventory plots. We collected vegetation data at fisher resting locations using the FIA vegetation sampling protocol and centering the 1-ha FIA plot on the resting structure. To distinguish used and available inventory plots, we used nonparametric logistic regression to evaluate a set of a priori biological models. The top model represented a dominant portion of the Akaike weights (0.87), explained 31.5% of the deviance, and included the following variables: average canopy closure, basal area of trees forest inventory data allows the assessment and monitoring of change in fisher resting habitat suitability over large regions with no additional sampling effort. Although models were constrained to include only variables available from the list of those measured using the FIA protocol, we did not find this to be a shortcoming. The model makes it possible to compare average resting habitat suitability values before and after forest management treatments, among administrative units, across regions and over time. Considering hundreds of plot estimates as a sample of habitat conditions over large spatial scales can bring a broad

  6. An inventory of methods suitable to assess additive-induced characterising flavours of tobacco products.

    Science.gov (United States)

    Talhout, Reinskje; van de Nobelen, Suzanne; Kienhuis, Anne S

    2016-04-01

    Products with strong non-tobacco flavours are popular among young people, and facilitate smoking initiation. Similar to the U.S. Food and Drug Administration Tobacco Control Act, the new European Tobacco Product Directive (TPD) prohibits cigarettes and roll-your-own tobacco with a characterising flavour other than tobacco. However, no methods are prescribed or operational to assess characterising flavours. This is the first study to identify, review and synthesize the existing peer-reviewed and tobacco industry literature in order to provide an inventory of methods suitable to assess characterising flavours. Authors gathered key empirical and theoretical papers examining methods suitable to assess characterising flavours. Scientific literature databases (PubMed and Scopus) and tobacco industry documents were searched, based on several keyword combinations. Inclusion criteria were relevance for smoked tobacco products, and quality of data. The findings reveal that there is a wide variation in natural tobacco flavours. Flavour differences from natural tobacco can be described by both expert and consumer sensory panels. Most methods are based on smoking tests, but odour evaluation has also been reported. Chemical analysis can be used to identify and quantify levels of specific flavour additives in tobacco products. As flavour perception is subjective, and requires human assessment, sensory analysis in consumer or expert panel studies is necessitated. We recommend developing validated tests for descriptive sensory analysis in combination with chemical-analytical measurements. Testing a broad range of brands, including those with quite subtle characterizing flavours, will provide the concentration above which an additive will impart a characterising flavour. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  7. Digital soil mapping in assessment of land suitability for organic farming

    Science.gov (United States)

    Ghambashidze, Giorgi; Kentchiashvili, Naira; Tarkhnishvili, Maia; Jolokhava, Tamar; Meskhi, Tea

    2017-04-01

    Digital soil mapping (DSM) is a fast-developing sub discipline of soil science which gets more importance along with increased availability of spatial data. DSM is based on three main components: the input in the form of field and laboratory observational methods, the process used in terms of spatial and non-spatial soil inference systems, and the output in the form of spatial soil information systems, which includes outputs in the form of rasters of prediction along with the uncertainty of prediction. Georgia is one of the countries who are under the way of spatial data infrastructure development, which includes soil related spatial data also. Therefore, it is important to demonstrate the capacity of DSM technics for planning and decision making process, in which assessment of land suitability is a major interest for those willing to grow agricultural crops. In that term land suitability assessment for establishing organic farms is in high demand as market for organically produced commodities is still increasing. It is the first attempt in Georgia to use DSM to predict areas with potential for organic farming development. Current approach is based on risk assessment of soil pollution with toxic elements (As, Hg, Pb, Cd, Cr) and prediction of bio-availability of those elements to plants on example of the region of Western Georgia, where detailed soil survey was conducted and spatial database of soil was created. The results of the study show the advantages of DSM at early stage assessment and depending on availability and quality of the input data, it can achieve acceptable accuracy.

  8. Using a Geographic Information System to Assess Site Suitability for Managed Aquifer Recharge using Stormwater Capture

    Science.gov (United States)

    Teo, E. K.; Harmon, R. E.; Beganskas, S.; Young, K. S.; Fisher, A. T.; Weir, W. B.; Lozano, S.

    2015-12-01

    We are completing a regional analysis of Santa Cruz and northern Monterey Counties, CA, to assess the conditions amenable to managed aquifer recharge using stormwater runoff. Communities and water supply agencies across CA are struggling to mitigate the ongoing drought and to develop secure and sustainable water supplies to support long-term municipal, agricultural, environmental and other needs. Enhanced storage of groundwater is an important part of this effort in many basins. This work is especially timely because of the recently enacted "Sustainable Groundwater Management Act" (SGMA), which requires the development of groundwater sustainability agencies and implementation of basin management plans in coming decades. Our analysis focuses specifically on the distributed collection of stormwater runoff, a water source that has typically been treated as a nuisance or waste, from drainages having an area on the order of 40-160 hectares. The first part of this project is a geographic information system (GIS) analysis using surface and subsurface data sets. Developing complete and accurate datasets across the study region required considerable effort to locate, assemble, co-register, patch, and reconcile information from many sources and scales. We have complete spatial coverage for surface data, but subsurface data is more limited in lateral extent. Sites that are most suitable for distributed stormwater capture supporting MAR have high soil infiltration capacity, are well-connected to an underlying aquifer with good transmissive and storage properties, and have space to receive MAR. Additional considerations include method of infiltration, slope, and land use and access. Based on initial consideration of surface data and slope, 7% of the complete study region appears to be "suitable or highly suitable" for MAR (in the top third of the rating system), but there is considerable spatial heterogeneity based on the distribution of shallow soils and bedrock geology.

  9. Review and Extension of Suitability Assessment Indicators of Weather Model Output for Analyzing Decentralized Energy Systems

    Directory of Open Access Journals (Sweden)

    Hans Schermeyer

    2015-12-01

    Full Text Available Electricity from renewable energy sources (RES-E is gaining more and more influence in traditional energy and electricity markets in Europe and around the world. When modeling RES-E feed-in on a high temporal and spatial resolution, energy systems analysts frequently use data generated by numerical weather models as input since there is no spatial inclusive and comprehensive measurement data available. However, the suitability of such model data depends on the research questions at hand and should be inspected individually. This paper focuses on new methodologies to carry out a performance evaluation of solar irradiation data provided by a numerical weather model when investigating photovoltaic feed-in and effects on the electricity grid. Suitable approaches of time series analysis are researched from literature and applied to both model and measurement data. The findings and limits of these approaches are illustrated and a new set of validation indicators is presented. These novel indicators complement the assessment by measuring relevant key figures in energy systems analysis: e.g., gradients in energy supply, maximum values and volatility. Thus, the results of this paper contribute to the scientific community of energy systems analysts and researchers who aim at modeling RES-E feed-in on a high temporal and spatial resolution using weather model data.

  10. Aporrectodea caliginosa, a suitable earthworm species for field based genotoxicity assessment?

    Energy Technology Data Exchange (ETDEWEB)

    Klobucar, Goeran I.V., E-mail: gklobuca@zg.biol.pmf.hr [Department of Zoology, Faculty of Science, University of Zagreb, Rooseveltov trg 6, 10000 Zagreb (Croatia); Stambuk, Anamaria; Srut, Maja [Department of Zoology, Faculty of Science, University of Zagreb, Rooseveltov trg 6, 10000 Zagreb (Croatia); Husnjak, Ivana [Ministry of Environmental Protection, Physical Planning and Construction, Ulica Republike Austrije 14, Zagreb (Croatia); Merkas, Martina [Croatian Institute for Brain Research, School of Medicine, University of Zagreb, Salata 12, 10000 Zagreb (Croatia); Traven, Luka [Department of Environmental Medicine, Medical Faculty, University of Rijeka, Brace Branchetta 20a, 51000 Rijeka (Croatia); Teaching Institute of Public Health of the Primorsko-goranska County, Kresimirova 52a, 51000 Rijeka (Croatia); Cvetkovic, Zelimira [Department of Ecology, Institute of Public Health, Mirogojska c. 16, 10000 Zagreb (Croatia)

    2011-04-15

    There is a growing interest for the application of biomakers to field-collected earthworms. Therefore we have evaluated the usability of native populations of endogeic, widely distributed earthworm Aporrectodea caliginosa in the assessment of soil genotoxicity using the Comet assay. Validation of the Comet assay on earthworm coelomocytes has been established using commercially available Eisenia fetida exposed to copper, cadmium, and pentachlorophenol, along with A. caliginosa exposed to copper in a filter paper contact test. Neutral red retention time (NRRT) assay was conducted on copper exposed and field-collected earthworms. Significant DNA and lysosomal damage was measured using Comet and NRRT assays in native populations of A. caliginosa sampled from the polluted soils in the urban area in comparison to the earthworms from the reference site. The results of this study confirm the employment of A. caliginosa as a suitable species for the in situ soil toxicity and genotoxicity field surveys. - Research highlights: > Native A. caliginosa has shown significant biological effect measured by the Comet and NRRT assays. > The Comet assay on A. caliginosa and E. fetida has shown to be of similar sensitivity as the NRRT assay. > A. caliginosa is a suitable species for the in situ soil toxicity and genotoxicity field surveys. - Native populations of endogeic earthworm Aporrectodea caliginosa can be successfully applied in the genotoxicity field surveys using Comet assay.

  11. Assessment of water quality and suitability analysis of River Ganga in Rishikesh, India

    Science.gov (United States)

    Haritash, A. K.; Gaur, Shalini; Garg, Sakshi

    2016-11-01

    The water samples were collected from River Ganga in Rishikesh during December 2008 to assess its suitability for drinking, irrigation, and industrial usages using various indices. Based on the values obtained and suggested designated best use, water in upper segment can be used for drinking but after disinfection (Class A); organized outdoor bathing in middle segment (Class B); and can be used as drinking water source (Class C) in lower segment in Rishikesh. All the parameters were within the specified limits for drinking water quality except E. coli. The indices of suitability for irrigation and industrial application were also evaluated. The irrigation quality ranged from good to excellent at almost all places with the exception of percent sodium. The abundance of major ions followed K+> Ca2+> Cl- > HCO3 - > Na+> Mg2+> CO3 2- trend. The major cations suggested that the water is alkaline (Na + K) than alkaline earth (Ca + Mg) type. The heavy metals (Pb, Cu, Zn, Ni) were found either absent or within the limits specified. There was no specific industrial input of pollutants. Industrial applications of the river water should be limited since the water was found to be aggressive, based on Langelier saturation index (0.3) and Ryznar stability index (8.8), with the problem of heavy to intolerable corrosion. Water quality of Ganga in Rishikesh was good with exception of most probable number (MPN) which needs regular monitoring and measures to control.

  12. Nutrition assessment and counseling of the medically complex live kidney donor.

    Science.gov (United States)

    Bergen, Carol R; Reese, Peter P; Collins, Donna

    2014-04-01

    Kidney transplantation is the preferred option for patients with end-stage renal disease facing the need for dialysis because it provides maximum survival benefit. The number of people seeking kidney transplantation greatly exceeds available deceased donor organs. Organs from live donors provide a survival advantage over organs from deceased donors while also broadening the pool of available organs. The purpose of this review is to discuss the clinical guidelines that pertain to live kidney organ donation and to describe the nutrition evaluation and care of live kidney donors. The process for living kidney donation is dictated by policies centered on protecting the donor. In a perfect world, the living donor would present with a flawless medical examination and a benign family health history. The obesity epidemic has emerged as a major health concern. Live donor programs are faced with evaluating increasing numbers of obese candidates. These "medically complex donors" may present with obesity and its associated comorbid conditions, including hypertension, impaired glycemic control, and kidney stone disease. The dietitian's role in the live donor program is not well defined. Participation in the living donor selection meeting, where details of the evaluation are summarized, provides a platform for risk stratification and identification of donors who are at increased lifetime risk for poor personal health outcomes. Guiding the donor toward maintenance of a healthy weight through diet and lifestyle choices is a legitimate goal to minimize future health risks.

  13. Assessment of donor/recipient ratios in permethrin transfer studies with Reticulitermes virginicus Banks

    Science.gov (United States)

    T. G. Shelton

    2012-01-01

    Crowding of termites may influence observed recipient mortality in donor-recipient toxicant transfer studies. It was hypothesized that if crowding were important, any termiticide (particularly repellent termiticides, which were not thought to transfer) could be transferred by contact among termites when the donor complement was sufficient. Termiticide transfer donor-...

  14. Metal pollution assessment in a Brazilian hydroelectric reservoir: Geophagus brasiliensis as a suitable bioindicator organism

    Directory of Open Access Journals (Sweden)

    Halina Binde Doria

    2017-08-01

    Full Text Available Vossoroca is a reservoir in the Brazilian state of Paraná. Although it is located near big cities and can be used as a human water supply, it has remained unstudied. Concentrations of toxic metals and arsenic in sediments, water, liver, gills, and muscle of Geophagus brasiliensis from the reservoir were analyzed using atomic absorption spectrometry. Histological analyses were performed on the gills and the livers using scanning electron microscopy and light microscopy, respectively. The results showed that Vossoroca sediments were moderately polluted by copper, chromium, nickel and arsenic. Cadmium was above legal limits in the water. Histopathological assessment revealed epithelial alterations in the secondary lamella to be the most common abnormality observed in the gills and necrosis, melanomacrophage centers in the livers. In conclusion, although the reservoir is located in an Environmental Protection Area, it is negatively affected by human activity. Further, Geophagus brasiliensis was a suitable bioindicator for metal pollution studies.

  15. Smartphone-based distributed data collection enables rapid assessment of shorebird habitat suitability

    Science.gov (United States)

    Thieler, E. Robert; Zeigler, Sara; Winslow, Luke; Hines, Megan K.; Read, Jordan S.; Walker, Jordan I.

    2016-01-01

    Understanding and managing dynamic coastal landscapes for beach-dependent species requires biological and geological data across the range of relevant environments and habitats. It is difficult to acquire such information; data often have limited focus due to resource constraints, are collected by non-specialists, or lack observational uniformity. We developed an open-source smartphone application called iPlover that addresses these difficulties in collecting biogeomorphic information at piping plover (Charadrius melodus) nest sites on coastal beaches. This paper describes iPlover development and evaluates data quality and utility following two years of collection (n = 1799 data points over 1500 km of coast between Maine and North Carolina, USA). We found strong agreement between field user and expert assessments and high model skill when data were used for habitat suitability prediction. Methods used here to develop and deploy a distributed data collection system have broad applicability to interdisciplinary environmental monitoring and modeling.

  16. Forest Carbon Leakage Quantification Methods and Their Suitability for Assessing Leakage in REDD

    Directory of Open Access Journals (Sweden)

    Sabine Henders

    2012-01-01

    Full Text Available This paper assesses quantification methods for carbon leakage from forestry activities for their suitability in leakage accounting in a future Reducing Emissions from Deforestation and Forest Degradation (REDD mechanism. To that end, we first conducted a literature review to identify specific pre-requisites for leakage assessment in REDD. We then analyzed a total of 34 quantification methods for leakage emissions from the Clean Development Mechanism (CDM, the Verified Carbon Standard (VCS, the Climate Action Reserve (CAR, the CarbonFix Standard (CFS, and from scientific literature sources. We screened these methods for the leakage aspects they address in terms of leakage type, tools used for quantification and the geographical scale covered. Results show that leakage methods can be grouped into nine main methodological approaches, six of which could fulfill the recommended REDD leakage requirements if approaches for primary and secondary leakage are combined. The majority of methods assessed, address either primary or secondary leakage; the former mostly on a local or regional and the latter on national scale. The VCS is found to be the only carbon accounting standard at present to fulfill all leakage quantification requisites in REDD. However, a lack of accounting methods was identified for international leakage, which was addressed by only two methods, both from scientific literature.

  17. Assessment of land suitability and capability by integrating remote sensing and GIS for agriculture in Chamarajanagar district, Karnataka, India

    Directory of Open Access Journals (Sweden)

    Mohamed A.E. AbdelRahman

    2016-06-01

    Full Text Available To reduce the human influence on natural resources and to identify an appropriate land use, it is essential to carry out scientific land evaluations. Such kind of analysis allows identifying the main limiting factors for the agricultural production and enables decision makers to develop crop managements able to increase the land productivity. Objectives of this study were to develop a GIS based approach for land use suitability assessment which will assist land managers and land use planners to identify areas with physical constraints for a range of nominated land uses. Georeferenced soil survey data and field work observations have been integrated in a GIS based land use suitability assessment for agricultural planning in Chamarajanagar district, Karnataka, India. Also, GIS has been used to match the suitability for main crops based on the requirements of the crops and the quality and characteristics of land. Different land quality parameters, viz. soil texture, depth, erosion, slope, flooding and coarse fragments under various land units were evaluated for the crops. Subsequently all of them were integrated using a sequence of logical operations to generate land suitability and capability maps. Suitability and capability maps for each land use were developed to illustrate these suitability degrees and display the spatial representation of soils suitable for agriculture. It was also found that better land use options could be implemented in different land units as the conventional land evaluation methods suffer from limitation of spatial analysis for the suitability of various crops.

  18. Application of computer-assisted three-dimensional quantitative assessment and a surgical planning tool for living donor liver transplantation.

    Science.gov (United States)

    Wei, Lin; Zhu, Zhi-Jun; Lü, Yi; Jiang, Wen-Tao; Gao, Wei; Zeng, Zhi-Gui; Shen, Zhong-Yang

    2013-04-01

    Precise evaluation of the live donor's liver is the most important factor for the donor's safety and the recipient's prognosis in living donor liver transplantation (LDLT). Our study assessed the clinical value of computer-assisted three-dimensional quantitative assessment and a surgical planning tool for donor evaluation in LDLT. Computer-assisted three-dimensional (3D) quantitative assessment was used to prospectively provide quantitative assessment of the graft volume for 123 consecutive donors of LDLT and its accuracy and efficiency were compared with that of the standard manual-traced method. A case of reduced monosegmental LDLT was also assessed and a surgical planning tool displayed the precise surgical plan to avoid large-for-size syndrome. There was no statistically significant difference between the detected graft volumes with computer-assisted 3D quantitative assessment and manual-traced approaches ((856.76 ± 162.18) cm(3) vs. (870.64 ± 172.54) cm(3), P = 0.796). Estimated volumes by either method had good correlation with the actual graft weight (r-manual-traced method: 0.921, r-3D quantitative assessment method: 0.896, both P computer-assisted 3D quantitative assessment approach was significantly more efficient taking half the time of the manual-traced method ((16.91 ± 1.375) minutes vs. (39.27 ± 2.102) minutes, P Computer-assisted 3D quantitative assessment provided precise evaluation of the graft volume. It also assisted surgeons with a better understanding of the hepatic 3D anatomy and was useful for the individual surgical planning tool.

  19. Site Suitability Assessment with Dynamic Wake Meandering Model. A Certification Point of View.

    Science.gov (United States)

    Tomas Bayo, Ricard; Parro, Gema

    2015-04-01

    Establishment of large wind farms requires enormous investments putting steadily greater emphasis on optimal topology design and control of these. This requires not only an optimization of the power output, but also the development of strategies to cope with the higher loading expected. The cornerstone of such strategies is a realistic characterization and modelling of the wake flow field inside the wind farm, beyond Frandsen's equivalent turbulence method. Whereas Frandsen model has been mostly considered in the industry so far, it has not proved completely satisfactory when facing current problems such as wake effects on turbines placed at short distances or consequences of half wake for turbine loading. The objective of the present work is to address these questions from a certification point of view within the framework of Risoe's Dynamic Wake Meandering (DWM) model. The DWM model is based on the combination of three parts: modeling of quasi-steady wake deficits, a stochastic model of the downwind wake meandering and an added or self-generated wake turbulence. The analysis carried out is two-fold: First, a comparative study of the wake effects generated in Frandsen model as well as in various realizations of the DWM model is performed. For this purpose wake-induced loads are calculated using two different aeroelastic codes: HAWC2 and Bladed. Second, the applicability of DWM for the assessment of wind turbines under site-specific conditions is discussed and the conclusions summarized in a Recommended Practice. Clear prescriptions are thereby provided for the use of DWMM for site suitability assessments, including the aforementioned extreme situations, along with the interpretation of the future version of the IEC 61400-1 standards.

  20. Furosine: a suitable marker for assessing the freshness of royal jelly.

    Science.gov (United States)

    Marconi, Emanuele; Caboni, Maria Fiorenza; Messia, Maria Cristina; Panfili, Gianfranco

    2002-05-08

    Fifteen commercial samples of royal jelly, consisting of 10 imported samples, and 5 samples of known origin obtained freshly harvested from beekeepers, were analyzed for protein, lysine, and furosine content. In addition, a commercial sample of royal jelly, at the beginning of its commercial shelf life, was stored for 10 months both at 4 degrees C and at room temperature in order to assess the development of the Maillard reaction (furosine) and relative nutritional damage (blocked lysine). The commercial royal jelly products contained different amounts of furosine, ranging from 37.1 to 113.3 mg/100 g protein, evidence of different storage times and conditions. The average furosine content of the royal jelly samples of known origin and harvesting was significantly lower than that of the imported samples (41.7 versus 73.6 mg/100 g protein, respectively). With regard to shelf life, furosine content increased significantly from 72.0 mg/100 g protein to 500.8 mg/100 g protein after 10 months of storage at room temperature, while it increased to a much lower level (100.5 mg/100 g protein) when the royal jelly was stored at 4 degrees C. However, nutritional damage, expressed as blocked lysine (calculated indirectly from the furosine content), was minor or negligible, 11.9 and 2.3% of total lysine, in samples stored at room temperature and at 4 degrees C, respectively. Lysine was determined by an innovative procedure based on high-performance anion-exchange chromatography with pulsed amperometric detection (HPAEC-PAD). The results showed that furosine is a suitable index for assessing the quality and freshness of royal jelly.

  1. Suitability of semi-automated tumor response assessment of liver metastases using a dedicated software package

    Energy Technology Data Exchange (ETDEWEB)

    Kalkmann, Janine; Ladd, S.C.; Greiff, A. de; Forsting, M.; Stattaus, J. [Dept. of Diagnostic and Interventional Radiology and Neuroradiology, Univ. Hospital Essen (Germany)

    2010-07-15

    Purpose: to evaluate the suitability of semi-automated compared to manual tumor response assessment (TRA) of liver metastases. Materials and methods: in total, 32 patients with colorectal cancer and liver metastases were followed by an average of 2.8 contrast-enhanced CT scans. Two observers (O1, O2) measured the longest diameter (LD) of 269 liver metastases manually and semi-automatically using software installed as thin-client on a PACS workstation (LMS-Liver, MEDIAN Technologies). LD and TRA (''progressive'', ''stable'', ''partial remission'') were performed according to RECIST (Response Evaluation Criteria in Solid Tumors) and analyzed for between-method, interobserver and intraobserver variability. The time needed for evaluation was compared for both methods. Results: all measurements correlated excellently (r {>=} 0.96). Intraobserver (semi-automated), interobserver (manual) and between-method differences (by O1) in LD of 1.4 {+-} 2.6 mm, 1.9 {+-} 1.9 mm and 2.1 {+-} 2.0 mm, respectively, were not significant. Interobserver (semi-automated) and between-method (by O2) differences in LD of 3.0 {+-} 3.0 mm and 2.6 {+-} 2.0 mm, respectively, reflected a significant variability (p < 0.01). The interobserver agreement in manual and semi-automated TRA was 91.4%. The intraobserver agreement in semi-automated TRA was 84.5%. Between both methods a TRA agreement of 86.2% was obtained. Semi-automated evaluation (2.7 min) took slightly more time than manual evaluation (2.3 min). Conclusion: semi-automated and manual evaluation of liver metastases yield comparable results in response assessments and require comparable effort. (orig.)

  2. Managing hardwood-softwood mixtures for future forests in eastern North America: assessing suitability to projected climate change

    Science.gov (United States)

    John M. Kabrick; Kenneth L. Clark; Anthony W. D' Amato; Daniel C. Dey; Laura S. Kenefic; Christel C. Kern; Benjamin O. Knapp; David A. MacLean; Patricia Raymond; Justin D. Waskiewicz

    2017-01-01

    Despite growing interest in management strategies for climate change adaptation, there are few methods for assessing the ability of stands to endure or adapt to projected future climates. We developed a means for assigning climate "Compatibility" and "Adaptability" scores to stands for assessing the suitability of tree species for projected climate...

  3. [Kidney transplantation from living donors].

    Science.gov (United States)

    Laca, L; Grandtnerová, B; Lacková, E

    2000-10-01

    From Jan. 1, 1994 till August 31, 1999 in the Transplantation Centre of the F. D. Roosevelt Hospital and Policlinic 202 transplantations of the kidneys were made, incl. 11 from live donors. The survival of patients and renal grafts in our group is 100%, i.e. all transplanted kidneys are so far functional. In transplantations of kidneys from dead donors the one-year survival of grafts was 85% and the 5-year survival only 70%. During removal of kidneys from live donors we had only one minor complication--a surface infection of the surgical wound. The authors describe their own experience with assessing the indication criteria, criteria for selection of the most suitable donor-recipient pair. Consistently with work of authors from abroad, they consider transplantations of the kidneys from live donors as one of the best alternatives how to increase the number and quality of renal transplantations and to prevent thus an increase of the number of patients on the waiting list.

  4. Landfill site suitability assessment by means of geographic information system analysis

    National Research Council Canada - National Science Library

    Yazdani, M; Monavari, S. M; Omrani, G. A; Shariat, M; Hosseini, S. M

    2015-01-01

    .... So recognition of the MSW landfill state is required to prevent environmental problems. The objective of this research was to study the suitability of existing municipal landfill sites using geographic information system methods...

  5. Suitability assessment and mapping of Oyo State, Nigeria, for rice cultivation using GIS

    Science.gov (United States)

    Ayoade, Modupe Alake

    2017-08-01

    Rice is one of the most preferred food crops in Nigeria. However, local rice production has declined with the oil boom of the 1970s causing demand to outstrip supply. Rice production can be increased through the integration of Geographic Information Systems (GIS) and crop-land suitability analysis and mapping. Based on the key predictor variables that determine rice yield mentioned in relevant literature, data on rainfall, temperature, relative humidity, slope, and soil of Oyo state were obtained. To develop rice suitability maps for the state, two MCE-GIS techniques, namely the Overlay approach and weighted linear combination (WLC), using fuzzy AHP were used and compared. A Boolean land use map derived from a landsat imagery was used in masking out areas currently unavailable for rice production. Both suitability maps were classified into four categories of very suitable, suitable, moderate, and fairly moderate. Although the maps differ slightly, the overlay and WLC (AHP) approach found most parts of Oyo state (51.79 and 82.9 % respectively) to be moderately suitable for rice production. However, in areas like Eruwa, Oyo, and Shaki, rainfall amount received needs to be supplemented by irrigation for increased rice yield.

  6. Assessing Potential Land Suitability for Surface Irrigation using Groundwater in Ethiopia

    Science.gov (United States)

    Worqlul, A. W.; Jeong, J.; Osorio, J.; Gerik, T.; Yihun, D.; Srinivan, R.; Clark, N.

    2016-12-01

    Although Ethiopia has large land areas that can potentially be developed for surface irrigation, only a fraction of the potential available land has been utilized. This paper presents evaluation of the potential lands in Ethiopia that are suitable for irrigation using groundwater. The suitable land was identified using GIS-based Multi-Criteria Evaluation (MCE) techniques applying a GIS model. The factors used were identified from literature and from experts in the region. Factors considered includes physical land features (land use, soil and slope), climate characteristics (rainfall and evapotranspiration), and market access (proximity to roads and access to market). Factors were weighted using a pair-wise comparison matrix, reclassified, and overlaid to identify the suitable areas for groundwater irrigation at 1 km grid. Groundwater data from the British Geological Survey were used to estimate potential groundwater availability and analyze the irrigation potential for dominant crops. Simulated output from SWAT could be used in areas where data is not available. Result indicates that approximately 6.0 million ha of land in Ethiopia is suitable for surface irrigation. A large portion of this suitable land is located in the Abbay, Rift Valley, Omo Ghibe, and Awash River basins, which all also have shallow groundwater access (crop water requirements indicated that current groundwater resources in the basins are not capable of irrigating all suitable land independently, but groundwater resources are a good option for supplementing current surface water resources in many regions. The study indicated that only 8 % of the suitable land could be irrigated with the groundwater within the grid.

  7. Land Suitability Assessment for Camelina (Camelina sativa L. Development in Chile

    Directory of Open Access Journals (Sweden)

    Celián Román-Figueroa

    2017-01-01

    Full Text Available Camelina (Camelina sativa L. is an oilseed with potential for use as a raw material in second-generation biofuels. Camelina has a seed yield of up to 2380 kg·ha−1 and contains around 45% fatty acids. Selection of a suitable site is critical for production optimization. The objective of this study was to determine Chilean agro-climatic suitability for establishing camelina as a productive alternative. Climate and soil requirements and geographical restraints were evaluated for the species, considering the climatological characteristics of its regions of origin, as well as regions where camelina is successfully grown in the rest of the world. The variables considered included factors (maximum temperatures of the warmest month, water deficits, and degree days and limitations (altitude, geomorphology, and current land use, which permitted the evaluation of the national territory for a certain level of suitability. It was determined that 1.3% of the national territory (960,664 ha has some degree of suitability for camelina adoption. Between the Biobío and Los Lagos regions, 49.0% of the land (471,203 ha is in the category of no thermic restrictions, with mild water restrictions, and mild soil restrictions or without information, which can be used for camelina production. The Los Ríos region has 21.4% surface area (321,176 ha with some level of suitability for camelina, the most suitable region to establish this crop in Chile. This research has provided valuable information applicable to new species and geographic areas which facilitate the adaptation of agricultural and forestry production to global changes.

  8. Using Risk Assessment and Habitat Suitability Models to Prioritise Invasive Species for Management in a Changing Climate.

    Directory of Open Access Journals (Sweden)

    Shauna-Lee Chai

    Full Text Available Accounting for climate change in invasive species risk assessments improves our understanding of potential future impacts and enhances our preparedness for the arrival of new non-native species. We combined traditional risk assessment for invasive species with habitat suitability modeling to assess risk to biodiversity based on climate change. We demonstrate our method by assessing the risk for 15 potentially new invasive plant species to Alberta, Canada, an area where climate change is expected to facilitate the poleward expansion of invasive species ranges. Of the 15 species assessed, the three terrestrial invasive plant species that could pose the greatest threat to Alberta's biodiversity are giant knotweed (Fallopia sachalinensis, tamarisk (Tamarix chinensis, and alkali swainsonpea (Sphaerophysa salsula. We characterise giant knotweed as 'extremely invasive', with 21 times the suitable habitat between baseline and future projected climate. Tamarisk is 'extremely invasive' with a 64% increase in suitable habitat, and alkali swainsonpea is 'highly invasive' with a 21% increase in suitable habitat. Our methodology can be used to predict and prioritise potentially new invasive species for their impact on biodiversity in the context of climate change.

  9. Using Risk Assessment and Habitat Suitability Models to Prioritise Invasive Species for Management in a Changing Climate.

    Science.gov (United States)

    Chai, Shauna-Lee; Zhang, Jian; Nixon, Amy; Nielsen, Scott

    2016-01-01

    Accounting for climate change in invasive species risk assessments improves our understanding of potential future impacts and enhances our preparedness for the arrival of new non-native species. We combined traditional risk assessment for invasive species with habitat suitability modeling to assess risk to biodiversity based on climate change. We demonstrate our method by assessing the risk for 15 potentially new invasive plant species to Alberta, Canada, an area where climate change is expected to facilitate the poleward expansion of invasive species ranges. Of the 15 species assessed, the three terrestrial invasive plant species that could pose the greatest threat to Alberta's biodiversity are giant knotweed (Fallopia sachalinensis), tamarisk (Tamarix chinensis), and alkali swainsonpea (Sphaerophysa salsula). We characterise giant knotweed as 'extremely invasive', with 21 times the suitable habitat between baseline and future projected climate. Tamarisk is 'extremely invasive' with a 64% increase in suitable habitat, and alkali swainsonpea is 'highly invasive' with a 21% increase in suitable habitat. Our methodology can be used to predict and prioritise potentially new invasive species for their impact on biodiversity in the context of climate change.

  10. Non-invasive assessment of the donor corneal endothelium using ocular redox fluorometry.

    OpenAIRE

    Shimazaki, J; Laing, R A; Tsubota, K; Kenyon, K R

    1996-01-01

    AIMS: To investigate the usefulness of ocular redox fluorometry for evaluating donor corneal endothelial viability. METHODS: Corneas from 42 recipients of penetrating keratoplasty and four donor corneas were examined by ocular redox fluorometry. Autofluorescence from reduced pyridine nucleotides (PN) and oxidised flavoproteins (Fp) of the human corneal endothelium were measured non-invasively, and the PN/Fp ratio was used as a tissue metabolic indicator. Specular microscopy and electron micro...

  11. Assessing the quality, suitability and readability of internet-based health information about warfarin for patients.

    Science.gov (United States)

    Nasser, Sayeed; Mullan, Judy; Bajorek, Beata

    2012-01-01

    Warfarin is a high-risk medication where patient information may be critical to help ensure safe and effective treatment. Considering the time constraints of healthcare providers, the internet can be an important supplementary information resource for patients prescribed warfarin. The usefulness of internet-based patient information is often limited by challenges associated with finding valid and reliable health information. Given patients' increasing access of the internet for information, this study investigated the quality, suitability and readability of patient information about warfarin presented on the internet. Previously validated tools were used to evaluate the quality, suitability and readability of patient information about warfarin on selected websites. The initial search yielded 200 websites, of which 11 fit selection criteria, comprising seven non-commercial and four commercial websites. Regarding quality, most of the non-commercial sites (six out of seven) scored at least an 'adequate' score. With regard to suitability, 6 of the 11 websites (including two of the four commercial sites) attained an 'adequate' score. It was determined that information on 7 of the 11 sites (including two commercial sites) was written at reading grade levels beyond that considered representative of the adult patient population with poor literacy skills (e.g. school grade 8 or less). Despite the overall 'adequate' quality and suitability of the internet derived patient information about warfarin, the actual usability of such websites may be limited due to their poor readability grades, particularly in patients with low literacy skills.

  12. 78 FR 26799 - Waterway Suitability Assessment for Expansion of Liquefied Gas Terminals; Beaumont, TX

    Science.gov (United States)

    2013-05-08

    ... associated with the facility, must submit a Letter of Intent (LOI) to the COTP of the zone in which the... in Beaumont, Texas submitted an LOI on January 25, 2013, and a WSA on January 25, 2013, regarding the... an LOI, the COTP issues a Letter of Recommendation (LOR) as to the suitability of the waterway for...

  13. Assessing the suitability of commercial fisheries data for local-scale ...

    African Journals Online (AJOL)

    ... are suitable for systematic spatial planning on a local scale and can be used for future spatial management and conservation. Keywords: chokka-squid, conservation planning, demersal trawl, linefish, logbooks, observer data, shark longline, small pelagic, vessel monitoring system. African Journal of Marine Science 2014, ...

  14. Assessment of the suitability of trees for brownfields reuse in the post-mining landscape

    Science.gov (United States)

    Mec, J.; Lokajickova, B.; Sotkova, N.; Svehlakova, H.; Stalmachova, B.

    2017-10-01

    The post-mining landscape of Upper Silesian is deterioration of the original landscape caused by underground coal mining. There are huge ecosystems changes, which have been reclaimed by nature-friendly procedures. The aim of the work is to evaluate the suitability of selected trees for reuse of brownfields in this landscape and proposals for reclamation in the interest areas of Upper Silesian.

  15. 77 FR 70174 - Waterway Suitability Assessment for Expansion of Liquefied Gas Terminals; Houston and Texas City, TX

    Science.gov (United States)

    2012-11-23

    ... 24, 2012 regarding the company's proposed expansion of its LHG facilities in Houston and Texas City... SECURITY Coast Guard Waterway Suitability Assessment for Expansion of Liquefied Gas Terminals; Houston and Texas City, TX AGENCY: Coast Guard, DHS. ACTION: Notice and request for comments. SUMMARY: In accordance...

  16. Suitability Assessment of Printed Dietary Guidelines for Pregnant Women and Parents of Infants and Toddlers From 7 European Countries.

    Science.gov (United States)

    Garnweidner-Holme, Lisa Maria; Dolvik, Stina; Frisvold, Cathrine; Mosdøl, Annhild

    2016-02-01

    To evaluate selected European printed dietary guidelines for pregnant women and parents of infants and toddlers using the suitability assessment of materials (SAM) method. A descriptive study to determine the suitability of 14 printed dietary guidelines from 7 European countries based on deductive quantitative analyses. Materials varied greatly in format and content: 35.7% of materials were rated superior and 64.3% were rated adequate according to the overall SAM score for patient education material. None of the materials were scored not suitable. Among the categories, the highest average scores were for layout and typography and the lowest average scores were for cultural appropriateness and learning stimulation and motivation. Interrater reliability ranged from Cohen's kappa of 0.37 to 0.62 (mean, 0.41), indicating fair to moderate agreement among the 3 investigators. Overall, the suitability of the assessed printed dietary guidelines was adequate. Based on the SAM methodology, printed dietary guidelines may increase in suitability by emphasizing aspects related to health literacy and accommodating the needs of different food cultures within a population. Copyright © 2016 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  17. The blood donor identity survey: a multidimensional measure of blood donor motivations.

    Science.gov (United States)

    France, Christopher R; Kowalsky, Jennifer M; France, Janis L; Himawan, Lina K; Kessler, Debra A; Shaz, Beth H

    2014-08-01

    Evidence indicates that donor identity is an important predictor of donation behavior; however, prior studies have relied on diverse, unidimensional measures with limited psychometric support. The goals of this study were to examine the application of self-determination theory to blood donor motivations and to develop and validate a related multidimensional measure of donor identity. Items were developed and administered electronically to a sample of New York Blood Center (NYBC) donors (n=582) and then to a sample of Ohio University students (n=1005). Following initial confirmatory factor analysis (CFA) on the NYBC sample to identify key items related to self-determination theory's six motivational factors, a revised survey was administered to the university sample to reexamine model fit and to assess survey reliability and validity. Consistent with self-determination theory, for both samples CFAs indicated that the best fit to the data was provided by a six-motivational-factor model, including amotivation, external regulation, introjected regulation, identified regulation, integrated regulation, and intrinsic regulation. The Blood Donor Identity Survey provides a psychometrically sound, multidimensional measure of donor motivations (ranging from unmotivated to donate to increasing levels of autonomous motivation to donate) that is suitable for nondonors as well as donors with varying levels of experience. Future research is needed to examine longitudinal changes in donor identity and its relationship to actual donation behavior. © 2014 AABB.

  18. Assessing the quality, suitability and readability of internet-based health information about warfarin for patients

    Directory of Open Access Journals (Sweden)

    Sayeed Nasser

    2012-03-01

    Full Text Available BackgroundWarfarin is a high-risk medication where patient information may be critical to help ensure safe and effective treatment. Considering the time constraints of healthcare providers, the internet can be an important supplementary information resource for patients prescribed warfarin. The usefulness of internet-based patient information is often limited by challenges associated with finding valid and reliable health information. Given patients’ increasing access of the internet for information, this study investigated the quality, suitability and readability of patient information about warfarin presented on the internet.MethodPreviously validated tools were used to evaluate the quality, suitability and readability of patient information about warfarin on selected websites.ResultsThe initial search yielded 200 websites, of which 11 fit selection criteria, comprising seven non-commercial and four commercial websites. Regarding quality, most of the non-commercial sites (six out of seven scored at least an ‘adequate’ score. With regard to suitability, 6 of the 11 websites (including two of the four commercial sites attained an ‘adequate’ score. It was determined that information on 7 of the 11 sites (including two commercial sites was written at reading grade levels beyond that considered representative of the adult patient population with poor literacy skills (e.g. school grade 8 or less.ConclusionDespite the overall ‘adequate’ quality and suitability of the internet derived patient information about warfarin, the actual usability of such websites may be limited due to their poor readability grades, particularly in patients with low literacy skills.

  19. Land suitability assessment on a watershed of Loess Plateau using the analytic hierarchy process.

    Directory of Open Access Journals (Sweden)

    Xiaobo Yi

    Full Text Available In order to reduce soil erosion and desertification, the Sloping Land Conversion Program has been conducted in China for more than 15 years, and large areas of farmland have been converted to forest and grassland. However, this large-scale vegetation-restoration project has faced some key problems (e.g. soil drying that have limited the successful development of the current ecological-recovery policy. Therefore, it is necessary to know about the land use, vegetation, and soil, and their inter-relationships in order to identify the suitability of vegetation restoration. This study was conducted at the watershed level in the ecologically vulnerable region of the Loess Plateau, to evaluate the land suitability using the analytic hierarchy process (AHP. The results showed that (1 the area unsuitable for crops accounted for 73.3% of the watershed, and the main factors restricting cropland development were soil physical properties and soil nutrients; (2 the area suitable for grassland was about 86.7% of the watershed, with the remaining 13.3% being unsuitable; (3 an area of 3.95 km(2, accounting for 66.7% of the watershed, was unsuitable for forest. Overall, the grassland was found to be the most suitable land-use to support the aims of the Sloping Land Conversion Program in the Liudaogou watershed. Under the constraints of soil water shortage and nutrient deficits, crops and forests were considered to be inappropriate land uses in the study area, especially on sloping land. When selecting species for re-vegetation, non-native grass species with high water requirements should be avoided so as to guarantee the sustainable development of grassland and effective ecological functioning. Our study provides local land managers and farmers with valuable information about the inappropriateness of growing trees in the study area along with some information on species selection for planting in the semi-arid area of the Loess Plateau.

  20. Land suitability assessment on a watershed of Loess Plateau using the analytic hierarchy process.

    Science.gov (United States)

    Yi, Xiaobo; Wang, Li

    2013-01-01

    In order to reduce soil erosion and desertification, the Sloping Land Conversion Program has been conducted in China for more than 15 years, and large areas of farmland have been converted to forest and grassland. However, this large-scale vegetation-restoration project has faced some key problems (e.g. soil drying) that have limited the successful development of the current ecological-recovery policy. Therefore, it is necessary to know about the land use, vegetation, and soil, and their inter-relationships in order to identify the suitability of vegetation restoration. This study was conducted at the watershed level in the ecologically vulnerable region of the Loess Plateau, to evaluate the land suitability using the analytic hierarchy process (AHP). The results showed that (1) the area unsuitable for crops accounted for 73.3% of the watershed, and the main factors restricting cropland development were soil physical properties and soil nutrients; (2) the area suitable for grassland was about 86.7% of the watershed, with the remaining 13.3% being unsuitable; (3) an area of 3.95 km(2), accounting for 66.7% of the watershed, was unsuitable for forest. Overall, the grassland was found to be the most suitable land-use to support the aims of the Sloping Land Conversion Program in the Liudaogou watershed. Under the constraints of soil water shortage and nutrient deficits, crops and forests were considered to be inappropriate land uses in the study area, especially on sloping land. When selecting species for re-vegetation, non-native grass species with high water requirements should be avoided so as to guarantee the sustainable development of grassland and effective ecological functioning. Our study provides local land managers and farmers with valuable information about the inappropriateness of growing trees in the study area along with some information on species selection for planting in the semi-arid area of the Loess Plateau.

  1. Assessment of suitable habitat for Phragmites australis (common reed) in the Great Lakes coastal zone

    Science.gov (United States)

    Carlson Mazur, Martha L.; Kowalski, Kurt P.; Galbraith, David

    2014-01-01

    In the Laurentian Great Lakes, the invasive form of Phragmites australis (common reed) poses a threat to highly productive coastal wetlands and shorelines by forming impenetrable stands that outcompete native plants. Large, dominant stands can derail efforts to restore wetland ecosystems degraded by other stressors. To be proactive, landscape-level management of Phragmites requires information on the current spatial distribution of the species and a characterization of areas suitable for future colonization. Using a recent basin-scale map of this invasive plant’s distribution in the U.S. coastal zone of the Great Lakes, environmental data (e.g., soils, nutrients, disturbance, climate, topography), and climate predictions, we performed analyses of current and predicted suitable coastal habitat using boosted regression trees, a type of species distribution modeling. We also investigated differential influences of environmental variables in the upper lakes (Lakes Superior, Michigan, and Huron) and lower lakes (Lakes St. Clair, Erie, and Ontario). Basin-wide results showed that the coastal areas most vulnerable to Phragmites expansion were in close proximity to developed lands and had minimal topographic relief, poorly drained soils, and dense road networks. Elevated nutrients and proximity to agriculture also influenced the distribution of Phragmites. Climate predictions indicated an increase in suitable habitat in coastal Lakes Huron and Michigan in particular. The results of this study, combined with a publicly available online decision support tool, will enable resource managers and restoration practitioners to target and prioritize Phragmites control efforts in the Great Lakes coastal zone.

  2. Assessment of suitability of tree species for the production of biomass on trace element contaminated soils

    Energy Technology Data Exchange (ETDEWEB)

    Evangelou, Michael W.H., E-mail: michael.evangelou@env.ethz.ch [Institute of Terrestrial Ecosystems, ETH Zuerich, Universitaetstrasse 16, CH-8092 Zuerich (Switzerland); Deram, Annabelle, E-mail: annabelle.deram@univ-lille2.fr [Laboratoire des sciences vegetales et fongiques - EA4483, Faculte des sciences pharmaceutiques et biologiques-ILIS, Universite Lille Nord de France - 3, rue du Professeur Laguesse, B.P. 83, F-59006 Lille Cedex (France); Gogos, Alexander; Studer, Bjoern; Schulin, Rainer [Institute of Terrestrial Ecosystems, ETH Zuerich, Universitaetstrasse 16, CH-8092 Zuerich (Switzerland)

    2012-03-30

    Highlights: Black-Right-Pointing-Pointer Birch: lowest metal concentrations in foliage, wood and bark. Black-Right-Pointing-Pointer Bark proportion does not have to decline with increasing age of tree. Black-Right-Pointing-Pointer Long harvest rotation (>25 y) reduces metal concentrations in stem. Black-Right-Pointing-Pointer Birch: most suitable tree for BCL. - Abstract: To alleviate the demand on fertile agricultural land for production of bioenergy, we investigated the possibility of producing biomass for bioenergy on trace element (TE) contaminated land. Soil samples and plant tissues (leaves, wood and bark) of adult willow (Salix sp.), poplar (Populus sp.), and birch (Betula pendula) trees were collected from five contaminated sites in France and Germany and analysed for Zn, Cd, Pb, Cu, Ca, and K. Cadmium concentration in tree leaves were correlated with tree species, whereas Zn concentration in leaves was site correlated. Birch revealed significantly lower leaf Cd concentrations (1.2-8.9 mg kg{sup -1}) than willow and poplar (5-80 mg kg{sup -1}), thus posing the lowest risk for TE contamination of surrounding areas. Birch displayed the lowest bark concentrations for Ca (2300-6200 mg kg{sup -1}) and K (320-1250 mg kg{sup -1}), indicating that it would be the most suitable tree species for fuel production, as high concentrations of K and Ca decrease the ash melting point which results in a reduced plant lifetime. Due to higher TE concentrations in bark compared to wood a small bark proportion in relation to the trunk is desirable. In general the bark proportion was reduced with the tree age. In summary, birch was amongst the investigated species the most suitable for biomass production on TE contaminated land.

  3. Assessing Pearl Quality Using Reflectance UV-Vis Spectroscopy: Does the Same Donor Produce Consistent Pearl Quality?

    Science.gov (United States)

    Mamangkey, Noldy Gustaf F.; Agatonovic, Snezana; Southgate, Paul C.

    2010-01-01

    -Vis spectrophotometry. Nevertheless, this technique could have a role to play in developing less subjective methods of assessing pearl quality and in further studies of the relationships between pearl quality and that of the donor and recipient oysters. PMID:20948903

  4. Assessing pearl quality using reflectance UV-Vis spectroscopy: does the same donor produce consistent pearl quality?

    Science.gov (United States)

    Mamangkey, Noldy Gustaf F; Agatonovic, Snezana; Southgate, Paul C

    2010-09-20

    -Vis spectrophotometry. Nevertheless, this technique could have a role to play in developing less subjective methods of assessing pearl quality and in further studies of the relationships between pearl quality and that of the donor and recipient oysters.

  5. Assessing Pearl Quality Using Reflectance UV-Vis Spectroscopy: Does the Same Donor Produce Consistent Pearl Quality?

    Directory of Open Access Journals (Sweden)

    Paul C. Southgate

    2010-09-01

    with UV-Vis spectrophotometry. Nevertheless, this technique could have a role to play in developing less subjective methods of assessing pearl quality and in further studies of the relationships between pearl quality and that of the donor and recipient oysters.

  6. Enteric Viruses and Fecal Bacteria Indicators to Assess Groundwater Quality and Suitability for Irrigation.

    Science.gov (United States)

    De Giglio, Osvalda; Caggiano, Giuseppina; Bagordo, Francesco; Barbuti, Giovanna; Brigida, Silvia; Lugoli, Federica; Grassi, Tiziana; La Rosa, Giuseppina; Lucentini, Luca; Uricchio, Vito Felice; De Donno, Antonella; Montagna, Maria Teresa

    2017-05-24

    According to Italian Ministerial Decree No. 185 of 12 June 2003, water is considered suitable for irrigation if levels of fecal bacteria (i.e., Escherichia coli and Salmonella) are within certain parameters. The detection of other microorganisms is not required. The aim of this study is to determine the bacteriological quality of groundwater used for irrigation and the occurrence of enteric viruses (Norovirus, Enterovirus, Rotavirus, Hepatovirus A), and to compare the presence of viruses with the fecal bacteria indicators. A total of 182 wells was analyzed. Widespread fecal contamination of Apulian aquifers was detected (141 wells; 77.5%) by the presence of fecal bacteria (i.e., E. coli, Salmonella, total coliforms, and enterococci). Considering bacteria included in Ministerial Decree No. 185, the water from 35 (19.2%) wells was unsuitable for irrigation purposes. Among 147 wells with water considered suitable, Norovirus, Rotavirus, and Enterovirus were detected in 23 (15.6%) wells. No Hepatovirus A was isolated. Consequently, 58 wells (31.9%) posed a potential infectious risk for irrigation use. This study revealed the inadequacy of fecal bacteria indicators to predict the occurrence of viruses in groundwater and it is the first in Italy to describe the presence of human rotaviruses in well water used for irrigation.

  7. Assessment of suitability of tree species for the production of biomass on trace element contaminated soils.

    Science.gov (United States)

    Evangelou, Michael W H; Deram, Annabelle; Gogos, Alexander; Studer, Björn; Schulin, Rainer

    2012-03-30

    To alleviate the demand on fertile agricultural land for production of bioenergy, we investigated the possibility of producing biomass for bioenergy on trace element (TE) contaminated land. Soil samples and plant tissues (leaves, wood and bark) of adult willow (Salix sp.), poplar (Populus sp.), and birch (Betula pendula) trees were collected from five contaminated sites in France and Germany and analysed for Zn, Cd, Pb, Cu, Ca, and K. Cadmium concentration in tree leaves were correlated with tree species, whereas Zn concentration in leaves was site correlated. Birch revealed significantly lower leaf Cd concentrations (1.2-8.9 mg kg(-1)) than willow and poplar (5-80 mg kg(-1)), thus posing the lowest risk for TE contamination of surrounding areas. Birch displayed the lowest bark concentrations for Ca (2300-6200 mg kg(-1)) and K (320-1250 mg kg(-1)), indicating that it would be the most suitable tree species for fuel production, as high concentrations of K and Ca decrease the ash melting point which results in a reduced plant lifetime. Due to higher TE concentrations in bark compared to wood a small bark proportion in relation to the trunk is desirable. In general the bark proportion was reduced with the tree age. In summary, birch was amongst the investigated species the most suitable for biomass production on TE contaminated land. Copyright © 2012 Elsevier B.V. All rights reserved.

  8. Assessing Acceptability of Short Message Service Based Interventions towards Becoming Future Voluntary Blood Donors

    Directory of Open Access Journals (Sweden)

    Sana Saleem

    2014-01-01

    Full Text Available All blood bank services, especially those of developing countries, face a major shortfall of blood donations due to lack of voluntary blood donors. Our study aims to evaluate the acceptability of Short Message Service based interventions towards becoming voluntary blood donors among medical university students of Karachi, Pakistan. Methods. A total of 350 medical students were approached in medical universities of Karachi, Pakistan, using a nonprobability convenient sampling technique. Data collectors administered a self-made questionnaire to each participant using an interview based format. All data was recorded and analyzed on SPSS 16. Results. 350 participants, having a mean age of 21.47 ± 1.36, were included in our study with 30.6% (107/350 being males and 69.4% (243/350 being females. 93.4% (327/350 of participants agreed that donating blood was healthy, but only 26% had donated blood in the past with 79.1% donating voluntarily. 65.7% (230/350 of the participants agreed to take part in Short Message Service based behavioral interventions to become voluntary blood donors with 69.7% (244/350 also agreeing that Short Message Service reminders will promote them to donate blood more often. Conclusion. With university students willing to become voluntary blood donors, Pakistani blood banks can carry out Short Message Service based interventions to encourage them to donate blood.

  9. The ELPAT living organ donor Psychosocial Assessment Tool (EPAT): from 'what' to 'how' of psychosocial screening - a pilot study.

    Science.gov (United States)

    Massey, Emma K; Timmerman, Lotte; Ismail, Sohal Y; Duerinckx, Nathalie; Lopes, Alice; Maple, Hannah; Mega, Inês; Papachristou, Christina; Dobbels, Fabienne

    2017-08-29

    Thorough psychosocial screening of donor candidates is required in order to minimize potential negative consequences and to strive for optimal safety within living donation programmes. We aimed to develop an evidence-based tool to standardize the psychosocial screening process. Key concepts of psychosocial screening were used to structure our tool: motivation and decision-making, personal resources, psychopathology, social resources, ethical and legal factors and information and risk processing. We (i) discussed how each item per concept could be measured, (ii) reviewed and rated available validated tools, (iii) where necessary developed new items, (iv) assessed content validity and (v) pilot-tested the new items. The resulting ELPAT living organ donor Psychosocial Assessment Tool (EPAT) consists of a selection of validated questionnaires (28 items in total), a semi-structured interview (43 questions) and a Red Flag Checklist. We outline optimal procedures and conditions for implementing this tool. The EPAT and user manual are available from the authors. Use of this tool will standardize the psychosocial screening procedure ensuring that no psychosocial issues are overlooked and ensure that comparable selection criteria are used and facilitate generation of comparable psychosocial data on living donor candidates. © 2017 Steunstichting ESOT.

  10. Significance of Semiquantitative Assessment of Preformed Donor-Specific Antibody Using Luminex Single Bead Assay in Living Related Liver Transplantation

    Directory of Open Access Journals (Sweden)

    Atsushi Yoshizawa

    2013-01-01

    Full Text Available Aim. To analyze the risks of preoperatively produced donor-specific antibody (DSA in liver transplantation. Methods. DSA was assessed using direct complement-dependent cytotoxicity (CDC and anti-human globulin- (AHG- CDC tests, as well as the Luminex Single Antigen assay. Among 616 patients undergoing blood type identical or compatible living donor liver transplantation (LDLT, 21 patients were positive for CDC or AHG-CDC tests, and the preserved serum from 18 patients was examined to determine targeted Class I and II antigens. The relationships between the mean fluorescence intensity (MFI of DSA and the clinical outcomes were analyzed. Results. Patients were divided into 3 groups according to the MFI of anti-Class I DSA: high (11 patients with MFI > 10,000, low (2 patients with MFI 10,000 had a significant negative effect on the clinical outcome of patients with preformed DSA in LDLT.

  11. A resource-based modelling framework to assess habitat suitability for steppe birds in semiarid Mediterranean agricultural systems

    OpenAIRE

    Laura Cardador; Miquel de Cáceres; Gerard Bota; David Giralt; Fabián Casas; Beatriz Arroyo; François Mougeot; Carlos Cantero-Martínez; Judit Moncunill; Simon J Butler; Lluís Brotons

    2014-01-01

    European agriculture is undergoing widespread changes that are likely to have profound impacts on farmland biodiversity. The development of tools that allow an assessment of the potential biodiversity effects of different land-use alternatives before changes occur is fundamental to guiding management decisions. In this study, we develop a resource-based model framework to estimate habitat suitability for target species, according to simple information on species’ key resource requirements (di...

  12. A Resource-Based Modelling Framework to Assess Habitat Suitability for Steppe Birds in Semiarid Mediterranean Agricultural Systems

    OpenAIRE

    Cardador Bergua, Laura; De Cáceres, Miquel; Bota, Gerard; Giralt, David; Casas, Fabian; Arroyo, Beatriz; Mougeot, F.; Cantero Martínez, Carlos; Moncunill Geniz, Judit; Simon J Butler; Brotons, Lluís

    2014-01-01

    European agriculture is undergoing widespread changes that are likely to have profound impacts on farmland biodiversity.The development of tools that allow an assessment of the potential biodiversity effects of different land-use alternatives before changes occur is fundamental to guiding management decisions. In this study, we develop a resource-based model framework to estimate habitat suitability for target species, according to simple information on species’ key resource requirements (die...

  13. Assessment of land suitability and capability by integrating remote sensing and GIS for agriculture in Chamarajanagar district, Karnataka, India

    OpenAIRE

    AbdelRahman, Mohamed A.E.; Natarajan, A.; Hegde, Rajendra

    2016-01-01

    To reduce the human influence on natural resources and to identify an appropriate land use, it is essential to carry out scientific land evaluations. Such kind of analysis allows identifying the main limiting factors for the agricultural production and enables decision makers to develop crop managements able to increase the land productivity. Objectives of this study were to develop a GIS based approach for land use suitability assessment which will assist land managers and land use planners ...

  14. Generating alternative alignments in terrain suitability studies for environmental impact assessments of linear developments

    CSIR Research Space (South Africa)

    Van Deventer, Heidi

    2010-08-01

    Full Text Available The construction of linear developments, such as roads, railways, pipelines and power lines, in South Africa requires a number of alternatives to be considered prior to the submission of a proposed development for an Environmental Impact Assessment...

  15. An Evaluation of a Behaviour Assessment to Determine the Suitability of Shelter Dogs for Rehoming

    OpenAIRE

    Poulsen, A. H.; Lisle, A. T.; Phillips, C. J. C.

    2010-01-01

    We evaluated a scheme for assessing shelter dog behaviour, which used 28 tests and rated responses from 0 (positive response) to 5 (fear, tonic immobility, or escape attempts). The assessment was evaluated for 236 dogs, and was repeated by a different assessor for 39 dogs approximately 80 days after rehoming to determine relevance of individual test components. A new owner survey evaluated satisfaction with the dog. A total of 130 of 236 dogs passed (score ? 70), 24 scored 71?80 (referred for...

  16. Assessment of suitability of vine shoots for hemicellulosic oligosaccharides production through aqueous processing.

    Science.gov (United States)

    Dávila, Izaskun; Gordobil, Oihana; Labidi, Jalel; Gullón, Patricia

    2016-07-01

    Vine shoots were subjected to non-isothermal aqueous processing. A range of severities (S0) from 3.20 to 4.65 was assayed and their effects in terms of solubilization, composition, molar mass distribution, structural characterization and thermal stability of the liquors were studied using HPLC, HPSEC, TGA and FTIR. The spent solids were characterized by HPLC and FTIR. When autohydrolysis was carried out at S0=4.01, the substrate solubilization achieved a 38.7% of the raw material and 83.1% of the initial xylan was converted into xylooligosaccharides (XOS). The amount of TOS (total oligosaccharides) in the hydrolysates was 28.4g/L while the other non volatile compounds (ONVC) were 0.08g/g NVC. The spent solid from the treatment at S0=4.01 was composed about 90% of cellulose and lignin. Therefore, it can be concluded that autohydrolysis is a suitable pretreatment of vine shoots such as a first stage of a biomass refinery. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Use of computed tomography assessed kidney length to predict split renal GFR in living kidney donors.

    Science.gov (United States)

    Gaillard, François; Pavlov, Patrik; Tissier, Anne-Marie; Harache, Benoit; Eladari, Dominique; Timsit, Marc-Olivier; Fournier, Catherine; Léon, Carine; Hignette, Chantal; Friedlander, Gérard; Correas, Jean-Michel; Weinmann, Pierre; Méjean, Arnaud; Houillier, Pascal; Legendre, Christophe; Courbebaisse, Marie

    2017-02-01

    Screening of living kidney donors may require scintigraphy to split glomerular filtration rate (GFR). To determine the usefulness of computed tomography (CT) to split GFR, we compared scintigraphy-split GFR to CT-split GFR. We evaluated CT-split GFR as a screening test to detect scintigraphy-split GFR lower than 40 mL/min/1.73 m2/kidney. This was a monocentric retrospective study on 346 potential living donors who had GFR measurement, renal scintigraphy, and CT. We predicted GFR for each kidney by splitting GFR using the following formula: Volume-split GFR for a given kidney = measured GFR*[volume of this kidney/(volume of this kidney + volume of the opposite kidney)]. The same formula was used for length-split GFR. We compared length- and volume-split GFR to scintigraphy-split GFR at donation and with a 4-year follow-up. A better correlation was observed between length-split GFR and scintigraphy-split GFR (r = 0.92) than between volume-split GFR and scintigraphy-split GFR (r = 0.89). A length-split GFR threshold of 45 mL/min/1.73 m2/kidney had a sensitivity of 100 % and a specificity of 75 % to detect scintigraphy-split GFR less than 40 mL/min/1.73 m2/kidney. Both techniques with their respective thresholds detected living donors with similar eGFR evolution during follow-up. Length-split GFR can be used to detect patients requiring scintigraphy. • Excellent correlation between kidney length and scintigraphy predicted GFR • Kidney length screening detects all donors with GFR lower than 40 mL/min/1.73 m 2 • Kidney length screening can replace scintigraphy screening.

  18. [Single-donor (apheresis) platelets and pooled whole-blood-derived platelets--significance and assessment of both blood products].

    Science.gov (United States)

    Hitzler, Walter E

    2014-01-01

    The transfusion efficacy of ATK, which contain fully functional platelets, is beyond all doubt. The equivalence of ATK and PTK has been subject of many studies. Some of those studies show the superiority of ATK's, while others do not, but there have been no studies that demonstrated a superiority of PTK's. The superiority of platelets stored in plasma and in third generation additive solution was demonstrated in clinical studies; therefore, it cannot be said that all the platelet concentrates on the German market are equivalent in efficacy. Of decisive importance, above all, is the risk of transfusion-transmitted infections with known pathogens, or those not yet discovered. This risk is different for ATK compared to PTK. Taking this difference in risk and the difference in donor exposure of transfused patients into account, it can definitely be said that ATK and PTK are not equivalent. In 2012, the Robert-Koch-Institute (RKI) published a mathematical risk model for different platelet concentrates and assessed the risk of transmitting known pathogens such as HIV, HCV, and HBV. The risk was higher for PTK compared to ATK. The relative risks for PTK derived from 4BCs were 2.2 (95%--CI: 2.1-2.4) for HIV, 2.7 (95%--CI: 2.5-3.0) for HCV, and 2.2 (95%--CI: 2.8-3.7) for HBV. At the present time, these are the relative risks of transfusion-transmitted infections with the traditional pathogens for PTK compared to ATK. In addition to the RKI assessed risks, there is the theoretical risk of a new, unknown agent, transmitted through blood exposure. The magnitude of this risk is hardly predictable for PTK. The experience gathered so far, especially in the last three decades, with the emergence of HIV, prions, and West Nil virus, shows that the biological nature of a next transfusion-transmissible infectious agent cannot be predictable. This agent, if we think at a conventional sexually transmissible agent with nucleic acid and long latent period, would spread first in areas with

  19. Critical analysis of e-health readiness assessment frameworks: suitability for application in developing countries.

    Science.gov (United States)

    Mauco, Kabelo Leonard; Scott, Richard E; Mars, Maurice

    2018-02-01

    Introduction e-Health is an innovative way to make health services more effective and efficient and application is increasing worldwide. e-Health represents a substantial ICT investment and its failure usually results in substantial losses in time, money (including opportunity costs) and effort. Therefore it is important to assess e-health readiness prior to implementation. Several frameworks have been published on e-health readiness assessment, under various circumstances and geographical regions of the world. However, their utility for the developing world is unknown. Methods A literature review and analysis of published e-health readiness assessment frameworks or models was performed to determine if any are appropriate for broad assessment of e-health readiness in the developing world. A total of 13 papers described e-health readiness in different settings. Results and Discussion Eight types of e-health readiness were identified and no paper directly addressed all of these. The frameworks were based upon varying assumptions and perspectives. There was no underlying unifying theory underpinning the frameworks. Few assessed government and societal readiness, and none cultural readiness; all are important in the developing world. While the shortcomings of existing frameworks have been highlighted, most contain aspects that are relevant and can be drawn on when developing a framework and assessment tools for the developing world. What emerged is the need to develop different assessment tools for the various stakeholder sectors. This is an area that needs further research before attempting to develop a more generic framework for the developing world.

  20. Can donor aid for health be effective in a poor country? Assessment of prerequisites for aid effectiveness in Uganda.

    Science.gov (United States)

    Juliet, Nabyonga Orem; Freddie, Ssengooba; Okuonzi, Sam

    2009-10-22

    Inadequate funding for health is a challenge to attaining health-related Millennium Development Goals. Significant increase in health funding was recommended by the Commission for Macroeconomics and Health. Indeed Official Development Assistance has increased significantly in Uganda. However, the effectiveness of donor aid has come under greater scrutiny. This paper scrutinizes the prerequisites for aid effectiveness. The objective of the study was to assess the prerequisites for effectiveness of donor aid, specifically, its proportion to overall health funding, predictability, comprehensiveness, alignment to country priorities, and channeling mechanisms. Secondary data obtained from various official reports and surveys were analyzed against the variables mentioned under objectives. This was augmented by observations and participation in discussions with all stakeholders to discuss sector performance including health financing. Between 2004-2007, the level of aid increased from US$6 per capita to US$11. Aid was found to be unpredictable with expenditure varying between 174-8722;360 percent from budgets. More than 50% of aid was found to be off budget and unavailable for comprehensive planning. There was disproportionate funding for some items such as drugs. Key health system elements such as human resources and infrastructure have not been given due attention in investment. The government's health funding from domestic sources grew only modestly which did not guarantee fiscal sustainability. Although donor aid is significant there is need to invest in the prerequisites that would guarantee its effective use.

  1. An evaluation of a behaviour assessment to determine the suitability of shelter dogs for rehoming.

    Science.gov (United States)

    Poulsen, A H; Lisle, A T; Phillips, C J C

    2010-01-01

    We evaluated a scheme for assessing shelter dog behaviour, which used 28 tests and rated responses from 0 (positive response) to 5 (fear, tonic immobility, or escape attempts). The assessment was evaluated for 236 dogs, and was repeated by a different assessor for 39 dogs approximately 80 days after rehoming to determine relevance of individual test components. A new owner survey evaluated satisfaction with the dog. A total of 130 of 236 dogs passed (score behavioural modification), and 82 (score > 80) failed. Scores were mainly unaffected by dog type and environmental variables, but decreased if dog faeces from a previous test was present in the arena during a test. Shelter tests only correlated with repeat tests if there was no direct contact with assessors. Adopters were satisfied with their dogs, despite reporting some behaviour problems. The shelter assessment was therefore robust against most outside influences but did not predict responses to people well.

  2. In vitro thermal profile suitability assessment of acids and bases for thermochemical ablation: underlying principles.

    Science.gov (United States)

    Freeman, Laura A; Anwer, Bilal; Brady, Ryan P; Smith, Benjamin C; Edelman, Theresa L; Misselt, Andrew J; Cressman, Erik N K

    2010-03-01

    To measure and compare temperature changes in a recently developed gel phantom for thermochemical ablation as a function of reagent strength and concentration with several acids and bases. Aliquots (0.5-1 mL) of hydrochloric acid or acetic acid and sodium hydroxide or aqueous ammonia were injected for 5 seconds into a hydrophobic gel phantom. Stepwise increments in concentration were used to survey the temperature changes caused by these reactions. Injections were performed in triplicate, measured with a thermocouple probe, and plotted as functions of concentration and time. Maximum temperatures were reached almost immediately in all cases, reaching 75 degrees C-110 degrees C at the higher concentrations. The highest temperatures were seen with hydrochloric acid and either base. More concentrated solutions of sodium hydroxide tended to mix incompletely, such that experiments at 9 M and higher were difficult to perform consistently. Higher concentrations for any reagent resulted in higher temperatures. Stronger acid and base combinations resulted in higher temperatures versus weak acid and base combinations at the same concentration. Maximum temperatures obtained are in a range known to cause tissue coagulation, and all combinations tested therefore appeared suitable for further investigation in thermochemical ablation. Because of the loss of the reaction chamber shape at higher concentrations of stronger agents, the phantom does not allow complete characterization under these circumstances. Adequate mixing of reagents to maximize heating potential and avoid systemic exposure to unreacted acid and base must be addressed if the method is to be safely employed in tissues. In addition, understanding factors that control lesion shape in a more realistic tissue model will be critical. Copyright 2010 SIR. Published by Elsevier Inc. All rights reserved.

  3. Cardiovascular Risk Assessment in Elderly Living Kidney Donors: Risk Comparison Before and After Donation Using QRISK Equation.

    Science.gov (United States)

    Kadhum, Murtaza; Abbas, Madiha; Ghazanfar, Abbas

    2017-04-01

    This study aimed to assess whether donor age would increase the risk of cardiovascular comorbidities during the first few years after donation. Cardiovascular risk was calculated using the QRISK tool (University of Nottingham and EMIS, Nottingham, UK). Data were collected from 221 living renal transplant donors at St. George's University Hospital NHS Foundation Trust between 2008 and 2012 before and after donation (at 6, 12, and 24 mo). QRISK scores were calculated for each patient at these time points before stratifying our patients into 2 cohorts: cohort A (age ≤ 59 y) and cohort B (age ≥ 60 y). QRISK scores were then compared using unpaired t tests. Before donation, mean QRISK scores were 3.4% in cohort A and 12.4% in cohort B (P < .001). At 6, 12, and 24 months after kidney donation, the risks were 3.3% and 12.2% (P < .001), 3.8% and 13.6% (P < .001), and 5% and 15.4% (P < .001) in cohort A versus cohort B. When we analyzed risk before donation, both age groups showed a significant increase in cardiovascular risk at 24 months. This subtle increase in cardiovascular risk in the 2 groups may be attributed to changing patient demographics, such as the increasing age of patients, rather than the donation itself. Elderly kidney donors, therefore, are a key source of donation after satisfactory cardiovascular work-up. However, elderly kidney donors will require long-term postoperative follow-up care and specific counseling aimed at reducing modifiable cardiovascular risk factors.

  4. Readability, suitability, and health content assessment of web-based patient education materials on colorectal cancer screening.

    Science.gov (United States)

    Tian, Chenlu; Champlin, Sara; Mackert, Michael; Lazard, Allison; Agrawal, Deepak

    2014-08-01

    Colorectal cancer (CRC) screening rates in the Unites States are still below target level. Web-based patient education materials are used by patients and providers to provide supplemental information on CRC screening. Low literacy levels and patient perceptions are significant barriers to screening. There are little data on the quality of these online materials from a health literacy standpoint or whether they address patients' perceptions. To evaluate the readability, suitability, and health content of web-based patient education materials on colon cancer screening. Descriptive study. Web-based patient materials. Twelve reputable and popular online patient education materials were evaluated. Readability was measured by using the Flesch-Kincaid Reading Grade Level, and suitability was determined by the Suitability Assessment of Materials, a scale that considers characteristics such as content, graphics, layout/typography, and learning stimulation. Health content was evaluated within the framework of the Health Belief Model, a behavioral model that relates patients' perceptions of susceptibility to disease, severity, and benefits and barriers to their medical decisions. Each material was scored independently by 3 reviewers. Flesch-Kincaid Reading Grade Level score, Suitability Assessment of Materials score, health content score. Readability for 10 of 12 materials surpassed the maximum recommended sixth-grade reading level. Five were 10th grade level and above. Only 1 of 12 materials received a superior suitability score; 3 materials received inadequate scores. Health content analysis revealed that only 50% of the resources discussed CRC risk in the general population and <25% specifically addressed patients at high risk, such as African Americans, smokers, patients with diabetes, and obese patients. For perceived barriers to screening, only 8.3% of resources discussed embarrassment, 25% discussed pain with colonoscopy, 25% addressed cost of colonoscopy, and none

  5. Development and suitability of in vitro digestion models in assessing bioaccessibility of lead from toy matrices

    NARCIS (Netherlands)

    Oomen AG; Twillert K van; Hofhuis MFA; Rompelberg CJM; Versantvoort CHM; SIR; ARO

    2003-01-01

    Children can be orally exposed to compounds by chewing, sucking and ingestion of toy (parts). Only the fraction of contaminant that is released from the toy can reach the blood stream (internal exposure) and can contribute to toxicity. In present risk assessment the release of contaminants from toy

  6. Assessing the visual resource and visual development suitability values in metropolitanizing landscapes

    Science.gov (United States)

    Charles B. Yuill; Spencer A. Joyner Jr.

    1979-01-01

    In response to urbanization pressures on the New England landscape, researchers at the University of Massachusetts have developed and tested two visual landscape assessment procedures as part of a comprehensive research project in landscape planning. The first procedure identifies those visually significant and unique areas within a town or region that warrant public...

  7. Safety and Suitability for Service Assessment Testing for Surface and Underwater Launched Munitions

    Science.gov (United States)

    2014-12-05

    Quadripartite Advisory Publication ( QAP )-268. 8.5.4 Firing Circuits. Conduct a full hazard assessment using Fault Tree Analysis (FTA), Failure...4439 8 Software Safety AOP-52 ITOP 01-1-057 QAP -268 Joint Software Systems Safety Engineering Handbook Def Stan 00-56, AOP-52 VG

  8. Suitability assessment of the urban water management transition in the Indonesian context - A case study of Surabaya

    Science.gov (United States)

    Sholihah, Mar'atus; Anityasari, Maria; Maftuhah, Diesta Iva

    2017-06-01

    The rapidly growing urban population, the increasing impact of climate change, and the constantly decreasing availability of the good quality water become the major triggers that force urban water professionals to continuously focus on sustainable urban water management (SUWM). The city as a focal point of population growth in the world has become a critical object for its resiliency, not only in terms of the environmental deterioration but also of the water supplies security. As a response to the current condition, the framework of urban water management transition has been introduced as a sort of transformation for a city to achieve SUWM. Water Sensitive City (WSC) is the ultimate goal of this framework which integrates water access and supply security, public health protection, flood prevention, environmental protection and livability, and economic sustainability. Recently, the urban water management transition and WSC concept are going to be implemented in some cities in Indonesia, including Surabaya. However, in addition to provide a wide range of benefits, the implementation of WSC also brings challenges. In terms of geographical and social aspect, public policy, and the citizen behavior, the cities in Indonesia are undoubtedly different with those in Australian where the concept was developed. Hence, assessing the suitability of urban water management transition in the Indonesian context can be perceived as the most important phase in this whole plan. A case study of Surabaya would be identified as a baseline to measure whether the proposed sequence of urban water management transition is suitable for Indonesian local context. The research aimed to assess the suitability of the framework to be implemented in Indonesia and to propose the modified framework which is more suitable for local context in Indonesia.

  9. Suitability of Bioelectrical Based Methods to Assess Water Compartments in Recreational and Elite Athletes.

    Science.gov (United States)

    Matias, Catarina N; Júdice, Pedro B; Santos, Diana A; Magalhães, João P; Minderico, Cláudia S; Fields, David A; Sardinha, Luís B; Silva, Analiza M

    2016-07-01

    It is important for highly active individuals to easily and accurately assess their hydration level. Bioelectrical impedance (BIA) can potentially meet these needs but its validity in active individuals is not well established. We aim to validate total body water (TBW), extracellular water (ECW), and intracellular water (ICW) estimates obtained from 50 kHz BIA, bioelectrical impedance spectroscopy (BIS), and BIA-based models against dilution techniques in 2 populations: active adults and elite athletes. Active males (N = 28, 20-39 years) involved in recreational sports and elite athletes (females: N = 57, 16-35 years; males: N = 127, 16-38 years) participated in this study. TBW and ECW were assessed with deuterium and bromide dilution, respectively. ICW was assessed as their difference. Body water compartments were also assessed by BIA (BIA-101), BIS (model 4200), and BIA-based equations. Small but significant differences were observed between alternative methods and the criterion in all subsamples. In female athletes, r(2) > 0.69, r(2) > 0.57, and r(2) > 0.65 were observed between methods in the TBW, ECW, and ICW estimates. In males, r(2) > 0.75, r(2) > 0.65, and r(2) > 0.68 were found between alternative and reference methods in the TBW, ECW, and ICW estimates, respectively, whereas for male recreational exercisers, r(2) > 0.58, r(2) > 0.73, and r(2) > 0.75 were observed. Pure errors ranged between 0.19 to 3.32 kg for TBW, 0.64 to 1.63 for ECW, and 1.98 to 2.64 in ICW. The highest limits of agreement (LoA) were observed in Van Loan and Mayclin equation and the BIA method, respectively, for TBW and ECW assessment and the lowest LoA were observed in BIS for both TBW and ECW estimates. The higher accuracy of BIS in predicting individual TBW, ECW, and ICW highlights its utility in water assessment of recreational and elite athletes.

  10. Suitability Assessment of Satellite-Derived Drought Indices for Mongolian Grassland

    Directory of Open Access Journals (Sweden)

    Sheng Chang

    2017-06-01

    %. The VHI is a combination of constructed VCI and TCI, and can be used instead of them. Finally, the mode method was adopted to identify appropriate drought indices. The best two indices (VHI and NDWI can be utilized to develop a combination drought model for accurately monitoring and quantifying drought in the future. Additionally, the new framework can be adopted to investigate and analyze the suitability of satellite-derived drought indices and determine the most appropriate index/indices for other countries or areas.

  11. An Assessment Of Landscape Segments Suitable For Agriculture In Kerang Volcanic Area Of Jos Plateau Nigeria

    Directory of Open Access Journals (Sweden)

    Sohotden Christopher Daniel

    2015-04-01

    Full Text Available Abstract This study was carried out to investigate the landscape segments suitable for agricultural purpose in a volcanic land catena of Kerang Area on the Jos Plateau. A reconnaissance survey of the study area was carried out and three different slope segments were identified a total of 41 surface soil samples were taken from the three segments using a stratified systematic sampling. These soils were then analyzed for the physical and chemical properties. The result of the analyses revealed that the organic matter total nitrogen soil PH and exchangeable Ca Mg decline down slope however potassium K and sodium Na increase down slope. Co-efficient of variation of the soil properties for the three different slope segments showed low variability for the upper slope crest and shoulder exception being that phosphorus 43.10 and potassium 41.10 exhibited moderate variability. At the middle slope the co-efficient of variation exhibited by soil properties is predominantly moderate exception being that sodium 75 varies at high proportion at this slope segment. At the lower slope majority of the soil properties exhibited low variability. On the other hand total nitrogen available phosphorous and potassium have values of co-efficient of variation 23.10 65.60 and 23.10 respectively. This indicates that available phosphorus exhibited high variability while total nitrogen and exchangeable potassium have intermediate variability. The between or over all co-efficient or variation for the soil properties are predominantly moderate for most variable except PHH2O 11.80 and PH Cad2 10.60 that have low variability and phosphorous 78 has high variability. Differences in the degree of variation of soil variables from one segment to another can be attributed to soil erosion as affected by slope nature of soil parent materials and soil management technique. The study also revealed that some of the properties determining soil fertility total Nitrogen Available Phosphorus

  12. Suitability of texture features to assess changes in trabecular bone architecture

    DEFF Research Database (Denmark)

    Veenland, JF; Grashuis, JL; Weinans, H

    2002-01-01

    The purpose of this study was to determine the ability of texture features to assess changes in trabecular bone architecture as projected in radiographs. Micro-CT datasets of trabecular bone were processed to simulate different changes in architecture. Radiographs were simulated by projecting the 3......D-bone structure. Texture features, based on mathematical morphology, determined on the simulated radiographs were able to detect structural changes in the trabecular bone....

  13. An Evaluation of a Behaviour Assessment to Determine the Suitability of Shelter Dogs for Rehoming

    Directory of Open Access Journals (Sweden)

    A. H. Poulsen

    2010-01-01

    Full Text Available We evaluated a scheme for assessing shelter dog behaviour, which used 28 tests and rated responses from 0 (positive response to 5 (fear, tonic immobility, or escape attempts. The assessment was evaluated for 236 dogs, and was repeated by a different assessor for 39 dogs approximately 80 days after rehoming to determine relevance of individual test components. A new owner survey evaluated satisfaction with the dog. A total of 130 of 236 dogs passed (score ≤ 70, 24 scored 71–80 (referred for behavioural modification, and 82 (score > 80 failed. Scores were mainly unaffected by dog type and environmental variables, but decreased if dog faeces from a previous test was present in the arena during a test. Shelter tests only correlated with repeat tests if there was no direct contact with assessors. Adopters were satisfied with their dogs, despite reporting some behaviour problems. The shelter assessment was therefore robust against most outside influences but did not predict responses to people well.

  14. Ecotoxicological assessment of organic wastes spread on land: Towards a proposal of a suitable test battery.

    Science.gov (United States)

    Huguier, Pierre; Manier, Nicolas; Chabot, Laure; Bauda, Pascale; Pandard, Pascal

    2015-03-01

    The land spreading of organic wastes in agriculture is a common practice in Europe, under the regulation of the Directive 86/278/EEC. One of the objectives of this Directive is to prevent harmful effects of organic wastes on soil, plants and animals. Despite this regulatory framework, there is still a lack of harmonized ecotoxicological test strategy to assess the environmental hazard of such wastes. The aim of this study was to provide a first step towards the a priori ecotoxicological assessment of organic wastes before their land use. For that purpose, nine different organic wastes were assessed using direct (i.e. terrestrial tests) and indirect (i.e. tests on water eluates) approaches, for a total of thirteen endpoints. Then, multivariate analyzes were used to discriminate the most relevant test strategy, among the application rates and bioassays used. From our results, a draft of test strategy was proposed, using terrestrial bioassays (i.e. earthworms and plants) and a concentration range between one and ten times the recommended application rates of organic wastes. Copyright © 2014 Elsevier Inc. All rights reserved.

  15. An Evaluation of a Behaviour Assessment to Determine the Suitability of Shelter Dogs for Rehoming

    Science.gov (United States)

    Poulsen, A. H.; Lisle, A. T.; Phillips, C. J. C.

    2010-01-01

    We evaluated a scheme for assessing shelter dog behaviour, which used 28 tests and rated responses from 0 (positive response) to 5 (fear, tonic immobility, or escape attempts). The assessment was evaluated for 236 dogs, and was repeated by a different assessor for 39 dogs approximately 80 days after rehoming to determine relevance of individual test components. A new owner survey evaluated satisfaction with the dog. A total of 130 of 236 dogs passed (score ≤ 70), 24 scored 71–80 (referred for behavioural modification), and 82 (score > 80) failed. Scores were mainly unaffected by dog type and environmental variables, but decreased if dog faeces from a previous test was present in the arena during a test. Shelter tests only correlated with repeat tests if there was no direct contact with assessors. Adopters were satisfied with their dogs, despite reporting some behaviour problems. The shelter assessment was therefore robust against most outside influences but did not predict responses to people well. PMID:20445786

  16. Use of computed tomography assessed kidney length to predict split renal GFR in living kidney donors

    Energy Technology Data Exchange (ETDEWEB)

    Gaillard, Francois; Fournier, Catherine; Leon, Carine; Legendre, Christophe [Paris Descartes University, AP-HP, Hopital Necker-Enfants Malades, Renal Transplantation Department, Paris (France); Pavlov, Patrik [Linkoeping University, Linkoeping (Sweden); Tissier, Anne-Marie; Correas, Jean-Michel [Paris Descartes University, AP-HP, Hopital Necker-Enfants Malades, Radiology Department, Paris (France); Harache, Benoit; Hignette, Chantal; Weinmann, Pierre [Paris Descartes University, AP-HP, Hopital Europeen Georges Pompidou, Nuclear Medicine Department, Paris (France); Eladari, Dominique [Paris Descartes University, and INSERM, Unit 970, AP-HP, Hopital Europeen Georges Pompidou, Physiology Department, Paris (France); Timsit, Marc-Olivier; Mejean, Arnaud [Paris Descartes University, AP-HP, Hopital Europeen Georges Pompidou, Urology Department, Paris (France); Friedlander, Gerard; Courbebaisse, Marie [Paris Descartes University, and INSERM, Unit 1151, AP-HP, Hopital Europeen Georges Pompidou, Physiology Department, Paris (France); Houillier, Pascal [Paris Descartes University, INSERM, Unit umrs1138, and CNRS Unit erl8228, AP-HP, Hopital Europeen Georges Pompidou, Physiology Department, Paris (France)

    2017-02-15

    Screening of living kidney donors may require scintigraphy to split glomerular filtration rate (GFR). To determine the usefulness of computed tomography (CT) to split GFR, we compared scintigraphy-split GFR to CT-split GFR. We evaluated CT-split GFR as a screening test to detect scintigraphy-split GFR lower than 40 mL/min/1.73 m{sup 2}/kidney. This was a monocentric retrospective study on 346 potential living donors who had GFR measurement, renal scintigraphy, and CT. We predicted GFR for each kidney by splitting GFR using the following formula: Volume-split GFR for a given kidney = measured GFR*[volume of this kidney/(volume of this kidney + volume of the opposite kidney)]. The same formula was used for length-split GFR. We compared length- and volume-split GFR to scintigraphy-split GFR at donation and with a 4-year follow-up. A better correlation was observed between length-split GFR and scintigraphy-split GFR (r = 0.92) than between volume-split GFR and scintigraphy-split GFR (r = 0.89). A length-split GFR threshold of 45 mL/min/1.73 m{sup 2}/kidney had a sensitivity of 100 % and a specificity of 75 % to detect scintigraphy-split GFR less than 40 mL/min/1.73 m{sup 2}/kidney. Both techniques with their respective thresholds detected living donors with similar eGFR evolution during follow-up. Length-split GFR can be used to detect patients requiring scintigraphy. (orig.)

  17. Prediction of time of death after withdrawal of life-sustaining treatment in potential donors after cardiac death

    NARCIS (Netherlands)

    Wind, Jentina; Snoeijs, Maarten G. J.; Brugman, Cees A.; Vervelde, Janneke; Zwaveling, Janharm; van Mook, Walther N.; van Heurn, Ernest L.

    Objective: Organ donation after cardiac death increases the number of donor organs. In controlled donation after cardiac death donors, the period between withdrawal of life-sustaining treatment and cardiac arrest is one of the parameters used to assess whether organs are suitable for

  18. 42 CFR 486.344 - Condition: Evaluation and management of potential donors and organ placement and recovery.

    Science.gov (United States)

    2010-10-01

    ... recovery, and organ placement, including donation after cardiac death, if the OPO has implemented a... and blood type. (f) Donation after cardiac death. If an OPO recovers organs from donors after cardiac... potential donors are thoroughly assessed for medical suitability for organ donation and clinically managed...

  19. Suitability of functional evaluation embedded in serious game rehabilitation exercises to assess motor development across lifespan.

    Science.gov (United States)

    Bonnechère, B; Sholukha, V; Omelina, L; Van Vooren, M; Jansen, B; Van Sint Jan, S

    2017-09-01

    The aim of this study was to determine if the results of activities performed using specially developed serious games for physical rehabilitation could be used as an indicator of the natural maturation and decline of motor control in healthy participants. Eighty-one participants (19 children (5-15 years old), 40 adults (18-65 years old) and 22 aged subjects (60-88 years old) participated in this study. Motions performed were recorded using the Kinect sensor. Three different exercises embedded in the games were used to assess upper limb, trunk and lower limb control. The trial duration and accuracy, measures of gross motor function and fine motor control, respectively, were computed for each participant. ANOVA tests shows statistically significant differences between the three groups for duration (53±15, 27±10 and 119±30s for children, adults and elderly subjects respectively) and accuracy (87±5, 89±10 and 70±8% for children, adults and elderly subjects respectively). The slopes of the curves that approximated the evolution of the performance over various ages are coherent with previous studies about motor control development and physiological decline. The proposed solution, i.e. serious games rehabilitation exercises coupled to motion analysis, seems to be an interesting tool to assess global motor function. Further studies are needed to study the influence of pathologies on the studied parameters. Copyright © 2017. Published by Elsevier B.V.

  20. Developing Suitable Methods of Nutritional Status Assessment: A Continuous Challenge123

    Science.gov (United States)

    Elmadfa, Ibrahim; Meyer, Alexa L.

    2014-01-01

    Reliable information about the nutritional status is essential to identify potential critical nutrients and the population groups at risk of deficiency, as well as to develop effective public health policies to counteract unfavorable nutrition patterns that contribute to morbidity and mortality. In this review, the important role of biomarkers in the assessment of nutritional status is outlined, major strengths and limitations of established and new biomarkers are described, and important criteria for biomarker selection and development are discussed. Indeed, biomarkers offer a more objective assessment tool than pure dietary approaches that suffer from inadequate data reporting in particular, although biomarkers are often only measured in subsamples because of the higher costs and proband burden they entail. However, biomarkers are subject to individual variability and influences from other factors besides the nutrient of interest. Rapid turnover or tight control of nutrient concentrations in blood (homeostasis) limits their sensitivity as biomarkers, as in the case of many trace elements. The existence of different forms of a micronutrient in the body adds additional complexity. Functional biomarkers, such as enzyme activities, mirror long-term status better but are subject to confounding factors, and some are influenced by several micronutrients, not specific for only 1, so using a combination of biomarkers is advisable. Additionally, the applicability of a biomarker also depends on the existence of adequate reference values and cutoff points for the target population. Therefore, a careful selection is warranted, especially when biomarkers are to be used in larger samples. PMID:25469404

  1. Egg puncture allows shiny cowbirds to assess host egg development and suitability for parasitism

    Science.gov (United States)

    Massoni, V.; Reboreda, J. C.

    1999-01-01

    Parasitic cowbirds and cuckoos generally reduce the clutch size of the hosts they parasitize by removing or destroying some of their eggs. Shiny cowbirds (Molothrus bonariensis) puncture their hosts' eggs both when parasitizing the nests and also when they do not parasitize them. We propose that, by puncturing the host's eggs, shiny cowbirds gain an informational benefit. They assess the degree of development of the host's embryos and so avoid laying in nests that would not provide enough incubation time for the parasitic eggs to hatch. Two predictions follow: (i) punctures should occur in advance or immediately before parasitic events, and (ii) the occurrence of parasitism should depend on the degree of development of the host's embryos when punctures occurred, i.e. on the stage of incubation. Both predictions are supported by our data of shiny cowbirds parasitizing yellow-winged blackbirds (Agelaius thilius). Egg punctures are not used to reset the host's nesting attempt when shiny cowbirds do not parasitize the nests. We discuss the potential mechanisms implicated in egg development assessment and propose a critical experiment to test this hypothesis.

  2. Assessment of the suitability of different random number generators for Monte Carlo simulations in gamma-ray spectrometry

    Energy Technology Data Exchange (ETDEWEB)

    Cornejo Diaz, N.; Vergara Gil, A. [Centre for Radiological Protection and Higiene, P.O. Box 6195, Habana (Cuba); Jurado Vargas, M. [Physics Department, University of Extremadura, 06071 Badajoz (Spain)], E-mail: mjv@unex.es

    2010-03-15

    The Monte Carlo method has become a valuable numerical laboratory framework in which to simulate complex physical systems. It is based on the generation of pseudo-random number sequences by numerical algorithms called random generators. In this work we assessed the suitability of different well-known random number generators for the simulation of gamma-ray spectrometry systems during efficiency calibrations. The assessment was carried out in two stages. The generators considered (Delphi's linear congruential, mersenne twister, XorShift, multiplier with carry, universal virtual array, and non-periodic logistic map based generator) were first evaluated with different statistical empirical tests, including moments, correlations, uniformity, independence of terms and the DIEHARD battery of tests. In a second step, an application-specific test was conducted by implementing the generators in our Monte Carlo program DETEFF and comparing the results obtained with them. The calculations were performed with two different CPUs, for a typical HpGe detector and a water sample in Marinelli geometry, with gamma-rays between 59 and 1800 keV. For the Non-periodic Logistic Map based generator, dependence of the most significant bits was evident. This explains the bias, in excess of 5%, of the efficiency values obtained with this generator. The results of the application-specific assessment and the statistical performance of the other algorithms studied indicate their suitability for the Monte Carlo simulation of gamma-ray spectrometry systems for efficiency calculations.

  3. GIS-Based Soil Erosion Modeling for Assessing Land Suitability in the Urban Watershed of Tallo River, South Sulawesi, Indonesia

    OpenAIRE

    Baja, Sumbangan; Nurmiaty, Nurmiaty; Arif, Samsu

    2014-01-01

    Urban watershed is a discrete and complex system where a diverse number of factors govern its quality and health. Soil erosion by water is the most dominant factor that determines a watershed quality, and considered as one of the most significant forms of land degradation that affects sustained productivity of land use. The principal aim of this paper is to utilise spatial-based soil erosion information to assess land suitability at a watershed level. The specific aim is three-fold: (i) to...

  4. Conventional deep pressure algometry is not suitable for clinical assessment of nociception in painless diabetic neuropathy

    Directory of Open Access Journals (Sweden)

    Ernst A. Chantelau

    2016-09-01

    Full Text Available Background: In diabetic persons with painless neuropathic foot ulceration, foot skin was found to be insensate to noxious pinprick stimulation (stimulation area less than 0.05 mm2, while compression of deep subcutaneous foot tissues by Algometer II® (stimulation area 1 cm2 could evoke a deep dull aching. To elucidate this discrepancy, the Algometer II stimulation technique was critically reviewed by varying probe sizes and anatomical sites in the same study population 3 years later. Methods: Ten control subjects without neuropathy and 11 persons with painless diabetic neuropathy (PLDN, seven of whom with diabetic foot syndrome, i.e., past painless foot ulcer, or inactive Charcot arthropathy were re-examined using Algometer II. Deep pressure pain perception threshold (DPPPT was measured in random sequence with stimulation areas of 0.5 cm2, 1 cm2, and 2 cm2 (separated by 5 min intervals, at the plantar forefoot, the instep, and the hindfoot of both legs. Results: In the control and PLDN groups, median DPPPTs differed significantly between stimulation areas (highest with 0.5 cm2, intermediate with 1 cm2, lowest with 2 cm2; p<0.001, and varied moderately by anatomical site. Between-group differences were relatively small. Results of the 1 cm2 assessments repeated 3 years apart were similar. Conclusions: Algometer II readings represent spatial summation of low-threshold pressure-receptor rather than of high-threshold nociceptor stimulation and are, thus, unhelpful for assessing PLDN. Reproducibility of the measurements is good.

  5. Assess suitability of hydroaeroponic culture to establish tripartite symbiosis between different AMF species, beans, and rhizobia

    Directory of Open Access Journals (Sweden)

    Jansa Jan

    2009-06-01

    Full Text Available Abstract Background Like other species of the Phaseoleae tribe, common bean (Phaseolus vulgaris L. has the potential to establish symbiosis with rhizobia and to fix the atmospheric dinitrogen (N2 for its N nutrition. Common bean has also the potential to establish symbiosis with arbuscular mycorrhizal fungi (AMF that improves the uptake of low mobile nutrients such as phosphorus, from the soil. Both rhizobial and mycorrhizal symbioses can act synergistically in benefits on plant. Results The tripartite symbiosis of common bean with rhizobia and arbuscular mycorrhizal fungi (AMF was assessed in hydroaeroponic culture with common bean (Phaseolus vulgaris L., by comparing the effects of three fungi spp. on growth, nodulation and mycorrhization of the roots under sufficient versus deficient P supplies, after transfer from initial sand culture. Although Glomus intraradices Schenck & Smith colonized intensely the roots of common bean in both sand and hydroaeroponic cultures, Gigaspora rosea Nicolson & Schenck only established well under sand culture conditions, and no root-colonization was found with Acaulospora mellea Spain & Schenck under either culture conditions. Interestingly, mycorrhization by Glomus was also obtained by contact with mycorrhized Stylosanthes guianensis (Aubl. sw in sand culture under deficient P before transfer into hydroaeroponic culture. The effect of bean genotype on both rhizobial and mycorrhizal symbioses with Glomus was subsequently assessed with the common bean recombinant inbreed line 7, 28, 83, 115 and 147, and the cultivar Flamingo. Significant differences among colonization and nodulation of the roots and growth among genotypes were found. Conclusion The hydroaeroponic culture is a valuable tool for further scrutinizing the physiological interactions and nutrient partitioning within the tripartite symbiosis.

  6. Critical assessment of suitable methods used for determination of antibacterial properties at photocatalytic surfaces

    Energy Technology Data Exchange (ETDEWEB)

    Krysa, Josef, E-mail: Josef.Krysa@vscht.cz [Institute of Chemical Technology Prague, Department of Water Technology and Environmental Engineering, Technicka 5, CZ-166 28 Prague (Czech Republic); Musilova, Eva [Institute of Chemical Technology Prague, Department of Water Technology and Environmental Engineering, Technicka 5, CZ-166 28 Prague (Czech Republic); Zita, Jiri [Institute of Chemical Technology Prague, Department of Inorganic Technology, Technicka 5, CZ-166 28 Prague (Czech Republic)

    2011-11-15

    Highlights: {yields} Methods for antibacterial activity of irradiated TiO{sub 2} films were critically assessed. {yields} As test bacteria gram negative E. coli and gram positive E. faecalis were employed. {yields} The ISO glass adhesion method is more appropriate than method with bacteria suspension. {yields} Some improvements of the ISO method were suggested. - Abstract: This work describes the development of methods necessary for antibacterial effect evaluation on irradiated TiO{sub 2} layers. Two methods using bacteria suspensions and the glass adhesion method (based on ISO 27447:2009(E)) were critically assessed and compared. As test bacteria gram negative Escherichia coli and gram positive Enterococcus faecalis were employed. The method using 50 cm{sup 3} of bacteria suspension is convenient for testing layers with strong antibacterial effect (prepared from powder photocatalysts). For the evaluation of the antibacterial effect of sol gel layers, the glass adhesion method based on the ISO is more appropriate than the method with 3 cm{sup 3} of bacteria suspension. The reason is that the later does not allow a distinction between the inhibition effect of TiO{sub 2} and UV light itself. Some improvements of the ISO method were suggested, namely the use of gelatinous pills (CCM) of bacteria, using saline solution instead of nutrient broth for bacteria suspension preparation and the application of selective media for bacteria cultivation. Decreasing the light intensity from 0.6 mW cm{sup -2} to 0.2 mW cm{sup -2} (fulfilling the requirements of the ISO) results in almost negligible effect of UV light itself, thus enabling proper testing of the antibacterial properties of TiO{sub 2} thin films.

  7. Environmental impact assessment (EIA) in development cooperation. A presentation of development challenges and research issues in developing countries and donor agencies

    Energy Technology Data Exchange (ETDEWEB)

    Kristoffersen, Harald

    1997-12-31

    This document discusses some development challenges and research needs related to environmental impact assessment (EIA) in development cooperation. After a general introduction to basic principles of EIA, the document deals with some general conditions for EIA in developing countries and in donor agencies. Through a presentation of experiences with EIA from selected donor agencies (with emphasis on NORAD) the report ends up with focusing on some research issues that may come up with recommendations for improving EIA practices in developing countries and donor agencies. 37 refs., 6 figs., 3 refs.

  8. Index-based assessment of suitability of water quality for irrigation purpose under Indian conditions.

    Science.gov (United States)

    Singh, Surjeet; Ghosh, N C; Gurjar, Suman; Krishan, Gopal; Kumar, Sumant; Berwal, Preeti

    2017-12-19

    Agriculture is a major sector in India which contributes around 14% of country's gross domestic product (GDP). Being an agriculture-based country, good quality of water for irrigation has been a prime requisite. Highly growing population and accelerated industrial development are causing anthropogenic pollution to both surface and groundwater on one side and geogenic contamination like arsenic, fluoride, high dissolved solids, sodicity, and iron in groundwater on other side. As a result, ensuring safe water quality for the irrigation has become a major challenge to both the central and state governments. The present irrigation water quality standards being followed in India have been set by the Central Pollution Control Board (CPCB) and Central Ground Water Board (CGWB) in the year 2000. These standards are solely based on four parameters, namely electrical conductivity, sodium percentage, sodium absorption ratio, and residual sodium carbonate, which are quite subjective and many times are not capable to exactly decide the quality of irrigation water particularly when there are large variations in the source water quality. Therefore, in the present paper, an indices-based approach is presented for categorization of irrigation water quality. These indices are mathematical equations that transform water quality data into a numeric value, which describes the quality of irrigation water. The proposed irrigation water quality index (IWQI), which is based on 12 parameters, classifies the water into five categories, viz. excellent, good, medium, bad, and very bad in the same manner as given by the CPCB and CGWB. In order to give proper rating to various parameters of the index, weights are computed using Saaty's analytic hierarchy process (AHP)-based multiple criteria decision analysis (MCDA) approach. This approach minimizes the subjectivity in assessment of weights and improves understanding of water quality issues by generating an overall index to describe the status

  9. The comet assay in Folsomia candida: A suitable approach to assess genotoxicity in collembolans.

    Science.gov (United States)

    Cardoso, Diogo N; Silva, Ana Rita R; Cruz, Andreia; Lourenço, Joana; Neves, Joana; Malheiro, Catarina; Mendo, Sónia; Soares, Amadeu M V M; Loureiro, Susana

    2017-09-01

    The present study shows the comet assay technique being successfully applied for the first time to one of the most widely used soil organisms in standardized ecotoxicological tests, Folsomia candida, providing a step forward in assessing the genotoxicity induced by xenobiotics. Because collembolans have a high content of chitin, a new methodology was developed in which the heads of the collembolans were separated from the rest of the body, allowing the hemolymph to leak out. This procedure allows the cells to be released, and after lysis the genetic material is available for the comet assay. Among other key procedures, the use of 30 organisms (20- to 22-d-old adults) per replicate and the correct amount of cells with genetic material (translated as 10 μL of suspension) applied on the agarose gel were determinants for the success of the results obtained. The methodology was validated by exposing F. candida to a representative metallic element (cadmium) and a representative of organophosphates, the insecticide dimethoate, for a shorter time period of 10 d, compared with the 28 d for the International Organization for Standardization 11267 method. Within this method, the relatively low percentage of DNA damage (30%) observed in controls and the significant increase in terms of percentage of DNA damage for almost all the concentrations of dimethoate and Cd (reaching 52% and 56% of damage in the highest concentrations, respectively) confirmed the genotoxic effect of both compounds and validated this technique. The comet assay proved to be a sensitive technique to detect DNA strand breaks in collembolans' cells. Environ Toxicol Chem 2017;36:2514-2520. © 2017 SETAC. © 2017 SETAC.

  10. Comprehensive description of blood microbiome from healthy donors assessed by 16S targeted metagenomic sequencing.

    Science.gov (United States)

    Païssé, Sandrine; Valle, Carine; Servant, Florence; Courtney, Michael; Burcelin, Rémy; Amar, Jacques; Lelouvier, Benjamin

    2016-05-01

    Recent studies have revealed that the blood of healthy humans is not as sterile as previously supposed. The objective of this study was to provide a comprehensive description of the microbiome present in different fractions of the blood of healthy individuals. The study was conducted in 30 healthy blood donors to the French national blood collection center (Établissement Français du Sang). We have set up a 16S rDNA quantitative polymerase chain reaction assay as well as a 16S targeted metagenomics sequencing pipeline specifically designed to analyze the blood microbiome, which we have used on whole blood as well as on different blood fractions (buffy coat [BC], red blood cells [RBCs], and plasma). Most of the blood bacterial DNA is located in the BC (93.74%), and RBCs contain more bacterial DNA (6.23%) than the plasma (0.03%). The distribution of 16S DNA is different for each fraction and spreads over a relatively broad range among donors. At the phylum level, blood fractions contain bacterial DNA mostly from the Proteobacteria phylum (more than 80%) but also from Actinobacteria, Firmicutes, and Bacteroidetes. At deeper taxonomic levels, there are striking differences between the bacterial profiles of the different blood fractions. We demonstrate that a diversified microbiome exists in healthy blood. This microbiome has most likely an important physiologic role and could be implicated in certain transfusion-transmitted bacterial infections. In this regard, the amount of 16S bacterial DNA or the microbiome profile could be monitored to improve the safety of the blood supply. © 2016 AABB.

  11. Derivation of motor vehicle tailpipe particle emission factors suitable for modelling urban fleet emissions and air quality assessments.

    Science.gov (United States)

    Keogh, Diane U; Kelly, Joe; Mengersen, Kerrie; Jayaratne, Rohan; Ferreira, Luis; Morawska, Lidia

    2010-03-01

    Urban motor vehicle fleets are a major source of particulate matter pollution, especially of ultrafine particles (diameters vehicle particle emission factors derived using a wide range of different measurement methods for different particle sizes, conducted in different parts of the world. Therefore, the choice as to which are the most suitable particle emission factors to use in transport modelling and health impact assessments presented as a very difficult task. The aim of this study was to derive a comprehensive set of tailpipe particle emission factors for different vehicle and road type combinations, covering the full size range of particles emitted, which are suitable for modelling urban fleet emissions. A large body of data available in the international literature on particle emission factors for motor vehicles derived from measurement studies was compiled and subjected to advanced statistical analysis, to determine the most suitable emission factors to use in modelling urban fleet emissions. This analysis resulted in the development of five statistical models which explained 86%, 93%, 87%, 65% and 47% of the variation in published emission factors for particle number, particle volume, PM(1), PM(2.5) and PM(10), respectively. A sixth model for total particle mass was proposed but no significant explanatory variables were identified in the analysis. From the outputs of these statistical models, the most suitable particle emission factors were selected. This selection was based on examination of the statistical robustness of the statistical model outputs, including consideration of conservative average particle emission factors with the lowest standard errors, narrowest 95% confidence intervals and largest sample sizes and the explanatory model variables, which were vehicle type (all particle metrics), instrumentation (particle number and PM(2.5)), road type (PM(10)) and size range measured and speed limit on the road (particle volume). A multiplicity of

  12. A resource-based modelling framework to assess habitat suitability for steppe birds in semiarid Mediterranean agricultural systems.

    Science.gov (United States)

    Cardador, Laura; De Cáceres, Miquel; Bota, Gerard; Giralt, David; Casas, Fabián; Arroyo, Beatriz; Mougeot, François; Cantero-Martínez, Carlos; Moncunill, Judit; Butler, Simon J; Brotons, Lluís

    2014-01-01

    European agriculture is undergoing widespread changes that are likely to have profound impacts on farmland biodiversity. The development of tools that allow an assessment of the potential biodiversity effects of different land-use alternatives before changes occur is fundamental to guiding management decisions. In this study, we develop a resource-based model framework to estimate habitat suitability for target species, according to simple information on species' key resource requirements (diet, foraging habitat and nesting site), and examine whether it can be used to link land-use and local species' distribution. We take as a study case four steppe bird species in a lowland area of the north-eastern Iberian Peninsula. We also compare the performance of our resource-based approach to that obtained through habitat-based models relating species' occurrence and land-cover variables. Further, we use our resource-based approach to predict the effects that change in farming systems can have on farmland bird habitat suitability and compare these predictions with those obtained using the habitat-based models. Habitat suitability estimates generated by our resource-based models performed similarly (and better for one study species) than habitat based-models when predicting current species distribution. Moderate prediction success was achieved for three out of four species considered by resource-based models and for two of four by habitat-based models. Although, there is potential for improving the performance of resource-based models, they provide a structure for using available knowledge of the functional links between agricultural practices, provision of key resources and the response of organisms to predict potential effects of changing land-uses in a variety of context or the impacts of changes such as altered management practices that are not easily incorporated into habitat-based models.

  13. A resource-based modelling framework to assess habitat suitability for steppe birds in semiarid Mediterranean agricultural systems.

    Directory of Open Access Journals (Sweden)

    Laura Cardador

    Full Text Available European agriculture is undergoing widespread changes that are likely to have profound impacts on farmland biodiversity. The development of tools that allow an assessment of the potential biodiversity effects of different land-use alternatives before changes occur is fundamental to guiding management decisions. In this study, we develop a resource-based model framework to estimate habitat suitability for target species, according to simple information on species' key resource requirements (diet, foraging habitat and nesting site, and examine whether it can be used to link land-use and local species' distribution. We take as a study case four steppe bird species in a lowland area of the north-eastern Iberian Peninsula. We also compare the performance of our resource-based approach to that obtained through habitat-based models relating species' occurrence and land-cover variables. Further, we use our resource-based approach to predict the effects that change in farming systems can have on farmland bird habitat suitability and compare these predictions with those obtained using the habitat-based models. Habitat suitability estimates generated by our resource-based models performed similarly (and better for one study species than habitat based-models when predicting current species distribution. Moderate prediction success was achieved for three out of four species considered by resource-based models and for two of four by habitat-based models. Although, there is potential for improving the performance of resource-based models, they provide a structure for using available knowledge of the functional links between agricultural practices, provision of key resources and the response of organisms to predict potential effects of changing land-uses in a variety of context or the impacts of changes such as altered management practices that are not easily incorporated into habitat-based models.

  14. Length of time from extubation to cardiorespiratory death in neonatal intensive care patients and assessment of suitability for organ donation.

    Science.gov (United States)

    Saha, S; Kent, A L

    2014-01-01

    A common concern for parents when end of life decisions are made is the length of time their baby may take to die. Postcardiac death organ donation is now becoming more common, along with neonatal organ donation. The aim was to determine the length of time from extubation until cardiorespiratory death (CRD) in neonatal intensive care patients and consideration of potential organ donation. Retrospective review of medical records of neonates who died in a neonatal intensive care unit between 2000 and 2009. Data collected included gestation at birth, age at death, birth weight, reason for cessation of intensive care, inotrope and ventilation requirements, sedation and muscle relaxation prior to death, time from extubation to documented CRD. An assessment was made for potential suitability for consideration of organ donation with a gestation at birth ≥ 34 weeks and birth weight >2.0 kg. 117 neonates were included, median gestation 29 weeks and median birth weight 1220 grams. The median age at death was 4 days of age. The median time from discussing prognosis to death was 137 min. The median time from extubation to CRD was 30 min. Seven (6%) neonates were considered suitable for organ donation, and for these infants the median time from extubation to CRD was 120 min. Two neonates donated heart valves. This provides a guide for grieving parents on time frames for the interval between extubation and CRD. More accurate postextubation CRD times are required to determine likely potential for postcardiac death organ donation.

  15. Right-lobe living related liver transplantation: evaluation of a comprehensive magnetic resonance imaging protocol for assessing potential donors.

    Science.gov (United States)

    Goyen, Mathias; Barkhausen, Jörg; Debatin, Jörg F; Kühl, Hilmar; Bosk, Silke; Testa, Giuliano; Malago, Massimo; Ruehm, Stefan G

    2002-03-01

    The purpose of this study was to determine the practicability and diagnostic accuracy of a magnetic resonance (MR) protocol capable of replacing computed tomography, catheter angiography, and endoscopic retrograde cholangiopancreatography for the presurgical evaluation of potential liver donors before right hepatectomy. MR imaging (MRI) was performed on a 1.5 T scanner using a phased-array torso surface coil for signal reception. The following image sets were collected: axial two-dimensional (2D) T1-weighted fast low angle shot (FLASH), axial 2D T2-weighted half-Fourier acquisition single-shot turbo-spin-echo (HASTE) with fat saturation, coronal MR cholangio-pancreatography (MRCP) based on 2D multisection HASTE and single-section single-shot rapid acquisition with relaxation enhancement (RARE) imaging, dynamic contrast-enhanced three-dimensional (3D) FLASH, and contrast-enhanced T1-weighted FLASH. 3D FLASH data sets were collected before and after an intravenous administration of Multihance (gadobenate dimeglumine, Gd-BOPTA; Bracco, Milano, Italy), 0.2 mmol/kg of body weight. Thirty-eight potential liver donors were assessed by means of MRI. Twenty patients also underwent digital subtraction angiography (DSA). Of these, 16 patients underwent liver harvesting. MR angiography (MRA) data sets correlated with DSA results, and MRCP results correlated with intraoperative findings. Patients were excluded as potential donors based on insufficient liver mass of the left hepatic lobe (n = 5) or presence of hepatic pathological states (n = 9) seen at MRI, such as hemangiomas, focal nodular hyperplasias, or hepatic steatosis. MRCP showed the biliary system to the level of the first hepatic side branch. Dilated ducts were present in 4 patients. MRA depiction of hepatic arterial morphological characteristics correlated with catheter angiography results in all 20 patients: Three left hepatic arteries originating from the left gastric artery, three aberrant right hepatic arteries

  16. Suitability of 239+240Pu and 137Cs as tracers for soil erosion assessment in mountain grasslands.

    Science.gov (United States)

    Alewell, Christine; Meusburger, Katrin; Juretzko, Gregor; Mabit, Lionel; Ketterer, Michael E

    2014-05-01

    Anthropogenic radionuclides have been distributed globally due to nuclear weapons testing, nuclear accidents, nuclear weapons fabrication, and nuclear fuel reprocessing. While the negative consequences of this radioactive contamination are self-evident, the ubiquitous fallout radionuclides (FRNs) distribution form the basis for the use as tracers in ecological studies, namely for soil erosion assessment. Soil erosion is a major threat to mountain ecosystems worldwide. We compare the suitability of the anthropogenic FRNs, 137Cs and 239+240Pu as soil erosion tracers in two alpine valleys of Switzerland (Urseren Valley, Canton Uri, Central Swiss Alps and Val Piora, Ticino, Southern Alps). We sampled reference and potentially erosive sites in transects along both valleys. 137Cs measurements of soil samples were performed with a Li-drifted Germanium detector and 239+240Pu with ICP-MS. Our data indicates a heterogeneous deposition of the 137Cs, since most of the fallout origins from the Chernobyl April/May 1986 accident, when large parts of the European Alps were still snow-covered. In contrast, 239+240Pu fallout originated mainly from 1950s to 1960s atmospheric nuclear weapons tests, resulting in a more homogenous distribution and thus seems to be a more suitable tracer in mountainous grasslands. Soil erosion assessment using 239+240Pu as a tracer pointed to a huge dynamic and high heterogeneity of erosive processes (between sedimentation of 1.9 and 7 t ha(-1) yr(-1) and erosion of 0.2-16.4 t ha(-1) yr(-1) in the Urseren Valley and sedimentation of 0.4-20.3 t ha(-1) yr(-1) and erosion of 0.1-16.4 t ha(-1) yr(-1) at Val Piora). Our study represents a novel and successful application of 239+240Pu as a tracer of soil erosion in a mountain environment. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

  17. Urban biowaste for solid fuel production: waste suitability assessment and experimental carbonization in Dar es Salaam, Tanzania.

    Science.gov (United States)

    Lohri, Christian Riuji; Faraji, Adam; Ephata, Elia; Rajabu, Hassan Mtoro; Zurbrügg, Christian

    2015-02-01

    The poor state of solid waste management in Dar es Salaam (DSM), Tanzania, the large fraction of organic waste generated and a high charcoal consumption by city residents has triggered this research on carbonization of municipal biowaste. Char produced by the thermochemical conversion method of slow pyrolysis can be briquetted and used as cooking fuel alternative to wood-based charcoal. To explore the potential of biowaste carbonization in DSM, the most suitable organic wastes were selected and pyrolyzed in a simple, externally heated carbonization system developed as part of this study. A Multi-Criteria Analysis framework allowed to assess prevailing biowaste types regarding availability and accessibility, and respective suitability in terms of physical-chemical properties. The assessment, using data from a survey and lab analysis, revealed the following biowaste types with highest overall potential for char production in DSM: packaging grass/leaves (PG) used for transportation of fruit and vegetables to the markets, wood waste (WW) from wood workshops, and cardboard (CB) waste. Best practice carbonization of these biowastes in the pyrolyzer showed satisfactory char yields (PG: 38.7%; WW: 36.2%; CB: 35.7% on dry basis). Proximate composition (including volatile, fixed carbon and ash content) and heating value (PG: 20.1 MJ kg(-1); WW: 29.4 MJ kg(-1); CB: 26.7 MJ kg(-1)) of the produced char also compare well with literature data. The energy and emission-related aspects of the system still require further research and optimizations to allow financially viable and safe operation. © The Author(s) 2015.

  18. Nonwoven-based gelatin/polycaprolactone membrane proves suitability in a preclinical assessment for treatment of soft tissue defects.

    Science.gov (United States)

    Schulz, Simon; Angarano, Marco; Fabritius, Martin; Mülhaupt, Rolf; Dard, Michel; Obrecht, Marcel; Tomakidi, Pascal; Steinberg, Thorsten

    2014-07-01

    Standard preclinical assessments in vitro often have limitations regarding their transferability to human beings, mainly evoked by their nonhuman and tissue-different/nontissue-specific source. Here, we aimed at employing tissue-authentic simple and complex interactive fibroblast-epithelial cell systems and their in vivo-relevant biomarkers for preclinical in vitro assessment of nonwoven-based gelatin/polycaprolactone membranes (NBMs) for treatment of soft tissue defects. NBMs were composed of electrospun gelatin and polycaprolactone nanofiber nonwovens. Scanning electron microscopy in conjunction with actin/focal contact integrin fluorescence revealed successful adhesion and proper morphogenesis of keratinocytes and fibroblasts, along with cells' derived extracellular matrix deposits. The "feel-good factor" of cells under study on the NBM was substantiated by forming a confluent connective tissue entity, which was concomitant with a stratified epithelial equivalent. Immunohistochemistry proved tissue authenticity over time by abundance of the biomarker vimentin in the connective tissue entity, and chronological increase of keratins KRT1/10 and involucrin expression in epithelial equivalents. Suitability of the novel NBM as wound dressing was evidenced by an almost completion of epithelial wound closure in a pilot mini-pig study, after a surgical intervention-caused gingival dehiscence. In summary, preclinical assessment by tissue-authentic cell systems and the animal pilot study revealed the NBM as an encouraging therapeutic medical device for prospective clinical applications.

  19. Nonwoven-Based Gelatin/Polycaprolactone Membrane Proves Suitability in a Preclinical Assessment for Treatment of Soft Tissue Defects

    Science.gov (United States)

    Schulz, Simon; Angarano, Marco; Fabritius, Martin; Mülhaupt, Rolf; Dard, Michel; Obrecht, Marcel; Tomakidi, Pascal

    2014-01-01

    Standard preclinical assessments in vitro often have limitations regarding their transferability to human beings, mainly evoked by their nonhuman and tissue-different/nontissue-specific source. Here, we aimed at employing tissue-authentic simple and complex interactive fibroblast-epithelial cell systems and their in vivo-relevant biomarkers for preclinical in vitro assessment of nonwoven-based gelatin/polycaprolactone membranes (NBMs) for treatment of soft tissue defects. NBMs were composed of electrospun gelatin and polycaprolactone nanofiber nonwovens. Scanning electron microscopy in conjunction with actin/focal contact integrin fluorescence revealed successful adhesion and proper morphogenesis of keratinocytes and fibroblasts, along with cells' derived extracellular matrix deposits. The “feel-good factor” of cells under study on the NBM was substantiated by forming a confluent connective tissue entity, which was concomitant with a stratified epithelial equivalent. Immunohistochemistry proved tissue authenticity over time by abundance of the biomarker vimentin in the connective tissue entity, and chronological increase of keratins KRT1/10 and involucrin expression in epithelial equivalents. Suitability of the novel NBM as wound dressing was evidenced by an almost completion of epithelial wound closure in a pilot mini-pig study, after a surgical intervention-caused gingival dehiscence. In summary, preclinical assessment by tissue-authentic cell systems and the animal pilot study revealed the NBM as an encouraging therapeutic medical device for prospective clinical applications. PMID:24494668

  20. A polyphasic approach for assessing the suitability of bioremediation for the treatment of hydrocarbon-impacted soil.

    Science.gov (United States)

    Adetutu, Eric M; Smith, Renee J; Weber, John; Aleer, Sam; Mitchell, James G; Ball, Andrew S; Juhasz, Albert L

    2013-04-15

    Bioremediation strategies, though widely used for treating hydrocarbon-contaminated soil, suffer from lack of biodegradation endpoint accountability. To address this limitation, molecular approaches of alkB gene analysis and pyrosequencing were combined with chemical approaches of bioaccessibility and nutrient assays to assess contaminant degrading capacity and develop a strategy for endpoint biodegradation predictions. In long-term hydrocarbon-contaminated soil containing 10.3 g C10-C36 hydrocarbons kg(-1), 454 pyrosequencing detected the overrepresentation of potential hydrocarbon degrading genera such as Pseudomonas, Burkholderia, Mycobacterium and Gordonia whilst amplicons for PCR-DGGE were detected only with alkB primers targeting Pseudomonas. This indicated the presence of potential microbial hydrocarbon degradation capacity in the soil. Using non-exhaustive extraction methods of 1-propanol and HP-β-CD for hydrocarbon bioaccessibility assessment combined with biodegradation endpoint predictions with linear regression models, we estimated 33.7% and 46.7% hydrocarbon removal respectively. These predictions were validated in pilot scale studies using an enhanced natural attenuation strategy which resulted in a 46.4% reduction in soil hydrocarbon content after 320 days. When predicted biodegradation endpoints were compared to measured values, there was no significant difference (P=0.80) when hydrocarbon bioaccessibility was assessed with HP-β-CD. These results indicate that a combination of molecular and chemical techniques that inform microbial diversity, functionality and chemical bioaccessibility can be valuable tools for assessing the suitability of bioremediation strategies for hydrocarbon-contaminated soil. Copyright © 2013 Elsevier B.V. All rights reserved.

  1. Suitability of energy cone for probabilistic volcanic hazard assessment: validation tests at Somma-Vesuvius and Campi Flegrei (Italy)

    Science.gov (United States)

    Tierz, Pablo; Sandri, Laura; Costa, Antonio; Zaccarelli, Lucia; Di Vito, Mauro Antonio; Sulpizio, Roberto; Marzocchi, Warner

    2016-11-01

    Pyroclastic density currents (PDCs) are gravity-driven hot mixtures of gas and volcanic particles which can propagate at high speed and cover distances up to several tens of kilometers around a given volcano. Therefore, they pose a severe hazard to the surroundings of explosive volcanoes able to produce such phenomena. Despite this threat, probabilistic volcanic hazard assessment (PVHA) of PDCs is still in an early stage of development. PVHA is rooted in the quantification of the large uncertainties (aleatory and epistemic) which characterize volcanic hazard analyses. This quantification typically requires a big dataset of hazard footprints obtained from numerical simulations of the physical process. For PDCs, numerical models range from very sophisticated (not useful for PVHA because of their very long runtimes) to very simple models (criticized because of their highly simplified physics). We present here a systematic and robust validation testing of a simple PDC model, the energy cone (EC), to unravel whether it can be applied to PVHA of PDCs. Using past PDC deposits at Somma-Vesuvius and Campi Flegrei (Italy), we assess the ability of EC to capture the values and variability in some relevant variables for hazard assessment, i.e., area of PDC invasion and maximum runout. In terms of area of invasion, the highest Jaccard coefficients range from 0.33 to 0.86 which indicates an equal or better performance compared to other volcanic mass-flow models. The p values for the observed maximum runouts vary from 0.003 to 0.44. Finally, the frequencies of PDC arrival computed from the EC are similar to those determined from the spatial distribution of past PDC deposits, with high PDC-arrival frequencies over an ˜8-km radius from the crater area at Somma-Vesuvius and around the Astroni crater at Campi Flegrei. The insights derived from our validation tests seem to indicate that the EC is a suitable candidate to compute PVHA of PDCs.

  2. Donor attention to reading materials.

    Science.gov (United States)

    O'Brien, S F; Osmond, L; Choquet, K; Yi, Q-L; Goldman, M

    2015-11-01

    Mandatory predonation reading materials inform donors about risk factors for transmissible disease, possible complications of donation and changes to the donation process. We aimed to assess the attention to predonation reading materials and factors which may affect attention. A national survey in 2008 of 18,108 blood donors asked about self-assessed attention to reading the materials. In face-to-face interviews, 441 donors completed additional questions about reading the materials and a literacy test. Qualitative interviews of 27 donors assessed their approach to reading. In the national survey, most of the first-time donors said they read all or most of the materials (90.9% first-time vs. 57.6% repeat donors, P reading them carefully (P read materials carefully, skimmed or did not read, most knew that donors are informed of positive transmissible disease test results (97.1%, 95.5, 98.0 P > 0.05), but fewer recalled seeing the definition of sex (77.2%, 56.9, 24.2 P read materials carefully, skimmed or did not read were compared (P > 0.05). Qualitative interviews showed that donors are reluctant to read any more than necessary and decide based on perceived importance or relevance. Attention to predonation reading materials tends to be better among first-time donors. The effectiveness is limited by low motivation to read, especially for repeat donors, as well as poor literacy. © 2015 International Society of Blood Transfusion.

  3. Donor Tag Game

    Science.gov (United States)

    ... Donor Community > Games > Donor Tag Game Donor Tag Game This feature requires version 6 or later of ... of Needles LGBTQ+ Donors Blood Donor Community SleevesUp Games Facebook Avatars and Badges Banners eCards Make a ...

  4. In situ lung perfusion is a valuable tool to assess lungs from donation after circulatory death donors category III

    NARCIS (Netherlands)

    Van de Wauwer, Caroline; Munneke, Anita J.; Engels, Gerwin E.; Berga, Foke M.; Rakhorst, Gerhard; Nijsten, Maarten W.; Mariani, Massimo A.; Erasmus, Michiel E.

    Donations after circulatory death (DCD) lung grafts are an alternative to extend the donor pool in lung transplantation. This study investigates the use of an in situ lung perfusion system (ISLP) in the donor to evaluate category III lungs. Pigs were sacrificed by ventricular fibrillation. All

  5. Mesoscale Assessment of CO2 Storage Potential and Geological Suitability for Target Area Selection in the Sichuan Basin

    Directory of Open Access Journals (Sweden)

    Yujie Diao

    2017-01-01

    Full Text Available In China, south of the Yangtze River, there are a large number of carbon sources, while the Sichuan Basin is the largest sedimentary basin; it makes sense to select the targets for CO2 geological storage (CGUS early demonstration. For CO2 enhanced oil and gas, coal bed methane recovery (CO2-EOR, EGR, and ECBM, or storage in these depleted fields, the existing oil, gas fields, or coal seams could be the target areas in the mesoscale. This paper proposed a methodology of GIS superimposed multisource information assessment of geological suitability for CO2 enhanced water recovery (CO2-EWR or only storage in deep saline aquifers. The potential per unit area of deep saline aquifers CO2 storage in Central Sichuan is generally greater than 50 × 104 t/km2 at P50 probability level, with Xujiahe group being the main reservoir. CO2 storage potential of depleted gas fields is 53.73 × 108 t, while it is 33.85 × 108 t by using CO2-EGR technology. This paper recommended that early implementation of CGUS could be carried out in the deep saline aquifers and depleted gas fields in the Sichuan Basin, especially that of the latter because of excellent traps, rich geological data, and well-run infrastructures.

  6. Screening and assessment of solidification/stabilization amendments suitable for soils of lead-acid battery contaminated site.

    Science.gov (United States)

    Zhang, Zhuo; Guo, Guanlin; Teng, Yanguo; Wang, Jinsheng; Rhee, Jae Seong; Wang, Sen; Li, Fasheng

    2015-05-15

    Lead exposure via ingestion of soil and dust generally occurs at lead-acid battery manufacturing and recycling sites. Screening solidification/stabilization (S/S) amendments suitable for lead contaminated soil in an abandoned lead-acid battery factory site was conducted based on its chemical forms and environmental risks. Twelve amendments were used to immobilize the Pb in soil and assess the solidification/stabilization efficiency by toxicity leaching tests. The results indicated that three amendments, KH₂PO₄ (KP), KH₂PO₄:oyster shell power=1:1 (by mass ratio; SPP), and KH₂PO₄:sintered magnesia=1:1 (by mass ratio; KPM) had higher remediation efficiencies that led to a 92% reduction in leachable Pb with the addition of 5% amendments, while the acid soluble fraction of Pb (AS-Pb) decreased by 41-46% and the residual fraction (RS-Pb) increased by 16-25%. The S/S costs of the three selected amendments KP, SPP, and KPM could be controlled to $22.3 per ton of soil when the Pb concentration in soil ranged from 2000 to 3000 mg/kg. The results of this study demonstrated that KP, SPP, and KPM can effectively decrease bioavailability of Pb. These findings could provide basis for decision-making of S/S remediation of lead-acid battery contaminated sites. Copyright © 2015 Elsevier B.V. All rights reserved.

  7. Frequency of adverse events in plateletpheresis donors in regional transfusion centre in North India.

    Science.gov (United States)

    Patidar, Gopal Kumar; Sharma, Ratti Ram; Marwaha, Neelam

    2013-10-01

    Although automated cell separators have undergone a lot of technical refinements, attention has been focused on the quality of platelet concentrates than on donor safety. We planned this prospective study to look into donor safety aspect by studying adverse events in normal healthy plateletpheresis donors. The study included 500 healthy, first-time (n=301) and repeat (n=199) plateletpheresis donors after informed consent. The plateletpheresis procedures were performed on Trima Accel (5.1 version, GAMBRO BCT) and Amicus (3.2 version FENWAL) cell separators. The adverse events during procedure were recorded and classified according to their nature. The pre and post procedure hematological and biochemical profiles of these donors were also assessed with the help of automated cell counter and analyser respectively. A total of 18% (n=90) adverse events were recorded in 500 plateletpheresis donors, of which 9% of were hypocalcaemia in nature followed by hematoma (7.4%), vasovagal reaction (0.8%) and kit related adverse events in (0.8%). There was significant post procedure drop in Hb, Hct, platelet count of the donors (padverse events in Trima Accel (5.1 version, GAMBRO BCT) and Amicus (3.2 version FENWAL) cell separators. Donor reactions can adversely affect the voluntary donor recruitment strategies to increase the public awareness regarding constant need for blood and blood products. Commonly observed adverse events in plateletpheresis donors were hypocalcemia, hematoma formation and vasovagal reactions which can be prevented by pre-donation education of the donors and change of machine configuration. Nevertheless, more prospective studies on this aspect are required in order to establish guidelines for donor safety in apheresis and also to help in assessing donor suitability, especially given the present trend of double product apheresis collections. Copyright © 2013 Elsevier Ltd. All rights reserved.

  8. EVALUASI KESESUAIAN LAHAN UNTUK TANAMAN JAGUNG MENGGUNAKAN METODE ANALISIS SPASIAL Land Suitability Assessment Of Corn (Zea mays L. Using Spasial Analysis Method

    Directory of Open Access Journals (Sweden)

    Ruslan Wirosoedarmo

    2012-05-01

    Full Text Available Land suitability assessment was needed to plan productive and sustainable land use. The aim of this research was to de- liver an informative data about land suitability of corn using spatial analysis model. The research was conducted from July 2007 to January 2008, located in Blitar district. The land survey and analysis covered several parameters needed for suitability assessment for corn such as temperature, rainfall, soil drainage, soil texture, pH, effective depth of soil, organic- C, soil content, Cation Exchange Capacity of clay, slope, altitude, and erosion endangered. The land suitability classes were classified into four classes, those were very suitable, suitable, marginally suitable, and not suitable. The data were finally analyzed using Map Calculator in Arc View GIS Software.The results showed that there were three classes of land suitability for corn i.e. very suitable, suitable and marginally suitable which accounted for 85 %, 10 %, and 5 % of 150.96 hectare areas in Blitar. The suitable class mainly located in the northern of Blitar district, while the marginally suitable class mostly located in more than 1200 meters height above sea level covered 10, 117, and 52 hectares area of Wlingi, Gandusari, and Doko county area respectively. ABSTRAK Evaluasi kesesuaian lahan diperlukan untuk perencanaan penggunaan lahan yang produktif dan lestari. Tujuan peneli- tian adalah untuk menyajikan data dan informasi tentang evaluasi kesesuaian lahan bagi tanaman jagung menggunakan model analisa spasial. Penelitian dilaksanakan mulai bulan Juli 2007 sampai bulan Januari 2008. Lokasi penelitian dilaksanakan di Blitar, Jawa Timur. Data yang diperlukan meliputi data spasial berupa peta kontur dan peta jenis tanah skala 1:25000 serta data atribut berupa data klimatologi wilayah dan hasil pengamatan lapangan terhadap sifat fisik, morfologi dan kimia tanah. Parameter kesesuaian untuk tanaman jagung yang ditetapkan meliputi temperatur, curah hujan

  9. Multidetector computed tomography with triple-bolus contrast medium administration protocol for preoperative anatomical and functional assessment of potential living renal donors

    Energy Technology Data Exchange (ETDEWEB)

    Knox, Matthew K. [University of Calgary, Faculty of Medicine, UME Office, Health Sciences Centre, Calgary, Alberta (Canada); Rivers-Bowerman, Michael D. [University of British Columbia, Faculty of Medicine, MD Undergraduate Program, Diamond Health Care Centre, Vancouver, British Columbia (Canada); Bardgett, Harry P. [Bradford Teaching Hospitals, Department of Radiology, Bradford (United Kingdom); Cowan, Nigel C. [The Churchill Hospital, Department of Radiology, Oxford (United Kingdom)

    2010-11-15

    To evaluate multidetector computed tomography (MDCT) with a triple-bolus contrast administration protocol for preoperative anatomical and functional assessment of living renal donors. Fifty-five potential living renal donors underwent MDCT of which 27 proceeded to donor nephrectomy. A triple-bolus contrast administration protocol was used for simultaneous acquisition of arterial, nephrographic, and excretory phases. MDCT images were independently reviewed in random order by two radiologists blinded to surgical anatomy findings. Diagnostic accuracy for anatomical variants was quantified by sensitivity and specificity. Differential renal function (DRF) was derived from MDCT for 54 patients and compared with technetium-99 m dimercaptosuccinic acid renography (Tc-99 m DMSA). All triple-bolus MDCT examinations were technically adequate. Accessory renal arteries and veins were identified at surgery in 33% (n = 9/27) and 22% (n = 6/27) of donor kidneys. The mean difference between MDCT-derived DRF and DMSA was 0.8% (95% CI 0.1-1.6) with 95% limits of agreement of -4.6% (95% CI -3.3 to -5.9) to 6.3% (95% CI 5.0-7.6). MDCT delivered a mean (SD, range) radiation dose of 9.5 (3.6, 3.6-17.3) mSv. MDCT with a triple-bolus contrast administration provides accurate anatomical and functional evaluation of living renal donors. (orig.)

  10. Assessing the Suitability of Future Multi- and Hyperspectral Satellite Systems for Mapping the Spatial Distribution of Norway Spruce Timber Volume

    Directory of Open Access Journals (Sweden)

    Sascha Nink

    2015-09-01

    Full Text Available The availability of accurate and timely information on timber volume is important for supporting operational forest management. One option is to combine statistical concepts (e.g., small area estimates with specifically designed terrestrial sampling strategies to provide estimations also on the level of administrative units such as forest districts. This may suffice for economic assessments, but still fails to provide spatially explicit information on the distribution of timber volume within these management units. This type of information, however, is needed for decision-makers to design and implement appropriate management operations. The German federal state of Rhineland-Palatinate is currently implementing an object-oriented database that will also allow the direct integration of Earth observation data products. This work analyzes the suitability of forthcoming multi- and hyperspectral satellite imaging systems for producing local distribution maps for timber volume of Norway spruce, one of the most economically important tree species. In combination with site-specific inventory data, fully processed hyperspectral data sets (HyMap were used to simulate datasets of the forthcoming EnMAP and Sentinel-2 systems to establish adequate models for estimating timber volume maps. The analysis included PLS regression and the k-NN method. Root Mean Square Errors between 21.6% and 26.5% were obtained, where k-NN performed slightly better than PLSR. It was concluded that the datasets of both simulated sensor systems fulfill accuracy requirements to support local forest management operations and could be used in synergy. Sentinel-2 can provide meaningful volume distribution maps in higher geometric resolution, while EnMAP, due to its hyperspectral coverage, can contribute complementary information, e.g., on biophysical conditions.

  11. Assessing the most suitable floor system for growing-finishing piggery under tropical conditions using the analytic hierarchy process

    Directory of Open Access Journals (Sweden)

    Fabiana Ribeiro Caldara

    2014-03-01

    Full Text Available Studies were carried out worldwide for evaluating different types of floor systems for growing-finishing pigs, specifically for assessing their effectiveness on pig performance, health and behaviour, leaving the opportunity for using multi-criteria analysis in decisionmaking towards the selection of flooring type. This study aimed to select the most suitable floor system for growing-finishing pigs under tropical conditions, considering performance traits and farmers management aspects. The analytic hierarchy process was applied for seeking the best solution considering both the farmers’ goals and the pigs’ welfare. Aspects considered in the analysis were: economic feasibility, rearing thermal and aerial ambient, animal behaviour, performance, and health status. The input used in the calculation was based on the results of a field trial using three treatments: whole concrete floor, coffee and rice husk bedding, and wood shavings deepbedding. Rearing conditions and pigs’ physiological parameters, performance, behaviour, and health status were analysed. When the floor system was considered, the most significant criteria were economic feasibility (0.31 and overall pig performance (0.31 leading to a final deep-bedding selection ranking of coffee and rice husks (1st, concrete floor (2nd, and wood shavings (3rd. Conversely, when the animal welfare was considered, the most decisive criterion was health status (0.32, followed by physiological parameters (0.25, and behaviour (0.23 leading to a final bedding selection ranking of coffee and rice husks (1st, wood shavings (2nd, and concrete floor (3rd. Results indicate that the deep-bedding of coffee and rice husks provided the best choice for both the farmer and the growing-finishing pigs.

  12. Assessing future suitability of tree species under climate change by multiple methods: a case study in southern Germany

    Directory of Open Access Journals (Sweden)

    Helge Walentowski

    2017-07-01

    Full Text Available We compared results derived using three different approaches to assess the suitability of common tree species on the Franconian Plateau in southern Germany under projected warmer and drier climate conditions in the period 2061-2080. The study area is currently a relatively warm and dry region of Germany. We calculated species distribution models (SDMs using information on species’ climate envelopes to predict regional species spectra under 63 different climate change scenarios. We complemented this with fine-scale ecological niche analysis using data from 51 vegetation surveys in seven forest reserves in the study area, and tree-ring analysis (TRA from local populations of five tree species to quantify their sensitivity to climatic extreme years. The SDMs showed that predicted future climate change in the region remains within the climate envelope of certain species (e.g. Quercus petraea, whilst for e.g. Fagus sylvatica, future climate conditions in one third of the scenarios are too warm and dry. This was confirmed by the TRA: sensitivity to drought periods is lower for Q. petraea than for F. sylvatica. The niche analysis shows that the local ecological niches of Quercus robur and Fraxinus excelsior are mainly characterized by soils providing favorable water supply than by climate, and Pinus sylvestris (planted is strongly influenced by light availability. The best adapted species for a warmer and potentially drier climate in the study region are Acer campestre, Sorbus torminalis, S. aria, Ulmus minor, and Tilia platyphyllos, which should therefore play a more prominent role in future climate-resilient mixed forest ecosystems.

  13. Funding Based on Needs? A Study on the Use of Needs Assessment Data by a Major Humanitarian Health Assistance Donor in its Decisions to Allocate Funds

    Science.gov (United States)

    Olin, Emma; von Schreeb, Johan

    2014-01-01

    Background: International humanitarian assistance is essential for disaster-affected populations, particularly in resource scarce settings. To target such assistance, needs assessments are required. According to internationally endorsed principles, donor governments should provide funding for humanitarian assistance based on need. Aim: The aim of this study is to explore a major donor’s use of needs assessment data in decision-making for allocations of funds for health-related humanitarian assistance contributions. Setting: This is a case study of the Swedish International Development Cooperation Agency (Sida), a major and respected international donor of humanitarian assistance. Methods: To explore Sida’s use of needs assessment data in practice for needs-based allocations, we reviewed all decision documents and assessment memoranda for humanitarian assistance contributions for 2012 using content analysis; this was followed by interviews with key personnel at Sida. Results: Our document analysis found that needs assessment data was not systematically included in Sida’s assessment memoranda and decision documents. In the interviews, we observed various descriptions of the concept of needs assessments, the importance of contextual influences as well as previous collaborations with implementing humanitarian assistance organizations. Our findings indicate that policies guiding funding decisions on humanitarian assistance need to be matched with available needs assessment data and that terminologies and concepts have to be clearly defined. Conclusion: Based on the document analysis and the interviews, it is unclear how well Sida used needs assessment data for decisions to allocate funds. However, although our observations show that needs assessments are seldom used in decision making, Sida’s use of needs assessments has improved compared to a previous study. To improve project funds allocations based on needs assessment data, it will be critical to develop

  14. Application of the soil-ecological multiplicative index to assess suitability of Cis-Ural chernozems for cultivation with due account for economic parameters

    Science.gov (United States)

    Levykin, S. V.; Chibilev, A. A.; Kazachkov, G. V.; Petrishchev, V. P.

    2017-02-01

    The evolution of Russian concepts concerning the assessment of soil suitability for cultivation in relation to several campaigns on large-scale plowing of virgin steppe soils is examined. The major problems of agricultural land use in steppe areas—preservation of rainfed farming in the regions with increasing climatic risks, underestimation of the potential of arable lands in land cadaster assessments, and much lower factual yields in comparison with potential yields—are considered. It is suggested that the assessments of arable lands should be performed on the basis of the soil-ecological index (SEI) developed by I. Karmanov with further conversion of SEI values into nominal monetary values. Under conditions of land reforms and economic reforms, it is important to determine suitability of steppe chernozems for plowing and economic feasibility of their use for crop growing in dependence on macroeconomic parameters. This should support decisions on optimization of land use in the steppe zone on the basis of the principles suggested by V. Dokuchaev. The developed approach for assessing soil suitability for cultivation was tested in the subzone of herbaceous-fescue-feather grass steppes in the Cis-Ural part of Orenburg oblast and used for the assessment of soil suitability for cultivation in the southern and southeastern regions of Orenburg oblast.

  15. Biodiesel production process optimization and characterization to assess the suitability of the product for varied environmental conditions

    Energy Technology Data Exchange (ETDEWEB)

    Eevera, T.; Rajendran, K.; Saradha, S. [Department of Biotechnology, Periyar Maniammai University, Periyar Nagar, Vallam, Thanjavur, Tamilnadu 613 403 (India)

    2009-03-15

    In this study, both edible (coconut oil, palm oil, groundnut oil, and rice bran oil) and non-edible oils (pongamia, neem and cotton seed oil) were used to optimize the biodiesel production process variables like catalyst concentration, amount of methanol required for reaction, reaction time and reaction temperature. The fuel properties like specific gravity, moisture content, refractive index, acid value, iodine number, saponification value and peroxide value were estimated. Based on the cetane number and iodine value, the methyl esters obtained from palm and coconut oils were not suitable to use as biodiesel in cold weather conditions, but for hot climate condition biodiesel obtained from the remaining oil sources is suitable. (author)

  16. A Novel 141Ce-Based Flood Field Phantom: Assessment of Suitability for Daily Uniformity Testing in a Clinical Nuclear Medicine Department.

    Science.gov (United States)

    Jha, Ashish Kumar; Mithun, Sneha; Chauhan, Manoj H; Purandare, Nilendu; Shah, Sneha; Agrawal, Archi; Saxena, Sanjay Kumar; Dash, Ashutosh; Rangarajan, Venkatesh

    2017-09-01

    Daily quality control testing of a γ-camera is of the utmost importance in assessing whether the camera is suitable for clinical use. The aim of our study was to assess the suitability of a fillable 141Ce-based flood field phantom developed in-house for daily quality control testing of γ-cameras. Methods: Daily uniformity testing was performed for 113 d using the fillable 141Ce phantom and a commercially available sheet-type 57Co phantom, and the results were compared. Results: The average integral uniformity obtained by the 141Ce and 57Co phantoms was 3.24% and 2.72%, respectively, for detector 1 and 3.31% and 2.78%, respectively, for detector 2. Conclusion: The 141Ce phantom we developed is a suitable alternative to the commercially available 57Co phantom. © 2017 by the Society of Nuclear Medicine and Molecular Imaging.

  17. Land suitability assessment for wind power plant site selection using ANP-DEMATEL in a GIS environment: case study of Ardabil province, Iran.

    Science.gov (United States)

    Azizi, Ali; Malekmohammadi, Bahram; Jafari, Hamid Reza; Nasiri, Hossein; Amini Parsa, Vahid

    2014-10-01

    Wind energy is a renewable energy resource that has increased in usage in most countries. Site selection for the establishment of large wind turbines, called wind farms, like any other engineering project, requires basic information and careful planning. This study assessed the possibility of establishing wind farms in Ardabil province in northwestern Iran by using a combination of analytic network process (ANP) and decision making trial and evaluation laboratory (DEMATEL) methods in a geographical information system (GIS) environment. DEMATEL was used to determine the criteria relationships. The weights of the criteria were determined using ANP and the overlaying process was done on GIS. Using 13 information layers in three main criteria including environmental, technical and economical, the land suitability map was produced and reclassified into 5 equally scored divisions from least suitable to most suitable areas. The results showed that about 6.68% of the area of Ardabil province is most suitable for establishment of wind turbines. Sensitivity analysis shows that significant portions of these most suitable zones coincide with suitable divisions of the input layers. The efficiency and accuracy of the hybrid model (ANP-DEMATEL) was evaluated and the results were compared to the ANP model. The sensitivity analysis, map classification, and factor weights for the two methods showed satisfactory results for the ANP-DEMATEL model in wind power plant site selection.

  18. Agar Sediment Test for Assessing the Suitability of Organic Waste Streams for Recovering Nutrients by the Aquatic Worm Lumbriculus variegatus

    NARCIS (Netherlands)

    Laarhoven, Bob; Elissen, H.J.H.; Temmink, H.; Buisman, C.J.N.

    2016-01-01

    An agar sediment test was developed to evaluate the suitability of organic waste streams from the food industry for recovering nutrients by the aquatic worm Lumbriculus variegatus (Lv). The effects of agar gel, sand, and food quantities in the sediment test on worm growth, reproduction, and water

  19. ASSESSMENT OF REQUIREMENT OF THE POPULATION IN THE ORGAN TRANSPLANTATION, THE DONOR RESOURCE AND PLANNING OF THE EFFECTIVE NETWORK OF THE MEDICAL ORGANIZATIONS (THE CENTERS OF TRANSPLANTATION

    Directory of Open Access Journals (Sweden)

    S. V. Gautier

    2013-01-01

    Full Text Available Aim. To estimate the requirement of the population of the Russian Federation for an organ transplantation and donor resource, to offer approach to planning of an effective network of the medical organizations (the centers of transplantation. Materials and methods. The analysis and comparison of statistical data on population, number of the patients receiving a dialysis, data about medical care on an organ transplantation in Russia and foreign countries is made. Results. On the basis of what the assessment of requirement of the population of the Russian Federation in an organ transplantation and donor resource is carried out, approach to planning of an effective network of the medical organizations (the centers of transplantation and scenarios of development of organ do- nation and transplantation in Russia is offered. Conclusion. To provide the population of the Russian Federation with medical care on an organ transplantation according to real requirement and donor resource, in each region of the Russian Federation have to be organized deceased organ donation and transplantation of a cadaveric kidney. But the transplantation of extrarenal organs is better to develop in the federal centers of hi-tech medical care with donor providing from territories of adjacent regions. 

  20. Exploring the suitability of causal loop diagrams to assess the Value chains of aquatic ecosystem services: A case study of the Baviaanskloof, South Africa

    CSIR Research Space (South Africa)

    Rawlins, JM

    2015-11-01

    Full Text Available This study explores the suitability of causal loop diagrams (CLDs) to assess the value chains of AESs in South Africa within the context of a case study. AESs do not usually have finite market values nor are they traded in formal markets, thus a...

  1. Assessment of variation in live donor kidney transplantation across transplant centers in the United States1 - 8

    Science.gov (United States)

    Reese, Peter P.; Feldman, Harold I.; Bloom, Roy D.; Abt, Peter L.; Thomasson, Arwin; Shults, Justine; Grossman, Robert; Asch, David A.

    2012-01-01

    Background Transplant centers vary in the proportion of kidney transplants performed using live donors. Clinical innovations that facilitate live donation may drive this variation. Methods We assembled a cohort of renal transplant candidates at 194 US centers using registry data from 1999 – 2005. We measured magnitude of live donor transplant (LDKTx) through development of a standardized live donor transplant ratio (SLDTR) at each center that accounted for center population differences. We examined associations between center characteristics and the likelihood that individual transplant candidates underwent LDKTx. To identify practices through which centers increase LDKTx, we also examined center characteristics associated with consistently being in the upper three quartiles of SLDTR. Results The cohort comprised 148,168 patients, among whom 34,593 (23.3%) underwent LDKTx. In multivariable logistic regression, candidates had an increased likelihood of undergoing LDKTx at centers with greater use of “unrelated donors” (defined as non-spouses and non-first-degree family members of the recipient; OR 1.31 for highest versus lowest use, p=0.02) and at centers with programs to overcome donor-recipient incompatibility (OR 1.33, p=0.01.) Centers consistently in the upper three SLDTR quartiles were also more likely to use “unrelated” donors (OR 8.30 per tertile of higher use, p<0.01), to have incompatibility programs (OR 4.79, p<0.01), and to use laparoscopic nephrectomy (OR 2.53 per tertile of higher use, p=0.02). Conclusion Differences in center population do not fully account for differences in the use of LDKTx. To maximize opportunities for LDKTx, centers may accept more unrelated donors and adopt programs to overcome biological incompatibility. PMID:21562451

  2. Agar Sediment Test for Assessing the Suitability of Organic Waste Streams for Recovering Nutrients by the Aquatic Worm Lumbriculus variegatus.

    Directory of Open Access Journals (Sweden)

    Bob Laarhoven

    Full Text Available An agar sediment test was developed to evaluate the suitability of organic waste streams from the food industry for recovering nutrients by the aquatic worm Lumbriculus variegatus (Lv. The effects of agar gel, sand, and food quantities in the sediment test on worm growth, reproduction, and water quality were studied. Agar gel addition ameliorated growth conditions by reducing food hydrolysis and altering sediment structure. Best results for combined reproduction and growth were obtained with 0.6% agar-gel (20 ml, 10 g. fine sand, 40 g. coarse sand, and 105 mg fish food (Tetramin. With agar gel, ingestion and growth is more the result of addition of food in its original quality. Final tests with secondary potato starch sludge and wheat bran demonstrated that this test is appropriate for the comparison of solid feedstuffs and suspended organic waste streams. This test method is expected to be suitable for organic waste studies using other sediment dwelling invertebrates.

  3. Agar Sediment Test for Assessing the Suitability of Organic Waste Streams for Recovering Nutrients by the Aquatic Worm Lumbriculus variegatus.

    Science.gov (United States)

    Laarhoven, Bob; Elissen, H J H; Temmink, H; Buisman, C J N

    2016-01-01

    An agar sediment test was developed to evaluate the suitability of organic waste streams from the food industry for recovering nutrients by the aquatic worm Lumbriculus variegatus (Lv). The effects of agar gel, sand, and food quantities in the sediment test on worm growth, reproduction, and water quality were studied. Agar gel addition ameliorated growth conditions by reducing food hydrolysis and altering sediment structure. Best results for combined reproduction and growth were obtained with 0.6% agar-gel (20 ml), 10 g. fine sand, 40 g. coarse sand, and 105 mg fish food (Tetramin). With agar gel, ingestion and growth is more the result of addition of food in its original quality. Final tests with secondary potato starch sludge and wheat bran demonstrated that this test is appropriate for the comparison of solid feedstuffs and suspended organic waste streams. This test method is expected to be suitable for organic waste studies using other sediment dwelling invertebrates.

  4. Assessing shoreline exposure and oyster habitat suitability maximizes potential success for sustainable shoreline protection using restored oyster reefs

    Directory of Open Access Journals (Sweden)

    Megan K. La Peyre

    2015-10-01

    Full Text Available Oyster reefs provide valuable ecosystem services that contribute to coastal resilience. Unfortunately, many reefs have been degraded or removed completely, and there are increased efforts to restore oysters in many coastal areas. In particular, much attention has recently been given to the restoration of shellfish reefs along eroding shorelines to reduce erosion. Such fringing reef approaches, however, often lack empirical data to identify locations where reefs are most effective in reducing marsh erosion, or fully take into account habitat suitability. Using monitoring data from 5 separate fringing reef projects across coastal Louisiana, we quantify shoreline exposure (fetch + wind direction + wind speed and reef impacts on shoreline retreat. Our results indicate that fringing oyster reefs have a higher impact on shoreline retreat at higher exposure shorelines. At higher exposures, fringing reefs reduced marsh edge erosion an average of 1.0 m y−1. Using these data, we identify ranges of shoreline exposure values where oyster reefs are most effective at reducing marsh edge erosion and apply this knowledge to a case study within one Louisiana estuary. In Breton Sound estuary, we calculate shoreline exposure at 500 random points and then overlay a habitat suitability index for oysters. This method and the resulting visualization show areas most likely to support sustainable oyster populations as well as significantly reduce shoreline erosion. Our results demonstrate how site selection criteria, which include shoreline exposure and habitat suitability, are critical to ensuring greater positive impacts and longevity of oyster reef restoration projects.

  5. Assessing shoreline exposure and oyster habitat suitability maximizes potential success for sustainable shoreline protection using restored oyster reefs

    Science.gov (United States)

    LaPeyre, Megan K.; Serra, Kayla; Joyner, T. Andrew; Humphries, Austin T.

    2015-01-01

    Oyster reefs provide valuable ecosystem services that contribute to coastal resilience. Unfortunately, many reefs have been degraded or removed completely, and there are increased efforts to restore oysters in many coastal areas. In particular, much attention has recently been given to the restoration of shellfish reefs along eroding shorelines to reduce erosion. Such fringing reef approaches, however, often lack empirical data to identify locations where reefs are most effective in reducing marsh erosion, or fully take into account habitat suitability. Using monitoring data from 5 separate fringing reef projects across coastal Louisiana, we quantify shoreline exposure (fetch + wind direction + wind speed) and reef impacts on shoreline retreat. Our results indicate that fringing oyster reefs have a higher impact on shoreline retreat at higher exposure shorelines. At higher exposures, fringing reefs reduced marsh edge erosion an average of 1.0 m y−1. Using these data, we identify ranges of shoreline exposure values where oyster reefs are most effective at reducing marsh edge erosion and apply this knowledge to a case study within one Louisiana estuary. In Breton Sound estuary, we calculate shoreline exposure at 500 random points and then overlay a habitat suitability index for oysters. This method and the resulting visualization show areas most likely to support sustainable oyster populations as well as significantly reduce shoreline erosion. Our results demonstrate how site selection criteria, which include shoreline exposure and habitat suitability, are critical to ensuring greater positive impacts and longevity of oyster reef restoration projects.

  6. Suitability of saliva cortisol as a biomarker for hypothalamic-pituitary-adrenal axis activation assessment, effects of feeding actions, and immunostimulatory challenges in dairy cows

    DEFF Research Database (Denmark)

    Schwinn, A. -C.; Knight, C. H.; Bruckmaier, R. M.

    2016-01-01

    , current research focuses on noninvasive sampling of media other than blood, for example, saliva. The aim of this study was to assess the suitability of saliva cortisol as a biomarker under different physiological and immunological states in dairy cows. Our objectives were to 1) evaluate the relationship...... follow changes in plasma. In conclusion, the positive correlation between saliva and plasma cortisol concentration in response to ACTH and inflammation suggests the suitability of saliva cortisol measurement for the HPA axis activation assessment. However, changes in saliva cortisol concentration occur......One of the most prominent physiological responses to stressors is the activation of the hypothalamic–pituitary–adrenocortical (HPA) axis, currently assessed by measuring cortisol concentration in blood plasma. To reduce animal discomfort during sampling, which negatively affects stress biomarkers...

  7. Donor human milk bank data collection in north america: an assessment of current status and future needs.

    Science.gov (United States)

    Brownell, Elizabeth A; Lussier, Mary M; Herson, Victor C; Hagadorn, James I; Marinelli, Kathleen A

    2014-02-01

    The Human Milk Banking Association of North America (HMBANA) is a nonprofit association that standardizes and facilitates the establishment and operation of donor human milk (DHM) banks in North America. Each HMBANA milk bank in the network collects data on the DHM it receives and distributes, but a centralized data repository does not yet exist. In 2010, the Food and Drug Administration recognized the need to collect and disseminate systematic, standardized DHM bank data and suggested that HMBANA develop a DHM data repository. This study aimed to describe data currently collected by HMBANA DHM banks and evaluate feasibility and interest in participating in a centralized data repository. We conducted phone interviews with individuals in different HMBANA milk banks and summarized descriptive statistics. Eight of 13 (61.5%) sites consented to participate. All respondents collected donor demographics, and half (50%; n = 4) rescreened donors after 6 months of continued donation. The definition of preterm milk varied between DHM banks (≤ 32 to ≤ 40 weeks). The specific computer program used to house the data also differed. Half (50%; n = 4) indicated that they would consider participation in a centralized repository. Without standardized data across all HMBANA sites, the creation of a centralized data repository is not yet feasible. Lack of standardization and transparency may deter implementation of donor milk programs in the neonatal intensive care unit setting and hinder benchmarking, research, and quality improvement initiatives.

  8. Solid Waste Management in Greater Shillong Planning Area (GSPA) Using Spatial Multi-Criteria Decision Analysis for Site Suitability Assessment

    Science.gov (United States)

    Mipun, B. S.; Hazarika, R.; Mondal, M.; Mukhopadhyay, S.

    2015-04-01

    In Shillong city the existing solid waste management system is mobile waste bins (72%). About 12 percent burn the waste generated by them. Door to door collection is about 5 percent. Over 2 percent households throw the wastes in the open space. Another 9 percent households throw their wastes into the waste bins located in the neighbourhood. The local headman takes care about half of the household's wastes, while Municipality takes care about 34 percent households. About 10 percent households are ignorant about the collection and disposal of wastes. Some NGO's takes care about 5 percent household's wastes. Awareness about segregation of waste into organic and non-bio degradable waste is 64 percent and a significant numbers do the segregation. In Shillong Municipality Board (SMB) area collects 45.91% (78.42 MT) waste, outside SMB area collection is 32.61% (45.99 MT) and entire GSPA the percentage of garbage collected is 41percent. The only dumping ground in GSPA is Marten, Mawiong, and the capacity to hold garbage is decreasing due to limited landfill. The sanitary landfill site is 5.0 acres that it is not enough to meet the demand. Out of he total area 170.69 sq. km. (GSPA) only 25.67% is most suitable and 18.58% is unsuitable to set up a new landfill area. Eastern part of the GSPA, is most suitable, which fulfils the entire criterion adopted in this study. In this the best-stated criterion are land cover (vacant space), slope (2000m) and elevation (1300-1500m). The eastern part of the GSPA is most suitable landfill location.

  9. Suitability assessment of grey water quality treated with an upflow-downflow siliceous sand/marble waste filtration system for agricultural and industrial purposes.

    Science.gov (United States)

    Chaabane, Safa; Riahi, Khalifa; Hamrouni, Hédi; Thayer, Béchir Ben

    2017-04-01

    The present study examines the suitability assessment of an upflow-downflow siliceous sand/marble waste filtration system for treatment and reuse of grey water collected from bathrooms of the student residential complex at the Higher Institute of Engineering Medjez El Bab (Tunisia). Once the optimization of grey water pre-treatment system has been determined, the filtration system was operated at different hydraulic loading rate and media filter proportions in order to assess the suitability of treated grey water for irrigational purpose according to salinity hazard, sodium hazard, magnesium hazard, permeability index, water infiltration rate, and widely used graphical methods. Suitability of the treated grey water for industrial purpose was evaluated in terms of foaming, corrosion, and scaling. Under optimal operational conditions, results reveals that treated grey water samples with an upflow-downflow siliceous sand/marble waste filtration system may be considered as a good and an excellent water quality suitable for irrigation purpose. However, treated grey water was found not appropriate for industrial purpose due to high concentrations of calcium and sodium that can generate foaming and scaling harm to boilers. These results suggest that treated grey water with an upflow-downflow siliceous sand/marble waste filtration system would support production when used as irrigation water.

  10. Assessment of the Temporopolar Artery as a Donor Artery for Intracranial-Intracranial Bypass to the Middle Cerebral Artery: Anatomic Feasibility Study.

    Science.gov (United States)

    Tayebi Meybodi, Ali; Lawton, Michael T; Griswold, Dylan; Mokhtari, Pooneh; Payman, Andre; Tabani, Halima; Yousef, Sonia; Kola, Olivia; Benet, Arnau

    2017-08-01

    Intracranial-intracranial bypass is a valuable cerebral revascularization option. Despite several advantages, one of the main shortcomings of the intracranial-intracranial bypass is the possibility of ischemic complications of the donor artery. However, when sacrificed, the temporopolar artery (TPA) is not associated with major neurologic deficits. We sought to define the role of TPA as a donor for revascularization of the middle cerebral artery (MCA). Pterional craniotomy was performed on 14 specimens. The TPA was released from arachnoid trabecula, and the small twigs to the temporal lobe were cut. The feasibility of side-to-side and end-to-side bypass to the farthest arterial targets on insular, opercular, and cortical MCA branches was assessed. The distance of the bypass point was measured in reference to limen insulae. A total of 15 TPAs were assessed (1 specimen had 2 TPAs). The average cisternal length of the TPA was 37.3 mm. For side-to-side bypass, the TPA was a poor candidate as an intracranial donor, except for the cortical orbitofrontal artery, which was reached in 87% of cases. However, the end-to-side bypass was successfully completed for most arteries (87%-100%) on the anterior frontal operculum and more than 50% of the cortical or opercular middle and posterior temporal arteries. There was no correlation between the TPA's cisternal length and maximum bypass reach. When of favorable diameter, the TPA is a competent donor for intracranial-intracranial bypass to MCA branches at the anterior insula, and anterior frontal and middle temporal opercula (arteries anterior to the precentral gyrus coronal plane). Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Radioimmunoassay for wheat gliadin to assess the suitability of gluten free foods for patients with coeliac disease

    Energy Technology Data Exchange (ETDEWEB)

    Ciclitira, P.J.; Ellis, H.J. (United Medical School of Guy' s and St. Thomas' Hospital, London (UK)); Evans, D.J. (Hammersmith Hospital, London (UK)); Lennox, E.S. (Medical Research Council, Cambridge (UK))

    1985-03-01

    Coeliac disease is a clinical condition characterised by malabsorption secondary to abnormalities of the small intestine. The condition is known to be exacerbated by wheat gliadin, rye, barley and possibly oats. The only assays that are available for testing for the presence of wheat gluten in foods are double diffusion against rabbit anti-gliadin antiserum and measurement of Kjeldahl nitrogen in products derived from wheat flour. We have developed a radioimmunoassay for wheat gliadin with a detection limit of 1 ng. Nominally gluten free foods based on wheat starch have been shown to contain up to 1.9 x 10/sup -2/% wheat gliadin. Bread made from Nutregen wheat starch which has now been withdrawn contains 6.4 mg gliadin per standard 30 g slice. A radioimmunoassay for wheat gliadin could be used to define standards for the suitability of gluten free products based on wheat starch for patients with coeliac disease.

  12. Computational fluid dynamics: a suitable assessment tool for demonstrating the antiobstructive effect of drugs in the therapy of allergic rhinitis.

    Science.gov (United States)

    Achilles, N; Pasch, N; Lintermann, A; Schröder, W; Mösges, R

    2013-02-01

    This systematic review aims first to summarize the previous areas of application of computational fluid dynamics (CFD) and then to demonstrate that CFD is also a suitable instrument for generating three-dimensional images that depict drug effects on nasal mucosa. Special emphasis is placed on the three-dimensional visualization of the antiobstructive effect of nasal steroids and antihistamines in the treatment of allergic rhinitis. In the beginning, CFD technology was only used to demonstrate physiological and pathophysiological airflow conditions in the nose and to aid in preoperative planning and postoperative monitoring of surgical outcome in the field of rhinosurgery. The first studies using CFD examined nasal respiratory physiology, important functions of the nose, such as conditioning and warming of inspired air, and the influence of pathophysiological changes on nasal breathing. Also, postoperative outcome of surgical procedures could be "predicted" using the nasal airflow model. Later studies focused on the three-dimensional visualization of the effect of nasal sprays in healthy subjects and postoperative patients. A completely new approach, however, was the use of CFD in the area of allergic rhinitis and the treatment of its cardinal symptom of nasal obstruction. In two clinical trials, a suitable patient with a positive history of allergic rhinitis was enrolled during a symptom-free period after the pollen season. The patient developed typical allergic rhinitis symptoms after provocation with birch pollen. The 3-D visualization showed that the antiallergic treatment successfully counteracted the effects of nasal allergen provocation on nasal airflow. These observations were attributed to the antiobstructive effect of a nasal steroid (mometasone furoate) and a systemic antihistamine (levocetirizine), respectively. CFD therefore constitutes a non-invasive, precise, reliable and objective examination procedure for generating three-dimensional images that

  13. Suitability of the Literacy and Numeracy Screening (LINUS) 2.0 Programme in Assessing Children's Early Literacy

    Science.gov (United States)

    Luyee, Eunice Ong; Roselan, Fauzan Izzati; Anwardeen, Nor Hafizah; Mustapa, Fatin Hazirah Mohd

    2015-01-01

    Early literacy skills are crucial in a child's learning process and awareness should be raised in order to ensure the quality of early literacy assessments. In this paper, the writers discuss the quality of early literacy assessment in Malaysia, LINUS 2.0 by looking at its validity and reliability. An established early literacy program is compared…

  14. Assessment of the Agronomic Feasibility of Bioenergy Crop Cultivation on Marginal and Polluted Land: A GIS-Based Suitability Study from the Sulcis Area, Italy

    Directory of Open Access Journals (Sweden)

    Giuseppe Pulighe

    2016-10-01

    Full Text Available In the context of environmental sustainability there has been an increasing interest in bioenergy production from renewable resources, and is expected that European biofuel production from energy crops will increase as a consequence of the achievement of policy targets. The aim of this paper is to assess the agronomic feasibility of biomass crop cultivation to provide profitable renewable feedstocks in a marginal and heavy-metal polluted area located in the Sulcis district, Sardinia (Italy. Results from literature review and unpublished data from field trials carried out in Sardinia were analysed to establish the main agronomic traits of crops (e.g., yield potential and input requirements. A Geographical Information System (GIS-based procedure with remotely sensed data is also used to evaluate the land suitability and the actual land use/cover, considering a future scenario of expansion of energy crops on these marginal areas avoiding potential conflicts with food production. The results of the review suggests that giant reed, native perennial grasses and milk thistle are the most suitable energy crops for this area. The land suitability analysis shows that about 5700 ha and 1000 ha could be available for feedstock cultivation in the study area and in the most polluted area, respectively. The results obtained from land suitability process and agronomic evaluation will serve as a base to support technical and economical feasibility studies, as well as for the evaluation of environmental sustainability of the cultivation in the study area.

  15. On the suitability of ultrathin detectors for absorbed dose assessment in the presence of high-density heterogeneities.

    Science.gov (United States)

    Bueno, M; Carrasco, P; Jornet, N; Muñoz-Montplet, C; Duch, M A

    2014-08-01

    The aim of this study was to evaluate the suitability of several detectors for the determination of absorbed dose in bone. Three types of ultrathin LiF-based thermoluminescent dosimeters (TLDs)-two LiF:Mg,Cu,P-based (MCP-Ns and TLD-2000F) and a (7)Li-enriched LiF:Mg,Ti-based (MTS-7s)-as well as EBT2 Gafchromic films were used to measure percentage depth-dose distributions (PDDs) in a water-equivalent phantom with a bone-equivalent heterogeneity for 6 and 18 MV and a set of field sizes ranging from 5 x 5 cm2 to 20 x 20 cm2. MCP-Ns, TLD-2000F, MTS-7s, and EBT2 have active layers of 50, 20, 50, and 30 μm, respectively. Monte Carlo (MC) dose calculations (PENELOPE code) were used as the reference and helped to understand the experimental results and to evaluate the potential perturbation of the fluence in bone caused by the presence of the detectors. The energy dependence and linearity of the TLDs' response was evaluated. TLDs exhibited flat energy responses (within 2.5%) and linearity with dose (within 1.1%) within the range of interest for the selected beams. The results revealed that all considered detectors perturb the electron fluence with respect to the energy inside the bone-equivalent material. MCP-Ns and MTS-7s underestimated the absorbed dose in bone by 4%-5%. EBT2 exhibited comparable accuracy to MTS-7s and MCP-Ns. TLD-2000F was able to determine the dose within 2% accuracy. No dependence on the beam energy or field size was observed. The MC calculations showed that a[Formula: see text] thick detector can provide reliable dose estimations in bone regardless of whether it is made of LiF, water or EBT's active layer material. TLD-2000F was found to be suitable for providing reliable absorbed dose measurements in the presence of bone for high-energy x-ray beams.

  16. On the suitability of ultrathin detectors for absorbed dose assessment in the presence of high-density heterogeneities

    Energy Technology Data Exchange (ETDEWEB)

    Bueno, M., E-mail: marta.bueno@upc.edu; Duch, M. A. [Institut de Tècniques Energètiques, Universitat Politècnica de Catalunya, 08028 Barcelona (Spain); Carrasco, P.; Jornet, N. [Servei de Radiofísica i Radioprotecció, Hospital de la Santa Creu i de Sant Pau, 08025 Barcelona (Spain); Muñoz-Montplet, C. [Servei de Física Mèdica i Protecció Radiològica, Institut Català d’Oncologia—Girona, 17007 Girona (Spain)

    2014-08-15

    Purpose: The aim of this study was to evaluate the suitability of several detectors for the determination of absorbed dose in bone. Methods: Three types of ultrathin LiF-based thermoluminescent dosimeters (TLDs)—two LiF:Mg,Cu,P-based (MCP-Ns and TLD-2000F) and a{sup 7}Li-enriched LiF:Mg,Ti-based (MTS-7s)—as well as EBT2 Gafchromic films were used to measure percentage depth-dose distributions (PDDs) in a water-equivalent phantom with a bone-equivalent heterogeneity for 6 and 18 MV and a set of field sizes ranging from 5×5 cm{sup 2} to 20×20 cm{sup 2}. MCP-Ns, TLD-2000F, MTS-7s, and EBT2 have active layers of 50, 20, 50, and 30 μm, respectively. Monte Carlo (MC) dose calculations (PENELOPE code) were used as the reference and helped to understand the experimental results and to evaluate the potential perturbation of the fluence in bone caused by the presence of the detectors. The energy dependence and linearity of the TLDs’ response was evaluated. Results: TLDs exhibited flat energy responses (within 2.5%) and linearity with dose (within 1.1%) within the range of interest for the selected beams. The results revealed that all considered detectors perturb the electron fluence with respect to the energy inside the bone-equivalent material. MCP-Ns and MTS-7s underestimated the absorbed dose in bone by 4%–5%. EBT2 exhibited comparable accuracy to MTS-7s and MCP-Ns. TLD-2000F was able to determine the dose within 2% accuracy. No dependence on the beam energy or field size was observed. The MC calculations showed that a50 μm thick detector can provide reliable dose estimations in bone regardless of whether it is made of LiF, water or EBT’s active layer material. Conclusions: TLD-2000F was found to be suitable for providing reliable absorbed dose measurements in the presence of bone for high-energy x-ray beams.

  17. lociNGS: a lightweight alternative for assessing suitability of next-generation loci for evolutionary analysis.

    Directory of Open Access Journals (Sweden)

    Sarah M Hird

    Full Text Available Genomic enrichment methods and next-generation sequencing produce uneven coverage for the portions of the genome (the loci they target; this information is essential for ascertaining the suitability of each locus for further analysis. lociNGS is a user-friendly accessory program that takes multi-FASTA formatted loci, next-generation sequence alignments and demographic data as input and collates, displays and outputs information about the data. Summary information includes the parameters coverage per locus, coverage per individual and number of polymorphic sites, among others. The program can output the raw sequences used to call loci from next-generation sequencing data. lociNGS also reformats subsets of loci in three commonly used formats for multi-locus phylogeographic and population genetics analyses - NEXUS, IMa2 and Migrate. lociNGS is available at https://github.com/SHird/lociNGS and is dependent on installation of MongoDB (freely available at http://www.mongodb.org/downloads. lociNGS is written in Python and is supported on MacOSX and Unix; it is distributed under a GNU General Public License.

  18. Assessment of phytoplankton resources suitable for bigheaded carps in Lake Michigan derived from remote sensing and bioenergetics

    Science.gov (United States)

    Anderson, Karl R.; Chapman, Duane C.; Wynne, Tim T.; Paukert, Craig

    2017-01-01

    We used bioenergetic simulations combined with satellite-measured water temperature and estimates of algal food availability to predict the habitat suitability of Lake Michigan for adult silver carp (Hypophthalmichthys molitrix) and bighead carp (H. nobilis). Depending on water temperature, we found that bigheaded carp require ambient algal concentrations between 1 and 7 μg chlorophyll/L or between 0.25 × 105 and 1.20 × 105 cells/mL Microcystis to maintain body weight. When the bioenergetics model is forced with the observed average annual temperature cycle, our simulations predicted silver carp bioenergetics predicted annual weight change ranging from 9% weight loss to 23% gain; bighead carp ranged from 68 to 177% weight gain. Algal concentrations b4 μg chlorophyll/L and b200,000 cells/mL were below the detection limits of the remote sensing method. However, all areas with detectable algae have sufficient concentrations of algal foods for bigheaded carp weight-maintenance and growth. Those areas are predominately along the nearshore areas.

  19. Combining dispersal, landscape connectivity and habitat suitability to assess climate-induced changes in the distribution of Cunningham's skink, Egernia cunninghami.

    Directory of Open Access Journals (Sweden)

    Benjamin Y Ofori

    Full Text Available The ability of species to track their climate niche is dependent on their dispersal potential and the connectivity of the landscape matrix linking current and future suitable habitat. However, studies modeling climate-driven range shifts rarely address the movement of species across landscapes realistically, often assuming "unlimited" or "no" dispersal. Here, we incorporate dispersal rate and landscape connectivity with a species distribution model (Maxent to assess the extent to which the Cunningham's skink (Egernia cunninghami may be capable of tracking spatial shifts in suitable habitat as climate changes. Our model was projected onto four contrasting, but equally plausible, scenarios describing futures that are (relative to now hot/wet, warm/dry, hot/with similar precipitation and warm/wet, at six time horizons with decadal intervals (2020-2070 and at two spatial resolutions: 1 km and 250 m. The size of suitable habitat was projected to decline 23-63% at 1 km and 26-64% at 250 m, by 2070. Combining Maxent output with the dispersal rate of the species and connectivity of the intervening landscape matrix showed that most current populations in regions projected to become unsuitable in the medium to long term, will be unable to shift the distance necessary to reach suitable habitat. In particular, numerous populations currently inhabiting the trailing edge of the species' range are highly unlikely to be able to disperse fast enough to track climate change. Unless these populations are capable of adaptation they are likely to be extirpated. We note, however, that the core of the species distribution remains suitable across the broad spectrum of climate scenarios considered. Our findings highlight challenges faced by philopatric species and the importance of adaptation for the persistence of peripheral populations under climate change.

  20. Assessment of land suitability for olive mill wastewater disposal site selection by integrating fuzzy logic, AHP, and WLC in a GIS.

    Science.gov (United States)

    Aydi, Abdelwaheb; Abichou, Tarek; Nasr, Imen Hamdi; Louati, Mourad; Zairi, Moncef

    2016-01-01

    This paper presents a geographic information system-based multi-criteria site selection tool of an olive mill wastewater (OMW) disposal site in Sidi Bouzid Region, Tunisia. The multi-criteria decision framework integrates ten constraints and six factors that relate to environmental and economic concerns, and builds a hierarchy model for OMW disposal site suitability. The methodology is used for preliminary assessment of the most suitable OMW disposal sites by combining fuzzy set theory and analytic hierarchy process (AHP). The fuzzy set theory is used to standardize factors using different fuzzy membership functions while the AHP is used to establish the relative importance of the criteria. The AHP makes pairwise comparisons of relative importance between hierarchy elements grouped by both environmental and economic decision criteria. The OMW disposal site suitability is achieved by applying a weighted linear combination that uses a comparison matrix to aggregate different importance scenarios associated with environmental and economic objectives. Three different scenarios generated by different weights applied to the two objectives. The scenario (a) assigns a weight of 0.75 to the environmental and 0.25 to the economic objective, scenario (b) has equal weights, and scenario (c) features weights of 0.25 and 0.75 for environmental and economic objectives, respectively. The results from this study assign the least suitable OMW disposal site of 2.5 % when environmental and economic objectives are rated equally, while a more suitable OMW disposal site of 1.0 % is generated when the economic objective is rated higher.

  1. Development and Assessment of a Geographic Knowledge-Based Model for Mapping Suitable Areas for Rift Valley Fever Transmission in Eastern Africa.

    Science.gov (United States)

    Tran, Annelise; Trevennec, Carlène; Lutwama, Julius; Sserugga, Joseph; Gély, Marie; Pittiglio, Claudia; Pinto, Julio; Chevalier, Véronique

    2016-09-01

    Rift Valley fever (RVF), a mosquito-borne disease affecting ruminants and humans, is one of the most important viral zoonoses in Africa. The objective of the present study was to develop a geographic knowledge-based method to map the areas suitable for RVF amplification and RVF spread in four East African countries, namely, Kenya, Tanzania, Uganda and Ethiopia, and to assess the predictive accuracy of the model using livestock outbreak data from Kenya and Tanzania. Risk factors and their relative importance regarding RVF amplification and spread were identified from a literature review. A numerical weight was calculated for each risk factor using an analytical hierarchy process. The corresponding geographic data were collected, standardized and combined based on a weighted linear combination to produce maps of the suitability for RVF transmission. The accuracy of the resulting maps was assessed using RVF outbreak locations in livestock reported in Kenya and Tanzania between 1998 and 2012 and the ROC curve analysis. Our results confirmed the capacity of the geographic information system-based multi-criteria evaluation method to synthesize available scientific knowledge and to accurately map (AUC = 0.786; 95% CI [0.730-0.842]) the spatial heterogeneity of RVF suitability in East Africa. This approach provides users with a straightforward and easy update of the maps according to data availability or the further development of scientific knowledge.

  2. An assessment of the effect of data partitioning on the performance of modelling algorithms for habitat suitability for ticks.

    Science.gov (United States)

    Estrada-Peña, A; Thuiller, W

    2008-09-01

    A comparison of the performance of five modelling methods using presence/absence (generalized additive models, discriminant analysis) or presence-only (genetic algorithm for rule-set prediction, ecological niche factor analysis, Gower distance) data for modelling the distribution of the tick species Boophilus decoloratus (Koch, 1844) (Acarina: Ixodidae) at a continental scale (Africa) using climate data was conducted. This work explicitly addressed the usefulness of clustering using the normalized difference vegetation index (NDVI) to split original records and build partial models for each region (cluster) as a method of improving model performance. Models without clustering have a consistently lower performance (as measured by sensitivity and area under the curve [AUC]), although presence/absence models perform better than presence-only models. Two cluster-related variables, namely, prevalence (commonness of tick records in the cluster) and marginality (the relative position of the climate niche occupied by the tick in relation to that available in the cluster) greatly affect the performance of each model (P weighting procedures based on prevalence and marginality as derived from populations at each cluster produced a slightly lower predictive performance but a better estimation of the continental distribution of the tick. Therefore, cluster-derived models are able to effectively capture restricting conditions for different tick populations at a regional level. It is concluded that data partitioning is a powerful method with which to describe the climate niche of populations of a tick species, as adapted to local conditions. The use of this methodology greatly improves the performance of climate suitability models.

  3. Making fate and exposure models for freshwater ecotoxicity in life cycle assessment suitable for organic acids and bases.

    Science.gov (United States)

    van Zelm, Rosalie; Stam, Gea; Huijbregts, Mark A J; van de Meent, Dik

    2013-01-01

    Freshwater fate and exposure factors were determined for organic acids and bases, making use of the knowledge on electrical interaction of ionizing chemicals and their sorption to particles. The fate factor represents the residence time in the environment whereas exposure factors equal the dissolved fraction of a chemical. Multimedia fate, exposure, and effect model USES-LCA was updated to take into account the influence of ionization, based upon the acid dissociation constant (pK(a)) of a chemical, and the environmental pH. Freshwater fate (FF) and exposure (XF) factors were determined for 415 acids and 496 bases emitted to freshwater, air, and soil. The relevance of taking account of the degree of ionization of chemicals was tested by determining the ratio (R) of the new vs. fate and exposure factors determined with USES-LCA suitable for neutral chemicals only. Our results show that the majority of freshwater fate and exposure factors of chemicals that are largely ionized in the environment are larger with the ionics model compared to the factors determined with the neutrals model version. R(FF) ranged from 2.4×10(-1) to 1.6×10(1) for freshwater emissions, from 1.2×10(-2) to 2.0×10(4) for soil emissions and from 5.8×10(-2) to 6.0×10(3) for air emissions, and R(XF) from 5.3×10(-1) to 2.2×10(1). Prediction of changed solid-water partitioning, implying a change in runoff and in removal via sedimentation, and prediction of negligible air-water partition coefficient, leading to negligible volatilization were the main contributors to the changes in freshwater fate factors. Copyright © 2012 Elsevier Ltd. All rights reserved.

  4. Assessment of the territorial suitability for the creation of the greenways networks: Methodological application in the Sicilian landscape context

    Directory of Open Access Journals (Sweden)

    Marzia Quattrone

    2017-09-01

    Full Text Available The proposal to create greenways networks for the enhancement of more or less vast areas is of great importance to territory planning. The paths, which are overlaid on pre-existing linear patterns, promote the development of endogenous resources and facilitate direct learning of the territory’s historical, cultural, environmental and landscaping assets. Rural areas can be strongly influenced by setting up a greenways network, as their use not only promotes the exchange of knowledge between users and inhabitants, but also encourages the enjoyment of various areas (agricultural landscapes, scattered cultural heritage, protected environments that would otherwise be inaccessible due to their distance from the traditional routes. Altogether, this favours the introduction of economic activities based on their typical characteristics. This work identifies the appropriate road infrastructure, available in the former Province of Syracuse (East Sicily, for building greenways networks that will best contribute to the valorisation of their surrounding territory. This work assigns great importance to landscape features as factors of tourist and cultural attraction. We have used the multi-criteria analysis associated with geographic information system (GIS. We have weighed and mapped numerous indicators to define the territory’s infrastructural, landscape, cultural, and tourist resources, meaning those able to increase the use of the territory and/or that determine attractiveness for the population. The GIS analysis allowed us to develop numerous intermediate maps, whose information helped us to draw up the final map illustrating the suitability of the existing infrastructures that could be useful while planning of a greenway network. Such infrastructures could be the subject of specific plans or detailed projects aimed at enhancing the pre-existing resources of a rural territory. This study, although referring to a defined territory, is methodologically

  5. An assessment of site suitability for marina construction in Istanbul, Turkey, using GIS and AHP multicriteria decision analysis.

    Science.gov (United States)

    Gumusay, Mustafa Umit; Koseoglu, Gokalp; Bakirman, Tolga

    2016-12-01

    Marinas play a key role in sea transportation and tourism. The problem of an insufficient marina capacity has revealed in terms of sea traffic due to the demographic structure and increasing tourism potential of Istanbul which is the biggest metropolitan city of Turkey and has around 600-km-long coastline. Therefore, the study area is mainly focused on the Marmara Sea shoreline of Istanbul. Rather than traditional methods, a rapid and cost-effective solution which considers natural and urban environment conditions is essential to satisfy the need for a marina site selection. Thanks to the latest improvements in geographic information systems, it is convenient to perform location selection analysis of marinas taking advantages of geology, land use, demography and accessibility data sets. The goal of this study is to define the areas that are appropriate for building marinas, with the use of topographic and demographic data in a present shoreline applying analytical hierarchy process multicriteria decision-making method. In this study, erosion, landslide, tsunami, land use, geologically hazardous areas, transfer lines, sea traffic data, neighbourhood scale population, age patterns and house income data have been used. Analytical hierarchy process method is used to give a weight to each data set, and a grading system has been developed for the area selection of marinas. The result maps of the analysis that show study area as classified into four categories from good to not suitable are presented. It is possible to create a decision support system for upper scale plans that enable authorities to perform analysis accurately, cost and time effectively using the proposed methodology that integrates multiple data sets with different scales and types.

  6. Assessment of the suitability of Durafet-based sensors for pH measurement in dynamic estuarine environments

    Science.gov (United States)

    Gonski, Stephen F.; Cai, Wei-Jun; Ullman, William J.; Joesoef, Andrew; Main, Christopher R.; Pettay, D. Tye; Martz, Todd R.

    2018-01-01

    The suitability of the Honeywell Durafet to the measurement of pH in productive, high-fouling, and highly-turbid estuarine environments was investigated at the confluence of the Murderkill Estuary and Delaware Bay (Delaware, USA). Three different flow configurations of the SeapHOx sensor equipped with a Honeywell Durafet and its integrated internal (Ag/AgCl reference electrode containing a 4.5 M KCl gel liquid junction) and external (solid-state chloride ion selective electrode, Cl-ISE) reference electrodes were deployed for four periods between April 2015 and September 2016. In this environment, the Honeywell Durafet proved capable of making high-resolution and high-frequency pH measurements on the total scale between pH 6.8 and 8.4. Natural pH fluctuations of >1 pH unit were routinely captured over a range of timescales. The sensor pH collected between May and August 2016 using the most refined SeapHOx configuration exhibited good agreement with multiple sets of independently measured reference pH values. When deployed in conjunction with rigorous discrete sampling and calibration schemes, the sensor pH had a root-mean squared error ranging between 0.011 and 0.036 pH units across a wide range of salinity relative to both pHT calculated from measured dissolved inorganic carbon and total alkalinity and pHNBS measured with a glass electrode corrected to pHT at in situ conditions. The present work demonstrates the viability of the Honeywell Durafet to the measurement of pH to within the weather-level precision defined by the Global Ocean Acidification Observing Network (GOA-ON, ≤ 0.02 pH units) as a part of future estuarine CO2 chemistry studies undertaken in dynamic environments.

  7. Assessing water quality suitability for shortnose sturgeon in the Roanoke River, North Carolina, USA with an in situ bioassay approach

    Science.gov (United States)

    Cope, W.G.; Holliman, F.M.; Kwak, T.J.; Oakley, N.C.; Lazaro, P.R.; Shea, D.; Augspurger, T.; Law, J.M.; Henne, J.P.; Ware, K.M.

    2011-01-01

    The aim of this study was to determine the suitability of water quality in the Roanoke River of North Carolina for supporting shortnose sturgeon Acipenser brevirostrum, an endangered species in the United States. Fathead minnows Pimephales promelas were also evaluated alongside the sturgeon as a comparative species to measure potential differences in fish survival, growth, contaminant accumulation, and histopathology in a 28-day in situ toxicity test. Captively propagated juvenile shortnose sturgeon (total length 49??8mm, mean??SD) and fathead minnows (total length 39??3mm, mean??SD) were used in the test and their outcomes were compared to simultaneous measurements of water quality (temperature, dissolved oxygen, pH, conductivity, total ammonia nitrogen, hardness, alkalinity, turbidity) and contaminant chemistry (metals, polycyclic aromatic hydrocarbons, organochlorine pesticides, current use pesticides, polychlorinated biphenyls) in river water and sediment. In the in situ test, there were three non-riverine control sites and eight riverine test sites with three replicate cages (25??15-cm (OD) clear plexiglass with 200-??m tear-resistant Nitex?? screen over each end) of 20 shortnose sturgeon per cage at each site. There was a single cage of fathead minnows also deployed at each site alongside the sturgeon cages. Survival of caged shortnose sturgeon among the riverine sites averaged 9% (range 1.7-25%) on day 22 of the 28-day study, whereas sturgeon survival at the non-riverine control sites averaged 64% (range 33-98%). In contrast to sturgeon, only one riverine deployed fathead minnow died (average 99.4% survival) over the 28-day test period and none of the control fathead minnows died. Although chemical analyses revealed the presence of retene (7-isopropyl-1-methylphenanthrene), a pulp and paper mill derived compound with known dioxin-like toxicity to early life stages of fish, in significant quantities in the water (251-603ngL-1) and sediment (up to 5000ngg-1

  8. Using a NPWE model observer to assess suitable image quality for a digital mammography quality assurance programme.

    Science.gov (United States)

    Monnin, P; Bochud, F O; Verdun, F R

    2010-01-01

    A method of objectively determining imaging performance for a mammography quality assurance programme for digital systems was developed. The method is based on the assessment of the visibility of a spherical microcalcification of 0.2 mm using a quasi-ideal observer model. It requires the assessment of the spatial resolution (modulation transfer function) and the noise power spectra of the systems. The contrast is measured using a 0.2-mm thick Al sheet and Polymethylmethacrylate (PMMA) blocks. The minimal image quality was defined as that giving a target contrast-to-noise ratio (CNR) of 5.4. Several evaluations of this objective method for evaluating image quality in mammography quality assurance programmes have been considered on computed radiography (CR) and digital radiography (DR) mammography systems. The measurement gives a threshold CNR necessary to reach the minimum standard image quality required with regards to the visibility of a 0.2-mm microcalcification. This method may replace the CDMAM image evaluation and simplify the threshold contrast visibility test used in mammography quality.

  9. Suitability of digital elevation models generated by uav photogrammetry for slope stability assessment (case study of landslide in Svätý Anton, Slovakia

    Directory of Open Access Journals (Sweden)

    Rusnák Miloš

    2016-12-01

    Full Text Available Assessing the accuracy of photogrammetrically-derived digital elevation models (DEMs from UAV is essential in many geoscience disciplines. The suitability of different DEM devised for slope stability assessment was evaluated in the example of the landslide in Svätý Anton village in Slovakia. Aerial data was acquired during a one-day field campaign in autumn 2014. The point cloud from 218 images (54,607,748 points was manually classified into 7 different classes for filtering vegetation cover and buildings. Assessment of vertical differences between the UAV derived elevation model and real terrain surface was based on comparison of control points targeted by GPS (337 points and unclassified and ground classified point cloud for raster elevation models with 1, 5, 10, 20 and 50 cm pixel resolution.

  10. A SPATIAL ANALYSIS FOR ASSESSING THE SUITABILITY OF ELEMENTARY SCHOOL AS SOCIAL INFRASTRUCTURE AT THE NEIGHBOURHOOD UNIT SCALE IN SUPPORTING CHILD-FRIENDLY SURAKARTA

    Directory of Open Access Journals (Sweden)

    Rufia Andisetyana Putri

    2016-04-01

    Full Text Available Problem complexity and interest diversity often cause a city not able to accommodate its population’s needs, among which are the children's needs. It has initiated the idea of the child-friendly city, which got a positive response from the Indonesian government, proven by the policy of child-friendly city/ regency. Surakarta is one of the cities having a strong commitment to being a child-friendly city; however, the implementation has not been comprehensive to the level of neighborhood unit. Elementary school is an essential social infrastructure for children that should be available at a neighborhood unit. However, problems are still there, such as the capacity of elementary schools that is below the national standard and also the children's less safety and comfort in accessing the schools. This paper assesses the suitability of elementary school as a social infrastructure in supporting a child-friendly Surakarta based on four criteria, namely, (a the serving capacity of the education facility, (b the safe and comfortable access, (c the completeness of the elementary schools, and (d the prevalent access including for disabled children. The suitability measurement was done by using scoring analysis from the results of the field observation as well as the citizens’ and the children's perceptions. The scoring results have shown that most of the elementary schools in Surakarta are still not suitable with the criteria so that they have not been able to support Surakarta as a child-friendly city.

  11. Assessment of land suitability and the possibility and performance of a canola (Brassica napus L. – soybean (Glycine max L. rotation in four basins of Golestan province, Iran

    Directory of Open Access Journals (Sweden)

    Behnam Kamkar

    2014-06-01

    Full Text Available A Geographical Information System (GIS-based plan was used to assess the possibility and performance of a canola (Brassica napus L. – soybean (Glycine max L. rotation in Golestan province, one of the most important agricultural production regions of Iran. For this purpose, all needed raster layers, including climatic (precipitation, temperature, topographic (aspects and slope and soil-related (texture, pH, EC layers, were provided by interpolation, surface analysis and other related techniques in GIS. Overlaid layers were used to judge the capacity of agricultural lands to rotate a canola–soybean system in the study area, which included four important basins. Based on defined scenarios and pre-determined ecological requirements of the two studied crops, five suitability classes were detected and mapped. Our results indicate that just 11.82% of total lands are very suitable to rotate soybean after canola while most agricultural lands in the study area fell into the moderate and low suitability classes. The consistency of results adopted from final overlaid maps with real statistics in the study region show that GIS as a systemic approach can play a vital role in saving time and reducing research costs. These results could help policy makers to design proper cropping patterns, particularly rotation systems.

  12. GIS-Based Suitability Model for Assessment of Forest Biomass Energy Potential in a Region of Portugal

    Science.gov (United States)

    Quinta-Nova, Luis; Fernandez, Paulo; Pedro, Nuno

    2017-12-01

    This work focuses on developed a decision support system based on multicriteria spatial analysis to assess the potential for generation of biomass residues from forestry sources in a region of Portugal (Beira Baixa). A set of environmental, economic and social criteria was defined, evaluated and weighted in the context of Saaty’s analytic hierarchies. The best alternatives were obtained after applying Analytic Hierarchy Process (AHP). The model was applied to the central region of Portugal where forest and agriculture are the most representative land uses. Finally, sensitivity analysis of the set of factors and their associated weights was performed to test the robustness of the model. The proposed evaluation model provides a valuable reference for decision makers in establishing a standardized means of selecting the optimal location for new biomass plants.

  13. A multi-criteria, ecosystem-service value method used to assess catchment suitability for potential wetland reconstruction in Denmark

    DEFF Research Database (Denmark)

    Odgaard, Mette Vestergaard; Turner, Katrine Grace; Bøcher, Peder Klith

    2017-01-01

    Wetlands provide a range of ecosystem services such as drought resistance, flood resistance, nutrient deposition, biodiversity, etc. This study presents a new multi-criteria, ecosystems service value-driven method to drive the optimal placement of restored wetlands in terms of maximizing selected...... ecosystem services which a wetland can provide or affect. We aim to answer two questions: 1) which of the ecosystem services indicators defines the placement of wetlands today? 2) Based on the ecosystem services indicator assessment, what are the recommendations for future selection of catchments...... for potential wetland reconstruction (i.e. restoration)? Five key ecosystem services indicators produced or affected by wetlands in Denmark were mapped (recreational potential, biodiversity, nitrogen mitigation potential, inverse land rent, and flash-flood risk). These services were compared to current...

  14. ELEVATED ALANINE AMINOTRANSFERASE (ALT IN BLOOD DONORS: AN ASSESSMENT OF THE MAIN ASSOCIATED CONDITIONS AND ITS RELATIONSHIP TO THE DEVELOPMENT OF HEPATITIS C

    Directory of Open Access Journals (Sweden)

    Fernando Lopes GONÇALES Jr.

    1998-07-01

    Full Text Available The determination of aminotranferases levels is very useful in the diagnosis of hepatopathies. In recent years, an elevated serum ALT level in blood donors has been associated with an increased risk of post-transfusion hepatitis (PTH. The purpose of the study was to research the factors associated with elevated ALT levels in a cohort of voluntary blood donors and to evaluate the relationship between increased ALT levels and the development of hepatitis C (HCV infection. 166 volunteer blood donors with elevated ALT at the time of their first donation were studied. All of the donors were questioned about previous hepatopathies, exposure to hepatitis, exposure to chemicals, use of medication or drugs, sexual behaviour, contact with blood or secretions and their intake of alcohol. Every three months, the serum levels of AST, ALT, alkaline phosphatase, gamma glutamyl transpeptidase, cholesterol, triglyceride and glycemia are assessed over a two year follow-up. The serum thyroid hormone levels as well as the presence of auto-antibodies were also measured. Abdominal ultrasound was performed in all patients with persistently elevated ALT or AST levels. A needle biopsy of liver was performed in 9 donors without definite diagnostic after medical investigation. The presence of anti-HCV antibodies in 116 donors were assayed again the first clinical evaluation. At the end of follow-up period (2 years later 71 donors were tested again for the presence of anti-HCV antibodies. None of donors resulted positive for hepatitis B or hepatitis C markers during the follow-up. Of the 116 donors, 101 (87% had persistently elevated ALT serum levels during the follow-up. Obesity and alcoholism were the principal conditions related to elevated ALT serum levels in 91/101 (90.1% donors. Hypertriglyceridemia, hypercholesterolemia, hypothyroidism and diabetes mellitus also were associated with increased ALT levels. Only 1/101 (0.9% had mild chronic active non A-G viral

  15. Development, validation and quantitative assessment of an enzymatic assay suitable for small molecule screening and profiling: A case-study

    Directory of Open Access Journals (Sweden)

    Vicente Sancenon

    2015-06-01

    Full Text Available The successful discovery and subsequent development of small molecule inhibitors of drug targets relies on the establishment of robust, cost-effective, quantitative, and physiologically relevant in vitro assays that can support prolonged screening and optimization campaigns. The current study illustrates the process of developing and validating an enzymatic assay for the discovery of small molecule inhibitors using alkaline phosphatase from bovine intestine as model target. The assay development workflow includes an initial phase of optimization of assay materials, reagents, and conditions, continues with a process of miniaturization and automation, and concludes with validation by quantitative measurement of assay performance and signal variability. The assay is further evaluated for dose–response and mechanism-of-action studies required to support structure–activity-relationship studies. Emphasis is placed on the most critical aspects of assay optimization and other relevant considerations, including the technology, assay materials, buffer constituents, reaction conditions, liquid handling equipment, analytical instrumentation, and quantitative assessments. Examples of bottlenecks encountered during assay development and strategies to address them are provided.

  16. ASSESSMENT OF THE ECONOMIC AND ENVIRONMENTAL SUITABILITY OF THE JIU-CORABIA ENCLOSURE FOR LAKE USAGE USING GIS TECHNIQUES

    Directory of Open Access Journals (Sweden)

    Denisa Mariana DAN

    2016-08-01

    Full Text Available One of the three strategic objectives of the Europe 2020 Agenda is to ensure the sustainable management of the natural resources and to fight against climate changes. Considering water to be not only a valuable natural resource for any type of landscape, but also the vital environmental component that ensured a minimum of productivity for the people working the unproductive salinization and gleyzation affected soils in the Jiu-Corabia enclosure, using embankment dams to breake the link between the Danube and the flood organism it created over a timespan of millenia has proven in the last 50 years to be an economic and ecological failure. Since the December 1989 events in Romania, after most of the socialist institutions have proven to be too resource consuming, thus unprofitable or maladaptive, the Jiu-Corabia locals have individually experimented with various land cultivation patterns, all of them based on draught-resistant crops, such as peanuts. In spite of it being the original natural landuse, lake usage has only been scarcely mentioned as a project after the 2006 flood, but after being institutionally rejected, its benefits in terms of ecological restoration, financial productivity have not been further looked into. The current article aims to identify different height level scenarios of lake usage in the Jiu-Corabia enclosure, using GIS technique. Lake volumes are calculated for each scenario with the aim of assessing the volume of water this enclose can absorb during flooding periods, as well as of estimating fish production for when the waters are low and it is not needed as a controlled flood chamber. Other benefits, such as providing a source of humidity for precipitations which will aid the crops nearby, have not been monetized, but contribute to the regional development efforts.

  17. Suitability of new non-invasive predictors for combined risk assessment of sudden cardiac death in patients after myocardial infarction

    Directory of Open Access Journals (Sweden)

    В. А. Сулимов

    2015-10-01

    Full Text Available The purpose of the study was to improve the risk prediction of SCD in post-MI patients by comparing the informative value of new non-invasive SCD risk stratification factors (HRT, mTWA, DC with the well-known factors (impaired HRV, low left ventricular ejection fraction (LVEF, ventricular arrhythmias both alone and in combination. Holter monitoring (HM with evaluation of the above factors and echocardiography with LVEF measurement were performed in 111 patients (84 males and 27 females aged 64.1 10.5 years who had MI from 2 months to 36 years (mean 27 [9; 84] months prior to admission. The follow-up period was 12 months. The endpoints included SCD and overall cardiovascular mortality. During follow-up 15 cases of SCD and 8 other cardiovascular deaths (5 repeated fatal MI and 3 lethal strokes were registered. LVEF was the most significant predictor of overall mortality followed by DC, HRT, HRV, mTWA and QRS width. LVEF turned out to be the most significant risk factor for SCD followed by HRT, QRS width, DC, number of PVCs per day and mTWA. Noninvasive electrophysiological predictors showed the maximum SCD predictive value in patients with LVEF >40%, whereas at lower LVEF their predictive value was either decreased or completely lost. Combined risk assessment revealed that combination of HRT2 and increased mTWA caused a significantly increased risk of cardiovascular death (OR 30.7 (95% CI, 3.5-271.6, p 40%. The combination of HRT2 and mTWA 100 >53 mcV is associated with a maximum increased risk of cardiovascular death and SCD.

  18. Assessment of Wells Water Quality and their Suitability for Drinking in M'Bahiakro City (Côte d'Ivoire

    Directory of Open Access Journals (Sweden)

    Kouassi Innocent KOUAME

    2012-12-01

    Full Text Available The present study was carried out to assess the quality and the suitability of the well waters for drinking in M’bahiakro city (centre-east of Côte d’Ivoire. The work was performed on 71 wells in February 2012 (dry season and June 2012 (rainy season. Groundwater levels and physico-chemical parameters (pH, temperature, electrical conductivity, redox potential (Eh, Total Dissolved Solid (TDS and Salinity were measured to assess the water table fluctuation and the groundwater quality. Standardized Principal Component Analysis (SPCA was calculated to group the well waters and to evaluate their suitability for drinking according to different classes. Water table varies between 125 and 135 m during the dry season and between 127 and 136 m during the rainy season with a West-Est flow direction. The recharge values ranged between 0.57 m and 5.57 m. Wells waters are generally acidic (pH<6.5, high mineralized with conductivities and Total Dissolved Solids (TDS respectively above 600 µS/cm and 300 mg/l. Well water salinity values ranged between 0.30 and 0.5%. The Standardized Principal Component Analysis (SPCA allowed distinguishing three important groups of water within M’bahiakro area: the first group of wells with high mineralized water, the second group of wells with high potential redox (Eh and the third group of wells with pH closer to neutral. The first and second groups are not very suitable for drinking because they are suspected of being contaminated by anthropogenic sources such as septic tanks and wild dump. Waters of these wells need to be treated before any domestic use.

  19. Mental health status after living donor hepatectomy.

    Science.gov (United States)

    Wang, Szu-Han; Lin, Ping-Yi; Wang, Jiun-Yi; Huang, Mei-Feng; Lin, Hui-Chuan; Hsieh, Chia-En; Hsu, Ya-Lan; Chen, Yao-Li

    2017-05-01

    Donor safety and preservation of donor health after living liver donation are of paramount importance. In addition, the preoperative mental state of a donor is an important factor in determining the psychological impact of donor hepatectomy. Thus, we aimed to explore the mental health status of living liver donors after hepatectomy. We enrolled 60 donors who were scheduled to undergo living donor hepatectomy during the period January 2014 to March 2015 at a single medical center. Mental health status was measured before and 3 months after surgery using 3 self-report questionnaires, namely the Center for Epidemiologic Studies Depression Scale (CES-D) to assess depressive symptoms, the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire to measure quality of life, and the Chinese Health Questionnaire (CHQ) to screen for minor psychiatric disorders. A comparison of the pre- and postdonation CES-D scores revealed a significant reduction in depressive symptoms after surgery (P = .031). There were significant improvements in the physical health domain (P = .031), the psychological health domain (P = .005), the social relationships domain (P = .005), and the environmental health domain (P = .010) of the WHOQOL-BREF. There were no significant changes in CHQ scores after donor hepatectomy (P = .136). All donors reported that they would donate again if required. Approximately one-third (33.3%) of donors experienced more pain than they had anticipated in the immediate postoperative period, and 20.0% of donors had complications after donor hepatectomy. Donor mental health status tended to improve as donors regained physical function during the 1st 3 months of recovery. Long-term monitoring of living donors' mental health is needed to minimize the adverse psychological outcomes of living liver donation.

  20. Donor risk factors for graft failure in the cornea donor study.

    Science.gov (United States)

    Sugar, Joel; Montoya, Monty; Dontchev, Mariya; Tanner, Jean Paul; Beck, Roy; Gal, Robin; Gallagher, Shawn; Gaster, Ronald; Heck, Ellen; Holland, Edward J; Kollman, Craig; Malling, Jackie; Mannis, Mark J; Woody, Jason

    2009-10-01

    The purpose of this study was to assess the relationship between donor factors and 5-year corneal graft survival in the Cornea Donor Study. Donor corneas met criteria established by the Eye Bank Association of America, had an endothelial cell density of 2300 to 3300/mm, and were determined to be of good to excellent quality by the eye banks. Donor corneas were assigned using a random approach and surgeons were masked to information about the donor cornea including donor age. Surgery and postoperative care were performed according to the surgeons' usual routines and subjects were followed for 5 years. Donor and donor cornea factors were evaluated for their association with graft failure, which was defined as a regraft or a cloudy cornea that was sufficiently opaque to compromise vision for a minimum of 3 consecutive months. Graft failure was not significantly associated with the type of tissue retrieval (enucleation versus in situ), processing factors, timing of use of the cornea, or characteristics of the donor or the donor cornea. Adjusting for donor age did not affect the results. Donor and donor cornea characteristics do not impact graft survival rates for corneas comparable in quality to those used in this study.

  1. CHARACTERISTICS AND SUITABILITY EVALUATION OF THE ...

    African Journals Online (AJOL)

    Ifedotun Aina

    Two methods of land suitability evaluation (FAO frame work and parametric) were used to assess the suitability of the soils for the production of oil palm and plantain. The pedons were placed in suitability classes by matching their characteristics (Tables 4 and 5) with the land suitability requirements for oil palm (Table 1) and ...

  2. Assessing ABO/Rh Blood Group Frequency and Association with Asymptomatic Malaria among Blood Donors Attending Arba Minch Blood Bank, South Ethiopia

    Directory of Open Access Journals (Sweden)

    Getaneh Alemu

    2016-01-01

    Full Text Available Background. Determination of the various ABO/Rh blood group distributions and their association with malaria infection has paramount importance in the context of transfusion medicine and malaria control. Methods. Facility based cross-sectional study was conducted from February to June, 2015, to assess ABO/Rh blood groups distribution and their association with asymptomatic malaria. A structured questionnaire was used to collect data. Blood grouping was done using monoclonal antibodies. Thin and thick blood films were examined for Plasmodium parasites. Data were analyzed using SPSS version 20.0. Results. A total of 416 blood donors participated with median age of 22±0.29 (median ± standard error of the mean. Distribution of ABO phenotypes, in decreasing order, was O (175, 42.1%, A (136, 32.7%, B (87, 20.9%, and AB (18, 4.3%. Most of them were Rh+ (386, 92.8%. The overall malaria prevalence was 4.1% (17/416. ABO blood group is significantly associated with malaria infection (P=0.022. High rate of parasitemia was seen in blood group O donors (6.899, P=0.003 compared to those with other ABO blood groups. Conclusion. Blood groups O and AB phenotypes are the most and the least ABO blood groups, respectively. There is significant association between ABO blood group and asymptomatic malaria parasitemia.

  3. Computer Algorithms in the Search for Unrelated Stem Cell Donors

    Directory of Open Access Journals (Sweden)

    David Steiner

    2012-01-01

    Full Text Available Hematopoietic stem cell transplantation (HSCT is a medical procedure in the field of hematology and oncology, most often performed for patients with certain cancers of the blood or bone marrow. A lot of patients have no suitable HLA-matched donor within their family, so physicians must activate a “donor search process” by interacting with national and international donor registries who will search their databases for adult unrelated donors or cord blood units (CBU. Information and communication technologies play a key role in the donor search process in donor registries both nationally and internationaly. One of the major challenges for donor registry computer systems is the development of a reliable search algorithm. This work discusses the top-down design of such algorithms and current practice. Based on our experience with systems used by several stem cell donor registries, we highlight typical pitfalls in the implementation of an algorithm and underlying data structure.

  4. Changing blood donor screening criteria from permanent deferral for men who have sex with men to individual sexual risk assessment: no evidence of a significant impact on the human immunodeficiency virus epidemic in Italy.

    Science.gov (United States)

    Suligoi, Barbara; Pupella, Simonetta; Regine, Vincenza; Raimondo, Mariangela; Velati, Claudio; Grazzini, Giuliano

    2013-07-01

    In 2001, the criteria for blood donor eligibility in Italy were modified by a ministerial decree from a permanent deferral for "men who have sex with men" to an individual risk assessment of sexual behaviours. The aim of this study was to evaluate the impact of this change in donor screening criteria on the human immunodeficiency virus epidemic among blood donors in Italy. We used the data obtained from the Italian blood donor epidemiological surveillance system. We compared data collected in 2009 and 2010, when the individual risk assessment policy was applied, with data collected in 1999 when permanent deferral was applied for men who have sex with men based on a declaration of sexual orientation. We evaluated the change over time in the relative proportion of HIV antibody-positive donors who likely acquired the infection from men who have sex with men vs heterosexual sexual exposure; the relative risk was calculated using 1999 as the reference year. In all 3 years, the majority of HIV antibody-positive donors reported sexual exposure as a risk factor for HIV infection; this proportion increased over time, although not statistically significantly. Heterosexuals always accounted for at least 40% of all HIV antibody-positive cases. The rate of HIV antibody-positive donors increased similarly in men who have sex with men and heterosexuals; specifically, the rate of HIV antibody-positive cases per 100,000 donors was more than 2-fold higher among men who have sex with men in 2009-2010 than in 1999 (2009-2010 vs 1999, RR =2.8; P =0.06), and that among heterosexuals was 1.5 fold higher (P =0.18). When comparing the period before (1999) and after (2009-2010), the implementation of the individual risk assessment policy in 2001, no significant increase in the proportion of men who have sex with men compared to heterosexuals was observed among HIV antibody-positive blood donors, suggesting that the change in donor deferral policy did not lead to a disproportionate increase

  5. Assessment of the horizontal transfer of functional genes as a suitable approach for evaluation of the bioremediation potential of petroleum-contaminated sites: a mini-review.

    Science.gov (United States)

    Shahi, Aiyoub; Ince, Bahar; Aydin, Sevcan; Ince, Orhan

    2017-06-01

    Petroleum sludge contains recalcitrant residuals. These compounds because of being toxic to humans and other organism are of the major concerns. Therefore, petroleum sludge should be safely disposed. Physicochemical methods which are used by this sector are mostly expensive and need complex devices. Bioremediation methods because of being eco-friendly and cost-effective overcome most of the limitations of physicochemical treatments. Microbial strains capable to degrade petroleum hydrocarbons are practically present in all soils and sediments and their population density increases in contact with contaminants. Bacterial strains cannot degrade alone all kinds of petroleum hydrocarbons, rather microbial consortium should collaborate with each other for degradation of petroleum hydrocarbon mixtures. Horizontal transfer of functional genes between bacteria plays an important role in increasing the metabolic potential of the microbial community. Therefore, selecting a suitable degrading gene and tracking its horizontal transfer would be a useful approach to evaluate the bioremediation process and to assess the bioremediation potential of contaminated sites.

  6. Feelings of indebtedness and guilt toward donor and immunosuppressive medication adherence among heart transplant (HTx) patients, as assessed in a cross-sectional study with the Basel Assessment of Adherence to Immunosuppressive Medications Scale (BAASIS).

    Science.gov (United States)

    Shemesh, Yedida; Peles-Bortz, Anat; Peled, Yael; HarZahav, Yedael; Lavee, Jacob; Freimark, Dov; Melnikov, Semyon

    2017-10-01

    Nonadherence (NA) to immunosuppressive (IS) medications after organ transplant is a major risk factor for transplant failure, morbidity, and treatment costs. This study examined the association between feelings of indebtedness and guilt toward the donor, and IS medication adherence among HTx patients. In this cross-sectional, descriptive, correlational study, a convenience sample of 102 HTx patients, from the outpatient facility of a tertiary medical center in Israel, completed the BAASIS, a validated instrument for assessing adherence, and reported their feelings of indebtedness and guilt toward the donor. Missing a dose or skipping two or more doses, taking medication >2 hours before or after the recommended dosing time, altering the prescribed amount, or completely stopping the IS treatment in the last 4 weeks, characterized 64 patients (64%). The highest score received the item "timing nonadherence," characterizing 58 patients (56.9%). Age, waiting time, and time since transplant, guilt feelings, and indebtedness to donor explained 17% (R2 =.17) of the variance in adherence (χ2(5) =13.22, P=.021), with age, time since transplant, and guilt feelings significantly explaining adherence. Physicians and nurses should inquire about the presence of guilt feelings, as they might be associated with NA to medications after HTx. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  7. Allogeneic hematopoietic stem cell donation-standardized assessment of donor outcome data: a consensus statement from the Worldwide Network for Blood and Marrow Transplantation (WBMT).

    Science.gov (United States)

    Halter, J P; van Walraven, S M; Worel, N; Bengtsson, M; Hägglund, H; Nicoloso de Faveri, G; Shaw, B E; Schmidt, A H; Fechter, M; Madrigal, A; Szer, J; Aljurf, M D; Weisdorf, D; Horowitz, M M; Greinix, H; Niederwieser, D; Gratwohl, A; Kodera, Y; Confer, D

    2013-02-01

    The number of allogeneic hematopoietic SCTs performed globally each year continues to increase, paralleled by an increased demand for donors of therapeutic cells. Donor characteristics and collection procedures have undergone major changes during recent decades, and further changes are foreseen. Information on short- and long-term donor outcomes is of crucial importance to ensure maximal donor safety and availability. Current data, predominantly from unrelated donors, give reliable information on the frequent early events associated with donation-most of them of mild-to-moderate intensity. Information on the type and relative risk of serious adverse reactions is more limited. Moreover, only few data exist on long-term donor outcome. On the basis of this need, recommendations for a minimum data set for prospective donor follow-up were developed in a workshop with the participation of an international group of investigators actively involved in allogeneic stem cell donation under the auspices of and approved by the Worldwide Network for Blood and Marrow Transplantation. Establishment of a standardized global follow-up for both, related and unrelated, donors will enable monitoring of the short- and long-term safety profiles of hematopoietic cell donation and form a solid basis for future donor selection and counseling.

  8. The use of neoplastic donors to increase the donor pool.

    Science.gov (United States)

    Fiaschetti, P; Pretagostini, R; Stabile, D; Peritore, D; Oliveti, A; Gabbrielli, F; Cenci, S; Ricci, A; Vespasiano, F; Grigioni, W F

    2012-09-01

    The aim of the study was to evaluate the experience of the Centre-Sud Transplant Organization (OCST) area using cadaveric donor with neoplastic diseases to evaluate the possibility of transmission to recipients. From January 1, 2003, to December 31, 2010, the neoplastic risk has been reported to be 5.4% (377/4654 referred donors). In 2003, the number of donors with a tumor and their mean age were respectively: 60 (10.3%) and 59.6 ± 19.9; 2004: 33 (5.2%) and 61.4 ± 15.9; 2005: 32 (6%) and 62.8 ± 15.5; 2006: 46 (7%) and 60.7 ± 19.1; 2007: 51 (7%) and 58.9 ± 16; in 2008: 58 (7%) and 59.7 ± 19.6; 2009: 47 (7%) and 57 ± 26; 2010: 49 (7%) and 64 ± 16. The organ most affected by tumor has been the central nervous system (18%). The tumor was diagnosed before in 325 (86%) cases, versus during organ retrieval in 48 (12.7%) donor operations but before, which four cases (1%) occured after transplantation. According to the histological types and grades, 28 evaluated donors (8.2%) were suitable for transplantation. The histological types were: thyroid carcinoma (n = 3); prostate carcinoma (n = 8), renal clear cell carcinoma (n = 7), oncocytoma (n = 1), meningiomas (n = 2), dermofibrosarcoma (n = 1); verrucous carcinoma of the vulva (n = 1), colon adenocarcinoma (n = 1), grade II astrocytoma (n = 1), adrenal gland tumor (n = 1), gastric GIST (n = 1), oligodendroglioma (n = 1). Forty-five organs were retrieved (22 livers, 19 kidneys, 3 hearts, and 1 pancreas) and transplanted into 44 recipients with 1 liver-kidney combined transplantation. Four recipients died due to causes not related to the tumor. No donor-transmitted tumor was detected among the recipients. Donation is absolutely not indicated in cases of tumors with high metastatic potential and high grades. Performing an accurate evaluation of the donor, taking into account the histological grade, currently can allow, organ retrieval and transplantation with an acceptable risk. Copyright © 2012. Published by Elsevier

  9. Diagnostic accuracy of a volume-rendered computed tomography movie and other computed tomography-based imaging methods in assessment of renal vascular anatomy for laparoscopic donor nephrectomy.

    Science.gov (United States)

    Yamamoto, Shingo; Tanooka, Masao; Ando, Kumiko; Yamano, Toshiko; Ishikura, Reiichi; Nojima, Michio; Hirota, Shozo; Shima, Hiroki

    2009-12-01

    To evaluate the diagnostic accuracy of computed tomography (CT)-based imaging methods for assessing renal vascular anatomy, imaging studies, including standard axial CT, three-dimensional volume-rendered CT (3DVR-CT), and a 3DVR-CT movie, were performed on 30 patients who underwent laparoscopic donor nephrectomy (10 right side, 20 left side) for predicting the location of the renal arteries and renal, adrenal, gonadal, and lumbar veins. These findings were compared with videos obtained during the operation. Two of 37 renal arteries observed intraoperatively were missed by standard axial CT and 3DVR-CT, whereas all arteries were identified by the 3DVR-CT movie. Two of 36 renal veins were missed by standard axial CT and 3DVR-CT, whereas 1 was missed by the 3DVR-CT movie. In 20 left renal hilar anatomical structures, 20 adrenal, 20 gonadal, and 22 lumbar veins were observed during the operation. Preoperatively, the standard axial CT, 3DVR-CT, and 3DVR-CT movie detected 11, 19, and 20 adrenal veins; 13, 14, and 19 gonadal veins; and 6, 11, and 15 lumbar veins, respectively. Overall, of 135 renal vascular structures, the standard axial CT, 3DVR-CT, and 3DVR-CT movie accurately detected 99 (73.3%), 113 (83.7%), and 126 (93.3%) vessels, respectively, which indicated that the 3DVR-CT movie demonstrated a significantly higher detection rate than other CT-based imaging methods (P renal vascular anatomy before laparoscopic donor nephrectomy.

  10. Computational fluid dynamics-habitat suitability index (CFD-HSI) modelling as an exploratory tool for assessing passability of riverine migratory challenge zones for fish

    Science.gov (United States)

    Haro, Alexander J.; Chelminski, Michael; Dudley, Robert W.

    2015-01-01

    We developed two-dimensional computational fluid hydraulics-habitat suitability index (CFD-HSI) models to identify and qualitatively assess potential zones of shallow water depth and high water velocity that may present passage challenges for five major anadromous fish species in a 2.63-km reach of the main stem Penobscot River, Maine, as a result of a dam removal downstream of the reach. Suitability parameters were based on distribution of fish lengths and body depths and transformed to cruising, maximum sustained and sprint swimming speeds. Zones of potential depth and velocity challenges were calculated based on the hydraulic models; ability of fish to pass a challenge zone was based on the percent of river channel that the contiguous zone spanned and its maximum along-current length. Three river flows (low: 99.1 m3 sec-1; normal: 344.9 m3 sec-1; and high: 792.9 m3 sec-1) were modelled to simulate existing hydraulic conditions and hydraulic conditions simulating removal of a dam at the downstream boundary of the reach. Potential depth challenge zones were nonexistent for all low-flow simulations of existing conditions for deeper-bodied fishes. Increasing flows for existing conditions and removal of the dam under all flow conditions increased the number and size of potential velocity challenge zones, with the effects of zones being more pronounced for smaller species. The two-dimensional CFD-HSI model has utility in demonstrating gross effects of flow and hydraulic alteration, but may not be as precise a predictive tool as a three-dimensional model. Passability of the potential challenge zones cannot be precisely quantified for two-dimensional or three-dimensional models due to untested assumptions and incomplete data on fish swimming performance and behaviours.

  11. Managing Environmental Flows for Impounded Rivers in Semi-Arid Regions- A Habitat Suitability Index (HSI) Approach for the Assessment of River Habitat for Salmonid Populations

    Science.gov (United States)

    Pai, H.; Sivakumaran, K.; Villamizar, S. R.; Flanagan, J.; Guo, Q.; Harmon, T. C.

    2013-12-01

    Balancing ecosystem health in water-scarce, agriculturally dominated river basins remains a challenge. In dry water years, maintaining conditions for restored and sustained indigenous fish populations (a frequently used indicator for ecosystem health) is particularly challenging. Competing human demands include urban and agricultural water supplies, hydropower, and flood control. In many semi-arid regions, increasing drought intensity and frequency under future climate scenarios will combine with population increases to water scarcity. The goal of this work is to better understand how reservoir releases affect fish habitat and overall river aquatic ecosystem quality. Models integrating a diverse array of physical and biological processes and system state are used to forecast the river ecosystem response to changing drivers. We propose a distributed parameter-based Habitat Suitability Index (HSI) approach for assessing fish habitat quality. Our river ecosystem HSI maps are based on a combination of the following: (1) In situ data describing stream flow and water quality conditions; (2) Spatial observations, including surveyed cross-sections, aerial imagery and digital elevation maps (DEM) of the river and its riparian corridor; and (3) Simulated spatially distributed water depths, flow velocities, and temperatures estimated from 1D and 2D river flow and temperature models (HEC-RAS and CE-QUAL-W2, respectively). With respect to (2), image processing schemes are used to classify and map key habitat features, namely riparian edge and shallow underwater vegetation. HSI maps can be modified temporally to address specific life cycle requirements of indicator fish species. Results are presented for several reaches associated with the San Joaquin River Restoration Project, focusing on several components of the Chinook salmon life cycle. HSI maps and interpretations are presented in the context of a range of prescribed reservoir release hydrographs linked to California water

  12. Optoelectronic figure of merit of a metal nanoparticle—quantum dot (MNP-QD) hybrid molecule for assessing its suitability for sensing applications

    Science.gov (United States)

    Hapuarachchi, Harini; Mallawaarachchi, Sudaraka; Hattori, Haroldo T.; Zhu, Weiren; Premaratne, Malin

    2018-02-01

    Recently, many have studied various configurations of metal nanoparticle-quantum dot (MNP-QD) hybrid molecules based on different metals and tunable parameters. In this paper, we aim to incite the interest in using MNP-QD nanohybrids, which possess sensing capabilities superior to those of the individual constituents, for sensing applications that rely on scattered light. When assessing whether a given MNP-QD configuration is suited for an application, sometimes it is hard to assess the pros and cons of a given configuration against other candidates. Here we propose a simple, elegant relative figure of merit (RFoM), which focuses on maximizing the scattered intensity and the refractive index sensitivity of the nanohybrid, to rank the suitability of viable MNP-QD configurations for a particular sensing application. We use the proposed RFoM to analyse the optical spectra of noble, transition, post transition and alkali metal based MNP-QD nanohybrids using the representative metals Au, Ag, Cu, Al and Na, adopting a generalized nonlocal optical response (GNOR) method based cavity QED approach. Based on our observations, we suggest how the usage of MNP-QD nanohybrids could improve the conventionally studied tumour targeting applications. Moreover, we propose potential substitutes for noble metals conventionally considered for MNP-QD nanohybrids.

  13. Optoelectronic figure of merit of a metal nanoparticle-quantum dot (MNP-QD) hybrid molecule for assessing its suitability for sensing applications.

    Science.gov (United States)

    Hapuarachchi, Harini; Mallawaarachchi, Sudaraka; Hattori, Haroldo T; Zhu, Weiren; Premaratne, Malin

    2018-01-11

    Recently, many have studied various configurations of metal nanoparticle-quantum dot (MNP-QD) hybrid molecules based on different metals and tunable parameters. In this paper, we aim to incite the interest in using MNP-QD nanohybrids, which possess sensing capabilities superior to those of the individual constituents, for sensing applications that rely on scattered light. When assessing whether a given MNP-QD configuration is suited for an application, sometimes it is hard to assess the pros and cons of a given configuration against other candidates. Here we propose a simple, elegant relative figure of merit (RFoM), which focuses on maximizing the scattered intensity and the refractive index sensitivity of the nanohybrid, to rank the suitability of viable MNP-QD configurations for a particular sensing application. We use the proposed RFoM to analyse the optical spectra of noble, transition, post transition and alkali metal based MNP-QD nanohybrids using the representative metals Au, Ag, Cu, Al and Na, adopting a generalized nonlocal optical response (GNOR) method based cavity QED approach. Based on our observations, we suggest how the usage of MNP-QD nanohybrids could improve the conventionally studied tumour targeting applications. Moreover, we propose potential substitutes for noble metals conventionally considered for MNP-QD nanohybrids.

  14. Optoelectronic figure of merit of a metal nanoparticle - quantum dot (MNP-QD) hybrid molecule for assessing its suitability for sensing applications.

    Science.gov (United States)

    Hapuarachchi, Harini Pranami; Mallawaarachchi, Sudaraka; Hattori, Haroldo T; Zhu, Weiren; Premaratne, Malin

    2017-12-29

    Recently, many have studied various configurations of metal nanoparticle-quantum dot (MNP-QD) hybrid molecules based on different metals and tunable parameters. In this paper, we aim to incite the interest in using MNP-QD nanohybrids, which possess sensing capabilities superior to those of the individual constituents, for sensing applications that rely on scattered light. When assessing whether a given MNP-QD configuration is suited for an application, sometimes it is hard to assess the pros and cons of a given configuration against other candidates. Here we propose a simple, elegant relative figure of merit (RFoM), which focuses on maximizing the scattered intensity and the refractive index sensitivity of the nanohybrid, to rank the suitability of viable MNP-QD configurations for a particular sensing application. We use the proposed RFoM to analyse the optical spectra of noble, transition, post transition and alkali metal based MNP-QD nanohybrids using the representative metals Au, Ag, Cu, Al and Na, adopting a generalized nonlocal optical response (GNOR) method based cavity QED approach. Based on our observations, we suggest how the usage of MNP-QD nanohybrids could improve the conventionally studied tumour targeting applications. Moreover, we propose potential substitutes for noble metals conventionally considered for MNP-QD nanohybrids. © 2017 IOP Publishing Ltd.

  15. Sulfur as a parameter in the suitability assessment of gangue from coal mining for reclamation of opencast excavation, taking into the requirements regarding protection of the soil

    Directory of Open Access Journals (Sweden)

    Klojzy-Karczmarczyk Beata

    2016-01-01

    Full Text Available In the process of mining coal considerable amounts of waste material are generated from which it is possible to produce aggregates which could find application in the reclamation of opencast excavations. One of the basic characteristic parameters which may be used to assess the suitability of aggregates for filling reclaimed opencast excavation is sulfur. Total and leachable forms of sulfur content from gangue samples were analyzed in the study. It has been shown that it is possible to select aggregates which are safe for the environment when the main assessment criterion was the percentage of sulfur in the aggregates and sulfate concentration in leaching tests. The research confirmed the role of sulfur as the most important and characteristic parameter which determines where and in what specific conditions the use of gangue or mining waste may be possible. Studies of sulfur content in the samples should be carried out with sufficient periodicity and in a manner enabling to obtain most reliable results which would refer to the entire batch of material. The statistical evaluation makes it possible to estimate to what extent the obtained results of sulfur content in the samples are close to actual values for the entire mass of the material.

  16. Swedish sperm donors are driven by altruism, but shortage of sperm donors leads to reproductive travelling.

    Science.gov (United States)

    Ekerhovd, Erling; Faurskov, Anders; Werner, Charlotte

    2008-01-01

    Swedish legislation requires that sperm donors are identifiable to offspring. In Denmark sperm donors remain anonymous. The aim of this study was to examine sperm donation in Sweden by identifying socio-demographic backgrounds, motivations and attitudes among donors and to describe options and plans of sperm recipients. Furthermore, the willingness of Swedish health care providers to assist in treatment abroad, where sperm from an anonymous donor were to be used, was assessed. The extent of travelling to Denmark for reproductive purposes was also examined. Thirty Swedish sperm donors completed a questionnaire and were interviewed about their backgrounds, motivations and attitudes. Thirty couples where the infertility workup had shown azoospermia were interviewed about their options for achieving parenthood. The willingness to assist in fertility treatment abroad and the extent of reproductive cross border travelling were assessed by interviewing health care providers and by contacting Danish clinics. Almost all donors were Caucasian. The main motivation for sperm donors was to help others. Owing to shortage of sperm donors many Caucasian recipients intended to have treatment abroad. For most non-Caucasian recipients sperm from a donor of appropriate ethnicity were not available in Sweden. Whether the sperm donor was anonymous or identifiable was not of major importance to most sperm recipients. Health care providers expressed unanimous willingness to assist in treatment with sperm from an anonymous donor. Our inquiry indicated that more than 250 Swedish sperm recipients travel to Denmark annually. Identifiable sperm donors are driven by altruistic motives, but shortage of sperm donors leads to reproductive travelling. Recruitment strategies to increase the number of sperm donors in Sweden are therefore warranted.

  17. Psychiatric history in living kidney donor candidates.

    Science.gov (United States)

    Nishimura, Katsuji; Kobayashi, Sayaka; Ishigooka, Jun

    2012-04-01

    To critically discuss recent studies of living kidney donor candidates with a past or current psychiatric history and to offer guidance for the psychosocial evaluation of such donors. A global consensus has been developed that active, significant mental illness and substance abuse are absolute contraindications to organ donation due to diminished ability to make a well informed, rational decision about donation or to maintain health status after donation. However, to date, there has been little information published on the suitability for donation and the long-term psychosocial and medical outcomes after donation in donors with mental health issues, especially relatively milder psychiatric disorders, or past significant psychiatric history. To resolve the ethical dilemma of whether living donor candidates with mental health issues should be allowed to donate as is their right or be considered a vulnerable group in need of protection, we need more information. Information should include careful evaluation, possible intervention and follow-up to optimize donation.

  18. Real-time assessment of corneal endothelial cell damage following graft preparation and donor insertion for DMEK.

    Directory of Open Access Journals (Sweden)

    Maninder Bhogal

    Full Text Available To establish a method for assessing graft viability, in-vivo, following corneal transplantation.Optimization of calcein AM fluorescence and toxicity assessment was performed in cultured human corneal endothelial cells and ex-vivo corneal tissue. Descemet membrane endothelial keratoplasty grafts were incubated with calcein AM and imaged pre and post preparation, and in-situ after insertion and unfolding in a pig eye model. Global, macroscopic images of the entire graft and individual cell resolution could be attained by altering the magnification of a clinical confocal scanning laser microscope. Patterns of cell loss observed in situ were compared to those seen using standard ex-vivo techniques.Calcein AM showed a positive dose-fluorescence relationship. A dose of 2.67μmol was sufficient to allow clear discrimination between viable and non-viable areas (sensitivity of 96.6% with a specificity of 96.1% and was not toxic to cultured endothelial cells or ex-vivo corneal tissue. Patterns of cell loss seen in-situ closely matched those seen on ex-vivo assessment with fluorescence viability imaging, trypan blue/alizarin red staining or scanning electron microscopy. Iatrogenic graft damage from preparation and insertion varied between 7-35% and incarceration of the graft tissue within surgical wounds was identified as a significant cause of endothelial damage.In-situ graft viability assessment using clinical imaging devices provides comparable information to ex-vivo methods. This method shows high sensitivity and specificity, is non-toxic and can be used to evaluate immediate cell viability in new grafting techniques in-vivo.

  19. [Vocational integration of the worker suffering from ischemic heart disease: prognostic factors, occupational evaluation, and criteria for the assessment of their suitability for the specific task].

    Science.gov (United States)

    Taino, Giuseppe; Brevi, Marco; Gazzoldi, Tiziana; Imbriani, Marcello

    2013-01-01

    Ischemic heart disease, even if it has an incidence rate that increases with increasing age, can affect young people of working age. Remarkable progress in the treatment of acute coronary syndrome (ACS) and its complications, while it reduced the mortality due to myocardial infarction in both acute and later stages, on the other hand have contributed to increase prevalence, in people of working age, of ischemic heart disease and chronic conditions of post-ischemic left ventricular dysfunction in the outcomes of previous acute ischemic event. The first stage of the process of job placement is the study of worker health after acute coronary syndrome. After making all clinical and instrumental examinations, the first objective is risk stratification aimed to assess the prognosis of ischemic heart disease. The pathophysiological factors that allow risk stratification and thus constitute the determinants of prognosis after acute coronary event are: the presence of residual ischemia and inducibility of the same threshold; the left ventricular function; the presence of electrical instability and age. Only when the prognostic assessment has defined a low risk profile, an accurate study of work suitability, based both on hearth functional assessment and on work activity evaluation, becomes possible. Occupational assessment must consider, as a central factor (although not exclusive), measurement of energy expenditure required by work activity carried out through ergometric studies, but usually it occurs only in exceptional cases. However, although with some degree of approximation, energy expenditure of most occupational activities may be deducted from appropriate tables and should be regarded as a value "estimates". When the occupational physician has acquired, on the one hand all informations relating to the prognostic evaluation, risk stratification and clinical and instrumental analysis of residual work capacity, on the other hand all data pertaining to the evaluation

  20. Lung donor selection criteria.

    Science.gov (United States)

    Chaney, John; Suzuki, Yoshikazu; Cantu, Edward; van Berkel, Victor

    2014-08-01

    The criteria that define acceptable physiologic and social parameters for lung donation have remained constant since their empiric determination in the 1980s. These criteria include a donor age between 25-40, a arterial partial pressure of oxygen (PaO2)/FiO2 ratio greater than 350, no smoking history, a clear chest X-ray, clean bronchoscopy, and a minimal ischemic time. Due to the paucity of organ donors, and the increasing number of patients requiring lung transplant, finding a donor that meets all of these criteria is quite rare. As such, many transplants have been performed where the donor does not meet these stringent criteria. Over the last decade, numerous reports have been published examining the effects of individual acceptance criteria on lung transplant survival and graft function. These studies suggest that there is little impact of the historical criteria on either short or long term outcomes. For age, donors should be within 18 to 64 years old. Gender may relay benefit to all female recipients especially in male to female transplants, although results are mixed in these studies. Race matched donor/recipients have improved outcomes and African American donors convey worse prognosis. Smoking donors may decrease recipient survival post transplant, but provide a life saving opportunity for recipients that may otherwise remain on the transplant waiting list. No specific gram stain or bronchoscopic findings are reflected in recipient outcomes. Chest radiographs are a poor indicator of lung donor function and should not adversely affect organ usage aside for concerns over malignancy. Ischemic time greater than six hours has no documented adverse effects on recipient mortality and should not limit donor retrieval distances. Brain dead donors and deceased donors have equivalent prognosis. Initial PaO2/FiO2 ratios less than 300 should not dissuade donor organ usage, although recruitment techniques should be implemented with intent to transplant.

  1. Assessment of the abdominal wall function after pedicled TRAM flap surgery for breast reconstruction: Use of modified mesh repair for the donor defect.

    Science.gov (United States)

    Cyriac, Chacko; Sharma, Ramesh Kumar; Singh, Gurpreet

    2010-07-01

    The pedicled TRAM flap has been a workhorse of autologous breast reconstruction for decades. However, there has been a rising concern about the abdominal wall donor site morbidity with the use of conventional TRAM flap. This has generally been cited as one of the main reasons for resorting to "abdominal wall friendly" techniques. This study has been undertaken to assess the abdominal wall function in patients with pedicled TRAM flap breast reconstruction. The entire width of the muscle and the overlying wide disk of anterior rectus sheath were harvested with the TRAM flap in all our patients and the anterior rectus sheath defect was repaired by a Proline mesh. Abdominal wall function was studied in 21 patients who underwent simultaneous primary unipedicled TRAM flap reconstruction after mastectomy for cancer. In all the patients, the abdominal wall defect was repaired using wide sheet of Proline mesh both as inlay and onlay. The assessment tools included straight and rotational curl ups and a subjective questionnaire. The abdominal wall was also examined for any asymmetry, bulge, or hernia. The minimal follow-up was 6 months postoperative. The objective results were compared with normal unoperated volunteers. The harvesting the TRAM flap certainly results in changes to the anterior abdominal wall that can express themselves to a variable degree. A relatively high incidence of asymptomatic asymmetry of the abdomen was seen. There was total absence of hernia in our series even after a mean follow-up period of 15.5 months. A few patients were only able to partially initiate the sit up movement and suffered an important loss of strength. In most patients, synergists took over the functional movement but as the load increased, flexion and rotation performances decreased. The lack of correlation between exercise tests and the results of the questionnaire suggests that this statistically significant impairment was functionally not important. The patients encountered

  2. Assessment of the abdominal wall function after pedicled TRAM flap surgery for breast reconstruction: Use of modified mesh repair for the donor defect

    Directory of Open Access Journals (Sweden)

    Cyriac Chacko

    2010-01-01

    Full Text Available Background: The pedicled TRAM flap has been a workhorse of autologous breast reconstruction for decades. However, there has been a rising concern about the abdominal wall donor site morbidity with the use of conventional TRAM flap. This has generally been cited as one of the main reasons for resorting to "abdominal wall friendly" techniques. This study has been undertaken to assess the abdominal wall function in patients with pedicled TRAM flap breast reconstruction. The entire width of the muscle and the overlying wide disk of anterior rectus sheath were harvested with the TRAM flap in all our patients and the anterior rectus sheath defect was repaired by a Proline mesh. Materials and Methods: Abdominal wall function was studied in 21 patients who underwent simultaneous primary unipedicled TRAM flap reconstruction after mastectomy for cancer. In all the patients, the abdominal wall defect was repaired using wide sheet of Proline mesh both as inlay and onlay. The assessment tools included straight and rotational curl ups and a subjective questionnaire. The abdominal wall was also examined for any asymmetry, bulge, or hernia. The minimal follow-up was 6 months postoperative. The objective results were compared with normal unoperated volunteers. Results and Conclusions: The harvesting the TRAM flap certainly results in changes to the anterior abdominal wall that can express themselves to a variable degree. A relatively high incidence of asymptomatic asymmetry of the abdomen was seen. There was total absence of hernia in our series even after a mean follow-up period of 15.5 months. A few patients were only able to partially initiate the sit up movement and suffered an important loss of strength. In most patients, synergists took over the functional movement but as the load increased, flexion and rotation performances decreased. The lack of correlation between exercise tests and the results of the questionnaire suggests that this statistically

  3. Suitability of E-tongue Sensors to Assess Taste-Masking of Pediatric Liquids by Different Beverages Considering Their Physico-chemical Properties.

    Science.gov (United States)

    Immohr, Laura Isabell; Hedfeld, Claas; Lang, Artur; Pein-Hackelbusch, Miriam

    2017-02-01

    Manipulation of liquid oral drugs by mixing them into foodstuff is a common procedure for taste-masking of OTC pharmaceuticals when administered to children. However, the taste-masking capability of such application media is not systematically evaluated, and recommendations for suitable media are hardly published. In this study, a sensor array of commercially available and self-developed electronic tongue sensors was employed to assess the taste-masking efficiency of eight different beverages (tap water, apple juice, carrot juice, fennel tea, fruit tea, milk, cocoa, and Alete meal to drink) on the OTC pharmaceuticals Ambroxol-ratiopharm®, Cetirizin AL, and Laxoberal® by multivariate data analysis. The Euclidean distances between each pure application medium and its corresponding drug mixture were used as an indicator for the taste-masking efficiency and correlated to the physico-chemical properties of the beverages. Thus, the pH value, the viscosity, as well as the fat and sugar content of the beverages were included, whereas only the viscosity appeared to be insignificant in all cases. The sugar content as well as the fat content and pH value emerged to be a significant variable in taste-masking efficiency for some of the tested drug products. It was shown that the applied electronic tongue sensors were capable to demonstrate the impact of the physico-chemical properties of the application media on their taste-masking capacity regardless of their non-selectivity towards these characteristics.

  4. Remote sensing and GIS application for assessment of land suitability potential for agriculture in the IBB governorate, the Republic of Yemen.

    Science.gov (United States)

    Al-Mashreki, Mohammd Hezam; Akhir, Juhari Bin Mat; Abd Rahim, Sahibin; Desa, Kadderi Md; Rahman, Zulfahmi Ali

    2010-12-01

    In the present study, an assessment of land suitability potential for agriculture in the study area of IBB governorate, Republic of Yemen has been conducted through close examination of the indicators of land characteristics and qualities. The objective of this study is to evaluate the available land resource and produce the potential map of the study area. Remote sensing data help in mapping land resources, especially in mountainous areas where accessibility is limited. Satellite imagery data used for this study includes data from multi-temporal Landsat TM which dated June 2001. The parameters taken into consideration were 16 thematic maps i.e., slope, DEM, rainfall, soil, land use, land degradation as well as land characteristics maps. Satellite image of the study area has been classified for land use, land degradation and soil maps preparation, while topo sheet and ancillary data have been used for slope and DEM maps and soil properties determination. The land potential of the study area was categorized as very high, high, moderate, low and very low by adopting the logical criteria. These categories were arrived at by integrating the various layers with corresponding weights in a Geographical Information System (GIS). The study demonstrates that the study area can be categorized into spatially distributed agriculture potential zones based on the soil properties, terrain characteristics and analyzing present land use. This approach has the potential as a useful tool for guiding policy decision on sustainable land resource management.

  5. Assessment of the Suitability of a Global Hydrodynamic Model in Simulating a Regional-scale Extreme Flood at Finer Spatial Resolutions

    Science.gov (United States)

    Mateo, C. M. R.; Yamazaki, D.; Kim, H.; Champathong, A.; Oki, T.

    2015-12-01

    Global river models (GRMs) are elemental for large-scale predictions and impact analyses. However, they have limited capability in providing accurate flood information at fine resolution for practical purposes. Hyperresolution (~1km resolution) modelling is believed to improve the representation of topographical constraints, which consequently result to better predictions of surface water flows and flood inundation at regional to global scales. While numerous studies have shown that finer resolutions improve the predictions of catchment-scale floods using local-scale hydrodynamic models, the impact of finer spatial resolution on predictions of large-scale floods using GRMs is rarely examined. In this study, we assessed the suitability of a state-of-the-art hydrodynamic GRM, CaMa-Flood, in the hyperresolution simulation of a regional-scale flood. The impacts of finer spatial resolution and representation of sub-grid processes on simulating the 2011 immense flooding in Chao Phraya River Basin, Thailand was investigated. River maps ranging from 30-arcsecond (~1km) to 5-arcminute (~10km) spatial resolutions were generated from 90m resolution HydroSHEDS maps and SRTM3 DEM. Simulations were executed in each spatial resolution with the new multi-directional downstream connectivity (MDC) scheme in CaMa-Flood turned on and off. While the predictive capability of the model slightly improved with finer spatial resolution when MDC scheme is turned on, it significantly declined when MDC scheme is turned off; bias increased by 35% and NSE-coefficient decreased by 60%. These findings indicate that GRMs which assume single-downstream-grid flows are not suitable for hyperresolution modelling because of their limited capability to realistically represent floodplain connectivity. When simulating large-scale floods, MDC scheme is necessary for the following functions: provide additional storage for ovehrbank flows, enhance connectivity between floodplains which allow more realistic

  6. Water-quality models to assess algal community dynamics, water quality, and fish habitat suitability for two agricultural land-use dominated lakes in Minnesota, 2014

    Science.gov (United States)

    Smith, Erik A.; Kiesling, Richard L.; Ziegeweid, Jeffrey R.

    2017-07-20

    Fish habitat can degrade in many lakes due to summer blue-green algal blooms. Predictive models are needed to better manage and mitigate loss of fish habitat due to these changes. The U.S. Geological Survey (USGS), in cooperation with the Minnesota Department of Natural Resources, developed predictive water-quality models for two agricultural land-use dominated lakes in Minnesota—Madison Lake and Pearl Lake, which are part of Minnesota’s sentinel lakes monitoring program—to assess algal community dynamics, water quality, and fish habitat suitability of these two lakes under recent (2014) meteorological conditions. The interaction of basin processes to these two lakes, through the delivery of nutrient loads, were simulated using CE-QUAL-W2, a carbon-based, laterally averaged, two-dimensional water-quality model that predicts distribution of temperature and oxygen from interactions between nutrient cycling, primary production, and trophic dynamics.The CE-QUAL-W2 models successfully predicted water temperature and dissolved oxygen on the basis of the two metrics of mean absolute error and root mean square error. For Madison Lake, the mean absolute error and root mean square error were 0.53 and 0.68 degree Celsius, respectively, for the vertical temperature profile comparisons; for Pearl Lake, the mean absolute error and root mean square error were 0.71 and 0.95 degree Celsius, respectively, for the vertical temperature profile comparisons. Temperature and dissolved oxygen were key metrics for calibration targets. These calibrated lake models also simulated algal community dynamics and water quality. The model simulations presented potential explanations for persistently large total phosphorus concentrations in Madison Lake, key differences in nutrient concentrations between these lakes, and summer blue-green algal bloom persistence.Fish habitat suitability simulations for cool-water and warm-water fish indicated that, in general, both lakes contained a large

  7. External validation of the Donor Risk Index and the Eurotransplant Donor Risk Index on the French liver transplantation registry.

    Science.gov (United States)

    Winter, Audrey; Féray, Cyrille; Audureau, Etienne; Écochard, René; Jacquelinet, Christian; Roudot-Thoraval, Françoise; Duvoux, Christophe; Daurès, Jean-Pierre; Landais, Paul

    2017-08-01

    A major limitation to liver transplantation is organ shortage leading to the use of non-optimal liver grafts. The Donor Risk Index has been validated and recommended to select donors/organs. The Eurotransplant Donor Risk Index was derived from the Donor Risk Index. The objective of our study was to perform an external validation of both Donor Risk Index and Eurotransplant-Donor Risk Index against the French liver transplantation Cristal registry according to recommendations of the Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis. Liver transplantations performed in France between 2009 and 2013 were used to perform the validation study for the Donor Risk Index and the Eurotransplant-Donor Risk Index respectively. We applied on the French data the models used to construct the Donor Risk Index and the Eurotransplant-Donor Risk Index respectively. Neither the Donor Risk Index nor the Eurotransplant-Donor Risk Index were validated against this dataset. Discrimination and calibration of these scores were not preserved according to our data. Important donor and candidates differences between our dataset and the Organ Procurement and Transplantation Network or the Eurotransplant datasets may explain why the Donor Risk Index and the Eurotransplant-Donor Risk Index appeared unadapted to the French transplant registry. Neither of these risk indexes were suitable to optimize the French liver allocation system. Thus, our next step will be to propose a general adaptive model for a Donor Risk Index. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  8. Assessment of a novel multi-array normalization method based on spike-in control probes suitable for microRNA datasets with global decreases in expression.

    Science.gov (United States)

    Sewer, Alain; Gubian, Sylvain; Kogel, Ulrike; Veljkovic, Emilija; Han, Wanjiang; Hengstermann, Arnd; Peitsch, Manuel C; Hoeng, Julia

    2014-05-17

    High-quality expression data are required to investigate the biological effects of microRNAs (miRNAs). The goal of this study was, first, to assess the quality of miRNA expression data based on microarray technologies and, second, to consolidate it by applying a novel normalization method. Indeed, because of significant differences in platform designs, miRNA raw data cannot be normalized blindly with standard methods developed for gene expression. This fundamental observation motivated the development of a novel multi-array normalization method based on controllable assumptions, which uses the spike-in control probes to adjust the measured intensities across arrays. Raw expression data were obtained with the Exiqon dual-channel miRCURY LNA™ platform in the "common reference design" and processed as "pseudo-single-channel". They were used to apply several quality metrics based on the coefficient of variation and to test the novel spike-in controls based normalization method. Most of the considerations presented here could be applied to raw data obtained with other platforms. To assess the normalization method, it was compared with 13 other available approaches from both data quality and biological outcome perspectives. The results showed that the novel multi-array normalization method reduced the data variability in the most consistent way. Further, the reliability of the obtained differential expression values was confirmed based on a quantitative reverse transcription-polymerase chain reaction experiment performed for a subset of miRNAs. The results reported here support the applicability of the novel normalization method, in particular to datasets that display global decreases in miRNA expression similarly to the cigarette smoke-exposed mouse lung dataset considered in this study. Quality metrics to assess between-array variability were used to confirm that the novel spike-in controls based normalization method provided high-quality miRNA expression data

  9. ASSESSMENT OF REQUIREMENT OF THE POPULATION IN THE ORGAN TRANSPLANTATION, THE DONOR RESOURCE AND PLANNING OF THE EFFECTIVE NETWORK OF THE MEDICAL ORGANIZATIONS (THE CENTERS OF TRANSPLANTATION)

    National Research Council Canada - National Science Library

    S. V. Gautier; S. M. Khomyakov

    2013-01-01

    Aim. To estimate the requirement of the population of the Russian Federation for an organ transplantation and donor resource, to offer approach to planning of an effective network of the medical organizations...

  10. Computer applications in the search for unrelated stem cell donors.

    Science.gov (United States)

    Müller, Carlheinz R

    2002-08-01

    The majority of patients which are eligible for a blood stem cell transplantation from an allogeneic donor do not have a suitable related donor so that an efficient unrelated donor search is a prerequisite for this treatment. Currently, there are over 7 million volunteer donors in the files of 50 registries in the world and in most countries the majority of transplants are performed from a foreign donor. Evidently, computer and communication technology must play a crucial role in the complex donor search process on the national and international level. This article describes the structural elements of the donor search process and discusses major systematic and technical issues to be addressed in the development and evolution of the supporting telematic systems. The theoretical considerations are complemented by a concise overview over the current state of the art which is given by describing the scope, relevance, interconnection and technical background of three major national and international computer appliances: The German Marrow Donor Information System (GERMIS) and the European Marrow Donor Information System (EMDIS) are interoperable business-to-business e-commerce systems and Bone Marrow Donors World Wide (BMDW) is the basic international donor information desk on the web.

  11. Assessment of frequency, investigation of causes and treatment of anemia in candidates to blood donation aiming for the reinstatement of blood donors

    Directory of Open Access Journals (Sweden)

    Eduardo Cabral Camacho

    2014-09-01

    Full Text Available Objective: anemia in women is defined by WHO as having an hemoglobin level lower than 12g/dL. This study aims to identify the causes and to provide treatment of anemia in women considered unsuited for blood donation at Hemonúcleo Sorocaba for having an hematocrit lower than 38%, criteria applied at the service as a definition of anemia. Results: Between the months of August/12 and April/13 the Hemonucleo received 13.200 volunteers for blood donation. Women accounted for 58.8% (7759 of this amount, whilst 12.8% (997 of them were considered unsuitable for blood donation. Having a hematocrit ≤ 38% was the reason in 21.6% of these cases (216 women. Fifty-four out of these 216 patients were successfully contacted and invited to a medical appointment. The main reason for this low contact rate was the impossibility of locating these patients (58.3% of the cases. From the contacted patients 32 attended their medical appointments, and 22 reported that they were concerned about their impossibility to donate blood and said they would donate it once their hematocrit rate allowed it. Twenty-eight of the consulted women (87.5% presented symptoms of anemia. 46.9% of them had had previous episodes of anemia. Of the twenty-one patients who had their blood tested, 13 of them (40.6% had an hematocrit < 38% and only six (18.75% had hemoglobin < 12g/dL, which complies with the diagnosis of anemia. Conclusion: low hematocrit rate often prevents women who actually don´t have anemia from donating blood. The non-anemic patients were informed about their condition and anemic patients were treated with iron sulfate. Both groups were reinstated for blood donation. The present study proved to be beneficial for patients, who had their anemia diagnosed and treated, improving their symptoms and restoring their health, also allowing these women to be suitable candidates for blood donation, increasing the number of donors.

  12. Assessment of the efficacy of membrane filtration processes to remove human enteric viruses and the suitability of bacteriophages and a plant virus as surrogates for those viruses.

    Science.gov (United States)

    Shirasaki, N; Matsushita, T; Matsui, Y; Murai, K

    2017-05-15

    Here, we evaluated the efficacy of direct microfiltration (MF) and ultrafiltration (UF) to remove three representative human enteric viruses (i.e., adenovirus [AdV] type 40, coxsackievirus [CV] B5, and hepatitis A virus [HAV] IB), and one surrogate of human caliciviruses (i.e., murine norovirus [MNV] type 1). Eight different MF membranes and three different UF membranes were used. We also examined the ability of coagulation pretreatment with high-basicity polyaluminum chloride (PACl) to enhance virus removal by MF. The removal ratios of two bacteriophages (MS2 and φX174) and a plant virus (pepper mild mottle virus; PMMoV) were compared with the removal ratios of the human enteric viruses to assess the suitability of these viruses to be used as surrogates for human enteric viruses. The virus removal ratios obtained with direct MF with membranes with nominal pore sizes of 0.1-0.22 μm differed, depending on the membrane used; adsorptive interactions, particularly hydrophobic interactions between virus particles and the membrane surface, were dominant factors for virus removal. In contrast, direct UF with membranes with nominal molecular weight cutoffs of 1-100 kDa effectively removed viruses through size exclusion, and >4-log10 removal was achieved when a membrane with a nominal molecular weight cutoff of 1 kDa was used. At pH 7 and 8, in-line coagulation-MF with nonsulfated high-basicity PACls containing Al30 species had generally a better virus removal (i.e., >4-log10 virus removal) than the other aluminum-based coagulants, except for φX174. For all of the filtration processes, the removal ratios of AdV, CV, HAV, and MNV were comparable and strongly correlated with each other. The removal ratios of MS2 and PMMoV were comparable or smaller than those of the three human enteric viruses and MNV, and were strongly correlated with those of the three human enteric viruses and MNV. The removal ratios obtained with coagulation-MF for φX174 were markedly smaller than

  13. Dealing with Donor Anger.

    Science.gov (United States)

    McNamee, Mike

    1995-01-01

    Techniques that reduce donors' resistance to college fund-raising requests, either direct mail or telephone solicitations, are offered. These include: respecting the prospects' concerns about privacy; offering nonintrusive giving options; honesty and clarity of communication; reinforcing donor sense of control; connecting with prospects'…

  14. Use of body and beard donor hair in surgical treatment of androgenic alopecia

    Directory of Open Access Journals (Sweden)

    Arvind Poswal

    2013-01-01

    Full Text Available Objectives: Follicular unit transplant is a widely used surgical treatment for androgenic alopecia. However, for patients with extensive hair loss (Norwood 5 and above, scalp donor hair are not sufficient to cover all areas of baldness. This study aims to assess suitability of beard and body donor hair when transplanted to the scalp. Materials and Methods: In 35 male patients having varying degrees of androgenic alopecia, body and beard donor hair were extracted by follicular unit extraction method (under local anesthesia. They were transplanted in different locations of the scalp. Follow-up was carried out at various intervals (6 months to 2 years. The hairs were observed for colour, curl and calibre. Results: In all the patients, there was no change in the colour, curl or calibre of the transplanted body/beard hair. They maintained the same characteristics as in their original location. Conclusion: Body and beard hair can be used as additional donor resource for treating androgenic alopecia. These hairs, however, do not change their colour, curl, and shaft diameter (calibre. Thus, proper planning is a must when using the different types of donor hair for transplanting.

  15. In Vitro Corneal Tomography of Donor Cornea Using Anterior Segment OCT.

    Science.gov (United States)

    Janunts, Edgar; Langenbucher, Achim; Seitz, Berthold

    2016-05-01

    The aim of this study was to establish a tomographic screening method for revealing potential pathologies in corneal donors before keratoplasty so they may be excluded as candidates for corneal transplantation. Donor corneal tomographies were measured in a viewing chamber filled with preservation medium and with the use of a clinical optical coherence tomography (OCT) device. Custom-written software was developed to extract corneal surfaces from the raw data, which were analyzed in the central and peripheral regions. An adaptive nonlinear edge-enhancement algorithm was used to observe scars within the corneal volume. The thickness distribution map was analyzed to detect keratoconus and corneas with extreme topographic irregularities. Measurements were repeated 5 times to assess reproducibility. Eight corneas were investigated: 6 randomly selected intact donors, unsuitable for implantation because of low endothelial cell densities, and 2 keratoconus corneas, excised from patients during corneal transplantation. A major thickness abnormality was detected in one of the intact donor corneas, so it was excluded from further analysis. The keratoconus corneas were clearly evident in optical coherence tomography cross-sectional images, and similarly, they could easily be identified by analyzing the thickness map. Overall, the measurements were reliable and had a Cronbach's alpha coefficient greater than 0.8. Donor corneal examination using sterile viewing chambers was found to be suitable as a pre-keratoplasty advanced screening routine. A proof of concept was demonstrated, which could identify both irregular corneas and those affected by keratoconus.

  16. Development of habitat suitability criteria for Neotropical stream fishes and an assessment of their transferability to streams with different conservation status

    Directory of Open Access Journals (Sweden)

    Fabrício Barreto Teresa

    Full Text Available We assessed the preference of 10 fish species for depth and velocity conditions in forested streams from southeastern Brazil using habitat suitability criteria (HSC curves. We also tested whether preference patterns observed in forested streams can be transferred to deforested streams. We used data from fish sampled in 62 five-meter sites in three forested streams to construct preference curves. Astyanax altiparanae, A. fasciatus, Knodus moenkhausii, and Piabina argentea showed a preference for deep slow habitats, whereas Aspidoras fuscoguttatus, Characidium zebra, Cetopsorhamdia iheringi, Pseudopimelodus pulcher, and Hypostomus nigromaculatus showed an opposite pattern: preference for shallow fast habitats. Hypostomus ancistroides showed a multimodal pattern of preference for depth and velocity. To evaluate whether patterns observed in forested streams may be transferred to deforested streams, we sampled 64 five-meters sites in three deforested streams using the same methodology. The preference for velocity was more consistent than for depth, as success in the transferability criterion was 86% and 29% of species, respectively. This indicates that velocity is a good predictor of species abundance in streams, regardless of their conditionNeste estudo avaliamos a preferência de 10 espécies de peixes por condições de profundidade e fluxo em riachos florestados do sudeste do Brasil por meio do critério de adequabilidade de habitat (habitat suitability criteria - curvas HSC. Testamos também se os padrões de preferência observados nos riachos florestados podem ser transferidos para riachos desmatados. Foram realizadas amostragens da ictiofauna em 62 trechos de cinco metros de extensão em três riachos florestados para a construção das curvas de preferência. Astyanax altiparanae, A. fasciatus, Knodus moenkhausii e Piabina argentea apresentaram preferência por habitats lentos e profundos, enquanto Aspidoras fuscoguttatus, Characidium zebra

  17. Intensification of donor interviewing procedures: a feasibility study.

    Science.gov (United States)

    van Rhenen, D J; Molijn, M H; Gorgels, J; van der Linden, J M; Ko, L K

    1996-02-01

    To determine the feasibility and acceptability for the blood donor of an intensified blood donor interviewing procedure on high-risk factors for infectious diseases. To answer the question whether an intensified blood donor interviewing procedure would lead to an unacceptable loss of blood donors. Feasibility study. Red Cross Bloodbank Rotterdam. DONORS: Study group of 240 first-time donors. Intensified donor interviewing techniques by direct questioning and workload assessment. Intensified interviewing was welcomed by 88-91% of first-time donors and rejected by 2-5%. On the question whether the intensified interviewing procedure should be the standard approach of the blood bank the answer was positive in 76-82% of first-time donors and negative in 11-14%. No blood donors indicated that this would be a reason to withdraw from blood donation. The workload for the blood bank physician increased by approximately 30%. The approach of intensified donor interviewing techniques in first-time donors is acceptable both to the donors and the blood bank workload.

  18. Multidetector CT angiography in living donor renal transplantation: accuracy and discrepancies in right venous anatomy.

    Science.gov (United States)

    Kulkarni, S; Emre, S; Arvelakis, A; Asch, W; Bia, M; Formica, R; Israel, G

    2011-01-01

    Multidetector computed tomography (MDCT) angiography is a reliable technique for assessing pre-operative renal anatomy in living kidney donors. The method has largely evolved into protocols that eliminate dedicated venous phase and instead utilize a combined arterial/venous phase to delineate arterial and venous anatomy simultaneously. Despite adoption of this protocol, there has been no study to assess its accuracy. To assess whether or not MDCT angiography compares favorably to intra-operative findings, 102 donors underwent MDCT angiography without a dedicated venous phase with surgical interpretation of renal anatomy. Anatomical variants included multiple arteries (12%), multiple veins (7%), early arterial bifurcation (13%), late venous confluence (5%), circumaortic renal veins (5%), retroaortic vein (1%), and ureteral duplication (2%). The sensitivity and specificity of multiple arterial anomalies were 100% and 97%, respectively. The sensitivity and specificity of multiple venous anomalies were 92% and 98%, respectively. The most common discrepancy was noted exclusively in the interpretation of right venous anatomy as it pertained to the renal vein/vena cava confluence (3%). MDCT angiography using a combined arterial/venous contrast-enhanced phase provides suitable depiction of renal donor anatomy. Careful consideration should be given when planning a right donor nephrectomy whether the radiographic interpretation is suggestive of a late confluence. © 2010 John Wiley & Sons A/S.

  19. Cardiac Assessment of Patients With Type 1 Diabetes Median 10 Years After Successful Simultaneous Pancreas and Kidney Transplantation Compared With Living Donor Kidney Transplantation.

    Science.gov (United States)

    Lindahl, Jørn Petter; Massey, Richard John; Hartmann, Anders; Aakhus, Svend; Endresen, Knut; Günther, Anne; Midtvedt, Karsten; Holdaas, Hallvard; Leivestad, Torbjørn; Horneland, Rune; Øyen, Ole; Jenssen, Trond

    2017-06-01

    In recipients with type 1 diabetes, we aimed to determine whether long-term normoglycemia achieved by successful simultaneous pancreas and kidney (SPK) transplantation could beneficially affect progression of coronary artery disease (CAD) when compared with transplantation of a kidney-alone from a living donor (LDK). In 42 kidney transplant recipients with functioning grafts who had received either SPK (n = 25) or LDK (n = 17), we studied angiographic progression of CAD between baseline (pretransplant) and follow-up at 7 years or older. In addition, computed tomography scans for measures of coronary artery calcification and echocardiographic assessment of left ventricular systolic function were addressed at follow-up. During a median follow-up time of 10.1 years (interquartile range [IQR], 9.1-11.5) progression of CAD occurred at similar rates (10 of 21 cases in the SPK and 5 of 14 cases in the LDK group; P = 0.49). Median coronary artery calcification scores were high in both groups (1767 [IQR, 321-4035] for SPK and 1045 [IQR, 807-2643] for LDK patients; P = 0.59). Left ventricular systolic function did not differ between the 2 groups. The SPK and LDK recipients were similar in age (41.2 ± 6.9 years vs 40.5 ± 10.3 years; P = 0.80) and diabetes duration at engraftment but with significant different mean HbA1c levels of 5.5 ± 0.4% for SPK and 8.3 ± 1.5% for LDK patients (P < 0.001) during follow-up. In patients with both type 1 diabetes and end-stage renal disease, SPK recipients had similar progression of CAD long-term compared with LDK recipients. Calcification of coronary arteries is a prominent feature in both groups long-term posttransplant.

  20. Blood Donor Deferrals by Expert System

    Science.gov (United States)

    Sorace, James M.; Berman, Jules J.; Brown, Lawrence A.; Moore, G. William

    1990-01-01

    Blood collection facilities have recently witnessed a substantial increase in the number of different tests used to detect infectious disease in donor populations. These facilities are also experiencing an increasingly stringent regulatory effort on the part of the Food and Drug Administration to determine the validity of the software used to handle this information. This report describes a precedence-based inference program (PRELOG) and a modular expert system used to determine a donor's suitability for continued donations (donor deferrals), and whether the donated unit can be released for transfusion. PRELOG accepts ternary logic input, in which test results are allowed to be positive, negative, or undetermined; and allows one to assign precedence values to the logic rules. These features enable programs to be written in a shorter, more error-resistant manner. A comparison between PRELOG and PROLOG is included, and the utility of this approach in producing and validating blood bank software is discussed.

  1. Marginal kidney donor

    Directory of Open Access Journals (Sweden)

    Ganesh Gopalakrishnan

    2007-01-01

    Full Text Available Renal transplantation is the treatment of choice for a medically eligible patient with end stage renal disease. The number of renal transplants has increased rapidly over the last two decades. However, the demand for organs has increased even more. This disparity between the availability of organs and waitlisted patients for transplants has forced many transplant centers across the world to use marginal kidneys and donors. We performed a Medline search to establish the current status of marginal kidney donors in the world. Transplant programs using marginal deceased renal grafts is well established. The focus is now on efforts to improve their results. Utilization of non-heart-beating donors is still in a plateau phase and comprises a minor percentage of deceased donations. The main concern is primary non-function of the renal graft apart from legal and ethical issues. Transplants with living donors outnumbered cadaveric transplants at many centers in the last decade. There has been an increased use of marginal living kidney donors with some acceptable medical risks. Our primary concern is the safety of the living donor. There is not enough scientific data available to quantify the risks involved for such donation. The definition of marginal living donor is still not clear and there are no uniform recommendations. The decision must be tailored to each donor who in turn should be actively involved at all levels of the decision-making process. In the current circumstances, our responsibility is very crucial in making decisions for either accepting or rejecting a marginal living donor.

  2. Assessing Support Activities by International Donors for CDM Development in Sub-Saharan Africa with Focus on Selected Least Developed Countries

    DEFF Research Database (Denmark)

    Arens, Christof; Wang-Helmreich, Hanna; Hodes, Glenn Stuart

    into the Global Carbon Market”, commissioned by the German Environment Ministry (BMU), it represents an interim step: it paints the picture of an overall donor activities map of the region, while an in-depth evaluation of the specific situation as regards local capacities and concrete capacity building needs...... for a broad overview of support activities funded by developed countries in the study region. This comprises both country-specific programmes as well as activities addressing regional aspects. This is followed by a short glance at the overall capacity building needs of sub-Saharan LDCs, complemented...... by an analysis of the capacity situation and the support needs in selected countries based on expert judgment. Conclusions on lessons learnt for future support activities of Annex I donors complete this report. In an annex, a summary of all donor activities is presented, which is complemented by an even more...

  3. Is the Total Concentration of a Heavy Metal in Soil a Suitable Tool for Assessing the Environmental Risk? Considering the Case of Copper

    Science.gov (United States)

    Fernández-Calviño, David; Pérez-Rodríguez, Paula; Nóvoa-Muñoz, Juan Carlos; Estévez, Manuel Arias

    2017-01-01

    National legislation concerning soil pollution by heavy metals in different countries is mostly based on the total heavy metal concentration levels allowed in different soils. As soil pollution is an issue of worldwide concern, here we develop a laboratory exercise for students in which they must check the suitability of a total metal…

  4. Blood donor: nursing care plan

    Directory of Open Access Journals (Sweden)

    Marco Antonio Zapata Sampedro

    2008-11-01

    Full Text Available The standardized nursing care plan can be used as a means through which the nurse will assess and identify the particular needs of the blood donor.To draw up the care plan, we have conducted the evaluation on the basis of the Marjory Gordon’s functional health patterns.The more prevailing diagnosis according to the NANDA taxonomy have been identified, results have been established according to the NOC (Nursing Outcomes Classification taxonomy, and nursing interventions have been suggested according to the NIC (Nursing Interventions Classification taxonomy. Also, certain potential complications, which are infrequent, must be observed and controlled in the blood donation process. Our main aim with this article has been to offer to professionals resources that grant to the caring activity scientific rigor, professional recognition and an unique and valid tool to evaluate the assistance with the best levels of quality for the blood donor.

  5. Proof-of-concept study on the suitability of 13C-urea as a marker substance for assessment of in vivo behaviour of oral colon-targeted dosage forms

    NARCIS (Netherlands)

    Schellekens, R C A; Olsder, G G; Langenberg, S M C H; Boer, T; Woerdenbag, H J; Frijlink, H W; Kosterink, J G W; Stellaard, F

    2009-01-01

    BACKGROUND AND PURPOSE: (13)C-urea may be a suitable marker to assess the in vivo fate of colon-targeted dosage forms given by mouth. We postulated that release in the colon (urease-rich segment) of (13)C-urea from colon-targeted capsules would lead to fermentation of (13)C-urea by bacterial ureases

  6. Meet the donors

    DEFF Research Database (Denmark)

    Olejaz, Maria; Hoeyer, Klaus

    2016-01-01

    For centuries, gross anatomy teaching and anatomical dissection have been fundamental elements in the training of medical doctors and surgeons across the world. Anatomy education and research rely on a stable and reliable supply of bodies in order to take place. Based on qualitative in-depth inte......For centuries, gross anatomy teaching and anatomical dissection have been fundamental elements in the training of medical doctors and surgeons across the world. Anatomy education and research rely on a stable and reliable supply of bodies in order to take place. Based on qualitative in......-depth interviews with 13 whole body donors in Denmark, this article explores what donors think about donation and thus offers a supplement to previous primarily quantitative work on donor motivation. The article presents how interviewed donors relate to three topics: their body, their social relations...

  7. Approach to the Pretransplant Evaluation of the Living Kidney Donor

    Directory of Open Access Journals (Sweden)

    Mala Sachdeva

    2011-01-01

    Full Text Available Evaluation of the potential kidney donor is a complex activity that differs substantially from other types of preoperative assessments. The well being of the donor, who derives no medical benefit from this surgery, must be assured in both the short term and long term, and the potential adverse consequences to the recipient must be determined as well. The criteria that must be met for a person to donate a kidney are rigorous and include medical, social, psychosocial, ethical, and legal issues. Donor evaluation can be divided into assessments to protect the health and safety of the donor and assessments to protect the health and safety of the recipient. This article provides an approach to evaluating a donor, focusing on the complex issues that an evaluator is faced with. A careful assessment of risks and benefits to both the donor and recipient can lead to favorable outcomes.

  8. Brain-Dead Donors on Extracorporeal Membrane Oxygenation.

    Science.gov (United States)

    Bronchard, Régis; Durand, Louise; Legeai, Camille; Cohen, Johana; Guerrini, Patrice; Bastien, Olivier

    2017-10-01

    To describe donors after brain death with ongoing extracorporeal membrane oxygenation and to analyze the outcome of organs transplanted from these donors. Retrospective analysis of the national information system run by the French Biomedicine Agency (CRISTAL database). National registry data of all donors after brain death in France and their organ recipients between 2007 and 2013. Donors after brain death and their organ recipients. None. During the study period, there were 22,270 brain-dead patients diagnosed in France, of whom 161 with extracorporeal membrane oxygenation. Among these patients, 64 donors on extracorporeal membrane oxygenation and 10,805 donors without extracorporeal membrane oxygenation had at least one organ retrieved. Donors on extracorporeal membrane oxygenation were significantly younger and had more severe intensive care medical conditions (hemodynamic, biological, renal, and liver insults) than donors without extracorporeal membrane oxygenation. One hundred nine kidneys, 37 livers, seven hearts, and one lung were successfully transplanted from donors on extracorporeal membrane oxygenation. We found no significant difference in 1-year kidney graft survival (p = 0.24) and function between recipients from donors on extracorporeal membrane oxygenation (92.7% [85.9-96.3%]) and matching recipients from donors without extracorporeal membrane oxygenation (95.4% [93.0-97.0%]). We also found no significant difference in 1-year liver recipient survival (p = 0.91): 86.5% (70.5-94.1) from donors on extracorporeal membrane oxygenation versus 80.7% (79.8-81.6) from donors without extracorporeal membrane oxygenation. Brain-dead patients with ongoing extracorporeal membrane oxygenation have more severe medical conditions than those without extracorporeal membrane oxygenation. However, kidney graft survival and function were no different than usual. Brain-dead patients with ongoing extracorporeal membrane oxygenation are suitable for organ procurement.

  9. Applying spatial analysis techniques to assess the suitability of multipurpose uses of spring water in the Jiaosi Hot Spring Region, Taiwan.

    Science.gov (United States)

    Jang, Cheng-Shin; Huang, Han-Chen

    2017-07-01

    The Jiaosi Hot Spring Region is one of the most famous tourism destinations in Taiwan. The spring water is processed for various uses, including irrigation, aquaculture, swimming, bathing, foot spas, and recreational tourism. Moreover, the multipurpose uses of spring water can be dictated by the temperature of the water. To evaluate the suitability of spring water for these various uses, this study spatially characterized the spring water temperatures of the Jiaosi Hot Spring Region by integrating ordinary kriging (OK), sequential Gaussian simulation (SGS), and Geographic information system (GIS). First, variogram analyses were used to determine the spatial variability of spring water temperatures. Next, OK and SGS were adopted to model the spatial uncertainty and distributions of the spring water temperatures. Finally, the land use (i.e., agriculture, dwelling, public land, and recreation) was determined using GIS and combined with the estimated distributions of the spring water temperatures. A suitable development strategy for the multipurpose uses of spring water is proposed according to the integration of the land use and spring water temperatures. The study results indicate that the integration of OK, SGS, and GIS is capable of characterizing spring water temperatures and the suitability of multipurpose uses of spring water. SGS realizations are more robust than OK estimates for characterizing spring water temperatures compared to observed data. Furthermore, current land use is almost ideal in the Jiaosi Hot Spring Region according to the estimated spatial pattern of spring water temperatures.

  10. Integrating Donor Conception into Identity Development: Adolescents in Fatherless Families

    OpenAIRE

    Slutsky, Jenna; Jadva, Vasanti; Freeman, Tabitha; Persaud, Sherina; Steele, Miriam; Steele, Howard; Kramer, Wendy; Golombok, Susan

    2016-01-01

    Objective To study the processes by which donor-conceived children incorporate donor conception into their subjective sense of identity. Design Cross-sectional. Setting Family homes. Patient(s) Nineteen donor-conceived adolescents. Intervention(s) Administration of an interview and questionnaire. Main Outcome Measure(s) The mother-child relationship was assessed through the Friends and Family Interview, a semistructured interview designed to assess adolescents' security of attachment in terms...

  11. Technical report: gadoxetate-disodium-enhanced 2D R2* mapping: a novel approach for assessing bile ducts in living donors.

    Science.gov (United States)

    Fazeli Dehkordy, Soudabeh; Fowler, Kathryn J; Wolfson, Tanya; Igarashi, Saya; Lamas Constantino, Carolina P; Hooker, Jonathan C; Hong, Cheng W; Mamidipalli, Adrija; Gamst, Anthony C; Hemming, Alan; Sirlin, Claude B

    2017-10-31

    Gadoxetate-disodium (Gd-EOB-DTPA)-enhanced 3D T1- weighted (T1w) MR cholangiography (MRC) is an efficient method to evaluate biliary anatomy due to T1 shortening of excreted contrast in the bile. A method that exploits both T1 shortening and T2* effects may produce even greater bile duct conspicuity. The aim of our study is to determine feasibility and compare the diagnostic performance of two-dimensional (2D) T1w multi-echo (ME) spoiled gradient-recalled-echo (SPGR) derived R2* maps against T1w MRC for bile duct visualization in living liver donor candidates. Ten potential living liver donor candidates underwent pretransplant 3T MRI and were included in our study. Following injection of Gd-EOBDTPA and a 20-min delay, 3D T1w MRC and 2D T1w ME SPGR images were acquired. 2D R2* maps were generated inline by the scanner assuming exponential decay. The 3D T1w MRC and 2D R2* maps were retrospectively and independently reviewed in two separate sessions by three radiologists. Visualization of eight bile duct segments was scored using a 4-point ordinal scale. The scores were compared using mixed effects regression model. Imaging was tolerated by all donors and R2* maps were successfully generated in all cases. Visualization scores of 2D R2* maps were significantly higher than 3D T1w MRC for right anterior (p = 0.003) and posterior (p = 0.0001), segment 2 (p mapping is a feasible method for evaluating the bile ducts in living donors and may be a valuable addition to the living liver donor MR protocol for delineating intrahepatic biliary anatomy.

  12. Higher organ donation consent rates by relatives of potential uncontrolled donors versus potential controlled donors after death.

    Science.gov (United States)

    Wind, Jentina; van Mook, Walther N K A; Willems, Monique E C; van Heurn, L W Ernest

    2012-11-01

    Refusal to consent to organ donation is an important cause of the persisting gap between the number of potential organ donors and effectuated donors. In the Netherlands, organ donors include both uncontrolled donors: donors who die unexpectedly after cardiac death (DCD), after failed resuscitation and donors in whom death can be expected and donors after brain death, and controlled DCD donors: those who die after the withdrawal of treatment. Different donor type implies a different setting in which relatives are requested to consent to organ donation. It is unknown whether the setting influences the eventual decision for donation or not. Therefore, we compared the consent rate in potential donors who died unexpectedly (UD group) and in whom death was expected. A total of 523 potential organ donors between 2003 and 2011 in the 715-bed Maastricht University Medical Centre, the Netherlands were included. Both the patients' registration in the national donor register (DR) and the relatives' refusal rate in the two groups were retrospectively assessed using data from the donation application database. There were 109 unexpected and 414 expected potential donors The potential donors in the UD group were younger (mean age 52 versus 55 years, P = 0.032) and more often male (68 versus 52%, P = 0.003). There were no significant differences in registration in the DR between the groups. The relatives' consent rate in non-registered potential donors, or those who mandated the relatives for that decision, was higher in the UD group (53 versus 29%, P organ donation. The relatives of potential donors who died unexpectedly consented more often to donation than those in whom death was expected.

  13. Attention Deficit Hyperactivity Disorder: Is There an App for That? Suitability Assessment of Apps for Children and Young People With ADHD.

    Science.gov (United States)

    Powell, Lauren; Parker, Jack; Robertson, Naomi; Harpin, Valerie

    2017-10-04

    Attention-deficit/hyperactivity disorder (ADHD) is a complex highly comorbid disorder, which can have a huge impact on those with ADHD, their family, and the community around them. ADHD is currently managed using pharmacological and nonpharmacological interventions. However, with advances in technology and an increase in the use of mobile apps, managing ADHD can be augmented using apps specifically designed for this population. However, little is known regarding the suitability and usability of currently available apps. The aim of this study was to explore the suitability of the top 10 listed apps for children and young people with ADHD and clinicians who work with them. It is hypothesized that mobile apps designed for this population could be more suitably designed for this population. The top 10 listed apps that are specifically targeted toward children and young people with ADHD in the United Kingdom were identified via the Google Play (n=5) and iTunes store (n=5). Interviews were then undertaken with 5 clinicians who specialize in treating this population and 5 children and young people with ADHD themselves, to explore their opinions of the 10 apps identified and what they believe the key components are for apps to be suitable for this population. Five themes emerged from clinician and young people interviews: the accessibility of the technology, the importance of relating to apps, addressing ADHD symptoms and related difficulties, age appropriateness, and app interaction. Three additional themes emerged from the clinician interviews alone: monitoring symptoms, side effects and app effect on relationships, and the impact of common comorbid conditions. The characteristics of the apps did not appear to match well with the views of our sample. These findings suggest that the apps may not be suitable in meeting the complex needs associated with this condition. Further research is required to explore the value of apps for children and young people with ADHD and

  14. Blood donation and blood donor mortality after adjustment for a healthy donor effect

    DEFF Research Database (Denmark)

    Ullum, Henrik; Rostgaard, Klaus; Kamper-Jørgensen, Mads

    2015-01-01

    BACKGROUND: Studies have repeatedly demonstrated that blood donors experience lower mortality than the general population. While this may suggest a beneficial effect of blood donation, it may also reflect the selection of healthy persons into the donor population. To overcome this bias, we...... and Transfusion database (SCANDAT), we assessed the association between annual number of donations in 5-year windows and donor mortality by means of Poisson regression analysis. The analyses included adjustment for demographic characteristics and for an internal healthy donor effect, estimated among elderly...... donation (95% confidence interval [CI], 16.8%-20.4%). After additional adjustment for the internal healthy donor effect, each additional annual donation was associated with a 7.5% decreased mortality risk 7.5% (95% CI, 5.7%-9.4%). CONCLUSION: We observed an inverse relationship between donation frequency...

  15. Expanding the Donor Pool Through Intensive Care to Facilitate Organ Donation: Results of a Spanish Multicenter Study.

    Science.gov (United States)

    Domínguez-Gil, Beatriz; Coll, Elisabeth; Elizalde, José; Herrero, Jaime E; Pont, Teresa; Quindós, Brígida; Marcelo, Bella; Bodí, María A; Martínez, Adolfo; Nebra, Agustín; Guerrero, Francisco; Manciño, José M; Galán, Juan; Lebrón, Miguel; Miñambres, Eduardo; Matesanz, Rafael

    2017-08-01

    Intensive Care to facilitate Organ Donation (ICOD) may help to increase the donor pool. We describe the Spanish experience with ICOD. Achieving Comprehensive Coordination in Organ Donation (ACCORD)-Spain consisted of an audit of the donation pathway from patients who died as a result of a devastating brain injury (possible donors) in 68 hospitals during November 1, 2014, to April 30, 2015. We focused on possible donors whose families were interviewed to discuss organ donation once intensive care with a therapeutic purpose was deemed futile and brain death (BD) was a likely outcome. Of the 1970 possible donors in ACCORD-Spain, in 257, the family was interviewed once the decision had been made not to intubate/ventilate (n = 105), with the patient under intubation/ventilation outside of the intensive care unit (n = 59), or with the patient intubated/ventilated within the intensive care unit (n = 93).Consent to ICOD was obtained in 174 cases. Consent was higher when the donor coordinator participated in the interview (odds ratio, 2.32; 95% confidence interval, 1.33-4.11; P = 0.003). One hundred thirty-one patients developed BD, of whom 117 transitioned to actual donation after BD. Of the 35 patients who did not develop BD, 2 transitioned to actual donation after circulatory death. Sixteen patients subject to ICOD were finally medically unsuitable organ donors.ICOD contributed to 24% of the 491 actual donors registered in ACCORD-Spain. Despite the complexity of the interview, the majority of families consented to ICOD. Estimating the probability of BD and assessing medical suitability are additional challenges of the practice. ICOD represents a clear opportunity to increase the donor pool and ensures organ donation is posed at every end-of-life care pathway.

  16. INFLUENCE OF VARIOUS FACTORS UPON DECISION ON PANCREAS ALLOGRAFT SUITABILITY

    Directory of Open Access Journals (Sweden)

    S. V. Arzumanov

    2015-01-01

    Full Text Available AAim. To identify factors influencing upon decision on pancreas allograft suitability for transplant and their clinical significance. Materials and methods. We reviewed 95 multiorgan donors under the age of 45, who were considered as pancreas donor between January 2010 and December 2013. 28 pancreata were procured (Group I, 67 pancreata were refused (Group II. Demographic, clinical and laboratory data, anatomical hepatopancreatoduodenal varieties were taken into account. Results. We found that only three factors have an effect on pancreas allograft refusal probability. According to our data, non-transplantation of the liver from the same donor increases the pancreas graft refusal in 4 times. Elevated donor’s sodium and urea blood levels also increase the probability of donor pancreas denial for transplantation. For example, the probability of pancreas graft refusal from the donor with sodium level 145 mmol/l and urea level 6.0 mol/l is only 32%. As compared to the donor with sodium level 160 mmol/l and urea 12.0 mol/l where probability reaches 85%. Other factors: demographic, laboratory, clinical indicators, gepatopancreatoduodenal blood supply variations were not predictive for the procurement decision. Conclusion. Main predictors of pancreas allograft refusal to be taken into account, appropriate correction of donor metabolic disturbances and sufficient experience of the surgeon performing the procurement can increase the availability of pancreas transplantation.  

  17. ADHD: Is There an App for That? A Suitability Assessment of Apps for the Parents of Children and Young People With ADHD.

    Science.gov (United States)

    Powell, Lauren; Parker, Jack; Harpin, Valerie

    2017-10-13

    Attention-deficit hyperactivity disorder (ADHD) is a highly comorbid disorder that can impact significantly on the individual and their family. ADHD is managed via pharmacological and nonpharmacological interventions. Parents also gain support from parent support groups, which may include chat rooms, as well as face-to-face meetings. With the growth of technology use over recent years, parents have access to more resources that ever before. A number of mobile apps have been developed to help parents manage ADHD in their children and young people. Unfortunately many of these apps are not evidence-based, and little is known of their suitability for the parents or whether they are helpful in ADHD management. The aim of this study was to explore the (1) parents' views of the suitability of the top ten listed apps for parents of children and young people with ADHD and (2) the views of clinicians that work with them on the suitability and value of the apps. The top 10 listed apps specifically targeted toward the parents of children and young people with ADHD were identified via the Google Play (n=5) and iTunes store (n=5). Interviews were then undertaken with 7 parents of children or young people with ADHD and 6 clinicians who specialize in working with this population to explore their opinions of the 10 apps identified and what they believe the key components are for apps to be suitable and valuable for this population. Four themes emerged from clinician and parent interviews: (1) the importance of relating to the app, (2) apps that address ADHD-related difficulties, (3) how the apps can affect family relationships, and (4) apps as an educational tool. Two additional themes emerged from the clinician interviews alone: monitoring ADHD symptoms and that apps should be practical. Parents also identified an additional theme: the importance of the technology. Overall, the characteristics of the current top 10 listed apps did not appear to match well to the views of our

  18. Baseline Suitability Analysis

    Science.gov (United States)

    2013-07-18

    the majority of the suitability tasks. Army, Navy, Air Force, and Marine Corps had separate human resources groups for appropriated fund ( ApF ) and...11 Table 2 Participating Sites DoD Component Human Resources Personnel Security Other Army • Civilian Human Resources ( ApF ; Ft. Riley, KS...Office, Space and Naval Warfare Systems Command ( ApF ; Point Loma, CA) • NAF Human Resources (San Diego, CA) Air Force • Civilian Human Resources

  19. Alligator, Alligator mississippiensis, habitat suitability index model

    Science.gov (United States)

    Waddle, J. Hardin

    2017-01-01

    The 2012 Coastal Master Plan utilized Habitat Suitability Indices (HSIs) to evaluate potential project effects on wildlife species. Even though HSIs quantify habitat condition, which may not directly correlate to species abundance, they remain a practical and tractable way to assess changes in habitat quality from various restoration actions. As part of the legislatively mandated five year update to the 2012 plan, the wildlife habitat suitability indices were updated and revised using literature and existing field data where available. The outcome of these efforts resulted in improved, or in some cases entirely new suitability indices. This report describes the development of the habitat suitability indices for the American alligator, Alligator mississippiensis.

  20. Hypoalbuminaemia in brain-dead donors for liver transplantation

    African Journals Online (AJOL)

    Nicky

    We retrospectively reviewed the charts of the 37 brain-dead patients referred to the organ transplant unit at Groote. Schuur Hospital in 2001 and 2002 as potential donors for liver transplantation. All potential donors were assessed, investigated and man- aged according to standard protocols. The assessment con- sisted of ...

  1. Assessment of fine-scale resource selection and spatially explicit habitat suitability modelling for a re-introduced tiger (Panthera tigris) population in central India.

    Science.gov (United States)

    Sarkar, Mriganka Shekhar; Krishnamurthy, Ramesh; Johnson, Jeyaraj A; Sen, Subharanjan; Saha, Goutam Kumar

    2017-01-01

    Large carnivores influence ecosystem functions at various scales. Thus, their local extinction is not only a species-specific conservation concern, but also reflects on the overall habitat quality and ecosystem value. Species-habitat relationships at fine scale reflect the individuals' ability to procure resources and negotiate intraspecific competition. Such fine scale habitat choices are more pronounced in large carnivores such as tiger ( Panthera tigris ), which exhibits competitive exclusion in habitat and mate selection strategies. Although landscape level policies and conservation strategies are increasingly promoted for tiger conservation, specific management interventions require knowledge of the habitat correlates at fine scale. We studied nine radio-collared individuals of a successfully reintroduced tiger population in Panna Tiger Reserve, central India, focussing on the species-habitat relationship at fine scales. With 16 eco-geographical variables, we performed Manly's selection ratio and K-select analyses to define population-level and individual-level variation in resource selection, respectively. We analysed the data obtained during the exploratory period of six tigers and during the settled period of eight tigers separately, and compared the consequent results. We further used the settled period characteristics to model and map habitat suitability based on the Mahalanobis D 2 method and the Boyce index. There was a clear difference in habitat selection by tigers between the exploratory and the settled period. During the exploratory period, tigers selected dense canopy and bamboo forests, but also spent time near villages and relocated village sites. However, settled tigers predominantly selected bamboo forests in complex terrain, riverine forests and teak-mixed forest, and totally avoided human settlements and agriculture areas. There were individual variations in habitat selection between exploratory and settled periods. Based on threshold limits

  2. Assessment of fine-scale resource selection and spatially explicit habitat suitability modelling for a re-introduced tiger (Panthera tigris population in central India

    Directory of Open Access Journals (Sweden)

    Mriganka Shekhar Sarkar

    2017-11-01

    Full Text Available Background Large carnivores influence ecosystem functions at various scales. Thus, their local extinction is not only a species-specific conservation concern, but also reflects on the overall habitat quality and ecosystem value. Species-habitat relationships at fine scale reflect the individuals’ ability to procure resources and negotiate intraspecific competition. Such fine scale habitat choices are more pronounced in large carnivores such as tiger (Panthera tigris, which exhibits competitive exclusion in habitat and mate selection strategies. Although landscape level policies and conservation strategies are increasingly promoted for tiger conservation, specific management interventions require knowledge of the habitat correlates at fine scale. Methods We studied nine radio-collared individuals of a successfully reintroduced tiger population in Panna Tiger Reserve, central India, focussing on the species-habitat relationship at fine scales. With 16 eco-geographical variables, we performed Manly’s selection ratio and K-select analyses to define population-level and individual-level variation in resource selection, respectively. We analysed the data obtained during the exploratory period of six tigers and during the settled period of eight tigers separately, and compared the consequent results. We further used the settled period characteristics to model and map habitat suitability based on the Mahalanobis D2 method and the Boyce index. Results There was a clear difference in habitat selection by tigers between the exploratory and the settled period. During the exploratory period, tigers selected dense canopy and bamboo forests, but also spent time near villages and relocated village sites. However, settled tigers predominantly selected bamboo forests in complex terrain, riverine forests and teak-mixed forest, and totally avoided human settlements and agriculture areas. There were individual variations in habitat selection between exploratory

  3. Applying spatial analysis techniques to assess the suitability of multipurpose uses of spring water in the Jiaosi Hot Spring Region, Taiwan

    Science.gov (United States)

    Jang, Cheng-Shin

    2016-04-01

    The Jiaosi Hot Spring Region is located in northeastern Taiwan and is rich in geothermal springs. The geothermal development of the Jiaosi Hot Spring Region dates back to the 18th century and currently, the spring water is processed for various uses, including irrigation, aquaculture, swimming, bathing, foot spas, and recreational tourism. Because of the proximity of the Jiaosi Hot Spring Region to the metropolitan area of Taipei City, the hot spring resources in this region attract millions of tourists annually. Recently, the Taiwan government is paying more attention to surveying the spring water temperatures in the Jiaosi Hot Spring Region because of the severe spring water overexploitation, causing a significant decline in spring water temperatures. Furthermore, the temperature of spring water is a reliable indicator for exploring the occurrence and evolution of springs and strongly affects hydrochemical reactions, components, and magnitudes. The multipurpose uses of spring water can be dictated by the temperature of the water. Therefore, accurately estimating the temperature distribution of the spring water is critical in the Jiaosi Hot Spring Region to facilitate the sustainable development and management of the multipurpose uses of the hot spring resources. To evaluate the suitability of spring water for these various uses, this study spatially characterized the spring water temperatures of the Jiaosi Hot Spring Region by using ordinary kriging (OK), sequential Gaussian simulation (SGS), and geographical information system (GIS). First, variogram analyses were used to determine the spatial variability of spring water temperatures. Next, OK and SGS were adopted to model the spatial distributions and uncertainty of the spring water temperatures. Finally, the land use (i.e., agriculture, dwelling, public land, and recreation) was determined and combined with the estimated distributions of the spring water temperatures using GIS. A suitable development strategy

  4. Assessment of fine-scale resource selection and spatially explicit habitat suitability modelling for a re-introduced tiger (Panthera tigris) population in central India

    Science.gov (United States)

    Sarkar, Mriganka Shekhar; Johnson, Jeyaraj A.; Sen, Subharanjan

    2017-01-01

    Background Large carnivores influence ecosystem functions at various scales. Thus, their local extinction is not only a species-specific conservation concern, but also reflects on the overall habitat quality and ecosystem value. Species-habitat relationships at fine scale reflect the individuals’ ability to procure resources and negotiate intraspecific competition. Such fine scale habitat choices are more pronounced in large carnivores such as tiger (Panthera tigris), which exhibits competitive exclusion in habitat and mate selection strategies. Although landscape level policies and conservation strategies are increasingly promoted for tiger conservation, specific management interventions require knowledge of the habitat correlates at fine scale. Methods We studied nine radio-collared individuals of a successfully reintroduced tiger population in Panna Tiger Reserve, central India, focussing on the species-habitat relationship at fine scales. With 16 eco-geographical variables, we performed Manly’s selection ratio and K-select analyses to define population-level and individual-level variation in resource selection, respectively. We analysed the data obtained during the exploratory period of six tigers and during the settled period of eight tigers separately, and compared the consequent results. We further used the settled period characteristics to model and map habitat suitability based on the Mahalanobis D2 method and the Boyce index. Results There was a clear difference in habitat selection by tigers between the exploratory and the settled period. During the exploratory period, tigers selected dense canopy and bamboo forests, but also spent time near villages and relocated village sites. However, settled tigers predominantly selected bamboo forests in complex terrain, riverine forests and teak-mixed forest, and totally avoided human settlements and agriculture areas. There were individual variations in habitat selection between exploratory and settled periods

  5. Mapping large-area landscape suitability for honey bees to assess the influence of land-use change on sustainability of national pollination services

    Science.gov (United States)

    Gallant, Alisa L.; Euliss, Ned H.; Browning, Zac

    2014-01-01

    Pollination is a critical ecosystem service affected by various drivers of land-use change, such as policies and programs aimed at land resources, market values for crop commodities, local land-management decisions, and shifts in climate. The United States is the world's most active market for pollination services by honey bees, and the Northern Great Plains provide the majority of bee colonies used to meet the Nation's annual pollination needs. Legislation requiring increased production of biofuel crops, increasing commodity prices for crops of little nutritional value for bees in the Northern Great Plains, and reductions in government programs aimed at promoting land conservation are converging to alter the regional landscape in ways that challenge beekeepers to provide adequate numbers of hives for national pollination services. We developed a spatially explicit model that identifies sites with the potential to support large apiaries based on local-scale land-cover requirements for honey bees. We produced maps of potential apiary locations for North Dakota, a leading producer of honey, based on land-cover maps representing (1) an annual time series compiled from existing operational products and (2) a realistic scenario of land change. We found that existing land-cover products lack sufficient local accuracy to monitor actual changes in landscape suitability for honey bees, but our model proved informative for evaluating effects on suitability under scenarios of land change. The scenario we implemented was aligned with current drivers of land-use change in the Northern Great Plains and highlighted the importance of conservation lands in landscapes intensively and extensively managed for crops.

  6. Nitric oxide donors for treating preterm labour.

    Science.gov (United States)

    Duckitt, Kirsten; Thornton, Steve; O'Donovan, Oliver P; Dowswell, Therese

    2014-05-08

    A number of tocolytics have been advocated for the treatment of threatened preterm labour in order to delay birth. The rationale is that a delay in birth may be associated with improved neonatal morbidity or mortality. Nitric oxide donors, such as nitroglycerin, have been used to relax the uterus. This review addresses their efficacy, adverse effects and influence on neonatal outcome. To determine whether nitric oxide donors administered in threatened preterm labour are associated with a delay in birth, adverse effects or improved neonatal outcome. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (1 December 2013). Randomised controlled trials of nitric oxide donors administered for tocolysis. Two review authors independently assessed trial quality and extracted data. Twelve trials, including a total of 1227 women at risk of preterm labour, contributed data to this updated review. The methodological quality of trials was mixed; trials comparing nitric oxide donors with other types of tocolytics were not blinded and this may have had an impact on findings.Three studies compared nitric oxide donors (glyceryl trinitrate (GTN)) with placebo. There was no significant evidence that nitric oxide donors prolonged pregnancy beyond 48 hours (average risk ratio (RR) 1.19, 95% confidence interval (CI) 0.74 to 1.90, two studies, 186 women), and although for most adverse effects there was no significant difference between groups, women in the active treatment group in one study were at higher risk of experiencing a headache. For infant outcomes there was no significant evidence that nitric oxide donors reduced the risk of neonatal death or serious morbidity (stillbirth RR 0.36, 95% CI 0.01 to 8.59, one study, 153 infants; neonatal death RR 0.43, 95% CI 0.06 to 2.89, two studies, 186 infants). One study, using a composite outcome, reported a reduced risk of serious adverse outcomes for infants in the GTN group which approached statistical significance (RR

  7. Wait, treat and see: echocardiographic monitoring of brain-dead potential donors with stunned heart

    Directory of Open Access Journals (Sweden)

    Casartelli Marilena

    2012-06-01

    Full Text Available Abstract Background Heart transplantation is limited by a severe donor organ shortage. Potential donors with brain death (BD and left ventricular dysfunction due to neurogenic stunning are currently excluded from donation – although such abnormalities can be reversible with aggressive treatment including Hormonal Treatment (HT and deferred organ retrieval. Aim To assess the recovery of left ventricular dysfunction in potential brain-dead donors with hemodynamic instability treated by aggressive treatment and HT. Methods In a single-center, observational study design, we evaluated 15 consecutive brain-dead potential donors (DBD (8 males, age = 48 ± 15 years with hemodynamic instability. All underwent standard hemodynamic monitoring and transthoracic 2-dimensional echo (2-DE with assessment of Ejection Fraction (EF. Measurements were obtained before BD and after BD within 6 h, at 24 h and within 48 h. HT (with insulin, methylprednisolone, vasopressin and T3 was started as soon as possible to treat hemodynamic instability and avoid administration of norepinephrine (NE. Eligible potential heart donors underwent coronary angiography. Results After HT, we observed a normalization of hemodynamic conditions with improvement of mean arterial pressure (pre = 68 ± 8 mmHg vs post = 83 ± 13 mmHg, p 2 vs post 3.7 ± 1.2 L/min/m2, p , coronary artery stenosis was present in 2 of the 10 consented donors. Eight hearts were uneventfully transplanted. No early graft failure occurred and all eight recipients were alive at 6-month follow-up. Conclusion In BD donors, intensive treatment including HT is associated with improvement of regional and global LV function and reverse remodeling detectable by transthoracic 2DE. Donor hearts with recovered LV function may be eligible for uneventful heart transplant. The wait (in brain death, treat (with HT and see (with 2D echo strategy can help rescue organs suitable for

  8. HIV Prevalence and Demographic Risk Factors in Blood Donors.

    OpenAIRE

    Zachariah, R.; Harries, A. D.; Nkhoma, W; Arendt, V; Spielmann, M P; Buhendwa, L.; Chingi, C; Mossong, J

    2002-01-01

    OBJECTIVES: To estimate HIV prevalence in various blood donor populations, to identity sociodemographic risk factors associated with prevalent HIV and to assess the feasibility of offering routine voluntary counselling services to blood donors. DESIGN: Cross-sectional study. SETTING: Thyolo district, Malawi. METHODS: Data analysis involving blood donors who underwent voluntary counselling and HIV testing between January 1998 and July 2000. RESULTS: Crude HIV prevalence was 22%, while the age ...

  9. Nyretransplantation med levende donor

    DEFF Research Database (Denmark)

    Kamper, A L; Løkkegaard, H; Rasmussen, F

    2000-01-01

    with only few complications. The long-term outcome for kidney donors is good without increase in mortality or risk for development of hypertension and renal failure; proteinuria may be seen. Living kidney transplantation is the optimal treatment of end-stage renal disease with better graft survival than...

  10. National Marrow Donor Program

    Science.gov (United States)

    2010-11-05

    replacement business analyst to continue working on business and system requirements for HapLogic Phase III ! 100f2l National Marrow Donor Program® NOOOO...NOOOO 14-1 0-1-0204 IID.I. Task 3: Expand Immuno - biology Research QUARTER PROGRESS REPORT Development of Medical Technology for Contingency Response

  11. BLOOD DONORS CAMPAIGN

    CERN Multimedia

    2001-01-01

    A blood donors campaign, organized by the Centre de Transfusion Sanguine of Geneva will be held at CERN on Tuesday 13 March 2001 in restaurant nr 2, from 9.00 to 16.30 hrs If you already have a card giving your blood group, please bring this with you.

  12. BLOOD DONORS CAMPAIGN

    CERN Multimedia

    2001-01-01

    A blood donors campaign, organized by the Centre de Transfusion d'Annemasse will be held at CERN on Tuesday 14 November 2001 in restaurant nr 2, from 9.00 to 16.30 hrs If you already have a card giving your blood group, please bring this with you.

  13. BLOOD DONORS CAMPAIGN

    CERN Document Server

    2002-01-01

    Tuesday 19 March 2002 in restaurant nr 2, from 9.00 to 16.30 hrs A blood donors campaign, organized by the Centre de Transfusion sanguine of Geneva If you already have a card giving your blood group, please bring this with you.

  14. BLOOD DONORS CAMPAIGN

    CERN Document Server

    2002-01-01

    Wednesday 13 November 2002 in restaurant nr 2, from 8.30 to 16.30 hrs will be held a blood donors campaign, organized by the Etablissement de Transfusion de Haute-Savoie If you already have a card giving your blood group, please bring this with you.

  15. BLOOD DONORS CAMPAIGN

    CERN Document Server

    2000-01-01

    A blood donors campaign, organized by the Établissement de Transfusion de Rhône-Alpes will be held at CERN on Tuesday 14 November 2000 in restaurant nr 2, from 8.30 to 16.30 hrs If you already have a card giving your blood group, please bring this with you.

  16. Donor Safety and Recipient Liver Function After Right-Lobe Liver Transplantation From Living Donors With Gilbert Syndrome.

    Science.gov (United States)

    Kang, W H; Hwang, S; Song, G W; Jung, D H; Kim, K H; Park, G C; Ha, T Y; Ahn, C S; Moon, D B; Yoon, Y I; Shin, M H; Kim, W J; Kim, S H; Lee, S G

    2015-12-01

    Donor safety is the most important aspect in living-donor liver transplantation (LDLT). Gilbert syndrome is an autosomal recessive condition that is a common cause of isolated unconjugated hyperbilirubinemia, and its prevalence is not negligibly low in the general population. This study intended to assess donor safety and recipient liver function after LDLT with the use of right liver grafts from living donors with Gilbert syndrome. Among 2,140 right liver transplantations performed from January 2002 to December 20113 at our institution, we identified 12 living donors (0.6%) who showed a preoperative serum total bilirubin level of ≥2 mg/dL. These donors were clinically diagnosed with Gilbert syndrome. The clinical outcomes of these donors and their recipients were analyzed retrospectively. The mean donor age was 24.6 ± 7.1 years, and 11 donors were male. All subjects met the preoperative evaluation conditions for right liver donation except for the level of unconjugated hyperbilirubinemia. The mean serum total bilirubin level of the donors was 2.23 ± 0.20 mg/dL before and 1.79 ± 0.61 mg/dL 1 year after right liver donation. The preoperative donor direct bilirubin level was 0.43 ± 0.19 mg/dL. The preoperative indocyanine green retention rate at 15 minutes was 8.2 ± 2.8%. All donors and recipients recovered uneventfully and were alive at the time of writing. The recipient serum total bilirubin level was 1.29 ± 0.47 mg/dL 1 year after LDLT. We suggest that LDLT with living donors with Gilbert syndrome can be safely performed, but that a meticulous preoperative evaluation is vital to maximize donor safety. Copyright © 2015 Elsevier Inc. All rights reserved.

  17. HARMONIZING HEALTH TECHNOLOGY ASSESSMENT PRACTICES IN UNIVERSITY HOSPITALS: TO WHAT EXTENT IS THE MINI-HTA MODEL SUITABLE IN THE FRENCH CONTEXT?

    Science.gov (United States)

    Martelli, Nicolas; Devaux, Capucine; van den Brink, Hélène; Billaux, Mathilde; Pineau, Judith; Prognon, Patrice; Borget, Isabelle

    2017-01-01

    The number of new medical devices for individual use that are launched annually exceeds the assessment capacity of the French national health technology assessment (HTA) agency. This has resulted in hospitals, and particularly university hospitals (UHs), developing hospital-based HTA initiatives to support their decisions for purchasing innovative devices. However, the methodologies used in such hospitals have no common basis. The aim of this study was to assess a mini-HTA model as a potential solution to harmonize HTA methodology in French UHs. A systematic review was conducted on Medline, Embase, Health Technology Assessment database, and Google Scholar to identify published articles reporting the use of mini-HTA tools and decision support-like models. A survey was also carried out in eighteen French UHs to identify in-house decision support tools. Finally, topics evaluated in the Danish mini-HTA model and in French UHs were compared using Jaccard similarity coefficients. Our findings showed differences between topics evaluated in French UHs and those assessed in decision support models from the literature. Only five topics among the thirteen most evaluated in French UHs were similar to those assessed in the Danish mini-HTA model. The organizational and ethical/social impacts were rarely explored among the surveyed models used in French UHs when introducing new medical devices. Before its widespread and harmonized use in French UHs, the mini-HTA model would first require adaptations to the French context.

  18. Geomorphic assessment of habitat suitability in large rivers from satellite remote sensing: a case study from the Ganga river system, India

    Science.gov (United States)

    Mozumder, C.; Sinha, R.; Carbonneau, P.

    2010-12-01

    The ecological condition and biotic associations in a river are significantly influenced by geomorphic condition of the river, and therefore, any efforts towards river rehabilitation must address these issues to derive a long-term benefit. Such geomorphic diversity may be generated in various ways - discharge regimes and vegetation cover (driven by climatic setting), channel slope and bankline (driven by catchment morphology), sediment flux and accommodation (driven by geological settings). A pilot study in parts of the Ganga river in India using satellite remote sensing data involved analysis of (a) longitudinal form, (b) cross sectional form and (c) planform of the channel at these sites and derivation of various morphometric parameters. Twelve geomorphic parameters were been identified which influence the aquatic life along with the Land Use/ Land cover in the floodplain, planform dynamics, and channel-floodplain connectivity. For each parameter, four classes are defined as Excellent (A), Good (B), Degraded (C) and Poor (D). Both traditional GIS and the newly developed Fluvial Information System (FIS) were used to analyse the present geomorphic condition of the river for habitat suitability. An attempt was also made to suggest the desired future condition of the river from a geomorphic perspective and the necessary changes/adjustments in river form. These results when integrated with the hydraulic analysis can provide estimates of flow depth and flow volumes necessary for channel maintenance from ecological perspective.

  19. Mapping the Lisbon Potential Foodshed in Ribatejo e Oeste: A Suitability and Yield Model for Assessing the Potential for Localized Food Production

    Directory of Open Access Journals (Sweden)

    Andreia Saavedra Cardoso

    2017-11-01

    Full Text Available Research on food planning has been recently proposed in North American and European planning to account for how cities might change their food provision to respond to the rising demands for a more sustainable and ethical food system. The purpose of this paper was to evaluate the agro-ecological potential of the Lisbon city region, Ribatejo e Oeste, to increase its Regional Food Self-Reliance (RFSR, through adopting demand restraint and food system relocalization approaches to food system sustainability. Three new diet scenarios were considered: meat-based, plant-based and strict vegetarian, defined in accordance with healthy dietary patterns. We used agro-climatic and agro-edaphic agricultural suitability models to evaluate the agro-ecological potential for RFSR, and proposed the use of Foodshed Landscape Plans within a landscape planning methodology. Results showed the extent of local food production that could improve food self-reliance, with 72%, 76%, 84% of total food needs in the meat-based, plant-based, and strict vegetarian scenarios, respectively. Thus, food system transformation by means of relocalization, is therefore ecologically feasible and would ensure the sustainable use of the ecological basis of food security. Additionally, a dietary transition would imply significant land sparing, which strengthens the demand restraint perspective for a transition to food system sustainability.

  20. Assessment of the suitability of mannitol salt agar for growing bovine-associated coagulase-negative staphylococci and its use under field conditions.

    Science.gov (United States)

    De Visscher, A; Haesebrouck, F; Piepers, S; Vanderhaeghen, W; Supré, K; Leroy, F; Van Coillie, E; De Vliegher, S

    2013-10-01

    This study aimed at testing the applicability of mannitol salt agar (MSA), a medium generally used in human medicine for differentiating Staphylococcus aureus from coagulase-negative staphylococci (CNS), for culturing bovine-associated CNS species. All test isolates from a comprehensive collection of well-identified CNS species, including both reference strains and field isolates, were able to grow. Subsequently, bulk milk samples and teat apex swabs were used to examine the capability of MSA for yielding CNS under field conditions. Sixty-nine and 47 phenotypically different colonies were retrieved from bulk milk and teat apices, respectively. The majority of isolates from teat apices were staphylococci, whereas in bulk milk, staphylococci formed a minority. After 24h of growth, recovery of separate colonies of CNS was much more convenient on MSA compared to a non-selective blood agar. The results of this study indicate that MSA is a suitable medium for both growth and recovery of bovine-associated CNS. Copyright © 2013 Elsevier Ltd. All rights reserved.

  1. Suitability Assessment of an ICE-Based Micro-CCHP Unit in Different Spanish Climatic Zones: Application of an Experimental Model in Transient Simulation

    Directory of Open Access Journals (Sweden)

    Guillermo Rey

    2016-11-01

    Full Text Available Tri-generation plants will have an important role in the near future in the residential sector where heating and cooling demands come into play throughout the year. Depending on the building’s location, the characteristics of its enclosure and its use, the thermal loads and demands will be different. This article analyses and compares a combined cooling, heating and power (CCHP system tested in the laboratory and a single household located in Spain. The cooling capacity is obtained using a reversible heat pump where the compressor is driven directly by a gas engine with internal combustion engine (ICE technology. The tests were carried out in a work bench at three different operating speeds. A variable-speed model is developed in the TRNSYS simulation environment with an operating strategy following the thermal load (FTL. Once the micro-CCHP system was modeled with experimental data and validated, it was dynamically simulated to analyze its performance in different climatic zones defined in the Spanish “Código Técnico de la Edificación” (CTE. This study reveals that the micro-CCHP system is suitable in mild weathers during the summer season.

  2. Being a Living Donor: Risks

    Science.gov (United States)

    ... to know FAQ Living donation What is living donation? Organs Types Being a living donor First steps Being ... for blood transfusions Medication side effects Abdominal hernia Death Potential long-term organ specific donor complications blank - ...

  3. Compliance with donor age recommendations in oocyte donor recruitment advertisements in the USA.

    Science.gov (United States)

    Alberta, Hillary B; Berry, Roberta M; Levine, Aaron D

    2013-04-01

    IVF using donated oocytes offers benefits to many infertile patients, yet the technique also raises a number of ethical concerns, including worries about potential physical and psychological risks to oocyte donors. In the USA, oversight of oocyte donation consists of a combination of federal and state regulations and self-regulatory guidelines promulgated by the American Society for Reproductive Medicine. This study assesses compliance with one of these self-regulatory guidelines - specifically, ASRM's preferred minimum age for donors of 21. To assess compliance, 539 oocyte donor recruitment advertisements from two recruitment channels (Craigslist and college newspapers) were collected and evaluated. Of these, 61% in the Craigslist dataset and 43% in the college newspaper dataset listed minimum ages between 18 and 20, which is inconsistent with ASRM's preferred minimum age recommendation of 21. Advertisements placed by oocyte donor recruitment agencies were more likely than advertisements placed by clinics to specify minimum ages between 18 and 20. These results indicate that ASRM should evaluate and consider revising its donor age guidelines. IVF using donated human eggs can help many patients who have difficulty having children. However, the technique also raises ethical concerns, including concerns about potential physical and psychological harms to egg donors. In the USA, oversight of egg donation relies on a combination of federal and state regulation and professional self-regulation. Governmental regulations address only limited aspects of egg donation, such as the potential spread of infectious diseases and the reporting of success rates, leaving voluntary guidelines developed by an association of medical professionals to address most issues, including ethical concerns raised by the practice. One of these voluntary guidelines recommends that egg donors should be at least 21 years of age. In this article, we analysed 539 egg donor recruitment advertisements

  4. Frequency and risk factors for donor reactions in an anonymous blood donor survey.

    Science.gov (United States)

    Goldman, Mindy; Osmond, Lori; Yi, Qi-Long; Cameron-Choi, Keltie; O'Brien, Sheila F

    2013-09-01

    Adverse donor reactions can result in injury and decrease the likelihood of donor return. Reaction reports captured in the blood center's database provide an incomplete picture of reaction rates and risk factors. We performed an anonymous survey, mailed to 40,000 donors in 2008, including questions about symptoms, height, weight, sex, and donation status. Reaction rates were compared to those recorded in our database. Possible risk factors were assessed for various reactions. The response rate was 45.5%. A total of 32% of first-time and 14% of repeat donors reported having any adverse symptom, most frequently bruising (84.9 per 1000 donors) or feeling faint or weak (66.2 per 1000). Faint reactions were two to eight times higher than reported in our database, although direct comparison was difficult. Younger age, female sex, and first-time donation status were risk factors for systemic and arm symptoms. In females, low estimated blood volume (EBV) was a risk factor for systemic symptoms. Only 51% of donors who consulted an outside physician also called Canadian Blood Services. A total of 10% of first-time donors with reactions found adverse effects information inadequate. This study allowed us to collect more information about adverse reactions, including minor symptoms and delayed reactions. Based on our findings of the risk factors and frequency of adverse reactions, we are implementing more stringent EBV criteria for younger donors and providing more detailed information to donors about possible adverse effects and their management. © 2012 American Association of Blood Banks.

  5. One- or Two-Legged Standing: What Is the More Suitable Protocol to Assess the Postural Effects of the Rigid Ankle Orthosis?

    Science.gov (United States)

    Rougier, Patrice; Genthon, Nicolas; Gallois-Montbrun, Thibault; Brugiere, Steve; Bouvat, Eric

    2009-01-01

    To highlight the capacity of one- and two-legged standing protocols when assessing postural behavior induced by a rigid ankle orthosis, 14 healthy individuals stood upright barefoot and wore either an elastic stocking on the preferred leg or a rigid orthosis with or without additional taping in one- or two-legged (TL) conditions. Traditional…

  6. National Marrow Donor Program

    Science.gov (United States)

    2008-11-17

    radiological exposure event. Period 8 Activity: • Attended a meeting with the EBMT Nuclear Accident Committee Ulm, Germany from June 30 to July 1st... nuclear Safety, Bonn o Cullen Case United States National Marrow Donor Program, Minneapolis, Minnesota o Nelson Chao... radioprotection et de sûreté nucléaire, Fontenay-aux-Roses o Dieter Graessle, Dipl.- Math. Oec. Germany Radiation Medicine Research Group, Ulm

  7. HIV prevalence and demographic risk factors in blood donors ...

    African Journals Online (AJOL)

    Objectives: To estimate HIV prevalence in various blood donor populations, to identity sociodemographic risk factors associated with prevalent HIV and to assess the feasibility of offering routine voluntary counselling services to blood donors. Design: Cross-sectional study. Setting: Thyolo district, Malawi. Methods: Data ...

  8. Toward an optimal global stem cell donor recruitment strategy.

    Science.gov (United States)

    Schmidt, Alexander H; Sauter, Jürgen; Pingel, Julia; Ehninger, Gerhard

    2014-01-01

    Population-specific matching probabilities (MP) are a key parameter to assess the benefits of unrelated stem cell donor registries and the need for further donor recruitment efforts. In this study, we describe a general framework for MP estimations of specific and mixed patient populations under consideration of international stem cell donor exchange. Calculations were based on population-specific 4-locus (HLA-A, -B, -C, -DRB1) high-resolution haplotype frequencies (HF) of up to 21 populations. In various scenarios, we calculated several quantities of high practical relevance, including the maximal MP that can be reached by recruiting a fixed number of donors, the corresponding optimal composition by population of new registrants, and the minimal number of donors who need to be recruited to reach a defined MP. Starting at current donor numbers, the largest MP increases due to n = 500,000 additional same-population donors were observed for patients from Bosnia-Herzegovina (+0.25), Greece (+0.21) and Romania (+0.20). Especially small MP increases occurred for European Americans (+0.004), Germans (+0.01) and Hispanic Americans (+0.01). Due to the large Chinese population, the optimal distribution of n = 5,000,000 new donors worldwide included 3.9 million Chinese donors. As a general result of our calculations, we observed a need for same-population donor recruitment in order to increase population-specific MP efficiently. This result was robust despite limitations of our input data, including the use of HF derived from relatively small samples ranging from n = 1028 (Bosnia-Herzegovina) to n = 33,083 (Turkey) individuals. National strategies that neglect domestic donor recruitment should therefore be critically re-assessed, especially if only few donors have been recruited so far.

  9. Toward an optimal global stem cell donor recruitment strategy.

    Directory of Open Access Journals (Sweden)

    Alexander H Schmidt

    Full Text Available Population-specific matching probabilities (MP are a key parameter to assess the benefits of unrelated stem cell donor registries and the need for further donor recruitment efforts. In this study, we describe a general framework for MP estimations of specific and mixed patient populations under consideration of international stem cell donor exchange. Calculations were based on population-specific 4-locus (HLA-A, -B, -C, -DRB1 high-resolution haplotype frequencies (HF of up to 21 populations. In various scenarios, we calculated several quantities of high practical relevance, including the maximal MP that can be reached by recruiting a fixed number of donors, the corresponding optimal composition by population of new registrants, and the minimal number of donors who need to be recruited to reach a defined MP. Starting at current donor numbers, the largest MP increases due to n = 500,000 additional same-population donors were observed for patients from Bosnia-Herzegovina (+0.25, Greece (+0.21 and Romania (+0.20. Especially small MP increases occurred for European Americans (+0.004, Germans (+0.01 and Hispanic Americans (+0.01. Due to the large Chinese population, the optimal distribution of n = 5,000,000 new donors worldwide included 3.9 million Chinese donors. As a general result of our calculations, we observed a need for same-population donor recruitment in order to increase population-specific MP efficiently. This result was robust despite limitations of our input data, including the use of HF derived from relatively small samples ranging from n = 1028 (Bosnia-Herzegovina to n = 33,083 (Turkey individuals. National strategies that neglect domestic donor recruitment should therefore be critically re-assessed, especially if only few donors have been recruited so far.

  10. ACCURACY OF SPIRAL CT RENAL ANGIOGRAPHY OVER CONVENTIONAL ANGIOGRAPHY IN LIVING RENAL DONORS

    Directory of Open Access Journals (Sweden)

    Malle Vijaya Kumar

    2016-10-01

    Full Text Available BACKGROUND Potential donors for renal transplantation undergo an exhaustive pretty operative examination including medical assessment, laboratory testing and radiological imaging. The goal of imaging in these subjects is to delineate the kidneys and their vascular anatomy to determine if the subject is a suitable donor nephrectomy candidate and if so to assess which kidney maybe technically easier to transplant. This traditional imaging workup has consisted of two examinations, the IV Urogram (IVU and renal arteriography. MATERIALS AND METHODS Totally 18 healthy adults who were potential renal donors were taken for spiral CT angiography. The study was conducted in Viswabharathi Medical College, Penchikalapadu, Kurnool, Andhra Pradesh, between May 2015 and May 2016. RESULTS In the present study, supernumerary renal arteries were present in 7 cases (38.8% and consisted of one artery in 4 cases (11.1% two arteries in 3 cases (16.6%. Early branching of the main renal artery was seen in one case (2.7% venous anomaly in the form of retroaortic renal vein. Nonvascular abnormality noted in one case in the form of simple renal cyst in right upper pole (2.7%. Overall, CTA sensitivity, specificity and accuracy are 100%. In one case, axial sections could not find early branching, however, it was depicted in MIPS. CONCLUSION It is superior to conventional angiography in demonstrating accessory renal artery when it is arising from aorta immediately behind the main renal artery in anteroposterior direction and incidental findings like aortic calcifications, renal vein anomalies and renal cysts.

  11. Validation of KDRI/KDPI for the selection of expanded criteria kidney donors.

    Science.gov (United States)

    Del Moral Martín, Raimundo M García; Retamero Díaz, Juan Antonio; Cava Molina, Mercedes; Cobacho Tornel, Belen M; Bravo Soto, Juan; Osuna Ortega, Antonio; O'Valle Ravassa, Francisco

    2017-11-11

    KDRI / KDPI are tools use in kidney donor evaluation. It has been proposed as a substitute of, or complementary to preimplantation renal biopsy. These scores has not been validated in Spain. 1) To investigate the concordance between KDPI and histological scores (preimplantation renal biopsy) and 2) To assess the relationship between KDRI, KDPI and histological score on graft survival in the expanded criteria donors group. Retrospective cohort study from 1 January 1998 until 31 December 2010. During the study 120 donors were recruited, that resulted in 220 preimplantation renal biopsies. 144 (65%) grafts were considered suitable for kidney transplantation. 76 (34.5%) were discarded. Median follow up has been 6.4 years (sd 3.9). Median age 63.1 years (sd 8.2), males (145; 65.9%), non-diabetic (191; 86.8%) and without another cardiovascular risk factors (173; 78.6%). 153 (69.5%) donors died of cerebrovascular disease. There were significant differences in KDRI/KDPI score in both groups 1.56/89 (sd 0.22) vs 1.66/93 (sd 0.15), p<0.01). The KDPI showed moderate concordance and correlation with the histological score (AUC 0.64 / correlation coefficient 0.24, p <0.01). KDPI (HR 24.3, p<0.01) and KDRI (HR 23.3, p<0.01) scores were associated with graft survival in multivariate analysis. 1) KPDI and histological scores show moderate concordance. The utility of both scores as combined tools it has to be determined. 2) KDPI score, and especially KDRI score, are valid for estimating graft survival and combined with the biopsy can help to individualized decision making in the expanded criteria donors pool. Copyright © 2017 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.

  12. A systematic review of health-related quality of life instruments used for people with venous ulcers: an assessment of their suitability and psychometric properties.

    Science.gov (United States)

    Palfreyman, Simon J; Tod, Angela M; Brazier, John E; Michaels, Jonathan A

    2010-10-01

    To review the quality of life questionnaires used to measure the impact of venous ulceration and to evaluate their psychometric properties. Venous leg ulcers have a negative impact on quality of life. Health-related quality of life can be measured using structured questionnaires. Nurses are the primary care providers for patients with venous ulceration and are ideally placed to assess and develop these types of questionnaires. There may also be an opportunity to use such quality of life instruments to measure the impact of nursing interventions in other areas where nurses are the key care providers. Systematic review. Studies were sought that used quality of life instruments to evaluate the impact of venous ulceration. Fourteen electronic bibliographical databases and 11 Internet-based health services research related resources were searched. In addition, grey literature was sought and the reference lists of relevant articles checked. Data were extracted regarding the type of instrument used, sample, number of items and domains and psychometric performance of the instrument. The initial search identified a total of 338 potential citations. After review, a total of 31 studies were included: 17 used generic and 14 used disease-specific instruments. Five different types of generic and seven disease-specific instruments were identified. There was significant heterogeneity between the studies in terms of study design, aetiology of ulceration and times of assessment. The disease-specific instruments showed limitations in relation to their applicability to venous ulcer patients because of flaws in design or validation. The literature on quality of life related to venous ulceration failed to sufficiently distinguish between those with different causes of leg ulceration. There appeared to be problems with the ability of current quality of life instruments to detect changes in quality of life related to ulcer healing. Relevance to clinical practice.  There appears to be an

  13. Application of water quality index for the assessment of suitability of natural sources of water for drinking in rural areas of east Sikkim, India.

    Science.gov (United States)

    Poonia, Shubra; Singh, T Shantikumar; Tsering, Dechen C

    2015-01-01

    In Sikkim, especially in the rural areas where there is no supply of treated water for drinking and other domestic uses, natural surface water is the only source. The objective was to assess the water quality of natural sources of water in the rural areas of East Sikkim using a water quality index (WQI) for different seasons. A total of 225 samples, that is, 75 in winter, 75 in summer, and 75 in monsoon were collected from different sources for physicochemical analysis, and a WQI was calculated. The water quality values ranged 32.01-96.71. The results showed that most of the water samples were in poor condition (85.3%) and very few of them were in good condition (2.6%). The water quality of the natural sources indicated that the water is poor-quality and not totally safe for human consumption, and that it needs treatment before consumption.

  14. Total System Performance Assessment - Analyses for Disposal of Commercial and DOE Waste Inventories at Yucca Mountain - Input to Final Environmental Impact Statement and Site Suitability Evaluation, Rev. 00

    Energy Technology Data Exchange (ETDEWEB)

    NA

    2001-09-17

    This Letter Report presents the results of calculations to assess long-term performance of commercial spent nuclear fuel (CSNF), U.S. Department of Energy (DOE) spent nuclear fuel (DSNF), high-level radioactive waste (HLW), and Greater Than Class C (GTCC) radioactive waste and DOE Special Performance Assessment Required (SPAR) radioactive waste at the potential Yucca Mountain repository in Nye County Nevada with respect to the 10,000-year performance period specified in 40 CFR Part 197.30 (66 FR 32074 [DIRS 155216], p. 32134) with regard to radiation-protection standards. The EPA Final Rule 40 CFR Part 197 has three separate standards, individual-protection, human-intrusion, and groundwater-protection standards, all with a compliance timeframe of 10,000 years. These calculations evaluate the dose to receptors for each of these standards. Further, this Letter Report includes the results of simulations to the 1,000,000-year performance period described in 40 CFR Part 197.35 (66 FR 32074 [DIRS 155216], p. 32135) which calls for the calculation of the peak dose to the Reasonably Maximally Exposed Individual (RMEI) that would occur after 10,000 years and within the period of geological stability. In accordance with TSPA-SR the ''period of geologic stability'' is from zero to 1,000,000 years after repository closure. The calculations also present the 5th and 95th percentiles, and the mean and median of the set of probabilistic simulations used to evaluate various disposal scenarios.

  15. Liver transplantation utilizing old donor organs: a German single-center experience.

    Science.gov (United States)

    Rauchfuss, F; Voigt, R; Dittmar, Y; Heise, M; Settmacher, U

    2010-01-01

    Due to the current profound lack of suitable donor organs, transplant centers are increasingly forced to accept so-called marginal organs. One criterion for marginal donors is the donor age >65 years. We have presented herein the impact of higher donor age on graft and patient survival. Since 2004, 230 liver transplantations have been performed at our center, including 54 donor organs (23.5%) from individuals >65 years of age. We performed a retrospective analysis of recipient and graft survivals. The overall 1-year mortality was 22.2% (12/54) among recipients of organs from older donors versus 19.5% among recipients whose donors were organs were grouped according to age, the 1-year mortality in patients receiving organs from donors aged 65-69 years was 30% (6/20); 70-74 years, 29.4% (5/17); and donors >75 years, 5.9% (1/17). There was no significant correlation between mortality rate and the number of additional criteria of a marginal donor organ. The current lack of donor organs forces transplant centers to accept organs from older individuals; increasingly older patients are being recruited for the donor pool. Our results showed that older organs may be transplanted with acceptable outcomes. This observation was consistent with data from the current literature. It should be emphasized, however, that caution is advised when considering the acceptance of older organs for patients with hepatitis C-related cirrhosis.

  16. Estimation of donor usability for islet isolation with the modified Ricordi method.

    Science.gov (United States)

    Matsumoto, S; Noguchi, H; Hatanaka, N; Kobayashi, N; Jackson, A; Naziruddin, B; Levy, M F

    2008-03-01

    The quality of donor pancreata is important for successful islet isolation. However, in some countries like Japan, the number of donor pancreata is low. Therefore, marginal donor pancreata have been used with less restrictive donor criteria. In order to use marginal donor pancreata, we established the modified Ricordi method. According to the United Network for Organ Sharing (UNOS) in 2005, more than 6000 pancreata were not clinically usable in the United States. In this study, we reevaluated donor usability based on the Japanese islet donor criteria. We reviewed donor charts with well-documented cases in Texas from 2005 to 2006. We counted the number of pancreata for pancreas transplantation or islet transplantation. If not used clinically, the reason was also reviewed. Donors were reevaluated based on the Japanese islet donor criteria. We reviewed 236 donor charts, including 29 pancreata used for whole pancreas transplantations and 13 for islet isolation; therefore, 194 pancreata were not used. Among the 194 cases, we were able to identify the reasons that the pancreata were not used in 186 cases. When we applied the Japanese acceptance criteria, an additional 82 of 186 cases (44%) seemed suitable for islet isolations. With the modified Ricordi method, more than 2500 donor pancreata might be used for islet isolation in the United States when the Japanese criteria are applied.

  17. [Vascular anatomy of donor and recipient in living kidney transplantation].

    Science.gov (United States)

    Zhang, Jiqing; Zhang, Xiaodong

    2009-09-01

    To review the vascular anatomy of the donor and the recipient for the living kidney transplantation. The recent literature about the vessels of donor and recipient in clinical applications was extensively reviewed. The pertinent vascular anatomy of the donor and recipient was essential for the screening of the proper candidates, surgical planning and long-term outcome. Early branching and accessory renal artery of the donor were particularly important to deciding the side of nephrectomy, surgical technique and anastomosing pattern, and their injuries were the most frequent factor of the conversion from laparoscopic to open surgery. With increase of laparoscopic nephrectomy in donors, accurate venous anatomy was paid more and more attention to because venous bleeding could also lead to conversion to open nephrectomy. Multidetector CT (MDCT) could supplant the conventional excretory urography and renal catheter angiography and could accurately depict the donors' vessels, vascular variations. In addition, MDCT can excellently evaluate the status of donor kidney, collecting system and other pertinent anatomy details. Accurate master of related vascular anatomy can facilitate operation plan and success of operation and can contribute to the rapid development of living donor kidney transplantation. MDCT has become the choice of preoperative one-stop image assessment for living renal donors.

  18. Organ donor shortage in the Netherlands : definition of the potential donor pool and the role of family refusal

    NARCIS (Netherlands)

    Frazer-Jansen, N.E.

    2012-01-01

    The shortage of post-mortem organ donors in the Netherlands is a prominent problem for patients on the waiting list for organ transplantation. As long as there is a shortage of suitable organs for transplantation, the need to identify bottlenecks in the organ donation process is crucial to further

  19. Are photographs a suitable alternative to dental study casts when assessing primary surgical outcome in children born with unilateral cleft lip and palate?

    Science.gov (United States)

    Jones, Timothy; Leary, Sam; Atack, Nikki; Chawla, Ourvinder; Ness, Andy; Ireland, Tony; Sandy, Jonathan

    2016-08-01

    To compare the use of the 5-year-olds' index on both dental study casts and intraoral photographs when measuring primary surgical outcome for children born with unilateral cleft lip and palate (UCLP). A cross-sectional study. Models and photographs collected from cleft units across the UK as part of the CCUK (Cleft Care UK) study were scored by two clinicians at the School of Oral and Dental Sciences, Bristol, UK. Five-year-old children born with UCLP as part of the CCUK study. One hundred and ninety-eight had dental study casts available and 49 had intraoral photographs available. The records of both groups, that is study casts (n = 198) and photographs (n = 49) were scored using the 5-year-olds' index on two occasions by two examiners. Reliability of scoring is reduced for intraoral photographs compared with dental study casts. Using weighted Kappa the inter-rater reliability for dental study casts was 0.72 to 0.77 and the inter-rater reliability for intraoral photographs was 0.52 to 0.59. The photographs and study casts were not matched for each individual and were collected by a number of different clinicians in each unit, both of which will have had an effect on the quality and consistency of the final records. Dental study casts provide more reliable results and thus still represent the gold standard when assessing primary surgical outcome in cleft care using the 5-year-olds' index. © The Author 2015. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  20. Production of a monoclonal antibody against serum immunoglobulin M of South American camelids and assessment of its suitability in two immunoassays.

    Science.gov (United States)

    Friedrich, Adrián; Ledesma, Martín; Landone, Ignacio; Ferrari, Alejandro; Leoni, Juliana

    2014-09-01

    A monoclonal antibody (mAb) was produced against immunoglobulin M (IgM) of South American camelids. A single radial immunodiffusion (SRID) assay and a competitive enzyme-linked immunosorbent assay (ELISA) were developed to measure IgM in serum samples. Isotype and specificity of the mAb were assessed. The performance of the SRID assay was preliminarily evaluated in terms of working range, plate stability over a 4-week period, and initial intra- and interassay variation. The concentration of IgM was determined in 55 samples by SRID assay and ELISA, and results were not significantly different by t-test (0.64 ± 0.19 mg/ml for the SRID assay, and 0.58 ± 0.24 mg/ml for ELISA; P = 0.1489). The mAb was shown to be stable over the 4-week evaluation period, and the SRID assay was reproducible when tested in triplicate for intra-assay variability and in quadruplicate for interassay variability, with a percentage coefficient of variation of less than or equal to 5%. Also, the SRID assay proved to be sensitive enough to measure IgM levels in undiluted serum samples, and had a good correlation with ELISA. The current study is intended to submit a preliminary report of a mAb against IgM of South American camelids, and suggest the future potential of the mAb developed for diagnostic application, including use in the SRID assay. © 2014 The Author(s).

  1. Skeletal development of the hand and wrist: digital bone age companion - a suitable alternative to the Greulich and Pyle atlas for bone age assessment?

    Energy Technology Data Exchange (ETDEWEB)

    Bunch, Paul M. [Massachusetts General Hospital, Department of Radiology, Boston, MA (United States); Altes, Talissa A. [University of Missouri, Department of Radiology, Columbia, MO (United States); McIlhenny, Joan; Gaskin, Cree M. [University of Virginia Health System, Department of Radiology and Medical Imaging, PO Box 800170, Charlottesville, VA (United States); Patrie, James [University of Virginia Health System, Department of Health Evaluation Sciences, PO Box 800717, Charlottesville, VA (United States)

    2017-06-15

    To assess reader performance and subjective workflow experience when reporting bone age studies with a digital bone age reference as compared to the Greulich and Pyle atlas (G and P). We hypothesized that pediatric radiologists would achieve equivalent results with each method while digital workflow would improve speed, experience, and reporting quality. IRB approval was obtained for this HIPAA-compliant study. Two pediatric radiologists performed research interpretations of bone age studies randomized to either the digital (Digital Bone Age Companion, Oxford University Press) or G and P method, generating reports to mimic clinical workflow. Bone age standard selection, interpretation-reporting time, and user preferences were recorded. Reports were reviewed for typographical or speech recognition errors. Comparisons of agreement were conducted by way of Fisher's exact tests. Interpretation-reporting times were analyzed on the natural logarithmic scale via a linear mixed model and transformed to the geometric mean. Subjective workflow experience was compared with an exact binomial test. Report errors were compared via a paired random permutation test. There was no difference in bone age determination between atlases (p = 0.495). The interpretation-reporting time (p < 0.001) was significantly faster with the digital method. The faculty indicated preference for the digital atlas (p < 0.001). Signed reports had fewer errors with the digital atlas (p < 0.001). Bone age study interpretations performed with the digital method were similar to those performed with the Greulich and Pyle atlas. The digital atlas saved time, improved workflow experience, and reduced reporting errors relative to the Greulich and Pyle atlas when integrated into electronic workflow. (orig.)

  2. Individual, contextual and network characteristics of blood donors and non-donors: a systematic review of recent literature

    Science.gov (United States)

    Piersma, Tjeerd W.; Bekkers, René; Klinkenberg, Elisabeth F.; de Kort, Wim L.A.M.; Merz, Eva-Maria

    2017-01-01

    Background The ageing population and recent migration flows may negatively affect the blood supply in the long term, increasing the importance of targeted recruitment and retention strategies to address donors. This review sought to identify individual, network and contextual characteristics related to blood donor status and behaviour, to systematically discuss differences between study results, and to identify possible factors to target in recruitment and retention efforts. Methods The systematic review was conducted in accordance with a predefined PROSPERO protocol (CRD42016039591). After quality assessments by multiple independent raters, a final set of 66 peer-reviewed papers, published between October 2009 and January 2017, were included for review. Results Individual and contextual characteristics of blood donor status and behaviour were categorised into five main lines of research: donor demographics, motivations and barriers, adverse reactions and deferral, contextual factors, and blood centre factors. Results on donor demographics, motivations and barriers, and contextual factors were inconclusive, differing between studies, countries, and sample characteristics. Adverse reactions and deferral were negatively related to blood donor behaviour. Blood centre factors play an important role in donor management, e.g., providing information, reminders, and (non-)monetary rewards. No studies were found on network characteristics of (non-)donors. Discussion Although individual and contextual characteristics strongly relate to blood donor status and behaviour, mechanisms underlying these relations have not been studied sufficiently. We want to stress the importance of longitudinal studies in donor behaviour, exploring the role of life events and network characteristics within blood donor careers. Increased understanding of donor behaviour will assist policy makers of blood collection agencies, with the ultimate goal of safeguarding a sufficient and matching blood

  3. Statement on the suitability of the BEEHAVE model for its potential use in a regulatory context and for the risk assessment of multiple stressors in honeybees at the landscape level

    DEFF Research Database (Denmark)

    EFSA PPR Panel (EFSA Panel on Plant Protection Products and their Residues); Topping, Christopher John

    2015-01-01

    The Panel has interpreted the Terms of Reference by carrying out a stepwise evaluation of the BEEHAVE simulation model with a view to assessing its suitability for use in a regulatory context and for risk assessment of multiple stressors at the landscape level. The EFSA opinion on good modelling...... practice was used to evaluate the model and its documentation systematically. The overall conclusion is that BEEHAVE performs well in modelling honeybee colony dynamics, and the supporting documentation is generally good but does not fully meet the criteria of the good modelling opinion. BEEHAVE is not yet...... that BEEHAVE should be adopted as the basis for modelling the impact on honeybee colonies of pesticides and other stressors, but that further development should use a standard, object-oriented language rather than NetLogo....

  4. [Haemovigilance donors: methods and results].

    Science.gov (United States)

    Rebibo, Danielle; Danic, Bruno

    2007-05-01

    There is no official definition of haemovigilance donors. However, it concerns the observation and management of Serious Adverse Events observed in blood donors (SAEDs), Post Donation Informations (PDI), and donor epidemiologic survey. The French Decree of 1 February 2006 imposes the declaration of the SAEDs. In 2006, 196 SAEDs were notified for 2599978 donations (7.5/100,000 donations). The incidence of the SAEDs was of 7/100,000 whole blood donations and 10.7/100,000 aphaeresis donations. Donors that are more susceptible to present a SAED are: women, women under 30, repeat donor and aphaeresis donor. For 2/3 of donors having presented a SAED, a medical consultation was prescribed and 1/3 was hospitalized. Vasovagal reaction is the most frequent category. Seven thousand three hundred and sixty one PDI were notified in 2005. The risks of infection represented the principal cause (mainly ENT). Concerning donor epidemiologic survey, the viral residual risk clearly decreased since 1992 and for the period of 2003-2005 it 1/2600000 for HIV, 1/6500000 for HCV and 1/1000000 for HBV. The first national data already give useful information. This information will permit a better care of blood donors and of blood component recipients as well.

  5. Evaluating the Performance of DFT Functionals in Assessing the Interaction Energy and Ground-State Charge Transfer of Donor/Acceptor Complexes: Tetrathiafulvalene−Tetracyanoquinodimethane (TTF−TCNQ) as a Model Case

    KAUST Repository

    Sini, Gjergji

    2011-03-08

    We have evaluated the performance of several density functional theory (DFT) functionals for the description of the ground-state electronic structure and charge transfer in donor/acceptor complexes. The tetrathiafulvalene- tetracyanoquinodimethane (TTF-TCNQ) complex has been considered as a model test case. Hybrid functionals have been chosen together with recently proposed long-range corrected functionals (ωB97X, ωB97X-D, LRC-ωPBEh, and LC-ωPBE) in order to assess the sensitivity of the results to the treatment and magnitude of exact exchange. The results show an approximately linear dependence of the ground-state charge transfer with the HOMO TTF-LUMOTCNQ energy gap, which in turn depends linearly on the percentage of exact exchange in the functional. The reliability of ground-state charge transfer values calculated in the framework of a monodeterminantal DFT approach was also examined. © 2011 American Chemical Society.

  6. Hemochromatosis Patients as Voluntary Blood Donors

    Directory of Open Access Journals (Sweden)

    Tara E Power

    2004-01-01

    Full Text Available The present study was designed to investigate hemochromatosis patients' suitability as blood donors as well as their perceptions and experience with the current public donation system. Participants were gathered from a list of current hemochromatosis patients (n=120 and members of the Canadian Hemochromatosis Society (n=1000. Of the 1120 surveys mailed out to these groups, 801 surveys were returned completed. The sample respondents had a mean age of 57.44 years (SD=12.73; range 19 to 87 years, and 57% were men. It was found that 20% (160 of the respondents have donated blood since their diagnosis; however, only 12% of the respondents indicated that they use voluntary blood donation as a means of maintaining their iron levels. Forty per cent of the respondents indicated that they had been refused from voluntary donation. Despite the fact that in May 2001 the Canadian Blood Services, in collaboration with the Canadian Hemochromatosis Society, began a promotion campaign to encourage hemochromatosis patients to become voluntary blood donors, the present study found that 15% of the respondents reported having been refused from the voluntary blood donation service due to the diagnosis of hemochromatosis. With respect to quality of life, it was found that individuals who donate blood were generally healthier with respect to physical functioning and bodily pain, however, these findings may indicate that hemochromatosis patients who are healthier are better able to donate at public blood banks, rather than that voluntary blood donation has an effect on the donors' physical functioning over phlebotomy clinic users. These study findings suggest that although there may be other medical factors limiting individuals from donating, hemochromatosis patients are interested in being voluntary blood donors and this potential resource is currently under-used.

  7. ASSESSMENT OF FIBRE CHARACTERISTICS AND SUITABILITY ...

    African Journals Online (AJOL)

    Samuel

    bottom of the pot, and then a layer of straw was added on top of the gravel. The pot was filled with 10kg of wood ash and 15 liters of water poured into it. The preparation was left overnight and a plastic bucket was set under the stand to collect the potassium hydroxide. Determination of Fibre Characteristics. Samples of ...

  8. Research in Crop Land Suitability Analysis Based on GIS

    OpenAIRE

    Pan, Guobing; Pan, Jianping

    2011-01-01

    Part 1: GIS, GPS, RS and Precision Farming; International audience; This paper based on GIS land suitable assessment principle and method, use supermap to analysis suitability of crop land of liao city. The suitability of comprehensive analysis was conducted in Study area for three crops .First, choosing representative and having the same impact the suitability of natural factors and social economic factors of the three kinds of crops; Then, interpolation and empowerment of overlap and analys...

  9. Which Donor for Uterus Transplants: Brain-Dead Donor or Living Donor? A Systematic Review.

    Science.gov (United States)

    Lavoué, Vincent; Vigneau, Cécile; Duros, Solène; Boudjema, Karim; Levêque, Jean; Piver, Pascal; Aubard, Yves; Gauthier, Tristan

    2017-02-01

    The aim of this systematic review was to evaluate and compare the pros and cons of using living donors or brain-dead donors in uterus transplantation programs, 2 years after the first worldwide live birth after uterus transplantation. The Medline database and the Central Cochrane Library were used to locate uterine transplantation studies carried out in human or nonhuman primates. All types of articles (case reports, original studies, meta-analyses, reviews) in English or French were considered for inclusion. Overall, 92 articles were screened and 44 were retained for review. Proof of concept for human uterine transplantation was demonstrated in 2014 with a living donor. Compared with a brain-dead donor strategy, a living donor strategy offers greater possibilities for planning surgery and also decreases cold ischemia time, potentially translating into a higher success rate. However, this approach poses ethical problems, given that the donor is exposed to surgery risks but does not derive any direct benefit. A brain-dead donor strategy is more acceptable from an ethical viewpoint, but its feasibility is currently unproven, potentially owing to a lack of compatible donors, and is associated with a longer cold ischemia time and a potentially higher rejection rate. The systematic review demonstrates that uterine transplantation is a major surgical innovation for the treatment of absolute uterine factor infertility. Living and brain-dead donor strategies are not mutually exclusive and, in view of the current scarcity of uterine grafts and the anticipated future rise in demand, both will probably be necessary.

  10. The effect of World Blood Donor Day on digital information seeking and donor recruitment.

    Science.gov (United States)

    Kranenburg, Floris J; Kreuger, Aukje L; Arbous, M Sesmu; Laeijendecker, Daphne; van Kraaij, Marian G J

    2017-10-01

    The purpose of World Blood Donor Day (WBDD) is to raise awareness for the importance of blood donation. The aim of this study was to quantify the impact of WBDD on digital information seeking and donor recruitment. Google Trends data were used to quantify seeking behavior on "blood donation" and "blood donor." Differences in relative search volume (RSV) between the 3 weeks surrounding WBDD and the rest of the year were calculated. Second, mean differences in RSV were compared to assess the additional effect of hosting using translated search terms. Third, we compared the period around WBDD with the control period regarding page views of the Sanquin website and Facebook likes and number of newly registered donors in 2016. The mean RSV for "blood donation" in the period of interest was 78.6, compared to 72.1 in the control period (difference, 6.5; 95% confidence interval [95% CI], 1.2-11.8). For "blood donor" this was 78.9 compared to 65.9 (difference, 12.9; 95% CI, 8.1-17.8). We found no additional effect of hosting. In the period of interest, the website of Sanquin was visited 6862 times a day and 4293 times in the control period (difference, 2569; 95% CI, 1687-3451). In June 2016, 54.6% (95% CI, 53.0-56.2) more new donors were registered compared to the control period. An international campaign like WBDD raises the awareness of blood donation and is effective in convincing people to register as blood donors. © 2017 AABB.

  11. Very small pediatric donor kidney transplantation in pediatric recipients.

    Science.gov (United States)

    Yaffe, H C; Friedmann, P; Kayler, L K

    2017-08-01

    Kidneys from very small pediatric donors (age <5 years, weight <21 kg) may be a means to increase the donor pool for pediatric recipients. Transplantation of small pediatric kidneys is more commonly performed in adult recipients due to the increased risks of technical complications, thrombosis, and early graft failure. While these risks are abrogated in adult recipients by limiting the donor weight to ≥10 kg and using the EB technique, it is unknown whether pediatric recipients achieve comparable results. US national data were assessed for all first-time, deceased-donor, kidney-only pediatric recipients, 1/1996-10/2013, who received very small pediatric donor grafts or grafts from ideal adult donors. We identified 57 pediatric EB, 110 pediatric SK, and 2350 adult transplants. The primary outcome was 3-year all-cause graft survival. Kaplan-Meier curves showed worse outcomes for pediatric grafts compared to adult ideal grafts (P=.042). On multivariate analysis, pediatric recipients of SK grafts had significantly higher HRs (aHR 2.01, 95% CI 1.34-3.00) and pediatric recipients of EB grafts had somewhat higher non-significant HRs (1.57; 95% CI 0.88-2.79) for graft survival. These results suggest cautionary use of very small pediatric donors as a source to expand the donor pool for pediatric candidates. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. Strategies for an Expanded Use of Kidneys From Elderly Donors.

    Science.gov (United States)

    Pérez-Sáez, María José; Montero, Núria; Redondo-Pachón, Dolores; Crespo, Marta; Pascual, Julio

    2017-04-01

    The old-for-old allocation policy used for kidney transplantation (KT) has confirmed the survival benefit compared to remaining listed on dialysis. Shortage of standard donors has stimulated the development of strategies aimed to expand acceptance criteria, particularly of kidneys from elderly donors. We have systematically reviewed the literature on those different strategies. In addition to the review of outcomes of expanded criteria donor or advanced age kidneys, we assessed the value of the Kidney Donor Profile Index policy, preimplantation biopsy, dual KT, machine perfusion and special immunosuppressive protocols. Survival and functional outcomes achieved with expanded criteria donor, high Kidney Donor Profile Index or advanced age kidneys are poorer than those with standard ones. Outcomes using advanced age brain-dead or cardiac-dead donor kidneys are similar. Preimplantation biopsies and related scores have been useful to predict function, but their applicability to transplant or refuse a kidney graft has probably been overestimated. Machine perfusion techniques have decreased delayed graft function and could improve graft survival. Investing 2 kidneys in 1 recipient does not make sense when a single KT would be enough, particularly in elderly recipients. Tailored immunosuppression when transplanting an old kidney may be useful, but no formal trials are available.Old donors constitute an enormous source of useful kidneys, but their retrieval in many countries is infrequent. The assumption of limited but precious functional expectancy for an old kidney and substantial reduction of discard rates should be generalized to mitigate these limitations.

  13. SUITABILITY OF CARAMBOLA ( AVERRHOA CARAMBOLA ) FRUIT ...

    African Journals Online (AJOL)

    The physico-chemical characteristics of carambola (Averrhoa carambola) fruit juice were determined to assess the suitability of the fruit as raw material for local wine production. Fresh ripe fruits of the carambola tree (Averrhoa carambola) were processed into a fruit juice. The juice was analysed to determine moisture, fat, ...

  14. Economic impact of the introduction of machine perfusion preservation in a kidney transplantation program in the expanded donor era: cost-effectiveness assessment.

    Science.gov (United States)

    Gómez, V; Galeano, C; Diez, V; Bueno, C; Díaz, F; Burgos, F J

    2012-11-01

    Kidney transplantations (KT) from expanded criteria donors (ECD) show a higher rate of delayed graft function (DGF) that increases postoperative costs because of the prolonged hospital stay as well as the needs for dialysis and additional diagnostic procedures. Hypothermic machine perfusion (MP) might be superior to cold storage (CS) to reduce the relative risks of DGF and primary nonfunction (PNF) as well as to increase 1-year graft survival. The aim of the study was to determine the relative cost-effectiveness of two different storage methods: MP versus CS. A probabilistic decision tree was developed to compare MP and CS as graft preservation methods. The structure of the model was populated by review of the literature and outcomes of KT from ECD in our center. The model estimated budget impact and incremental cost-effectiveness ratio in terms of DGF and PNF cases. The cost comparison of methods for KT preservation included: hospitalization and intermediate care unit stay; post-KT dialysis; graft removal; immunosuppressive regimen; treatment of acute rejection episodes; as well as costs of preservation solutions and pulsatile preservation device or storage containers. Resource consumption for CS stratified by graft function varied from $8,159 for immediate graft function (IGF) recipients to $10,865 for DGF recipients to $25,933 for PNF recipients. Meanwhile, resource consumption for MP varied from $9,522 for IGF to $12,228 for DGF to $27,297 for PNF recipients. The main components of resource consumption were hospitalization stay (41.5%-53.9%); graft explantation (20.2%), and the need for dialysis (16.0%). The budget impact per patient for the introduction of MP was $505. However, the incremental cost-effectiveness ratio was $3,369 for each DGF- or PNF- saved case. The introduction of the MP preservation technology in a KT program form ECD is cost-effective in terms of savings for DGF and PNF cases. Copyright © 2012 Elsevier Inc. All rights reserved.

  15. Multidetector row computed tomography evaluation of the micropig kidney as a potential renal donor.

    Science.gov (United States)

    Yoon, Woong; Lee, Min Young; Ryu, Jung Min; Moon, Yong Ju; Lee, Sang Hun; Park, Jae Hong; Yun, Seung Pil; Jang, Min Woo; Park, Sung Su; Han, Ho Jae

    2010-03-01

    Multidetector row computed tomography (MDCT) provides anatomical information about the kidney and other internal organs. Presently, the suitability of 64-channel MDCT to assess the kidney of healthy micropigs was evaluated. Morphological evaluations of the kidney and the major renal vessels of six healthy micropigs were carried out using MDCT, recording kidney volume and the diameter and length of renal arteries and veins. The mean diameters and lengths of the renal artery were 0.44 +/- 0.05 and 4.51 +/- 0.55 cm on the right side and 0.46 +/- 0.06 and 3.36 +/- 0.27 cm on the left side, respectively. The mean diameters and lengths of the renal vein were 1.44 +/- 0.52 and 4.22 +/- 1.29 cm on the right side and 1.38 +/- 0.17 and 5.15 +/- 0.87 cm on the left side, respectively. The mean volume of the right kidney was 79.3 +/- 14.5 mL and of the left kidney was 78.0 +/- 13.9 mL. The data presented in this study suggest that the MDCT offers a noninvasive, rapid, and accurate method for the evaluation of the renal anatomy in living kidney donors. It also provides sufficient information about extra-renal anatomy important for donor surgery and determination of organ suitability.

  16. Urinary biomarkers after donor nephrectomy

    NARCIS (Netherlands)

    Hoogendijk-van den Akker, Judith M; Warlé, Michiel C; van Zuilen, Arjan D.; Kloke, Heinrich J; Wever, Kim E; d'Ancona, Frank C H; Ӧzdemir, Denise M D; Wetzels, Jack F M; Hoitsma, Andries J

    2015-01-01

    As the beginning of living-donor kidney transplantation, physicians have expressed concern about the possibility that unilateral nephrectomy can be harmful to a healthy individual. To investigate whether the elevated intra-abdominal pressure (IAP) during laparoscopic donor nephrectomy causes early

  17. Rock suitability classification RSC 2012

    Energy Technology Data Exchange (ETDEWEB)

    McEwen, T. (ed.) [McEwen Consulting, Leicester (United Kingdom); Kapyaho, A. [Geological Survey of Finland, Espoo (Finland); Hella, P. [Saanio and Riekkola, Helsinki (Finland); Aro, S.; Kosunen, P.; Mattila, J.; Pere, T.

    2012-12-15

    This report presents Posiva's Rock Suitability Classification (RSC) system, developed for locating suitable rock volumes for repository design and construction. The RSC system comprises both the revised rock suitability criteria and the procedure for the suitability classification during the construction of the repository. The aim of the classification is to avoid such features of the host rock that may be detrimental to the favourable conditions within the repository, either initially or in the long term. This report also discusses the implications of applying the RSC system for the fulfilment of the regulatory requirements concerning the host rock as a natural barrier and the site's overall suitability for hosting a final repository of spent nuclear fuel.

  18. Evaluation of the suitability of a plant virus, pepper mild mottle virus, as a surrogate of human enteric viruses for assessment of the efficacy of coagulation-rapid sand filtration to remove those viruses.

    Science.gov (United States)

    Shirasaki, N; Matsushita, T; Matsui, Y; Yamashita, R

    2018-02-01

    Here, we evaluated the removal of three representative human enteric viruses - adenovirus (AdV) type 40, coxsackievirus (CV) B5, and hepatitis A virus (HAV) IB - and one surrogate of human caliciviruses - murine norovirus (MNV) type 1 - by coagulation-rapid sand filtration, using water samples from eight water sources for drinking water treatment plants in Japan. The removal ratios of a plant virus (pepper mild mottle virus; PMMoV) and two bacteriophages (MS2 and φX174) were compared with the removal ratios of human enteric viruses to assess the suitability of PMMoV, MS2, and φX174 as surrogates for human enteric viruses. The removal ratios of AdV, CV, HAV, and MNV, evaluated via the real-time polymerase chain reaction (PCR) method, were 0.8-2.5-log10 when commercially available polyaluminum chloride (PACl, basicity 1.5) and virgin silica sand were used as the coagulant and filter medium, respectively. The type of coagulant affected the virus removal efficiency, but the age of silica sand used in the rapid sand filtration did not. Coagulation-rapid sand filtration with non-sulfated, high-basicity PACls (basicity 2.1 or 2.5) removed viruses more efficiently than the other aluminum-based coagulants. The removal ratios of MS2 were sometimes higher than those of the three human enteric viruses and MNV, whereas the removal ratios of φX174 tended to be smaller than those of the three human enteric viruses and MNV. In contrast, the removal ratios of PMMoV were similar to and strongly correlated with those of the three human enteric viruses and MNV. Thus, PMMoV appears to be a suitable surrogate for human enteric viruses for the assessment of the efficacy of coagulation-rapid sand filtration to remove viruses. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Ethical issues relating to renal transplantation from prediabetic living donor.

    Science.gov (United States)

    Ferreira-Hermosillo, Aldo; Valdez-Martínez, Edith; Bedolla, Miguel

    2014-06-16

    In Mexico, diabetes mellitus is the main cause of end - stage kidney disease, and some patients may be transplant candidates. Organ supply is limited because of cultural issues. And, there is a lack of standardized clinical guidelines regarding organ donation. These issues highlight the tension surrounding the fact that living donors are being selected despite being prediabetic. This article presents, examines and discusses using the principles of non-maleficience, autonomy, justice and the constitutionally guaranteed right to health, the ethical considerations that arise from considering a prediabetic person as a potential kidney donor. Diabetes is an absolute contraindication for donating a kidney. However, the transplant protocols most frequently used in Mexico do not consider prediabetes as exclusion criteria. In prediabetic persons there are well known metabolic alterations that may compromise the long - term outcomes of the transplant if such donors are accepted. Even so, many of them are finally included because there are not enough donor candidates. Both, families and hospitals face the need to rapidly accept prediabetic donors before the clinical conditions of the recipient and the evolution of the disease exclude him/her as a transplant candidate; however, when using a kidney potentially damaged by prediabetes, neither the donor's nor the recipient's long term health is usually considered.Considering the ethical implication as well as the clinical and epidemiological evidence, we conclude that prediabetic persons are not suitable candidates for kidney donation. This recommendation should be taken into consideration by Mexican health institutions who should rewrite their transplant protocols. We argue that the decision to use a kidney from a living donor known to be pre-diabetic or from those persons with family history of T2DM, obesity, hypertension, or renal failure, should be considered unethical in Mexico if the donor bases the decision to

  20. Adoptive T-cell Immunotherapy from third-party donors: Characterization of donors and set up of a T-cell donor registry

    Directory of Open Access Journals (Sweden)

    Britta eEiz-Vesper

    2013-01-01

    Full Text Available Infection with and reactivation of human cytomegalovirus (CMV, Epstein-Barr virus (EBV, and adenovirus (ADV are frequent and severe complications in immunocompromised recipients after hematopoietic stem cell transplantation (HSCT or solid organ transplantation (SOT. These serious adverse events are associated with significant morbidity and mortality. Donor lymphocyte infusions (DLIs are often used to treat both viral infections and leukemia relapses after transplantation but are associated with potentially life-threatening graft-versus-host disease (GvHD. Adoptive immunotherapy with virus-specific cytotoxic effector T cells (CTLs derived from seropositive donors can rapidly reconstitute antiviral immunity after HSCT and organ transplantation. Therefore, it can effectively prevent the clinical manifestation of these viruses with no significant acute toxicity or increased risk of GvHD. In conditions, where patients receiving an allogeneic cord blood transplant or a transplant from a virus-seronegative donor and since donor blood is generally not available for solid organ recipients, allogeneic third party T-cell donors would offer an alternative option. Recent studies showed that during granulocyte colony-stimulating factor (G-CSF mobilization, the functional activity of antiviral memory T cells is impaired for a long period. This finding suggests that even stem cell donors may not be the best source of T cells.Under these circumstances, partially human leukocyte antigen (HLA-matched virus-specific CTLs from healthy seropositive individuals may be a promising option. Therefore frequency assessments of virus-specific memory T cells in HLA-typed healthy donors as well as in HSCT/SOT donors using a high throughput T-cell assay were performed over a period of 4 years at Hannover Medical School. This chapter will address the relevance and potential of a third-party T-cell donor registry and will discuss its clinical implication for adoptive T

  1. Analysis of blood donor pre-donation deferral in Dubai: characteristics and reasons

    Directory of Open Access Journals (Sweden)

    Al Shaer L

    2017-05-01

    Full Text Available Laila Al Shaer,1 Ranjita Sharma,2 Mahera AbdulRahman2 1College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE; 2Dubai Health Authority, Dubai, UAE Background: To ensure an adequate and safe blood supply, it is crucial to select suitable donors according to stringent eligibility criteria. Understanding the reasons for donor deferral can help in planning more efficient recruitment strategies and evaluating donor selection criteria. This study aims to define donor pre-donation deferral rates, causes of deferral, and characteristics of deferred donors in Dubai.Materials and methods: This retrospective study was conducted on all donors who presented for allogeneic blood donation between January 1, 2010, until June 30, 2013, in Dubai Blood Donation Centre, accredited by the American Association of Blood Banks. The donation and deferral data were analyzed to determine the demographic characteristics of accepted and deferred donors, and frequency analyses were also conducted.Results: Among 142,431 individuals presenting during the study period, 114,827 (80.6% were accepted for donation, and 27,604 (19.4% were deferred. The overall proportion of deferrals was higher among individuals less than 21 years old (35%, P<0.000, females (44% were deferred compared to 15% of males, P<0.0001, and first-time donors (22% were deferred vs 14% of repeat donors, P<0.0001. The main causes for a temporary deferral were low hemoglobin and high blood pressure.Discussion: The deferral rate among blood donors in Dubai is relatively high compared to the internationally reported rates. This rate was higher among first-time donors and females, with low hemoglobin as the major factor leading to a temporary deferral of donors. Strategies to mitigate deferral and improve blood donor retention are urged in Dubai to avoid additional stress on the blood supply. Keywords: blood donation, blood safety, donor deferral, selection criteria 

  2. Motivational differences between whole blood and plasma donors already exist before their first donation experience.

    Science.gov (United States)

    Veldhuizen, Ingrid; van Dongen, Anne

    2013-08-01

    The demand for plasma products has increased rapidly. It is therefore important to understand donating behavior by plasma donors. This study investigates whether motivational differences between whole blood and plasma donors already exist at the beginning of a donor career. New donors (n = 4861) were invited to fill out a questionnaire before their first donation (response, 61%). The questionnaire assessed variables from the Theory of Planned Behavior (intention, self-efficacy, attitude, and norms), conscientiousness, and donation anxiety. Three years later it was determined who became whole blood or plasma donor. Multivariable linear regression analyses for intention were fitted separately for whole blood and plasma donors. A logistic regression analysis was executed to estimate the effect of intention at the beginning of a donor career on becoming a plasma donor. Plasma donors had a higher intention, self-efficacy, attitude, and conscientiousness and a lower anxiety than whole blood donors. In plasma and whole blood donors, both self-efficacy and cognitive attitude were positively related to intention but with different strength (plasma, β = 0.47 and β = 0.30; whole blood, β = 0.57 and β = 0.17). Having a high level of intention increased the odds of becoming a plasma donor (odds ratio, 1.33; 95% confidence interval, 1.12-1.59). Motivational differences already exist between future whole blood and plasma donors before their first donation. Although a feeling of self-efficacy is necessary for all new donors, more favorable cognitions are important for future plasma donors. Recruitment strategies for plasma donors should focus on attracting the more self-confident donors by highlighting the usefulness of plasma donation. © 2012 American Association of Blood Banks.

  3. Right-lobe liver transplant from donors with Gilbert syndrome.

    Science.gov (United States)

    Demirbas, Tolga; Piskin, Turgut; Dayangac, Murat; Yaprak, Onur; Akyildiz, Murat; Tokat, Yaman; Yuzer, Yildiray

    2012-02-01

    Donor safety is one of the most important aspects of living-donor liver transplant. The preoperative evaluation of candidates for such transplants essentially starts with serologic and biochemical analyses. However, some potential liver donors with normal liver function test results may have isolated mild hyperbilirubinemia (serum indirect bilirubin level > 20.5 μmol/L [1.2 mg/dL]). Gilbert syndrome is an autosomal recessive condition that is a common cause of nonhemolytic unconjugated hyperbilirubinemia, and its prevalence is 3% to 10% in the healthy US population. Mild hyperbilirubinemia episodes are expected in people with Gilbert syndrome when they are exposed to physical stress, such as operative intervention or low energy intake. The liver morphologic findings of these individuals are normal; however, there is a debate on the use of people with Gilbert syndrome as living-liver donors. The purpose of this study was to assess the results of right-lobe living-donor hepatectomy of liver donors with Gilbert syndrome. Between 2004 and 2010, two hundred twenty-five living-donor liver transplants using right-lobe grafts were performed in our hospital. Donors with Gilbert syndrome were defined as those whose serum bilirubin level was greater than 20.5 μmol/L (1.2 mg/dL). Six of 225 right-lobe living-donor liver transplants were performed using donors with Gilbert syndrome. The median follow-up after transplant was 34 months (range, 18 to 51 mo). One week after the operation, the median bilirubin level for right-lobe liver donors was 34.5 μmol/L (2.02 mg/dL) (range, 17.1 to 51.3 μmol/L [1 to 3 mg/dL]), and the median prothrombin time (international normalized ratio) was 1.36 (range, 1.1 to 1.7). The median bilirubin level of the donors after 6 months was 29 μmol/L (1.7 mg/dL) (range, 20.5 to 41 μmol/L [1.2 to 2.4 mg/dL]). Living-donor liver transplant from Gilbert syndrome donors can be safely performed.

  4. Voluntary whole-blood donors, and compensated platelet donors and plasma donors: motivation to donate, altruism and aggression.

    Science.gov (United States)

    Trimmel, Michael; Lattacher, Helene; Janda, Monika

    2005-10-01

    To establish if voluntary whole-blood donors and compensated platelet donors and plasma donors may differ in their motivation to donate, altruism, aggression and autoaggression. Whole-blood (n=51), platelet (n=52) and plasma donors (n=48) completed a battery of validated questionnaires while waiting to donate. Bivariate and multivariate analyses of variance and t-tests were performed to detect differences between groups as noted. Altruism (mean=40.2) was slightly higher in whole-blood donors than in platelet (mean=38.3) and plasma donors (mean=39.1) (p=0.07). Blood donors (mean=2.8) scored lower in the spontaneous aggression measure than platelet (mean=4.1) and plasma donors (mean=4.4) (p=0.01). Plasma donors (mean=4.9) had higher auto-aggression than whole-blood donors and platelet donors (mean for both groups=3.4) (p=0.01). Differences between the three groups were mediated by sociodemographic variables (MANCOVA). Whole-blood donors donated to help others, platelet and plasma donors mostly to receive the compensation. However, those platelet and plasma donors, who would continue to donate without compensation were similar in altruism and aggression to whole-blood donors. While most platelet donors and plasma donors were motivated by the compensation, those who stated that they would continue to donate without compensation had altruism and aggression scores similar to voluntary whole-blood donors.

  5. Knee donor-site morbidity after mosaicplasty - a systematic review.

    Science.gov (United States)

    Andrade, Renato; Vasta, Sebastiano; Pereira, Rogério; Pereira, Hélder; Papalia, Rocco; Karahan, Mustafa; Oliveira, J Miguel; Reis, Rui L; Espregueira-Mendes, João

    2016-12-01

    Mosaicplasty has been associated with good short- to long-term results. Nevertheless, the osteochondral harvesting is restricted to the donor-site area available and it may lead to significant donor-site morbidity. Provide an overview of donor-site morbidity associated with harvesting of osteochondral plugs from the knee joint in mosaicplasty procedure. Comprehensive search using Pubmed, Cochrane Library, SPORTDiscus and CINAHL databases was carried out through 10(th) October of 2016. As inclusion criteria, all English-language studies that assessed the knee donor-site morbidity after mosaicplasty were accepted. The outcomes were the description and rate of knee donor-site morbidity, sample's and cartilage defect's characterization and mosaicplasty-related features. Correlation between mosaicplasty features and rate of morbidity was performed. The methodological and reporting quality were assessed according to Coleman's methodology score. Twenty-one studies were included, comprising a total of 1726 patients, with 1473 and 268 knee and ankle cartilage defects were included. The defect size ranged from 0.85 cm(2) to 4.9 cm(2) and most commonly 3 or less plugs (averaging 2.9 to 9.4 mm) were used. Donor-site for osteochondral harvesting included margins of the femoral trochlea (condyles), intercondylar notch, patellofemoral joint and upper tibio-fibular joint. Mean donor-site morbidity was 5.9 % and 19.6 % for knee and ankle mosaicplasty procedures, respectively. Concerning knee-to-knee mosaicplasty procedures, the most common donor-site morbidity complaints were patellofemoral disturbances (22 %) and crepitation (31 %), and in knee-to-ankle procedures there was a clear tendency for pain or instability during daily living or sports activities (44 %), followed by patellofemoral disturbances, knee stiffness and persistent pain (13 % each). There was no significant correlation between rate of donor-site morbidity and size of the defect, number and size of the

  6. Morphological suitability for endovascular repair, non-intervention rates, and operative mortality in women and men assessed for intact abdominal aortic aneurysm repair: systematic reviews with meta-analysis.

    Science.gov (United States)

    Ulug, Pinar; Sweeting, Michael J; von Allmen, Regula S; Thompson, Simon G; Powell, Janet T

    2017-06-24

    Prognosis for women with abdominal aortic aneurysm might be worse than the prognosis for men. We aimed to systematically quantify the differences in outcomes between men and women being assessed for repair of intact abdominal aortic aneurysm using data from study periods after the year 2000. In these systematic reviews and meta-analysis, we identified studies (randomised, cohort, or cross-sectional) by searching MEDLINE, Embase, CENTRAL, and grey literature published between Jan 1, 2005, and Sept 2, 2016, for two systematic reviews and Jan 1, 2009, and Sept 2, 2016, for one systematic review. Studies were included if they were of both men and women, with data presented for each sex separately, with abdominal aortic aneurysms being assessed for aneurysm repair by either endovascular repair (EVAR) or open repair. We conducted three reviews based on whether studies reported the proportion morphologically suitable (within manufacturers' instructions for use) for EVAR (EVAR suitability review), non-intervention rates (non-intervention review), and 30-day mortality (operative mortality review) after intact aneurysm repair. Studies had to include at least 20 women (for the EVAR suitability review), 20 women (for the non-intervention review), and 50 women (for the operative mortality review). Studies were excluded if they were review articles, editorials, letters, or case reports. For the operative review, studies were also excluded if they only provided hazard ratios or only reported in-hospital mortality. We assessed the quality of the studies using the Newcastle-Ottawa scoring system, and contacted authors for the provision of additional data if needed. We combined results across studies by random-effects meta-analysis. This study is registered with PROSPERO, number CRD42016043227. Five studies assessed the morphological eligibility for EVAR (1507 men, 400 women). The overall pooled proportion of women eligible (34%) for EVAR was lower than it was in men (54%; odds

  7. Design, implementation and multisite evaluation of a system suitability protocol for the quantitative assessment of instrument performance in liquid chromatography-multiple reaction monitoring-MS (LC-MRM-MS).

    Science.gov (United States)

    Abbatiello, Susan E; Mani, D R; Schilling, Birgit; Maclean, Brendan; Zimmerman, Lisa J; Feng, Xingdong; Cusack, Michael P; Sedransk, Nell; Hall, Steven C; Addona, Terri; Allen, Simon; Dodder, Nathan G; Ghosh, Mousumi; Held, Jason M; Hedrick, Victoria; Inerowicz, H Dorota; Jackson, Angela; Keshishian, Hasmik; Kim, Jong Won; Lyssand, John S; Riley, C Paige; Rudnick, Paul; Sadowski, Pawel; Shaddox, Kent; Smith, Derek; Tomazela, Daniela; Wahlander, Asa; Waldemarson, Sofia; Whitwell, Corbin A; You, Jinsam; Zhang, Shucha; Kinsinger, Christopher R; Mesri, Mehdi; Rodriguez, Henry; Borchers, Christoph H; Buck, Charles; Fisher, Susan J; Gibson, Bradford W; Liebler, Daniel; Maccoss, Michael; Neubert, Thomas A; Paulovich, Amanda; Regnier, Fred; Skates, Steven J; Tempst, Paul; Wang, Mu; Carr, Steven A

    2013-09-01

    Multiple reaction monitoring (MRM) mass spectrometry coupled with stable isotope dilution (SID) and liquid chromatography (LC) is increasingly used in biological and clinical studies for precise and reproducible quantification of peptides and proteins in complex sample matrices. Robust LC-SID-MRM-MS-based assays that can be replicated across laboratories and ultimately in clinical laboratory settings require standardized protocols to demonstrate that the analysis platforms are performing adequately. We developed a system suitability protocol (SSP), which employs a predigested mixture of six proteins, to facilitate performance evaluation of LC-SID-MRM-MS instrument platforms, configured with nanoflow-LC systems interfaced to triple quadrupole mass spectrometers. The SSP was designed for use with low multiplex analyses as well as high multiplex approaches when software-driven scheduling of data acquisition is required. Performance was assessed by monitoring of a range of chromatographic and mass spectrometric metrics including peak width, chromatographic resolution, peak capacity, and the variability in peak area and analyte retention time (RT) stability. The SSP, which was evaluated in 11 laboratories on a total of 15 different instruments, enabled early diagnoses of LC and MS anomalies that indicated suboptimal LC-MRM-MS performance. The observed range in variation of each of the metrics scrutinized serves to define the criteria for optimized LC-SID-MRM-MS platforms for routine use, with pass/fail criteria for system suitability performance measures defined as peak area coefficient of variation quantitative assays illustrates the use and need for a SSP to establish robust and reliable system performance. Use of a SSP helps to ensure that analyte quantification measurements can be replicated with good precision within and across multiple laboratories and should facilitate more widespread use of MRM-MS technology by the basic biomedical and clinical laboratory

  8. Design, Implementation and Multisite Evaluation of a System Suitability Protocol for the Quantitative Assessment of Instrument Performance in Liquid Chromatography-Multiple Reaction Monitoring-MS (LC-MRM-MS)*

    Science.gov (United States)

    Abbatiello, Susan E.; Mani, D. R.; Schilling, Birgit; MacLean, Brendan; Zimmerman, Lisa J.; Feng, Xingdong; Cusack, Michael P.; Sedransk, Nell; Hall, Steven C.; Addona, Terri; Allen, Simon; Dodder, Nathan G.; Ghosh, Mousumi; Held, Jason M.; Hedrick, Victoria; Inerowicz, H. Dorota; Jackson, Angela; Keshishian, Hasmik; Kim, Jong Won; Lyssand, John S.; Riley, C. Paige; Rudnick, Paul; Sadowski, Pawel; Shaddox, Kent; Smith, Derek; Tomazela, Daniela; Wahlander, Asa; Waldemarson, Sofia; Whitwell, Corbin A.; You, Jinsam; Zhang, Shucha; Kinsinger, Christopher R.; Mesri, Mehdi; Rodriguez, Henry; Borchers, Christoph H.; Buck, Charles; Fisher, Susan J.; Gibson, Bradford W.; Liebler, Daniel; MacCoss, Michael; Neubert, Thomas A.; Paulovich, Amanda; Regnier, Fred; Skates, Steven J.; Tempst, Paul; Wang, Mu; Carr, Steven A.

    2013-01-01

    Multiple reaction monitoring (MRM) mass spectrometry coupled with stable isotope dilution (SID) and liquid chromatography (LC) is increasingly used in biological and clinical studies for precise and reproducible quantification of peptides and proteins in complex sample matrices. Robust LC-SID-MRM-MS-based assays that can be replicated across laboratories and ultimately in clinical laboratory settings require standardized protocols to demonstrate that the analysis platforms are performing adequately. We developed a system suitability protocol (SSP), which employs a predigested mixture of six proteins, to facilitate performance evaluation of LC-SID-MRM-MS instrument platforms, configured with nanoflow-LC systems interfaced to triple quadrupole mass spectrometers. The SSP was designed for use with low multiplex analyses as well as high multiplex approaches when software-driven scheduling of data acquisition is required. Performance was assessed by monitoring of a range of chromatographic and mass spectrometric metrics including peak width, chromatographic resolution, peak capacity, and the variability in peak area and analyte retention time (RT) stability. The SSP, which was evaluated in 11 laboratories on a total of 15 different instruments, enabled early diagnoses of LC and MS anomalies that indicated suboptimal LC-MRM-MS performance. The observed range in variation of each of the metrics scrutinized serves to define the criteria for optimized LC-SID-MRM-MS platforms for routine use, with pass/fail criteria for system suitability performance measures defined as peak area coefficient of variation quantitative assays illustrates the use and need for a SSP to establish robust and reliable system performance. Use of a SSP helps to ensure that analyte quantification measurements can be replicated with good precision within and across multiple laboratories and should facilitate more widespread use of MRM-MS technology by the basic biomedical and clinical laboratory

  9. Integrating donor conception into identity development: adolescents in fatherless families.

    Science.gov (United States)

    Slutsky, Jenna; Jadva, Vasanti; Freeman, Tabitha; Persaud, Sherina; Steele, Miriam; Steele, Howard; Kramer, Wendy; Golombok, Susan

    2016-07-01

    To study the processes by which donor-conceived children incorporate donor conception into their subjective sense of identity. Cross-sectional. Family homes. Nineteen donor-conceived adolescents. Administration of an interview and questionnaire. The mother-child relationship was assessed through the Friends and Family Interview, a semistructured interview designed to assess adolescents' security of attachment in terms of secure-autonomous, insecure-dismissive, insecure-preoccupied, and insecure-disorganized attachment patterns. The Donor Conception Identity Questionnaire assessed adolescents' thoughts and feelings about donor conception, yielding two factors: [1] curiosity about donor conception and [2] avoidance of donor conception. Statistically significant associations were found between the Curiosity scale and the secure-autonomous and insecure-dismissing attachment ratings. Adolescents with secure-autonomous attachment patterns were more interested in exploring donor conception whereas those with insecure-dismissing patterns were less likely to express curiosity. Insecure-disorganized attachment ratings were statistically significantly correlated with the Avoidance scale, indicating higher levels of negative feelings about donor conception. The results of this study of the influence of parent-child relationships on thoughts and feelings about donor conception in adolescence suggest that the valence of the parent-child relationship influences adolescents' appraisal of their donor conception within the context of their growing sense of identity. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  10. Readability and Suitability of COPD Consumer Information

    Directory of Open Access Journals (Sweden)

    Kathryn Fullmann

    2017-01-01

    Full Text Available Background. Information leaflets have been shown to positively or negatively impact adherence, depending on their content. The objective of this study was to perform an appraisal of the consumer information provided in COPD inhaler monographs. Methods. COPD inhalers were identified from the Health Canada Drug Product Database. Medication information and instructions for inhaler use were analyzed for readability by seven formulas, with an acceptability threshold of grades 6–8. Three researchers rated suitability using a modified Suitability Assessment of Materials (SAM tool and assessed leaflets for explicit warnings. Results. Twenty-six inhalers with a COPD indication were evaluated. Medication information sections were rated as “difficult to read” or “hard,” and 85% (22/26 had a reading level above grade 8. The instructions for inhaler use were rated as “easy” or “fairly easy” to read and 63% (16/26 met the threshold by all formulas. While all leaflets achieved superior suitability ratings, extreme warnings included risk of premature death (n=12, risks of serious injury (n=26, serious interactions (n=26, and statements that convey a serious consequence to therapy (n=26. Conclusion. While COPD information leaflets in Canada performed well in terms of readability and suitability, overemphasis on side effects, warnings, and precautions may contribute to patient fear and nonadherence.

  11. Niche suitability affects development: skull asymmetry increases in less suitable areas.

    Directory of Open Access Journals (Sweden)

    Renan Maestri

    Full Text Available For conservation purposes, it is important to take into account the suitability of a species to particular habitats; this information may predict the long-term survival of a species. In this sense, morphological measures of developmental stress, such as fluctuating asymmetry, can be proxies for an individual's performance in different regions. In this study, we conducted tests to determine whether areas with different levels of suitability for a species (generated by ecological niche models were congruent with morphological markers that reflect environmental stress and morphological variance. We generated a Maxent niche model and compared the suitability assessments of several areas with the skull morphology data (fluctuating asymmetry and morphological disparity of populations of the Atlantic forest endemic to Brazil rodent Akodon cursor. Our analyses showed a significant negative relationship between suitability levels and fluctuating asymmetry levels, which indicates that in less suitable areas, the individuals experience numerous disturbances during skull ontogeny. We have not found an association between morphological variance and environmental suitability. As expected, these results suggest that in environments with a lower suitability, developmental stress is increased. Such information is helpful in the understanding of the species evolution and in the selection of priority areas for the conservation of species.

  12. Donor milk: current perspectives

    Directory of Open Access Journals (Sweden)

    Giuliani F

    2014-07-01

    Full Text Available Francesca Giuliani,1 Ilaria Rovelli,1 Chiara Peila,1 Stefania Alfonsina Liguori,2 Enrico Bertino,1 Alessandra Coscia1 1SCDU Neonatologia, Dipartimento di Scienze Pediatriche e dell'Adolescenza, Università degli Studi di Torino, Torino, Italy; 2SC Neonatologia, Ospedale Maria Vittoria, Torino, Italy Abstract: Mother's own milk is widely recognized as the optimal feeding for term infants, but increasing evidence exists of its benefits also for sick and preterm infants in neonatal intensive care units. However, the nutritional needs for appropriate growth and neurodevelopmental outcomes of such a particular population of infants should be attentively evaluated, considering also the indication to an appropriate fortification of human milk. The target is to achieve growth potential for preterm newborns while ensuring good metabolic outcomes and normal neurological development. When mother's milk is unavailable or in short supply, donor human milk (DHM represents the second best choice and, although somewhat modified by the Holder pasteurization process, it preserves many benefits when compared to formula, as documented by more and more reports, randomized controlled trials, and meta-analyses published in the past few years. Evidence exists of the protection exerted by DHM from necrotizing enterocolitis, while further studies are required to look at possible beneficial effects regarding infections, bronchopulmonary dysplasia, long-term cardiovascular risk factors, feeding tolerance, neurological outcome, and allergy. Finally, the concern that the use of DHM might decrease preterm infant breastfeeding is being raised. Conversely, publications exist showing that the use of DHM in the neonatal unit increases breastfeeding rates at discharge for infants of very low birth weight. Keywords: human milk, preterm infant feeding, milk bank, breast milk, mother's own milk, pasteurized human milk, fortification

  13. Ensuring Safety in Donor Human Milk Banking in Neonatal Intensive Care.

    Science.gov (United States)

    Hartmann, Ben T

    2017-03-01

    The provision of donor human milk avoids the risks associated with early infant formula feeding only when maternal milk is unavailable. Donor human milk-banking services (DHMBS) should provide an effective clinical service that causes no harm to donors or recipients. This article aims to begin the process of defining the minimum acceptable standard required for safe donor human milk banking in the neonatal unit. An assessment process is established to consider the potential risks and benefits of milk banking to both recipients and donors. These risks and benefits define the clinical responsibility of DHMBS and their social responsibility. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. [Long live the kidney donor].

    Science.gov (United States)

    de Fijter, Johan W; Meinders, Arend E

    2014-01-01

    Kidney transplantation offers longer life expectancy and improves quality of life in selected patients with end-stage renal failure. The availability of living donors is critical, particularly to meet the increasing demand and potentially pre-emptive transplantation. In addition, living donor transplantation is associated with better outcomes on comparison with dialysis or transplants from deceased donors. The major disadvantage of living donation is that complications may occur both directly perioperatively and in the long-term. Two recent studies confirmed that the risk of renal failure among selected living donors is extremely low. This implies that there is no need to alter the existing positive attitude towards living donation. Finding a comparable long-term control group with relevant genetic and non-genetic risk factors remains a challenge to studies looking at long-term effects.

  15. Iron deficiency among blood donors

    DEFF Research Database (Denmark)

    Rigas, A. S.; Pedersen, O. B.; Magnussen, K.

    2017-01-01

    and menopausal status are the strongest predictors of iron deficiency. Only little information on the health effects of iron deficiency in blood donors exits. Possibly, after a standard full blood donation, a temporarily reduced physical performance for women is observed. However, iron deficiency among blood...... donors is not reflected in a reduced self-perceived mental and physical health. In general, the high proportion of iron-deficient donors can be alleviated either by extending the inter-donation intervals or by guided iron supplementation. The experience from Copenhagen, the Capital Region of Denmark......, is that routine ferritin measurements and iron supplementation are feasible and effective ways of reducing the proportion of donors with low haemoglobin levels....

  16. Informed consent for live liver donors: A qualitative, prospective study.

    Science.gov (United States)

    Gordon, Elisa J; Rodde, Jillian; Skaro, Anton; Baker, Talia

    2015-10-01

    Adult-to-adult live donor liver transplantation (LDLT) poses serious health risks and no direct health benefits to donors. Ensuring live donors' autonomy through informed consent is critical. We assessed live liver donors' (LD) comprehension, information needs, risk perceptions, and demographics. Semi-structured interviews were prospectively conducted with LDs after completing donor evaluation and informed consent at our transplant center. Likert scales measured informed consent domains. Open-ended responses underwent thematic analysis. Thirty LDs participated (100% participation rate). Although 90% of LDs reported being informed about donation 'a great deal', only 66% reported understanding information about donation 'a great deal.' Many (40%) reported difficulty understanding medical terminology. Information LDs most desired to feel comfortable with their decision included: incidence and type of donor complications (67%), description of donation procedure (57%), and the process of donor preparation (43%). Most (83%) LDs rated risks to themselves as 'not at all' to 'somewhat' risky, and minimized these risks. Although LDs perceived that they were adequately informed, their actual comprehension about donation was inadequate. Findings suggest the value of informed consent for preparation for the procedure and potential periprocedural risks rather than for decision-making. More comprehensible information disclosure may optimize informed consent. Copyright © 2015 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.

  17. PHOSPHATE METABOLISM IN KIDNEY DONORS: A CROSS-SECTIONAL STUDY

    Directory of Open Access Journals (Sweden)

    Jayakumar Edathedathe

    2016-05-01

    Full Text Available AIM To study the changes in phosphate metabolism in kidney donors, to study the correlation of albuminuria, fractional excretion of phosphorus [FE Pi] and estimated glomerular filtration rate [eGFR] with fibroblast growth factor 23 [FGF 23] in kidney donors, to study the early tubule interstitial injury in the remnant kidney of donors by measuring urine transforming growth factor beta [TGF beta] levels. MATERIALS AND METHODS A cross-sectional study in which kidney donors with 1 year or more after donation were included. 69 kidney donors with a mean duration of 5.86 years after kidney donation were studied. Serum phosphate level, fractional excretion of phosphorus [FE Pi] and serum levels of parathyroid hormone were measured. Plasma levels of FGF 23 were measured by a second generation enzyme linked immune sorbent assay [ELISA]. Renal function was assessed by estimated glomerular filtration rate [eGFR] and degree of albuminuria. Urine levels of transforming growth factor beta [TGF beta] were measured by ELISA. A hypothesis that in kidney donors with reduced nephron number, the single nephron excretion of phosphorus will be increased to maintain normal phosphorus homeostasis and that this increase in single nephron phosphorus excretion may be mediated by FGF 23 was proposed. Testing of this hypothesis was done by studying the correlation between parameters of phosphorus metabolism, FGF 23 and the renal function of the donors. RESULTS The mean eGFR was 70.36 mL/min/1.73 m2 . 52.2% of donors had moderate increase in albuminuria [microalbuminuria], Serum phosphorus, fractional excretion of phosphorus and serum PTH levels were in the normal range. FGF 23 levels were in the normal reference range and showed no correlation with FE pi, eGFR or albuminuria, Urine TGF-beta levels were undetectable in all the donors. DISCUSSION Normal phosphorus homeostasis is maintained in kidney donors. There was no correlation between FE pi and FGF 23 levels. Kidney

  18. Living and cadaver donor transplant programs in the maghreb

    Directory of Open Access Journals (Sweden)

    Jamil Hachicha

    2013-01-01

    Full Text Available In the Maghreb, organ failure constitutes a major public health problem, especially given the increasing number of patients with chronic renal failure and the high cost of care. In this study, we attempted to seek the recommendations, through a questionnaire, of various officials related to organ transplantation as well as leaders of ethics committees and religious groups in different countries of the Maghreb. The objective was to improve the rate of organ donation and transplantation. We received 36 replies (62% within the prescribed time limit. In our survey, 83% of the respondents felt that living donor transplantation should be promoted initially, followed gradually by measures to increase cadaver donor transplantation to achieve a target of about 30 transplants with cadaver kidney donors per million inhabitants. To expand the donor pool, 83% of the respondents proposed to expand the family circle to include the spouse and inlaws. To improve the cadaver donation activity, one should improve the organizational aspects to ensure at least 50 renal transplantations per year (100% and provide material motivation to the treatment team proportional to the activity of organ donation and transplantation. Finally, 93% of the respondents suggested suitable moral motivation of the donors.

  19. Are the imaging findings used to assess the portal triad reliable to perform living-donor liver transplant?; Os achados de imagem para avaliacao da triade portal sao confiaveis para realizacao do transplante hepatico com doador vivo?

    Energy Technology Data Exchange (ETDEWEB)

    Dazzi, Francisco Leoncio; Ribeiro Junior, Marcelo Augusto Fontenelle; Mancero, Jorge Marcelo Padilla; Gonzalez, Adriano Miziara; D' Albuquerque, Luiz Augusto Carneiro, E-mail: franciscodazzi@hotmail.com [Hospital Beneficencia Portuguesa, Sao Paulo, SP (Brazil). Departamento de Cirurgia Geral e Transplante; Leao-Filho, Hilton Muniz [Hospital Beneficencia Portuguesa, Sao Paulo, SP (Brazil). Departamento de Radiologia e Diagnostico por Imagem; Silva, Adavio de Oliveira e [Hospital Beneficencia Portuguesa, Sao Paulo, SP (Brazil). Departamento de Gastroenterologia e Hepatologia

    2013-07-01

    Background: a crucial aspect of living-donor liver transplant is the risk imposed to the donor due to a procedure performed in a healthy individual that can lead to a high postoperative morbidity rate Aim: To correlate the pre- and intraoperative hepatic imaging findings of living adult donors. Methods: From 2003 to 2008 the medical charts of 66 donors were revised; in that, 42 were males (64%) and 24 females (36%), mean age of 30±8 years. The preoperative anatomy was analyzed by magnetic resonance cholangiography to study the bile ducts and by computed tomography angiography to evaluate the hepatic artery and portal vein. Normalcy criteria were established according to previously published studies. Results: Anatomic variations of the bile ducts were found in 59.1% of donors, of the artery hepatic in 31.8% and of the portal vein in 30.3% of the cases during the preoperative period. The magnetic resonance cholangiography findings were in agreement in 44 (66.6%) of donors and in disagreement in 22 (33.3%). With regards to hepatic artery, in all donors the findings of the imaging examination were in agreement with those of the intraoperative period. As to the portal vein, the computed tomography findings were in agreement in 59 (89.4%) donors and in disagreement in seven (10.6%). Conclusions: the bile duct anatomic variations are frequent, and the magnetic resonance cholangiography showed moderate accuracy (70%) in reproducing the surgical findings; the computed tomography reproduced the intraoperative findings of the hepatic artery in 100% of donors, and of the portal vein in 89.4% of the cases, thus demonstrating high accuracy (89%). (author)

  20. Evaluation of diphtheria convalescent patients to serve as donors for the production of anti-diphtheria immunoglobulin preparations

    NARCIS (Netherlands)

    Bissumbhar, B.; Rakhmanova, A.G.; Berbers, G.; Iakolev, A.; Nosikova, E.; Melnick, O.; Ovtcharenko, E.; Rümke, H. C.; Ruitenberg, E.J.

    2004-01-01

    Aims: The study was conducted to evaluate the possibility of selecting convalescent diphtheria patients to serve in emergency situations as donors for the production of anti-diphtheria immunoglobulin. To select suitable donors, the criterion of an antitoxin titer ≥3.0 IU/ml was used. In addition,

  1. MDCT evaluation of potential living renal donor, prior to laparoscopic donor nephrectomy: What the transplant surgeon wants to know?

    Directory of Open Access Journals (Sweden)

    Nitin P Ghonge

    2014-01-01

    Full Text Available As Laparoscopic Donor Nephrectomy (LDN offers several advantages for the donor such as lesser post-operative pain, fewer cosmetic concerns and faster recovery time, there is growing global trend towards LDN as compared to open nephrectomy. Comprehensive pre-LDN donor evaluation includes assessment of renal morphology including pelvi-calyceal and vascular system. Apart from donor selection, evaluation of the regional anatomy allows precise surgical planning. Due to limited visualization during laparoscopic renal harvesting, detailed pre-transplant evaluation of regional anatomy, including the renal venous anatomy is of utmost importance. MDCT is the modality of choice for pre-LDN evaluation of potential renal donors. Apart from appropriate scan protocol and post-processing methods, detailed understanding of surgical techniques is essential for the Radiologist for accurate image interpretation during pre-LDN MDCT evaluation of potential renal donors. This review article describes MDCT evaluation of potential living renal donor, prior to LDN with emphasis on scan protocol, post-processing methods and image interpretation. The article laid special emphasis on surgical perspectives of pre-LDN MDCT evaluation and addresses important points which transplant surgeons want to know.

  2. International variation in volunteer whole blood donor eligibility criteria.

    Science.gov (United States)

    Karp, Julie K; King, Karen E

    2010-02-01

    This study assesses international variation in volunteer whole blood donor eligibility criteria. In February 2008, Web sites of major blood collection organizations in 17 countries were queried for the volume of whole blood donations and six donor eligibility criteria: allowed donation frequency, donor age, hemoglobin (Hb), weight, and deferrals for tattoo and pregnancy/breast-feeding. The allowed frequency of whole blood donation ranged from 56 to 120 days, some with sex- and age-specific limitations. While blood collection agencies in three countries did not have an upper age limit for donation, the remainder mandated donor retirement at ages from 60 to 81 years. The minimum Hb level was 11.5 to 12.5 g/dL for women and 12.5 to 13.5 g/dL for men. Blood collection organizations in only three countries required a minimum donor weight of less than 50 kg. Tattoo and pregnancy deferrals ranged from 4 to 12 months and 6 weeks to 12 months, respectively. The volume of whole blood donations ranged from 300 to 500 mL. The percentage of total blood volume donated, the absolute grams of Hb expected to be restored per deferral period and per day of donor deferral, and the concentration of Hb expected to be restored per deferral period were calculated. International volunteer whole blood donor eligibility criteria demonstrate marked variation. These differences likely cause international variation in the prevalence of adverse donor reactions and iron deficiency anemia. The reasons underlying these dissimilarities are unclear, but may include varying cultural influences and average donor body habitus.

  3. Motivational factors for blood donation in first-time donors and repeat donors: a cross-sectional study in West Pomerania.

    Science.gov (United States)

    Suemnig, A; Konerding, U; Hron, G; Lubenow, N; Alpen, U; Hoffmann, W; Kohlmann, T; Greinacher, A

    2017-08-07

    This study aimed to analyse motivational factors for blood donation in different donor groups. As the demographic change will result in a decrease of the population in age groups of blood donors, the risk of blood product shortage increases. During a 12-month period, every sixth blood donor presenting at the blood donation centre of the University Hospital was asked to complete a self-administered questionnaire assessing motivational factors for blood donation. Despite the formalised enrolment protocol, frequent donors were over-represented in the study cohort, which was adjusted by weighting donors with different numbers of donations per year in such a way that the distribution of numbers of donations per year was the same in the sample as in the donor population. Of 2443 participants, 14·3% were first-time and 85·3% repeat donors. To "help other people" (>90%) and receiving "medical assessment of my blood values" (63-69%) were the strongest motivational factors in all donor groups. Receiving remuneration (49·2% vs 38·1%) was more important for repeat donors than for first-time donors, whereas it was the opposite for "being taken by a friend to the donor clinic" (47·0% vs 15·5%). A potentially important observation is that 33·9% of frequent donors reported feeling physically better after blood donation compared to infrequent donors (29·5%). Identification of motivational factors can lead to the design of targeted motivation campaigns for blood donation. The underlying cause of the perceived well-being after blood donation requires further studies. © 2017 British Blood Transfusion Society.

  4. Quality of life of liver donors following donor hepatectomy.

    Science.gov (United States)

    Chandran, Biju; Bharathan, Viju Kumar; Shaji Mathew, Johns; Amma, Binoj Sivasankara Pillai Thankamony; Gopalakrishnan, Unnikrishnan; Balakrishnan, Dinesh; Menon, Ramachandran Narayana; Dhar, Puneet; Vayoth, Sudheer Othiyil; Surendran, Sudhindran

    2017-03-01

    Although morbidity following living liver donation is well characterized, there is sparse data regarding health-related quality of life (HRQOL) of donors. HRQOL of 200 consecutive live liver donors from 2011-2014 performed at an Indian center were prospectively collected using the SF-36 version 2, 1 year after surgery. The effect of donor demographics, operative details, post-operative complications (Clavien-Dindo and 50-50 criteria), and recipient mortality on the quality-of-life (QOL) scoring was analyzed. Among 200 donors (female/male=141:59), 77 (38.5%) had complications (14.5%, 16.5%, 4.5%, and 3.5%, Clavien-Dindo grades I-IV, respectively). The physical composite score (PCS) of donors 1 year after surgery was less than ideal (48.75±9.5) while the mental composite score (MCS) was good (53.37±6.16). Recipient death was the only factor that showed a statistically significant correlation with both PCS (prepent the decision to donate.

  5. Donor-funded project's sustainability assessment: a qualitative case study of a results-based financing pilot in Koulikoro region, Mali.

    Science.gov (United States)

    Seppey, Mathieu; Ridde, Valéry; Touré, Laurence; Coulibaly, Abdourahmane

    2017-12-08

    Results-based financing (RBF) is emerging as a new alternative to finance health systems in many African countries. In Mali, a pilot project was conducted to improve demand and supply of health services through financing performance in targeted services. No study has explored the sustainability process of such a project in Africa. This study's objectives were to understand the project's sustainability process and to assess its level of sustainability. Sustainability was examined through its different determinants, phases, levels and contexts. These were explored using qualitative interviews to discern, via critical events, stakeholders' ideas regarding the project's sustainability. Data collection sites were chosen with the participation of different stakeholders, based on a variety of criteria (rural/urban settings, level of participation, RBF participants still present, etc.). Forty-nine stakeholders were then interviewed in six community health centres and two referral health centres (from 11/12/15 to 08/03/16), including health practitioners, administrators, and those involved in implementing and conceptualizing the program (government and NGOs). A theme analysis was done with the software © QDA Miner according to the study's conceptual framework. The results of this project show a weak level of sustainability due to many factors. While some gains could be sustained (ex.: investments in long-term resources, high compatibility of values and codes, adapted design to the implementations contexts, etc.) other intended benefits could not (ex.: end of investments, lack of shared cultural artefacts around RBF, loss of different tasks and procedures, need of more ownership of the project by the local stakeholders). A lack of sustainability planning was observed, and few critical events were associated to phases of sustainability. While this RBF project aimed at increasing health agents' motivation through different mechanisms (supervision, investments, incentives, etc

  6. Philanthropic Motivations of Community College Donors

    Science.gov (United States)

    Carter, Linnie S.; Duggan, Molly H.

    2011-01-01

    This descriptive study surveyed current, lapsed, and major gift donors to explore the impact of college communications on donors' decisions to contribute to the college, the likelihood of donor financial support for various college projects, and the philanthropic motivation profiles of the donors of a midsized, multicampus community college in…

  7. Kidney transplant outcomes from older deceased donors

    DEFF Research Database (Denmark)

    Pippias, Maria; Jager, Kitty J; Caskey, Fergus

    2018-01-01

    As the median age of deceased kidney donors rises, updated knowledge of transplant outcomes from older deceased donors in differing donor-recipient age groups is required. Using ERA-EDTA Registry data we determined survival outcomes of kidney allografts donated from the same older deceased donor ...

  8. Environmental Suitability for Leasing Property

    Science.gov (United States)

    This is a Memorandum of Understanding between the U.S. Environmental Protection Agency and the U.S. Department of Defense, regarding the procedures to determine environmental suitability for leasing property available as a result of a base closure or realignment.

  9. Landscape habitat suitability index software

    Science.gov (United States)

    William D. Dijak; Chadwick D. Rittenhouse; Michael A. Larson; Frank R. III Thompson; Joshua J. Millspaugh

    2007-01-01

    Habitat suitability index (HSI) models are traditionally used to evaluate habitat quality for wildlife at a local scale. Rarely have such models incorporated spatial relationships of habitat components. We introduce Landscape HSImodels, a new Microsoft Windowst (Microsoft, Redmond, WA)-based program that incorporates local habitat as well as landscape-scale attributes...

  10. Healthy donor effect: its magnitude in health research among blood donors.

    NARCIS (Netherlands)

    Atsma, F.; Veldhuizen, I.; Verbeek, A.L.M.; Kort, W. de; Vegt, F. de

    2011-01-01

    BACKGROUND: The healthy donor effect has been mentioned as a methodologic problem in blood donor health research. The aim of this study was to investigate different elements of the healthy donor effect. STUDY DESIGN AND METHODS: First, recent donors (<4 years registered as a donor) were compared

  11. [Factors impacting yield of CD34(+) cells from healthy donors mobilized with rhG-CSF].

    Science.gov (United States)

    Zhu, Ling; Zhou, Li-Kun; Xue, Mei; Yan, Hong-Min; Liu, Jing; Wang, Zhi-Dong; Ding, Li; Wang, Heng-Xiang

    2009-12-01

    This study was aimed to explore the effect of donor characteristics (age, sex and so on.) on CD34(+) cell yields in apheresis from healthy donors mobilized by recombinant granulocyte colony-stimulating factor(rhG-CSF). In 61 healthy donors, the characteristics associated with CD34(+) cell yield were analysed. The relationship between the CD34(+) cell yields and donor characteristics was statistically assessed with multivariate forward, backward and stepwise regression methods. A variety of parameters were analyzed which included donor age, sex, weight, height, body mass index (BMI) and time for collection of peripheral blood apheresis, while the mean number of peripheral blood mononuclear cells (MNCs), CD34(+) cell count, CD34(+) cell proportion based on MNC and CD34(+) cell count per kg of donor weight were used as the variables. The results showed that age of donors was the main factor impacting CD34(+) cell yields (-0.60 donors could reach the peak CD34(+) cell yields. It is concluded that the age of the donors is the first factor determining the choice of donors for allogeneic hematopoietic stem cell transplantation, the sex, height, weight and BMI are secondary factors impacting yield of CD34(+) cells from donors mobilized with rhG-CSF.

  12. HIV screening practices for living organ donors, New York State, 2010: need for standard policies.

    Science.gov (United States)

    Kwan, Candice K; Al-Samarrai, Teeb; Smith, Lou C; Sabharwal, Charulata J; Valente, Kim A; Torian, Lucia V; McMurdo, Lisa M; Shepard, Colin W; Brooks, John T; Kuehnert, Matthew J

    2012-10-01

    Our survey of kidney and liver transplant centers in New York State found a wide variation among transplant centers in evaluation and screening for HIV risk and infection among prospective living donors. Survey results underscore the need to standardize practices. A recent transmission of human immunodeficiency virus (HIV) from a living donor to a kidney recipient revealed a possible limitation in existing screening protocols for HIV infection in living donors. We surveyed kidney and liver transplant centers (N = 18) in New York State to assess HIV screening protocols for living donors. Although most transplant centers evaluated HIV risk behaviors in living donors, evaluation practices varied widely, as did the extent of HIV testing and prevention counseling. All centers screened living donors for serologic evidence of HIV infection, either during initial evaluation or ≥1 month before surgery; however, only 50% of transplant centers repeated HIV testing within 14 days before surgery for all donors or donors with specific risk behaviors. Forty-four percent of transplant centers used HIV nucleic acid testing (NAT) to screen either all donors or donors with recognized risk behaviors, and 55% never performed HIV NAT. Results suggest the need to standardize evaluation of HIV risk behaviors and prevention counseling in New York State to prevent acquisition of HIV by prospective living organ donors, and to conduct HIV antibody testing and NAT as close to the time of donation as possible to prevent HIV transmission to recipients.

  13. [Living donor transplantation. Surgical complications].

    Science.gov (United States)

    Karam, Georges

    2008-02-01

    Although nephrectomy by open surgery is the most used technique for the extraction of kidney transplants in the living donor, nephrectomy under laparaoscopy is increasingly practiced. Laparoscopic nephrectomy is less invasive and performed under videoscopy control, after insufflation of the peritoneal cavity. Three to four incisions are done in order to enter the surgical instruments. The kidney is extracted through a horizontal sus-pubic incision. The exposition is either exclusively transperitoneal, retroperitoneal or hand assisted. The advantages of laparoscopy are esthetical, financial due to a shorter hospitalisation and a quicker recovery, as well a confort for the donor. The disadvantages are a longer warm ischemia time and possibly a higher risk of delayed graft function. Randomised studies having compared laparoscopy and open surgery in the living donor have not find any significant difference regarding the per- and perioperative in the complications.

  14. Successful combined liver/kidney transplantation from a donor with Pompe disease.

    Science.gov (United States)

    Halldorson, J; Kazi, Z; Mekeel, K; Kuo, A; Hassanein, T; Loomba, R; Austin, S; Valasek, M A; Kishnani, P; Hemming, A W

    2015-08-01

    Pompe disease results from inherited deficiency of the enzyme acid alpha-glucosidase resulting in lysosomal accumulation of glycogen primarily in skeletal muscle. Reported is the first case in which a donor with late onset Pompe disease (LOPD) was successfully used for deceased donor liver and kidney transplantation. This case demonstrates co-operative transplant surgery and genetic medicine evaluation and risk estimation for donors with inherited metabolic disorders some of which may be suitable for donation of selected organs for transplantation. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Evaluation of Agricultural Land Suitability: Application of Fuzzy Indicators

    Science.gov (United States)

    The problem of evaluation of agricultural land suitability is considered as a fuzzy modeling task. The application of individual fuzzy indicators provides an opportunity for assessment of lsand suitability of lands as degree or grade of performance when the lands are used for agricultural purposes....

  16. Groundwater Suitability for Irrigation: a Case Study from Debre ...

    African Journals Online (AJOL)

    The present paper tries to assess groundwater suitability for irrigation purpose in Debre Kidane Watershed (45.09 km2), northern Ethiopia. The goal was to evaluate the suitability of the groundwater for irrigation, examine the water types and to investigate possible long and short term impact on groundwater quality. Thirty six ...

  17. Descemet membrane adhesion strength is greater in diabetics with advanced disease compared to healthy donor corneas.

    Science.gov (United States)

    Schwarz, Chaid; Aldrich, Benjamin T; Burckart, Kimberlee A; Schmidt, Gregory A; Zimmerman, M Bridget; Reed, Cynthia R; Greiner, Mark A; Sander, Edward A

    2016-12-01

    Descemet membrane endothelial keratoplasty (DMEK) is an increasingly popular surgical procedure for treating ocular diseases that require a corneal transplant. Previous studies have found that tissue tearing during surgical preparation is more likely elevated in eyes from donors with a history of diabetes mellitus. To quantify these potential differences, we established an experimental technique for quantifying the force required to separate the endothelium-Descemet membrane complex (EDM) from stroma in human donor corneal tissue, and we assessed differences in adhesion strength between diabetic and non-diabetic donor corneas. Transplant suitable corneas were obtained from 23 donors 50-75 years old with an average preservation to assay time of 11.5 days. Corneas were classified from a medical records review as non-diabetic (ND, n = 9), diabetic without evidence of advanced disease (NAD, n = 8), or diabetic with evidence of advanced disease (AD, n = 10). Corneas were sectioned into 3 mm wide strips and the EDM peeled from the stroma. Using the force-extension data obtained from mechanical peel testing, EDM elastic peel tension (TE), elastic stiffness (SE), average delamination tension (TD), and maximum tension (TMAX) were calculated. Mean TE, SE, TD, and TMAX values for ND corneas were 0.78 ± 0.07 mN/mm, 0.37 ± 0.05 mN/mm/mm, 0.78 ± 0.08 mN/mm, and 0.94 ± 0.17 mN/mm, respectively. NAD values did not differ significantly. However, AD values for TE (1.01 ± 0.18 mN/mm), TD (1.09 ± 0.21 mN/mm), and TMAX (1.37 ± 0.24 mN/mm) were greater than ND and NAD corneas (P donor corneal tissue. Results of this study provide a foundation for further investigations into the impact of diabetes on the posterior cornea, eye banking, and keratoplasty. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. Iran's Land Suitability for Agriculture.

    Science.gov (United States)

    Mesgaran, Mohsen B; Madani, Kaveh; Hashemi, Hossein; Azadi, Pooya

    2017-08-09

    Increasing population has posed insurmountable challenges to agriculture in the provision of future food security, particularly in the Middle East and North Africa (MENA) region where biophysical conditions are not well-suited for agriculture. Iran, as a major agricultural country in the MENA region, has long been in the quest for food self-sufficiency, however, the capability of its land and water resources to realize this goal is largely unknown. Using very high-resolution spatial data sets, we evaluated the capacity of Iran's land for sustainable crop production based on the soil properties, topography, and climate conditions. We classified Iran's land suitability for cropping as (million ha): very good 0.4% (0.6), good 2.2% (3.6), medium 7.9% (12.8), poor 11.4% (18.5), very poor 6.3% (10.2), unsuitable 60.0% (97.4), and excluded areas 11.9% (19.3). In addition to overarching limitations caused by low precipitation, low soil organic carbon, steep slope, and high soil sodium content were the predominant soil and terrain factors limiting the agricultural land suitability in Iran. About 50% of the Iran's existing croplands are located in low-quality lands, representing an unsustainable practice. There is little room for cropland expansion to increase production but redistribution of cropland to more suitable areas may improve sustainability and reduce pressure on water resources, land, and ecosystem in Iran.

  19. Attitudes towards organ donor advocacy among Swedish intensive care nurses.

    Science.gov (United States)

    Forsberg, Anna; Lennerling, Annette; Fridh, Isabell; Rizell, Magnus; Lovén, Charlotte; Flodén, Anne

    2015-05-01

    To explore the attitudes of Swedish intensive care nurses towards organ donor advocacy. The concept of organ donor advocacy is critical to nurses who care for potential donors in order to facilitate organ donation (OD). A retrospective cross-sectional study was employed. Inclusion criteria in this survey were to be a registered nurse and to work in a Swedish intensive care unit (ICU). Participants were identified by the Swedish association of health professionals. A number of 502 Swedish ICU nurses answered the 32-item questionnaire Attitudes Towards Organ Donor Advocacy Scale (ATODAS), covering the five dimensions of organ donor advocacy: attitudes towards championing organ donation at a structural hospital level, or at a political and research level, attitudes towards actively and personally safeguarding the will and wishes of the potential organ donor, or by using a more professional approach and finally to safeguard the will and wishes of the relatives. Data were analysed with the SPSS version 18·0 and the results were assessed by using Student's t-test and post hoc test, analysis of variance (ANOVA), χ(2) , Pearson's correlation and regression analysis. The most favoured advocacy action was safeguarding the POD's will and wishes by a professional approach, closely followed by actively and personally safeguarding the POD's will and wishes. Nurses at local hospitals reported a more positive attitude towards organ donor advocacy overall compared with nurses at larger regional or university hospitals. Important factors leading to positive attitudes were seniority, working experience, participating in conversations with relatives, caring for brain-dead persons and private experiences from OD or organ transplantation. Intensive and critical care nurses with short working experience in university hospitals showed the least positive attitude towards organ donor advocacy. This is problematic because many ODs and all transplantations are performed in university

  20. Nitric oxide donors for the treatment of preterm labour.

    Science.gov (United States)

    Duckitt, K; Thornton, S

    2002-01-01

    A number of tocolytics have been advocated for the treatment of threatened preterm labour in order to delay delivery. The rationale is that a delay in delivery may be associated with improved neonatal morbidity or mortality. Nitric oxide donors, such as nitroglycerin, have been used to relax the uterus. This review addresses their efficacy, side effects and influence on neonatal outcome. To determine whether nitric oxide donors administered in threatened preterm labour are associated with a delay in delivery, adverse side effects or improved neonatal outcome. A comprehensive search of the Cochrane Pregnancy and Childbirth Group trials register (March 2002) and the Cochrane Controlled Trials Register (The Cochrane Library, Issue 1, 2002) was undertaken. Randomised controlled trials of nitric oxide donors administered for tocolysis. Trial quality assessment and data extraction were done independently by two reviewers. Five randomised controlled trials (466 women) were included. Nitroglycerine was the NO donor used in all these trials. Nitric oxide donors did not delay delivery nor improve neonatal outcome when compared with placebo, no treatment or alternative tocolytics such as ritodrine, albuterol and magnesium sulphate. There was, however, a reduction in number of deliveries less than 37 weeks when compared with alternative tocolytics but the numbers of deliveries before 32 and 34 weeks were not influenced. Side effects (other than headache) were reduced in women who received nitric oxide donors rather than other tocolytics. However, women were significantly more likely to experience headache when NO donors had been used. There is currently insufficient evidence to support the routine administration of nitric oxide donors in the treatment of threatened preterm labour.

  1. Liver transplant using octogenarian donors

    National Research Council Canada - National Science Library

    Ferla, Fabio; De Carlis, Riccardo; Mariani, Anna; De Carlis, Luciano

    2016-01-01

    ... that liver transplantations (LTs) from octogenarian donors increased constantly between 2001 (3.5%) and 2010 (16.1%); this result is consistent with data from Spain and from the European Liver Transplant Registry. In our series (1571 liver transplants performed between December 1985 and December 2015), the first LT with an octogenarian do...

  2. Comparison of three noninvasive methods for hemoglobin screening of blood donors.

    Science.gov (United States)

    Ardin, Sergey; Störmer, Melanie; Radojska, Stela; Oustianskaia, Larissa; Hahn, Moritz; Gathof, Birgit S

    2015-02-01

    To prevent phlebotomy of anemic individuals and to ensure hemoglobin (Hb) content of the blood units, Hb screening of blood donors before donation is essential. Hb values are mostly evaluated by measurement of capillary blood obtained from fingerstick. Rapid noninvasive methods have recently become available and may be preferred by donors and staff. The aim of this study was to evaluate for the first time all different noninvasive methods for Hb screening. Blood donors were screened for Hb levels in three different trials using three different noninvasive methods (Haemospect [MBR Optical Systems GmbH & Co. KG], NBM 200 [LMB Technology GmbH], Pronto-7 [Masimo Europe Ltd]) in comparison to the established fingerstick method (CompoLab Hb [Fresenius Kabi GmbH]) and to levels obtained from venous samples on a cell counter (Sysmex [Sysmex Europe GmbH]) as reference. The usability of the noninvasive methods was assessed with an especially developed survey. Technical failures occurred by using the Pronto-7 due to nail polish, skin color, or ambient light. The NBM 200 also showed a high sensitivity to ambient light and noticeably lower Hb levels for women than obtained from the Sysmex. The statistical analysis showed the following bias and standard deviation of differences of all methods in comparison to the venous results: Haemospect, -0.22 ± 1.24; NBM, 200 -0.12 ± 1.14; Pronto-7, -0.50 ± 0.99; and CompoLab Hb, -0.53 ± 0.81. Noninvasive Hb tests represent an attractive alternative by eliminating pain and reducing risks of blood contamination. The main problem for generating reliable results seems to be preanalytical variability in sampling. Despite the sensitivity to environmental stress, all methods are suitable for Hb measurement. © 2014 AABB.

  3. Should living kidney donors with hypertension be considered for organ donation?

    Science.gov (United States)

    Townsend, Raymond R; Reese, Peter P; Lim, Mary Ann

    2015-11-01

    The large number of end-stage kidney disease patients waiting for a kidney transplant often means years of delay before a suitable organ becomes available. Living kidney donors are one way to circumvent such long waiting times, and the desire to increase the pool of living kidney donors has allowed the selection of donors with hypertension. Hypertensive kidney donors, despite having larger glomeruli, and fewer glomeruli, particularly when over the age of 50 years, do well in follow-up. The data are mainly in white living kidney donors whose preexisting hypertension has been well controlled [blood pressure (BP) donation do as well as nonhypertensive donors as long they are older (age >50 years), nonobese (BMI 26-30 kg/m), and have no evidence of end-organ damage prior to donation. Although the data supporting long-term safety of nephrectomy in hypertensive donors are modest, small studies with short-term follow-up suggest no increase in the incidence of kidney disease or worsening of the control of hypertension in donors with a history of high BP.

  4. DONOR-TRANSMITTED CORONARY ATHEROSCLEROSIS

    Directory of Open Access Journals (Sweden)

    B. L. Mironkov

    2014-01-01

    Full Text Available Aim. To estimate opportunities, prospects and safety of using heart transplants from aged donors who are at high risk of coronary atherosclerosis.Materials and methods. Over the period from March 1987 to May 2014450 heart transplantations (HTx were performed in V.I.Shumakov Federal Research Center of Transplantology and Artifi cial Organs. During the fi rst month after HTx coronarography was made to 152 (37,8% recipients inorder to exclude/confi rm donor-transmitted coronary atherosclerosis (DTCA and to identify tactics of treatment. Coronary atherosclerosis was detected among 16 patients (3,6% of total number of HTx, 15 (93,8% men and 1 (6,2% women. Mean age of recipients with DTCA at the moment of HTx was 48,3 ± 13,1 years.Results. Hemodynamically relevant coronary atherosclerosis was not detected and percutaneous coronary intervention (PCI was not made in the group of patients with the mean age of 42,24 ± 8,91 years. Using heart transplants from aged donors is connected with increasing risk of DTCA among the recipients. DTCA-dependent PCI is not connected with coronary mortality. Actuarial survival rate of patients who underwent PCI is comparable with the same one in the total population of HTx recipients and is equal to 87,5% at 5 years and less.Conclusion. Hearts from aged donors (older than 50 years may be used for HTx with suffi cient level of safety. Due to high level of DTCA using of hearts from such donors is preferable for completing urgent HTx to recipients 1А–В UNOS.

  5. The Stem Cell Club: a model for unrelated stem cell donor recruitment.

    Science.gov (United States)

    Fingrut, Warren; Parmar, Simran; Cuperfain, Ari; Rikhraj, Kiran; Charman, Erin; Ptak, Emilie; Kahlon, Manjot; Graham, Alice; Luong, Susan; Wang, Yongjun George; Yu, Janice; Arora, Neha; Suppiah, Roopa; Li, Edward W; Lee, Anna; Welsh, Christopher; Benzaquen, Menachem; Thatcher, Alicia; Baharmand, Iman; Ladd, Aedan; Petraszko, Tanya; Allan, David; Messner, Hans

    2017-12-01

    Patients with blood, immune, or metabolic diseases may require a stem cell transplant as part of their treatment. However, 70% of patients do not have a suitable human leukocyte antigen match in their family, and need an unrelated donor. Individuals can register as potential donors at stem cell drives, where they provide consent and a tissue sample for human leukocyte antigen typing. The ideal donors are young, male, and from a diversity of ethnic backgrounds. However, in Canada, non-Caucasian males ages 17 to 35 years represent only 8.8% of listed donors. The Stem Cell Club is a non-profit organization founded in 2011 in Canada that aims to augment recruitment of the most needed donors. The initiative published a recruitment toolkit online (www.stemcellclub.ca). Currently, there are 12 chapters at universities across Canada. To date, the Stem Cell Club has recruited 6585 potential registrants, representing 1.63% of donors on Canada's donor-database. Of the recruited registrants, 58.3% were male; 60.3% of males self-reported as non-Caucasian, and 78.5% were ages 17 to 25 years. From 2015 to 2016, the initiative recruited 13.7% of all ethnically diverse males ages 17 to 35 years listed in Canada's donor database. Data from this initiative demonstrate sustainability and performance on key indicators of stem cell drive quality. The Stem Cell Club has developed a capacity to recruit 2600 donors annually, with the majority being males with a high degree of ethnic diversity. The initiative enhances the quality of Canada's unrelated donor-database, improving the chances that patients in need of an unrelated donor will find a match for transplant. The Stem Cell Club is a model relevant to recruitment organizations around the world. © 2017 AABB.

  6. Donor anxiety, needle pain, and syncopal reactions combine to determine retention: a path analysis of two-year donor return data.

    Science.gov (United States)

    France, Christopher R; France, Janis L; Wissel, Mary Ellen; Ditto, Blaine; Dickert, Tara; Himawan, Lina K

    2013-09-01

    Efforts to expand the donor pool by recruiting younger donors have resulted in higher numbers of initial donations, but retention of young donors continues to be challenging. Path analysis was used to examine the simultaneous relationships among syncopal reactions, donation anxiety, needle pain, donor satisfaction, and donation intention in predicting repeat donation. Participants included 421 first- and second-time donors recruited for a study comparing the effects of predonation water loading with and without the use of applied muscle tension during donation (52% female, 60.8% first-time donor, mean age 20.3 years). For this longitudinal follow-up study, donor database records were accessed 2 years after the index donation to assess repeat donation. Results of a series of path analyses demonstrated the influential role of donor anxiety in shaping donor retention (final model χ(2) = 35.75, root mean square error of approximation 0.03, comparative fit index 0.98, weighted root mean square residual 0.74). First, anxiety exerted a direct negative influence on donation intention, the proximal and sole direct predictor of repeat donation. Second, anxiety increased the likelihood of donor-reported needle pain, adversely affecting donation satisfaction and, subsequently, donation intention. Finally, anxiety was associated with donor ratings of syncopal reactions through its impact on needle pain, which also contributed to decreased donation intention. These results provide novel evidence that donation anxiety plays a central role in shaping future donation behavior. Individual differences in anxiety must be considered when developing and testing strategies to enhance blood donor retention. © 2013 American Association of Blood Banks.

  7. Psychosocial counselling of identifiable sperm donors.

    Science.gov (United States)

    Visser, M; Mochtar, M H; de Melker, A A; van der Veen, F; Repping, S; Gerrits, T

    2016-05-01

    What do identifiable sperm donors feel about psychosocial counselling? Identifiable sperm donors found it important that psychosocial counselling focused on emotional consequences and on rules and regulations and they expected to have access to psychosocial counselling at the time that donor-offspring actually sought contact. Most studies on sperm donors are on anonymous donors and focus on recruitment, financial compensation, anonymity and motivations. There is limited knowledge on the value that identifiable sperm donors place on psychosocial counselling and what their needs are in this respect. We performed a qualitative study from March until June 2014 with 25 identifiable sperm donors, who were or had been a donor at the Centre for Reproductive Medicine of the Academic Medical Centre in Amsterdam any time between 1989 and 2014. We held semi-structured in-depth interviews with identifiable sperm donors with an average age of 44 years. The interviews were fully transcribed and analysed using the constant comparative method of grounded theory. Twelve out of 15 donors (former donors ITALIC! n = 8, active donors ITALIC! n = 7) who had received a counselling session during their intake procedure found it important that they had been able to talk about issues such as the emotional consequences of donation, disclosure to their own children, family and friends, future contact with donor-offspring and rules and regulations. Of the 10 former donors who had received no counselling session, 8 had regretted the lack of intensive counselling. In the years following their donation, most donors simply wanted to know how many offspring had been born using their sperm and had no need for further counselling. Nevertheless, they frequently mentioned that they were concerned about the well-being of 'their' offspring. In addition, they would value the availability of psychosocial counselling in the event that donor-offspring actually sought contact. A limitation of our study is its

  8. Survey of body donation programs in the US concerning the use of donor personal information with medical students.

    Science.gov (United States)

    Gerwer, Johanna; Gest, Thomas R

    2017-05-01

    Body donor programs need to balance ethical concerns and educational needs. Among donor programs in the US, there is variability in the amount of donor personal information that is provided to medical students. This study assesses this variability and investigates the reasons for the variability among donor programs. Telephone interviews and email surveys were used to collect information concerning the provision and use of donor personal information with medical students. One hundred fifty-one donor programs in the US were contacted via email or telephone interview or both. Fifty-three donor programs responded to the survey or participated in the telephone interview. The survey results show variation, not only in the amount of donor personal information provided to medical students, but also in the attitudes and beliefs of the donor program personnel concerning donor personal information. This research documents the variability of the educational use of donor personal information. It is hoped that this description of the various approaches to using donor information will encourage the ethical use of donor information within the context of medical education. Clin. Anat. 30:445-449, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  9. Context and social perceptions of blood donation in donors found positive for human immunodeficiency virus in France.

    Science.gov (United States)

    Duquesnoy, Alice; Danic, Bruno; Santos, Aurélie; Martinaud, Christophe; Woimant, Geneviève; Laperche, Syria; Tiberghien, Pierre; Jauffret-Roustide, Marie; Pillonel, Josiane

    2017-09-01

    In France, information collected during postdonation interviews showed that a majority of human immunodeficiency virus (HIV)-infected donors were not eligible to donate as per donor selection criteria. In the interest of blood safety, this study aimed to explore the mechanisms of noncompliance with blood donor selection criteria, notably the permanent deferral of men who have sex with men (MSM). Semistructured individual interviews were conducted with 32 blood donors found positive for HIV between mid-2011 and 2014. Topics such as the experience and motivations for donating blood, understanding of selection criteria, sexual risk management, and opinions on donor selection were discussed. Transcripts were analyzed inductively. More than 50% of study participants were noncompliant with donor selection criteria. Reasons for nondisclosure of risk factors in the predonation questionnaire or the predonation interview included stigma, test-seeking motivations, symbolic attachment to blood donation, and context of donation. Compliance to donor criteria was seen as secondary by donors who reaped personal benefits from the symbolism of their donation. Donors lacked self-reflexivity in their assessment of risky sexual behavior. The "window period" and the underlying epidemiologic arguments for donor selection criteria were poorly understood. Nearly all participants disapproved of the permanent ban on blood donations from MSM. This study demonstrated the need for more communication on the epidemiologic basis for donor selection criteria and on the window period to facilitate donor compliance. These findings have already advanced improvements to predonation documents, in a larger context of 2016 donor selection criteria revision. © 2017 AABB.

  10. Donors with a prior history of cardiac surgery are a viable source of lung allografts.

    Science.gov (United States)

    Costa, Joseph; Sreekanth, Sowmyashree; Kossar, Alex; Raza, Kashif; Robbins, Hilary; Shah, Lori; Sonett, Joshua R; Arcasoy, Selim; D'Ovidio, Frank

    2016-11-01

    End-stage lung disease continues to rise despite the lack of suitable lung donors, limiting the numbers of lung transplants performed each year. Expanded donor criteria, use of donation after cardiac death donors and the advent of ex vivo lung perfusion have resulted only in a slight increase in donor lung utilization. Organ donors with prior cardiac surgery (DPCS) present risks and technical challenges; however, they may be a potential source of suitable lung allografts with an experienced procurement surgeon. We present our experience having evaluated potential lung donors with a prior history of cardiac surgery, resulting in successful transplant outcomes. This is a single-institution retrospective review of brain-dead organ donors that were evaluated for lung donation in the period 2012-15. Donor and recipient characteristics were collected. Post-lung transplant survival was recorded. From 2012 to 2015, 259 donors were evaluated, 12 with a prior history of cardiac surgery of which 4 had coronary artery bypass, 3 had aortic root replacement, 2 had aortic valve replacement, 1 pulmonary embolectomy, 1 two-time reoperative valve replacement and 1 paediatric congenital ventricular septal defect repair. DPCS, 6/12 (50% dry run) provided suitable allografts generating six single-lung transplants (three right and three left, 1 donor provided twin single-lung transplants) and one double-lung transplant. Interval between cardiac surgery and procurement for those rejected was median 5840 (IQR 2350-8640) days and interval for the donors that provided allografts was median 438 (IQR 336-1095) days (Mann-Whitney, P = 0.07). Recipient 1-year survival from DPCS is 100%. Recipient 1-year survival was 92% in allografts explanted from donors with no prior cardiac surgery (2012-13). To date, this is the largest single-centre experience using lung allografts from brain-dead DPCS. Our experience shows despite predicted technical difficulties, with good communication between thoracic

  11. Associations of health status with subsequent blood donor behavior-An alternative perspective on the Healthy Donor Effect from Donor InSight

    NARCIS (Netherlands)

    van den Hurk, Katja; Zalpuri, Saurabh; Prinsze, Femmeke J.; Merz, Eva-Maria; de Kort, Wim L. A. M.

    2017-01-01

    In donor health research, the 'Healthy Donor Effect' (HDE) often biases study results and hampers their interpretation. This refers to the fact that donors are a selected 'healthier' subset of a population due to both donor selection procedures and self-selection. Donors with long versus short donor

  12. Becoming a Blood Stem Cell Donor

    Medline Plus

    Full Text Available ... free Find out why Close Becoming a Blood Stem Cell Donor NCIcancertopics Loading... Unsubscribe from NCIcancertopics? Cancel Unsubscribe ... Ever considered becoming a bone marrow or blood stem cell donor? Follow this true story of a former ...

  13. Becoming a Blood Stem Cell Donor

    Science.gov (United States)

    ... total__ Find out why Close Becoming a Blood Stem Cell Donor NCIcancertopics Loading... Unsubscribe from NCIcancertopics? Cancel Unsubscribe ... Ever considered becoming a bone marrow or blood stem cell donor? Follow this true story of a former ...

  14. Becoming a Blood Stem Cell Donor

    Medline Plus

    Full Text Available ... total__ Find out why Close Becoming a Blood Stem Cell Donor NCIcancertopics Loading... Unsubscribe from NCIcancertopics? Cancel Unsubscribe ... Ever considered becoming a bone marrow or blood stem cell donor? Follow this true story of a former ...

  15. Becoming a Blood Stem Cell Donor

    Medline Plus

    Full Text Available ... total__ Find out why Close Becoming a Blood Stem Cell Donor NCIcancertopics Loading... Unsubscribe from NCIcancertopics? Cancel ... Ever considered becoming a bone marrow or blood stem cell donor? Follow this true story of a ...

  16. Psychosocial counselling of identifiable sperm donors

    NARCIS (Netherlands)

    Visser, M.; Mochtar, M.H.; de Melker, A.A.; van der Veen, F.; Repping, S.; Gerrits, T.

    2016-01-01

    STUDY QUESTION: What do identifiable sperm donors feel about psychosocial counselling? SUMMARY ANSWER: Identifiable sperm donors found it important that psychosocial counselling focused on emotional consequences and on rules and regulations and they expected to have access to psychosocial

  17. Becoming a Blood Stem Cell Donor

    Medline Plus

    Full Text Available ... Find out why Close Becoming a Blood Stem Cell Donor NCIcancertopics Loading... Unsubscribe from NCIcancertopics? Cancel Unsubscribe ... considered becoming a bone marrow or blood stem cell donor? Follow this true story of a former ...

  18. Becoming a Blood Stem Cell Donor

    Medline Plus

    Full Text Available ... count__/__total__ Find out why Close Becoming a Blood Stem Cell Donor NCIcancertopics Loading... Unsubscribe from NCIcancertopics? ... 2011 Ever considered becoming a bone marrow or blood stem cell donor? Follow this true story of ...

  19. Becoming a Blood Stem Cell Donor

    Medline Plus

    Full Text Available ... it free Find out why Close Becoming a Blood Stem Cell Donor NCIcancertopics Loading... Unsubscribe from NCIcancertopics? ... 2011 Ever considered becoming a bone marrow or blood stem cell donor? Follow this true story of ...

  20. Predictors of having a potential live donor: a prospective cohort study of kidney transplant candidates

    Science.gov (United States)

    Reese, Peter P.; Shea, Judy A.; Bloom, Roy D.; Berns, Jeffrey S.; Grossman, Robert; Joffe, Marshall; Huverserian, Ari; Feldman, Harold I.

    2010-01-01

    The barriers to live donor transplantation are poorly understood. We performed a prospective cohort study of individuals undergoing renal transplant evaluation. Participants completed a questionnaire that assessed clinical characteristics as well as knowledge and beliefs about transplantation. A participant satisfied the primary outcome if anyone contacted the transplant center to be considered as a live donor for that participant. The final cohort comprised 203 transplant candidates, among whom 80 (39.4%) had a potential donor contact the center and 19 (9.4%) underwent live donor transplantation. In multivariable logistic regression, younger candidates (OR 1.65 per 10 fewer years, p=$15,000 (OR 4.22, p=0.03) were more likely to attract a potential live donor. Greater self-efficacy, a measure of the participant’s belief in his or her ability to attract a donor, was a predictor of having a potential live donor contact the center (OR 2.73 per point, p<0.01), while knowledge was not (p=0.56). The lack of association between knowledge and having a potential donor suggests that more intensive education of transplant candidates will not increase live donor transplantation. On the other hand, self-efficacy may be an important target in designing interventions to help candidates find live donors. PMID:19845584

  1. Assessment of the best N(3-) donors in preparation of [M(N)(PNP)]-based (M=(99m)Tc-; (188)Re) target-specific radiopharmaceuticals: Comparison among succinic dihydrazide (SDH), N-methyl-S-methyl dithiocarbazate (HDTCZ) and PEGylated N-methyl-S-methyl dithiocarbazate (HO2C-PEG600-DTCZ).

    Science.gov (United States)

    Carta, Davide; Jentschel, Christian; Thieme, Stefan; Salvarese, Nicola; Morellato, Nicolò; Refosco, Fiorenzo; Ruzza, Paolo; Bergmann, Ralf; Pietzsch, Hans-Jurgen; Bolzati, Cristina

    2014-08-01

    Succinic dihydrazide (SDH), N-methyl-S-methyl dithiocarbazate (HDTCZ) and PEGylated N-methyl-S-methyl dithiocarbazate (HO2C-PEG600-DTCZ) are nitrido nitrogen atom donors employed for the preparation of nitride [M(N)]-complexes (M=(99m)Tc and (188)Re). This study aims to compare the capability and the efficiency of these three N(3-) group donors, in the preparation of [M(N)PNP]-based target-specific compounds (M=(99m)Tc, (188)Re; PNP=aminodiphosphine). For this purpose, three different kit formulations (SDH kit; HO2C-PEG600-DTCZ kit; HDTCZ kit) were assembled and used in the preparation of [M(N)(cys~)(PNP3)](0/+) complexes (cys~=cysteine derivate ligands). For each formulation, the radiochemical yield (RCY) of the [M(N)(~cys)(PNP3)] compounds, was determined by HPLC. The deviation of the percentage of RCY, due to changes in concentration of the N(3-) donors and of the exchanging ligand, was determined. For (99m)Tc, data clearly show that HDTCZ is the most efficient donor of N(3-); however, SDH is the most suitable nitrido nitrogen atom donor for the preparation of [(99m)Tc(N)(PNP)]-based target-specific agents with high specific activity. When HO2C-PEG600-DTCZ or HDTCZ are used in N(3-) donation, high amounts of the exchanging ligand (10(-4)M) were required for the formation of the final complex in acceptable yield. The possibility to use microgram amounts of HDTCZ also in [(188)Re(N)] preparation (0.050mg) reduces its ability to compete in ligand exchange reactions, minimizing the quantity of chelators required to obtain the final complex in high yield. This finding can be exploit for increasing the radiolabeling efficiency in [(188)Re(N)]-radiopharmaceutical preparations compared to the previously reported HDTCZ-based procedure, notwithstanding a purification process could be necessary to improve the specific activity of the complexes. Copyright © 2014 Elsevier Inc. All rights reserved.

  2. Tele-recruitment for Donor Retention

    OpenAIRE

    Agrawal, Amit; Tiwari, A.

    2012-01-01

    Blood transfusion services are the integral part of health care system and these services have safe blood transfusion as the major goal. Voluntary blood donation is the key to safe blood and this safety is further enhanced when the voluntary blood donors become repeat/regular donors. Retention of donors is therefore a very crucial strategy to ensure enhanced blood safety. Tele-recruitment is an effective medium of recruiting and more importantly retaining donors via means of telephone/Short M...

  3. Hearing aid user guides: suitability for older adults.

    Science.gov (United States)

    Caposecco, Andrea; Hickson, Louise; Meyer, Carly

    2014-02-01

    The aim of this study was to analyse the content, design, and readability of printed hearing aid user guides to determine their suitability for older adults, who are the main users of hearing aids. Hearing aid user guides were assessed using four readability formulae and a standardized tool to assess content and design (SAM - Suitability Assessment of Materials). A sample of 36 hearing aid user guides (four user guides from nine different hearing aid manufacturers) were analysed. Sixty nine percent of user guides were rated 'not suitable' and 31% were rated 'adequate' for their suitability. Many scored poorly for scope, vocabulary, aspects of layout and typography, and learning stimulation and motivation. The mean reading grade level for all user guides was grade 9.6 which is too high for older adults. The content, design, and readability of hearing aid user guides are not optimal for older adults and thus may serve as a barrier to successful hearing aid outcomes for this population.

  4. Identification of process suitable diluent

    Energy Technology Data Exchange (ETDEWEB)

    Dean R. Peterman

    2014-01-01

    The Sigma Team for Minor Actinide Separation (STMAS) was formed within the USDOE Fuel Cycle Research and Development (FCRD) program in order to develop more efficient methods for the separation of americium and other minor actinides (MA) from used nuclear fuel. The development of processes for MA separations is driven by the potential benefits; reduced long-term radiotoxicty of waste placed in a geologic repository, reduced timeframe of waste storage, reduced repository heat load, the possibility of increased repository capacity, and increased utilization of energy potential of used nuclear fuel. The research conducted within the STMAS framework is focused upon the realization of significant simplifications to aqueous recycle processes proposed for MA separations. This report describes the research efforts focused upon the identification of a process suitable diluent for a flowsheet concept for the separation of MA which is based upon the dithiophosphinic acid (DPAH) extractants previously developed at the Idaho National Laboratory (INL).

  5. Suitable footwear for enhanced safety

    CERN Document Server

    2004-01-01

    Safety shoes are the theme of a new safety campaign. Always remember that accidents can happen - even to your feet! When entering hazardous areas such as underground halls, work sites, experiment assembly sites, workshops etc., sandals, ordinary shoes or similar light footwear should not be worn. Whatever the risks to which you may be exposed, always think safety and wear suitable footwear, i.e. safety shoes, which have non-slip soles and steel reinforcements to protect your feet from being crushed, fractured or pierced. Is it serious, Doctor? "Some traumas resulting from foot-related accidents - open fractures for instance - can be quite serious," explains CERN Works Doctor Véronique Fassnacht. "But the most common injuries are sprained ankles sustained during simple falls caused by differences in floor-levels (e.g. false floors). Fractures, bruising, surface wounds or deep wounds caused by objects falling onto the top of the foot are also quite common." ...

  6. Spectroscopic Studies of the Electron Donor-Acceptor Interaction of ...

    African Journals Online (AJOL)

    Erah

    base-acid reaction between two or more different chemical constituents, preferably aromatic nucleus–based compounds with electron–rich centers and electron-deficient compounds. The formation of electron-donor- acceptor (EDA) complexes can be rapidly assessed for its validity as a simple quantitative analytical method ...

  7. Cancer in the organ donor

    OpenAIRE

    DETRY, Olivier

    2017-01-01

    Organ Donation and Cancer Pr Olivier Detry, Dpt of Abdominal Surgery and Transplantation, University of Liege The risk of transmission of cancer with the transplanted organ has been known since the pioneering years of solid organ transplantation, and is enhanced by immunosuppression and particularly the calcineurin inhibitors. Therefore, classically, potential organ donors with past history of cancer are excluded from donation, with the exception of low-grade malignant tumours of the...

  8. The role of affect in attitudes toward organ donation and donor-relevant decisions

    NARCIS (Netherlands)

    Berg, H. van de; Manstead, A.S.R.; Pligt, J. van der; Wigboldus, D.H.J.

    2005-01-01

    We argue that affect plays a vital role in attitudes toward organ donation and that reluctance to become an organ donor is likely to be related to the experience of affective ambivalence. Assessing the affect associated with organ donation could help to predict donor-relevant decisions. Results of a

  9. Helical CT angiography : A single imaging modality to evaluate a live renal donor

    Directory of Open Access Journals (Sweden)

    Waheed Zaman

    2002-01-01

    Conclusions: Helical CT angiography, which is highly specific for arterial and venous anatomy as well as other anatomical and functional details, can become the single imaging modality for preoperative assessment of poten-tial donors in place of conventional angiography and IVU. CTA, being minimally invasive and cost effective, is well accepted by a normal healthy donor

  10. Poor Acceptance Rate for Semen Donors to a Private Cryobank in ...

    African Journals Online (AJOL)

    A retrospective analysis of sixty one prospective donors who visited the cryobank in person from August 1999 to December 2001 was done. The study evaluated the acceptance rate of prospective semen donors and semen characteristics in order to assess the fertility potential of the supposedly normal population of young ...

  11. Risk Factors and Screening for Trypanosoma cruzi Infection of Dutch Blood Donors

    NARCIS (Netherlands)

    Slot, Ed; Hogema, Boris M.; Molier, Michel; Bart, Aldert; Zaaijer, Hans L.

    2016-01-01

    Blood donors unaware of Trypanosoma cruzi infection may donate infectious blood. Risk factors and the presence of T. cruzi antibodies in at-risk Dutch blood donors were studied to assess whether specific blood safety measures are warranted in the Netherlands. Birth in a country endemic for Chagas

  12. Long-term results after transplantation of pediatric liver grafts from donation after circulatory death donors

    NARCIS (Netherlands)

    van Rijn, Rianne; Hoogland, Pieter E. R.; Lehner, Frank; van Heurn, Ernest L. W.; Porte, Robert J.

    2017-01-01

    Background Liver grafts from donation after circulatory death (DCD) donors are increasingly accepted as an extension of the organ pool for transplantation. There is little data on the outcome of liver transplantation with DCD grafts from a pediatric donor. The objective of this study was to assess

  13. DCD lung donation : donor criteria, procedural criteria, pulmonary graft function validation, and preservation

    NARCIS (Netherlands)

    Erasmus, Michiel E.; van Raemdonck, Dirk; Akhtar, Mohammed Zeeshan; Neyrinck, Arne; de Antonio, David Gomez; Varela, Andreas; Dark, John

    In an era where there is a shortage of lungs for transplantation is increased utilization of lungs from donation after circulatory death (DCD) donors. We review the reports of 11 controlled and 1 uncontrolled DCD programs focusing on donor criteria, procedural criteria, graft assessment, and

  14. Hyperbilirubinemia in normal healthy donors

    Directory of Open Access Journals (Sweden)

    Arora Veena

    2009-01-01

    Full Text Available The present study was carried out in B.A.R.C. Hospital Blood Bank over a span of five years, and includes 2734 donors. All the bags were screened for HIV, HBsAg, HCV and VDRL and the plasma in the pilot tubes of the blood bags was observed to detect any abnormality in color. In 27 cases plasma was found to be icteric and liver function tests were carried out on these samples. Two donors showed higher SGPT level, and were excluded. No significant increases in liver enzymes were recorded in the others. Causes of icteric plasma in these apparently healthy donors are discussed. Differential diagnosis includes Gilbert′s disease, hemolytic anemia, drug-induced anemia and other hepatic causes of hyperbilirubinemia, of which Gilbert′s disease is most probable cause with a prevalence of 0.91% in our population. As there are no studies to document the safety of the recipients receiving such abnormal colored plasma as well as to document the hazards in its transfusion, the question arises whether to transfuse such units or not. This study highlights this dilemma. A reassessment of existing policies and regulations is merited.

  15. Evaluation of didactic suitability indicators from curricular orientations

    Directory of Open Access Journals (Sweden)

    Pedro Arteaga

    2012-12-01

    Full Text Available Assessment of didactic suitability of mathematics teaching and learning processes requires suitable instruments to guide and support it. This paper presents a methodology for progressive improvement of such instruments to evaluate the suitability of mathematical instruction processes based on the analysis of curricular orientations. Analysis units are classifi ed according to the facets and components proposed by the Didactic Suitability Theory to identify norms and suitability indicators,which are compared with the system proposed by this theory, in order to point out agreements and complementarities. This methodology is exemplified through its application to the principles and standards of the National Council of Teachers of Mathematics (NCTM in the statistics content area at the level K-8.

  16. The readability and suitability of sexual health promotion leaflets.

    Science.gov (United States)

    Corcoran, Nova; Ahmad, Fatuma

    2016-02-01

    To investigate the readability and suitability of sexual health promotion leaflets. Application of SMOG, FRY and SAM tests to assess the readability and suitability of a selection of sexual health leaflets. SMOG and FRY scores illustrate an average reading level of grade 9. SAM scores indicate that 59% of leaflets are superior in design and 41% are average in design. Leaflets generally perform well in the categories of content, literacy demand, typography and layout. They perform poorly in use of graphics, learning stimulation/motivation and cultural appropriateness. Sexual health leaflets have a reading level that is too high. Leaflets perform well on the suitability scores indicating they are reasonably suitable. There are a number of areas where sexual health leaflets could improve their design. Numerous practical techniques are suggested for improving the readability and suitability of sexual health leaflets. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  17. The risk of cancer in recipients of living-donor, standard and expanded criteria deceased donor kidney transplants: a registry analysis.

    Science.gov (United States)

    Ma, Maggie K M; Lim, Wai H; Turner, Robin M; Chapman, Jeremy R; Craig, Jonathan C; Wong, Germaine

    2014-12-27

    Kidneys from expanded criteria deceased donors may elicit a strong inflammatory response, predisposing recipients to an increased risk of cancer after transplantation. We aimed to determine the association between donor types and cancer risk after kidney transplantation. Using the Australian and New Zealand Dialysis and Transplant Registry, we assessed the association between different donor types (living donor, standard, and expanded criteria deceased donors) and the risk of cancer after kidney transplantation using adjusted Cox proportional hazard and competing risk models. Over a median follow-up period of 4.4 years in 7,040 patients (34,684 patient-years), 468 patients (6.6%) developed cancer. The overall risks for cancer were 1,080, 1,444, and 2,018 per 100,000 patient-years for recipients of living donor, standard, and expanded criteria deceased donor kidneys, respectively. Compared to recipients of living-donor kidneys, recipients of expanded criteria deceased donor kidneys were at an increased risk of cancer (adjusted hazard ratio [HR], 1.52; 95% confidence interval [95% CI], 1.15-2.02; P = 0.004), particularly for genitourinary cancer (adjusted HR, 1.79; 95% CI, 1.03-3.10; P = 0.038) and post-transplant lymphoproliferative disease (adjusted HR, 2.72; 95% CI, 1.38-5.37; P = 0.004). Recipients of expanded criteria deceased donor kidneys are at substantially increased risk of cancer, especially cancers with a viral etiology. Allocation of expanded criteria deceased donor kidneys to potential recipients should balance the harms, such as the excess risk of cancer against the survival gains and quality-of-life benefits associated with transplantation.

  18. Exploring the pattern of blood donor beliefs in first-time, novice, and experienced donors: differentiating reluctant altruism, pure altruism, impure altruism, and warm glow.

    Science.gov (United States)

    Ferguson, Eamonn; Atsma, Femke; de Kort, Wim; Veldhuizen, Ingrid

    2012-02-01

    Using constructs from the Theory of Planned Behavior and theories of altruism, this article explores how multiple motivations and beliefs for blood donation are clustered and change across the donor career. In so doing important distinctions, for blood donation, between impure altruism, pure altruism, and warm glow are explored. Measures of intentions, cognitive and affective attitudes, role merger, pure altruism, trust, self-efficacy, subjective and moral norms, and habit formation were assessed in a sample of 12,580 whole blood donors. Analyses showed that a distinction between first-time, novice (one to four donations), and experienced donors (five or more donations) is justified. Principal components analysis and confirmatory factor analytic Multiple-Indicator Multiple-Causal models were used to compare models across these groups. A cognition-behavior (CB) factor, including intentions, was common to all groups. First-time and novice donors were marked by a newly identified motivational factor: "reluctant altruism" (i.e., the motivation to donate because of a lack of trust in others). First-time donors exhibited an impure altruism factor whereas for experienced donors warm glow and pure altruism factors were observed. For first-time donors impure altruism and reluctant altruism were both associated with the CB factor in females and impure altruism only in males. For both sexes reluctant altruism was associated of the CB factor in novice donors and warm glow and pure altruism for experienced donors. New avenues for intervention are suggested by the emergence of reluctant altruism for novice donors and warm glow for experienced donors. The importance of distinguishing aspects of altruism is highlighted. © 2012 American Association of Blood Banks.

  19. Allotransplanting donor kidneys after resection of a small renal cancer or contralateral healthy kidneys from cadaveric donors with unilateral renal cancer: a systematic review.

    Science.gov (United States)

    Yu, Nengwang; Fu, Shuai; Fu, Zhihou; Meng, Jianzhong; Xu, Zhonghua; Wang, Baocheng; Zhang, Aimin

    2014-01-01

    This systematic review summarizes evidence on allotransplantation of donor kidneys after resection of a small renal cancer or contralateral healthy kidneys from cadaveric donors with unilateral renal cancer. Eligible studies were identified by screening four bibliographic databases, contacting key authors, and analyzing the bibliographies of included studies. Two reviewers independently assessed the reports for inclusion and extracted data, which were summarized as a narrative review. In the 20 case report or case series studies included in the analysis, there were 97 documented cases of donor kidney transplantation after resection of small renal cancer without pathologically confirmed recurrence, whereas 22 cases used contralateral healthy kidneys from cadaveric donors with unilateral renal cancer with one case of cancer recurrence. These results suggest that the use of donor kidneys after resection of small renal cancer is associated with a relatively low cancer recurrence rate. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  20. ORIGINAL ARTICLE: Blood Donor’s Status of HIV, HBV, HCV and Syphilis in this Region of Marathwada, India

    Directory of Open Access Journals (Sweden)

    Rangrao H. Deshpande

    2012-07-01

    Full Text Available Aims & Objectives: Blood transfusion can cause the transmission of infections to recipients. This is an important mode of infection. The aim of study was to assess the prevalence of such type of infections among blood donors and to compare the seroprevalence of transfusion transmitted diseases in voluntary donors and replacement donors. Retrospective study of five years from Jan. 2007 to Dec. 2011 was done. This study was conducted at Blood bank, MIMSR Medical College Latur, Govt. Medical College, Latur and Bhalchandra Blood bank, Latur. Material & Methods: Total 10, 4925 donors were tested. Donors were screened for seroprevalence of HIV, HBC, HCV and Syphilis. Screening of HIV, HBV & HCV was done by ELISA method & Syphilis was screened by RPR type. Results: The comparison of seroprevalence of HIV, HBV, HCV & Syphilis in voluntary donors and replacement donors showed significant difference only for HIV in the years 2007, 2010, and 2011. Conclusion: The seroprevalence of transfusion transmitted diseases in the study is very low or negligible in voluntary donors as compared to replacement donors. There was a declining trend of seroprevalence for all the disease screened. But in our study the difference is not significant, which indicates that the selection of donors is of low quality. The selection of high quality voluntary donors should be achieved by creation of awareness by education of the prospective donor populations.

  1. Simulation shows that HLA-matched stem cell donors can remain unidentified in donor searches

    Science.gov (United States)

    Sauter, Jürgen; Solloch, Ute V.; Giani, Anette S.; Hofmann, Jan A.; Schmidt, Alexander H.

    2016-02-01

    The heterogeneous nature of HLA information in real-life stem cell donor registries may hamper unrelated donor searches. It is even possible that fully HLA-matched donors with incomplete HLA information are not identified. In our simulation study, we estimated the probability of these unnecessarily failed donor searches. For that purpose, we carried out donor searches in several virtual donor registries. The registries differed by size, composition with respect to HLA typing levels, and genetic diversity. When up to three virtual HLA typing requests were allowed within donor searches, the share of unnecessarily failed donor searches ranged from 1.19% to 4.13%, thus indicating that non-identification of completely HLA-matched stem cell donors is a problem of practical relevance. The following donor registry characteristics were positively correlated with the share of unnecessarily failed donor searches: large registry size, high genetic diversity, and, most strongly correlated, large fraction of registered donors with incomplete HLA typing. Increasing the number of virtual HLA typing requests within donor searches up to ten had a smaller effect. It follows that the problem of donor non-identification can be substantially reduced by complete high-resolution HLA typing of potential donors.

  2. Effect of Donor and Recipient Factors on Corneal Graft Rejection

    Science.gov (United States)

    Stulting, R. Doyle; Sugar, Alan; Beck, Roy; Belin, Michael; Dontchev, Mariya; Feder, Robert S.; Gal, Robin L.; Holland, Edward J.; Kollman, Craig; Mannis, Mark J.; Price, Francis; Stark, Walter; Verdier, David D.

    2014-01-01

    Purpose To assess the relationship between donor and recipient factors and corneal allograft rejection in eyes that underwent penetrating keratoplasty (PK) in the Cornea Donor Study. Methods 1090 subjects undergoing corneal transplantation for a moderate risk condition (principally Fuchs’ dystrophy or pseudophakic corneal edema) were followed for up to 5 years. Associations of baseline recipient and donor factors with the occurrence of a probable or definite rejection event were assessed in univariate and multivariate proportional hazards models. Results Eyes with pseudophakic or aphakic corneal edema (N=369) were more likely to experience a rejection event than eyes with Fuchs’ dystrophy (N=676) (34% ± 6% versus 22% ± 4%; hazard ratio = 1.56; 95% confidence interval 1.21 to 2.03). Among eyes with Fuchs’dystrophy, a higher probability of a rejection event was observed in phakic post-transplant eyes compared with eyes that underwent cataract extraction with or without intraocular lens implantation during PK (29% vs. 19%; hazard ratio = 0.54; 95% confidence interval 0.36 to 0.82). Female recipients had a higher probability of a rejection event than males (29% vs. 21%; hazard ratio=1.42; 95% confidence interval 1.08 to 1.87), after controlling for the effect of preoperative diagnosis and lens status. Donor age and donor recipient ABO compatibility were not associated with rejection. Conclusions There was a substantially higher graft rejection rate in eyes with pseudophakic or aphakic corneal edema compared with eyes with Fuchs’ dystrophy. Female recipients were more likely to have a rejection event than males. Graft rejection was not associated with donor age. PMID:22488114

  3. Impact of donor age in donation after cardiac death liver transplantation: Is the cut-off "60" still of relevance?

    Science.gov (United States)

    Schlegel, Andrea; Scalera, Irene; Thamara, M; Perera, P R; Kalisvaart, Marit; Mergental, Hynek; Mirza, Darius F; Isaac, John; Muiesan, Paolo

    2017-09-08

    Background Advanced donor age has been identified as risk factor, when combined with donor warm ischemia, e.g. in donation after circulatory death (DCD). In several countries DCD livers, older than 60 years are not considered suitable due to concerns related to poor graft function and development of ischaemic cholangiopathy. We evaluate in this study outcome after DCD liver transplantation using grafts from donors older than 60 years. Methodology We analysed outcome after DCD liver transplantation (n=315), comparing donors >60 years (n=93) and donors ≤60 years (n=222) from our centre between 2005 and 2015. Endpoints included graft function and complications, patient and graft survival. Multivariate risk analysis was performed to define further key factors that predicted inferior outcome. Results Donor age at the cut-off 60 years failed to stratify patient and graft survival. The rate of vascular, biliary and overall complications was comparably low in both cohorts and the median CCI was 42,7 points, independent from the donor age. Secondly, donor BMI above a threshold of 25 kg/m2 significantly impacted on graft and patient survival, at any donor age, while donor warm and cold ischemia times were not predictive for graft loss. Conclusion Older DCD donors can be successfully used for liver transplantation with good long-term outcomes, when further risk factors are limited. Additional risk is transmitted by an increased donor BMI, regardless of donor age. This article is protected by copyright. All rights reserved. © 2017 by the American Association for the Study of Liver Diseases.

  4. 75 FR 22813 - Guidance for Industry: Requalification Method for Reentry of Blood Donors Deferred Because of...

    Science.gov (United States)

    2010-04-30

    ... Administration, 1401 Rockville Pike, suite 200N, Rockville, MD 20852- 1448. Send one self-addressed adhesive... otherwise suitable donors are indefinitely deferred because of their anti-HBc test results even though... copy of electronic comments or two paper copies of any mailed comments, except that individuals may...

  5. Synthesis of all eight L-glycopyranosyl donors using C-H activation

    DEFF Research Database (Denmark)

    Frihed, Tobias; Pedersen, Christian Marcus; Bols, Mikael

    2014-01-01

    by an intramolecular C-H activation of the methyl group in g-position; both steps were catalyzed by iridium. The following Fleming-Tamao oxidation and acetylation gave the suitably protected L-hexoses. This is the first general method for the preparation of all eight L-hexoses as their thioglycosyl donors ready...

  6. Donor hemosiderosis does not affect liver function and regeneration in the setting of living donor liver transplantation.

    Science.gov (United States)

    Shaked, O; Gonzalez, A; Bahirwani, R; Furth, E; Siegelman, E; Shaked, A; Olthoff, K; Reddy, K R

    2014-01-01

    Living donor liver transplantation (LDLT) demands a careful assessment of abnormal findings discovered during the evaluation process to determine if there will be any potential risks to the donor or recipient. Varying degrees of elevated hepatic iron levels are not uncommonly seen in otherwise healthy individuals. We questioned whether mild expression of hemosiderin deposition presents a safety concern when considering outcomes of living donation for both the donor and the recipient. We report on three LDLT patients who were found to have low- to moderate-grade hemosiderin deposition on liver biopsy. All other aspects of their evaluation proved satisfactory, and the decision was made to proceed with donation. There were no significant complications in the donors, and all demonstrated complete normalization of liver function postoperatively, with appropriate parenchymal regeneration. The recipients also had unremarkable postoperative recovery. We conclude that these individuals can be considered as potential donors after careful evaluation. © Copyright 2013 The American Society of Transplantation and the American Society of Transplant Surgeons.

  7. A prospective controlled study of living kidney donors: three-year follow-up.

    Science.gov (United States)

    Kasiske, Bertram L; Anderson-Haag, Teresa; Israni, Ajay K; Kalil, Roberto S; Kimmel, Paul L; Kraus, Edward S; Kumar, Rajiv; Posselt, Andrew A; Pesavento, Todd E; Rabb, Hamid; Steffes, Michael W; Snyder, Jon J; Weir, Matthew R

    2015-07-01

    There have been few prospective controlled studies of kidney donors. Understanding the pathophysiologic effects of kidney donation is important for judging donor safety and improving our understanding of the consequences of reduced kidney function in chronic kidney disease. Prospective, controlled, observational cohort study. 3-year follow-up of kidney donors and paired controls suitable for donation at their donor's center. Kidney donation. Medical history, vital signs, glomerular filtration rate, and other measurements at 6, 12, 24, and 36 months after donation. At 36 months, 182 of 203 (89.7%) original donors and 173 of 201 (86.1%) original controls continue to participate in follow-up visits. The linear slope of the glomerular filtration rate measured by plasma iohexol clearance declined 0.36±7.55mL/min per year in 194 controls, but increased 1.47±5.02mL/min per year in 198 donors (P=0.005) between 6 and 36 months. Blood pressure was not different between donors and controls at any visit, and at 36 months, all 24-hour ambulatory blood pressure parameters were similar in 126 controls and 135 donors (mean systolic blood pressure, 120.0±11.2 [SD] vs 120.7±9.7mmHg [P=0.6]; mean diastolic blood pressure, 73.4±7.0 vs 74.5±6.5mmHg [P=0.2]). Mean arterial pressure nocturnal dipping was manifest in 11.2% ± 6.6% of controls and 11.3% ± 6.1% of donors (P=0.9). Urinary protein-creatinine and albumin-creatinine ratios were not increased in donors compared with controls. From 6 to 36 months postdonation, serum parathyroid hormone, uric acid, homocysteine, and potassium levels were higher, whereas hemoglobin levels were lower, in donors compared with controls. Possible bias resulting from an inability to select controls screened to be as healthy as donors, short follow-up duration, and dropouts. Kidney donors manifest several of the findings of mild chronic kidney disease. However, at 36 months after donation, kidney function continues to improve in donors, whereas

  8. Impact of a Full-Time Donor Management Protocol on Donors' Liver Biopsy Findings: Progress to Date.

    Science.gov (United States)

    Mojtabaee, Meysam; Shamsaeefar, Alireza; Gholami, Siavash; Mohsenzadeh, Mojtaba; Sadegh Beigee, Farahnaz

    2017-02-01

    This study investigated a fixed coordinator-directed donor management strategy's impact on donated liver quality, as determined by definitive biopsy results. We collected donated liver biopsy results from donations both before and after implementing a fixed coordinator-directed donor management strategy. This strategy involved full-time attendance by a donor coordinator and continued resuscitation of brain-dead donors. All donations took place in a single organ procurement unit. We also followed up results of biopsies from the Liver Transplantation Center database of Namazi Hospital in Shiraz, Iran. We compared biopsy findings of 192 livers donated from 2012 to 2013 (group A) with 276 livers donated from 2015 until August 2016 (group B). Data analysis showed that 67 livers (34.9%) in group A were rejected for transplant owing to severe steatosis in 17 (8.9%), moderate/severe fibrosis in 9 (4.7%), moderate/severe necrosis in 28 (14.6%), and 13 (6.8%) rejected for other pathologies. Among group B livers, 59 (21.4%) were not deemed suitable for transplant owing to severe steatosis in 37 (13.5%), moderate/severe fibrosis in 6 (2.1%), and moderate/ severe necrosis in 16 (5.7%). Overall, steatosis was found in 94 livers (49.2%) in group A versus 175 livers (63.3%) in group B (P = .007). Donor age in group A averaged 36.5 years versus 47.9 years in group B (P = .02). Necrosis was found in 33 livers (17.2%) in group A and 22 livers (7.9%) in group B (P = .008). One-month survival rates were 95.3% and 96.3% for groups A and B (P = .08). Donated liver disqualification before transplant noticeably decreased despite the shift in demographic patterns from 2012 to 2016. In group A, brain-dead liver donors were younger and more often died from trauma, whereas group B donors had more cerebrovascular accident-induced deaths. This achievement took place alongside increased rates of steatosis and decreased rates of necrosis.

  9. Laparoscopic nephrectomy in live donor

    Directory of Open Access Journals (Sweden)

    Anuar I. Mitre

    2004-02-01

    Full Text Available OBJECTIVE: To present the initial experience of videolaparoscopic nephrectomy in live renal donor. MATERIALS AND METHODS: In the period from April 2000 to August 2003, 50 left nephrectomies in live donor were performed by videolaparoscopy for transplantation. Twenty-eight patients were male (56% and 22 female (44%. Mean age was 37.2 years, and the mean body mass index (BMI was 27.1 kg/m². RESULTS: Mean surgical time was 179.5 minutes, and warm ischemia time of the graft was 3.79 minutes. The mean estimated bleeding was 141 mL. There was no need of blood transfusion or conversion to open surgery. In 42 cases (84%, the vascular portion of the graft was considered good by the recipient's surgical team and in all cases, the ureter was considered of proper size, though in one of them (2% its vascularization was considered improper. The transplanted kidneys produced urine still in the surgical room in 46 of the 50 transplantations considered. In only 2 cases opioid was required for analgesia. In average, 3.1 doses of dipyrone were used for each patient during hospital stay, and hospital discharge occurred, in average, after 3.2 days post-operatively. Two patients required re-operations and one of them evolved to death. CONCLUSIONS: The laparoscopic nephrectomy in live donor for renal transplantation is an alternative to conventional open surgery. In relation to the graft, no alteration, either anatomic or functional, was detected. Though there is already a large documentation in the international literature regarding this procedure, in our setting a prospective randomized study with the usual surgical study is still necessary in order to prove the advantages and disadvantages of the method.

  10. Laparoscopic nephrectomy in live donor

    Directory of Open Access Journals (Sweden)

    Mitre Anuar I.

    2004-01-01

    Full Text Available OBJECTIVE: To present the initial experience of videolaparoscopic nephrectomy in live renal donor. MATERIALS AND METHODS: In the period from April 2000 to August 2003, 50 left nephrectomies in live donor were performed by videolaparoscopy for transplantation. Twenty-eight patients were male (56% and 22 female (44%. Mean age was 37.2 years, and the mean body mass index (BMI was 27.1 kg/m². RESULTS: Mean surgical time was 179.5 minutes, and warm ischemia time of the graft was 3.79 minutes. The mean estimated bleeding was 141 mL. There was no need of blood transfusion or conversion to open surgery. In 42 cases (84%, the vascular portion of the graft was considered good by the recipient's surgical team and in all cases, the ureter was considered of proper size, though in one of them (2% its vascularization was considered improper. The transplanted kidneys produced urine still in the surgical room in 46 of the 50 transplantations considered. In only 2 cases opioid was required for analgesia. In average, 3.1 doses of dipyrone were used for each patient during hospital stay, and hospital discharge occurred, in average, after 3.2 days post-operatively. Two patients required re-operations and one of them evolved to death. CONCLUSIONS: The laparoscopic nephrectomy in live donor for renal transplantation is an alternative to conventional open surgery. In relation to the graft, no alteration, either anatomic or functional, was detected. Though there is already a large documentation in the international literature regarding this procedure, in our setting a prospective randomized study with the usual surgical study is still necessary in order to prove the advantages and disadvantages of the method.

  11. Family donor care management: principles and recommendations.

    Science.gov (United States)

    van Walraven, S M; Nicoloso-de Faveri, G; Axdorph-Nygell, U A I; Douglas, K W; Jones, D A; Lee, S J; Pulsipher, M; Ritchie, L; Halter, J; Shaw, B E

    2010-08-01

    The World Marrow Donor Association (WMDA) is an international organization fostering collaboration in clinical transplantation and promoting the interests of unrelated stem cell donors. The WMDA has developed standards for the recruitment, counseling, work-up and subsequent donations to protect the interests of donors. Although the care of family donors has been carefully considered and managed in transplant centers (TCs) internationally over numerous years (and increasingly TCs are facing accreditation programs, which address this issue) there is currently a lack of standardized guidelines for the management of family donors. The underlying principles of family donor care are in many ways identical to those concerning unrelated donors, although key ethical considerations differ. Although the WMDA is primarily involved in the field of unrelated donors, we believe that it is important to collaborate with those involved with family donors, to standardize the care. This document hopes to encourage increased collaboration between those caring for related and unrelated donors, and build on the extensive work, which has already been undertaken in this field to homogenize care. We recognize that there will be financial, regulatory and logistic differences in different countries and that the manner in which these principles are achieved may vary.

  12. Living kidney donors: current state of affairs.

    Science.gov (United States)

    Davis, Connie L

    2009-07-01

    Living kidney donation continues as the cornerstone of transplantation. In order to determine with ever-renewing assurance that living donation is safe for the donor, we need to periodically review the literature, review the United Network for Organ Sharing database for donor characteristics that may put them in danger, and scour databases for donors starting dialysis and/or listed for transplant. Additionally, we must encourage financing studies that follow large diverse cohorts of donors over their entire lifetimes in order to detect key characteristics that influence outcomes. Currently, it can be stated that living donation is, on the whole, safe, with few perioperative deaths, complications, or long-term medical issues. Additionally, the living donor reflects the demographics of the general population including increased rates of obesity with some donors having hypertension and low-grade proteinuria. In the long run, death rates (for the white donor) are no different than for the general population, whereas end-stage renal disease rates are slightly increased over the general population, ranging from 0.1% to 1.1%. The higher risk is especially notable in the black donor. Preeclampsia in female donors may also be marginally greater than in those with 2 kidneys. Thus, the new health age brings a rejuvenated responsibility of the medical community and those in governance to design systems that allow more complete and continued follow-up of the living kidney donor, especially those of color.

  13. Mid-Atlantic elasmobranchs: Suitable metal scouts?

    Science.gov (United States)

    Torres, Paulo; Tristão da Cunha, Regina; Rodrigues, Armindo Dos Santos

    2017-04-15

    Heavy metals are a hazard to marine fauna and human health. In this study we assess stable isotopes and metal content in Prionace glauca and Isurus oxyrinchus and analyse these results within and among other species and across regions and geographical areas. Also, we evaluate their suitability, together with Raja clavata and Galeorhinus galeus, as Mid-Atlantic bioindicators. Prionace glauca and I. oxyrinchus shared the same trophic level in a pelagic food web and did not present significant differences between genders or metals, except for As. Arsenic and Hg accumulated while Cd and Pb were not detected. One I. oxyrinchus presented Hg values above regulatory limits. A high Hg exposure was associated with I. oxyrinchus since its maximum weekly intake was exceeded. Elasmobranchs can be used as metal sentinels, each presenting different key features which defines a good marine bioindicator, allowing long-term monitoring at different temporal and spatial scales. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. Corneal Tissue From Dry Eye Donors Leads to Enhanced Graft Rejection.

    Science.gov (United States)

    Inomata, Takenori; Hua, Jing; Nakao, Takeshi; Shiang, Tina; Chiang, Homer; Amouzegar, Afsaneh; Dana, Reza

    2018-01-01

    To assess the effect of dry eye disease (DED) in graft donors on dendritic cell (DC) maturation, host T-cell sensitization, and corneal allograft rejection. Corneas of control (healthy donor) and DED mice (C57BL/6) were transplanted onto fully allogeneic naive BALB/c recipients (n = 10 mice/group). Long-term allograft survival was evaluated for 8 weeks. Corneas and draining lymph nodes (dLNs) were harvested at posttransplantation day 14 (n = 5 mice/group). The frequencies of MHCII CD11c DCs in the donor corneas and host dLNs and the frequencies of interferon (IFN)-γ and IL-17 CD4 T cells and Foxp3 expression by Tregs in host dLNs were investigated using flow cytometry. The enzyme-linked immunospot assay was used to assess host T-cell allosensitization through direct and indirect pathways (n = 3/group). Recipients of DED donor corneas showed significantly reduced graft survival (10%) compared with control mice (50% survival, P = 0.022), and had significantly increased frequencies of mature DCs in the grafted cornea (DED donor 44.0% ± 0.36% vs. healthy donor 35.4 ± 0.5%; P donor 25.1% ± 0.66% vs. healthy donor 13.7% ± 1.6%; P = 0.005). Frequencies of IFN-γ and IL-17 T cells were increased in the dLNs of recipients of DED corneas, whereas the expression (mean fluorescence intensity) of Foxp3 in Tregs was decreased significantly in these mice (DED donor 6004 ± 193 vs. healthy donor 6806 ± 81; P = 0.0002). Enzyme-linked immunospot analysis showed that the direct pathway of allosensitization was significantly amplified in recipients of grafts with DED (P = 0.0146). Our results indicate that DED in the donor is a significant risk factor for subsequent corneal allograft rejection.

  15. Do naturalistic enclosures provide suitable environments for zoo animals?

    Science.gov (United States)

    Fàbregas, María C; Guillén-Salazar, Federico; Garcés-Narro, Carlos

    2012-01-01

    Zoo visitors perceive naturalistic enclosures (i.e. those attempting to replicate identifiable parts of the landscape of the species' habitat) as those that best satisfy the biological needs of the animals, and ensure therefore their welfare. However, the provision of a suitable environment with the resources that will allow the animals to satisfy their main biological needs in naturalistic enclosures has never been systematically explored; instead, it has been assumed. In this study we provide evidence that supports the general idea that naturalistic designs provide suitable environments for the animals. For that purpose, we analyzed 1,381 naturalistic and non-naturalistic enclosures in 63 Spanish zoological parks. In order to assess the suitability of the environment provided within each enclosure, a number of aspects related to the animals' main biological requirements were analyzed. We found a relationship between naturalistic designs and the suitability of the environment for the species housed. Most naturalistic enclosures (77.8%) provided suitable environments for their inhabitants. Non-naturalistic ones also had suitable environments, but in a lower percentage (39.7%). These results should be taken into account during zoo inspection and accreditation appointments, where enclosure suitability must be assessed in an accurate and fast manner. In this regard, a naturalistic design can be used as an adjunct indicator of enclosure suitability, but not exclusively, as not every naturalistic enclosure was suitable for the animals, neither as an indispensable one, given that near 40% of non-naturalistic ones were appropriate for the species housed. © 2011 Wiley Periodicals, Inc.

  16. RECRUITMENT OF PATIENTS WITH HEREDITARY HAEMOCHROMATOSIS AS BLOOD DONORS

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    Marko Cukjati

    2004-12-01

    Full Text Available Background. Hereditary haemochromatosis is the most common inherited disorder in white persons with prevalence of about 1 in 200. Therapeutic phlebotomy is an effective treatment for the disease and prevents its sequele. In addition to their altruism, patients with hereditary haemochromatosis have also medical and monetary incentives for blood donation. Current guidelines do not allow haemochromatosis patients to donate blood. About two thirds of patients are eligible as blood donors and about two thirds of therapeutically drawn blood is suitable for transfusion. Therapeutically drawn blood could increase the blood supply by 1.5 to 30%.Conclusions. The number of states that already accept patients with hereditary haemochromatosis as blood donors is increasing. To avoid monetary incentives they offer free phlebotomies for all patients with hereditary haemochromatosis. There have been no reports about higher incidence of transfusion reactions. In Slovenia the number of therapeutic phlebotomy is increasing. We should evaluate the possibilities for recruitment of haemochromatosis patients as blood donors also in our country. It is necessary to modify regulatory restrictions and to ensure that there is no other incentives than altruism for blood donation.

  17. Evaluation of proteinuria in healthy living kidney donor candidates.

    Science.gov (United States)

    Leischner, M P; Naratadam, G O; Hou, S H; Singh, A K; Leehey, D J

    2006-11-01

    Evaluation of living kidney donor candidates includes careful assessment for the presence or absence of kidney disease. Kidney donation has been considered to be at least relatively contraindicated if urinary total protein excretion is above the normal range. However, at the present time, there is no uniformly accepted level of urine total protein excretion that would exclude donation. Albumin excretion instead of total protein excretion as a criterion has not previously been evaluated. This was a prospective observational study over a 3-year period in a single tertiary care center designed to assess current selection criteria for kidney donation with respect to urine total protein and albumin excretion. Twenty four percent (25 of 105) of healthy adult kidney donor candidates had elevated urinary total protein excretion rates (150 to 292 mg/24 h). Of these 105 candidates, 39 had simultaneous measurements of both urinary total protein and albumin. Although one-third (13/39) had elevated 24-hour urine total protein values, none had elevated urine albumin excretion. Measurement of albumin, the most common single protein found in urine, appears to be helpful in the evaluation of proteinuria in donor candidates. Many healthy adult kidney donor candidates have mildly elevated total protein excretion but normal albumin excretion. We believe that such patients should not be excluded from donation.

  18. Outcomes of renal transplant from donors with polycystic kidney disease.

    Science.gov (United States)

    Shamali, Awad; Milsom-Mcquillan, Sarah; Gibbs, Paul

    2018-02-06

    Kidneys from donors affected by autosomal-dominant polycystic kidney disease (ADPKD) are, in general, considered unsuitable for transplantation. However, some authors report cases of patients who received kidneys from a deceased ADPKD donor showing encouraging outcomes. Our aim is to provide our experience of a patient with end stage renal failure who received a deceased donor kidney from a 29-year-old who themselves had been diagnosed with ADPKD but well maintained renal function, and to provide a comprehensive review of all the published literature. In addition to our case, a literature search (PubMed database, Embase, Cochrane Library) of articles published between 1980 and 2017 was performed. Sixteen cases were identified. Median donor age was 24 (range12-55) years old. Median recipient age was 46 (range 19-72) years old. Fifteen cases had a single kidney transplant and one case had a dual kidney transplant. 13/16 (81%) had immediate function, 2 patients (12.5%) had delayed graft function and one patient (6.25%) had primary non-function. Median graft follow up was 36 months (range 6-180). Median serum creatinine at last follow up was 124 μmol/L (range75-442). Thirteen patients (81%) were still alive with a working renal transplant at last follow up. The published literature is encouraging and supports the use of polycystic kidneys from younger deceased donors. Therefore, we believe that if kidneys from ADPKD donors are offered, they should have a full assessment and be considered acceptable for renal donation to recipients who may have a life expectancy of 10 years or less and who are fully informed and have the capacity to consent to receiving a polycystic kidney. Copyright © 2018. Published by Elsevier Ltd.

  19. An Algorithm Measuring Donor Cell-Free DNA in Plasma of Cellular and Solid Organ Transplant Recipients That Does Not Require Donor or Recipient Genotyping

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    Paul MK Gordon

    2016-09-01

    Full Text Available Cell-free DNA (cfDNA has significant potential in the diagnosis and monitoring of clinical conditions but accurately and easily distinguishing the relative proportion of DNA molecules in a mixture derived from two different sources (i.e. donor and recipient tissues after transplantation is challenging. In human cellular transplantation there is currently no useable method to detect in vivo engraftment and blood-based non-invasive tests for allograft rejection in solid organ transplantation are either non-specific (e.g. creatinine in kidney transplantation, liver enzymes in hepatic transplantation or absent (i.e. heart transplantation. Elevated levels of donor cfDNA have been shown to correlate with solid organ rejection but complex methodology limits implementation of this promising biomarker. We describe a cost-effective method to quantify donor cfDNA in recipient plasma using a panel of high-frequency single nucleotide polymorphisms, next-generation (semiconductor sequencing and a novel mixture model algorithm. In vitro, our method accurately and rapidly determined donor/recipient DNA admixture. For in vivo testing, donor cfDNA was serially quantified in an infant with a urea cycle disorder after receiving six daily infusions of donor liver cells. Donor cfDNA isolated from 1-2 ml of recipient plasma was detected as late as 24 weeks after infusion suggesting engraftment. The percentage of circulating donor cfDNA was also assessed in pediatric and adult heart transplant recipients undergoing routine endomyocardial biopsy with levels observed to be stable over time and generally measuring <1% in cases without moderate or severe cellular rejection. Unlike existing non-invasive methods used to define the proportion of donor cfDNA in solid organ transplant patients, our assay does not require sex mismatch, donor genotyping or whole-genome sequencing and potentially has broad application to detect cellular engraftment or allograft injury after

  20. Emotional and relational aspects of egg-sharing: egg-share donors' and recipients' feelings about each other, each others' treatment outcome and any resulting children.

    Science.gov (United States)

    Gürtin, Zeynep B; Ahuja, Kamal K; Golombok, Susan

    2012-06-01

    This paper presents finding from a study of the emotional and relational aspects of egg-sharing, exploring egg-share donors' and recipients' thoughts and feelings about each other, about each other's treatment outcome and any resulting children, as well as their attitudes towards disclosure of donor origins and contact between donors and donor offspring in the future. It is the first study of this population since the removal of donor anonymity in 2005. A paper or online questionnaire was completed anonymously by 48 donors and 38 recipients who took part in egg-sharing between 2007 and 2009. Data were obtained on a range of measures-including demographics, family circumstances, motivations and anxieties, feelings about egg-sharing, retrospective assessments and views on regulation-and analysed to facilitate cross-group and within-group comparisons of donors and recipients. This study found very few differences between donors and recipients, as well as between successful and unsuccessful egg-share participants. Donors and recipients expressed sentiments of goodwill towards one another, and displayed attitudes of openness regarding disclosure decisions and future contact among donors and donor-conceived offspring. While some donors and recipients wanted to know the outcome of their donor's/recipient's treatment, others preferred not to. Most significantly, concerns voiced regarding the potential psychological harm to donors, particularly those whose own treatment ends unsuccessfully, were not borne out by the data.

  1. Using On-scene EMS Responders' Assessment and Electronic Patient Care Records to Evaluate the Suitability of EMD-triaged, Low-acuity Calls for Secondary Nurse Triage in 911 Centers.

    Science.gov (United States)

    Scott, Greg; Clawson, Jeff; Fivaz, Mark C; McQueen, Jennie; Gardett, Marie I; Schultz, Bryon; Youngquist, Scott; Olola, Christopher H O

    2016-02-01

    Using the Medical Priority Dispatch System (MPDS) - a systematic 911 triage process - to identify a large subset of low-acuity patients for secondary nurse triage in the 911 center is a largely unstudied practice in North America. This study examines the ALPHA-level subset of low-acuity patients in the MPDS to determine the suitability of these patients for secondary triage by evaluating vital signs and necessity of lights-and-siren transport, as determined by attending Emergency Medical Services (EMS) ambulance crews. The primary objective of this study was to determine the clinical status of MPDS ALPHA-level (low-acuity) patients, as determined by on-scene EMS crews' patient care records, in two US agencies. A secondary objective was to determine which ALPHA-level codes are suitable candidates for secondary triage by a trained Emergency Communication Nurse (ECN). In this retrospective study, one full year (2013) of both dispatch data and EMS patient records data, associated with all calls coded at the ALPHA-level (low-acuity) in the dispatch protocol, were collected. The primary outcome measure was the number and percentage of ALPHA-level codes categorized as low-acuity, moderate-acuity, high-acuity, and critical using four common vital signs to assign these categories: systolic blood pressure (SBP), pulse rate (PR), oxygen saturation (SpO2), and Glasgow Coma Score (GCS). Vital sign data were obtained from ambulance crew electronic patient care records (ePCRs). The secondary endpoint was the number and percentage of ALPHA-level codes that received a "hot" (lights-and-siren) transport. Out of 19,300 cases, 16,763 (86.9%) were included in the final analysis, after excluding cases from health care providers and those with missing data. Of those, 89% of all cases did not have even one vital sign indicator of unstable patient status (high or critical vital sign). Of all cases, only 1.1% were transported lights-and-siren. With the exception of the low-acuity, ALPHA

  2. Does the Presence of a Measurable Blood Alcohol Level in a Potential Organ Donor Affect the Outcome of Liver Transplantation?

    Science.gov (United States)

    Hassanein, Tarek I.; Gavaler, Judith S.; Fishkin, David; Gordon, Robert; Starzl, Thomas E.; Van Thiel, David H.

    2010-01-01

    The widespread application of hepatic transplantation has created a tremendous demand for donor organs. An assessment of donor parameters is thought to be important in selecting good donors; however, the criteria utilized have not been standardized. This study was performed to determine the effect of a measurable donor blood alcohol level on graft survival. Fifty-two patients who underwent orthotopic liver transplantation at the University of Pittsburgh were included in the study. Twenty-five patients received liver grafts from donors having a blood alcohol level between 0.04 and 0.4 g/l with a mean of 0.17 g/l. Twenty-seven patients received a liver graft from a donor who had no measurable blood alcohol. There were no differences between these two groups of donors regarding the time of initial hospitalization until the time of donation. Graft failure within the first 30 days was 24% for those receiving an organ from an alcohol-positive donor as compared with 22.2% in those receiving an organ from an alcohol negative donor. The recipient mortality rate was 16% and 11%, respectively. No relationships between the donor blood alcohol level and organ performance, frequency of primary graft nonfunction, or number of episodes of acute cellular rejection were evident. Based upon these data, the presence of a measurable blood alcohol level in a donor should not mitigate against organ donation. PMID:2058808

  3. Artificial corneas versus donor corneas for repeat corneal transplants.

    Science.gov (United States)

    Akpek, Esen K; Alkharashi, Majed; Hwang, Frank S; Ng, Sueko M; Lindsley, Kristina

    2014-11-05

    Individuals who have failed one or more full thickness penetrating keratoplasties (PKs) may be offered repeat corneal surgery using an artificial or donor cornea. An artificial or prosthetic cornea is known as a keratoprosthesis. Both donor and artificial corneal transplantations involve removal of the diseased and opaque recipient cornea (or the previously failed cornea) and replacement with another donor or prosthetic cornea. To assess the effectiveness of artificial versus donor corneas in individuals who have had one or more failed donor corneal transplantations. We searched CENTRAL (which contains the Cochrane Eyes and Vision Group Trials Register) (2013, Issue 10), Ovid MEDLINE, Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily, Ovid OLDMEDLINE (January 1946 to November 2013), EMBASE (January 1980 to November 2013), Latin American and Caribbean Health Sciences Literature Database (LILACS) (January 1982 to November 2013), the metaRegister of Controlled Trials (mRCT) (www.controlled-trials.com), ClinicalTrials.gov (www.clinicaltrials.gov) and the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) (www.who.int/ictrp/search/en). We did not use any date or language restrictions in the electronic searches for trials. We last searched the electronic databases on 27 November 2013. Two review authors independently assessed reports from the electronic searches to identify randomized controlled trials (RCTs) or controlled clinical trials (CCTs). We resolved discrepancies by discussion or consultation with a third review author. For discussion purposes, we assessed findings from observational cohort studies and non-comparative case series. No data synthesis was performed. We did not identify any RCTs or CCTs comparing artificial corneas with donor corneas for repeat corneal transplantations. The optimal management for those individuals who have failed a conventional corneal transplantation is not known

  4. Artificial corneas versus donor corneas for repeat corneal transplants

    Science.gov (United States)

    Akpek, Esen K; Alkharashi, Majed; Hwang, Frank S; Ng, Sueko M; Lindsley, Kristina

    2014-01-01

    Background Individuals who have failed one or more full thickness penetrating keratoplasties (PKs) may be offered repeat corneal surgery using an artificial or donor cornea. An artificial or prosthetic cornea is known as a keratoprosthesis. Both donor and artificial corneal transplantations involve removal of the diseased and opaque recipient cornea (or the previously failed cornea) and replacement with another donor or prosthetic cornea. Objectives To assess the effectiveness of artificial versus donor corneas in individuals who have had one or more failed donor corneal transplantations. Search methods We searched CENTRAL (which contains the Cochrane Eyes and Vision Group Trials Register) (2013, Issue 10), Ovid MEDLINE, Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily, Ovid OLDMEDLINE (January 1946 to November 2013), EMBASE (January 1980 to November 2013), Latin American and Caribbean Health Sciences Literature Database (LILACS) (January 1982 to November 2013), the metaRegister of Controlled Trials (mRCT) (www.controlled-trials.com), ClinicalTrials.gov (www.clinicaltrials.gov) and the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) (www.who.int/ictrp/search/en). We did not use any date or language restrictions in the electronic searches for trials. We last searched the electronic databases on 27 November 2013. Selection criteria Two review authors independently assessed reports from the electronic searches to identify randomized controlled trials (RCTs) or controlled clinical trials (CCTs). We resolved discrepancies by discussion or consultation with a third review author. Data collection and analysis For discussion purposes, we assessed findings from observational cohort studies and non-comparative case series. No data synthesis was performed. Main results We did not identify any RCTs or CCTs comparing artificial corneas with donor corneas for repeat corneal transplantations. Authors

  5. Psychiatric approach to the living kidney donor

    Directory of Open Access Journals (Sweden)

    Raquel Correia

    2013-12-01

    Full Text Available Kidney transplantation is considered the treatment of choice for patients with end-stage renal disease. Living donor transplantation has increased because of the shortage, the needs of cadaver donors.Based on existing literature the authors address ethical issues and major psychiatric aspects involved in the evaluation of living donor kidney transplant, and the interference of this procedure on quality of life for donors, and their contraindications. The authors further describe the evaluation procedures used in the Hospital S. João, as well as data related to the 32 patients evaluated in the Department of Psychiatry since 2004.

  6. Effect of a specialized pediatric institutional setting on organ recovery from potential donors.

    Science.gov (United States)

    Donkin, Marcella; Kolovos, Nikoleta; Checchia, Paul A

    2006-09-01

    The relationship between accessibility to the full range of subspecialty care available at freestanding pediatric hospitals and organ donor management and recovery rates has not been studied. To examine current rates of recovery of organs from children for transplantation at free-standing pediatric hospitals versus all other hospitals. Data from the hospitals served by Mid-America Transplant Services from January 2000 to July 2003 were reviewed. Organ recovery rates from freestanding children's hospitals were compared with the rates from other types of institutions. Patients were included if their organs were considered medically suitable at the time of referral for donation. Overall, 66% (210/318) of the potential organs were recovered. The type of institution in which the potential donor was managed did not influence the proportion of organs recovered: 67% (96/144) at freestanding children's hospitals versus 66% (114/174) at all other hospitals. A greater proportion of livers were recovered at other donor institutions than at children's hospitals (100% vs 85%, Porgan recovery rate from potential pediatric donors is low. In general, this rate does not appear to be affected by the type of managing pediatric institution except for liver recovery, which favors institutions that are not freestanding children's hospitals. The low rate of recovery suggests that although suitable donors are identified, appropriate referrals are made, and families provide consent for donation, major obstacles remain to the successful recovery of organs.

  7. Clinical usefulness of controlled attenuation parameter to screen hepatic steatosis for potential donor of living donor liver transplant.

    Science.gov (United States)

    Hong, Young Mi; Yoon, Ki Tae; Cho, Mong; Chu, Chong Woo; Rhu, Je Ho; Yang, Kwang Ho; Lee, Jun Woo

    2017-07-01

    Hepatic steatosis is associated with an increased risk of graft loss. Although the controlled attenuation parameter (CAP), a process based on transient elastography, has been suggested as a noninvasive method of assessing hepatic steatosis, to date, there is no study on the usefulness of CAP as a single screening tool for detecting hepatic steatosis in potential living donor liver. We evaluated the accuracy of CAP for detecting hepatic steatosis in potential liver donors. All potential donors of living-donor liver transplantation who underwent a CAP assessment and ultrasonography-guided liver biopsy were enrolled. The steatosis grades were as follows: S0 less than 5%; S1, 5-33%; S2, 34-66%; and S3, more than 66%. According to the liver biopsies, 19 (34.5%) patients had S0, 30 (54.5%) patients had S1, and 6 (11.0%) patients had S2. The CAP value was correlated positively with BMI (r=0.242, P=0.01), waist circumference (r=0.268, P=0.006), hip circumference (r=0.334, P=0.001), Magnetic resonance fat signal fraction (r=0.465, P=0.001), and histologic steatosis grade (r=0.542, P=0.001). The area under the receiver operator characteristic curve for the diagnosis of steatosis (≥S2) by CAP was 0.88 (sensitivity 83.3% and specificity 81.6% at a cutoff value of 276 dB/m, PCAP, as a simple and noninvasive preoperative assessment for hepatic steatosis, may be sufficient for identifying and thus excluding significant hepatic steatosis (>33%) in potential liver donors.

  8. Establishing a transplant coordinator-led living kidney donor follow-up clinic.

    Science.gov (United States)

    Lumsdaine, Jennifer A; Wigmore, Stephen J; Wooton, Donna; Stewart, Casey; Akyol, Murat; Forsythe, John L R

    2003-06-01

    The long-term risks of renal failure and hypertension are statistically low for living kidney donors as a group, but can have serious consequences for the individual. To describe the experience with a transplant coordinator-led living donor follow-up clinic. Living kidney donors are reviewed on an annual basis by a designated coordinator (registered nurse). A 24-hour urine collection estimates renal function. Blood pressure and blood chemistry are measured and urinalysis performed. Current health status and wound discomfort are assessed. Any medical problems identified are referred to a specialist hospital department or to the donor's family practitioner. Fifty-nine appointments were booked and 12 (20%) donors did not attend. Renal function was within acceptable limits for all attending donors. Three donors had raised blood glucose levels and 8 donors were hypertensive; all were referred to family practitioners. Forty-seven donors (35 new, 12 return) completed a questionnaire on the follow-up provided. Thirty-eight (81%) were satisfied with the follow-up, and 47 (100%) agreed this clinic provided adequate follow-up. Thirty-three (70%) donors stated they preferred that the transplant coordinator performed the follow-up, 3 (6%) preferred the family practitioner, and 11 (23%) had no preference. There are many possible solutions to the provision of lifelong care of living kidney donors. The model of a transplant coordinator-led clinic appears to have a high degree of patient acceptance, perhaps because of the continuity of care provided by a known member of the transplant team. Further work is required to identify reasons for nonattendance.

  9. BLOODR: blood donor and requester mobile application.

    Science.gov (United States)

    Tatikonda, Vamsi Krishna; El-Ocla, Hosam

    2017-01-01

    With rapid increase in the usage of social networks sites across the world, there is also a steady increase in blood donation requests as being noticed in the number of posts on these sites such as Facebook and twitter seeking blood donors. Finding blood donor is a challenging issue in almost every country. There are some blood donor finder applications in the market such as Blood app by Red Cross and Blood Donor Finder application by Neologix. However, more reliable applications that meet the needs of users are prompted. Several software technologies including languages and framework are used to develop our blood-donor web application known as BLOODR application. These technologies comprise Ruby programming language (simply known as Ruby) along with JavaScript and PostgreSQL for database are used. Ruby on Rails (simply known as Rails) is an open source Web framework that makes it possible to quickly and easily create data-based web applications. We show screenshots for the BLOODR application for different types of users including requester, donor, and administrator. Various features of the application are described and their needs of use are analyzed. If a patient needs a blood at a clinic, blood donors in vicinity can be contacted through using a clinic management service provided in this application. Registered donors will get notification for the blood requests only if their blood group is compatible with the requested blood type and in the same city/region. Then matching blood donors can go to the requesting clinic and donate. BLOODR application provides a reliable platform to connect local blood donors with patients. BLOODR creates a communication channel through authenticated clinics whenever a patient needs blood donation. It is a useful tool to find compatible blood donors who can receive blood request posts in their local area. Clinics can use this web application to maintain the blood donation activity. Future improvement of the BLOODR is explained.

  10. Perylene-Diimide Based Donor-Acceptor-Donor Type Small-Molecule Acceptors for Solution-Processable Organic Solar Cells

    Science.gov (United States)

    Ganesamoorthy, Ramasamy; Vijayaraghavan, Rajagopalan; Sakthivel, Pachagounder

    2017-12-01

    Development of nonfullerene acceptors plays an important role in the commercial availability of plastic solar cells. We report herein synthesis of bay-substituted donor-acceptor-donor (D-A-D)-type perylene diimide (PDI)-based small molecules (SM-1 to SM-4) by Suzuki coupling method and their use as acceptors in bulk heterojunction organic solar cells (BHJ-OSCs) with poly(3-hexylthiophene) (P3HT) polymer donor. We varied the number of electron-rich thiophene units and the solubilizing side chains and also evaluated the optical and electrochemical properties of the small molecules. The synthesized small molecules were confirmed by Fourier-transform infrared (FT-IR) spectroscopy, nuclear magnetic resonance (NMR) spectroscopy, and high-resolution mass spectroscopy (HR-MS). The small molecules showed extensive and strong absorption in the ultraviolet-visible (UV-Vis) region up to 750 nm, with bandgap (E_{{g}}^{{opt}} ) reduced below energy levels of small molecules SM-1 to SM-4 were suitable for use as electron-accepting materials. The small molecules showed good thermal stability up to 300°C. BHJ-OSCs with SM-1 and P3HT polymer donor showed maximum power conversion efficiency (PCE) of 0.19% with V oc of 0.30 V, J sc of 1.72 mA cm-2, and fill factor (FF) of 37%. The PCE decreased with the number of thiophene units. The PCE of SM-2 was lower than that of SM-1. This difference in PCE can be explained by the higher aggregation tendency of the bithiophene compared with the thiophene unit. Introduction of the solubilizing group in the bay position increased the aggregation property, leading to much lower PCE than for the small molecules without solubilizing group.

  11. Travel behavior and deferral of Dutch blood donors : Consequences for donor availability

    NARCIS (Netherlands)

    Lieshout-Krikke, Ryanne W.; Oei, Welling; Habets, Karin; Pasker-De Jong, Pieternel C M

    2015-01-01

    Background Donors returning from areas with outbreaks of infectious diseases may donate infectious blood back home. Geographic donor deferral is an effective measure to ensure the blood safety, but donor deferral may pose a threat for the blood supply especially after holiday seasons. Insight into

  12. Bone marrow harvest versus peripheral stem cell collection for haemopoietic stem cell donation in healthy donors.

    Science.gov (United States)

    Siddiq, Samreen; Pamphilon, Derwood; Brunskill, Susan; Doree, Carolyn; Hyde, Chris; Stanworth, Simon

    2009-01-21

    Haemopoietic stem cells can be collected from a donor either as a bone marrow harvest or by peripheral blood collection. Both techniques have risks for the donor. The aim of this review was to identify the adverse effects of haemopoietic stem cell donation and to compare the tolerability and safety of the two methods. We searched bibliographic databases including the Cochrane Central Register of Controlled trials (CENTRAL) (The Cochrane Library 2008, issue 2), MEDLINE and EMBASE up to May 2008. We also searched reference lists of articles and contacted experts in the field. Randomised controlled trials enrolling haemopoietic stem cell donors and evaluating the different methods of donating haemopoietic stem cells were eligible. Two authors independently screened studies for inclusion. We extracted data and evaluated methodological quality. Quantitative analysis was not possible for most outcomes, but where used we preferred random-effects models due to the variability between the included studies. Six trials (807 donors) were eligible: all were substudies, or constituent parts of, larger randomised controlled trials of bone marrow and peripheral blood stem cell allogeneic transplantation. No included trial was designed solely to measure and assess the experience of stem cell donors. The donors in all studies were related to the stem cell recipient. Overall, both types of donors experienced pain subsequent to donation, and psychological morbidity. The trend was for bone marrow donors to experience more pain at the donation site, more overall adverse events, and more days of restricted activity. They were also more likely to require hospitalisation than peripheral blood stem cell donors. In contrast, peripheral blood stem cell donors experienced more pain prior to donation, which may be related to the pre-donation administration of granulocyte colony stimulating factor (G-CSF). The methodological quality of the studies was poor and indicated limitations due to the

  13. Economic consequences incurred by living kidney donors: a Canadian multi-center prospective study.

    Science.gov (United States)

    Klarenbach, S; Gill, J S; Knoll, G; Caulfield, T; Boudville, N; Prasad, G V R; Karpinski, M; Storsley, L; Treleaven, D; Arnold, J; Cuerden, M; Jacobs, P; Garg, A X

    2014-04-01

    Some living kidn