Sample records for average treatment effect

  1. Relaxing monotonicity in the identification of local average treatment effects

    DEFF Research Database (Denmark)

    Huber, Martin; Mellace, Giovanni

    In heterogeneous treatment effect models with endogeneity, the identification of the local average treatment effect (LATE) typically relies on an instrument that satisfies two conditions: (i) joint independence of the potential post-instrument variables and the instrument and (ii) monotonicity...

  2. Sharp IV bounds on average treatment effects under endogeneity and noncompliance

    DEFF Research Database (Denmark)

    Huber, Martin; Mellace, Giovanni

    in econometrics. Therefore, we use treatment monotonicity and/or stochastic dominance assumptions to derive sharp bounds on the average treatment effects of the treated population, the entire population, the compliers, the always takers, and the never takers. We also provide an application to labor market data...

  3. Estimating the average treatment effects of nutritional label use using subclassification with regression adjustment. (United States)

    Lopez, Michael J; Gutman, Roee


    Propensity score methods are common for estimating a binary treatment effect when treatment assignment is not randomized. When exposure is measured on an ordinal scale (i.e. low-medium-high), however, propensity score inference requires extensions which have received limited attention. Estimands of possible interest with an ordinal exposure are the average treatment effects between each pair of exposure levels. Using these estimands, it is possible to determine an optimal exposure level. Traditional methods, including dichotomization of the exposure or a series of binary propensity score comparisons across exposure pairs, are generally inadequate for identification of optimal levels. We combine subclassification with regression adjustment to estimate transitive, unbiased average causal effects across an ordered exposure, and apply our method on the 2005-2006 National Health and Nutrition Examination Survey to estimate the effects of nutritional label use on body mass index.

  4. Double robust estimator of average causal treatment effect for censored medical cost data. (United States)

    Wang, Xuan; Beste, Lauren A; Maier, Marissa M; Zhou, Xiao-Hua


    In observational studies, estimation of average causal treatment effect on a patient's response should adjust for confounders that are associated with both treatment exposure and response. In addition, the response, such as medical cost, may have incomplete follow-up. In this article, a double robust estimator is proposed for average causal treatment effect for right censored medical cost data. The estimator is double robust in the sense that it remains consistent when either the model for the treatment assignment or the regression model for the response is correctly specified. Double robust estimators increase the likelihood the results will represent a valid inference. Asymptotic normality is obtained for the proposed estimator, and an estimator for the asymptotic variance is also derived. Simulation studies show good finite sample performance of the proposed estimator and a real data analysis using the proposed method is provided as illustration. Copyright © 2016 John Wiley & Sons, Ltd.

  5. Quasi-likelihood estimation of average treatment effects based on model information

    Institute of Scientific and Technical Information of China (English)

    Zhi-hua SUN


    In this paper, the estimation of average treatment effects is considered when we have the model information of the conditional mean and conditional variance for the responses given the covariates. The quasi-likelihood method adapted to treatment effects data is developed to estimate the parameters in the conditional mean and conditional variance models. Based on the model information, we define three estimators by imputation, regression and inverse probability weighted methods.All the estimators are shown asymptotically normal. Our simulation results show that by using the model information, the substantial efficiency gains are obtained which are comparable with the existing estimators.

  6. Quasi-likelihood estimation of average treatment effects based on model information

    Institute of Scientific and Technical Information of China (English)


    In this paper, the estimation of average treatment effects is considered when we have the model information of the conditional mean and conditional variance for the responses given the covariates. The quasi-likelihood method adapted to treatment effects data is developed to estimate the parameters in the conditional mean and conditional variance models. Based on the model information, we define three estimators by imputation, regression and inverse probability weighted methods. All the estimators are shown asymptotically normal. Our simulation results show that by using the model information, the substantial efficiency gains are obtained which are comparable with the existing estimators.

  7. Under What Assumptions Do Site-by-Treatment Instruments Identify Average Causal Effects? (United States)

    Reardon, Sean F.; Raudenbush, Stephen W.


    The increasing availability of data from multi-site randomized trials provides a potential opportunity to use instrumental variables methods to study the effects of multiple hypothesized mediators of the effect of a treatment. We derive nine assumptions needed to identify the effects of multiple mediators when using site-by-treatment interactions…

  8. Estimation of treatment efficacy with complier average causal effects (CACE) in a randomized stepped wedge trial. (United States)

    Gruber, Joshua S; Arnold, Benjamin F; Reygadas, Fermin; Hubbard, Alan E; Colford, John M


    Complier average causal effects (CACE) estimate the impact of an intervention among treatment compliers in randomized trials. Methods used to estimate CACE have been outlined for parallel-arm trials (e.g., using an instrumental variables (IV) estimator) but not for other randomized study designs. Here, we propose a method for estimating CACE in randomized stepped wedge trials, where experimental units cross over from control conditions to intervention conditions in a randomized sequence. We illustrate the approach with a cluster-randomized drinking water trial conducted in rural Mexico from 2009 to 2011. Additionally, we evaluated the plausibility of assumptions required to estimate CACE using the IV approach, which are testable in stepped wedge trials but not in parallel-arm trials. We observed small increases in the magnitude of CACE risk differences compared with intention-to-treat estimates for drinking water contamination (risk difference (RD) = -22% (95% confidence interval (CI): -33, -11) vs. RD = -19% (95% CI: -26, -12)) and diarrhea (RD = -0.8% (95% CI: -2.1, 0.4) vs. RD = -0.1% (95% CI: -1.1, 0.9)). Assumptions required for IV analysis were probably violated. Stepped wedge trials allow investigators to estimate CACE with an approach that avoids the stronger assumptions required for CACE estimation in parallel-arm trials. Inclusion of CACE estimates in stepped wedge trials with imperfect compliance could enhance reporting and interpretation of the results of such trials.

  9. Sharp IV bounds on average treatment effects on the treated and other populations under endogeneity and noncompliance

    DEFF Research Database (Denmark)

    Huber, Martin; Laffers, Lukas; Mellace, Giovanni


    subpopulations has been widely ignored in econometrics. We invoke treatment monotonicity and/or dominance assumptions to derive sharp bounds on the average treatment effects on the treated, as well as on other groups. Furthermore, we use our methods to assess the educational impact of a school voucher program...

  10. Targeted estimation and inference for the sample average treatment effect in trials with and without pair-matching. (United States)

    Balzer, Laura B; Petersen, Maya L; van der Laan, Mark J


    In cluster randomized trials, the study units usually are not a simple random sample from some clearly defined target population. Instead, the target population tends to be hypothetical or ill-defined, and the selection of study units tends to be systematic, driven by logistical and practical considerations. As a result, the population average treatment effect (PATE) may be neither well defined nor easily interpretable. In contrast, the sample average treatment effect (SATE) is the mean difference in the counterfactual outcomes for the study units. The sample parameter is easily interpretable and arguably the most relevant when the study units are not sampled from some specific super-population of interest. Furthermore, in most settings, the sample parameter will be estimated more efficiently than the population parameter. To the best of our knowledge, this is the first paper to propose using targeted maximum likelihood estimation (TMLE) for estimation and inference of the sample effect in trials with and without pair-matching. We study the asymptotic and finite sample properties of the TMLE for the sample effect and provide a conservative variance estimator. Finite sample simulations illustrate the potential gains in precision and power from selecting the sample effect as the target of inference. This work is motivated by the Sustainable East Africa Research in Community Health (SEARCH) study, a pair-matched, community randomized trial to estimate the effect of population-based HIV testing and streamlined ART on the 5-year cumulative HIV incidence (NCT01864603). The proposed methodology will be used in the primary analysis for the SEARCH trial. Copyright © 2016 John Wiley & Sons, Ltd.

  11. A novel convolution-based approach to address ionization chamber volume averaging effect in model-based treatment planning systems (United States)

    Barraclough, Brendan; Li, Jonathan G.; Lebron, Sharon; Fan, Qiyong; Liu, Chihray; Yan, Guanghua


    The ionization chamber volume averaging effect is a well-known issue without an elegant solution. The purpose of this study is to propose a novel convolution-based approach to address the volume averaging effect in model-based treatment planning systems (TPSs). Ionization chamber-measured beam profiles can be regarded as the convolution between the detector response function and the implicit real profiles. Existing approaches address the issue by trying to remove the volume averaging effect from the measurement. In contrast, our proposed method imports the measured profiles directly into the TPS and addresses the problem by reoptimizing pertinent parameters of the TPS beam model. In the iterative beam modeling process, the TPS-calculated beam profiles are convolved with the same detector response function. Beam model parameters responsible for the penumbra are optimized to drive the convolved profiles to match the measured profiles. Since the convolved and the measured profiles are subject to identical volume averaging effect, the calculated profiles match the real profiles when the optimization converges. The method was applied to reoptimize a CC13 beam model commissioned with profiles measured with a standard ionization chamber (Scanditronix Wellhofer, Bartlett, TN). The reoptimized beam model was validated by comparing the TPS-calculated profiles with diode-measured profiles. Its performance in intensity-modulated radiation therapy (IMRT) quality assurance (QA) for ten head-and-neck patients was compared with the CC13 beam model and a clinical beam model (manually optimized, clinically proven) using standard Gamma comparisons. The beam profiles calculated with the reoptimized beam model showed excellent agreement with diode measurement at all measured geometries. Performance of the reoptimized beam model was comparable with that of the clinical beam model in IMRT QA. The average passing rates using the reoptimized beam model increased substantially from 92.1% to

  12. Identifying the Average Causal Mediation Effects with Multiple Mediators in the Presence of Treatment Non-Compliance (United States)

    Park, Soojin


    Identifying the causal mechanisms is becoming more essential in social and medical sciences. In the presence of treatment non-compliance, the Intent-To-Treated effect (hereafter, ITT effect) is identified as long as the treatment is randomized (Angrist et al., 1996). However, the mediated portion of effect is not identified without additional…

  13. Choice of non-inferiority (NI margins does not protect against degradation of treatment effects on an average--an observational study of registered and published NI trials.

    Directory of Open Access Journals (Sweden)

    Beryl Primrose Gladstone

    Full Text Available NI margins have to be chosen appropriately to control the risk of degradation of treatment effects in non-inferiority (NI trials. We aimed to study whether the current choice of NI margins protects sufficiently against a degradation of treatment effect on an average.NI trials reflecting current practice were assembled and for each trial, the NI margin was translated into a likelihood of degradation. The likelihood of degradation was calculated as the conditional probability of a treatment being harmful given that it is declared non-inferior in the trial, using simulation. Its distribution among the NI trials was then studied to assess the potential risk of degradation.The median (lower/upper quartile NI margin among 112 binary outcome NI trials corresponded to an odds ratio of 0.57(0.45, 0.66, while among 38 NI trials with continuous outcome, to a Cohen's d of -0.42(-0.54, -0.31 and a hazard ratio of 0.82(0.73, 0.86 among 24 survival outcome NI trials. Overall, the median likelihood of degradation was 56% (45%, 62%.Only two fifths of the current NI trials had a likelihood of degradation lower than 50%, suggesting that, in majority of the NI trials, there is no sufficient protection against degradation on an average. We suggest a third hurdle for the choice of NI margins, thus contributing a sufficient degree of protection.

  14. Averaging VMAT treatment plans for multi-criteria navigation

    CERN Document Server

    Craft, David; Unkelbach, Jan


    The main approach to smooth Pareto surface navigation for radiation therapy multi-criteria treatment planning involves taking real-time averages of pre-computed treatment plans. In fluence-based treatment planning, fluence maps themselves can be averaged, which leads to the dose distributions being averaged due to the linear relationship between fluence and dose. This works for fluence-based photon plans and proton spot scanning plans. In this technical note, we show that two or more sliding window volumetric modulated arc therapy (VMAT) plans can be combined by averaging leaf positions in a certain way, and we demonstrate that the resulting dose distribution for the averaged plan is approximately the average of the dose distributions of the original plans. This leads to the ability to do Pareto surface navigation, i.e. interactive multi-criteria exploration of VMAT plan dosimetric tradeoffs.

  15. Geomagnetic effects on the average surface temperature (United States)

    Ballatore, P.

    Several results have previously shown as the solar activity can be related to the cloudiness and the surface solar radiation intensity (Svensmark and Friis-Christensen, J. Atmos. Sol. Terr. Phys., 59, 1225, 1997; Veretenenkoand Pudovkin, J. Atmos. Sol. Terr. Phys., 61, 521, 1999). Here, the possible relationships between the averaged surface temperature and the solar wind parameters or geomagnetic activity indices are investigated. The temperature data used are the monthly SST maps (generated at RAL and available from the related ESRIN/ESA database) that represent the averaged surface temperature with a spatial resolution of 0.5°x0.5° and cover the entire globe. The interplanetary data and the geomagnetic data are from the USA National Space Science Data Center. The time interval considered is 1995-2000. Specifically, possible associations and/or correlations of the average temperature with the interplanetary magnetic field Bz component and with the Kp index are considered and differentiated taking into account separate geographic and geomagnetic planetary regions.

  16. 27 CFR 19.37 - Average effective tax rate. (United States)


    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Average effective tax rate..., DEPARTMENT OF THE TREASURY LIQUORS DISTILLED SPIRITS PLANTS Taxes Effective Tax Rates § 19.37 Average effective tax rate. (a) The proprietor may establish an average effective tax rate for any...

  17. Investigating Averaging Effect by Using Three Dimension Spectrum

    Institute of Scientific and Technical Information of China (English)


    The eddy current displacement sensor's averaging effect has been investigated in this paper,and thefrequency spectrum property of the averaging effect was also deduced. It indicates that the averaging effect has no influences on measuring a rotor's rotating error, but it has visible influences on measuring the rotor's profile error. According to the frequency spectrum of the averaging effect, the actual sampling data can be adjusted reasonably, thus measuring precision is improved.

  18. Trait valence and the better-than-average effect. (United States)

    Gold, Ron S; Brown, Mark G


    People tend to regard themselves as having superior personality traits compared to their average peer. To test whether this "better-than-average effect" varies with trait valence, participants (N = 154 students) rated both themselves and the average student on traits constituting either positive or negative poles of five trait dimensions. In each case, the better-than-average effect was found, but trait valence had no effect. Results were discussed in terms of Kahneman and Tversky's prospect theory.

  19. The EffectLiteR Approach for Analyzing Average and Conditional Effects. (United States)

    Mayer, Axel; Dietzfelbinger, Lisa; Rosseel, Yves; Steyer, Rolf


    We present a framework for estimating average and conditional effects of a discrete treatment variable on a continuous outcome variable, conditioning on categorical and continuous covariates. Using the new approach, termed the EffectLiteR approach, researchers can consider conditional treatment effects given values of all covariates in the analysis and various aggregates of these conditional treatment effects such as average effects, effects on the treated, or aggregated conditional effects given values of a subset of covariates. Building on structural equation modeling, key advantages of the new approach are (1) It allows for latent covariates and outcome variables; (2) it permits (higher order) interactions between the treatment variable and categorical and (latent) continuous covariates; and (3) covariates can be treated as stochastic or fixed. The approach is illustrated by an example, and open source software EffectLiteR is provided, which makes a detailed analysis of effects conveniently accessible for applied researchers.

  20. The monthly-averaged and yearly-averaged cosine effect factor of a heliostat field

    Energy Technology Data Exchange (ETDEWEB)

    Al-Rabghi, O.M.; Elsayed, M.M. (King Abdulaziz Univ., Jeddah (Saudi Arabia). Dept. of Thermal Engineering)


    Calculations are carried out to determine the dependence of the monthly-averaged and the yearly-averaged daily cosine effect factor on the pertinent parameters. The results are plotted on charts for each month and for the full year. These results cover latitude angles between 0 and 45[sup o]N, for fields with radii up to 50 tower height. In addition, the results are expressed in mathematical correlations to facilitate using them in computer applications. A procedure is outlined to use the present results to preliminary layout the heliostat field, and to predict the rated MW[sub th] reflected by the heliostat field during a period of a month, several months, or a year. (author)

  1. The background effective average action approach to quantum gravity

    DEFF Research Database (Denmark)

    D’Odorico, G.; Codello, A.; Pagani, C.


    of an UV attractive non-Gaussian fixed-point, which we find characterized by real critical exponents. Our closure method is general and can be applied systematically to more general truncations of the gravitational effective average action. © Springer International Publishing Switzerland 2016....

  2. The effect of statins on average survival in randomised trials, an analysis of end point postponement

    DEFF Research Database (Denmark)

    Kristensen, Malene Lopez; Christensen, Palle Mark; Hallas, Jesper


    OBJECTIVE: To estimate the average postponement of death in statin trials. SETTING: A systematic literature review of all statin trials that presented all-cause survival curves for treated and untreated. INTERVENTION: Statin treatment compared to placebo. PRIMARY OUTCOME MEASURES: The average...... in secondary prevention trials. The median postponement of death for primary and secondary prevention trials were 3.2 and 4.1 days, respectively. CONCLUSIONS: Statin treatment results in a surprisingly small average gain in overall survival within the trials' running time. For patients whose life expectancy...... is limited or who have adverse effects of treatment, withholding statin therapy should be considered....

  3. Thermal effects in high average power optical parametric amplifiers. (United States)

    Rothhardt, Jan; Demmler, Stefan; Hädrich, Steffen; Peschel, Thomas; Limpert, Jens; Tünnermann, Andreas


    Optical parametric amplifiers (OPAs) have the reputation of being average power scalable due to the instantaneous nature of the parametric process (zero quantum defect). This Letter reveals serious challenges originating from thermal load in the nonlinear crystal caused by absorption. We investigate these thermal effects in high average power OPAs based on beta barium borate. Absorption of both pump and idler waves is identified to contribute significantly to heating of the nonlinear crystal. A temperature increase of up to 148 K with respect to the environment is observed and mechanical tensile stress up to 40 MPa is found, indicating a high risk of crystal fracture under such conditions. By restricting the idler to a wavelength range far from absorption bands and removing the crystal coating we reduce the peak temperature and the resulting temperature gradient significantly. Guidelines for further power scaling of OPAs and other nonlinear devices are given.

  4. Treatment Effects

    DEFF Research Database (Denmark)

    Heckman, James J.; Lopes, Hedibert F.; Piatek, Rémi


    This paper contributes to the emerging Bayesian literature on treatment effects. It derives treatment parameters in the framework of a potential outcomes model with a treatment choice equation, where the correlation between the unobservable components of the model is driven by a low...... to observe the same person in both the treated and untreated states, but it also turns out to be straightforward to implement. Formulae are provided to compute mean treatment effects as well as their distributional versions. A Monte Carlo simulation study is carried out to illustrate how the methodology can...

  5. Effects of polynomial trends on detrending moving average analysis

    CERN Document Server

    Shao, Ying-Hui; Jiang, Zhi-Qiang; Zhou, Wei-Xing


    The detrending moving average (DMA) algorithm is one of the best performing methods to quantify the long-term correlations in nonstationary time series. Many long-term correlated time series in real systems contain various trends. We investigate the effects of polynomial trends on the scaling behaviors and the performances of three widely used DMA methods including backward algorithm (BDMA), centered algorithm (CDMA) and forward algorithm (FDMA). We derive a general framework for polynomial trends and obtain analytical results for constant shifts and linear trends. We find that the behavior of the CDMA method is not influenced by constant shifts. In contrast, linear trends cause a crossover in the CDMA fluctuation functions. We also find that constant shifts and linear trends cause crossovers in the fluctuation functions obtained from the BDMA and FDMA methods. When a crossover exists, the scaling behavior at small scales comes from the intrinsic time series while that at large scales is dominated by the cons...

  6. Optimal Dose of Vitamin D3 400 I.U. for Average Adults has A Significant Anti-Cancer Effect, While Widely Used 2000 I.U. or Higher Promotes Cancer: Marked Reduction of Taurine & 1α, 25(OH)2D3 Was Found In Various Cancer Tissues and Oral Intake of Optimal Dose of Taurine 175mg for Average Adults, Rather Than 500mg, Was Found to Be A New Potentially Safe and More Effective Method of Cancer Treatment. (United States)

    Omura, Yoshiaki; Lu, Dominic; Jones, Marilyn K; Nihrane, Abdallah; Duvvi, Harsha; Yapor, Dario; Shimotsuura, Yasuhiro; Ohki, Motomu


    During the past 10 years, the author had found that the optimal dose of Vitamin D3 400 I.U. has safe & effective anticancer effects, while commonly used 2000-5000 I.U. of Vit. D3 often creates a 2-3 time increase in cancer markers. We examined the concentration of Taurine in normal internal organs and in cancer using Bi-Digital O-Ring Test. We found that Taurine levels in normal tissue are 4-6ng. But, the amount of Taurine of average normal value of 5.0-5.25ng was strikingly reduced to 0.0025-0.0028ng in this study of several examples in adenocarcinomas of the esophagus, stomach, pancreas, colon, prostate, and lung, as well as breast cancer. The lowest Taurine levels of 0.0002-0.0005ng were found in so called Zika virus infected babies from Brazil with microcephaly. While Vitamin D3 receptor stimulant 1α, 25 (OH)2D3 in normal tissues was 0.45-0.53ng, they were reduced to 0.025-0.006ng in cancers (1/100th-1/200th of normal value), particularly in various adenocarcinomas. All of these adenocarcinomas had about 1500ng HPV-16 viral infection. In 500 breast cancers, about 97% had HPV-16. The optimal dose of Taurine for average adult has been found to be about 175mg, rather than the widely used 500mg. In addition, since Taurine is markedly reduced to close to 1/1000th-1/2000th of its normal value in these cancer tissues, we examined the effect of the optimal dose of Taurine on cancer patients. Optimal dose of Taurine produced a very significant decrease in cancer-associated parameters, such as Oncogene C-fosAb2 & Integrin α5β1 being reduced to less than 1/1,000th, and 8-OH-dG (which increases in the presence of DNA mutation) reduced to less than 1/10th. The optimal dose of Taurine 175mg for average adult various cancer patient 3 times a day alone provide beneficial effects with very significant anti-cancer effects with strikingly increased urinary excretion of bacteria, viruses, & funguses, asbestos, toxic metals & other toxic substances. However, optimal doses of

  7. The average value inequality in sequential effect algebras

    CERN Document Server

    Jun, Shen


    A sequential effect algebra $(E,0,1, \\oplus, \\circ)$ is an effect algebra on which a sequential product $\\circ$ with certain physics properties is defined, in particular, sequential effect algebra is an important model for studying quantum measurement theory. In 2005, Gudder asked the following problem: If $a, b\\in (E,0,1,\\oplus, \\circ)$ and $a\\bot b$ and $a\\circ b\\bot a\\circ b$, is it the case that $2(a\\circ b)\\leq a^2\\oplus b^2$ ? In this paper, we construct an example to answer the problem negatively.

  8. Pulsar polarisation below 200 MHz: Average profiles and propagation effects

    CERN Document Server

    Noutsos, A; Kondratiev, V I; Weltevrede, P; Verbiest, J P W; Karastergiou, A; Kramer, M; Kuniyoshi, M; Alexov, A; Breton, R P; Bilous, A V; Cooper, S; Falcke, H; Grießmeier, J -M; Hassall, T E; Hessels, J W T; Keane, E F; Osłowski, S; Pilia, M; Serylak, M; Stappers, B W; ter Veen, S; van Leeuwen, J; Zagkouris, K; Anderson, K; Bähren, L; Bell, M; Broderick, J; Carbone, D; Cendes, Y; Coenen, T; Corbel, S; Eislöffel, J; Fender, R; Garsden, H; Jonker, P; Law, C; Marko, S; Masters, J; Miller-Jones, J; Molenaar, G; Osten, R; Pietka, M; Rol, E; Rowlinson, A; Scheers, B; Spreeuw, H; Staley, T; Stewart, A; Swinbank, J; Wijers, R; Wijnands, R; Wise, M; Zarka, P; van der Horst, A


    We present the highest-quality polarisation profiles to date of 16 non-recycled pulsars and four millisecond pulsars, observed below 200 MHz with the LOFAR high-band antennas. Based on the observed profiles, we perform an initial investigation of expected observational effects resulting from the propagation of polarised emission in the pulsar magnetosphere and the interstellar medium. The predictions of magnetospheric birefringence in pulsars have been tested using spectra of the pulse width and fractional polarisation from multifrequency data. The derived spectra offer only partial support for the expected effects of birefringence on the polarisation properties, with only about half of our sample being consistent with the model's predictions. It is noted that for some pulsars these measurements are contaminated by the effects of interstellar scattering. For a number of pulsars in our sample, we have observed significant variations in the amount of Faraday rotation as a function of pulse phase, which is possi...

  9. Pulsar polarisation below 200 MHz: Average profiles and propagation effects

    NARCIS (Netherlands)

    Noutsos, A.; Sobey, C.; Kondratiev, V.I.; Weltevrede, P.; Verbiest, J.P.W.; Karastergiou, A.; Kramer, M.; Kuniyoshi, M.; Alexov, A.; Breton, R.P.; Bilous, A.V.; Cooper, S.; Falcke, H.; Grießmeier, J.M.; Hassall, T.E.; Hessels, J.W.T.; Keane, E.F.; Osłowski, S.; Pilia, M.; Serylak, M.; Stappers, B.W.; ter Veen, S.; van Leeuwen, J.; Zagkouris, K.; Anderson, K.; Bähren, L.; Bell, M.; Broderick, J.; Carbone, D.; Cendes, Y.; Coenen, T.; Corbel, S.; Eislöffel, J.; Fender, R.; Garsden, H.; Jonker, P.; Law, C.; Markoff, S.; Masters, J.; Miller-Jones, J.; Molenaar, G.; Osten, R.; Pietka, M.; Rol, E.; Rowlinson, A.; Scheers, B.; Spreeuw, H.; Staley, T.; Stewart, A.; Swinbank, J.; Wijers, R.; Wijnands, R.; Wise, M.; Zarka, P.; van der Horst, A.


    Aims. We present the highest-quality polarisation profiles to date of 16 non-recycled pulsars and four millisecond pulsars, observed below 200 MHz with the LOFAR high-band antennas. Based on the observed profiles, we perform an initial investigation of expected observational effects resulting from t

  10. Pulsar polarisation below 200 MHz: Average profiles and propagation effects

    NARCIS (Netherlands)

    Noutsos, A.; Sobey, C.; Kondratiev, V.I.; Weltevrede, P.; Verbiest, J.P.W.; Karastergiou, A.; Kramer, M.; Kuniyoshi, M.; Alexov, A.; Breton, R.P.; Bilous, A.V.; Cooper, S.; Falcke, H.; Griessmeier, J.-M.; Hassall, T.E.; Hessels, J.W.T.; Keane, E.F.; Oslowski, S.; Pilia, M.; Serylak, M.; Stappers, B.W.; Veen, S. ter; Leeuwen, J. van; Zagkouris, K.; Anderson, K.; Baehren, L.; Bell, M.E.; Broderick, J.; Carbone, D.; Cendes, Y.; Coenen, T.; Corbel, S.; Eisloeffel, J.; Fender, R.P.; Garsden, H.; Jonker, P.; Law, C.J.; Markoff, S.; Masters, J.; Miller-Jones, J.C.A.; Molenaar, G.; Osten, R.; Pietka, M.; Rol, E.; Rowlinson, A.; Scheers, L.H.A.; Spreeuw, H.; Staley, T.; Stewart, A.; Swinbank, J.; Wijers, R.A.M.J.; Wijnands, R.; Wise, M.W.; Zarka, P.; Horst, A. van der


    Aims: We present the highest-quality polarisation profiles to date of 16 non-recycled pulsars and four millisecond pulsars, observed below 200 MHz with the LOFAR high-band antennas. Based on the observed profiles, we perform an initial investigation of expected observational effects resulting from t

  11. GI Joe or Average Joe? The impact of average-size and muscular male fashion models on men's and women's body image and advertisement effectiveness. (United States)

    Diedrichs, Phillippa C; Lee, Christina


    Increasing body size and shape diversity in media imagery may promote positive body image. While research has largely focused on female models and women's body image, men may also be affected by unrealistic images. We examined the impact of average-size and muscular male fashion models on men's and women's body image and perceived advertisement effectiveness. A sample of 330 men and 289 women viewed one of four advertisement conditions: no models, muscular, average-slim or average-large models. Men and women rated average-size models as equally effective in advertisements as muscular models. For men, exposure to average-size models was associated with more positive body image in comparison to viewing no models, but no difference was found in comparison to muscular models. Similar results were found for women. Internalisation of beauty ideals did not moderate these effects. These findings suggest that average-size male models can promote positive body image and appeal to consumers.

  12. Harmonic bath averaged Hamiltonian: an efficient tool to capture quantum effects of large systems. (United States)

    Yang, Yonggang; Liu, Xiaomeng; Meuwly, Markus; Xiao, Liantuan; Jia, Suotang


    Starting from a reaction path Hamiltonian, a suitably reduced harmonic bath averaged Hamiltonian is derived by averaging over all the normal mode coordinates. Generalization of the harmonic bath averaged Hamiltonian to any dimensions are performed and the feasibility to use a linear reaction path/surface are investigated and discussed. By use of a harmonic bath averaged Hamiltonian, the tunneling splitting and proton transfer dynamics of malonaldehyde is briefly discussed and shows that the harmonic bath averaged Hamiltonian is an efficient tool to capture quantum effects in larger systems.

  13. Estimation of average causal effect using the restricted mean residual lifetime as effect measure

    DEFF Research Database (Denmark)

    Mansourvar, Zahra; Martinussen, Torben


    with respect to their survival times. In observational studies where the factor of interest is not randomized, covariate adjustment is needed to take into account imbalances in confounding factors. In this article, we develop an estimator for the average causal treatment difference using the restricted mean...... residual lifetime as target parameter. We account for confounding factors using the Aalen additive hazards model. Large sample property of the proposed estimator is established and simulation studies are conducted in order to assess small sample performance of the resulting estimator. The method is also...

  14. Analysis of average density difference effect in a new two-lane lattice model (United States)

    Zhang, Geng; Sun, Di-Hua; Zhao, Min; Liu, Wei-Ning; Cheng, Sen-Lin


    A new lattice model is proposed by taking the average density difference effect into account for two-lane traffic system according to Transportation Cyber-physical Systems. The influence of average density difference effect on the stability of traffic flow is investigated through linear stability theory and nonlinear reductive perturbation method. The linear analysis results reveal that the unstable region would be reduced by considering the average density difference effect. The nonlinear kink-antikink soliton solution derived from the mKdV equation is analyzed to describe the properties of traffic jamming transition near the critical point. Numerical simulations confirm the analytical results showing that traffic jam can be suppressed efficiently by considering the average density difference effect for two-lane traffic system.

  15. Estimating average inpatient and outpatient costs and childhood pneumonia and diarrhoea treatment costs in an urban health centre in Zambia

    Directory of Open Access Journals (Sweden)

    Chola Lumbwe


    Full Text Available Abstract Background Millions of children die every year in developing countries, from preventable diseases such as pneumonia and diarrhoea, owing to low levels of investment in child health. Investment efforts are hampered by a general lack of adequate information that is necessary for priority setting in this sector. This paper measures the health system costs of providing inpatient and outpatient services, and also the costs associated with treating pneumonia and diarrhoea in under-five children at a health centre in Zambia. Methods Annual economic and financial cost data were collected in 2005-2006. Data were summarized in a Microsoft excel spreadsheet to obtain total department costs and average disease treatment costs. Results The total annual cost of operating the health centre was US$1,731,661 of which US$1 284 306 and US$447,355 were patient care and overhead departments costs, respectively. The average cost of providing out-patient services was US$3 per visit, while the cost of in-patient treatment was US$18 per bed day. The cost of providing dental services was highest at US$20 per visit, and the cost of VCT services was lowest, with US$1 per visit. The cost per out-patient visit for under-five pneumonia was US$48, while the cost per bed day was US$215. The cost per outpatient visit attributed to under-five diarrhoea was US$26, and the cost per bed day was US$78. Conclusion In the face of insufficient data, a cost analysis exercise is a difficult but feasible undertaking. The study findings are useful and applicable in similar settings, and can be used in cost effectiveness analyses of health interventions.

  16. Thermal motion in proteins: Large effects on the time-averaged interaction energies

    Directory of Open Access Journals (Sweden)

    Martin Goethe


    Full Text Available As a consequence of thermal motion, inter-atomic distances in proteins fluctuate strongly around their average values, and hence, also interaction energies (i.e. the pair-potentials evaluated at the fluctuating distances are not constant in time but exhibit pronounced fluctuations. These fluctuations cause that time-averaged interaction energies do generally not coincide with the energy values obtained by evaluating the pair-potentials at the average distances. More precisely, time-averaged interaction energies behave typically smoother in terms of the average distance than the corresponding pair-potentials. This averaging effect is referred to as the thermal smoothing effect. Here, we estimate the strength of the thermal smoothing effect on the Lennard-Jones pair-potential for globular proteins at ambient conditions using x-ray diffraction and simulation data of a representative set of proteins. For specific atom species, we find a significant smoothing effect where the time-averaged interaction energy of a single atom pair can differ by various tens of cal/mol from the Lennard-Jones potential at the average distance. Importantly, we observe a dependency of the effect on the local environment of the involved atoms. The effect is typically weaker for bulky backbone atoms in beta sheets than for side-chain atoms belonging to other secondary structure on the surface of the protein. The results of this work have important practical implications for protein software relying on free energy expressions. We show that the accuracy of free energy expressions can largely be increased by introducing environment specific Lennard-Jones parameters accounting for the fact that the typical thermal motion of protein atoms depends strongly on their local environment.

  17. Thermal motion in proteins: Large effects on the time-averaged interaction energies (United States)

    Goethe, Martin; Fita, Ignacio; Rubi, J. Miguel


    As a consequence of thermal motion, inter-atomic distances in proteins fluctuate strongly around their average values, and hence, also interaction energies (i.e. the pair-potentials evaluated at the fluctuating distances) are not constant in time but exhibit pronounced fluctuations. These fluctuations cause that time-averaged interaction energies do generally not coincide with the energy values obtained by evaluating the pair-potentials at the average distances. More precisely, time-averaged interaction energies behave typically smoother in terms of the average distance than the corresponding pair-potentials. This averaging effect is referred to as the thermal smoothing effect. Here, we estimate the strength of the thermal smoothing effect on the Lennard-Jones pair-potential for globular proteins at ambient conditions using x-ray diffraction and simulation data of a representative set of proteins. For specific atom species, we find a significant smoothing effect where the time-averaged interaction energy of a single atom pair can differ by various tens of cal/mol from the Lennard-Jones potential at the average distance. Importantly, we observe a dependency of the effect on the local environment of the involved atoms. The effect is typically weaker for bulky backbone atoms in beta sheets than for side-chain atoms belonging to other secondary structure on the surface of the protein. The results of this work have important practical implications for protein software relying on free energy expressions. We show that the accuracy of free energy expressions can largely be increased by introducing environment specific Lennard-Jones parameters accounting for the fact that the typical thermal motion of protein atoms depends strongly on their local environment.

  18. The Dopaminergic Midbrain Mediates an Effect of Average Reward on Pavlovian Vigor. (United States)

    Rigoli, Francesco; Chew, Benjamin; Dayan, Peter; Dolan, Raymond J


    Dopamine plays a key role in motivation. Phasic dopamine response reflects a reinforcement prediction error (RPE), whereas tonic dopamine activity is postulated to represent an average reward that mediates motivational vigor. However, it has been hard to find evidence concerning the neural encoding of average reward that is uncorrupted by influences of RPEs. We circumvented this difficulty in a novel visual search task where we measured participants' button pressing vigor in a context where information (underlying an RPE) about future average reward was provided well before the average reward itself. Despite no instrumental consequence, participants' pressing force increased for greater current average reward, consistent with a form of Pavlovian effect on motivational vigor. We recorded participants' brain activity during task performance with fMRI. Greater average reward was associated with enhanced activity in dopaminergic midbrain to a degree that correlated with the relationship between average reward and pressing vigor. Interestingly, an opposite pattern was observed in subgenual cingulate cortex, a region implicated in negative mood and motivational inhibition. These findings highlight a crucial role for dopaminergic midbrain in representing aspects of average reward and motivational vigor.

  19. Comparative and integrative environmental assessment of advanced wastewater treatment processes based on an average removal of pharmaceuticals. (United States)

    Igos, Elorri; Benetto, Enrico; Venditti, Silvia; Köhler, Christian; Cornelissen, Alex


    Pharmaceuticals are normally barely removed by conventional wastewater treatments. Advanced technologies as a post-treatment, could prevent these pollutants reaching the environment and could be included in a centralized treatment plant or, alternatively, at the primary point source, e.g. hospitals. In this study, the environmental impacts of different options, as a function of several advanced treatments as well as the centralized/decentralized implementation options, have been evaluated using Life Cycle Assessment (LCA) methodology. In previous publications, the characterization of the toxicity of pharmaceuticals within LCA suffers from high uncertainties. In our study, LCA was therefore only used to quantify the generated impacts (electricity, chemicals, etc.) of different treatment scenarios. These impacts are then weighted by the average removal rate of pharmaceuticals using a new Eco-efficiency Indicator EFI. This new way of comparing the scenarios shows significant advantages of upgrading a centralized plant with ozonation as the post-treatment. The decentralized treatment option reveals no significant improvement on the avoided environmental impact, due to the comparatively small pollutant load coming from the hospital and the uncertainties in the average removal of the decentralized scenarios. When comparing the post-treatment technologies, UV radiation has a lower performance than both ozonation and activated carbon adsorption.


    Directory of Open Access Journals (Sweden)

    Thelma J. Mielenz


    Full Text Available Physical therapy researchers are interested in how beneficial an intervention is or the “treatment effect.” There are many measures of treatment effect that are applicable for understanding the efficacy and effectiveness of health interventions. Given that each treatment effect has its own set of advantages and disadvantages, understanding these characteristics can help guide which measure is most appropriate for a specific study. This article presents the more common treatment effects for both dichotomous and continues outcomes. The overall aim is to serve as a guide to newer physical therapy researchers on using and interpreting treatment effects.

  1. Numerical Investigation of Thermal Effect in Plasma Electrode Pockels Cell for High Average Power

    Institute of Scientific and Technical Information of China (English)

    CAO Ding-Xiang; ZHANG Xiong-Jun; ZHENG Wan-Guo; HE Shao-Bo; SUI Zhan


    @@ The average power of a Pockels cell is limited by thermal effects arising from the optical absorption of the laser pulse. These thermal effects can be managed by configuring the switch as a plasma-electrode thin plate Pockels cell, which works under heat-capacity operation. Simulation results show that, based on KD*P (in thickness 0.5cm) at an average power loading of 1 kW, the aperture integrated depolarization loss at 1.06 um is less than 10% in 5min working time.

  2. Ra and the average effective strain of surface asperities deformed in metal-working processes

    DEFF Research Database (Denmark)

    Bay, Niels; Wanheim, Tarras; Petersen, A. S


    Based upon a slip-line analysis of the plastic deformation of surface asperities, a theory is developed determining the Ra-value (c.l.a.) and the average effective strain in the surface layer when deforming asperities in metal-working processes. The ratio between Ra and Ra0, the Ra-value after...... and before deformation, is a function of the nominal normal pressure and the initial slope γ0 of the surface asperities. The last parameter does not influence Ra significantly. The average effective strain View the MathML sourcege in the deformed surface layer is a function of the nominal normal pressure...


    Directory of Open Access Journals (Sweden)

    T. N. Vorontsova


    Full Text Available The aim of this study is to examine cohort structure of patients with proximal femoral fractures (PFF and estimate an average annual demand in emergency surgical treatment for St. Petersburg adult population with mentioned diagnosis. Material and methods. The authors examined case histories and radiographs of 1412 adult patients with proximal femur fractures admitted to three St. Petersburg large general hospitals during one year. Analysis was done using statistical and expert evaluation methods.Results. Cohort structure of patients with PFF demonstrated the following distribution: female – 71,7%, male – 28,3%; Patients of elderly group prevailed: 70 years and older – 70,6%, 60–69 years old – 12%, 50–59 years old – 10,8%; Retirees with various disability status – 80%. Injury structure showed prevalence of femoral neck fractures –52%, pertrochanteric fractures represented 42%, subtrochanteric fractures – 5%. 11,3 days was the average time span from injury till surgery. The authors separately estimated urgent surgical treatment demand for patients with femoral neck fractures and patients with trochanteric fractures. Consequently, both groups results were summed up to generate the total average annual demand for emergency operative treatment for PFF which for adult population of St. Petersburg amounted to 4098 interventions, meaning one surgery per one thousand of adults.Conclusions. Absence of a common consistent approach to treatment of patients with proximal femur fractures as well as significant variance among St. Petersburg hospitals in respect of material, technical and staff resources result in a situation when not every patient with PFF undergoes surgical treatment. There is a strong need to develop and regulate implementation of a standardized treatment algorithm for such injuries, to improve infrastructure and resources of St. Petersburg general hospitals as well as to continuously monitor quality of medical treatment

  4. Overfulfilling the Norm : The Better-Than-Average effect in judgments of attitudes

    NARCIS (Netherlands)

    Stavrova, O.; Koeneke, Vanessa; Schloesser, Thomas


    This research extends the better-than-average (BTA) effect commonly observed in judgments of abilities and personality traits to the domain of attitudes. Participants reported their attitudes toward 18 sociopolitical issues and estimated the attitudes of most other people toward these issues. Consis

  5. Raven's Test Performance of Sub-Saharan Africans: Average Performance, Psychometric Properties, and the Flynn Effect (United States)

    Wicherts, Jelte M.; Dolan, Conor V.; Carlson, Jerry S.; van der Maas, Han L. J.


    This paper presents a systematic review of published data on the performance of sub-Saharan Africans on Raven's Progressive Matrices. The specific goals were to estimate the average level of performance, to study the Flynn Effect in African samples, and to examine the psychometric meaning of Raven's test scores as measures of general intelligence.…

  6. Effects of measurement procedure and equipment on average room acoustic measurements

    DEFF Research Database (Denmark)

    Gade, Anders Christian; Bradley, J S; Siebein, G W


    . In some of the halls measurements were repeated using the procedures of the other teams to make it possible to separate the effects of different equipment and different procedures. The paper will present position-averaged results from the three teams and will discuss reasons for the differences observed...

  7. An extended car-following model accounting for the average headway effect in intelligent transportation system (United States)

    Kuang, Hua; Xu, Zhi-Peng; Li, Xing-Li; Lo, Siu-Ming


    In this paper, an extended car-following model is proposed to simulate traffic flow by considering average headway of preceding vehicles group in intelligent transportation systems environment. The stability condition of this model is obtained by using the linear stability analysis. The phase diagram can be divided into three regions classified as the stable, the metastable and the unstable ones. The theoretical result shows that the average headway plays an important role in improving the stabilization of traffic system. The mKdV equation near the critical point is derived to describe the evolution properties of traffic density waves by applying the reductive perturbation method. Furthermore, through the simulation of space-time evolution of the vehicle headway, it is shown that the traffic jam can be suppressed efficiently with taking into account the average headway effect, and the analytical result is consistent with the simulation one.

  8. On the Correlation of Effective Terahertz Refractive Index and Average Surface Roughness of Pharmaceutical Tablets (United States)

    Chakraborty, Mousumi; Bawuah, Prince; Tan, Nicholas; Ervasti, Tuomas; Pääkkönen, Pertti; Zeitler, J. Axel; Ketolainen, Jarkko; Peiponen, Kai-Erik


    In this paper, we have studied terahertz (THz) pulse time delay of porous pharmaceutical microcrystalline compacts and also pharmaceutical tablets that contain indomethacin (painkiller) as an active pharmaceutical ingredient (API) and microcrystalline cellulose as the matrix of the tablet. The porosity of a pharmaceutical tablet is important because it affects the release of drug substance. In addition, surface roughness of the tablet has much importance regarding dissolution of the tablet and hence the rate of drug release. Here, we show, using a training set of tablets containing API and with a priori known tablet's quality parameters, that the effective refractive index (obtained from THz time delay data) of such porous tablets correlates with the average surface roughness of a tablet. Hence, THz pulse time delay measurement in the transmission mode provides information on both porosity and the average surface roughness of a compact. This is demonstrated for two different sets of pharmaceutical tablets having different porosity and average surface roughness values.

  9. Time Averaged Quantum Dynamics and the Validity of the Effective Hamiltonian Model

    CERN Document Server

    Gamel, Omar


    We develop a technique for finding the dynamical evolution in time of an averaged density matrix. The result is an equation of evolution that includes an Effective Hamiltonian, as well as decoherence terms in Lindblad form. Applying the general equation to harmonic Hamiltonians, we confirm a previous formula for the Effective Hamiltonian together with a new decoherence term which should in general be included, and whose vanishing provides the criteria for validity of the Effective Hamiltonian approach. Finally, we apply the theory to examples of the AC Stark Shift and Three- Level Raman Transitions, recovering a new decoherence effect in the latter.

  10. Cognitive Capitalism: Economic Freedom Moderates the Effects of Intellectual and Average Classes on Economic Productivity. (United States)

    Coyle, Thomas R; Rindermann, Heiner; Hancock, Dale


    Cognitive ability stimulates economic productivity. However, the effects of cognitive ability may be stronger in free and open economies, where competition rewards merit and achievement. To test this hypothesis, ability levels of intellectual classes (top 5%) and average classes (country averages) were estimated using international student assessments (Programme for International Student Assessment; Trends in International Mathematics and Science Study; and Progress in International Reading Literacy Study) (N = 99 countries). The ability levels were correlated with indicators of economic freedom (Fraser Institute), scientific achievement (patent rates), innovation (Global Innovation Index), competitiveness (Global Competitiveness Index), and wealth (gross domestic product). Ability levels of intellectual and average classes strongly predicted all economic criteria. In addition, economic freedom moderated the effects of cognitive ability (for both classes), with stronger effects at higher levels of freedom. Effects were particularly robust for scientific achievements when the full range of freedom was analyzed. The results support cognitive capitalism theory: cognitive ability stimulates economic productivity, and its effects are enhanced by economic freedom.

  11. HIV Reactivation from Latency after Treatment Interruption Occurs on Average Every 5-8 Days--Implications for HIV Remission.

    Directory of Open Access Journals (Sweden)

    Mykola Pinkevych


    Full Text Available HIV infection can be effectively controlled by anti-retroviral therapy (ART in most patients. However therapy must be continued for life, because interruption of ART leads to rapid recrudescence of infection from long-lived latently infected cells. A number of approaches are currently being developed to 'purge' the reservoir of latently infected cells in order to either eliminate infection completely, or significantly delay the time to viral recrudescence after therapy interruption. A fundamental question in HIV research is how frequently the virus reactivates from latency, and thus how much the reservoir might need to be reduced to produce a prolonged antiretroviral-free HIV remission. Here we provide the first direct estimates of the frequency of viral recrudescence after ART interruption, combining data from four independent cohorts of patients undergoing treatment interruption, comprising 100 patients in total. We estimate that viral replication is initiated on average once every ≈6 days (range 5.1- 7.6 days. This rate is around 24 times lower than previous thought, and is very similar across the cohorts. In addition, we analyse data on the ratios of different 'reactivation founder' viruses in a separate cohort of patients undergoing ART-interruption, and estimate the frequency of successful reactivation to be once every 3.6 days. This suggests that a reduction in the reservoir size of around 50-70-fold would be required to increase the average time-to-recrudescence to about one year, and thus achieve at least a short period of anti-retroviral free HIV remission. Our analyses suggests that time-to-recrudescence studies will need to be large in order to detect modest changes in the reservoir, and that macaque models of SIV latency may have much higher frequencies of viral recrudescence after ART interruption than seen in human HIV infection. Understanding the mean frequency of recrudescence from latency is an important first step in

  12. Preliminary study of the effects of extraction orthodontic treatment on the upper airway dimensions in patients with class I or E sagittal facial type of average vertical facial type malocclusions%Ⅰ类Ⅱ类均角骨面型拔牙矫治后上气道矢状结构变化的初步临床观察

    Institute of Scientific and Technical Information of China (English)

    周嫣; 方志欣; 黄敏方; 陈世稳


    目的:了解Ⅰ、Ⅱ类均角骨面型拔牙矫治后上气道矢状结构的变化.方法:将2006~2009口腔正畸治疗的Ⅰ、Ⅱ类矢状均角骨面型错"拔牙矫治病例103例分为4组:Ⅰ类均角骨面型牙列拥挤33例为第1组;Ⅱ类均角骨面型拔上下颌第一前磨牙21例为第2组;Ⅱ类均角骨面型拔上颌第一前磨牙、下颌第二前磨牙25例为第3组;Ⅰ类均角骨面型双牙弓前突24例为第4组.分别测量每位患者矫治前后X线头影侧位片上气道矢状结构鼻咽段、腭咽段、舌咽段和舌骨水平段及软腭与舌重叠的变化,SPSS13.0统计软件进行两样本配对t检验.结果:矫治后,第1组软腭后与软腭后咽壁点连线的距离(SPP-SPPW)和第4组软腭与舌重叠长度CL(UC-LC)的变化有统计学意义(P<0.05);第2组、第3组矫治前后上气道矢状结构变化无统计学意义(P>0.05).结论:Ⅱ类均角骨面型拔牙矫治后上气道矢状各水平段变化均无统计学意义(P>0.05);Ⅰ类均角骨面型牙列拥挤拔牙矫治组治疗后软腭与软腭后咽壁之间距离的增加对上气道矢状结构本身而言为积极的效应;而Ⅰ类均角骨面型双牙弓前突拔牙矫治组矫治后软腭与舌重叠长度的增加对上气道矢状结构而言为消极的作用,提示临床工作中应予以注意.%Objective: To investigate the effects of extraction orthodontic treatment on the upper airway dimensions in patients with class Ⅰ orⅡ sagittal facial type of average vertical facial type malocclusions. Methods; Data of 103 patients with class Ⅰ or Ⅱ sagittal facial type of average vertical facial type malocclusions underwent extraction orthodontic treatment were collected. The patients were divided into 4 groups. Group 1 included 33 patients with class Ⅰ crowding malocclusion. Group 2 included 21 patients with class Ⅱ mal-occlusion and treated by extraction of upper and lower first premolars. Group 3 included 25 patients with

  13. Leading multiple teams: average and relative external leadership influences on team empowerment and effectiveness. (United States)

    Luciano, Margaret M; Mathieu, John E; Ruddy, Thomas M


    External leaders continue to be an important source of influence even when teams are empowered, but it is not always clear how they do so. Extending research on structurally empowered teams, we recognize that teams' external leaders are often responsible for multiple teams. We adopt a multilevel approach to model external leader influences at both the team level and the external leader level of analysis. In doing so, we distinguish the influence of general external leader behaviors (i.e., average external leadership) from those that are directed differently toward the teams that they lead (i.e., relative external leadership). Analysis of data collected from 451 individuals, in 101 teams, reporting to 25 external leaders, revealed that both relative and average external leadership related positively to team empowerment. In turn, team empowerment related positively to team performance and member job satisfaction. However, while the indirect effects were all positive, we found that relative external leadership was not directly related to team performance, and average external leadership evidenced a significant negative direct influence. Additionally, relative external leadership exhibited a significant direct positive influence on member job satisfaction as anticipated, whereas average external leadership did not. These findings attest to the value in distinguishing external leaders' behaviors that are exhibited consistently versus differentially across empowered teams. Implications and future directions for the study and management of external leaders overseeing multiple teams are discussed.

  14. Averaging period effects on the turbulent flux and transport efficiency during haze pollution in Beijing, China (United States)

    Guo, Xiaofeng; Yang, Ting; Sun, Yele


    Based on observations at the heights of 140 and 280 m on the Beijing 325-m meteorological tower, this study presents an assessment of the averaging period effects on eddy-covariance measurements of the momentum/scalar flux and transport efficiency during wintertime haze pollution. The study period, namely from January 6 to February 28 2013, is divided into different episodes of particulate pollution, as featured by varied amounts of the turbulent exchange and conditions of the atmospheric stability. Overall, turbulent fluxes of the momentum and scalars (heat, water vapor, and CO2) increase with the averaging period, namely from 5, 15, and 30 up to 60 min, an outcome most evident during the `transient' episodes (each lasting for 2-3 days, i.e., preceded and followed by clean-air days with mean concentrations of PM1 less than 40 μg m-3). The conventional choice of 30 min is deemed to be appropriate for calculating the momentum flux and its transport efficiency. By comparison, scalar fluxes and their transport efficiencies appear more sensitive to the choice of an averaging period, particularly at the upper level (i.e., 280 m). It is presupposed that, for urban environments, calculating the momentum and scalar fluxes could invoke separate averaging periods, rather than relying on a single prescription (e.g., 30 min). Furthermore, certain characteristics of urban turbulence are found less sensitive to the choice of an averaging period, such as the relationship between the heat-to-momentum transport efficiency and the local stability parameter.

  15. Averaging Tesseral Effects: Closed Form Relegation versus Expansions of Elliptic Motion

    Directory of Open Access Journals (Sweden)

    Martin Lara


    Full Text Available Longitude-dependent terms of the geopotential cause nonnegligible short-period effects in orbit propagation of artificial satellites. Hence, accurate analytical and semianalytical theories must cope with tesseral harmonics. Modern algorithms for dealing analytically with them allow for closed form relegation. Nevertheless, current procedures for the relegation of tesseral effects from subsynchronous orbits are unavoidably related to orbit eccentricity, a key fact that is not enough emphasized and constrains application of this technique to small and moderate eccentricities. Comparisons with averaging procedures based on classical expansions of elliptic motion are carried out, and the pros and cons of each approach are discussed.

  16. Measurement of time averaged power in HITU fields—effects of duty cycle and target distance (United States)

    Jenderka, K.-V.; Wilkens, V.


    The reliable description of the ultrasonic fields of high-intensity therapeutic ultrasound (HITU) devices is a prerequisite concerning the safe application of the method in the daily clinical routine. Since ultrasonic sensors used for the characterization of diagnostic fields are at high risk of being damaged in the strong therapeutic fields, the measurements are carried out in burst mode to reduce the acting temporal-average intensities. For the thorough investigation of possible differences between the excitation in continuous wave (cw) and burst mode, the temporal-average total acoustic output powers of two types of HITU transducers with f-numbers of approximately 1 and with working frequencies between 1.1 MHz and 3.3 MHz were investigated by means of a radiation force balance. The maximum cw equivalent power level was 300 W the duty cycles varied between 1% and 90%. In addition, the possible effect of the transducer-target distance was investigated. It was found that the different turn-on and turn-off behaviour of the transducers caused variations of the effective duty cycle, depending on the power level and the power amplifier used. The temporal-average power declined with increasing distance as expected, and no focal anomaly was detected.

  17. State Averages (United States)

    U.S. Department of Health & Human Services — A list of a variety of averages for each state or territory as well as the national average, including each quality measure, staffing, fine amount and number of...

  18. Mental health care and average happiness: strong effect in developed nations. (United States)

    Touburg, Giorgio; Veenhoven, Ruut


    Mental disorder is a main cause of unhappiness in modern society and investment in mental health care is therefore likely to add to average happiness. This prediction was checked in a comparison of 143 nations around 2005. Absolute investment in mental health care was measured using the per capita number of psychiatrists and psychologists working in mental health care. Relative investment was measured using the share of mental health care in the total health budget. Average happiness in nations was measured with responses to survey questions about life-satisfaction. Average happiness appeared to be higher in countries that invest more in mental health care, both absolutely and relative to investment in somatic medicine. A data split by level of development shows that this difference exists only among developed nations. Among these nations the link between mental health care and happiness is quite strong, both in an absolute sense and compared to other known societal determinants of happiness. The correlation between happiness and share of mental health care in the total health budget is twice as strong as the correlation between happiness and size of the health budget. A causal effect is likely, but cannot be proved in this cross-sectional analysis.

  19. Effective Block-Scale Dispersion and Its Self-Averaging Behavior in Heterogeneous Porous Media (United States)

    de Barros, Felipe; Dentz, Marco


    Upscaled (effective) dispersion coefficients in spatially heterogeneous flow fields must (1) account for the sub-scale variability that is filtered out by homogenization and (2) be modeled as a random function to incorporate the uncertainty associated with non-ergodic solute bodies. In this study, we use the framework developed in de Barros and Rubin (2011) [de Barros F.P.J. and Rubin Y., Modelling of block-scale macrodispersion as a random function. Journal of Fluid Mechanics 676 (2011): 514-545] to develop novel semi-analytical expressions for the first two statistical moments of the block-effective dispersion coefficients in three-dimensional spatially random flow fields as a function of the key characteristic length scales defining the transport problem. The derived expressions are based on perturbation theory and limited to weak-to-mild heterogeneity and uniform-in-the-mean steady state flow fields. The semi-analytical solutions provide physical insights of the main controlling factors influencing the temporal scaling of the dispersion coefficient of the solute body and its self-averaging dispersion behavior. Our results illustrate the relevance of the joint influence of the block-scale and local-scale dispersion in diminishing the macrodispersion variance under non-ergodic conditions. The impact of the statistical anisotropy ratio in the block-effective macrodispersion self-averaging behavior is also investigated. The analysis performed in this work has implications in numerical modeling and grid design.

  20. Effect of 3 Key Factors on Average End to End Delay and Jitter in MANET

    Directory of Open Access Journals (Sweden)

    Saqib Hakak


    Full Text Available A mobile ad-hoc network (MANET is a self-configuring infrastructure-less network of mobile devices connected by wireless links where each node or mobile device is independent to move in any desired direction and thus the links keep moving from one node to another. In such a network, the mobile nodes are equipped with CSMA/CA (carrier sense multiple access with collision avoidance transceivers and communicate with each other via radio. In MANETs, routing is considered one of the most difficult and challenging tasks. Because of this, most studies on MANETs have focused on comparing protocols under varying network conditions. But to the best of our knowledge no one has studied the effect of other factors on network performance indicators like throughput, jitter and so on, revealing how much influence a particular factor or group of factors has on each network performance indicator. Thus, in this study the effects of three key factors, i.e. routing protocol, packet size and DSSS rate, were evaluated on key network performance metrics, i.e. average delay and average jitter, as these parameters are crucial for network performance and directly affect the buffering requirements for all video devices and downstream networks.

  1. Multi-Repeated Projection Lithography for High-Precision Linear Scale Based on Average Homogenization Effect. (United States)

    Ren, Dongxu; Zhao, Huiying; Zhang, Chupeng; Yuan, Daocheng; Xi, Jianpu; Zhu, Xueliang; Ban, Xinxing; Dong, Longchao; Gu, Yawen; Jiang, Chunye


    A multi-repeated photolithography method for manufacturing an incremental linear scale using projection lithography is presented. The method is based on the average homogenization effect that periodically superposes the light intensity of different locations of pitches in the mask to make a consistent energy distribution at a specific wavelength, from which the accuracy of a linear scale can be improved precisely using the average pitch with different step distances. The method's theoretical error is within 0.01 µm for a periodic mask with a 2-µm sine-wave error. The intensity error models in the focal plane include the rectangular grating error on the mask, static positioning error, and lithography lens focal plane alignment error, which affect pitch uniformity less than in the common linear scale projection lithography splicing process. It was analyzed and confirmed that increasing the repeat exposure number of a single stripe could improve accuracy, as could adjusting the exposure spacing to achieve a set proportion of black and white stripes. According to the experimental results, the effectiveness of the multi-repeated photolithography method is confirmed to easily realize a pitch accuracy of 43 nm in any 10 locations of 1 m, and the whole length accuracy of the linear scale is less than 1 µm/m.

  2. A note on scaling arguments in the effective average action formalism

    CERN Document Server

    Pagani, Carlo


    The effective average action (EAA) is a scale dependent effective action where a scale $k$ is introduced via an infrared regulator. The $k-$dependence of the EAA is governed by an exact flow equation to which one associates a boundary condition at a scale $\\mu$. We show that the $\\mu-$dependence of the EAA is controlled by an equation fully analogous to the Callan-Symanzik equation which allows to define scaling quantities straightforwardly. Particular attention is paid to composite operators which are introduced along with new sources. We discuss some simple solutions to the flow equation for composite operators and comment their implications in the case of a local potential approximation.

  3. Spin interference controlled by electric field: Ensemble average effect on AAS and AB oscillation amplitudes (United States)

    Nitta, Junsaku; Bergsten, Tobias


    Time reversal symmetric Al’tshuler-Aronov-Spivak (AAS) oscillations are measured in an array of InGaAs mesoscopic loops. We confirm that gate voltage dependence of h/2 e period oscillations is due to spin interference from the effect of ensemble average on the AAS and Aharonov-Bohm (AB) amplitudes. This spin interference is based on the time reversal Aharonov-Casher (AC) effect. The AC interference oscillations are controlled over several periods. This result shows evidence for electrical manipulation of the spin precession angle in an InGaAs two-dimensional electron gas channel. We control the precession rate in a precise and predictable way with an electrostatic gate.

  4. Effects of spatiotemporal averaging processes on the estimation of spectral reflectance in color digital holography using speckle illuminations. (United States)

    Funamizu, Hideki; Shimoma, Shohei; Yuasa, Tomonori; Aizu, Yoshihisa


    We present the effects of spatiotemporal averaging processes on an estimation of spectral reflectance in color digital holography using speckle illuminations. In this technique, speckle fields emitted from a multimode fiber are used as both a reference wave and a wavefront illuminating an object. The interference patterns of two coherent waves for three wavelengths are recorded as digital holograms on a CCD camera. Speckle fields are changed by vibrating the multimode fiber using a vibrator, and a number of holograms are acquired to average reconstructed images. After performing an averaging process, which we refer to as a temporal averaging process in this study, using images reconstructed from multiple holograms, a spatial averaging process is applied using a smoothing window function. For the estimation of spectral reflectance in reconstructed images, we use the Wiener estimation method. The effects of the averaging processes on color reproducibility are evaluated by a chromaticity diagram, the root-mean-square error, and color differences.

  5. Determination of averaging period parameter and its effects analysis for eddy covariance measurements

    Institute of Scientific and Technical Information of China (English)

    SUN; Xiaomin; ZHU; Zhilin; XU; Jinping; YUAN; Guofu


    It is more and more popular to estimate the exchange of water vapor, heat and CO2fluxes between the land surface and the atmosphere using the eddy covariance technique. To get believable fluxes, it is necessary to correct the observations based on the different surface conditions and to determine relevant techinical parameters. The raw 10 Hz eddy covariance data observed in the Yucheng and Changbai Mountains stations were recalculated by various averaging periods (from 1 to 720 min) respectively, and the recalculated results were compared with the results calculated by the averaging period of 30 mins. Meanwhile, the distinctions of fluxes calculated by different averaging periods were analyzed. The continuous 15 days observations over wheat fields in the Yucheng station were mainly analyzed. The results are shown that: (i) In the Yucheng station, compared with the observations by 30 min, when the averaging period changes from 10 to 60 min, the variations of the eddy-covariance estimates of fluxes were less than 2%; when the averaging period changes less than 10 min, the estimate of fluxes reduced obviously with the reduction of the averaging period (the max relative error was -12%); and when the averaging period exceeds 120 min, the eddy covariance estimates of fluxes will be increased and become unsteady (the max relative error is over 10%); (ii) the eddy covariance estimates of fluxes over wheat field in the Yucheng station suggusted that it is much better to take 10 min as an averaging period in studying diurnal change of fluxes, and take 30min for a long-term flux observation; and (iii) normalized ratio was put forward to determine the range of averaging period of eddy covariance measurements. By comparing the observations over farmlands and those over forests, it is indicated that the increase of eddy covariance estimates over tall forest was more than that over short vegetation when the averaging period increased.

  6. Effect of spatial averaging on multifractal properties of meteorological time series (United States)

    Hoffmann, Holger; Baranowski, Piotr; Krzyszczak, Jaromir; Zubik, Monika


    Introduction The process-based models for large-scale simulations require input of agro-meteorological quantities that are often in the form of time series of coarse spatial resolution. Therefore, the knowledge about their scaling properties is fundamental for transferring locally measured fluctuations to larger scales and vice-versa. However, the scaling analysis of these quantities is complicated due to the presence of localized trends and non-stationarities. Here we assess how spatially aggregating meteorological data to coarser resolutions affects the data's temporal scaling properties. While it is known that spatial aggregation may affect spatial data properties (Hoffmann et al., 2015), it is unknown how it affects temporal data properties. Therefore, the objective of this study was to characterize the aggregation effect (AE) with regard to both temporal and spatial input data properties considering scaling properties (i.e. statistical self-similarity) of the chosen agro-meteorological time series through multifractal detrended fluctuation analysis (MFDFA). Materials and Methods Time series coming from years 1982-2011 were spatially averaged from 1 to 10, 25, 50 and 100 km resolution to assess the impact of spatial aggregation. Daily minimum, mean and maximum air temperature (2 m), precipitation, global radiation, wind speed and relative humidity (Zhao et al., 2015) were used. To reveal the multifractal structure of the time series, we used the procedure described in Baranowski et al. (2015). The diversity of the studied multifractals was evaluated by the parameters of time series spectra. In order to analyse differences in multifractal properties to 1 km resolution grids, data of coarser resolutions was disaggregated to 1 km. Results and Conclusions Analysing the spatial averaging on multifractal properties we observed that spatial patterns of the multifractal spectrum (MS) of all meteorological variables differed from 1 km grids and MS-parameters were biased

  7. Long Strange Segments, Ruin Probabilities and the Effect of Memory on Moving Average Processes

    CERN Document Server

    Ghosh, Souvik


    We obtain the rate of growth of long strange segments and the rate of decay of infinite horizon ruin probabilities for a class of infinite moving average processes with exponentially light tails. The rates are computed explicitly. We show that the rates are very similar to those of an i.i.d. process as long as moving average coefficients decay fast enough. If they do not, then the rates are significantly different. This demonstrates the change in the length of memory in a moving average process associated with certain changes in the rate of decay of the coefficients.

  8. Effects of error covariance structure on estimation of model averaging weights and predictive performance (United States)

    Lu, Dan; Ye, Ming; Meyer, Philip D.; Curtis, Gary P.; Shi, Xiaoqing; Niu, Xu-Feng; Yabusaki, Steve B.


    When conducting model averaging for assessing groundwater conceptual model uncertainty, the averaging weights are often evaluated using model selection criteria such as AIC, AICc, BIC, and KIC (Akaike Information Criterion, Corrected Akaike Information Criterion, Bayesian Information Criterion, and Kashyap Information Criterion, respectively). However, this method often leads to an unrealistic situation in which the best model receives overwhelmingly large averaging weight (close to 100%), which cannot be justified by available data and knowledge. It was found in this study that this problem was caused by using the covariance matrix, CE, of measurement errors for estimating the negative log likelihood function common to all the model selection criteria. This problem can be resolved by using the covariance matrix, Cek, of total errors (including model errors and measurement errors) to account for the correlation between the total errors. An iterative two-stage method was developed in the context of maximum likelihood inverse modeling to iteratively infer the unknown Cek from the residuals during model calibration. The inferred Cek was then used in the evaluation of model selection criteria and model averaging weights. While this method was limited to serial data using time series techniques in this study, it can be extended to spatial data using geostatistical techniques. The method was first evaluated in a synthetic study and then applied to an experimental study, in which alternative surface complexation models were developed to simulate column experiments of uranium reactive transport. It was found that the total errors of the alternative models were temporally correlated due to the model errors. The iterative two-stage method using Cekresolved the problem that the best model receives 100% model averaging weight, and the resulting model averaging weights were supported by the calibration results and physical understanding of the alternative models. Using Cek

  9. Effect of Temporal Residual Correlation on Estimation of Model Averaging Weights (United States)

    Ye, M.; Lu, D.; Curtis, G. P.; Meyer, P. D.; Yabusaki, S.


    When conducting model averaging for assessing groundwater conceptual model uncertainty, the averaging weights are always calculated using model selection criteria such as AIC, AICc, BIC, and KIC. However, this method sometimes leads to an unrealistic situation in which one model receives overwhelmingly high averaging weight (even 100%), which cannot be justified by available data and knowledge. It is found in this study that the unrealistic situation is due partly, if not solely, to ignorance of residual correlation when estimating the negative log-likelihood function common to all the model selection criteria. In the context of maximum-likelihood or least-square inverse modeling, the residual correlation is accounted for in the full covariance matrix; when the full covariance matrix is replaced by its diagonal counterpart, it assumes data independence and ignores the correlation. As a result, treating the correlated residuals as independent distorts the distance between observations and simulations of alternative models. As a result, it may lead to incorrect estimation of model selection criteria and model averaging weights. This is illustrated for a set of surface complexation models developed to simulate uranium transport based on a series of column experiments. The residuals are correlated in time, and the time correlation is addressed using a second-order autoregressive model. The modeling results reveal importance of considering residual correlation in the estimation of model averaging weights.

  10. Depth Averaged Equations Applied To Study of Defense Structures Effects On Dense Avalanche Flows (United States)

    Naaim, M.; Bouvet-Naaim, F.; Faug, T.; Lachamp, P.

    Avalanche zoning and protection devices are the complementary tools used to assess avalanche risk and protect persons and human activities in mountainous areas. Despite the intensive use of defense structures as protection against avalanches, their hydraulic and structural effects are not well known. Many structures were designed empirically using expert knowledge or knowledge developed in other domain such as hydraulic. Defence structures effects in terms of energy dissipation, deviation and snow retention are difficult to study in situ. The cost and difficulties of experiments, the danger and the weak annual number of avalanches in a given site, are the reasons why scientists oriented their research towards the use of numerical or laboratory physical models. This paper presents and discuss the possibilities to use depth averaged equations to study dense avalanche flows around defence structures. The used numerical resolu- tion method is based on an upwind numerical scheme. Equations are integrated on each cell of the mesh and the numerical fluxes are calculated thanks to a simplified Riemann solver where the retained solution is obtained as a combination of shock and rarefaction founctions. This allows taking into account the topography variation and jets and surges presence. These two characteristics are needed because both exper- imental and in situ observations showed a significant topography modifications and jets and surges formations during interaction between avalanche flows and structures. The case of vertical surfaces such as those made of concrete destined to deviate flows are treated by appropriated boundary condition functions. A discussion about the best way to integrate defence structures in such model is presented and discussed. This modelisation has, in a first time, been tested on analytical solutions and on experimen- tal laboratory scale model results. These tests have shown the capacity of this model, despite the strong hypothesis, to

  11. Averaged resonant equations for non-gravitational effects without a spherical symmetry and their application for an interstellar gas flow

    CERN Document Server

    Pastor, P


    Within the framework of the circular restricted three body problem we investigate the motion of a dust particle captured into a mean motion resonance with a planet under the action of non-gravitational effects. From equations of motion in a near-canonical form averaged resonant equations are derived. The averaged resonant equations describe secular variations of the particle orbit in the mean motion resonance. The secular variations of the particle orbit caused by the non-gravitational effects can depend on the orientation of the orbit in space. The averaged resonant equations are derived with this dependence taken into account. We also present an alternative way how the averaged resonant equations can be derived. We applied derived theory for the case when non-gravitational effects are the Poynting-Robertson effect, radial stellar wind and interstellar wind. Obtained analytical and numerical results are in excellent agreement in the Solar system. We found that types of orbits correspond to libration centers ...

  12. Spatial averaging-effects on turbulence measured by a continuous-wave coherent lidar

    DEFF Research Database (Denmark)

    Sjöholm, Mikael; Mikkelsen, Torben; Mann, Jakob;


    The influence of spatial volume averaging of a focused continuous-wave coherent Doppler lidar on observed wind turbulence in the atmospheric surface layer is described and analysed. For the first time, comparisons of lidar-measured turbulent spectra with spectra simultaneously obtained from a mast...

  13. Using National Data to Estimate Average Cost Effectiveness of EFNEP Outcomes by State/Territory (United States)

    Baral, Ranju; Davis, George C.; Blake, Stephanie; You, Wen; Serrano, Elena


    This report demonstrates how existing national data can be used to first calculate upper limits on the average cost per participant and per outcome per state/territory for the Expanded Food and Nutrition Education Program (EFNEP). These upper limits can then be used by state EFNEP administrators to obtain more precise estimates for their states,…

  14. Effect on long-term average spectrum of pop singers' vocal warm-up with vocal function exercises. (United States)

    Guzman, Marco; Angulo, Mabel; Muñoz, Daniel; Mayerhoff, Ross


    Abstract This case-control study aimed to investigate if there is any change on the spectral slope declination immediately after vocal function exercises (VFE) vs traditional vocal warm-up exercises in normal singers. Thirty-eight pop singers with perceptually normal voices were divided into two groups: an experimental group (n = 20) and a control group (n = 18). One single session with VFE for the experimental group and traditional singing warm-up exercises for the control group was applied. Voice was recorded before and after the exercises. The recorded tasks were to read a phonetically balanced text and to sing a song. Long-term average spectrum (LTAS) analysis included alpha ratio, L1-L0 ratio, and singing power ratio (SPR). Acoustic parameters of voice samples pre- and post-training were compared. Comparison between VFE and control group was also performed. Significant changes after treatment included the alpha ratio and singing power ratio in speaking voice, and SPR in the singing voice for VFE group. The traditional vocal warm-up of the control group also showed pre-post changes. Significant differences between VFE group and control group for alpha ratio and SPR were found in speaking voice samples. This study demonstrates that VFE have an immediate effect on the spectrum of the voice, specifically a decrease on the spectral slope declination. The results of this study provide support for the advantageous effect of VFE as vocal warm-up on voice quality.

  15. 新生代农民工人力资本收益的效应评价--基于职业培训微观数据的平均处理效应估计%Effect Evaluation of Human Capital Avail of New Generation Migrant Workers--Based on Estimation of Average Treatment Effect of Micro-data from Vocational Training

    Institute of Scientific and Technical Information of China (English)

    柳军; 谭根梅; 许祥云


    基于新生代农民工职业培训对工资性收入、择业能力、创业行为及职业发展等影响效果的微观数据,分析了职业培训对新生代农民工人力资本的作用效应,并探讨职业培训与新生代农民工预期收益的契合度。结果表明,当前职业培训对农民工人力资本提升的效应主要表现为提高工资性收入,具有较高的投入回报率,对职业发展、择业就业能力的提升作用不明显,培训内容、形式和途径有待完善。%Based on analysis of the micro-data of vocational training of new generation migrant workers, the study analyzed the vocational training effects on human-capital improvement of the new generation of migrant workers by the method of PSM, and discussed if vocational training fit the demands of the new generation of migrant workers or not. The results showed that, vocational training can increase the income of wages, but it doesn’t have significant positive impact on their career development and employment ability, and the content, form and way of vocational-training should be perfect.

  16. Effects of Lawsonia intracellularis on Average Daily Gain in finisher pigs

    DEFF Research Database (Denmark)

    Johansen, M.; Nielsen, M.; Dahl, J.;

    Lawsonia intracellularis (LI) is the causative agent of porcine proliferative enteropathy1, a disease that is found with high prevalence in all countries with industrial pig production. The infection is known to cause disease in different age groups. In pigs between 6 to 20 weeks of age the endem...... form called Porcine Intestinal Andenomatosis (PIA) is predominant. The clinical signs are diarrhoea, ill-thriftiness and wasting. The objective of this study was to estimate the impact of LI detected in faeces on Average Daily Gain (ADG) in grower-finisher pigs....

  17. A group's physical attractiveness is greater than the average attractiveness of its members : The group attractiveness effect

    NARCIS (Netherlands)

    van Osch, Y.M.J.; Blanken, Irene; Meijs, Maartje H. J.; van Wolferen, Job


    We tested whether the perceived physical attractiveness of a group is greater than the average attractiveness of its members. In nine studies, we find evidence for the so-called group attractiveness effect (GA-effect), using female, male, and mixed-gender groups, indicating that group impressions of

  18. Social comparisons in the classroom : An investigation of the better than average effect among secondary school children

    NARCIS (Netherlands)

    Kuyper, H.; Dijkstra, Pieternel; Buunk, Abraham (Bram); Van der Werf, M.P.C.


    The better than average (BTA) effect refers to the tendency for the majority of people to rate themselves as being higher on positive attributes and lower on negative attributes than other people. The present study examined the occurrence of the BTA effect on five important characteristics among 15,

  19. Biases in Social Comparative Judgments: The Role of Nonmotivated Factors in Above-Average and Comparative-Optimism Effects (United States)

    Chambers, John R.; Windschitl, Paul D.


    Biases in social comparative judgments, such as those illustrated by above-average and comparative-optimism effects, are often regarded as products of motivated reasoning (e.g., self-enhancement). These effects, however, can also be produced by information-processing limitations or aspects of judgment processes that are not necessarily biased by…


    Institute of Scientific and Technical Information of China (English)

    Andreas MALCHEREK


    Due to centrifugal forces in a bend secondary currents perpendicular to the main flow are generated.Because they can be the reason for important bed forming processes such as meandering they have to be taken into account in morphodynamic simulations. Their influence on the bed shear stress is proportional to the ratio of water depth and curve radius. The latter one is a curve parameter and is not defined in 2D digital terrain models. This paper presents a new formulation for the bed shear stress which takes into account the influence of secondary currents in depth averaged simulations without using the curve radius.The new formulation is applied to a morphodynamic model of the Weser estuary located in Northern Germany. Its capability to simulate the deflection of the bed shear stress in bends is shown.Because of the smoothness of the curves in the Weser no significant differences in the bed evolutioncan be seen in this case.

  1. Average-atom treatment of relaxation time in x-ray Thomson scattering from warm dense matter. (United States)

    Johnson, W R; Nilsen, J


    The influence of finite relaxation times on Thomson scattering from warm dense plasmas is examined within the framework of the average-atom approximation. Presently most calculations use the collision-free Lindhard dielectric function to evaluate the free-electron contribution to the Thomson cross section. In this work, we use the Mermin dielectric function, which includes relaxation time explicitly. The relaxation time is evaluated by treating the average atom as an impurity in a uniform electron gas and depends critically on the transport cross section. The calculated relaxation rates agree well with values inferred from the Ziman formula for the static conductivity and also with rates inferred from a fit to the frequency-dependent conductivity. Transport cross sections determined by the phase-shift analysis in the average-atom potential are compared with those evaluated in the commonly used Born approximation. The Born approximation converges to the exact cross sections at high energies; however, differences that occur at low energies lead to corresponding differences in relaxation rates. The relative importance of including relaxation time when modeling x-ray Thomson scattering spectra is examined by comparing calculations of the free-electron dynamic structure function for Thomson scattering using Lindhard and Mermin dielectric functions. Applications are given to warm dense Be plasmas, with temperatures ranging from 2 to 32 eV and densities ranging from 2 to 64 g/cc.

  2. On the averaging of cardiac diffusion tensor MRI data: the effect of distance function selection (United States)

    Giannakidis, Archontis; Melkus, Gerd; Yang, Guang; Gullberg, Grant T.


    Diffusion tensor magnetic resonance imaging (DT-MRI) allows a unique insight into the microstructure of highly-directional tissues. The selection of the most proper distance function for the space of diffusion tensors is crucial in enhancing the clinical application of this imaging modality. Both linear and nonlinear metrics have been proposed in the literature over the years. The debate on the most appropriate DT-MRI distance function is still ongoing. In this paper, we presented a framework to compare the Euclidean, affine-invariant Riemannian and log-Euclidean metrics using actual high-resolution DT-MRI rat heart data. We employed temporal averaging at the diffusion tensor level of three consecutive and identically-acquired DT-MRI datasets from each of five rat hearts as a means to rectify the background noise-induced loss of myocyte directional regularity. This procedure is applied here for the first time in the context of tensor distance function selection. When compared with previous studies that used a different concrete application to juxtapose the various DT-MRI distance functions, this work is unique in that it combined the following: (i) metrics were judged by quantitative—rather than qualitative—criteria, (ii) the comparison tools were non-biased, (iii) a longitudinal comparison operation was used on a same-voxel basis. The statistical analyses of the comparison showed that the three DT-MRI distance functions tend to provide equivalent results. Hence, we came to the conclusion that the tensor manifold for cardiac DT-MRI studies is a curved space of almost zero curvature. The signal to noise ratio dependence of the operations was investigated through simulations. Finally, the ‘swelling effect’ occurrence following Euclidean averaging was found to be too unimportant to be worth consideration.

  3. Effects of anisotropic turbulence on average polarizability of Gaussian Schell-model quantized beams through ocean link. (United States)

    Li, Ye; Zhang, Yixin; Zhu, Yun; Chen, Minyu


    Based on the spatial power spectrum of the refractive index of anisotropic turbulence, the average polarizability of the Gaussian Schell-model quantized beams and lateral coherence length of the spherical wave propagating through the ocean water channel are derived. Numerical results show that, in strong temperature fluctuation, the depolarization effects of anisotropic turbulence are inferior to isotropic turbulence, as the other parameters of two links are the same. The depolarization effects of salinity fluctuation are less than the effects of the temperature fluctuation; the average polarizability of beams increases when increasing the inner scale of turbulence and the source's transverse size; and the larger rate of dissipation of kinetic energy per unit mass of fluid enhances the average polarizability of beams. The region of the receiving radius is smaller than the characteristic radius and the average polarizability of beams in isotropy turbulence is smaller than that of beams in anisotropy turbulence. However, the receiving radius region is larger than a characteristic radius and the average polarizability of beams in isotropy turbulence is larger than that of beams in anisotropy turbulence.

  4. Average and Heterogeneous Effects of Class Size on Educational Achievement in Lesotho



    Understanding class size effects on educational achievement remains a preoccupation of many economists. But empirical results are, to this far, still inconclusive. I use the two-stage least squares and the instrumental variable quantile regression methods on Lesotho’s grade 6 students maths and reading test scores to estimate, respectively, the mean and distributional effects of class size. I find strong evidence for putative class size effects on reading achievement, but not on maths achie...

  5. Mapping the performance of PV modules, effects of module type and data averaging

    Energy Technology Data Exchange (ETDEWEB)

    Huld, Thomas [European Commission, Joint Research Centre, T.P. 450, I-21027 Ispra (Italy); Gottschalg, Ralph [Centre for Renewable Energy Systems Technology, Loughborough University, Loughborough, Leicestershire LE11 3TU (United Kingdom); Beyer, Hans Georg [Institut fuer Elektrotechnik, Hochschule Magdeburg-Stendal, Breitscheidstrasse 2, D-39114 Magdeburg (Germany); Topic, Marko [Faculty of Electrical Engineering, University of Ljubljana, Trzaska 25, SI-1000 Ljubljana (Slovenia)


    A method is presented for estimating the energy yield of photovoltaic (PV) modules at arbitrary locations in a large geographical area. The method applies a mathematical model for the energy performance of PV modules as a function of in-plane irradiance and module temperature and combines this with solar irradiation estimates from satellite data and ambient temperature values from ground station measurements. The method is applied to three different PV technologies: crystalline silicon, CuInSe{sub 2} and CdTe based thin-film technology in order to map their performance in fixed installations across most of Europe and to identify and quantify regional performance factors. It is found that there is a clear technology dependence of the geographical variation in PV performance. It is also shown that using long-term average values of irradiance and temperature leads to a systematic positive bias in the results of up to 3%. It is suggested to use joint probability density functions of temperature and irradiance to overcome this bias. (author)

  6. An Effective Algorithm for Average Power Estimation of CMOS Sequential Chircuit

    Institute of Scientific and Technical Information of China (English)

    LIYueping; TANGPushan; ZHAOWenqing


    An incremental probabilistic algorithm is proposed for estimating average power of CMOS sequential circuit.We facilitate the flrst-order Taylor expansion to consider the spatial and temporal correlation among the internal nodes of the seauential circuits.Regarding finite state machines as non-decomposable and aperiodic Markov Chains,the steady-state probabilities exist.Consequently there have the steady probabilities of state lines.Thus the signal probability and switching activity of state line can be gotten through Picard-Peano iteration method.Sequential modules are separated from the whole circuit to shorten the runtime of our algorithm.We unroll the sequential module to accurately estimate the signal probability of state lines.Unilke the algorithms bassed on global BDD,the runtime of computing signal probability and switching activity of our algorithm does not depend on the circuit size.Experimental results show that our algorithm is much faster than the Monte-Carlo simulation method with the error below 10%.

  7. Loop expansion of the average effective action in the functional renormalization group approach (United States)

    Lavrov, Peter M.; Merzlikin, Boris S.


    We formulate a perturbation expansion for the effective action in a new approach to the functional renormalization group method based on the concept of composite fields for regulator functions being their most essential ingredients. We demonstrate explicitly the principal difference between the properties of effective actions in these two approaches existing already on the one-loop level in a simple gauge model.

  8. Loop expansion of average effective action in functional renormalization group approach

    CERN Document Server

    Lavrov, Peter M


    We formulate a perturbation expansion for the effective action in new approach to the functional renormalization group (FRG) method based on concept of composite fields for regulator functions being therein most essential ingredients. We demonstrate explicitly the principal difference between properties of effective actions in these two approaches existing already on the one-loop level in a simple gauge model.

  9. Doppler broadening effect on collision cross section functions - Deconvolution of the thermal averaging (United States)

    Bernstein, R. B.


    The surprising feature of the Doppler problem in threshold determination is the 'amplification effect' of the target's thermal energy spread. The small thermal energy spread of the target molecules results in a large dispersion in relative kinetic energy. The Doppler broadening effect in connection with thermal energy beam experiments is discussed, and a procedure is recommended for the deconvolution of molecular scattering cross-section functions whose dominant dependence upon relative velocity is approximately that of the standard low-energy form.

  10. Raven’s test performance of sub-Saharan Africans: average performance, psychometric properties, and the Flynn Effect

    NARCIS (Netherlands)

    Wicherts, J.M.; Dolan, C.V.; Carlson, J.S.; van der Maas, H.L.J.


    This paper presents a systematic review of published data on the performance of sub-Saharan Africans on Raven's Progressive Matrices. The specific goals were to estimate the average level of performance, to study the Flynn Effect in African samples, and to examine the psychometric meaning of Raven's

  11. The Effect of Computer Based Instructional Technique for the Learning of Elementary Level Mathematics among High, Average and Low Achievers (United States)

    Afzal, Muhammad Tanveer; Gondal, Bashir; Fatima, Nuzhat


    The major objective of the study was to elicit the effect of three instructional methods for teaching of mathematics on low, average and high achiever elementary school students. Three methods: traditional instructional method, computer assisted instruction (CAI) and teacher facilitated mathematics learning software were employed for the teaching…

  12. A group's physical attractiveness is greater than the average attractiveness of its members: the group attractiveness effect. (United States)

    van Osch, Yvette; Blanken, Irene; Meijs, Maartje H J; van Wolferen, Job


    We tested whether the perceived physical attractiveness of a group is greater than the average attractiveness of its members. In nine studies, we find evidence for the so-called group attractiveness effect (GA-effect), using female, male, and mixed-gender groups, indicating that group impressions of physical attractiveness are more positive than the average ratings of the group members. A meta-analysis on 33 comparisons reveals that the effect is medium to large (Cohen's d = 0.60) and moderated by group size. We explored two explanations for the GA-effect: (a) selective attention to attractive group members, and (b) the Gestalt principle of similarity. The results of our studies are in favor of the selective attention account: People selectively attend to the most attractive members of a group and their attractiveness has a greater influence on the evaluation of the group.

  13. Batch medication of intestinal infections in nursery pigs—A randomised clinical trial on the efficacy of treatment strategy, type of antibiotic and bacterial load on average daily weight gain

    DEFF Research Database (Denmark)

    Weber, Nicolai Rosager; Pedersen, Ken Steen; Hansen, Christian Fink;


    after weaning) on average daily weight gain (ADG); (2) to compare the effect of treatment with doxycycline or tylosine on diarrhoea prevalence, pathogenic bacterial load, and ADG; (3) to evaluate PCR testing of faecal pen floor samples as a diagnostic tool for determining the optimal time of treatment...... difference (p = 0.04) of mean diarrhoea prevalence on day 21 of the study between pens treated with tylosine (0.254, 95% CI: 0.184–0.324), and doxycycline (0.167, 95% CI: 0.124–0.210). The type of antibiotic compound was not found to have a significant effect on ADG (p = 0.209). (3) Pigs starting treatment...... was achieved when treatment was initiated 14 days after weaning in pens where intestinal pathogens were detected. Doxycycline was more effective in reducing diarrhoea and LI excretion levels than treatment with tylosine....

  14. The quantum nonthermal effect of a nonstationary Kerr-Newman black hole and the average range of the effective particles

    Institute of Scientific and Technical Information of China (English)

    杨树政; 林理彬


    We have found that the nonthermal radiation of a nonstationary Kerr-Newman black hole is affected by interstellar materials. In particular, the interstellar gas deeply influences the average range of nonthermal radiation particles, while the average range depends on the maximum energy of the radiation and the energy extent of the radiation.

  15. An Analytical and Experimental Investigation of Average Laser Power and Angular Scanning Speed Effects on Laser Tube Bending Process

    Directory of Open Access Journals (Sweden)

    Imhan Khalil Ibraheem


    Full Text Available Laser tube bending is a new technique of laser material forming to produce a complex and accurate shape due to its flexibility and high controllability. Moreover, the defects during conventional tube forming such as thinning, wrinkling, spring back and ovalization can be avoided in laser tube bending process, because there is no external force used. In this paper an analytical investigation has been conducted to analyses the effects of average laser power and laser scanning speed on laser tube bending process, the analytical results have been verified experimentally. The model used in this study is in the same trend of the experiment. The results show that the bending angle increased with the increasing of average laser power and decreased with the increasing of angular scanning speed.

  16. The difference between laboratory and in-situ pixel-averaged emissivity: The effects on temperature-emissivity separation (United States)

    Matsunaga, Tsuneo


    Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) is a Japanese future imaging sensor which has five channels in thermal infrared (TIR) region. To extract spectral emissivity information from ASTER and/or TIMS data, various temperature-emissivity (T-E) separation methods have been developed to date. Most of them require assumptions on surface emissivity, in which emissivity measured in a laboratory is often used instead of in-situ pixel-averaged emissivity. But if these two emissivities are different, accuracies of separated emissivity and surface temperature are reduced. In this study, the difference between laboratory and in-situ pixel-averaged emissivity and its effect on T-E separation are discussed. TIMS data of an area containing both rocks and vegetation were also processed to retrieve emissivity spectra using two T-E separation methods.

  17. Eddy-correlation measurements of benthic fluxes under complex flow conditions: Effects of coordinate transformations and averaging time scales

    DEFF Research Database (Denmark)

    Lorke, Andreas; McGinnis, Daniel F.; Maeck, Andreas


    hours of continuous eddy-correlation measurements of sediment oxygen fluxes in an impounded river, we demonstrate that rotation of measured current velocities into streamline coordinates can be a crucial and necessary step in data processing under complex flow conditions in non-flat environments......Eddy-correlation measurements of sediment oxygen uptake rates in aquatic systems are increasingly used to obtain areal-averaged fluxes with a high temporal resolution. Here we discuss the effects of coordinate rotation and averaging time scale for Reynolds decomposition on flux estimates. Using 119...... in the context of the theoretical concepts underlying eddy-correlation measurements and a set of recommendations for planning and analyses of flux measurements are derived....

  18. Impact of trees on pollutant dispersion in street canyons: A numerical study of the annual average effects in Antwerp, Belgium. (United States)

    Vranckx, Stijn; Vos, Peter; Maiheu, Bino; Janssen, Stijn


    Effects of vegetation on pollutant dispersion receive increased attention in attempts to reduce air pollutant concentration levels in the urban environment. In this study, we examine the influence of vegetation on the concentrations of traffic pollutants in urban street canyons using numerical simulations with the CFD code OpenFOAM. This CFD approach is validated against literature wind tunnel data of traffic pollutant dispersion in street canyons. The impact of trees is simulated for a variety of vegetation types and the full range of approaching wind directions at 15° interval. All these results are combined using meteo statistics, including effects of seasonal leaf loss, to determine the annual average effect of trees in street canyons. This analysis is performed for two pollutants, elemental carbon (EC) and PM10, using background concentrations and emission strengths for the city of Antwerp, Belgium. The results show that due to the presence of trees the annual average pollutant concentrations increase with about 8% (range of 1% to 13%) for EC and with about 1.4% (range of 0.2 to 2.6%) for PM10. The study indicates that this annual effect is considerably smaller than earlier estimates which are generally based on a specific set of governing conditions (1 wind direction, full leafed trees and peak hour traffic emissions).

  19. Effects of Visible and Invisible Hyperlinks on Vocabulary Acquisition and Reading Comprehension for High- and Average-Foreign Language Achievers

    Directory of Open Access Journals (Sweden)

    Ofelia R. Nikolova


    Full Text Available This study investigated the effects of visible and invisible links for annotated words in a computer module for learning French on the vocabulary acquisition and reading comprehension of two types of students – high – and average-achievers. Two hundred and sixty four second-semester students of French were identified as high- or average-achievers. Each type of students was then randomly assigned to two groups – with visible or invisible hyperlinks. All students were instructed to read a short passage in French (181 words for general comprehension and allowed to consult the annotated words (made visible by bold face for the visible links group as much as they needed. The students took a vocabulary pretest and an immediate and delayed (two weeks vocabulary and reading comprehension posttest. The results of the study showed that average- achievers benefited more from the visible links for vocabulary acquisition and reading comprehension than high-achievers. The results are discussed in light of second language acquisition and gifted-student theories and suggestions for future research are made.

  20. A statistical study of gyro-averaging effects in a reduced model of drift-wave transport

    CERN Document Server

    da Fonseca, J D; Sokolov, M; Caldas, I L


    A statistical study of finite Larmor radius (FLR) effects on transport driven by electrostatic drift-waves is presented. The study is based on a reduced discrete Hamiltonian dynamical system known as the gyro-averaged standard map (GSM). In this system, FLR effects are incorporated through the gyro-averaging of a simplified weak-turbulence model of electrostatic fluctuations. Formally, the GSM is a modified version of the standard map in which the perturbation amplitude, $K_0$, becomes $K_0 J_0(\\hat{\\rho})$, where $J_0$ is the zeroth-order Bessel function and $\\hat{\\rho}$ is the Larmor radius. Assuming a Maxwellian probability density function (pdf) for $\\hat{\\rho}$, we compute analytically and numerically the pdf and the cumulative distribution function of the effective drift-wave perturbation amplitude $K_0 J_0(\\hat{\\rho})$. Using these results we compute the probability of loss of confinement (i.e., global chaos), $P_{c}$, and the probability of trapping in the main drift-wave resonance, $P_{t}$. It is sho...

  1. A statistical study of gyro-averaging effects in a reduced model of drift-wave transport (United States)

    da Fonseca, J. D.; del-Castillo-Negrete, D.; Sokolov, I. M.; Caldas, I. L.


    A statistical study of finite Larmor radius (FLR) effects on transport driven by electrostatic drift-waves is presented. The study is based on a reduced discrete Hamiltonian dynamical system known as the gyro-averaged standard map (GSM). In this system, FLR effects are incorporated through the gyro-averaging of a simplified weak-turbulence model of electrostatic fluctuations. Formally, the GSM is a modified version of the standard map in which the perturbation amplitude, K0, becomes K0J0(ρ ̂ ) , where J0 is the zeroth-order Bessel function and ρ ̂ is the Larmor radius. Assuming a Maxwellian probability density function (pdf) for ρ ̂ , we compute analytically and numerically the pdf and the cumulative distribution function of the effective drift-wave perturbation amplitude K0J0(ρ ̂ ) . Using these results, we compute the probability of loss of confinement (i.e., global chaos), Pc, and the probability of trapping in the main drift-wave resonance, Pt. It is shown that Pc provides an upper bound for the escape rate, and that Pt provides a good estimate of the particle trapping rate. The analytical results are compared with direct numerical Monte-Carlo simulations of particle transport.

  2. Assessment of annual average effective dose status in the cohort of medical staff in Lithuania during 1991-2013. (United States)

    Samerdokiene, Vitalija; Mastauskas, Albinas; Atkocius, Vydmantas


    The use of radiation sources for various medical purposes is closely related to irradiation of the medical staff, which causes harmful effects to health and an increased risk of cancer. In total, 1463 medical staff who have been occupationally exposed to sources of ionising radiation (IR) had been monitored. Records with annual dose measurements (N = 19 157) were collected and regularly analysed for a 23-y period: from 01 January 1991 to 31 December 2013. The collected annual average effective dose (AAED) data have been analysed according to different socio-demographic parameters and will be used in future investigation in order to assess cancer risk among medical staff occupationally exposed to sources of IR. A thorough analysis of data extracted from medical staff's dose records allows one to conclude that the average annual effective dose of Lithuanian medical staff occupationally exposed to sources of IR was consistently decreased from 1991 (1.75 mSv) to 2013 (0.27 mSv) (p < 0.0001).

  3. The Effect of Cumulus Cloud Field Anisotropy on Domain-Averaged Solar Fluxes and Atmospheric Heating Rates (United States)

    Hinkelman, Laura M.; Evans, K. Franklin; Clothiaux, Eugene E.; Ackerman, Thomas P.; Stackhouse, Paul W., Jr.


    Cumulus clouds can become tilted or elongated in the presence of wind shear. Nevertheless, most studies of the interaction of cumulus clouds and radiation have assumed these clouds to be isotropic. This paper describes an investigation of the effect of fair-weather cumulus cloud field anisotropy on domain-averaged solar fluxes and atmospheric heating rate profiles. A stochastic field generation algorithm was used to produce twenty three-dimensional liquid water content fields based on the statistical properties of cloud scenes from a large eddy simulation. Progressively greater degrees of x-z plane tilting and horizontal stretching were imposed on each of these scenes, so that an ensemble of scenes was produced for each level of distortion. The resulting scenes were used as input to a three-dimensional Monte Carlo radiative transfer model. Domain-average transmission, reflection, and absorption of broadband solar radiation were computed for each scene along with the average heating rate profile. Both tilt and horizontal stretching were found to significantly affect calculated fluxes, with the amount and sign of flux differences depending strongly on sun position relative to cloud distortion geometry. The mechanisms by which anisotropy interacts with solar fluxes were investigated by comparisons to independent pixel approximation and tilted independent pixel approximation computations for the same scenes. Cumulus anisotropy was found to most strongly impact solar radiative transfer by changing the effective cloud fraction, i.e., the cloud fraction when the field is projected on a surface perpendicular to the direction of the incident solar beam.

  4. Antitumor effects of electrochemical treatment

    Institute of Scientific and Technical Information of China (English)

    Héctor Manuel Camué Ciria; Maraelys Morales González; Lisset Ortíz Zamora; Luis Enrique Bergues Cabrales; Gustavo Victoriano Sierra González; Luciana Oliveira de Oliveira; Rodrigo Zanella


    Electrochemical treatment is an alternative modality for tumor treatment based on the application of a low intensity direct electric current to the tumor tissue through two or more platinum electrodes placed within the tumor zone or in the surrounding areas.This treatment is noted for its great effectiveness,minimal invasiveness and local effect.Several studies have been conducted worldwide to evaluate the antitumoral effect of this therapy.In all these studies a variety of biochemical and physiological responses of tumors to the applied treatment have been obtained.By this reason,researchers have suggested various mechanisms to explain how direct electric current destroys tumor cells.Although,it is generally accepted this treatment induces electrolysis,electroosmosis and electroporation in tumoral tissues.However,action mechanism of this alternative modality on the tumor tissue is not well understood.Although the principle of Electrochemical treatment is simple,a standardized method is not yet available.The mechanism by which Electrochemical treatment affects tumor growth and survival may represent more complex process.The present work analyzes the latest and most important research done on the electrochemical treatment of tumors.We conclude with our point of view about the destruction mechanism features of this alternative therapy.Also,we suggest some mechanisms and strategies from the thermodynamic point of view for this therapy.In the area of Electrochemical treatment of cancer this tool has been exploited very little and much work remains to be done.Electrochemical treatment constitutes a good therapeutic option for patients that have failed the conventional oncology methods.

  5. Climate Change Effects on Annual Average Concentrations of Fine Particulate Matter (PM2.5) in California (United States)

    Kleeman, M.; Mahmud, A.


    California has one of the worst particulate air pollution problems in the nation with some estimates predicting more than 5000 premature deaths each year attributed to air pollution. Climate change will modify weather patterns in California with unknown consequences for PM2.5. Previous down-scaling exercises carried out for the entire United States have typically not resolved the details associated with California's mountain-valley topography and mixture of urban-rural emissions characteristics. Detailed studies carried out for California have identified strong effects acting in opposite directions on PM2.5 concentrations making the net prediction for climate effects on PM2.5 somewhat uncertain. More research is needed to reduce this uncertainty so that we can truly understand climate impacts on PM2.5 and public health. The objective of this research is to predict climate change effects on annual average concentrations of particulate matter (PM2.5) in California with sufficient resolution to capture the details of California's air basins. Business-as-usual scenarios generated by the Parallel Climate Model (PCM) will be down-scaled to 4km meteorology using the Weather Research Forecast (WRF) model. The CIT/UCD source-oriented photochemical air quality model will be employed to predict PM2.5 concentrations throughout the entire state of California. The modeled annual average total and speciated PM2.5 concentrations for the future (2047-2049) and the present-day (2004-2006) periods will be compared to determine climate change effects. The results from this study will improve our understanding of global climate change effects on PM2.5 concentrations in California.

  6. Finite-size effect and the components of multifractality in transport economics volatility based on multifractal detrending moving average method (United States)

    Chen, Feier; Tian, Kang; Ding, Xiaoxu; Miao, Yuqi; Lu, Chunxia


    Analysis of freight rate volatility characteristics attracts more attention after year 2008 due to the effect of credit crunch and slowdown in marine transportation. The multifractal detrended fluctuation analysis technique is employed to analyze the time series of Baltic Dry Bulk Freight Rate Index and the market trend of two bulk ship sizes, namely Capesize and Panamax for the period: March 1st 1999-February 26th 2015. In this paper, the degree of the multifractality with different fluctuation sizes is calculated. Besides, multifractal detrending moving average (MF-DMA) counting technique has been developed to quantify the components of multifractal spectrum with the finite-size effect taken into consideration. Numerical results show that both Capesize and Panamax freight rate index time series are of multifractal nature. The origin of multifractality for the bulk freight rate market series is found mostly due to nonlinear correlation.

  7. SU-D-213-04: Accounting for Volume Averaging and Material Composition Effects in An Ionization Chamber Array for Patient Specific QA

    Energy Technology Data Exchange (ETDEWEB)

    Fugal, M; McDonald, D; Jacqmin, D; Koch, N; Ellis, A; Peng, J; Ashenafi, M; Vanek, K [Medical University of South Carolina, Charleston, SC (United States)


    Purpose: This study explores novel methods to address two significant challenges affecting measurement of patient-specific quality assurance (QA) with IBA’s Matrixx Evolution™ ionization chamber array. First, dose calculation algorithms often struggle to accurately determine dose to the chamber array due to CT artifact and algorithm limitations. Second, finite chamber size and volume averaging effects cause additional deviation from the calculated dose. Methods: QA measurements were taken with the Matrixx positioned on the treatment table in a solid-water Multi-Cube™ phantom. To reduce the effect of CT artifact, the Matrixx CT image set was masked with appropriate materials and densities. Individual ionization chambers were masked as air, while the high-z electronic backplane and remaining solid-water material were masked as aluminum and water, respectively. Dose calculation was done using Varian’s Acuros XB™ (V11) algorithm, which is capable of predicting dose more accurately in non-biologic materials due to its consideration of each material’s atomic properties. Finally, the exported TPS dose was processed using an in-house algorithm (MATLAB) to assign the volume averaged TPS dose to each element of a corresponding 2-D matrix. This matrix was used for comparison with the measured dose. Square fields at regularly-spaced gantry angles, as well as selected patient plans were analyzed. Results: Analyzed plans showed improved agreement, with the average gamma passing rate increasing from 94 to 98%. Correction factors necessary for chamber angular dependence were reduced by 67% compared to factors measured previously, indicating that previously measured factors corrected for dose calculation errors in addition to true chamber angular dependence. Conclusion: By comparing volume averaged dose, calculated with a capable dose engine, on a phantom masked with correct materials and densities, QA results obtained with the Matrixx Evolution™ can be significantly


    Directory of Open Access Journals (Sweden)

    W. J. Souza


    Full Text Available AbstractWater-in-oil (W/O emulsions are complex mixtures generally found in crude oil production in reservoirs and processing equipment. Sedimentation studies of water-oil emulsions enable the analysis of the fluid dynamic behavior concerning separation of this system composed of two immiscible liquids. Gravitational settling was evaluated in this article for a model emulsion system consisting of water and a Brazilian crude oil diluted in a clear mineral oil as organic phase. The effects of water content and temperature were considered in the study of sedimentation velocity of water-oil emulsions. Water contents between 10% and 50 % and temperatures of 25, 40 and 60 ºC were evaluated, and a Richardson-Zaki type correlation was obtained to calculate settling velocities as a function of the process variables investigated. Water contents and average droplet sizes were monitored at different levels in the settling equipment, thus enabling identification of the effect of these variables on the phenomena of sedimentation and coalescence of the emulsions studied. The results showed that the emulsion stability during sedimentation was governed by the emulsion water content, which yielded high settling velocities at low water contents, even when very small droplets were present. A quantitative analysis of the combined effects of drop size and droplet concentration supports the conclusion that a stronger effect is produced by the higher concentration of particles, compared with the relatively smaller effect of increasing the size of the droplets.


    Directory of Open Access Journals (Sweden)

    N. G. Vlasova


    Full Text Available Catalogue of the average annual effective exposure doses of the inhabitants of the territories contaminated due to the Chernobul accident had been developed according to the method of the assessment of the average annual effective exposure doses of the settlements inhabitants. The cost-efficacy of the use of the average annual effective dose assessment method was 250 000 USD for the current 5 years. Average annual effective dose exceeded 1 mSv/year for 191 Belarus settlements from 2613. About 50 000 persons are living in these settlements.

  10. Determinant Effects of Average Fasting Plasma Glucose on Mortality in Diabetic End-Stage Renal Disease Patients on Maintenance Hemodialysis

    Directory of Open Access Journals (Sweden)

    Yi-Chun Lin


    Discussion: Our results suggest that the average FPG levels are useful predictors of all-cause mortality in dialysis patients. In addition, an increasing trend in average FPG levels indicates poor survival.

  11. A depth-averaged debris-flow model that includes the effects of evolving dilatancy. I. physical basis (United States)

    Iverson, Richard M.; George, David L.


    To simulate debris-flow behaviour from initiation to deposition, we derive a depth-averaged, two-phase model that combines concepts of critical-state soil mechanics, grain-flow mechanics and fluid mechanics. The model's balance equations describe coupled evolution of the solid volume fraction, m, basal pore-fluid pressure, flow thickness and two components of flow velocity. Basal friction is evaluated using a generalized Coulomb rule, and fluid motion is evaluated in a frame of reference that translates with the velocity of the granular phase, vs. Source terms in each of the depth-averaged balance equations account for the influence of the granular dilation rate, defined as the depth integral of ∇⋅vs. Calculation of the dilation rate involves the effects of an elastic compressibility and an inelastic dilatancy angle proportional to m−meq, where meq is the value of m in equilibrium with the ambient stress state and flow rate. Normalization of the model equations shows that predicted debris-flow behaviour depends principally on the initial value of m−meq and on the ratio of two fundamental timescales. One of these timescales governs downslope debris-flow motion, and the other governs pore-pressure relaxation that modifies Coulomb friction and regulates evolution of m. A companion paper presents a suite of model predictions and tests.

  12. The effect of New Neonatal Porcine Diarrhoea Syndrome (NNPDS) on average daily gain and mortality in 4 Danish pig herds

    DEFF Research Database (Denmark)

    Kongsted, Hanne; Stege, Helle; Toft, Nils;


    , which is not caused by enterotoxigenic Escherichia coli (ETEC), Clostridium perfringens (C. perfringens) type A/C, Clostridium difficile (C. difficile), rotavirus A, coronavirus, Cystoisospora suis, Strongyloides ransomi, Giardia spp or Cryptosporidium spp. Results: Piglets were estimated to have......Background: The study evaluated the effect of New Neonatal Porcine Diarrhoea Syndrome (NNPDS) on average daily gain (ADG) and mortality and described the clinical manifestations in four herds suffering from the syndrome. NNPDS is a diarrhoeic syndrome affecting piglets within the first week of life...... of diarrhoea on mortality, but herd of origin, sow parity, birth weight, and gender were significantly associated with mortality. In one of the herds, approximately 25% of the diarrhoeic piglets vs. 6% of the non-diarrhoeic piglets died, and 74% of necropsied piglets were diagnosed with enteritis...

  13. The acute effect of lower-body training on average power output measured by loaded half-squat jump exercise

    Directory of Open Access Journals (Sweden)

    Matúš Krčmár


    Full Text Available Background: High muscular power output is required in many athletic endeavors in order for success to be achieved. In the scientific community postactivation potentiation and its effect on performance are often discussed. There are many studies where the effect of resistance exercise on motor performance (such as vertical jump performance and running speed has been investigated but only a few of them studied power output. Objective: The purpose of this study was to determine the acute responses to a 2 set loaded half-squat jumps and 2 set loaded back half-squat protocols designed to induce the acute maximum average power output during loaded half-squat jumps. Methods: A randomized cross-over design was used. 11 participants of this study performed 3 trials in randomized order separated by at least 48 hours where maximum average power output was measured. The specific conditioning activities were comprised of 2 sets and 4 repetitions of half-squat jumps, 2 sets and 4 repetitions of back half-squat exercises and a control protocol without an intervention by specific a conditioning activity. Participants were strength trained athletes with different sport specializations (e.g. ice-hockey, volleyball. Mean age of the athletes was 22 ± 1.8 years, body mass 80 ± 7.1 kg and body height 185 ± 6.5 cm. Analysis of variance with repeated measures was used to determine differences between pre- and post-condition in each protocol, as well as between conditioning protocols, and also effect size was used to evaluate practical significance. Results: Maximum average power was significantly enhanced after application of the half-squat jump condition protocol (1496.2 ± 194.5 to 1552 ± 196.1 W, Δ ~ 3.72%, p < .001 and after application of the back half-squat protocol (1500.7 ± 193.2 to 1556 ± 191.2 W, Δ ~ 3.68%, p < .001 after 10 min of rest. Power output after control protocol was

  14. Migraine treatment and placebo effect. (United States)

    Speciali, José G; Peres, Mário; Bigal, Marcelo E


    Placebos are typically defined as physiologically inactive substances that elicit a therapeutic response. The antipode of the placebo effect is the nocebo effect, or the negative effects of placebo, where unpleasant symptoms (e.g., adverse events) emerge after the administration of placebo. Placebo analgesia is one of the most striking examples of the cognitive modulation of pain perception. Herein we focus on the importance of placebo in headache research. We first review the mechanisms of the placebo effect. We then focus on the importance of placebo in the acute treatment of migraine. We follow by discussing the importance of placebo on the preventive treatment of migraine and our perspectives for the 5 years to come regarding the study of the placebos.

  15. Big Fish in Little Ponds Aspire More: Mediation and Cross-Cultural Generalizability of School-Average Ability Effects on Self-Concept and Career Aspirations in Science (United States)

    Nagengast, Benjamin; Marsh, Herbert W.


    Being schooled with other high-achieving peers has a detrimental influence on students' self-perceptions: School-average and class-average achievement have a negative effect on academic self-concept and career aspirations--the big-fish-little-pond effect. Individual achievement, on the other hand, predicts academic self-concept and career…

  16. How robust are the estimated effects of air pollution on health? Accounting for model uncertainty using Bayesian model averaging. (United States)

    Pannullo, Francesca; Lee, Duncan; Waclawski, Eugene; Leyland, Alastair H


    The long-term impact of air pollution on human health can be estimated from small-area ecological studies in which the health outcome is regressed against air pollution concentrations and other covariates, such as socio-economic deprivation. Socio-economic deprivation is multi-factorial and difficult to measure, and includes aspects of income, education, and housing as well as others. However, these variables are potentially highly correlated, meaning one can either create an overall deprivation index, or use the individual characteristics, which can result in a variety of pollution-health effects. Other aspects of model choice may affect the pollution-health estimate, such as the estimation of pollution, and spatial autocorrelation model. Therefore, we propose a Bayesian model averaging approach to combine the results from multiple statistical models to produce a more robust representation of the overall pollution-health effect. We investigate the relationship between nitrogen dioxide concentrations and cardio-respiratory mortality in West Central Scotland between 2006 and 2012.

  17. The Chicken Soup Effect: The Role of Recreation and Intramural Participation in Boosting Freshman Grade Point Average (United States)

    Gibbison, Godfrey A.; Henry, Tracyann L.; Perkins-Brown, Jayne


    Freshman grade point average, in particular first semester grade point average, is an important predictor of survival and eventual student success in college. As many institutions of higher learning are searching for ways to improve student success, one would hope that policies geared towards the success of freshmen have long term benefits…

  18. Average Air Temperature Inside a Room With a Semitransparent Wall With a Solar Control Film: Effect of The Emissivity

    Directory of Open Access Journals (Sweden)

    J. Xamán


    Full Text Available In this paper a theoretical study on conjugated heat transfer (natural convection, radiation and conduction in a squareroom (cavity with turbulent flow is presented, taking into account variation on the opaque wall emissivity. The room isformed by an isothermal vertical wall, two adiabatic horizontal walls and a semitransparent wall with and without acontrol solar radiation film. The governing equations for turbulent flow in 2D were solved using a finite volumeformulation and k- turbulent model. Results for an isothermal wall at 21°C and an external temperature of 35°C arepresented. The size of the room is 4.0 m length and height and the solar radiation falling directly on thesemitransparent wall was 750 W/m2 (AM2. The emissivity of the opaque walls was varied between 0.1 ≤ * ≤ 1.0.Results show that, based on the air average temperature and the effective heat flux inside the room, the solar controlfilm under study was advantageous for energy saving purposes, for emissivity values of * ≤ 0.46. A correlation onthis system for the heat transfer as a function of the emissivities was determined.

  19. The Baryon Cycle at High Redshifts: Effects of Galactic Winds on Galaxy Evolution in Overdense and Average Regions

    CERN Document Server

    Sadoun, Raphael; Choi, Jun-Hwan; Romano-Díaz, Emilio


    We use high-resolution cosmological zoom-in simulations in order to analyze galaxy evolution at redshifts z~6-12 in highly-overdense 5 sigma density peaks. Strong stellar feedback, in the form of galactic winds, is expected to play an important role in the evolution of these regions. We investigate the effects of these winds by comparing different galactic outflow prescriptions, including (i) a constant velocity model (CW), (ii) a variable velocity model scaling with galaxy properties (VW), and (iii) a model with no outflows (NW). The CW model is also applied to a simulation of an average density region to study the impact of environment on galaxy evolution. A direct consequence of the overdensity is a shallow galaxy mass function slope at the low-mass end and an accelerated evolution of dark matter and baryonic structures. The overdensity hosts massive haloes, up to ~10^{12} Msun, with embedded galaxies up to ~10^{11} Msun in stellar mass by z~6, which are absent in the "normal" region. The CW model leads to...

  20. An investigation of the effect of pore scale flow on average geochemical reaction rates using direct numerical simulation

    Energy Technology Data Exchange (ETDEWEB)

    Molins, Sergi [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Earth Sciences Division; Trebotich, David [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Computational Research Division; Steefel, Carl I. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Earth Sciences Division; Shen, Chaopeng [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Computational Research Division


    The scale-dependence of geochemical reaction rates hinders their use in continuum scale models intended for the interpretation and prediction of chemical fate and transport in subsurface environments such as those considered for geologic sequestration of CO2. Processes that take place at the pore scale, especially those involving mass transport limitations to reactive surfaces, may contribute to the discrepancy commonly observed between laboratory-determined and continuum-scale or field rates. In this study we investigate the dependence of mineral dissolution rates on the pore structure of the porous media by means of pore scale modeling of flow and multicomponent reactive transport. The pore scale model is composed of high-performance simulation tools and algorithms for incompressible flow and conservative transport combined with a general-purpose multicomponent geochemical reaction code. The model performs direct numerical simulation of reactive transport based on an operator-splitting approach to coupling transport and reactions. The approach is validated with a Poiseuille flow single-pore experiment and verified with an equivalent 1-D continuum-scale model of a capillary tube packed with calcite spheres. Using the case of calcite dissolution as an example, the high-resolution model is used to demonstrate that nonuniformity in the flow field at the pore scale has the effect of decreasing the overall reactivity of the system, even when systems with identical reactive surface area are considered. In conclusion, the effect becomes more pronounced as the heterogeneity of the reactive grain packing increases, particularly where the flow slows sufficiently such that the solution approaches equilibrium locally and the average rate becomes transport-limited.

  1. The Baryon Cycle at High Redshifts: Effects of Galactic Winds on Galaxy Evolution in Overdense and Average Regions (United States)

    Sadoun, Raphael; Shlosman, Isaac; Choi, Jun-Hwan; Romano-Díaz, Emilio


    We employ high-resolution cosmological zoom-in simulations focusing on a high-sigma peak and an average cosmological field at z ˜ 6-12 in order to investigate the influence of environment and baryonic feedback on galaxy evolution in the reionization epoch. Strong feedback, e.g., galactic winds, caused by elevated star formation rates (SFRs) is expected to play an important role in this evolution. We compare different outflow prescriptions: (i) constant wind velocity (CW), (ii) variable wind scaling with galaxy properties (VW), and (iii) no outflows (NW). The overdensity leads to accelerated evolution of dark matter and baryonic structures, absent from the “normal” region, and to shallow galaxy stellar mass functions at the low-mass end. Although CW shows little dependence on the environment, the more physically motivated VW model does exhibit this effect. In addition, VW can reproduce the observed specific SFR (sSFR) and the sSFR-stellar mass relation, which CW and NW fail to satisfy simultaneously. Winds also differ substantially in affecting the state of the intergalactic medium (IGM). The difference lies in the volume-filling factor of hot, high-metallicity gas, which is near unity for CW, while such gas remains confined in massive filaments for VW, and locked up in galaxies for NW. Such gas is nearly absent from the normal region. Although all wind models suffer from deficiencies, the VW model seems to be promising in correlating the outflow properties with those of host galaxies. Further constraints on the state of the IGM at high z are needed to separate different wind models.

  2. The prevalence of skeletal Class II patients found in a consecutive population presenting for TMD treatment compared to the national average. (United States)

    Simmons, H Clifton; Oxford, D Eric; Hill, Matthew D


    Fifty-six consecutive patients in a referral-based practice seeking treatment for a complex chronic painful temporomandibular disorder (TMD) were enrolled in a retrospective study to evaluate the skeletal relationship of patients with TMD compared to the distribution of skeletal patterns found in the average population. During the standard clinical workup, lateral cephalometric radiographs were performed. Using Wits appraisal all of the fifty-six (56) cephalometric radiographs were analyzed. Based on the results of the Wits analysis, 34.6 percent of the patients were skeletal Class I, 63.6 percent were skeletal Class II, and 1.8 percent were skeletal Class III. These results were compared with the data published by the National Health and Nutrition Examination Survey (NHANES) in Proffit's text Contemporary Orthodontics. This study states that in the general population occlusal diversity is eighty to eighty-five percent (80-85%) skeletal Class I, fifteen percent (15%) are skeletal Class II, and one percent (1%) are skeletal Class III. The conclusion can be drawn that the patient sampling analyzed shows that TMD patients have a higher prevalence for skeletal Class II than the general population.

  3. Sampling Based Average Classifier Fusion

    Directory of Open Access Journals (Sweden)

    Jian Hou


    fusion algorithms have been proposed in literature, average fusion is almost always selected as the baseline for comparison. Little is done on exploring the potential of average fusion and proposing a better baseline. In this paper we empirically investigate the behavior of soft labels and classifiers in average fusion. As a result, we find that; by proper sampling of soft labels and classifiers, the average fusion performance can be evidently improved. This result presents sampling based average fusion as a better baseline; that is, a newly proposed classifier fusion algorithm should at least perform better than this baseline in order to demonstrate its effectiveness.

  4. Improvement of internal tumor volumes of non-small cell lung cancer patients for radiation treatment planning using interpolated average CT in PET/CT.

    Directory of Open Access Journals (Sweden)

    Yao-Ching Wang

    Full Text Available Respiratory motion causes uncertainties in tumor edges on either computed tomography (CT or positron emission tomography (PET images and causes misalignment when registering PET and CT images. This phenomenon may cause radiation oncologists to delineate tumor volume inaccurately in radiotherapy treatment planning. The purpose of this study was to analyze radiology applications using interpolated average CT (IACT as attenuation correction (AC to diminish the occurrence of this scenario. Thirteen non-small cell lung cancer patients were recruited for the present comparison study. Each patient had full-inspiration, full-expiration CT images and free breathing PET images by an integrated PET/CT scan. IACT for AC in PET(IACT was used to reduce the PET/CT misalignment. The standardized uptake value (SUV correction with a low radiation dose was applied, and its tumor volume delineation was compared to those from HCT/PET(HCT. The misalignment between the PET(IACT and IACT was reduced when compared to the difference between PET(HCT and HCT. The range of tumor motion was from 4 to 17 mm in the patient cohort. For HCT and PET(HCT, correction was from 72% to 91%, while for IACT and PET(IACT, correction was from 73% to 93% (*p<0.0001. The maximum and minimum differences in SUVmax were 0.18% and 27.27% for PET(HCT and PET(IACT, respectively. The largest percentage differences in the tumor volumes between HCT/PET and IACT/PET were observed in tumors located in the lowest lobe of the lung. Internal tumor volume defined by functional information using IACT/PET(IACT fusion images for lung cancer would reduce the inaccuracy of tumor delineation in radiation therapy planning.

  5. Stabilizing effect of large average initial velocity in forced dissipative PDEs invariant with respect to Galilean transformations (United States)

    Cyranka, Jacek; Zgliczyński, Piotr


    We describe a topological method to study the dynamics of dissipative PDEs on a torus with rapidly oscillating forcing terms. We show that a dissipative PDE, which is invariant with respect to the Galilean transformations, with a large average initial velocity can be reduced to a problem with rapidly oscillating forcing terms. We apply the technique to the viscous Burgers' equation, and the incompressible 2D Navier-Stokes equations with a time-dependent forcing. We prove that for a large initial average speed the equation admits a bounded eternal solution, which attracts all other solutions forward in time. For the incompressible 3D Navier-Stokes equations we establish the existence of a locally attracting solution.

  6. Effects of long-term averaging of quantitative blood pressure traits on the detection of genetic associations. (United States)

    Ganesh, Santhi K; Chasman, Daniel I; Larson, Martin G; Guo, Xiuqing; Verwoert, Germain; Bis, Joshua C; Gu, Xiangjun; Smith, Albert V; Yang, Min-Lee; Zhang, Yan; Ehret, Georg; Rose, Lynda M; Hwang, Shih-Jen; Papanicolau, George J; Sijbrands, Eric J; Rice, Kenneth; Eiriksdottir, Gudny; Pihur, Vasyl; Ridker, Paul M; Vasan, Ramachandran S; Newton-Cheh, Christopher; Raffel, Leslie J; Amin, Najaf; Rotter, Jerome I; Liu, Kiang; Launer, Lenore J; Xu, Ming; Caulfield, Mark; Morrison, Alanna C; Johnson, Andrew D; Vaidya, Dhananjay; Dehghan, Abbas; Li, Guo; Bouchard, Claude; Harris, Tamara B; Zhang, He; Boerwinkle, Eric; Siscovick, David S; Gao, Wei; Uitterlinden, Andre G; Rivadeneira, Fernando; Hofman, Albert; Willer, Cristen J; Franco, Oscar H; Huo, Yong; Witteman, Jacqueline C M; Munroe, Patricia B; Gudnason, Vilmundur; Palmas, Walter; van Duijn, Cornelia; Fornage, Myriam; Levy, Daniel; Psaty, Bruce M; Chakravarti, Aravinda


    Blood pressure (BP) is a heritable, quantitative trait with intraindividual variability and susceptibility to measurement error. Genetic studies of BP generally use single-visit measurements and thus cannot remove variability occurring over months or years. We leveraged the idea that averaging BP measured across time would improve phenotypic accuracy and thereby increase statistical power to detect genetic associations. We studied systolic BP (SBP), diastolic BP (DBP), mean arterial pressure (MAP), and pulse pressure (PP) averaged over multiple years in 46,629 individuals of European ancestry. We identified 39 trait-variant associations across 19 independent loci (p < 5 × 10(-8)); five associations (in four loci) uniquely identified by our LTA analyses included those of SBP and MAP at 2p23 (rs1275988, near KCNK3), DBP at 2q11.2 (rs7599598, in FER1L5), and PP at 6p21 (rs10948071, near CRIP3) and 7p13 (rs2949837, near IGFBP3). Replication analyses conducted in cohorts with single-visit BP data showed positive replication of associations and a nominal association (p < 0.05). We estimated a 20% gain in statistical power with long-term average (LTA) as compared to single-visit BP association studies. Using LTA analysis, we identified genetic loci influencing BP. LTA might be one way of increasing the power of genetic associations for continuous traits in extant samples for other phenotypes that are measured serially over time.

  7. Nonlinear effects of team tenure on team psychological safety climate and climate strength: Implications for average team member performance. (United States)

    Koopmann, Jaclyn; Lanaj, Klodiana; Wang, Mo; Zhou, Le; Shi, Junqi


    The teams literature suggests that team tenure improves team psychological safety climate and climate strength in a linear fashion, but the empirical findings to date have been mixed. Alternatively, theories of group formation suggest that new and longer tenured teams experience greater team psychological safety climate than moderately tenured teams. Adopting this second perspective, we used a sample of 115 research and development teams and found that team tenure had a curvilinear relationship with team psychological safety climate and climate strength. Supporting group formation theories, team psychological safety climate and climate strength were higher in new and longer tenured teams compared with moderately tenured teams. Moreover, we found a curvilinear relationship between team tenure and average team member creative performance as partially mediated by team psychological safety climate. Team psychological safety climate improved average team member task performance only when team psychological safety climate was strong. Likewise, team tenure influenced average team member task performance in a curvilinear manner via team psychological safety climate only when team psychological safety climate was strong. We discuss theoretical and practical implications and offer several directions for future research. (PsycINFO Database Record

  8. The Treatment Effectiveness Assessment (TEA

    Directory of Open Access Journals (Sweden)

    Ling W


    Full Text Available Walter Ling,1 David Farabee,1 Dagmar Liepa,2 Li-Tzy Wu3 1Integrated Substance Abuse Programs, University of California, Los Angeles, CA, 2Valley Care Medical Center, Panorama City, CA, 3Department of Psychiatry and Behavioral Sciences, School of Medicine, Duke University Medical Center, Durham, NC, USA We have been surprised and gratified by the readers’ responses to our article, The Treatment Effectiveness Assessment (TEA: an efficient, patient-centered instrument for evaluating progress in recovery from addiction, which was published in December 2012.1 In the six months since that time, we have received numerous questions and observations about the article, and about the TEA instrument. Respondents were clinicians: physicians, counselors, therapists, nurses; as well as administrators and policy makers.  View original paper by Ling W, Farabee D, Liepa D, Wu LT. 

  9. Comparison of wing-span averaging effects on lift, rolling moment, and bending moment for two span load distributions and for two turbulence representations (United States)

    Lichtenstein, J. H.


    An analytical method of computing the averaging effect of wing-span size on the loading of a wing induced by random turbulence was adapted for use on a digital electronic computer. The turbulence input was assumed to have a Dryden power spectral density. The computations were made for lift, rolling moment, and bending moment for two span load distributions, rectangular and elliptic. Data are presented to show the wing-span averaging effect for wing-span ratios encompassing current airplane sizes. The rectangular wing-span loading showed a slightly greater averaging effect than did the elliptic loading. In the frequency range most bothersome to airplane passengers, the wing-span averaging effect can reduce the normal lift load, and thus the acceleration, by about 7 percent for a typical medium-sized transport. Some calculations were made to evaluate the effect of using a Von Karman turbulence representation. These results showed that using the Von Karman representation generally resulted in a span averaging effect about 3 percent larger.

  10. Redshift and redshift-drift in $\\Lambda = 0$ quasi-spherical Szekeres cosmological models and the effect of averaging

    CERN Document Server

    Mishra, Priti


    Since the advent of the accelerated expanding homogeneous universe model, some other explanations for the supernova Ia dimming have been explored, among which there are inhomogeneous models constructed with exact $\\Lambda = 0$ solutions of Einstein's equations. They have been used either as one patch or to build Swiss-cheese models. The most studied ones have been the Lema\\^itre-Tolman-Bondi (LTB) models. However, these models being spatially spherical, they are not well designed to reproduce the large scale structures which exhibit clusters, filaments and non spherical voids. This is the reason why Szekeres models, which are devoid of any symmetry, have recently come into play. In this paper, we give the equations and an algorithm to compute the redshift-drift for the most general quasi-spherical Szekeres (QSS) models with no dark energy. We apply it to a QSS model recently proposed by Bolejko and Sussman (BSQSS model) who averaged their model to reproduce the density distribution of the Alexander and collab...

  11. Effects of dam parity and pre-weaning average daily gain of Holstein calves on future milk production. (United States)

    Hoseyni, Fatemeh; Mahjoubi, Ehsan; Zahmatkesh, Davood; Yazdi, Mehdi Hossein


    This research communication describes relationships between pre-weaning average daily gain (ADG) and dam parity with future productivity of dairy calves. Higher ADG before weaning has been shown to be related to greater milk production in the first lactation of Holstein calves fed milk replacer. However, data is limited on the relationship between pre-weaning ADG and first lactation performance of Holstein calves fed whole milk. Data of three hundred and thirty-two Holstein calves from 35 primiparous and 297 multiparous cows was investigated to evaluate the relationship between the dam parity and pre-weaning ADG with the first lactation performance. Results indicated that birth (P primiparous or multiparous cows, although milk yield tended to be higher in the former and ADG higher in the latter. Correlations between 305 d milk yield and pre-weaning ADG, dam parity and birth body weight were low and non-significant, although there was a tendency for a positive correlation between ADG and milk yield.

  12. The effects of reward magnitude on reward processing: An averaged and single trial event-related potential study. (United States)

    Meadows, Caroline C; Gable, Philip A; Lohse, Keith R; Miller, Matthew W


    From a neurobiological and motivational perspective, the feedback-related negativity (FRN) and reward positivity (RewP) event-related potential (ERP) components should increase with reward magnitude (reward associated with valence (success/failure) feedback). To test this hypothesis, we recorded participants' electroencephalograms while presenting them with potential monetary rewards ($0.00-$4.96) pre-trial for each trial of a reaction time task and presenting them with valence feedback post-trial. Averaged ERPs time-locked to valence feedback were extracted, and results revealed a valence by magnitude interaction for neural activity in the FRN/RewP time window. This interaction was driven by magnitude affecting RewP, but not FRN, amplitude. Moreover, single trial ERP analyses revealed a reliable correlation between magnitude and RewP, but not FRN, amplitude. Finally, P3b and late positive potential (LPP) amplitudes were affected by magnitude. Results partly support the neurobiological (dopamine) account of the FRN/RewP and suggest motivation affects feedback processing, as indicated by multiple ERP components.

  13. Quantifying the effects of different post-processing quality filters on regionally and temporally averaged ACOS XCO2 (United States)

    Fisher, B.; O'Dell, C.; Mandrake, L.


    The Atmospheric CO2 Observations from Space (ACOS) group has been producing and distributing total column CO2 (XCO2) products using JAXA/NIES/MOE Greenhouse Gases Observing SATellite (GOSAT) spectra and has accumulated almost 4 years of data with version 3.3. While the ACOS team strives to only process soundings that the retrieval algorithm can handle well, we are conservative in what we reject from processing. Consequently, some soundings get processed which do not yield reliable results. We have developed post-processing filters based on comparisons to a few truth proxies (model means, TCCON, and the southern hemisphere approximation) to flag the less reliable soundings. Here we compare regionally (using TRANSCOM spatial bins) and monthly averaged XCO2 that have been filtered by our normal method (described in the ACOS Level 2 Data User's Guide) and a newer method, which we have named warn levels. Mean XCO2 differences are quantified spatially and temporally to inform possible biases in carbon cycle studies that could potentially be introduced by the application of differing post-processing screening methodologies to the ACOS products.

  14. What Happens to the Fish's Achievement in a Little Pond? A Simultaneous Analysis of Class-Average Achievement Effects on Achievement and Academic Self-Concept (United States)

    Stäbler, Franziska; Dumont, Hanna; Becker, Michael; Baumert, Jürgen


    Empirical studies have demonstrated that students who are taught in a group of students with higher average achievement benefit in terms of their achievement. However, there is also evidence showing that being surrounded by high-achieving students has a negative effect on students' academic self-concept, also known as the big-fish--little-pond…

  15. Effects of Ultrasonic Treatment on Residue Properties

    Institute of Scientific and Technical Information of China (English)

    Sun Yudong; Zhang Qiang; Shi Honghong; Wang Xue; Liu Bo


    The changes in properties and structural parameters of four vacuum residue samples before and after ultrasonic treatment were analyzed. Ultrasonic treatment could increase the carbon residue value, decrease the average molecular weight and viscosity, which can barely inlfuence the density of vacuum residue. Meanwhile the constitution of residue can be varied including the decrease in the content of saturates, aromatics and asphaltenes, while the increase in the content of resins can lead to an increase in the total content of asphaltenes and resins. Among the four kinds of residue samples, there is a common trend that the more the content of asphaltenes in feedstock is, the more the increase in the content of resins, the more signiifcant decrease in the aromatic content and the less decrease in the saturates content after ultrasonic treatment of residue would be. Changes in the structure and content of asphaltenes caused by ultrasonic treatment have a signiifcant impact on the changes in residue properties. Ultrasonic treatment has changed the structural parameters of residue such as decrease in the total carbon number of average molecule (CTotal), the total number of rings (RT), the aromatic carbon number (CA),the aromatic rings number (RA) and the naphthenic rings number (RN) , and increase of characterization factor (KH). The study has indicated that ultrasonic treatment of vacuum residue can change the average structure of residue, and the changes in the content and structure of asphaltenes are the main cause leading to property changes. The results of residue hydrotreat-ing revealed that coke yield decreased, whereas the gas and light oil yield and conversion increased after ultrasonic treat-ment of vacuum residue.

  16. SU-C-304-01: Investigation of Various Detector Response Functions and Their Geometry Dependence in a Novel Method to Address Ion Chamber Volume Averaging Effect

    Energy Technology Data Exchange (ETDEWEB)

    Barraclough, B; Lebron, S [J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, FL (United States); Li, J; Fan, Qiyong; Liu, C; Yan, G [Department of Radiation Oncology, University of Florida, Gainesville, FL (United States)


    Purpose: A novel convolution-based approach has been proposed to address ion chamber (IC) volume averaging effect (VAE) for the commissioning of commercial treatment planning systems (TPS). We investigate the use of various convolution kernels and its impact on the accuracy of beam models. Methods: Our approach simulates the VAE by iteratively convolving the calculated beam profiles with a detector response function (DRF) while optimizing the beam model. At convergence, the convolved profiles match the measured profiles, indicating the calculated profiles match the “true” beam profiles. To validate the approach, beam profiles of an Elekta LINAC were repeatedly collected with ICs of various volumes (CC04, CC13 and SNC 125) to obtain clinically acceptable beam models. The TPS-calculated profiles were convolved externally with the DRF of respective IC. The beam model parameters were reoptimized using Nelder-Mead method by forcing the convolved profiles to match the measured profiles. We evaluated three types of DRFs (Gaussian, Lorentzian, and parabolic) and the impact of kernel dependence on field geometry (depth and field size). The profiles calculated with beam models were compared with SNC EDGE diode-measured profiles. Results: The method was successfully implemented with Pinnacle Scripting and Matlab. The reoptimization converged in ∼10 minutes. For all tested ICs and DRFs, penumbra widths of the TPS-calculated profiles and diode-measured profiles were within 1.0 mm. Gaussian function had the best performance with mean penumbra width difference within 0.5 mm. The use of geometry dependent DRFs showed marginal improvement, reducing the penumbra width differences to less than 0.3 mm. Significant increase in IMRT QA passing rates was achieved with the optimized beam model. Conclusion: The proposed approach significantly improved the accuracy of the TPS beam model. Gaussian functions as the convolution kernel performed consistently better than Lorentzian and

  17. Post-treatment Effects of Topiramate Treatment for Heavy Drinking (United States)

    Kranzler, Henry R.; Wetherill, Reagan; Feinn, Richard; Pond, Timothy; Gelernter, Joel; Covault, Jonathan


    Background We examined whether the effects of topiramate and a single nucleotide polymorphism (SNP; rs2832407) in GRIK1, which encodes a kainate receptor subunit, persisted following a 12-week, placebo-controlled trial in 138 heavy drinkers with a treatment goal of reduced drinking. During treatment, topiramate 200 mg/day significantly reduced heavy drinking days and increased the frequency of abstinent days (Kranzler et al. 2014a). In the European-American (EA) subsample (n=122), rs2832407 moderated the treatment effect on heavy drinking. Methods Patients were re-interviewed 3 and 6 months after the end of treatment. During treatment, we obtained 92.4% of drinking data, with 89.1% and 85.5% complete data at the 3- and 6-month follow-up visits, respectively. We examined four outcomes over time in the overall sample and the EA subsample: percent heavy drinking days (PHDD), percent days abstinent (PDA), serum γ-glutamyl transpeptidase (GGTP) concentration, and a measure of alcohol-related problems. Results In the full sample, the lower PHDD and higher PDA seen with topiramate treatment were no longer significant during follow-up. Nonetheless, the topiramate-treated patients had lower alcohol-related problem scores during treatment and both follow-up periods. Further, in the EA subsample, the greater reduction in PHDD seen during treatment in rs2832407*C-allele homozygotes persisted throughout follow-up, with no significant effects in A-allele carriers. A reduction in GGTP concentration was consistent with the reduction in heavy drinking, but did not reach statistical significance. Conclusion There are persistent therapeutic effects of topiramate in heavy drinkers, principally in rs2832407*C-allele homozygotes. PMID:25581656

  18. Aggregation and Averaging. (United States)

    Siegel, Irving H.

    The arithmetic processes of aggregation and averaging are basic to quantitative investigations of employment, unemployment, and related concepts. In explaining these concepts, this report stresses need for accuracy and consistency in measurements, and describes tools for analyzing alternative measures. (BH)

  19. Effect of boron and zinc fertilization on white oats grown in soil with average content of these nutrients

    Directory of Open Access Journals (Sweden)

    Deise Dalazen Castagnara


    Full Text Available The objective of this study was to evaluate the effect of fertilization with zinc or boron on the growth and dry matter production, nutritional value and accumulation of nutrients in white oats. The study comprised two experiments conducted in glasshouses, the first consisting of the application of four doses of zinc (0, 0.2, 0.4 and 0.6 mg/dm³ in the form of zinc sulphate (20% Zn, and the second consisting of the application of four doses of boron (0, 0.2, 0.4 and 0.6 mg/dm³ in the form of Borax (11% B. The experimental design in each case was a randomized block design, with five replicates. Fertilization with zinc and boron increased the growth of white oats, but had no significant effect on the nutritional value of the forage. Higher levels of absorption and accumulation of nutrients in plant tissues were observed following the application of boron and zinc at rates of up to 0.60 mg/dm³ of soil.

  20. Quantum wavepacket ab initio molecular dynamics: an approach for computing dynamically averaged vibrational spectra including critical nuclear quantum effects. (United States)

    Sumner, Isaiah; Iyengar, Srinivasan S


    We have introduced a computational methodology to study vibrational spectroscopy in clusters inclusive of critical nuclear quantum effects. This approach is based on the recently developed quantum wavepacket ab initio molecular dynamics method that combines quantum wavepacket dynamics with ab initio molecular dynamics. The computational efficiency of the dynamical procedure is drastically improved (by several orders of magnitude) through the utilization of wavelet-based techniques combined with the previously introduced time-dependent deterministic sampling procedure measure to achieve stable, picosecond length, quantum-classical dynamics of electrons and nuclei in clusters. The dynamical information is employed to construct a novel cumulative flux/velocity correlation function, where the wavepacket flux from the quantized particle is combined with classical nuclear velocities to obtain the vibrational density of states. The approach is demonstrated by computing the vibrational density of states of [Cl-H-Cl]-, inclusive of critical quantum nuclear effects, and our results are in good agreement with experiment. A general hierarchical procedure is also provided, based on electronic structure harmonic frequencies, classical ab initio molecular dynamics, computation of nuclear quantum-mechanical eigenstates, and employing quantum wavepacket ab initio dynamics to understand vibrational spectroscopy in hydrogen-bonded clusters that display large degrees of anharmonicities.

  1. Analysis of the Scaling Effects in the Area-Averaged Fraction of Vegetation Cover Retrieved Using an NDVI-Isoline-Based Linear Mixture Model

    Directory of Open Access Journals (Sweden)

    Hiroki Yoshioka


    Full Text Available The spectral unmixing of a linear mixture model (LMM with Normalized Difference Vegetation Index (NDVI constraints was performed to estimate the fraction of vegetation cover (FVC over the earth’s surface in an effort to facilitate long-term surface vegetation monitoring using a set of environmental satellites. Although the integrated use of multiple sensors improves the spatial and temporal quality of the data sets, area-averaged FVC values obtained using an LMM-based algorithm suffer from systematic biases caused by differences in the spatial resolutions of the sensors, known as scaling effects. The objective of this study is to investigate the scaling effects in area-averaged FVC values using analytical approaches by focusing on the monotonic behavior of the scaling effects as a function of the spatial resolution. The analysis was conducted based on a resolution transformation model introduced recently by the authors in the accompanying paper (Obata et al., 2012. The maximum value of the scaling effects present in FVC values was derived analytically and validated numerically. A series of derivations identified the error bounds (inherent uncertainties of the averaged FVC values caused by the scaling effect. The results indicate a fundamental difference between the NDVI and the retrieved FVC from NDVI, which should be noted for accuracy improvement of long-term observation datasets.

  2. On Averaging Rotations

    DEFF Research Database (Denmark)

    Gramkow, Claus


    In this article two common approaches to averaging rotations are compared to a more advanced approach based on a Riemannian metric. Very offten the barycenter of the quaternions or matrices that represent the rotations are used as an estimate of the mean. These methods neglect that rotations belong...... approximations to the Riemannian metric, and that the subsequent corrections are inherient in the least squares estimation. Keywords: averaging rotations, Riemannian metric, matrix, quaternion...

  3. The effect of average cycling current on total energy of lithium-ion batteries for electric vehicles (United States)

    Barai, Anup; Uddin, Kotub; Widanalage, W. D.; McGordon, Andrew; Jennings, Paul


    Predicting the remaining range of a battery reliably, accurately and simply is imperative for effective power management of electrified vehicles and reducing driver anxiety resulting from perceived low driving range. Techniques for predicting the remaining range of an electric vehicle exist; in the best cases they are scaled by factors that account for expected energy losses due to driving style, environmental conditions and the use of on-board energy consuming devices such as air-conditioning. In this work, experimental results that establish the dependence of remaining electrical energy on the vehicle battery immediate cycling history are presented. A method to estimate the remaining energy given short-term cycling history is presented. This method differs from the traditional state of charge methods typically used in battery management systems by considering energy throughput more directly.


    Directory of Open Access Journals (Sweden)

    Şeyda Erşahan


    Full Text Available Purpose: To compare the effects of different methods of surface treatment on enamel roughness. Materials and Methods: Ninety human maxillary first premolars were randomly divided into three groups (n=30 according to type of enamel surface treatment: I, acid etching; II, Er:YAG laser; III, Nd:YAG laser. The surface roughness of enamel was measured with a noncontact optical profilometer. For each enamel sample, two readings were taken across the sample—before enamel surface treatment (T1 and after enamel surface treatment (T2. The roughness parameter analyzed was the average roughness (Ra. Statistical analysis was performed using a Paired sample t test and the post-hoc Mann- Whitney U test, with the significance level set at 0.05. Results: The highest Ra (average roughness values were observed for Group II, with a significant difference with Groups I and III (P<0.001. Ra values for the acid etching group (Group I were significantly lower than other groups (P<0.001. Conclusion: Surface treatment of enamel with Er:YAG laser and Nd:YAG laser results in significantly higher Ra than acid-etching. Both Er:YAG laser or Nd:YAG laser can be recommended as viable treatment alternatives to acid etching.

  5. Treatment Effects on Neonatal EEG. (United States)

    Obeid, Rawad; Tsuchida, Tammy N


    Conventional EEG and amplitude-integrated electroencephalography are used in neonates to assess prognosis and significant changes in brain activity. Neuroactive medications and hypothermia can influence brain activity and therefore alter EEG interpretation. There are limited studies on the effect of these therapies on neonatal EEG background activity. Medication effects on the EEG or amplitude-integrated electroencephalography include increased interburst interval duration, voltage suppression, and sleep disruption. The effect is transient in term newborns but can be persistent in premature newborns. Although therapeutic hypothermia does not produce significant changes in EEG activity, it does change the time point at which EEG can accurately predict neurodevelopmental outcome. It is important to account for these effects on the EEG to avoid inaccurate interpretation that may affect prognostication.

  6. Twelve cases of the pectoralis major muscle tendon rupture with surgical treatment an average of 6.7-year follow-up

    Institute of Scientific and Technical Information of China (English)

    HE Zhen-ming; AO Ying-fang; WANG Jian-quan; HU Yue-lin; YIN Yu


    Background Pectoralis major tendon rupture is a relatively rare injury leading to both functional and cosmetic deficiency. The peak torque of the pectoralis major is significantly decreased after conservational treatment of a total rupture. We suppose that surgical intervention is better choice.Methods We retrospectively evaluated 12 patients who were diagnosed with distal pectoralis major muscle rupture and underwent operation in our institute from 1993 to 2007. All patients were male with a mean age of 32 (19-54) years. In 4 patients, tendon reconstruction was accomplished by fixing the tendon to the humerus using sutures passed through predrilled humeral bone tunnels. In 8 patients, tendon reconstruction was accomplished by directly suturing the muscle to the tendon. All patients followed an accelerated rehabilitation protocol. Treatment results were evaluated according to the following criteria: (1) visual analogue pain scale, (2) isokinetic strength measurements, (3) range of motion of shoulder joint, (4) cosmetic result, and (5) postoperative sports activity performance. In this study, we aimed to describe our surgical technique of reconstruction of the rupture of pectoralis major muscle and to summarize the clinical results of the operative treatment.Results At the final follow-up examination (6.5 years postoperatively), only nine patients were available for evaluation. Three of them had excellent results, and five had good results, while one had poor results. Eight of the patients were able to return to their preinjury level of sporting activity. In summary, 89% of the patients achieved excellent or good results. Conclusion Surgical treatment by anatomic tendon repair and accelerated rehabilitation can make recovery of strength and function of the pectoralis major muscle.

  7. Your Average Nigga (United States)

    Young, Vershawn Ashanti


    "Your Average Nigga" contends that just as exaggerating the differences between black and white language leaves some black speakers, especially those from the ghetto, at an impasse, so exaggerating and reifying the differences between the races leaves blacks in the impossible position of either having to try to be white or forever struggling to…

  8. On Averaging Rotations

    DEFF Research Database (Denmark)

    Gramkow, Claus


    In this paper two common approaches to averaging rotations are compared to a more advanced approach based on a Riemannian metric. Very often the barycenter of the quaternions or matrices that represent the rotations are used as an estimate of the mean. These methods neglect that rotations belong...

  9. Natural Acne Treatment: What's Most Effective? (United States)

    ... and young adults with mild to moderate acne. Aloe vera. A 50 percent aloe vera gel was combined with a conventional acne ... Elsevier; 2014. Hajheydari Z, et al. Effect of Aloe vera topical gel combined with tretinoin in treatment ...

  10. Lymphedema as a Cancer Treatment Side Effect (United States)

    ... Navigating Cancer Care > Side Effects > Lymphedema Request Permissions Lymphedema Approved by the Cancer.Net Editorial Board , 05/ ... years after cancer treatment has ended. Symptoms of lymphedema People with lymphedema in their arm or leg ...

  11. Effects of aperture averaging and beam width on a partially coherent Gaussian beam over free-space optical links with turbulence and pointing errors. (United States)

    Lee, It Ee; Ghassemlooy, Zabih; Ng, Wai Pang; Khalighi, Mohammad-Ali; Liaw, Shien-Kuei


    Joint effects of aperture averaging and beam width on the performance of free-space optical communication links, under the impairments of atmospheric loss, turbulence, and pointing errors (PEs), are investigated from an information theory perspective. The propagation of a spatially partially coherent Gaussian-beam wave through a random turbulent medium is characterized, taking into account the diverging and focusing properties of the optical beam as well as the scintillation and beam wander effects. Results show that a noticeable improvement in the average channel capacity can be achieved with an enlarged receiver aperture in the moderate-to-strong turbulence regime, even without knowledge of the channel state information. In particular, it is observed that the optimum beam width can be reduced to improve the channel capacity, albeit the presence of scintillation and PEs, given that either one or both of these adverse effects are least dominant. We show that, under strong turbulence conditions, the beam width increases linearly with the Rytov variance for a relatively smaller PE loss but changes exponentially with steeper increments for higher PE losses. Our findings conclude that the optimal beam width is dependent on the combined effects of turbulence and PEs, and this parameter should be adjusted according to the varying atmospheric channel conditions. Therefore, we demonstrate that the maximum channel capacity is best achieved through the introduction of a larger receiver aperture and a beam-width optimization technique.

  12. Effectiveness of imagery rehearsal therapy for the treatment of combat-related nightmares in veterans. (United States)

    Nappi, Carla M; Drummond, Sean P A; Thorp, Steven R; McQuaid, John R


    Imagery Rehearsal Therapy (IRT) has been shown to be efficacious in reducing nightmares, but the treatment has not been well-studied in veterans. The effectiveness of IRT was assessed from a chart review of veterans seeking outpatient treatment for chronic, trauma-related nightmares. Of those offered IRT, veterans who completed a full course of treatment for PTSD in the past year were more likely to initiate treatment. However, completion of IRT was not related to previous treatment, demographic variables, or nightmare severity reported at the first treatment session. Treatment completers reported significant reductions in nightmare frequency and intensity, severity of insomnia, and subjective daytime PTSD symptoms. Insomnia and PTSD symptoms, on average, were below clinical cutoffs following treatment, and 23% of patients showed a complete treatment response (nightmare/week). Findings suggest IRT may be an effective short-term treatment for nighttime and daytime PTSD symptoms among veterans who complete a full course of treatment.

  13. Vocal attractiveness increases by averaging. (United States)

    Bruckert, Laetitia; Bestelmeyer, Patricia; Latinus, Marianne; Rouger, Julien; Charest, Ian; Rousselet, Guillaume A; Kawahara, Hideki; Belin, Pascal


    Vocal attractiveness has a profound influence on listeners-a bias known as the "what sounds beautiful is good" vocal attractiveness stereotype [1]-with tangible impact on a voice owner's success at mating, job applications, and/or elections. The prevailing view holds that attractive voices are those that signal desirable attributes in a potential mate [2-4]-e.g., lower pitch in male voices. However, this account does not explain our preferences in more general social contexts in which voices of both genders are evaluated. Here we show that averaging voices via auditory morphing [5] results in more attractive voices, irrespective of the speaker's or listener's gender. Moreover, we show that this phenomenon is largely explained by two independent by-products of averaging: a smoother voice texture (reduced aperiodicities) and a greater similarity in pitch and timbre with the average of all voices (reduced "distance to mean"). These results provide the first evidence for a phenomenon of vocal attractiveness increases by averaging, analogous to a well-established effect of facial averaging [6, 7]. They highlight prototype-based coding [8] as a central feature of voice perception, emphasizing the similarity in the mechanisms of face and voice perception.

  14. Negative Average Preference Utilitarianism

    Directory of Open Access Journals (Sweden)

    Roger Chao


    Full Text Available For many philosophers working in the area of Population Ethics, it seems that either they have to confront the Repugnant Conclusion (where they are forced to the conclusion of creating massive amounts of lives barely worth living, or they have to confront the Non-Identity Problem (where no one is seemingly harmed as their existence is dependent on the “harmful” event that took place. To them it seems there is no escape, they either have to face one problem or the other. However, there is a way around this, allowing us to escape the Repugnant Conclusion, by using what I will call Negative Average Preference Utilitarianism (NAPU – which though similar to anti-frustrationism, has some important differences in practice. Current “positive” forms of utilitarianism have struggled to deal with the Repugnant Conclusion, as their theory actually entails this conclusion; however, it seems that a form of Negative Average Preference Utilitarianism (NAPU easily escapes this dilemma (it never even arises within it.

  15. Some Finite Sample Properties and Assumptions of Methods for Determining Treatment Effects

    DEFF Research Database (Denmark)

    Petrovski, Erik


    for determining treatment effects were chosen: ordinary least squares regression, propensity score matching, and inverse probability weighting. The assumptions and properties tested across these methods are: unconfoundedness, differences in average treatment effects and treatment effects on the treated, overlap...... will compare assumptions and properties of select methods for determining treatment effects with Monte Carlo simulation. The comparison will highlight the pros and cons of using one method over another and the assumptions that researchers need to make for the method they choose.Three popular methods...

  16. Pharmacological Treatment Effects on Eye Movement Control (United States)

    Reilly, James L.; Lencer, Rebekka; Bishop, Jeffrey R.; Keedy, Sarah; Sweeney, John A.


    The increasing use of eye movement paradigms to assess the functional integrity of brain systems involved in sensorimotor and cognitive processing in clinical disorders requires greater attention to effects of pharmacological treatments on these systems. This is needed to better differentiate disease and medication effects in clinical samples, to…

  17. Gender Variations in the Effects of Number of Organizational Memberships, Number of Social Networking Sites, and Grade-Point Average on Global Social Responsibility in Filipino University Students. (United States)

    Lee, Romeo B; Baring, Rito V; Sta Maria, Madelene A


    The study seeks to estimate gender variations in the direct effects of (a) number of organizational memberships, (b) number of social networking sites (SNS), and (c) grade-point average (GPA) on global social responsibility (GSR); and in the indirect effects of (a) and of (b) through (c) on GSR. Cross-sectional survey data were drawn from questionnaire interviews involving 3,173 Filipino university students. Based on a path model, the three factors were tested to determine their inter-relationships and their relationships with GSR. The direct and total effects of the exogenous factors on the dependent variable are statistically significantly robust. The indirect effects of organizational memberships on GSR through GPA are also statistically significant, but the indirect effects of SNS on GSR through GPA are marginal. Men and women significantly differ only in terms of the total effects of their organizational memberships on GSR. The lack of broad gender variations in the effects of SNS, organizational memberships and GPA on GSR may be linked to the relatively homogenous characteristics and experiences of the university students interviewed. There is a need for more path models to better understand the predictors of GSR in local students.

  18. [Intensified insulin treatment is cost-effective]. (United States)

    Reichard, P; Alm, C; Andersson, E; Wärn, I; Rosenqvist, U


    Both the Diabetes Control and Complications Trial (DCCT) in USA/Canada, and Stockholm Diabetes Intervention Study (SDIS) showed intensified insulin treatment and reduced glycaemia to prevent complications in patients with insulin-dependent (type I) diabetes mellitus. In the DCCT, the intensified treatment was considered cost-effective. In the SDIS, investigation of the direct increase in costs due to the intensified insulin treatment showed the saving in direct costs due to the reduction in photocoagulation requirements, and in the prevalence of renal insufficiency and of amputation, to correspond to 10 years' intensive insulin treatment. Thus, as intensified insulin treatment in type I diabetes reduces direct suffering at a low cost, it may be regarded as 'evidence-based' and mandatory.

  19. Diagnostic accuracy of dual-source CT coronary angiography: The effect of average heart rate, heart rate variability, and calcium score in a clinical perspective

    Energy Technology Data Exchange (ETDEWEB)

    Long-Jiang Zhang; Zhuo-Li Zhang; Chang-Sheng Zhou; Guang-Ming Lu (Dept. of Medical Imaging, Jinling Hospital, Clinical School of Medical College, Nanjing Univ., Nanjing (China)), e-mail:; Sheng-Yong Wu (Medical Imaging Inst. of Tianjin, Tianjin (China)); Jing Wang; Shi-Sen Jiang (Dept. of Cardiology, Jinling Hospital, Clinical School of Medical College, Nanjing Univ., Nanjing (China)); Ying Lu (Dept. of Radiology and Biomedical Imaging, Univ. of California, San Francisco, CA (United States))


    Background: Dual-source CT coronary angiography (CTCA) has been used to detect coronary artery disease; however, the factors with potential to affect its diagnostic accuracy remain to be defined. Purpose: To prospectively evaluate the accuracy of dual-source CTCA in diagnosing coronary artery stenosis according to conventional coronary angiography (CAG), and the effect of average heart rate, heart rate variability, and calcium score on the accuracy of CTCA. Material and Methods: A total of 113 patients underwent both dual-source CTCA and CAG. The results were used to evaluate the findings in dual-source CTCA to assess the accuracy in the diagnosis of =50% (significant stenosis) and >75% (severe stenosis) of coronary artery according to those by CAG. Patients were divided into subgroups according to their heart rate (HR), HR variability (HRV), and calcium score, and the accuracy of CTCA was further evaluated. The chi-square test was used to analyze the difference in sensitivity and specificity for the detection of =50% and >75% coronary stenosis among subgroups. The generalized estimation equation method was used in per-vessel analysis to adjust for within-patient correlation. Results: In all, 113 patients had 338 vessels and 1661 segments evaluated by CAG. Dual-source CTCA displayed 1527 segments (91.9%). Among them, 1468 segments (calcium score by CAG score 1, n=1018; score 2, n=270; score 3, n=180) were assessable in CTCA. On a per-patient analysis, the sensitivity and specificity of CTCA were 93.9% and 93.5% for significant stenosis and 86.9% and 98.1% for severe stenosis. On a per-vessel basis, the sensitivity and specificity were 90.2% and 97.1% for significant and 83.3% and 98.1% for severe stenosis. On a per-segment analysis, the sensitivity and specificity were 90.2% and 97.1% for significant and 83.3% and 98.1% for severe stenosis. Average HR had no effect on the sensitivity and specificity of CTCA (P>0.05); whereas HRV and calcium score had some effect on

  20. Metabolic effects of discontinuing growth hormone treatment


    Cowan, F; Evans, W.; Gregory, J


    AIMS—To evaluate the effects of discontinuing growth hormone (GH) treatment on energy expenditure and body composition, which might help predict those most likely to benefit from early reintroduction of GH treatment in young adult life.
METHODS—Body composition was calculated from skinfold thicknesses and dual energy x ray absorptometry (DXA). Resting metabolic rate (RMR) and whole body bone mineral content (BMC) were also measured. Measurements were made before stoppi...

  1. Residual thermal stress of a mounted KDP crystal after cooling and its effects on second harmonic generation of a high-average-power laser (United States)

    Su, Ruifeng; Liu, Haitao; Liang, Yingchun; Yu, Fuli


    Thermal problems are huge challenges for solid state lasers that are interested in high output power, cooling of the nonlinear optics is insufficient to completely solve the problem of thermally induced stress, as residual thermal stress remains after cooling, which is first proposed, to the best of our knowledge. In this paper a comprehensive model incorporating principles of thermodynamics, mechanics and optics is proposed, and it is used to study the residual thermal stress of a mounted KDP crystal after cooling process from mechanical perspective, along with the effects of the residual thermal stress on the second harmonic generation (SHG) efficiency of a high-average-power laser. Effects of the structural parameters of the mounting configuration of the KDP crystal on the residual thermal stress are characterized, as well as the SHG efficiency. The numerical results demonstrate the feasibility of solving the problems of residual thermal stress from the perspective on structural design of mounting configuration.

  2. SARS: systematic review of treatment effects.

    Directory of Open Access Journals (Sweden)

    Lauren J Stockman


    Full Text Available BACKGROUND: The SARS outbreak of 2002-2003 presented clinicians with a new, life-threatening disease for which they had no experience in treating and no research on the effectiveness of treatment options. The World Health Organization (WHO expert panel on SARS treatment requested a systematic review and comprehensive summary of treatments used for SARS-infected patients in order to guide future treatment and identify priorities for research. METHODS AND FINDINGS: In response to the WHO request we conducted a systematic review of the published literature on ribavirin, corticosteroids, lopinavir and ritonavir (LPV/r, type I interferon (IFN, intravenous immunoglobulin (IVIG, and SARS convalescent plasma from both in vitro studies and in SARS patients. We also searched for clinical trial evidence of treatment for acute respiratory distress syndrome. Sources of data were the literature databases MEDLINE, EMBASE, BIOSIS, and the Cochrane Central Register of Controlled Trials (CENTRAL up to February 2005. Data from publications were extracted and evidence within studies was classified using predefined criteria. In total, 54 SARS treatment studies, 15 in vitro studies, and three acute respiratory distress syndrome studies met our inclusion criteria. Within in vitro studies, ribavirin, lopinavir, and type I IFN showed inhibition of SARS-CoV in tissue culture. In SARS-infected patient reports on ribavirin, 26 studies were classified as inconclusive, and four showed possible harm. Seven studies of convalescent plasma or IVIG, three of IFN type I, and two of LPV/r were inconclusive. In 29 studies of steroid use, 25 were inconclusive and four were classified as causing possible harm. CONCLUSIONS: Despite an extensive literature reporting on SARS treatments, it was not possible to determine whether treatments benefited patients during the SARS outbreak. Some may have been harmful. Clinical trials should be designed to validate a standard protocol for dosage

  3. Effectiveness of Psychological and Pharmacological Treatments for Nocturnal Enuresis. (United States)

    Houts, Arthur C.; And Others


    Assesses overall effectiveness of psychological and pharmacological treatments, relative effectiveness of specific treatments, and moderators of treatment effectiveness for nocturnal enuretic children via quantitative integration of research. Findings confirm that more children benefit from psychological than from pharmacological interventions and…

  4. The effects of parameter estimation on minimizing the in-control average sample size for the double sampling X bar chart

    Directory of Open Access Journals (Sweden)

    Michael B.C. Khoo


    Full Text Available The double sampling (DS X bar chart, one of the most widely-used charting methods, is superior for detecting small and moderate shifts in the process mean. In a right skewed run length distribution, the median run length (MRL provides a more credible representation of the central tendency than the average run length (ARL, as the mean is greater than the median. In this paper, therefore, MRL is used as the performance criterion instead of the traditional ARL. Generally, the performance of the DS X bar chart is investigated under the assumption of known process parameters. In practice, these parameters are usually estimated from an in-control reference Phase-I dataset. Since the performance of the DS X bar chart is significantly affected by estimation errors, we study the effects of parameter estimation on the MRL-based DS X bar chart when the in-control average sample size is minimised. This study reveals that more than 80 samples are required for the MRL-based DS X bar chart with estimated parameters to perform more favourably than the corresponding chart with known parameters.

  5. Musical hallucinations: review of treatment effects

    Directory of Open Access Journals (Sweden)

    Jan eCoebergh


    Full Text Available AbstractBackground: Despite an increased scientific interest in musical hallucinations throughout the past 25 years, treatment protocols are still lacking. This may well be due to the fact that musical hallucinations have multiple causes, and that published cases are relatively rare.Objective: To review the effects of published treatment methods for musical hallucinations.Methods: A literature search yielded 175 articles discussing a total number of 516 cases, of which 147 articles discussed treatment in 276 individuals. We analysed the treatment results in relation to the aetiological factor considered responsible for the mediation of the musical hallucinations, i.e., idiopathic/hypoacusis, psychiatric disorder, brain lesion and other pathology, epilepsy or intoxication.Results: Musical hallucinations can disappear without intervention. When hallucinations are bearable, patients can be reassured without any other treatment. However, in other patients musical hallucinations are so disturbing that treatment is indicated. Distinct aetiological groups appear to respond differently to treatment. In the hypoacusis group, treating the hearing impairment can yield significant improvement and coping strategies (e.g. more acoustic stimulation are frequently helpful. Pharmacological treatment methods can also be successful, with antidepressants being more helpful than antiepileptics (which are still better than antipsychotics. The limited use of acetylcholinesterase inhibitors has looked promising. Musical hallucinations occurring as part of a psychiatric disorder tend to respond well to psychopharmacological treatments targeting the underlying disorder. Musical hallucinations experienced in the context of brain injuries and epilepsy tend to respond well to antiepileptics, but their natural course is often benign, irrespective of any pharmacological treatment. When intoxication is the main aetiological factor, it is important to stop or switch the

  6. Evaluating the effect of the temporomandibular disorder treatment over tinnitus

    Directory of Open Access Journals (Sweden)

    Webster, Guilherme


    Full Text Available Introduction: The interaction between tinnitus and temporomandibular disorders is a very complex issue that has been long approached, because neither the etiologic factors nor the pathogenesis of such a two-way association has been clearly defined yet. Additionally, tinnitus is known to be more prevalent in temporomandibular dysfunction individuals in comparison with the general population, hence, suggesting the existence of this two-way association. Objective: Evaluate the effect of the temporomandibular disorder treatment when tinnitus is noticed. Methods: It is about a prospective cohort study, in which temporomandibular dysfunction (TMD individuals showing a tinnitus before and after the dental TMD treatment were studied. Patients' age, sex, and tinnitus features - place of symptom and time length were examined, and an audiometric evaluation was performed. Intensity of tinnitus was evaluated by a digital analogue scale before and after the TMD treatment. Results: We evaluated 15 TMD and tinnitus patients aged between 37.7±17.1, 86.7% of whom were female. In 60% of the cases, tinnitus was unilateral and the average time length was 24 months. In 5 (33.3% patients, a neurosensorial hearing loss was seen at audiometry. When comparing the visual analogue scale scores before and after the dental treatment, a significant decrease (p<0,001 in the intensity of tinnitus was evident. In 4 (26.6% patients, tinnitus disappeared. Conclusion: A significant decrease in the recognition of tinnitus by patients submitted to a temporomandibular dysfunction treatment was evident.

  7. Effect of Wuguteng tablets in the treatment of acute myeloid leukemia

    Institute of Scientific and Technical Information of China (English)

    Hai-Yan Ren; Ying Huang


    Objective:To observe the application effect of Wuguteng tablets in the treatment of acute myeloid leukemia (AML).Methods: A total of 60 patients with AML who were admitted in The First Affiliated Hospital of Kunming Medical University from March, 2015 to January, 2016 were included in the study and divided into the study group and the control group with 30 cases in each group according to different treatment protocols. The patients in the two groups were given routine chemotherapy regimens. On this basis, the patients in the study group were given additional Wuguteng tablets. ECOG value, blood routine examination results, and average transfusion interval before treatment and 2 months after treatment in the two groups were compared in order to estimate the therapeutic effect.Results:The comparison of WBC and Hb count after treatment between the two groups was not statistically significant (P>0.05). PLT count after treatment in the study group was significantly higher than that in the control group (P0.05), while PLT average transfusion interval was significantly delayed when compared with before treatment (P<0.05). ECOG after treatment in the study group was significantly elevated (P<0.05), while PLT average transfusion interval was significantly reduced when compared with before treatment (P<0.05). ECOG after treatment in the study group was significantly lower than that in the control group (P<0.05), while PLT average transfusion interval was significantly delayed when compared with the control group (P<0.05).Conclusions:Wuguteng tablets in the adjuvant treatment of AML can significantly delay PLT average transfusion interval, increase PLT, and improve the clinical symptoms; therefore, it deserves to be widely recommended in the clinic.

  8. An investigation of scale effects in family substance abuse treatment programs

    Directory of Open Access Journals (Sweden)

    Lee A James


    Full Text Available Abstract This short report investigates scale effects in family substance abuse treatment programs. In Massachusetts, the family substance abuse treatment programs were much more costly than other adult residential treatment models. State officials were concerned that the "scale" or size of these programs (averaging just eight families was too small to be economical. Although the sample size (just nine programs was too small to permit reliable inference, the data clearly signalled the importance of "scale effects" in these family substance abuse treatment programs. To further investigate scale effects in family substance abuse treatment programs, data from the Center for Substance Abuse Treatment's (CSAT's Residential Women and Children and Pregnant and Postpartum Women (RWC-PPW Demonstration were re-analyzed, focusing on the relationship between cost per family-day and the estimated average family census. This analysis indicates strong economies of scale up until an average family census of about 14, and less apparent scale effects beyond that point. In consideration of these and other study findings, a multidisciplinary interagency team redesigned the Massachusetts' family treatment program model. The new programs are larger than the former family treatment programs, with each new program having capacity to treat 11 to 15 families depending on family makeup.

  9. Side effects of endobronchial laser treatment

    Energy Technology Data Exchange (ETDEWEB)

    Dierkesmann, R.; Huzly, A.


    Side effects that have occurred in over 250 endobronchial laser treatments are reported. The laser has been used in severe tracheal and in bronchial obstructions. In two cases significant bleeding had to be treated with tamponade. In one patient an emphysema of the mediastinum developed, in 2 further patients a small pneumothorax. Perforation of the airway was not detected and no special treatment was necessary. Three patients with life-threatening tracheal stenoses and one patient with severe stenosis of both the mainstem bronchi due to metastasis in the bifurcation lymph node had a large defect in the tracheal or bronchial wall with a deep necrosis five to twelve weeks after laser treatment; all these patients had extensive radiotherapy in addition. One patient died due to severe respiratory insufficiency, probably caused by smoke intoxication. After the laser treatment, rubber-like fibrin-rich plaques may develop, which can lead to life-threatening obstructions of the airway. It is recommended that laser bronchoscopy should be performed with the rigid bronchoscope. After treatment of tracheal lesion an endoscopic check must be performed within 24 hours. The combination of laser treatment and radiotherapy seems to involve a certain risk of large defects in the bronchial wall due to necrosis of the tumor.

  10. Frozen shoulder - an effective method of treatment. (United States)

    Warmington, L E


    Although there has been a considerable amount of material published on the pathology and the probable aetiology of the frozen shoulder, the same cannot be said of suggestions for an effective method of physical treatment for all stages of the condition. Some authors claim that exercises mar the recovery process (Cyriax, 1957). Others have found that the condition runs a self-limiting course of anything up to three years, and any physical treatment is "notoriously unsuccessful" in altering this pattern (Crisp and Hume Kendall, 1955). However, all agree that the recovery of frozen shoulders, treated or untreated, is prolonged, and in the acute phase of the condition, physiotherapy plays no part in the treatment of pain (Cyriax, Ibid., Crisp and Hume Kendall, Ibid., Stening, 1961).

  11. Effect of timing of count events on estimates of sea lice abundance and interpretation of effectiveness following bath treatments. (United States)

    Gautam, R; Vanderstichel, R; Boerlage, A S; Revie, C W; Hammell, K L


    Effectiveness of sea lice bath treatment is often assessed by comparing pre- and post-treatment counts. However, in practice, the post-treatment counting window varies from the day of treatment to several days after treatment. In this study, we assess the effect of post-treatment lag time on sea lice abundance estimates after chemical bath treatment using data from the sea lice data management program (Fish-iTrends) between 2010 and 2014. Data on two life stages, (i) adult female (AF) and (ii) pre-adult and adult male (PAAM), were aggregated at the cage level and log-transformed. Average sea lice counts by post-treatment lag time were computed for AF and PAAM and compared relative to treatment day, using linear mixed models. There were 720 observations (treatment events) that uniquely matched pre- and post-treatment counts from 53 farms. Lag time had a significant effect on the estimated sea lice abundance, which was influenced by season and pre-treatment sea lice levels. During summer, sea lice were at a minimum when counted 1 day post-treatment irrespective of pre-treatment sea lice levels, whereas in the spring and autumn, low levels were observed for PAAM over a longer interval of time, provided the pre-treatment sea lice levels were >5-10.

  12. A meta-analysis comparing the effect of PCV2 vaccines on average daily weight gain and mortality rate in pigs from weaning to slaughter. (United States)

    Kristensen, Charlotte Sonne; Baadsgaard, Niels Peter; Toft, Nils


    The aim of this investigation was, through a meta-analysis, to review the published literature concerning the effect of PCV2 vaccination on the average daily weight gain (ADG) and on the mortality rate in pigs from weaning to slaughter. The review was restricted to studies investigating the effect of vaccines against PCV2 published from 2006 to 2008, identified using computerised literature databases. Only studies that met the following criteria were included: commercial vaccines were used, pigs or pens were assigned randomly to vaccination versus control groups in herds naturally infected with PCV2, and vaccinated and non-vaccinated pigs were housed together. Furthermore, it was a requirement that sample size, age at vaccination, and production period were stated. The levels of ADG and mortality rate had to be comparable to those seen in modern intensive swine production. In total, 107 studies were identified; 70 were excluded because they did not fulfil the inclusion criteria and 13 were identical to results published elsewhere. A significant effect of PCV2 vaccination on ADG was found for pigs in all production phases. The largest increase in ADG was found for finishing pigs (41.5g) and nursery-finishing pigs (33.6g) with only 10.6g increase in the nursery pigs. Mortality rate was significantly reduced for finishing pigs (4.4%) and nursery-finishing pigs (5.4%), but not for nursery pigs (0.25%). Herds negative for PRRS had a significantly larger increase in ADG compared to herds positive for PRRS. The PRRS status had no effect on mortality rate.

  13. Effectiveness of Acupuncture Treatment in Cervical Pain.

    Directory of Open Access Journals (Sweden)

    Norma Ríos García


    Full Text Available A study is performed, longitudinal, prospective, descriptive in patients who attended the consultation of The Health Center With Beds (CSCC of Torbeck, in the Southern Department of Haiti, in order to determine the effectiveness of acupuncture treatment in patients with cervical pain, in the period between January and June 2011. We studied a universe of 73 patients and a sample of 60 patients, from these persons 30 used drug therapy (Group B and 30 patients which used acupuncture (Group A. We note that in both groups, the females were the most affected, with a prevalence between 31 and 60. The main symptom for both groups was pain (100%. Patients who were administered the acupuncture successfully evolved between the second and fourth days of starting treatment and patients in group B between 5 and 6 days. Acupuncture is an effective therapy in the management of neck pain, with few adverse reactions of the patient and drug zero cost.

  14. The Effect of High School Socioeconomic Status on the Predictive Validity of SAT Scores and High School Grade-Point Average (United States)

    Zwick, Rebecca; Himelfarb, Igor


    Research has often found that, when high school grades and SAT scores are used to predict first-year college grade-point average (FGPA) via regression analysis, African-American and Latino students, are, on average, predicted to earn higher FGPAs than they actually do. Under various plausible models, this phenomenon can be explained in terms of…

  15. Psoriasis: characteristics, psychosocial effects and treatment options.

    LENUS (Irish Health Repository)

    Ryan, Sheila


    Psoriasis is a complex chronic non-infectious inflammatory skin disease with a variety of different presentations. The classic presentation is of well-defined red plaques with silver scale. The characteristic scale makes the disorder highly visible and intrusive on the patient\\'s lifestyle. The visible nature of the disease ensures that psoriasis has both physical and psychosocial effects. In normal skin, epidermal cell reproduction and proliferation takes 28 days. In psoriasis this process is considerably accelerated to approximately 4 days, resulting in the deposit of immature cells on the skin. While the exact cause of this process is unknown, certain environmental and genetic factors are known to be triggers. Disease management depends on disease severity, psychosocial effects and the patient\\'s lifestyle. To effectively treat this disease the nurse must be skilled in psoriasis management, and in patient education and motivation. This article reviews the characteristics, aetiology, psychosocial effects and treatment strategies of psoriasis.

  16. Making and breaking the sediment record - characterising effects of tsunamis, storms and average conditions on dune erosion and recovery: a forward modelling exploration. (United States)

    Roelvink, Dano; Costas, Susana


    Geological records contain a wealth of information about accretionary episodes in the life of a coastal profile, such as age and type of the deposits and circumstances during which the accretion took place; of erosional events mainly the final limit of the erosion and circumstances under which the erosion took place can be estimated. To obtain a more complete picture of the events shaping the sedimentary record and transport processes involved, process-based modelling can be a useful tool (e.g. Apotsos et al., 2011). However, application of such modelling to different types of events remains a challenge. In our presentation we intend to show examples of the effects of different events on the stratigraphic record and to discuss the challenges related to the modelling of each of these types of events. The test site chosen is the Costa da Caparica, south of Lisbon, Portugal. The stratigraphic record and progradation rates of the coastal were obtained combining geophysical (Ground Penetrating Radar) and dating (Optically Stimulating Luminescence) techniques, which document very recent ages for the preserved coastal barrier. Within the record, we focus on a period around the big tsunami of 1755, during which the shoreline experienced a long-term prograding trend with evidence of severe erosion events. Rather than trying to exactly reproduce the stratigraphy observed here, we will carry out exploratory simulations to create 'building blocks' of stratigraphy related to the different types of events, which we can loosely compare with observations reported in Rebelo et al. (2013). The model applied for all simulations is XBeach (Roelvink et al., 2009), which is used in three different modes (no short waves, time-varying wave action balance, stationary wave action balance, respectively) to accommodate the impact of tsunamis, storms, and average conditions; for the latter we include the dune and associated processes in a simplified aeolian transport and response model. In all

  17. Estimation of the hydraulic conductivity of a two-dimensional fracture network using effective medium theory and power-law averaging (United States)

    Zimmerman, R. W.; Leung, C. T.


    Most oil and gas reservoirs, as well as most potential sites for nuclear waste disposal, are naturally fractured. In these sites, the network of fractures will provide the main path for fluid to flow through the rock mass. In many cases, the fracture density is so high as to make it impractical to model it with a discrete fracture network (DFN) approach. For such rock masses, it would be useful to have recourse to analytical, or semi-analytical, methods to estimate the macroscopic hydraulic conductivity of the fracture network. We have investigated single-phase fluid flow through generated stochastically two-dimensional fracture networks. The centers and orientations of the fractures are uniformly distributed, whereas their lengths follow a lognormal distribution. The aperture of each fracture is correlated with its length, either through direct proportionality, or through a nonlinear relationship. The discrete fracture network flow and transport simulator NAPSAC, developed by Serco (Didcot, UK), is used to establish the “true” macroscopic hydraulic conductivity of the network. We then attempt to match this value by starting with the individual fracture conductances, and using various upscaling methods. Kirkpatrick’s effective medium approximation, which works well for pore networks on a core scale, generally underestimates the conductivity of the fracture networks. We attribute this to the fact that the conductances of individual fracture segments (between adjacent intersections with other fractures) are correlated with each other, whereas Kirkpatrick’s approximation assumes no correlation. The power-law averaging approach proposed by Desbarats for porous media is able to match the numerical value, using power-law exponents that generally lie between 0 (geometric mean) and 1 (harmonic mean). The appropriate exponent can be correlated with statistical parameters that characterize the fracture density.

  18. Physical Theories with Average Symmetry


    Alamino, Roberto C.


    This Letter probes the existence of physical laws invariant only in average when subjected to some transformation. The concept of a symmetry transformation is broadened to include corruption by random noise and average symmetry is introduced by considering functions which are invariant only in average under these transformations. It is then shown that actions with average symmetry obey a modified version of Noether's Theorem with dissipative currents. The relation of this with possible violat...

  19. Effect of pioglitazone treatment on behavioral symptoms in autistic children

    Directory of Open Access Journals (Sweden)

    Edelson Stephen M


    Full Text Available Abstract Introduction Autism is complex neuro-developmental disorder which has a symptomatic diagnosis in patients characterized by disorders in language/communication, behavior, and social interactions. The exact causes for autism are largely unknown, but is has been speculated that immune and inflammatory responses, particularly those of Th2 type, may be involved. Thiazolidinediones (TZDs are agonists of the peroxisome proliferator activated receptor gamma (PPARγ, a nuclear hormone receptor which modulates insulin sensitivity, and have been shown to induce apoptosis in activated T-lymphocytes and exert anti-inflammatory effects in glial cells. The TZD pioglitazone (Actos is an FDA-approved PPARγ agonist used to treat type 2 diabetes, with a good safety profile, currently being tested in clinical trials of other neurological diseases including AD and MS. We therefore tested the safety and therapeutic potential of oral pioglitazone in a small cohort of children with diagnosed autism. Case description The rationale and risks of taking pioglitazone were explained to the parents, consent was obtained, and treatment was initiated at either 30 or 60 mg per day p.o. A total of 25 children (average age 7.9 ± 0.7 year old were enrolled. Safety was assessed by measurements of metabolic profiles and blood pressure; effects on behavioral symptoms were assessed by the Aberrant Behavior Checklist (ABC, which measures hyperactivity, inappropriate speech, irritability, lethargy, and stereotypy, done at baseline and after 3–4 months of treatment. Discussion and evaluation In a small cohort of autistic children, daily treatment with 30 or 60 mg p.o. pioglitazone for 3–4 months induced apparent clinical improvement without adverse events. There were no adverse effects noted and behavioral measurements revealed a significant decrease in 4 out of 5 subcategories (irritability, lethargy, stereotypy, and hyperactivity. Improved behaviors were inversely

  20. Average Convexity in Communication Situations

    NARCIS (Netherlands)

    Slikker, M.


    In this paper we study inheritance properties of average convexity in communication situations. We show that the underlying graph ensures that the graphrestricted game originating from an average convex game is average convex if and only if every subgraph associated with a component of the underlyin

  1. Effects of Restricted Rotations and Dynamic Averaging on the Calculated Isotropic Hyperfine Coupling Constants of the bis-Dimethyl and bis-Di(trifluoromethyl) Nitroxide Radicals (United States)

    Mattar, Saba M.; Sanford, Jacob


    The rotational effects of the CH3 and CF3 groups on the electronic structure and nuclear hyperfine coupling constants (HFCCs) in dimethylnitroxide (DMNO·) and ditrifluoro-methynitroxide (TFMNO·) are investigated using the UB1LYP hybrid density functional method. The CH3 and CF3 HFCCs of both radicals are found to obey the McConnell relation during rotation. The two CH3 groups of the DMNO· do not gear with each other, but the rotation of the first CH3 group induces only a small rocking effect (˜7°) in the second group. However, in TFMNO·, the fluorine atoms from different CF3 groups are close enough so that the steric repulsion between them causes them to act as two interlocked gears, where one drives the other. Therefore, both CF3 groups undergo full rotation. To the best of our knowledge, this is only the second example of "gearing" to be studied. Stabilization due to hyperconjugation is also a major factor that affects the magnitudes of the HFCCs of the CF3 groups during rotational averaging. Stable configurations at specific CF3 group orientations have a large overlap with the NO π-electron cloud because the lobes of the hybridized pσ(F2), pσ(F3), pσ(F5), and pσ(F6) orbitals along the F-C bonds have cylindrical symmetry and are of the correct phases for hyperconjugation to occur. The calculated TFMNO· C1-N and C2-N bond orders range from 0.91 to 0.95 as the CF3 groups are rotated. Therefore, the C-N bonds are essentially single bonds. This, in conjunction with the low rotational energy barrier of approximately 50 cm-1, explains why the EPR intensities of the 19F hyperfine splittings, in the range of 163-297 K, are characteristic of six equivalent rapidly rotating fluorine atoms. The TFMNO· out-of-plane NO vibrations induce additional s character at the 14N nucleus. This increases the magnitude of the 14N HFCC and decreases the 19F HFCCs. As the temperature increases and because of mixing of the first excited out-of-plane vibrational state, the NO

  2. Average BER analysis of SCM-based free-space optical systems by considering the effect of IM3 with OSSB signals under turbulence channels. (United States)

    Lim, Wansu; Cho, Tae-Sik; Yun, Changho; Kim, Kiseon


    In this paper, we derive the average bit error rate (BER) of subcarrier multiplexing (SCM)-based free space optics (FSO) systems using a dual-drive Mach-Zehnder modulator (DD-MZM) for optical single-sideband (OSSB) signals under atmospheric turbulence channels. In particular, we consider the third-order intermodulation (IM3), a significant performance degradation factor, in the case of high input signal power systems. The derived average BER, as a function of the input signal power and the scintillation index, is employed to determine the optimum number of SCM users upon the designing FSO systems. For instance, when the user number doubles, the input signal power decreases by almost 2 dBm under the log-normal and exponential turbulence channels at a given average BER.

  3. Stochastic averaging of quasi-Hamiltonian systems

    Institute of Scientific and Technical Information of China (English)



    A stochastic averaging method is proposed for quasi-Hamiltonian systems (Hamiltonian systems with light dampings subject to weakly stochastic excitations). Various versions of the method, depending on whether the associated Hamiltonian systems are integrable or nonintegrable, resonant or nonresonant, are discussed. It is pointed out that the standard stochastic averaging method and the stochastic averaging method of energy envelope are special cases of the stochastic averaging method of quasi-Hamiltonian systems and that the results obtained by this method for several examples prove its effectiveness.

  4. Experimental study on the effects of surface gravity waves of different wavelengths on the phase averaged performance characteristics of marine current turbine (United States)

    Luznik, L.; Lust, E.; Flack, K. A.


    There are few studies describing the interaction between marine current turbines and an overlying surface gravity wave field. In this work we present an experimental study on the effects of surface gravity waves of different wavelengths on the wave phase averaged performance characteristics of a marine current turbine model. Measurements are performed with a 1/25 scale (diameter D=0.8m) two bladed horizontal axis turbine towed in the large (116m long) towing tank at the U.S. Naval Academy equipped with a dual-flap, servo-controlled wave maker. Three regular waves with wavelengths of 15.8, 8.8 and 3.9m with wave heights adjusted such that all waveforms have the same energy input per unit width are produced by the wave maker and model turbine is towed into the waves at constant carriage speed of 1.68 m/s. This representing the case of waves travelling in the same direction as the mean current. Thrust and torque developed by the model turbine are measured using a dynamometer mounted in line with the turbine shaft. Shaft rotation speed and blade position are measured using in in-house designed shaft position indexing system. The tip speed ratio (TSR) is adjusted using a hysteresis brake which is attached to the output shaft. Free surface elevation and wave parameters are measured with two optical wave height sensors, one located in the turbine rotor plane and other one diameter upstream of the rotor. All instruments are synchronized in time and data is sampled at a rate of 700 Hz. All measured quantities are conditionally sampled as a function of the measured surface elevation and transformed to wave phase space using the Hilbert Transform. Phenomena observed in earlier experiments with the same turbine such as phase lag in the torque signal and an increase in thrust due to Stokes drift are examined and presented with the present data as well as spectral analysis of the torque and thrust data.

  5. Treatment of essential telangiectasia: effects of increasing concentrations of polidocanol. (United States)

    Norris, M J; Carlin, M C; Ratz, J L


    A double-blind, double-paired comparison study was performed to evaluate the effects of increasing concentrations of polidocanol in the sclerotherapy of essential telangiectasias of the legs. Polidocanol 0.25%, 0.50%, 0.75%, and 1.0% were compared with regard to clinical effectiveness, safety, and patient acceptance. All dosages were well tolerated by the patients. There were no allergic reactions to polidocanol and no cases of superficial ulceration nor necrosis. Among those whose veins cleared, there was little difference in time to clearing for the four concentrations, which averaged three to four treatment sessions. No statistically significant differences existed among the four dosages with respect to level of improvement, itching, or neovascularization. Polidocanol 0.75% and 1.0%, however, caused more side effects noted by patients and induced more hyperpigmentation than did the lower concentrations. Polidocanol 0.25% yielded the lowest percentage of patients whose veins cleared. The 0.50% solution was the most effective concentration for total overall clearing of the types of vessels treated in this study. From this information it appears that 0.50% polidocanol may be the sclerosing agent of choice.

  6. Physical Theories with Average Symmetry

    CERN Document Server

    Alamino, Roberto C


    This Letter probes the existence of physical laws invariant only in average when subjected to some transformation. The concept of a symmetry transformation is broadened to include corruption by random noise and average symmetry is introduced by considering functions which are invariant only in average under these transformations. It is then shown that actions with average symmetry obey a modified version of Noether's Theorem with dissipative currents. The relation of this with possible violations of physical symmetries, as for instance Lorentz invariance in some quantum gravity theories, is briefly commented.

  7. Modeling the effect of unsteady flows on the time average flow field of a blade row embedded in an axial flow multistage turbomachine (United States)

    Adamczyk, John J.


    The role of unsteady flow processes in establishing the performance of axial flow turbomachinery was investigated. The development of the flow model, as defined by the time average flow equations associated with the passage of the blade row embedded in a multistage configuration, is presented. The mechanisms for unsteady momentum and energy transport is outlined. The modeling of the unsteady momentum and energy transport are discussed. The procedure for simulating unsteady multistage turbomachinery flows is described.

  8. The effect of using limited scene-dependent averaging kernels approximations for the implementation of fast observing system simulation experiments targeted on lower tropospheric ozone

    Directory of Open Access Journals (Sweden)

    P. Sellitto


    Full Text Available Practical implementations of chemical OSSEs (Observing System Simulation Experiments usually rely on approximations of the pseudo-observations by means of a predefined parametrization of the averaging kernels, which describe the sensitivity of the observing system to the target atmospheric species. This is intended to avoid the use of a computationally expensive pseudo-observations simulator, that relies on full radiative transfer calculations. Here we present an investigation on how no, or limited, scene dependent averaging kernels parametrizations may misrepresent the sensitivity of an observing system. We carried out the full radiative transfer calculation for a three-days period over Europe, to produce reference pseudo-observations of lower tropospheric ozone, as they would be observed by a concept geostationary observing system called MAGEAQ (Monitoring the Atmosphere from Geostationary orbit for European Air Quality. The selected spatio-temporal interval is characterised by an ozone pollution event. We then compared our reference with approximated pseudo-observations, following existing simulation exercises made for both the MAGEAQ and GEOstationary Coastal and Air Pollution Events (GEO-CAPE missions. We found that approximated averaging kernels may fail to replicate the variability of the full radiative transfer calculations. In addition, we found that the approximations substantially overestimate the capability of MAGEAQ to follow the spatio-temporal variations of the lower tropospheric ozone in selected areas, during the mentioned pollution event. We conclude that such approximations may lead to false conclusions if used in an OSSE. Thus, we recommend to use comprehensive scene-dependent approximations of the averaging kernels, in cases where the full radiative transfer is computationally too costly for the OSSE being investigated.

  9. Effect of mastication and other mechanical treatments on fuel structure in chaparral (United States)

    Brennan, Teresa J.; Keeley, Jon E.


    Mechanical fuel treatments are a common pre-fire strategy for reducing wildfire hazard that alters fuel structure by converting live canopy fuels to a compacted layer of dead surface fuels. Current knowledge concerning their effectiveness, however, comes primarily from forest-dominated ecosystems. Our objectives were to quantify and compare changes in shrub-dominated chaparral following crushing, mastication, re-mastication and mastication-plus-burning treatments, and to assess treatment longevity. Results from analysis of variance (ANOVA) identified significant differences in all fuel components by treatment type, vegetation type and time since treatment. Live woody fuel components of height, cover and mass were positively correlated with time since treatment, whereas downed woody fuel components were negatively correlated. Herbaceous fuels, conversely, were not correlated, and exhibited a 5-fold increase in cover across treatment types in comparison to controls. Average live woody fuel recovery was 50% across all treatment and vegetation types. Differences in recovery between time-since-treatment years 1–8 ranged from 32–65% and exhibited significant positive correlations with time since treatment. These results suggest that treatment effectiveness is short term due to the rapid regrowth of shrubs in these systems and is compromised by the substantial increase in herbaceous fuels. Consequences of not having a full understanding of these treatments are serious and leave concern for their widespread use on chaparral-dominated landscapes.

  10. Quantized average consensus with delay

    NARCIS (Netherlands)

    Jafarian, Matin; De Persis, Claudio


    Average consensus problem is a special case of cooperative control in which the agents of the network asymptotically converge to the average state (i.e., position) of the network by transferring information via a communication topology. One of the issues of the large scale networks is the cost of co


    Directory of Open Access Journals (Sweden)

    Mulic Mersudin


    Full Text Available Introduction:Increased cardiovascular risk in thyroid dysfunction is associated with disorders of lipid and lipoproteins, endothelial dysfunction, metabolic, hormonal, hemodynamic changes and coagulation disorders. Subclinical hypothyroidism is characterized by a suprarnormal level of TSH with normal levels of thyroid hormones. The correlation between subclinical hypothyroidism of the lipid profile and cardiovascular outcomes remains unclear. Several intervention studies assessed the effect of levothyroxine therapy on the lipid profile of patients with subclinical hypothyroidism and obtained conflicting results. The aim of the research is to determine whether subclinical hypothyroidism is associated with the atherogenic lipid profile and whether these changes are reversible after the introduction of the L-thyroxine replacement therapy. Method: The study included 51 patients over 50 years of age with subclinical hypothyroidism. All the participants were subjected to an examination programme which included a detailed anamnesis and physical examination, laboratory tests (total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, T3, T4, TSH. After eight weeks of levothyroxine therapy, the same laboratory parameters were determined in the patients. Results: Subjects with subclinical hypothyroidism had high average values: TSH (12.77 + 2.78 mIU / ml, total cholesterol (7.55 ± 0.79 mmol / l, LDL cholesterol (5.03 ± 0.61 mmol / l, triglycerides (2.48 ± 1.01 mmol / l; and the average value of HDL cholesterol was within reference values (1.12 ± 0.21 mmol / l. After eight weeks of levothyroxine replacement therapy, there was a statistically significant reduction of average values (p <0.0001: TSH (3.83 ± 1.33 mIU / ml, total cholesterol (6.28 ± 0.96 mmol / l, LDL cholesterol ( 4.03 ± 0.70 mmol / mmol / l l, triglycerides (1.98 ± 0.87 mmol / l; and the average value of HDL cholesterol increased significantly (p <0.0001 (1.32 ± 0.22 mmol

  12. Effect of Thermal Treatment and Acid Leaching Process on Pore Characteristics of Nanometer Porous Glass

    Institute of Scientific and Technical Information of China (English)

    HAN Jianjun; XU Feng; LIU Jiandang; ZHAO Xiujian


    Porous glass was prepared by thermally treating sodium borosilicate glass for different time,the effect of thermal treatment on pore size distribution was discussed and the pore size of the prepared porous glass was measured by scanning electron microscopy (SEM) and differential thermal analysis (DTA). The results show that the optimum porous glass with an average diameter of 80 nm can be prepared by thermal treatment at 600 ℃ for 12 h and then acid treatment for 12 h in 2 mol· L-1 hydrochloric acid solution.

  13. Effect of Heat Treatment on the Microstructure and Corrosion Resistance of Cu-Zn Alloy

    Institute of Scientific and Technical Information of China (English)

    Xu Tao; Zhang Hailong; Xiao Nianxin; Zhao Xiangling


    The microstructure of Cu-Zn alloy with different heat treatment conditions in 3.5% NaCl + NH3 solution were observed, and the average corrosion rates and electrochemical data of Cu-Zn alloy were measured, as well as the effect of heat treatment on microstructure and corrosion resistance of Cu-Zn alloy was analyzed. The results show that the microstructure of Cu-Zn alloy has been changed due to the heat treatment. As a results, the better corrosion resistance can be obtained for the Cu-Zn alloy quenched from 900℃ for 0.5h followed by tempered at 100℃ for 2h.

  14. Feedback from Outcome Measures and Treatment Effectiveness, Treatment Efficiency, and Collaborative Practice: A Systematic Review. (United States)

    Gondek, Dawid; Edbrooke-Childs, Julian; Fink, Elian; Deighton, Jessica; Wolpert, Miranda


    Due to recent increases in the use of feedback from outcome measures in mental health settings, we systematically reviewed evidence regarding the impact of feedback from outcome measures on treatment effectiveness, treatment efficiency, and collaborative practice. In over half of 32 studies reviewed, the feedback condition had significantly higher levels of treatment effectiveness on at least one treatment outcome variable. Feedback was particularly effective for not-on-track patients or when it was provided to both clinicians and patients. The findings for treatment efficiency and collaborative practice were less consistent. Given the heterogeneity of studies, more research is needed to determine when and for whom feedback is most effective.

  15. Dynamic Multiscale Averaging (DMA) of Turbulent Flow

    Energy Technology Data Exchange (ETDEWEB)

    Richard W. Johnson


    A new approach called dynamic multiscale averaging (DMA) for computing the effects of turbulent flow is described. The new method encompasses multiple applications of temporal and spatial averaging, that is, multiscale operations. Initially, a direct numerical simulation (DNS) is performed for a relatively short time; it is envisioned that this short time should be long enough to capture several fluctuating time periods of the smallest scales. The flow field variables are subject to running time averaging during the DNS. After the relatively short time, the time-averaged variables are volume averaged onto a coarser grid. Both time and volume averaging of the describing equations generate correlations in the averaged equations. These correlations are computed from the flow field and added as source terms to the computation on the next coarser mesh. They represent coupling between the two adjacent scales. Since they are computed directly from first principles, there is no modeling involved. However, there is approximation involved in the coupling correlations as the flow field has been computed for only a relatively short time. After the time and spatial averaging operations are applied at a given stage, new computations are performed on the next coarser mesh using a larger time step. The process continues until the coarsest scale needed is reached. New correlations are created for each averaging procedure. The number of averaging operations needed is expected to be problem dependent. The new DMA approach is applied to a relatively low Reynolds number flow in a square duct segment. Time-averaged stream-wise velocity and vorticity contours from the DMA approach appear to be very similar to a full DNS for a similar flow reported in the literature. Expected symmetry for the final results is produced for the DMA method. The results obtained indicate that DMA holds significant potential in being able to accurately compute turbulent flow without modeling for practical

  16. Understanding Treatment Effect Terminology in Pain and Symptom Management Research. (United States)

    Garrido, Melissa M; Dowd, Bryan; Hebert, Paul L; Maciejewski, Matthew L


    Within health services and medical research, there is a wide variety of terminology related to treatment effects. Understanding differences in types of treatment effects is especially important in pain and symptom management research where nonexperimental and quasiexperimental observational data analysis is common. We use the example of a palliative care consultation team leader considering implementation of a medication reconciliation program and a care-coordination intervention reported in the literature to illustrate population-level and conditional treatment effects and to highlight the sensitivity of values of treatment effects to sample selection and treatment assignment. Our goal is to facilitate appropriate reporting and interpretation of study results and to help investigators understand what information a decision maker needs when deciding whether to implement a treatment. Greater awareness of the reasons why treatment effects may differ across studies of the same patients in the same treatment settings can help policy makers and clinicians understand to whom a study's results may be generalized.

  17. Gaussian moving averages and semimartingales

    DEFF Research Database (Denmark)

    Basse-O'Connor, Andreas


    In the present paper we study moving averages (also known as stochastic convolutions) driven by a Wiener process and with a deterministic kernel. Necessary and sufficient conditions on the kernel are provided for the moving average to be a semimartingale in its natural filtration. Our results...... are constructive - meaning that they provide a simple method to obtain kernels for which the moving average is a semimartingale or a Wiener process. Several examples are considered. In the last part of the paper we study general Gaussian processes with stationary increments. We provide necessary and sufficient...

  18. Evaluation of the antihypertensive effect of barnidipine, a dihydropyridine calcium entry blocker, as determined by the ambulatory blood pressure level averaged for 24 h, daytime, and nighttime. Barnidipine Study Group. (United States)

    Imai, Y; Abe, K; Nishiyama, A; Sekino, M; Yoshinaga, K


    We evaluated the effect of barnidipine, a dihydropyridine calcium antagonist, administered once daily in the morning in a dose of 5, 10, or 15 mg on ambulatory blood pressure (BP) in 34 patients (51.3+/-9.6 years). Hypertension was diagnosed based on the clinic BP. The patients were classified into groups according to the ambulatory BP: group 1, dippers with true hypertension; group 2, nondippers with true hypertension; group 3, dippers with false hypertension; and Group 4, nondippers with false hypertension. Barnidipine reduced the clinic systolic BP (SBP) and diastolic BP (DBP) in all groups and significantly reduced the average 24 h ambulatory BP (133.0+/-16.5/90.7+/-12.3 mm Hg v 119.7+/-13.7/81.8+/-10.3 mm Hg, P Barnidipine significantly reduced the daytime ambulatory SBP in groups 1, 2, and 3, but not in group 4, and significantly reduced daytime ambulatory DBP in group 1 but not in groups 2, 3, and 4. Barnidipine significantly reduced the nighttime ambulatory SBP only in group 2 and the nighttime ambulatory DBP in groups 2 and 4. Once-a-day administration of barnidipine influenced 24 h BP on true hypertensives (the ratio of the trough to peak effect > 50%), but had minimal effect on low BP such as the nocturnal BP in dippers and the ambulatory BP in false hypertensives. These findings suggest that barnidipine can be used safely in patients with isolated clinic ("white coat") hypertension and in those with dipping patterns of circadian BP variation whose nocturnal BP is low before treatment.

  19. Experimental Demonstration of Squeezed State Quantum Averaging

    CERN Document Server

    Lassen, Mikael; Sabuncu, Metin; Filip, Radim; Andersen, Ulrik L


    We propose and experimentally demonstrate a universal quantum averaging process implementing the harmonic mean of quadrature variances. The harmonic mean protocol can be used to efficiently stabilize a set of fragile squeezed light sources with statistically fluctuating noise levels. The averaged variances are prepared probabilistically by means of linear optical interference and measurement induced conditioning. We verify that the implemented harmonic mean outperforms the standard arithmetic mean strategy. The effect of quantum averaging is experimentally tested both for uncorrelated and partially correlated noise sources with sub-Poissonian shot noise or super-Poissonian shot noise characteristics.

  20. Averaged Lema\\^itre-Tolman-Bondi dynamics

    CERN Document Server

    Isidro, Eddy G Chirinos; Piattella, Oliver F; Zimdahl, Winfried


    We consider cosmological backreaction effects in Buchert's averaging formalism on the basis of an explicit solution of the Lema\\^itre-Tolman-Bondi (LTB) dynamics which is linear in the LTB curvature parameter and has an inhomogeneous bang time. The volume Hubble rate is found in terms of the volume scale factor which represents a derivation of the simplest phenomenological solution of Buchert's equations in which the fractional densities corresponding to average curvature and kinematic backreaction are explicitly determined by the parameters of the underlying LTB solution at the boundary of the averaging volume. This configuration represents an exactly solvable toy model but it does not adequately describe our "real" Universe.

  1. Preliminary observations on the effects of vector-averaged gravity on the embryonic and larval development of the gastropod mollusk, Ilyanassa obsoleta Stimpson (United States)

    Conrad, G. W.; Stephens, A. P.; Conrad, A. H.; Spooner, B. S. (Principal Investigator)


    Fertilized eggs of Ilyanassa obsoleta Stimpson were collected immediately after their deposition in egg capsules. Unopened egg capsules then were affixed to glass slides, and incubated either statically (controls) or on a clinostat (experimentals). After incubation for 9-14 days, hatching occurred sooner and in a higher percentage of clinostated capsules than in controls. Embryos that hatched while undergoing clinostat incubation were abnormal in morphology, whereas other embryos present in non-hatched capsules in the same tubes appeared normal, as did embryos in the control tubes. Although the results are compatible with a conclusion that vector-averaged gravity in the experimental tubes caused the altered development, some other aspects of how the incubations were done may have contributed to the differences between the control and experimental results.

  2. Nearest Neighbor Averaging and its Effect on the Critical Level and Minimum Detectable Concentration for Scanning Radiological Survey Instruments that Perform Facility Release Surveys.

    Energy Technology Data Exchange (ETDEWEB)

    Fournier, Sean Donovan; Beall, Patrick S; Miller, Mark L


    Through the SNL New Mexico Small Business Assistance (NMSBA) program, several Sandia engineers worked with the Environmental Restoration Group (ERG) Inc. to verify and validate a novel algorithm used to determine the scanning Critical Level (L c ) and Minimum Detectable Concentration (MDC) (or Minimum Detectable Areal Activity) for the 102F scanning system. Through the use of Monte Carlo statistical simulations the algorithm mathematically demonstrates accuracy in determining the L c and MDC when a nearest-neighbor averaging (NNA) technique was used. To empirically validate this approach, SNL prepared several spiked sources and ran a test with the ERG 102F instrument on a bare concrete floor known to have no radiological contamination other than background naturally occurring radioactive material (NORM). The tests conclude that the NNA technique increases the sensitivity (decreases the L c and MDC) for high-density data maps that are obtained by scanning radiological survey instruments.

  3. The Effects of Medical Treatment of Attention Deficit Hyperactivity Disorder (ADHD) on Children’s Academic Achievement

    DEFF Research Database (Denmark)

    Keilow, Maria; Holm, Anders; Fallesen, Peter


    We use Danish register data to estimate the effect of medical treatment of ADHD on children’s academic achievement. Using a sample of 7,523 children who undergo medical treatment, we exploit plausibly exogenous variation in medical nonresponse to estimate the effect of medical treatment on school......-leaving grades. Heckman two-stage sample selection models allow us to account for selection into the sample of children treated medically for ADHD. We find significant effects of treatment on ninth grade school-leaving grade point average (GPA). Compared to consistent treatment, part or full discontinuation...... of treatment has large significant negative effects on teacher evaluation and exam GPA, reducing grades with .18 to .19 standard deviations. A supplementary identification strategy and placebo regressions support our findings. The results demonstrate that ADHD treatment may mitigate the negative social...

  4. A depth-averaged debris-flow model that includes the effects of evolving dilatancy: II. Numerical predictions and experimental tests. (United States)

    George, David L.; Iverson, Richard M.


    We evaluate a new depth-averaged mathematical model that is designed to simulate all stages of debris-flow motion, from initiation to deposition. A companion paper shows how the model’s five governing equations describe simultaneous evolution of flow thickness, solid volume fraction, basal pore-fluid pressure, and two components of flow momentum. Each equation contains a source term that represents the influence of state-dependent granular dilatancy. Here we recapitulate the equations and analyze their eigenstructure to show that they form a hyperbolic system with desirable stability properties. To solve the equations we use a shock-capturing numerical scheme with adaptive mesh refinement, implemented in an open-source software package we call D-Claw. As tests of D-Claw, we compare model output with results from two sets of large-scale debris-flow experiments. One set focuses on flow initiation from landslides triggered by rising pore-water pressures, and the other focuses on downstream flow dynamics, runout, and deposition. D-Claw performs well in predicting evolution of flow speeds, thicknesses, and basal pore-fluid pressures measured in each type of experiment. Computational results illustrate the critical role of dilatancy in linking coevolution of the solid volume fraction and pore-fluid pressure, which mediates basal Coulomb friction and thereby regulates debris-flow dynamics.

  5. Effect on performance of weanling alpacas following treatments against gastro-intestinal parasites. (United States)

    Thomas, Susan M; Morgan, Eric R


    Nematodes and coccidia are common parasites of alpacas (Vicugna pacos), and important causes of disease in this increasingly popular livestock species. Endoparasitic infestation is thought to increase at times of natural or imposed stress, and antiparasitic treatments are often administered, although to date there is little evidence regarding their effect. Thirty-one alpaca juvenilles (cria) were divided into four groups at weaning, and received either no treatment as a control (C), fenbendazole anthelmintic (FB), toltrazuril coccidiostat (T), or both treatments (FBT). Body weights and faecal egg/oocyst counts were recorded weekly for six weeks following treatment. Although the prophylactic treatments decreased faecal egg/oocyst counts of the target organisms in the short term, there was no significant difference in egg/oocyst output over the course of the trial from animals given wormer, coccidiostat or both treatments. The group receiving anthelmintic only showed a significant reduction in live weight gain (LWG), with no significant difference in LWG between the other groups. At the conclusion of the trial, 'wormed only' alpacas weighed 3.3% less than at weaning, losing an average 1.3 kg over six weeks, whereas average LWG in the control group was 2.5 kg. Antiparasitics transiently reduced egg/oocyst output but results suggest that further investigation is required on the action of anthelmintics administered to alpaca cria at weaning and their effect on animal health and welfare.

  6. Differential Effects on Student Demographic Groups of Using ACT® College Readiness Assessment Composite Score, Act Benchmarks, and High School Grade Point Average for Predicting Long-Term College Success through Degree Completion. ACT Research Report Series, 2013 (5) (United States)

    Radunzel, Justine; Noble, Julie


    In this study, we evaluated the differential effects on racial/ethnic, family income, and gender groups of using ACT® College Readiness Assessment Composite score and high school grade point average (HSGPA) for predicting long-term college success. Outcomes included annual progress towards a degree (based on cumulative credit-bearing hours…

  7. Averaged Electroencephalic Audiometry in Infants (United States)

    Lentz, William E.; McCandless, Geary A.


    Normal, preterm, and high-risk infants were tested at 1, 3, 6, and 12 months of age using averaged electroencephalic audiometry (AEA) to determine the usefulness of AEA as a measurement technique for assessing auditory acuity in infants, and to delineate some of the procedural and technical problems often encountered. (KW)

  8. Ergodic averages via dominating processes

    DEFF Research Database (Denmark)

    Møller, Jesper; Mengersen, Kerrie


    We show how the mean of a monotone function (defined on a state space equipped with a partial ordering) can be estimated, using ergodic averages calculated from upper and lower dominating processes of a stationary irreducible Markov chain. In particular, we do not need to simulate the stationary ...

  9. Early onset of treatment effects with oral risperidone

    Directory of Open Access Journals (Sweden)

    Naber Dieter


    Full Text Available Abstract Background The dogma of a delayed onset of antipsychotic treatment effects has been maintained over the past decades. However, recent studies have challenged this concept. We therefore performed an analysis of the onset of antipsychotic treatment effects in a sample of acutely decompensated patients with schizophrenia. Methods In this observational study, 48 inpatients with acutely decompensated schizophrenia were offered antipsychotic treatment with oral risperidone. PANSS-ratings were obtained on day 0, day 1, day 3, day 7 and day 14. Results Significant effects of treatment were already present on day 1 and continued throughout the study. The PANSS positive subscore and the PANSS total score improved significantly more than the PANSS negative subscore. Conclusion Our results are consistent with the growing number of studies suggesting an early onset of antipsychotic treatment effects. However, non-pharmacological effects of treatment also need to be taken into consideration.

  10. Hepatic late adverse effects after antineoplastic treatment for childhood cancer

    NARCIS (Netherlands)

    Mulder, Renee L.; van Dalen, Elvira C.; Van den Hof, Malon; Bresters, Dorine; Koot, Bart G. P.; Castellino, Sharon M.; Loke, Yoon; Leclercq, Edith; Post, Piet N.; Caron, Huib N.; Postma, Aleida; Kremer, Leontien C. M.


    Background Survival rates have greatly improved as a result of more effective treatments for childhood cancer. Unfortunately the improved prognosis has resulted in the occurrence of late, treatment-related complications. Liver complications are common during and soon after treatment for childhood ca

  11. Effect of presowing magnetic treatment on properties of pea (United States)

    Iqbal, M.; Haq, Z. U.; Jamil, Y.; Ahmad, M. R.


    The pea seeds were exposed to full-wave rectified sinusoidal magnetic fields. The effects of electromagnetic treatment on seedling growth and chlorophyll contents and have been investigated. Seed were sown after magnetic field treatment according to ISTA under controlled laboratory conditions. The magnetic filed treatment of seeds increased the growth significantly (Pmagnetic field could be used to enhance the growth in pea plant.

  12. Effectiveness and safety of topical tacrolimus in treatment of vitiligo

    Directory of Open Access Journals (Sweden)

    Ghasem Rahmatpour Rokni


    Full Text Available Vitiligo is one of the most primitive well-known dermatoid disorders with different suggested therapies. Therefore, this study investigated the efficiency and safety of topical tacrolimus in treatment of patients with vitiligo. This study was a clinical randomized designed study pre- post-test method, has been conducted on thirty cases with vitiligo who have referred to polyclinic and dermatology clinic. Participant′s evaluated and demographic information recorded in designed checklist. In the next stage, the disease activity scored by vitiligo index disease activity system. Photography and depigmentation percent has recorded before treatment and further in 4 th , 8 th , 12 th , 16 th , 20 th , and 24 th weeks. Finally, gathered data compared through SPSS-20 software. The final sample comprised 30 persons including: 12 men (40% and 18 women (60%. The average of patient′s age in this study was 26/13 ΁ 18/20 (2-76-year-old. Eleven persons was ≤15 years old and rest was older than 15. Sixty-six lesions have funded in patients that maximum has accrued on face and neck (37/87% and trunk (21/21%. In addition, minimum of lesions is related to genitalia (9/09%. In the in 4 th , 8 th , 12 th , 16 th weeks, improvement in face and neck had increased significantly, into the past weeks. In the 20 th and 24 th weeks, the improvement has increased although it was not significant enhancement. Also about trunk, in the 4 th week the improvement does not have significant increasing in compare to the past week. In the eighth, 12 th , 16 th , 20 th , and 24 th weeks the improvement has been increased significantly in compare to the past weeks. Although in the case of limbs and genitalia, the improvement was lower. There was no significant difference between male and females and age. Although the improvement was, slow in older persons. Study results, has presented applying topical tacrolimus in vitiligo, particularly in face and neck, could be effective and

  13. Motivated Assessment: The Effects of Extrinsic Rewards on the Individually-Administered Reading Test Performance of Low, Average, and High IQ Students. (United States)

    Maheady, Larry; And Others


    Results indicated that extrinsic rewards improved students' test performances significantly more than no rewards or feedback reward conditions. These improvements in performance were noted for all students under extrinsic reward conditions, thereby extending the effectiveness of these procedures across IQ levels. (Author/CL)

  14. Significance of Timing on Effect of Metaphylactic Toltrazuril Treatment against Eimeriosis in Calves

    DEFF Research Database (Denmark)

    Enemark, Heidi; Dahl, Jan; Enemark, Jörg Matthias Dehn


    of Eimeria bovis and Eimeria zuernii. Three commercial herds and a total of 71 calves, aged 48 – 135 days, were included. Treatment with a single oral dose of toltrazuril (15 mg/kg) was given after relocation to common pens and one week before expected outbreak of eimeriosis. The effect of treatment...... was followed by weekly faecal sampling and weighing initially and at the end of a study period of 8 weeks. In Herd 2 and 3 toltrazuril treated calves gained on average 7.95 kg more than placebo treated calves (p = 0.007), and both oocyst excretion and prevalence of Eimeria spp. were significantly reduced...

  15. PDCA循环在合理有效缩短平均住院日中的应用%Application of PDCA Cycle in Reasonable and Effective Shortening the Average Hospitalization Days

    Institute of Scientific and Technical Information of China (English)

    阳桃鲜; 李蕊; 马立; 李锐; 李微


    Objective: To explore the application effect of PDCA cycle in reasonable and effective shortening the average hospitalization days. Methods:A quality improvement project team was set up to introduce P(plan)D(do)C(check)A(action) management method for the management of average hospitalization days. Results:Through data statistical analysis, it's found that the average hospitalization days gradually reduce after using PDCA cycle theory in the management. Conclusion:PDCA cycle theory is of great significance in the reasonable and effective shortening average hospitalization days, which is worth of promoting.%目的:探讨PDCA循环在合理有效缩短平均住院日中的应用效果。方法:成立质量改进项目小组,引入P(计划)—D(执行)—C(检查)—A(处理)管理方法,进行平均住院日管理。结果:通过数据统计分析发现,运用PDCA循环理论进行平均住院日管理后,医院平均住院日逐年下降。结论:PDCA循环理论在合理有效缩短平均住院日中具有重要意义,值得推广。

  16. Musical hallucinations : review of treatment effects

    NARCIS (Netherlands)

    Coebergh, Jan A F; Lauw, R F; Bots, R; Sommer, I E C; Blom, J D


    BACKGROUND: Despite an increased scientific interest in musical hallucinations over the past 25 years, treatment protocols are still lacking. This may well be due to the fact that musical hallucinations have multiple causes, and that published cases are relatively rare. OBJECTIVE: To review the effe

  17. Musical hallucinations : review of treatment effects

    NARCIS (Netherlands)

    Coebergh, Jan A. F.; Lauw, R. F.; Bots, R.; Sommer, I. E. C.; Blom, J. D.


    Background: Despite an increased scientific interest in musical hallucinations over the past 25 years, treatment protocols are still lacking. This may well be due to the fact that musical hallucinations have multiple causes, and that published cases are relatively rare. Objective: To review the effe

  18. Shungite carbon catalytic effect on coal treatment

    Energy Technology Data Exchange (ETDEWEB)

    Grigorieva, E.N.; Rozhkova, N.N. [Russian Academy of Sciences, Moscow (Russian Federation). Institute for High Temperature


    The catalytic ability of shungite carbon in reactions of coal organic matter models appeared to be due to its fullerene structure only. Transition metal sulphides present in shungite carbon are not active in the conditions of coal treatment. Shungite carbon was shown to exhibit an acceleration of thermolysis of coal and organic matter models, mainly dehydrogenation. 5 refs., 1 tabs.

  19. Evaluation of treatment effects by ranking

    DEFF Research Database (Denmark)

    Halekoh, U; Kristensen, K


    to account for the repeated measurements. The estimation was based on a Bayesian approach, which was analysed via Markov Chain Monte Carlo sampling. A simulation study showed that the approach was able to estimate the relative ordering of the treatments. The efficiency of the estimation increased...

  20. Effect of cyanoacrylate treatment of cavity walls. (United States)

    Fukushi, Y; Fusayama, T


    Cyanoacrylate treatment of the cavity wall for composite resin restoration failed to keep adhesion when set, but the marginal closure improved markedly both in vivo and vitro, even when thermal-cycled. It irritated the pulp slightly only at the beginning. Ethylcyanoacrylate was superior to methylcyanoacrylate in regard to adhesion, leakage and pulp response.

  1. Effect of fluctuations on time-averaged multi-line NO-LIF thermometry measurements of the gas-phase temperature (United States)

    Feroughi, Omid M.; Kronemayer, Helmut; Dreier, Thomas; Schulz, Christof


    Multi-line NO laser-induced fluorescence (LIF) thermometry enables accurate gas-phase temperature imaging in combustion systems through least-squares fitting of excitation spectra. The required excitation wavelength scan takes several minutes which systematic biases the results in case of temperature fluctuations. In this work, the effect of various types (linear, Gaussian and bimodal) and amplitudes of temperature fluctuations is quantified based on simulated NO-LIF excitation spectra. Temperature fluctuations of less than ±5 % result in a negligible error of less than ±1 % in temperature for all cases. Bimodal temperature distributions have the largest effect on the determined temperature. Symmetric temperature fluctuations around 900 K have a negligible effect. At lower mean temperatures, fluctuations cause a positive bias leading to over-predicted mean temperatures, while at higher temperatures the bias is negative. The results of the theoretical analysis were applied as a guide for interpreting experimental multi-line NO-LIF temperature measurements in a mildly turbulent pilot-plant scale flame reactor dedicated for nanoparticle synthesis.

  2. Dependability in Aggregation by Averaging

    CERN Document Server

    Jesus, Paulo; Almeida, Paulo Sérgio


    Aggregation is an important building block of modern distributed applications, allowing the determination of meaningful properties (e.g. network size, total storage capacity, average load, majorities, etc.) that are used to direct the execution of the system. However, the majority of the existing aggregation algorithms exhibit relevant dependability issues, when prospecting their use in real application environments. In this paper, we reveal some dependability issues of aggregation algorithms based on iterative averaging techniques, giving some directions to solve them. This class of algorithms is considered robust (when compared to common tree-based approaches), being independent from the used routing topology and providing an aggregation result at all nodes. However, their robustness is strongly challenged and their correctness often compromised, when changing the assumptions of their working environment to more realistic ones. The correctness of this class of algorithms relies on the maintenance of a funda...

  3. High average power supercontinuum sources

    Indian Academy of Sciences (India)

    J C Travers


    The physical mechanisms and basic experimental techniques for the creation of high average spectral power supercontinuum sources is briefly reviewed. We focus on the use of high-power ytterbium-doped fibre lasers as pump sources, and the use of highly nonlinear photonic crystal fibres as the nonlinear medium. The most common experimental arrangements are described, including both continuous wave fibre laser systems with over 100 W pump power, and picosecond mode-locked, master oscillator power fibre amplifier systems, with over 10 kW peak pump power. These systems can produce broadband supercontinua with over 50 and 1 mW/nm average spectral power, respectively. Techniques for numerical modelling of the supercontinuum sources are presented and used to illustrate some supercontinuum dynamics. Some recent experimental results are presented.

  4. Measuring Complexity through Average Symmetry


    Alamino, Roberto C.


    This work introduces a complexity measure which addresses some conflicting issues between existing ones by using a new principle - measuring the average amount of symmetry broken by an object. It attributes low (although different) complexity to either deterministic or random homogeneous densities and higher complexity to the intermediate cases. This new measure is easily computable, breaks the coarse graining paradigm and can be straightforwardly generalised, including to continuous cases an...

  5. Effect of Helicobacter Pylori Treatment on the Number and Intensity of Migraine Attacks

    Directory of Open Access Journals (Sweden)

    Alireza Bakhshipour


    Full Text Available Background: Migraine is a common headache with an unknown cause. Migraine is about three times more common in women (18.2% than in men (6.2%. The recent studies have posed the possible relationship between the Helicobacter pylori infection and migraine headache. This study tries to analyze the effect of treating H. pylori infection on number and severity of migraine attacks.Materials and Methods: In this clinical pilot study, a number of 60 patients with migraine were examined in terms of infecting with H. pylori. Patients with the infections were treated by H. pylori eradication treatment standard triple regimen and the frequency and severity of their migraine attacks were measured for three months and finally the average of frequency and severity of attacks before and after treatment were compared. Results: The average frequency of the migraine attacks in patients with the H.pylori infection who have been treated was 7.1 before treatment and 2.7 after treatment (p=0.001. Likewise, the severity rate of such attacks in such patients was 9 which decreased to 4.5 after treatment (p=0.002. Conclusion: According to our study, patients with migraine attacks are preferred to be examined tested in terms of infecting with H. pylori. Thus, and eradication of this infection can be effective in decreasing of the migraine attacks.

  6. Maximizing cost-effectiveness by adjusting treatment strategy according to glaucoma severity (United States)

    Guedes, Ricardo Augusto Paletta; Guedes, Vanessa Maria Paletta; Gomes, Carlos Eduardo de Mello; Chaoubah, Alfredo


    Abstract Background: The aim of this study is to determine the most cost-effective strategy for the treatment of primary open-angle glaucoma (POAG) in Brazil, from the payer's perspective (Brazilian Public Health System) in the setting of the Glaucoma Referral Centers. Methods: Study design was a cost-effectiveness analysis of different treatment strategies for POAG. We developed 3 Markov models (one for each glaucoma stage: early, moderate and advanced), using a hypothetical cohort of POAG patients, from the perspective of the Brazilian Public Health System (SUS) and a horizon of the average life expectancy of the Brazilian population. Different strategies were tested according to disease severity. For early glaucoma, we compared observation, laser and medications. For moderate glaucoma, medications, laser and surgery. For advanced glaucoma, medications and surgery. Main outcome measures were ICER (incremental cost-effectiveness ratio), medical direct costs and QALY (quality-adjusted life year). Results: In early glaucoma, both laser and medical treatment were cost-effective (ICERs of initial laser and initial medical treatment over observation only, were R$ 2,811.39/QALY and R$ 3,450.47/QALY). Compared to observation strategy, the two alternatives have provided significant gains in quality of life. In moderate glaucoma population, medical treatment presented the highest costs among treatment strategies. Both laser and surgery were highly cost-effective in this group. For advanced glaucoma, both tested strategies were cost-effective. Starting age had a great impact on results in all studied groups. Initiating glaucoma therapy using laser or surgery were more cost-effective, the younger the patient. Conclusion: All tested treatment strategies for glaucoma provided real gains in quality of life and were cost-effective. However, according to the disease severity, not all strategies provided the same cost-effectiveness profile. Based on our findings, there should be a

  7. Side effects as influencers of treatment outcome. (United States)

    Sharif, Zafar


    Research relative to the efficacy of a therapeutic agent commands a clinician's greatest interest, but treatment decisions are made based on optimizing efficacy and tolerability/safety considerations. Second-generation atypical antipsychotic drugs are a study in the importance of taking a careful look at the full benefit-risk profile of each drug. The disorders that atypical antipsychotics are approved to treat--schizophrenia, schizoaffective disorder, and bipolar disorder--are associated with an increased rate of certain medical comorbidities compared to the general population. Between-drug differences in efficacy are relatively modest for the atypicals, or between atypicals and conventionals, while differences in safety and tolerability are larger and more clinically relevant. The current article will provide a brief summary of safety-related issues that influence treatment outcome and choice of drug.

  8. Geometric treatment of the gravitomagnetic clock effect

    CERN Document Server

    Tartaglia, A


    We have developed a general geometric treatment of the GCE valid for any stationary axisymmetric metric. The method is based on the remark that the world lines of objects rotating along spacely circular trajectories are in any case, for those kind of metrics, helices drawn on the flat bidimensional surface of a cylinder. Applying the obtained formulas to the special cases of the Kerr and weak field metric for a spinning body, known results for time delays and synchrony defects are recovered.

  9. Invisalign: current guidelines for effective treatment. (United States)

    Kuncio, Daniel A


    Invisalign is an increasingly popular technique for aligning teeth and correcting malocclusions orthodontically. This article analyzes the current professional literature published on Invisalign and the benefits and risks of using the technique for both patients and doctors. The steady increase in the number of cases treated with Invisalign and where the technique is going in the future is investigated. Ten guidelines for Invisalign treatment and patient selection are given, along with case examples.

  10. The effect of wind shielding and pen position on the average daily weight gain and feed conversion rate of grower/finisher pigs

    DEFF Research Database (Denmark)

    Jensen, Dan B.; Toft, Nils; Cornou, Cécile


    Pigs are known to be particularly sensitive to heat and cold. If the temperature becomes too low, the pigs will grow less efficiently and be more susceptible to diseases such as pneumonia. If the temperature is too high, the pigs will tend to foul the pen, leading to additional risks of infection....... Furthermore, unpublished data show that the temperature within a single section of grower/finisher pigs can vary considerably from pen to pen, and previous studies have shown that pigs can be significantly affected by wind, even when not directly exposed to it. To address this latter concern, some pig...... producers and research stations have implemented a shielding to prevent winds from blowing between separate sections of the pig housing buildings. However, according to our search of the literature, no published studies have ever investigated the effectiveness of such shielding.To determine the significance...

  11. Intralesional Cryotherapy for the Treatment of Keloid Scars: Evaluating Effectiveness (United States)

    Bulstra, Anne Eva J.; Ket, Johannes C. F.; Ritt, Marco J. P. F.; van Leeuwen, Paul A. M.; Niessen, Frank B.


    Background: Intralesional (IL) cryotherapy is a novel treatment technique for keloid scars, in which the scar is frozen from inside. Over the past decade, several studies have been published with varying outcomes. A critical analysis of the current literature is, therefore, warranted to determine whether IL cryotherapy is an alternative to established keloid scar treatments. Methods: A comprehensive review was performed, based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. PubMed and EMBASE were searched from inception. Studies and level of recommendation were graded according to the American Society of Plastic Surgeons criteria. Results: Eight studies meeting the inclusion criteria were selected. The average scar volume decrease ranged from 51% to 63%, but no complete scar eradication was achieved on average. Scar recurrence ranged from 0% to 24%. Hypopigmentation posttreatment was seen mostly in Fitzpatrick 4–6 skin type patients. Finally, complaints of pain and pruritus decreased significantly in most studies. Conclusions: IL cryotherapy for the treatment of keloid scars shows favorable results in terms of volume reduction and alleviated complaints of pain and pruritus. However, no complete scar eradication is established, and recurrences are seen. Also, persistent hypopigmentation proved a problem in Fitzpatrick 4–6 skin type patients. Summarized, the evidence proved limited and inconsistent resulting in an American Society of Plastic Surgeons grade C recommendation for this type of treatment of keloid scars. PMID:26180738

  12. Between-centre differences and treatment effects in randomized controlled trials: A case study in traumatic brain injury

    Directory of Open Access Journals (Sweden)

    Roberts Ian


    Full Text Available Abstract Background In Traumatic Brain Injury (TBI, large between-centre differences in outcome exist and many clinicians believe that such differences influence estimation of the treatment effect in randomized controlled trial (RCTs. The aim of this study was to assess the influence of between-centre differences in outcome on the estimated treatment effect in a large RCT in TBI. Methods We used data from the MRC CRASH trial on the efficacy of corticosteroid infusion in patients with TBI. We analyzed the effect of the treatment on 14 day mortality with fixed effect logistic regression. Next we used random effects logistic regression with a random intercept to estimate the treatment effect taking into account between-centre differences in outcome. Between-centre differences in outcome were expressed with a 95% range of odds ratios (OR for centres compared to the average, based on the variance of the random effects (tau2. A random effects logistic regression model with random slopes was used to allow the treatment effect to vary by centre. The variation in treatment effect between the centres was expressed in a 95% range of the estimated treatment ORs. Results In 9978 patients from 237 centres, 14-day mortality was 19.5%. Mortality was higher in the treatment group (OR = 1.22, p = 0.00010. Using a random effects model showed large between-centre differences in outcome (95% range of centre effects: 0.27- 3.71, but did not substantially change the estimated treatment effect (OR = 1.24, p = 0.00003. There was limited, although statistically significant, between-centre variation in the treatment effect (OR = 1.22, 95% treatment OR range: 1.17-1.26. Conclusion Large between-centre differences in outcome do not necessarily affect the estimated treatment effect in RCTs, in contrast to current beliefs in the clinical area of TBI.

  13. Asymmetric inhibitory treatment effects in multilingual aphasia. (United States)

    Goral, Mira; Naghibolhosseini, Maryam; Conner, Peggy S


    Findings from recent psycholinguistic studies of bilingual processing support the hypothesis that both languages of a bilingual are always active and that bilinguals continually engage in processes of language selection. This view aligns with the convergence hypothesis of bilingual language representation. Furthermore, it is hypothesized that when bilinguals perform a task in one language they need to inhibit their other, nontarget language(s) and that stronger inhibition is required when the task is performed in the weaker language than in the stronger one. The study of multilingual individuals who acquire aphasia resulting from a focal brain lesion offers a unique opportunity to test the convergence hypothesis and the inhibition asymmetry. We report on a trilingual person with chronic nonfluent aphasia who at the time of testing demonstrated greater impairment in her first acquired language (Persian) than in her third, later learned language (English). She received treatment in English followed by treatment in Persian. An examination of her connected language production revealed improvement in her grammatical skills in each language following intervention in that language, but decreased grammatical accuracy in English following treatment in Persian. The increased error rate was evident in structures that are used differently in the two languages (e.g., auxiliary verbs). The results support the prediction that greater inhibition is applied to the stronger language than to the weaker language, regardless of their age of acquisition. We interpret the findings as consistent with convergence theories that posit overlapping neuronal representation and simultaneous activation of multiple languages and with proficiency-dependent asymmetric inhibition in multilinguals.

  14. Benchmarking statistical averaging of spectra with HULLAC (United States)

    Klapisch, Marcel; Busquet, Michel


    Knowledge of radiative properties of hot plasmas is important for ICF, astrophysics, etc When mid-Z or high-Z elements are present, the spectra are so complex that one commonly uses statistically averaged description of atomic systems [1]. In a recent experiment on Fe[2], performed under controlled conditions, high resolution transmission spectra were obtained. The new version of HULLAC [3] allows the use of the same model with different levels of details/averaging. We will take advantage of this feature to check the effect of averaging with comparison with experiment. [1] A Bar-Shalom, J Oreg, and M Klapisch, J. Quant. Spectros. Rad. Transf. 65, 43 (2000). [2] J. E. Bailey, G. A. Rochau, C. A. Iglesias et al., Phys. Rev. Lett. 99, 265002-4 (2007). [3]. M. Klapisch, M. Busquet, and A. Bar-Shalom, AIP Conference Proceedings 926, 206-15 (2007).

  15. Morphometric analysis of treatment effects of bone-anchored maxillary protraction in growing Class III patients (United States)

    De Clerck, H. J.; Cevidanes, L. H.; Franchi, L.


    The aim of the present morphometric investigation was to evaluate the effects of bone-anchored maxillary protraction (BAMP) in the treatment of growing patients with Class III malocclusion. The shape and size changes in the craniofacial configuration of a sample of 26 children with Class III malocclusions consecutively treated with the BAMP protocol were compared with a matched sample of 15 children with untreated Class III malocclusions. All subjects in the two groups were at a prepubertal stage of skeletal development at time of first observation. Average duration of treatment was 14 months. Significant treatment-induced modifications involved both the maxilla and the mandible. The most evident deformation consisted of marked forward displacement of the maxillary complex with more moderate favourable effects in the mandible. Deformations in the vertical dimension were not detected. The significant deformations were associated with significant differences in size in the group treated with the BAMP protocol. PMID:21187527

  16. Model averaging and muddled multimodel inferences. (United States)

    Cade, Brian S


    Three flawed practices associated with model averaging coefficients for predictor variables in regression models commonly occur when making multimodel inferences in analyses of ecological data. Model-averaged regression coefficients based on Akaike information criterion (AIC) weights have been recommended for addressing model uncertainty but they are not valid, interpretable estimates of partial effects for individual predictors when there is multicollinearity among the predictor variables. Multicollinearity implies that the scaling of units in the denominators of the regression coefficients may change across models such that neither the parameters nor their estimates have common scales, therefore averaging them makes no sense. The associated sums of AIC model weights recommended to assess relative importance of individual predictors are really a measure of relative importance of models, with little information about contributions by individual predictors compared to other measures of relative importance based on effects size or variance reduction. Sometimes the model-averaged regression coefficients for predictor variables are incorrectly used to make model-averaged predictions of the response variable when the models are not linear in the parameters. I demonstrate the issues with the first two practices using the college grade point average example extensively analyzed by Burnham and Anderson. I show how partial standard deviations of the predictor variables can be used to detect changing scales of their estimates with multicollinearity. Standardizing estimates based on partial standard deviations for their variables can be used to make the scaling of the estimates commensurate across models, a necessary but not sufficient condition for model averaging of the estimates to be sensible. A unimodal distribution of estimates and valid interpretation of individual parameters are additional requisite conditions. The standardized estimates or equivalently the t

  17. Model averaging and muddled multimodel inferences (United States)

    Cade, Brian S.


    Three flawed practices associated with model averaging coefficients for predictor variables in regression models commonly occur when making multimodel inferences in analyses of ecological data. Model-averaged regression coefficients based on Akaike information criterion (AIC) weights have been recommended for addressing model uncertainty but they are not valid, interpretable estimates of partial effects for individual predictors when there is multicollinearity among the predictor variables. Multicollinearity implies that the scaling of units in the denominators of the regression coefficients may change across models such that neither the parameters nor their estimates have common scales, therefore averaging them makes no sense. The associated sums of AIC model weights recommended to assess relative importance of individual predictors are really a measure of relative importance of models, with little information about contributions by individual predictors compared to other measures of relative importance based on effects size or variance reduction. Sometimes the model-averaged regression coefficients for predictor variables are incorrectly used to make model-averaged predictions of the response variable when the models are not linear in the parameters. I demonstrate the issues with the first two practices using the college grade point average example extensively analyzed by Burnham and Anderson. I show how partial standard deviations of the predictor variables can be used to detect changing scales of their estimates with multicollinearity. Standardizing estimates based on partial standard deviations for their variables can be used to make the scaling of the estimates commensurate across models, a necessary but not sufficient condition for model averaging of the estimates to be sensible. A unimodal distribution of estimates and valid interpretation of individual parameters are additional requisite conditions. The standardized estimates or equivalently the

  18. Percutaneous Ethanol Sclerotherapy of Symptomatic Nodules Is Effective and Safe in Pregnant Women: A Study of 13 Patients with an Average Follow-Up of 6.8 Years

    Directory of Open Access Journals (Sweden)

    Tamas Solymosi


    Full Text Available Background. Because of the increased risk of surgery, thyroid nodules causing compression signs and/or hyperthyroidism are concerning during pregnancy. Patients and Methods. Six patients with nontoxic cystic, four with nontoxic solid, and three with overt hyperthyroidism caused by toxic nodules were treated with percutaneous ethanol injection therapy (PEI. An average of 0.68 mL ethanol per 1 mL nodule volume was administered. Mean number of PEI treatments for patients was 2.9. Success was defined as the shrinkage of the nodule by more than 50% of the pretreatment volume (V0 and the normalization of TSH and FT4 levels. The average V0 was 15.3 mL. Short-term success was measured prior to labor, whereas long-term success was determined during the final follow-up (an average of 6.8 years. Results. The pressure symptoms decreased in all but one patient after PEI and did not worsen until delivery. The PEI was successful in 11 (85% and 7 (54% patients at short-term and long-term follow-up, respectively. Three patients underwent repeat PEI which was successful in 2 patients. Conclusions. PEI is a safe tool and seems to have good short-term results in treating selected symptomatic pregnant patients. Long-term success may require repeat PEI.

  19. Effective physical treatment for chronic low back pain. (United States)

    Maher, C G


    It is now feasible to adopt an evidence-based approach when providing physical treatment for patients with chronic LBP. A summary of the efficacy of a range of physical treatments is provided in Table 1. The evidence-based primary care options are exercise, laser, massage, and spinal manipulation; however, the latter three have small or transient effects that limit their value as therapies for chronic LBP. In contrast, exercise produces large reductions in pain and disability, a feature that suggests that exercise should play a major role in the management of chronic LBP. Physical treatments, such as acupuncture, backschool, hydrotherapy, lumbar supports, magnets, TENS, traction, ultrasound, Pilates therapy, Feldenkrais therapy, Alexander technique, and craniosacral therapy are either of unknown value or ineffective and so should not be considered. Outside of primary care, multidisciplinary treatment or functional restoration is effective; however, the high cost probably means that these programs should be reserved for patients who do not respond to cheaper treatment options for chronic LBP. Although there are now effective treatment options for chronic LBP, it needs to be acknowledged that the problem of chronic LBP is far from solved. Though treatments can provide marked improvements in the patient's condition, the available evidence suggests that the typical chronic LBP patient is left with some residual pain and disability. Developing new, more powerful treatments and refining the current group of known effective treatments is the challenge for the future.

  20. Neuroimaging in aphasia treatment research : Standards for establishing the effects of treatment

    NARCIS (Netherlands)

    Kiran, Swathi; Ansaldo, Ana; Bastiaanse, Roelien; Cherney, Leora R.; Howard, David; Faroqi-Shah, Yasmeen; Meinzer, Marcus; Thompson, Cynthia K.


    The goal of this paper is to discuss experimental design options available for establishing the effects of treatment in studies that aim to examine the neural mechanisms associated with treatment-induced language recovery in aphasia, using functional magnetic resonance imaging (fMRI). We present bot

  1. Infantile pyknocytosis: effectiveness of erythropoietin treatment

    Directory of Open Access Journals (Sweden)

    Eleonora Buzzi


    Full Text Available Infantile pyknocytosis is a rare form of neonatal haemolytic anaemia with unusual red cell morphology. Anaemia is mostly severe and red blood cells transfusion is often needed. In this report, we have described a male child aged 10 days, born at 37 weeks + 3 days, who presented neonatal jaundice and severe anaemia. After a careful peripheral blood smear examination, infantile pyknocytosis was diagnosed. A treatment with recombinant subcutaneous erythropoietin (1,000 UI/prokg/week in conjunction with iron supplementation (6 mg/kg/day was started. The therapy was reduced 6 weeks after the beginning and discontinued 4 weeks after the reaching of a steady state of the haemoglobin values. After 12 months of follow up, the patient showed no anaemia and pyknocytosis.

  2. Tiotropium's cost-effectiveness for the treatment of COPD: a cost-utility analysis under real-world conditions

    Directory of Open Access Journals (Sweden)

    Thiry Nancy


    Full Text Available Abstract Background Tiotropium is reimbursed since March 2004 in Belgium for the treatment of Chronic Obstructive Pulmonary Disease (COPD. Questions however remain on this product's value for money. The purpose of this study is to calculate tiotropium's cost-effectiveness under real-world conditions. Methods Strengths of both observational and RCT data were combined in a model. A large longitudinal (2002-2006 observational dataset of regular tiotropium users (56 321 patients was analysed to retrieve the baseline risk for exacerbations and exacerbation-related hospitalisations the year before the first delivery of tiotropium. The relative treatment effect from the UPLIFT (Understanding Potential Long-term Impacts on Function with Tiotropium trial was then applied to this baseline risk to reflect the effect of tiotropium treatment and calculate the intervention's incremental cost-effectiveness ratio (ICER. Results After 1000 Latin Hypercube simulations, the incremental benefit expressed as quality-adjusted life years (QALY gained is on average 0.00048 (95% confidence interval (CI 0.00009 - 0.00092. In combination with a substantial mean incremental cost of €373 per patient (95% CI 279 - 475, this results in an unfavourable average ICER of €1 244 023 (95% CI 328 571 - 4 712 704 per QALY gained. Results were most sensitive to the treatment effect on hospitalisations. Based on our large observational database, up to 89% of the patients were not hospitalised for COPD in the year before the first tiotropium delivery. Conclusions The main cause for tiotropium's unfavourable cost-effectiveness ratio is a combination of a relative high price for tiotropium, a low number of hospitalisations without tiotropium treatment (on average 0.14/year and a non-significant treatment effect (on average 0.94 with respect to avoiding exacerbation-related hospitalisations. From an economic point of view, a revision of reimbursement modalities (e.g. with a lower price

  3. The Effects of Spiral Taping Treatment on Low Back Pain

    Directory of Open Access Journals (Sweden)

    Hwang Jae-Ok


    Full Text Available Objective : The purpose of this study is to estimate the effects of spiral taping treatment on low back pain. Methods : 420 low back pain patients were treated with spiral taping or spiral taping plus herbal medicine, and no other treatments such as acupuncture, herbal acupuncture, and chiropractic therapy were added. We evaluated the improvement by physical examination and pain. Results : 364 patients felt no pain or inconvenience of daily life and 43 patients showed improvement of pain or symptom after 1 month of treatment. 13 patients showed same pain with before treatment. Conclusions : These results suggest spiral taping treatments contribute to the improvement of low back pain. Further study is needed for the confirmation of this effect of spiral taping treatments on low back pain.

  4. [The effect of halo-gravity traction in the preoperative treatment of neuromuscular scoliosis]. (United States)

    Flierl, S; Carstens, C


    The purpose of this study is to evaluate the influence of halo-gravity-traction on paralytic scoliosis in various neurologic diseases. Between 1980 and 1993 preoperative halo-gravity-traction was applied in 32 patients with paralytic scoliosis (23 patients with myelomeningocele, 6 patients with poliomyelitis, 3 patients with cerebral palsy). In the myelomeningocele group the average curvature before treatment was 97.8 degrees, after surgery 45.1 degrees; which is an improvement of 53.9%. Halo-gravity-traction accounted for 12.8% improvement. In the poliomyelitis group the average curvature before treatment was 104.3 degrees, after surgery 58.0 degrees; which is an improvement of 44.4%. Halo-gravity-traction accounted for 16.9% improvement. In the cerebral palsy group the average curvature before treatment was 75.0 degrees, after surgery 39.0 degrees; which is an improvement of 48.0%. Halo-gravity-traction accounted for -2.7% improvement. If there is an effect the question remains, whether this will have consequences for the surgical outcome. The comparison between good and bad responders with the surgical result shows, that this result is independent of the halo-gravity-traction. From this results we draw the conclusion, that preoperative halo-gravity-traction can not be recommended in paralytic scoliosis.

  5. Cost-effectiveness of Voriconasole in treatment of invasive aspregillosis

    Directory of Open Access Journals (Sweden)

    N. N. Climko


    Full Text Available Invasive aspergillosis (IA is widespread infectious implication in immunodeficient patients, characterized by severe clinical manifestations and high mortality. This article presents the first case of pharmacoeconomical analysis of Voriconasole in treatment of IA compared with alternative therapies in Russia. Using mathematic modeling methods, we evalued total costs (including costs of IA treatment, clinical effectiveness and IA-related mortality in each therapy group. Obtained results showed the dominating of Voriconasole because of its high effectiveness and lower costs compared with caspofungine or amphotericine B. Total costs of therapy with Voricinasole were up to 30% lower compared with caspofungine and up to 70% lower compared with amphotericine B. Performed univariate sensitivity analysis showed that cost-effectiveness of anti-IA treatment depends mostly on clinical effectiveness of antimycotics rather than drug costs. Thus, treatment with Voriconasole is cost-effective in IA patients.

  6. Hyperhidrosis and Its Treatment: A Safe and Effective Alternative in the Treatment of Palmoplantar Hyperhidrosis, Iontophoresis

    Directory of Open Access Journals (Sweden)

    Deren Özcan


    Full Text Available Primary hyperhidrosis is characterized by excessive sweating of unknown cause which most commonly involves the palms, soles, and axillae in a bilateral and symmetrical fashion. Since it leads to physical discomfort and psychosocial difficulties in the affected individuals, it should be treated effectively. However, treatment can be challenging as its pathophysiology is poorly understood. There are several treatment options, including topical or systemic medications and surgical or non-surgical invasive techniques. Iontophoresis is the introduction of ionized substances into the surface tissues by means of an electric current. It is a non-invasive, safe, well tolerated, and effective treatment method for primary hyperhidrosis without long-term adverse effects and compensatory hyperhidrosis. Iontophoresis is suggested as a first-line therapy in severe palmoplantar hyperhidrosis and second-line therapy in milder cases that are unresponsive to topical treatments. In axillary hyperhidrosis it is less effective and not practical to use. Being time consuming and requiring maintenance therapy are its most important disadvantages. In this article, hyperhidrosis and the principal treatment options, the indications of iontophoresis for the treatment of primary hyperhidrosis, its mechanism of action, treatment protocol and procedure, adverse effects, and contraindications are reviewed.

  7. Assessing and reporting heterogeneity in treatment effects in clinical trials: a proposal

    Directory of Open Access Journals (Sweden)

    Kent David M


    Full Text Available Abstract Mounting evidence suggests that there is frequently considerable variation in the risk of the outcome of interest in clinical trial populations. These differences in risk will often cause clinically important heterogeneity in treatment effects (HTE across the trial population, such that the balance between treatment risks and benefits may differ substantially between large identifiable patient subgroups; the "average" benefit observed in the summary result may even be non-representative of the treatment effect for a typical patient in the trial. Conventional subgroup analyses, which examine whether specific patient characteristics modify the effects of treatment, are usually unable to detect even large variations in treatment benefit (and harm across risk groups because they do not account for the fact that patients have multiple characteristics simultaneously that affect the likelihood of treatment benefit. Based upon recent evidence on optimal statistical approaches to assessing HTE, we propose a framework that prioritizes the analysis and reporting of multivariate risk-based HTE and suggests that other subgroup analyses should be explicitly labeled either as primary subgroup analyses (well-motivated by prior evidence and intended to produce clinically actionable results or secondary (exploratory subgroup analyses (performed to inform future research. A standardized and transparent approach to HTE assessment and reporting could substantially improve clinical trial utility and interpretability.

  8. The Effect of Temperature Treatment on the Structure of Polyelectrolyte Multilayers

    Directory of Open Access Journals (Sweden)

    Maximilian Zerball


    Full Text Available The study addresses the effect of thermal treatment on the internal structure of polyelectrolyte multilayers (PEMs. In order to get insight into the internal structure of PEMs, Neutron Reflectometry (NR was used. PEMs with a deuterated inner block towards the substrate and a non-deuterated outer block were prepared and measured in 1% RH and in D2O before and after a thermal treatment. Complementarily, PEMs with the same number of layers but completely non-deuterated were investigated by ellipsometry. The analysis for the overall thickness (d, the average scattering length density (SLD and the refractive index (n indicate a degradation of the PEM. The loss in material is independent of the number of layers, i.e., only a constant part of the PEM is affected by degradation. The analysis of the internal structure revealed a more complex influence of thermal treatment on PEM structure. Only the outermost part of the PEM degenerates, while the inner part becomes denser during the thermal treatment. In addition, the swelling behavior of PEMs is influenced by the thermal treatment. The untreated PEM shows a well pronounced odd—even effect, i.e., PDADMAC-terminated PEMs take up more water than PSS-terminated PEMs. After the thermal treatment, the odd-even effect becomes much weaker.

  9. Improved treatment of radiation effects on the skin

    Energy Technology Data Exchange (ETDEWEB)

    Wandl, E.O.; Kaercher, K.H.; Wandl-Hainberger, I.


    The treatment concept developed by K.H. Kaercher was extended by a therapy using Elasten S cream. In the course of a highvoltage therapy using fast electrons or cobalt-60, interesting aspects in the treatment and progression of the radiation reactions of the skin were established. The dermato-therapeutic principles layed down by K.H. Kaercher with the treatment palette used hitherto, have without doubt invariably proven their value. The exclusive powder treatment, however, may be made more practical by application of the new treatment cream in accordance with the intervals in radiation treatment or as a basic treatment towards the end of therapy. Furthermore it is ideally suited for the care and after-treatment of skin, strained by radiation. It reduces considerably the remaining visible radiation reactions. The treatment with powder and emulsion has for more than 10 years proven effective. After the excellent results of the new cream during radiation treatment, additional positive effects are expected in a long-term trial which will be reported on separately.

  10. Effective treatment for malignant mediastinal teratoma. (United States)

    Parker, D; Holford, C P; Begent, R H; Newlands, E S; Rustin, G J; Makey, A R; Bagshawe, K D


    Primary malignant mediastinal teratoma is a rare tumour previously regarded as inevitably fatal. In a series of eight male patients with a mean age of 24 years five remain alive and well. All patients showed raised serum concentrations of human chorionic gonadotrophin or alpha fetoprotein. The patients were treated with intermittent combination chemotherapy that included cisplatin. Six patients responded to chemotherapy with a fall in human chorionic gonadotrophin or alpha fetoprotein to near normal levels and they then had radical excision of the remaining tumour. Living malignant tumour was found in four of the specimens and these patients received postoperative chemotherapy. One patient died after eight months and the remaining five patients are alive and well 13-136 months after the start of treatment. The two patients who did not undergo surgery died at one month and 15 months. Intermittent combination chemotherapy and carefully timed radical excision of these tumours would appear to have produced better results than have been reported in other series.

  11. Migraine treatment: a chain of adverse effects. (United States)

    Veloso, Tiago Sousa; Cambão, Mariana Seixas


    This clinical vignette presents a 14 years old female, with a past medical history relevant only for migraine with typical aura of less than monthly frequency, complaining of a severe unilateral headache with rising intensity for the previous 4 h, associated with nausea, vomiting, photophobia and phonophobia. This episode of migraine with aura in a patient with recurrent migraine was complicated by side effects of medical diagnostic and therapeutic procedures (extrapyramidal symptoms, delirium, post-lumbar puncture headache, hospital admission) all of which could have been prevented-quaternary prevention. This case illustrates several important messages in migraine management: (1) use of acetaminophen is not based in high-quality evidence and better options exist; (2) among youngsters, domperidone should be preferred over metoclopramide because it does not cross the blood-brain barrier; (3) moderate to severe migraine crisis can be managed with triptans in teenagers over 12 years old; (4) it is important to recognize adverse drug effects; (5) harmful consequences of medical interventions do occur; (6) the school community must be informed about chronic diseases of the young.

  12. Integrating fasciolosis control in the dry cow management: the effect of closantel treatment on milk production.

    Directory of Open Access Journals (Sweden)

    Johannes Charlier

    Full Text Available The liver fluke Fasciola hepatica is a parasite of ruminants with a worldwide distribution and an apparent increasing incidence in EU member states. Effective control in dairy cattle is hampered by the lack of flukicides with a zero-withdrawal time for milk, leaving the dry period as the only time that preventive treatment can be applied. Here, we present the results of a blinded, randomized and placebo-controlled trial on 11 dairy herds (402 animals exposed to F. hepatica to 1 assess the effect of closantel treatment at dry-off (or 80-42 days before calving in first-calving heifers on milk production parameters and 2 evaluate if a number of easy-to-use animal parameters is related to the milk production response after treatment. Closantel treatment resulted in a noticeable decrease of anti-F. hepatica antibody levels from 3-6 months after treatment onwards, a higher peak production (1.06 kg and a slightly higher persistence (9% of the lactation, resulting in a 305-day milk production increase of 303 kg. No effects of anthelmintic treatment were found on the average protein and fat content of the milk. Milk production responses after treatment were poor in meagre animals and clinically relevant higher milk production responses were observed in first-lactation animals and in cows with a high (0.3-0.5 optical density ratio (ODR, but not a very high (≥ 0.5 ODR F. hepatica ELISA result on a milk sample from the previous lactation. We conclude that in dairy herds exposed to F. hepatica, flukicide treatment at dry-off is a useful strategy to reduce levels of exposure and increase milk production in the subsequent lactation. Moreover, the results suggest that treatment approaches that only target selected animals within a herd can be developed based on easy-to-use parameters.

  13. Nonvolatile memory effect of tungsten nanocrystals under oxygen plasma treatments

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Shih-Cheng, E-mail: [Department of Electrical Engineering and Institute of Electronic Engineering, National Tsing Hua University, Taiwan (China); Chang, Ting-Chang [Department of Physics and Institute of Electro-Optical Engineering, and Center for Nanoscience and Nanotechnology, National Sun Yat-Sen University, Taiwan (China); Chen, Wei-Ren [Institute of Electronics, National Chiao Tung University, Taiwan, Hsinchu, Taiwan 300 (China); Lo, Yuan-Chun; Wu, Kai-Ting [Institute of Photonics Technologies, National Tsing Hua University, Taiwan (China); Sze, S.M. [Institute of Electronics, National Chiao Tung University, Taiwan, Hsinchu, Taiwan 300 (China); Chen, Jason; Liao, I.H. [ProMOS Technologies, No. 19 Li Hsin Rd., Science-Based Industrial Park, Hsinchu, Taiwan 300 (China); Yeh, Fon-Shan [Department of Electrical Engineering and Institute of Electronic Engineering, National Tsing Hua University, Taiwan (China)


    In this work, an oxygen plasma treatment was used to improve the memory effect of nonvolatile W nanocrystal memory, including memory window, retention and endurance. To investigate the role of the oxygen plasma treatment in charge storage characteristics, the X-ray photon-emission spectra (XPS) were performed to analyze the variation of chemical composition for W nanocrystal embedded oxide both with and without the oxygen plasma treatment. In addition, the transmission electron microscopy (TEM) analyses were also used to identify the microstructure in the thin film and the size and density of W nanocrystals. The device with the oxygen plasma treatment shows a significant improvement of charge storage effect, because the oxygen plasma treatment enhanced the quality of silicon oxide surrounding the W nanocrystals. Therefore, the data retention and endurance characteristics were also improved by the passivation.

  14. Effect of heat treatment on viability of Taenia hydatigena eggs. (United States)

    Buttar, Birpal S; Nelson, Mark L; Busboom, Jan R; Hancock, Dale D; Walsh, Douglas B; Jasmer, Douglas P


    Effects of heat treatments on activation and infectivity of Taenia hydatigena eggs were assessed. Eggs containing oncospheres were used for in vitro and in vivo studies to determine the response to 5min of heat treatment, ranging from room temperature (22°C) to 60°C. The study demonstrated 99.47% and 100% reduction in oncosphere activation or infectivity after 5min of heat treatment at 60°C and 57.38°C under in vitro and in vivo conditions, respectively. Similar results between the two approaches indicted the appropriateness of the in vitro methods to identify oncosphericidal treatments of practical significance. Similar heat treatments may also be effective against Taenia saginata and help to reduce occurrence of beef cysticercosis.

  15. Perceived social support in pathological gamblers and treatment effectiveness

    Directory of Open Access Journals (Sweden)

    Rosa Montesinos


    Full Text Available Pathological gambling affects 0.4-1.5 percent of the global population. Therapy has proved effective, even though low therapeutic compliance and frequent withdrawals weakens good treatment results. The aim of this paper is to evaluate the relationship between social support, therapeutic adherence, and gambling cessation. Four aspects of social support were measured: cohabitation, patient's companion, commitment, and intervention with patient's companion, in a sample of 68 pathological gamblers. Results show a non-significant trend for social support and treatment compliance to be associated to treatment success. Seventy-six percent of high social support patients kept the treatment up to the end vis-à-vis42.1% of low social support patients. Therapeutic success shows a significant relationship to a stable couple relationship. Individuals who had stable couple relationship were twice likely to finish treatment successfully. Results suggest that social support should be considered as a critical variable in pathological gambling treatment.

  16. Effects of Decompression Treatment for Controlling the Powderpost Beetle, Lyctus africanus Lesne, (Coleoptera: Lyctinae

    Directory of Open Access Journals (Sweden)

    Kazushi Nakai


    Full Text Available The efficacy of decompression treatment as a non-destructive method to control larvae of the powderpost beetle, Lyctus africanus Lesne, was evaluated in the laboratory using various combinations of two pressure levels, 1.1 kPa and 40 kPa, and three temperature levels, 20, 25, and 40 °C. Larval mortality generally depended on weight reduction while decreases in the oxygen level had relatively little effect. The lower pressure, 1.1 kPa, significantly affected mortality, and no larvae survived after 12 h of this pressure treatment, at 25 °C. The average body weight was reduced with treatment time and temperature, and the reduction rate at 25 °C was higher than that at the lower temperature, 20 °C. Effects on larvae of the higher pressure treatment, 40 kPa, with a CO2 gas purge, were tested to determine the feasibility of decompression treatment in the manufacturing process. Although higher pressure resulted in low mortality, the body weight was dramatically decreased using the CO2 purge. These results present important information on the possibility of using decompression treatment for wood products.

  17. Effects of aldicarb and neonicotinoid seed treatments on twospotted spider mite on cotton. (United States)

    Smith, J F; Catchot, A L; Musser, F R; Gore, J


    Twelve field experiments and one laboratory experiment were conducted to determine the effects of furrow applied aldicarb and seed treatments of thiamethoxam, imidacloprid, Avicta (thiamethoxam + abamectin), Aeris (imidacloprid + thiodicarb), and acephate on twospotted spider mite, Tetranychus urticae Koch, on cotton, Cossypium hirsutum L. For the field experiments, data were pooled across all experiments for analysis. Aeris, thiamethoxam, and imidacloprid treatments resulted in twospotted spider mite densities greater than those in the untreated check, aldicarb, and acephate treatments. However, cotton treated with Avicta (thiamethoxam + abamectin) had 34% fewer mites than other neonicotinoid seed treatments when infestations occurred near cotyledon stage. Untreated check and aldicarb treatments had the lowest mite densities. Only aldicarb reduced mite densities below that in the untreated check. In a laboratory trial, the fecundity of twospotted spider mite was measured. While neonicotinoid seed treatments increased mite densities in the field, they did not increase fecundity in the laboratory experiment. Foliar applied thiamethoxam slightly elevated average fecundity in the laboratory experiment. Increased use of neonicotinoid seed treatments instead of furrow applied aldicarb is likely at least partly responsible for recent increased twospotted spider mite infestations in seedling cotton across the mid-south.

  18. Cardiovascular aspects in acromegaly: effects of treatment. (United States)

    Lombardi, G; Colao, A; Ferone, D; Marzullo, P; Landi, M L; Longobardi, S; Iervolino, E; Cuocolo, A; Fazio, S; Merola, B; Sacca, L


    Patients with acromegaly have significant morbidity and mortality, associated with cardiovascular disease. Acromegaly is often complicated by other diseases such as diabetes mellitus, hypertension, and coronary artery disease, so the existence of acromegalic cardiomyopathy remains uncertain. Cardiac performance was investigated in patients with uncomplicated acromegaly. A subgroup of hypertensive acromegalics was also studied. In addition, the effects of chronic octreotide therapy or surgery on cardiac structure and function in acromegaly were studied. Twenty-six patients and 15 healthy controls underwent gated blood-pool cardiac scintigraphy and echocardiography at rest and during exercise. Echocardiography was repeated after 6 months of octreotide therapy (n = 11). Cardiac scintigraphy was repeated after 12 and 24 months of octreotide therapy (n = 10) or 12 to 24 months after surgery (n = 8). ECG, blood pressure, and heart rate were monitored during cardiac scintigraphy. Left ventricular mass (LVM) was calculated from the findings of the echocardiography. Serum growth hormone (GH) levels and plasma insulin-like growth factor-1 (IGF-1) levels were monitored. LVM index was significantly higher (P cardiac function were similar. Chronic octreotide decreased GH and IGF-1 levels and improved the structural abnormalities as measured by echocardiography. Chronic octreotide or surgery did not alter cardiac function parameters. Thus, important changes in cardiac structure and function occur in uncomplicated acromegaly, and improvements can be demonstrated after chronic octreotide therapy. Heart disease in acromegaly appears to be secondary to high circulating GH levels.

  19. The Effect of Mannitol Treatment on Renal Functions in Acute Stroke

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    Neslihan Eşkut


    Full Text Available OBJECTIVE: Mannitol is an osmotic diuretic agent and reduces intracranial pressure. The most serious side effect of mannitol is kidney dysfunction. In this study, renal functions in acute stroke patients treated with mannitol were evaluated. METHODS: One hundred and twenty-two patients followed in the neurology intensive care unit with the diagnosis of stroke and treated with fractionated mannitol for 5 days were evaluated retrospectively. Ninety-six patients had ischemic and 26 had hemorrhagic stroke. Mean age was 69.9 ± 11.8 (18-91 years. Serum urea, creatinine and electrolyte levels measured before and on the second, third, fourth, fifth and tenth days of treatment were compared statistically with paired sample t test. RESULTS: The average urea and creatinine levels on the second, third, fourth and fifth days of treatment were significantly higher than the baseline (p< 0.05. On the other hand, mannitol treatment did not change average sodium, potassium and chlorine levels. The creatinine levels had returned to the normal range on the tenth day of treatment, but the urea levels, although decreased, did not fall to the normal range. CONCLUSION: Our results support the view that close monitoring of renal function is necessary in patients treated with mannitol.

  20. Towards a framework for treatment effectiveness in schizophrenia

    Directory of Open Access Journals (Sweden)

    Juckel G


    Full Text Available Georg Juckel,1 Andrea de Bartolomeis,2 Philip Gorwood,3 Sergey Mosolov,4 Luca Pani,5 Alessandro Rossi,6 Julio Sanjuan7 1Department of Psychiatry, LWL-University Hospital, Ruhr-University Bochum, Bochum, Germany; 2Laboratory of Molecular Psychiatry and Unit of Treatment Resistant Psychosis, University School of Medicine of Naples Federico II, Napoli, Italy; 3Groupe Hospitalier Sainte-Anne (CMME, Paris-Descartes University, Paris, France; 4Moscow Research Institute of Psychiatry, Moscow, Russia; 5Institute of Translational Pharmacology, Italian National Research Council, Rome, Italy; 6Università de L’Aquila, L’Aquila, Italy; 7Clinic Hospital, Spanish Mental Health Network (CIBERSAM, University of Valencia, Valencia, Spain Introduction: Prompt administration of antipsychotic treatment that is adhered to is essential for the optimal treatment of schizophrenia. Many patients have benefited from the advent of second-generation antipsychotics, which can offer good symptomatic control with reduced incidence of extrapyramidal symptoms, although with higher risk of metabolic side effects. It is unsurprising that accounts as to whether first- and second-generation antipsychotics differ in their efficacy vary, since treatment effectiveness is a broad notion and difficult to define. Objectives: Numerous factors may be used to gauge treatment effectiveness and, while it has largely been defined in terms of improvements in four domains (symptoms of disease, treatment burden, disease burden, and health and wellness, the real-world clinical utility of this consensus is unclear. Therefore, this article aims to provide a framework that can aid psychiatrists in making assessments about treatment effectiveness. Methods and results: A panel of 12 psychiatrists and psychopharmacologists convened to develop and propose an accessible and globally-applicable framework for assessing the effectiveness of antipsychotic treatments in patients with schizophrenia

  1. Effect of heat treatment on antimycotic activity of Sahara honey

    Institute of Scientific and Technical Information of China (English)

    Moussa Ahmed; Saad Aissat; Noureddine Djebli


    Objective: To evaluate the influence of the temperature on honey colour, polyphenol contents and antimycotic capacity and to evaluate the correlation between these parameters. Methods:Sahara honey were heated up to 25, 50, 75 and 100 °C for 15, 30 and 60 min, and their colour intensity, polyphenol contents and antimycotic capacity. The Folin-Ciocalteu test was used to determine the total polyphenol contents (TPC). The antimycotic activity was evaluated both by agar diffusion method and micro wells dilution method against the Candida albicans (C. albicans) and Candida glabrata (C. glabrata). Results:Initial values for TPC in Sahara honey ranged from 0.55 to 1.14 mg of gallic acid per kg of honey, with the average value of 0.78 mg of gallic acid per kg of honey. The TPC values after heat-treatment were 0.54 to 1.54 with the average value of 1.49 mg. The minimal inhibitory concentrations before heat-treatment of Sahara honey against C. albicans and C. glabrata ranged from 3.06%-12.5% and 50% respectively. After heat-treatment the minimal inhibitory concentrations between 12.5% and 50% for C. albicans and C. glabrata, respectively. The diameters of inhibition zones of Sahara honey with 50% concentration varied from (12.67-15.00) mm by C. albicans to (14.33-15.67) mm by C. glabrata. The diameters of inhibition zones after heat-treatment at 25 and 50 °C for 15.30 and 60 min ranged from (2.00-18.67) mm by C. albicans to (8.00-16.67) mm by C. glabrata. Statistically significant relations between the TPC and the colour intensity of Sahara honey (r=0.99, P Conclusions:To our knowledge this is the first report on the antimycotic capacity of Sahara honey.

  2. Expectation, the placebo effect and the response to treatment. (United States)

    Brown, Walter A


    What we believe we will experience from a treatment--our expectation--has a substantial impact on what we actually experience. Expectation has been established as a key process behind the placebo effect. Studies in both laboratory and clinical settings consistently show that when people ingest a pharmacologically inert substance (placebo) but believe that it is an active substance, they experience both the subjective sensations and physiologic effects expected from that active substance. Expectation has an important place in the response to "real" treatment as well. This paper provides an overview of the data which point to the role of expectation in both the placebo effect and the response to treatment. These data suggest that clinicians might enhance the benefit of all treatments by promoting patients' positive expectations.

  3. Effect of Surface Treatment on the Enzymatic Treatment of Cellulosic Fiber (United States)

    Kan, C. W.; Yuen, C. W. M.; Jiang, S. Q.

    Fiber modifications by environmentally friendly processing are essential in order to simplify the preparation and finishing processes, in addition to minimizing the chemical waste and associated disposal problem. In this regard, enzymes have been used extensively because it can remove the small fiber ends from yarn surface to create a smooth fabric surface appearance and introduce a degree of softness without using traditional chemical treatment. However, a significant strength reduction and slow reaction rate of the enzymatic reaction limit its industrial application. In this paper, the potential of using low-temperature plasma (LTP) as a surface pre-treatment prior to enzyme treatment on flax fiber has been studied. By means of the LTP pre-treatment, the effectiveness of enzyme treatment can be enhanced.

  4. Average mass scan of the total ion chromatograms: a new gas chromatography-mass spectrometry derived variable for fast and reliable multivariate statistical treatment of essential oil compositional data. (United States)

    Radulović, Niko S; Blagojević, Polina D


    Plant volatiles have been repeatedly shown to provide valuable insight into the evolutionary relationships among plant taxa on various taxonomical levels. The number of variables available from GC-MS analyses of these plant metabolites usually represents a large data set. The comparison of such data sets requires the use of multivariate statistical analyses (MSA) but with several serious shortcomings. In order to make multivariate statistical comparison of essential oils more applicable, reliable and faster, this work was set to explore the suitability of a complementary use of relative abundances of m/z values of the average mass scan of the total GC chromatograms instead of the traditionally used variables-percentages (peak areas) of individual oil constituents. To achieve this, essential oils extracted from 12 different Artemisia species were analyzed using GC-FID and GC-MS. Almost 500 different constituents were successfully identified. Average mass scans of the total GC chromatograms (AMS) and chemical compositions (relative percentages) of the analyzed oils were separately compared using two MSA methods: agglomerative hierarchical cluster analysis and principal component analysis. This approach was applied to an additional set of essential oil compositional data (representatives of a number of different genera/families; data from the literature) using both types of variables. The obtained results strongly suggest that MSA of complex volatile mixtures, using the corresponding directly obtainable AMS, could be considered as a promising time saving tool for easy and reliable comparison purposes. The AMS approach gives comparable or even better results than the traditional method - it reflected the natural relationships between observations within both studied groups of oils.

  5. Effects of heat treatment on physical, microstructural and optical characteristics of PbS luminescent nanocrystals (United States)

    Mozafari, Masoud; Moztarzadeh, Fathollah; Vashaee, Dayoosh; Tayebi, Lobat


    The oxidation of lead sulfide (PbS) luminescent nanocrystals (NCs) considerably changes their luminescence characteristics. Hence, an understanding of the oxidation mechanism, the structure and properties of oxidized moieties is important. In this research, well-defined spherical PbS NCs were synthesized via a simple, effective and surfactant-free method and characterized. Then, the effects of heat treatment (at 250, 350, 450 and 550 °C) on the PbS NCs were investigated. The transmission electron microscope (TEM) micrographs of the synthesized PbS NCs revealed that they had a well-defined spherical morphology. In addition, the average crystallite size using Scherrer's formula was about 13 nm and the calculated lattice constant using Bragg's equation was 0.5950 nm, which was very close to the value in the standard card (JCPDS No. 5-592). Furthermore, the X-ray diffraction (XRD) revealed that the heat treatment of samples at temperatures of 250, 350,450 and 550 °C in air results in the formation of oxide sulfate phase of the compositions PbSO4 and PbO·PbSO4. The lattice parameter, crystallite size, average internal stress, micro-strain and optical properties of PbS NCs were calculated and correlated with the heat-treatment temperature.

  6. Effects of surface performance on bamboo by microwave plasma treatment

    Institute of Scientific and Technical Information of China (English)

    Guanben DU; Zhaobin SUN; Linrong HUANG


    Surface treatment of bamboo was carried out by microwave plasma (MWP), surface contact angle of the sample was measured using glycerin and urea-form-aldehyde resin (UFR) liquid, and the effects on the surface performance of the bamboo sample was evaluated. The results show that the surface contact angle of the sample presented a generally decreasing trend when prolonging the MWP treatment time and shortening the distance between the sample and the resonance cavity. The surface contact angle of the sample decreased by 49%-59% under the following conditions: MWP treatment for 30 s, the distance between the sample and resonance cavity at 40 mm, and measurement at 15 s after dripping with gly-cerin. The surface contact angle of the sample measured with the glycerin was lower than that with UFR. No mat-ter whether we used glycerin or UFR, the contact angle of the sample at 15 s after dripping was lower than that at 5 s after dripping. The grinding treatment had little effect on the surface contact angle of the sample after MWP treat-ment, and the modification effect of MWP treatment after grinding was better than that of sole MWP treatment.

  7. Some adverse effects of antipsychotics: prevention and treatment. (United States)

    Lader, M


    Antipsychotic medication causes a wide range of adverse effects, which can be serious and may further imperil both the physical and psychological health of schizophrenic patients. The range of side effects patients commonly encounter includes weight gain, endocrine disturbances, sedation, anticholinergic effects, hypotension, seizures, and extrapyramidal symptoms. Less common and unpredictable reactions are blood dyscrasias, cardiotoxicity, sudden death, and the neuroleptic malignant syndrome. Antipsychotic drugs differ significantly regarding their propensity to cause these reactions. Patients should undergo comprehensive health checks before an antipsychotic is prescribed, and drug therapy should be individualized to take account of any preexisting symptoms. Side effects and the wider implications of drug treatment, such as effects on occupational and social functioning, should be discussed with the patient before initiating therapy. Patients should be regularly monitored for side effects during treatment and switched to alternative therapy if side effects are serious and/or persistent.

  8. A 4D treatment planning tool for the evaluation of motion effects on lung cancer treatments

    Energy Technology Data Exchange (ETDEWEB)

    Ding, M; Newman, F; Kavanagh, B; Stuhr, K; Raben, D [Radiation Oncology Department, University of Colorado at Denver and Health Science Center, Aurora, CO 80010 (United States); Li, J S; Ma, C-M [Radiation Oncology Department, Fox Chase Cancer Center, Philadelphia, PA 19111 (United States); Gaspar, L, E-mail:


    In this study, a 4D treatment planning tool using an analytical model accounting for breathing motion is investigated to evaluate the motion effect on delivered dose for lung cancer treatments with three-dimensional conformal radiotherapy (3DCRT). The Monte Carlo EGS4/MCDOSE user code is used in the treatment planning dose calculation, and the patient CT data are converted into respective patient geometry files for Monte Carlo dose calculation. The model interpolates CT images at different phases of the breathing cycle from patient CT scans taken at end inspiration and end expiration phases and the chest wall position. Correlation between the voxels in a reference CT dataset and the voxels in the interpolated CT datasets at any breathing phases is established so that the dose to a voxel can be accumulated through the entire breathing cycle. Simulated lung tumors at different locations are used to demonstrate our model in 3DCRT for lung cancer treatments. We demonstrated the use of a 4D treatment planning tool in evaluating the breathing motion effect on delivered dose for different planning margins. Further studies are being conducted to use this tool to study the lung motion effect through large-scale analysis and to implement this useful tool for treatment planning dose calculation and plan evaluation for 4D radiotherapy.

  9. Effects of maternal plasmid GHRH treatment on offspring growth (United States)

    To differentiate prenatal effects of plasmid growth hormone-releasing hormone (GHRH) treatment from maternal effects mediated by lactation on long-term growth of offspring, a cross-fostering study was designed. Pregnant sows (n = 12) were untreated (n = 6), or received either a Wt-GHRH (n = 2), or H...

  10. Effectiveness of Acupuncture in the Treatment of Gulf War Illness (United States)


    AD_________________ Award Number: W81XWH-09-2-0064 TITLE: Effectiveness of Acupuncture in the...CONTRACTING ORGANIZATION: New England School of Acupuncture , Inc. Newton, MA 02458-1005...December 2012 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Effectiveness of Acupuncture in the Treatment of Gulf War Illness 5b. GRANT NUMBER W81XWH

  11. Heterogeneous treatment effects of speed cameras on road safety. (United States)

    Li, Haojie; Graham, Daniel J


    This paper analyses how the effects of fixed speed cameras on road casualties vary across sites with different characteristics and evaluates the criteria for selecting camera sites. A total of 771 camera sites and 4787 potential control sites are observed for a period of 9 years across England. Site characteristics such as road class, crash history and site length are combined into a single index, referred to as a propensity score. We first estimate the average effect at each camera site using propensity score matching. The effects are then estimated as a function of propensity scores using local polynomial regression. The results show that the reduction in personal injury collisions ranges from 10% to 40% whilst the average effect is 25.9%, indicating that the effects of speed cameras are not uniform across camera sites and are dependent on site characteristics, as measured by propensity scores. We further evaluate the criteria for selecting camera sites in the UK by comparing the effects at camera sites meeting and not meeting the criteria. The results show that camera sites which meet the criteria perform better in reducing casualties, implying the current site selection criteria are rational.

  12. The cost-effectiveness of radiofrequency catheter ablation as first-line treatment for paroxysmal atrial fibrillation

    DEFF Research Database (Denmark)

    Aronsson, Mattias; Walfridsson, Håkan; Janzon, Magnus;


    AIM: The aim of this prospective substudy was to estimate the cost-effectiveness of treating paroxysmal atrial fibrillation (AF) with radiofrequency catheter ablation (RFA) compared with antiarrhythmic drugs (AADs) as first-line treatment. METHODS AND RESULTS: A decision-analytic Markov model......, based on MANTRA-PAF (Medical Antiarrhythmic Treatment or Radiofrequency Ablation in Paroxysmal Atrial Fibrillation) study data, was developed to study long-term effects and costs of RFA compared with AADs as first-line treatment. Positive clinical effects were found in the overall population, a gain...... of an average 0.06 quality-adjusted life years (QALYs) to an incremental cost of €3033, resulting in an incremental cost-effectiveness ratio of €50 570/QALY. However, the result of the subgroup analyses showed that RFA was less costly and more effective in younger patients. This implied an incremental cost-effectiveness...

  13. Research on AIDS patients’ survival time after highly active antiretroviral therapy, treatment effect and treatment modes

    Directory of Open Access Journals (Sweden)

    Riying Lv


    Full Text Available To fully define clinical efficacy of highly active antiretroviral therapy for AIDS, analyze patients’ survival time and treatment mode after receiving treatment, and provide scientific theory to guide improvement of antiviral therapy, this paper selected 3100 cases of patients diagnosed with AIDS during April 2006 and April 2014 as object of this study. All patients were treated with highly active antiretroviral therapy. The main analysis contents of this study include CD4 + T lymphocyte count, viral load changes, incidence of opportunistic infections, specific cause of death and the like. The results show that patients’ CD4 + T lymphocyte levels are significantly increased 3, 18, and 24 months after treatment, difference between the situation after and before receiving treatment, P < 0.05, with statistically significant difference. Analyzed from effective inhibition of virus, effective inhibition rate is 72.58.0% (2250/3100. Main causes of death in patients is usually respiratory failure. It thus can be concluded that highly active antiretroviral therapy for AIDS is with good clinical effect, which can effectively improve survival time of patients. So it enjoys application value of being widely used in clinical treatment of AIDS.

  14. Late effects of X-ray treatment of warts

    Energy Technology Data Exchange (ETDEWEB)

    Veien, N.K.; Norholm, A.; Hattel, T.; Justesen, O.


    Five to 22 years after warts on hands and feet were treated by X ray, 1122 patients with a total of 3675 warts were re-examined. X-Ray therapy had been given as one dose of 3000 r using 29 kV with a 0.3-mm Al filter; 19% of the warts had been given two treatments. Sequelae were seen in 4.8% of the sites where warts had been given one X-ray treatment and in 12.2% of the sites after two treatments. These side effects include hyperkeratosis in the pressure areas of palms and soles and atrophy primarily in areas with a thin cutis. There was no evidence of malignant transformation in any treatment site, and there were no deep-seated side effects such as ostitis or tendinitis.

  15. Clinical competencies for the effective treatment of foster children. (United States)

    Zilberstein, Karen; Popper, Sally


    Despite a high level of documented mental health needs among children who have experienced foster care, research indicates that treatment outcomes are often disappointing. In order to improve outcomes, evidence-based treatments for attachment, trauma and behavioral difficulties are often promoted for this population. However, little research exists on whether or not those interventions effectively address the unique and complex mental health needs of many foster children. While a rather robust literature exists on foster children's multifaceted difficulties, most treatments do not fully represent that range and complexity in their interventions. This article attempts to begin to fill that gap by outlining the knowledge and skills clinicians must acquire if they are to effectively treat foster children. Treatment of foster children should be seen as a subspecialty within the field of child mental health, and trainings that help clinicians gain more knowledge of foster children's unique needs should be more available.

  16. Treatment of myelodysplastic syndromes: practical tools for effective management. (United States)

    Kurtin, Sandra E; Demakos, Erin P; Hayden, Janet; Boglione, Claudia


    Myelodysplastic syndromes (MDS) are a heterogeneous group of myeloid malignancies with variability in clinical presentation, disease trajectory, treatment goals, and expected outcomes. The treatment of patients with MDS, therefore, often differs from patient to patient. Tools are needed to aid effective communication with patients, their caregivers, and their dedicated team of healthcare professionals. The use of methods often employed in clinical trials can help healthcare providers diagnose and classify risk status, track trends within patient responses, manage adverse events, set treatment expectations, and provide ongoing supportive care. This article discusses several tools and strategies available for the management of patients with MDS throughout the continuum of their disease.

  17. The cost-effectiveness of an intensive treatment protocol for severe dyslexia in children. (United States)

    Hakkaart-van Roijen, Leona; Goettsch, Wim G; Ekkebus, Michel; Gerretsen, Patty; Stolk, Elly A


    Studies of interventions for dyslexia have focused entirely on outcomes related to literacy. In this study, we considered a broader picture assessing improved quality of life compared with costs. A model served as a tool to compare costs and effects of treatment according to a new protocol and care as usual. Quality of life was measured and valued by proxies using a general quality-of-life instrument (EQ-5D). We considered medical cost and non-medical cost (e.g. remedial teaching). The model computed cost per successful treatment and cost per quality adjusted life year (QALY) in time. About 75% of the total costs was related to diagnostic tests to distinguish between children with severe dyslexia and children who have reading difficulties for other reasons. The costs per successful treatment of severe dyslexia were €36 366. Successful treatment showed a quality-of-life gain of about 11%. At primary school, the average cost per QALY for severe dyslexia amounted to €58 647. In the long term, the cost per QALY decreased to €26 386 at secondary school and €17 663 thereafter. The results of this study provide evidence that treatment of severe dyslexia is cost-effective when the investigated protocol is followed.


    Institute of Scientific and Technical Information of China (English)

    C.H. Surberg; P. Stratton; K. Lingenh(o)le


    Although cold treatments have been used to reduce the retained austenite in the cases of carburised steel for many years, there is little data on deep cold temperatures below -70℃ or treatment times longer than an hour or two. This study set out to determine the effects of such deep cold treatments at temperatures -150℃ C for 24 h.The study investigated the effects of deep cold on the microstructure, hardness profile, residual stress and internal oxidation on two typical carburising steels, 16MnCr5 and 21NiCrMo2. The study found that for both 16MnCr5 and 21NiCrMo2 carburised to a case depth of approximately 0.8 mm, the longer and colder the deep cold treatment, the more the austenite retained in the case was converted to martensite and the harder it became. After low temperature tempering, the hardness difference was smaller, but still significant. In both steels, the case appeared more refined and homogeneous after deep cold treatment. Deep cold treatment had a negligible effect on the core properties of either steel.

  19. Subclinical effects and fenbendazole treatment of turkey ascaridiasis under simulated field conditions. (United States)

    Yazwinski, T A; Tucker, C; Stelzleni, A; Johnson, Z; Robins, J; Downum, K; Fincher, M; Matlock, J; Chapman, H D


    Under simulated natural conditions of bird production and parasite challenge, the effects of ascaridiasis and the effectiveness of fenbendazole treatment (6-day regimes in the feed at 16 ppm) were documented. Birds were artificially challenged with ascarid larvae on a daily basis from day 35 to 112, with bird grow out ending on day 119. Experimental groups, on a per pen basis, were infected control, treated with fenbendazole at days 63-69, treated with fenbendazole at days 63-69 and days 91-97, and uninfected control. In the same order as above, and on an experimental group mean bird basis, final weights were 13.34, 13.47, 13.59, and 13.78 kg, average daily gains from day 7 to day 119 were 117.8, 118.9, 120.1, and 121.8 g, and units gained per unit of feed consumed from day 7 to day 119 were 0.337, 0.341, 0.347, and 0.362. Infected control bird mean Ascaridia dissimilis burdens, with all stages combined, ranged from 351.1 on day 63 to 117.2 on day 91, levels seen commonly with naturally infected commercial turkeys. Trial data dearly indicated that moderate A. dissimilis burdens negatively impacted animal performance (average daily gains and feed efficiencies) and that these parasite burdens are effectively removed by fenbendazole treatment.

  20. Effect of treatment temperature on the microstructure of asphalt binders: insights on the development of dispersed domains. (United States)

    Menapace, I; Masad, E; Bhasin, A


    This paper offers important insights on the development of the microstructure in asphalt binders as a function of the treatment temperature. Different treatment temperatures are useful to understand how dispersed domains form when different driving energies for the mobility of molecular species are provided. Small and flat dispersed domains, with average diameter between 0.02 and 0.70 μm, were detected on the surface of two binders at room temperature, and these domains were observed to grow with an increase in treatment temperature (up to over 2 μm). Bee-like structures started to appear after treatment at or above 100°C. Moreover, the effect of the binder thickness on its microstructure at room temperature and at higher treatment temperatures was investigated and is discussed in this paper. At room temperature, the average size of the dispersed domains increased as the binder thickness decreased. A hypothesis that conciliates current theories on the origin and development of dispersed domains is proposed. Small dispersed domains (average diameter around 0.02 μm) are present in the bulk of the binder, whereas larger domains and bee-like structures develop on the surface, following heat treatment or mechanical disturbance that reduces the film thickness. Molecular mobility and association are the key factors in the development of binder microstructure.

  1. Effective dose evaluation for BNCT brain tumor treatment based on voxel phantoms. (United States)

    Wang, Jeng-Ning; Lee, Kuo-Wei; Jiang, Shiang-Huei


    For BNCT treatments, in addition to tumor target doses, non-negligible doses will result in all the remaining organs of the body. This work aims to evaluate the effective dose as well as the average absorbed doses of each of organs of patients with brain tumor treated in the BNCT epithermal neutron beam at THOR. The effective doses were evaluated according to the definitions of ICRP Publications 60 and 103 for the reference male and female computational phantoms developed in ICRP Publication 110 by using the MCNP5 Monte Carlo code with the THOR-Y09 beam source. The effective dose acquired in this work was compared with the results of our previous work calculated for an adult hermaphrodite mathematical phantom. It was found that the effective dose for the female voxel phantom is larger than that for the male voxel phantom by a factor of 1.2-1.5 and the effective dose for the voxel phantom is larger than that for the mathematical phantom by a factor of 1.3-1.6. For a typical brain tumor BNCT, the effective dose was calculated to be 1.51Sv and the average absorbed dose for eye lenses was 1.07Gy.

  2. Effect of Se treatment on the volatile compounds in broccoli. (United States)

    Lv, Jiayu; Wu, Jie; Zuo, Jinhua; Fan, Linlin; Shi, Junyan; Gao, Lipu; Li, Miao; Wang, Qing


    Broccoli contains high levels of bioactive compounds but deteriorates and senesces easily. In the present study, freshly harvested broccoli was treated with selenite and stored at two different temperatures. The effect of selenite treatment on sensory quality and postharvest physiology were analyzed. Volatile components were assessed by HS-SPME combined with GC-MS and EN. The metabolism of Se and S was also examined. Results indicated that Se treatment had a significant effect on maintaining the sensory quality, suppressing the respiration intensity and ethylene production, as well as increasing the content of Se and decreasing the content of S. In particular, significant differences in the composition of volatile compounds were present between control and Se-treated. The differences were mainly due to differences in alcohols and sulfide compounds. These results demonstrate that Se treatment can have a positive effect on maintaining quality and enhancing its sensory quality through the release of volatile compounds.

  3. Effectiveness of permethrin standard and modified methods in scabies treatment

    Directory of Open Access Journals (Sweden)

    Saleha Sungkar


    Full Text Available Background: Permethrin is the drug of choice for scabies with side effects such as erythema, pain, itching and prickling sensation. Whole-body (standard topical application of permethrin causes discomfort; thus, modified application of permethrin to the lesion only, followed with baths twice daily using soap was proposed. The objective of the study is to know the effectiveness of standard against lesion-only application of permethrin in scabies treatment.Methods: An experimental study was conducted in pesantren in East Jakarta and data was collected in May-July 2012. Diagnosis of scabies was made through anamnesis and skin examination. Subjects positive for scabies were divided into three groups: one standard method group (whole-body topical application and two modified groups (lesion-only application followed by the use of regular soap and antiseptic soap group. The three groups were evaluated weekly for three consecutive weeks. Data was processed using SPSS 20 and analyzed by Kruskal-Wallis test.Results: Total of 94 subjects was scabies positive (prevalence 50% but only 69 subjects were randomly picked to be analyzed. The cure rate at the end of week III of the standard method group was 95.7%, modified treatment followed by the use of regular soap was 91.3%, and modified treatment followed by the use of antiseptic soap was 78.3% (p = 0.163. The recurrence rate of standard treatment was 8.7%,  modified treatment followed by the use of regular soap was 13% and modified treatment followed by the use of antiseptic soap was 26.1% (p = 0.250.Conclusion: The standard scabies treatment was as effective as the modified scabies treatment.

  4. Random-effects linear modeling and sample size tables for two special crossover designs of average bioequivalence studies: the four-period, two-sequence, two-formulation and six-period, three-sequence, three-formulation designs. (United States)

    Diaz, Francisco J; Berg, Michel J; Krebill, Ron; Welty, Timothy; Gidal, Barry E; Alloway, Rita; Privitera, Michael


    Due to concern and debate in the epilepsy medical community and to the current interest of the US Food and Drug Administration (FDA) in revising approaches to the approval of generic drugs, the FDA is currently supporting ongoing bioequivalence studies of antiepileptic drugs, the EQUIGEN studies. During the design of these crossover studies, the researchers could not find commercial or non-commercial statistical software that quickly allowed computation of sample sizes for their designs, particularly software implementing the FDA requirement of using random-effects linear models for the analyses of bioequivalence studies. This article presents tables for sample-size evaluations of average bioequivalence studies based on the two crossover designs used in the EQUIGEN studies: the four-period, two-sequence, two-formulation design, and the six-period, three-sequence, three-formulation design. Sample-size computations assume that random-effects linear models are used in bioequivalence analyses with crossover designs. Random-effects linear models have been traditionally viewed by many pharmacologists and clinical researchers as just mathematical devices to analyze repeated-measures data. In contrast, a modern view of these models attributes an important mathematical role in theoretical formulations in personalized medicine to them, because these models not only have parameters that represent average patients, but also have parameters that represent individual patients. Moreover, the notation and language of random-effects linear models have evolved over the years. Thus, another goal of this article is to provide a presentation of the statistical modeling of data from bioequivalence studies that highlights the modern view of these models, with special emphasis on power analyses and sample-size computations.

  5. Fluctuations of wavefunctions about their classical average

    CERN Document Server

    Bénet, L; Hernandez-Saldana, H; Izrailev, F M; Leyvraz, F; Seligman, T H


    Quantum-classical correspondence for the average shape of eigenfunctions and the local spectral density of states are well-known facts. In this paper, the fluctuations of the quantum wavefunctions around the classical value are discussed. A simple random matrix model leads to a Gaussian distribution of the amplitudes whose width is determined by the classical shape of the eigenfunction. To compare this prediction with numerical calculations in chaotic models of coupled quartic oscillators, we develop a rescaling method for the components. The expectations are broadly confirmed, but deviations due to scars are observed. This effect is much reduced when both Hamiltonians have chaotic dynamics.

  6. Fluctuations of wavefunctions about their classical average

    Energy Technology Data Exchange (ETDEWEB)

    Benet, L [Centro Internacional de Ciencias, Ciudad Universitaria, Chamilpa, Cuernavaca (Mexico); Flores, J [Centro Internacional de Ciencias, Ciudad Universitaria, Chamilpa, Cuernavaca (Mexico); Hernandez-Saldana, H [Centro Internacional de Ciencias, Ciudad Universitaria, Chamilpa, Cuernavaca (Mexico); Izrailev, F M [Centro Internacional de Ciencias, Ciudad Universitaria, Chamilpa, Cuernavaca (Mexico); Leyvraz, F [Centro Internacional de Ciencias, Ciudad Universitaria, Chamilpa, Cuernavaca (Mexico); Seligman, T H [Centro Internacional de Ciencias, Ciudad Universitaria, Chamilpa, Cuernavaca (Mexico)


    Quantum-classical correspondence for the average shape of eigenfunctions and the local spectral density of states are well-known facts. In this paper, the fluctuations of the quantum wavefunctions around the classical value are discussed. A simple random matrix model leads to a Gaussian distribution of the amplitudes whose width is determined by the classical shape of the eigenfunction. To compare this prediction with numerical calculations in chaotic models of coupled quartic oscillators, we develop a rescaling method for the components. The expectations are broadly confirmed, but deviations due to scars are observed. This effect is much reduced when both Hamiltonians have chaotic dynamics.

  7. Effects of Micronutrient Niacin on Treatment Efficiency of Textile Wastewater

    Institute of Scientific and Technical Information of China (English)

    LIANG Wei; HU Hongying; GU Xin; CHE Yuling; WANG Hui; GUO Yufeng; SONG Yudong


    Textile wastewater is well known as one of the wastewaters to be most difficultly treated. The effects of niacin on textile wastewater niacin, the physical and chemical indexes of the water samples, such as COD, ammonia and dehydrogenase activities, were analyzed every day with standard methods, and obvious improvement in wastewater treatcould improve the COD removal efficiency signifcantly with removal rates mental condition, addition of niacin had almost no effect on the removal of ase by 130%. It proved that the biological treatment performance of textile wastewater treatment system probably could be optimized through micronutrient niacin supplement.


    Directory of Open Access Journals (Sweden)

    G. Ja. Bruk


    Full Text Available The Chernobyl accident in 1986 is one of the most large-scale radiation accidents in the world. It led to radioactive contamination of large areas in the European part of the Russian Federation and at the neighboring countries. Now, there are more than 4000 settlements with the total population of 1.5 million in the radioactively contaminated areas of the Russian Federation. The Bryansk region is the most intensely contaminated region. For example, the Krasnogorskiy district still has settlements with the level of soil contamination by cesium-137 exceeding 40 Cu/km2. The regions of Tula, Kaluga and Orel are also significantly affected. In addition to these four regions, there are 10 more regions with the radioactively contaminated settlements. After the Chernobyl accident, the affected areas were divided into zones of radioactive contamination. The attribution of the settlements to a particular zone is determined by the level of soil contamination with 137Cs and by a value of the average annual effective dose that could be formed in the absence of: 1 active measures for radiation protection, and 2 self-limitation in consumption of the local food products. The main regulatory document on this issue is the Federal law № 1244-1 (dated May, 15,1991 «On the social protection of the citizens who have been exposed to radiation as a result of the accident at the Chernobyl nuclear power plant». The law extends to the territories, where, since 1991: – The average annual effective dose for the population exceeds 1 mSv (the value of effective dose that could be formed in the absence of active radiation protection measures and self-limitation in consumption of the local food products; – Soil surface contamination with cesium-137 exceeds 1 Cu/km2. The paper presents results of calculations of the average effective doses in 2014. The purpose was to use the dose values (SGED90 in zonation of contaminated territories. Therefore, the

  9. 7 CFR 1209.12 - On average. (United States)


    ... 7 Agriculture 10 2010-01-01 2010-01-01 false On average. 1209.12 Section 1209.12 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS....12 On average. On average means a rolling average of production or imports during the last two...

  10. The Effect of Antihypertensive Treatment on Cardiovascular Events——A Meta-Analysis of Four Clinical Trials in China

    Institute of Scientific and Technical Information of China (English)


    Objective The pooled results of four large-scale clinical trials of antihypertensive treatments carried out in China were assessed, with an overall study population of 10,457 patients. Methods The fixed effect model was used for data analysis. Results A pooled analysis at the individual level showed that the average time of treatment was 3.4 years, after which an average reduction in blood pressure of 9/4 mmHg was found. The meta-analysis showed that stroke was reduced by 36% (95% CI 25%-46%, P0.05), whereas the significant reduction in stroke was epidemiologically expected. Conclusion The benefit of antihypertensive treatment obtained was mostly due to a reduction in the incidence of stroke.

  11. Alcohol use disorder: pathophysiology, effects, and pharmacologic options for treatment

    Directory of Open Access Journals (Sweden)

    Wackernah RC


    Full Text Available Robin C Wackernah,1 Matthew J Minnick,1 Peter Clapp2 1Department of Pharmacy Practice, 2Department of Pharmaceutical Sciences, School of Pharmacy, Rueckert-Hartman College for Health Professions, Regis University, Denver, CO, USA Abstract: Alcohol use disorders (AUD continue to be a concerning health issue worldwide. Harmful alcohol use leads to 2.5 million deaths annually worldwide. Multiple options exist for the management of dependence on alcohol, not all of which are approved by drug-regulating agencies. Current practice in treating AUD does not reflect the diversity of pharmacologic options that have potential to provide benefit, and guidance for clinicians is limited. Few medications are approved for treatment of AUD, and these have exhibited small and/or inconsistent effects in broad patient populations with diverse drinking patterns. The need for continued research into the treatment of this disease is evident in order to provide patients with more specific and effective options. This review describes the neurobiological mechanisms of AUD that are amenable to treatment and drug therapies that target pathophysiological conditions of AUD to reduce drinking. In addition, current literature on pharmacologic (both approved and non-approved treatment options for AUD offered in the United States and elsewhere are reviewed. The aim is to inform clinicians regarding the options for alcohol abuse treatment, keeping in mind that not all treatments are completely successful in reducing craving or heavy drinking or increasing abstinence. Keywords: abuse, alcohol, alcoholism, craving, dependence, relapse

  12. Rebound effect of drugs: fatal risk of conventional treatment and pharmacological basis of homeopathic treatment

    Directory of Open Access Journals (Sweden)

    Marcus Zulian Teixeira


    Full Text Available The homeopathic model applies the secondary action or vital reaction of the organism as a therapeutic method and thus prescribes treatment by similitude, which consists in administering to ill individuals substances that cause similar symptoms in healthy individuals. The vital, homeostatic or paradoxical reaction of the organism might be explained scientifically by means of the rebound effect of modern drugs, which might cause fatal iatrogenic events after discontinuation of antipathic (a term used in alternative medicine for palliative treatment, also known as enantiopathic treatment. Although the rebound effect is studied by modern pharmacology, it is poorly communicated to and discussed among healthcare professionals, who are thus deprived of information needed for the safe management of modern drugs. This article presents an up-to-date review on the rebound effect of modern drugs that grounds the homeopathic principle of healing and calls the attention of doctors to this type of adverse effect that is usually unnoticed. The rebound effect of modern palliative drugs, which was pointed out by Hahnemann more than two centuries ago, might cause fatal adverse events and is illustrated by the examples of acetylsalicylic acid, anti-inflammatory agents, bronchodilators, antidepressants, statins, proton-pump inhibitors, etc. Although the rebound effect is expressed by a small fraction of (susceptible individuals and might be avoided by gradual tapering of antipathic drugs, it exhibits epidemiologic importance as a function of the massive use of such palliative drugs and the lack of knowledge in its regard.

  13. Anti-inflammatory effects of electronic signal treatment. (United States)

    Odell, Robert H; Sorgnard, Richard E


    Inflammation often plays a key role in the perpetuation of pain. Chronic inflammatory conditions (e.g. osteoarthritis, immune system dysfunction, micro-circulatory disease, painful neuritis, and even heart disease) have increased as baby boomers age. Medicine's current anti-inflammatory choices are NSAIDs and steroids; the value in promoting cure and side effect risks of these medications are unclear and controversial, especially considering individual patient variations. Electricity has continuously been a powerful tool in medicine for thousands of years. All medical professionals are, to some degree, aware of electrotherapy; those who directly use electricity for treatment know of its anti-inflammatory effects. Electronic signal treatment (EST), as an extension of presently available technology, may reasonably have even more anti-inflammatory effects. EST is a digitally produced alternating current sinusoidal electronic signal with associated harmonics to produce theoretically reasonable and/or scientifically documented physiological effects when applied to the human body. These signals are produced by advanced electronics not possible even 10 to 15 years ago. The potential long-lasting anti-inflammatory effects of some electrical currents are based on basic physical and biochemical facts listed in the text below, namely that of stimulating and signaling effective and long-lasting anti-inflammatory effects in nerve and muscle cells. The safety of electrotherapeutic treatments in general and EST in particular has been established through extensive clinical use. The principles of physics have been largely de-emphasized in modern medicine in favor of chemistry. These electrical treatments, a familiar application of physics, thus represent powerful and appropriate elements of physicians' pain care armamentaria in the clinic and possibly for prescription for use at home to improve overall patient care and maintenance of quality of life via low-risk and potentially

  14. Effects of Depression on Treatment Motivation in Male Alcohol Dependence (United States)

    CENGİSİZ, Cengiz; DEVECİ, Artuner; YAPICI, Aslıhan


    Introduction Treatment motivation in alcohol dependents is usually viewed as a strong predictor of seeking treatment and treatment success. The conditions affecting motivation in alcohol dependence, however, has not been clarified. In this study, it is aimed to determine the effects of depression on treatment motivation in male alcohol dependence. Methods The present study included 34 male alcohol dependents presenting to outpatient clinics in Manisa Hospital of Mental Disorders and Hospital of Celal Bayar University. The patients underwent evaluation using the socio-demographic and clinical information form, DSM-IV SCID-I Clinical Version, Treatment Motivation Questionnaire (TMQ), and Hamilton Depression Rating Scale (HDRS). Results A significant relationship was found between the total score of TMQ and HDRS (p=.039). Conclusion We believe that the present study, in which we examined the relationship between treatment motivation in male alcohol dependence and depression, would provide a significant contribution to literature. It is also important to investigate other factors that may affect treatment motivation in male alcohol dependence. Studies with larger samples are needed on this topic.

  15. Effectiveness of treatment of patients affected by trochanter major enthesitis

    Directory of Open Access Journals (Sweden)

    Eldad Kaljić


    Full Text Available Introduction: Enthesitis of the trochanter major is characterized by pain and often by limping when walking, then pain, tension, swelling, increased warmth and redness in the area of trochanter, and hip weaknessespecially when performing exercises with resistance. Research goals: Determine the effectiveness of treatment of major trochanter enthesitis, and analyze the representation of it in patients of both gender, different ages and professions.Methods: Retrospective analysis of data from the clinic "Praxis" in the period from 01.01.2001. to 31.12.2011. year because of the major trochanter enthesitis 30 patients were treated. Criteria for inclusion in the study were those people with symptoms and diagnosis of of the trochanter major enthesitis who have accessed treatment, while the criteria for exclusion were inadequate diagnosis, treatment abandonment and lack ofpatient data. The process of therapy included the evaluation of the functional status of patients graded 0-5, then conducted physical therapy that included: bed rest, manual massage and local instillation of depot corticosteroids, and assessment of treatment success ranging from 0 to 5.Research results: The mean score for condition of respondents was 3.27 before therapy, while after treatment it was 4.33. The mean score for status of respondents was 3.13 before treatment, and after therapy itwas 4.33.Conslusion: Based on these data we can conclude that treatment in the clinic "Praxis" leads to the improvement in patients suffering from the enthesitis of trochanter major.

  16. [Borderline resectable pancreatic cancer - a definition and effective treatment strategy]. (United States)

    Yokoyama, Yukihiro; Ebata, Tomoki; Igami, Tsuyoshi; Sugawara, Gen; Takahashi, Yuh; Kokuryo, Toshio; Tsunoda, Nobuyuki; Fukaya, Masahide; Uehara, Keisuke; Itatsu, Keita; Yoshioka, Yuichiro; Nagino, Masato


    The survival benefit of extended surgery for advanced pancreatic cancer has been denied by four randomized controlled trials. However, there still is confusion and conflict over the definition and effective treatment strategy for so-called locally advanced or borderline resectable pancreatic cancer. Although there are a number of reports that showed outcomes of preoperative chemotherapy or chemoradiotherapy for this disease, the definitions and treatment regimens described in these studies vary. Moreover, all of the studies were Phase I / II trials or retrospective analysis, and there is no Phase III trial currently focused on this issue. It is urgently necessary to establish an international consensus on the definition of borderline resectable pancreatic cancer. The usefulness of neoadjuvant treatment for this disease should also be elucidated in future clinical trials. In this review article, we discuss the current understanding and definition of borderline resectable pancreatic cancer, and the value of neoadjuvant treatment strategy for treating it.

  17. The effects of surface treatments on rapid chloride permeability tests

    KAUST Repository

    Yoon, Seyoon


    Surface treatments are commonly applied to improve the chloride resistance of concrete structures exposed to saline environments. Information on chloride ingress to surface-treated concrete is mostly provided by application of the rapid chloride permeability test (RCPT); this test is short in duration and provides rapid results. This study presents a numerical formulation, based on the extended Nernst-Plank/Poisson (NPP) equation, to model the effect of the surface treatment on a sample tested by RCPT. Predictions of the model are compared to experimental measurements. The simulations show that the results from RCPT, in terms of ionic profiles and measurement of the electric field, are dependent on the effectiveness of surface treatments. During RCPT, highly effective surface treatments cause both cations and anions to flocculate at the interface between the surface treatment and the concrete, creating a local electric field. Our numerical model includes these phenomena and presents a methodology to obtain more accurate diffusivities of the surface-treated- concrete from RCPT. © 2012 Elsevier B.V. All rights reserved.

  18. The effectiveness of biofeedback therapy in children with monosymptomatic enuresis resistant to desmopressin treatment (United States)

    Sancak, Eyüp Burak; Akbaş, Alpaslan; Kurt, Ömer; Alan, Cabir; Ersay, Ahmet Reşit


    Objective To investigate the effect of biofeedback therapy on children with desmopressin- resistant primary monosymptomatic enuresis (MsE). Material and methods The study comprised both retrospective and prospective sections. A total of 262 medical files of patients who were diagnosed as enuresis between November 2012 and January 2015 were retrospectively screened. Patients with neuropathic bladder, daytime voiding problems, anatomical pathology and enuresis-related diseases were excluded from the study. The demographic data and family characteristics of 29 children with desmopressin- resistantprimary MsE were recorded. After biofeedback treatment patients whose frequency of enuretic episodes decrease by more than 50% were included in the successful biofeedback treatment group (SBTG), while other patients were categorized in the unsuccessful biofeedback treatment group (USGBT). The outcomes of uroflowmetry, voided volume, postvoiding residue (PVR) and total bladder volume/age-adjusted normal bladder capacity (TBV/NBC) were recorded before and at the sixth month of the treatment. Results The mean age of 29 patients included in the study was 9.14±3.07 (6–15) years. Of patients, 16 were male (55.2%) and 13 were female (44.8%). Before biofeedback treatment the frequency of enuresis was 25.1±5.76 days/month, while after treatment this was calculated as 8.52±10.07 days/month. After treatment 8 patients (28.6%) achieved complete dryness. Twenty patients (69%), benefited from biofeedback (SBTG), while there were 9 patients (31%) in the USBTG group. There was no significant difference between the SBTG and USBTG groups in terms of age, body mass index and sex. The average bladder capacity of the patients increased from 215 mL to 257 mL after biofeedback treatment (p<0.001). The TBV/NBC value before treatment was 0.66, while after treatment it was 0.77 (p<0.001). There was a statistically significant difference between the SBTG and USBTG groups in terms of presence of Ms

  19. Effectiveness of combined intermittent preventive treatment for children and timely home treatment for malaria control

    Directory of Open Access Journals (Sweden)

    Seakey Atsu K


    Full Text Available Abstract Background Whiles awaiting for the arrival of an effective and affordable malaria vaccine, there is a need to make use of the available control tools to reduce malaria risk, especially in children under five years and pregnant women. Intermittent preventive treatment (IPT has recently been accepted as an important component of the malaria control strategy. This study explored the potential of a strategy of intermittent preventive treatment for children (IPTC and timely treatment of malaria-related febrile illness in the home in reducing the parasite prevalence and malaria morbidity in young children in a coastal village in Ghana. Methods The study combined home-based delivery of IPTC among six to 60 months old and home treatment of suspected febrile malaria illness within 24 hours. All children between six and 60 months of age received intermittent preventive treatment using amodiaquine and artesunate, delivered by community assistants every four months (three times in 12 months. Malaria parasite prevalence surveys were conducted before the first and after the third dose of IPTC. Results Parasite prevalence was reduced from 25% to 3% (p Conclusion The evaluation result indicates that IPTC given three times in a year combined with timely treatment of febrile malaria illness, impacts significantly on the parasite prevalence. The marked reduction in the parasite prevalence with this strategy points to the potential for reducing malaria-related childhood morbidity and mortality, and this should be explored by control programme managers.

  20. Therapeutic Effect Observations on Individualized Treatment of Peripheral Facial Palsy

    Institute of Scientific and Technical Information of China (English)

    何希俊; 谭吉林; 王本国; 郭瑞兰; 韩丑萍


    目的:观察采用个体化方案治疗周围性面瘫的疗效.方法:治疗组121例患者根据其病情特点采用个体化方案进行针刺治疗,与118例常规针灸治疗者进行对照研究,比较其疗程与疗效的差异.结果:治疗组愈显率为90.9%,对照组愈显率为69.5%,差异有显著性(P<0.01);两组各疗程愈显率比较,差异有显著性(P<0.01).结论:采用个体化方案治疗周围性面瘫效果明显优于常规针刺方法,且疗程短.%To investigate the curative effect of individualized treatment on peripheral facial paralysis. Methods:A treatment group of 121 patients was treated with acupuncture under an individualized plan based on the condition of disease. For a control study,118 patients were treated with conventional acupuncture. The courses of treatment and the curative effects were compared. Results:The cure and marked efficacy rate was 90.9% in the treatment group and 69.5% in the control group. There was a significant difference (P<0.01).There was also a significant difference in the cure and marked efficacy rate in each courses of treatment between the two groups (P<0.01). Conclusion:Individualized acupuncture treatment is better in the effect and shorter in the courses than conventional acupuncture treatment for peripheral facial paralysis.

  1. The Cost-Effectiveness of Treatment Modalities for Ureteral Stones

    Directory of Open Access Journals (Sweden)

    Justin Ji-Yuen Siu MD


    Full Text Available Additional intervention and medical treatment of complications may follow the primary treatment of a ureteral stone. We investigated the cost of the treatment of ureteral stone(s within 45 days after initial intervention by means of retrospective analysis of the National Health Insurance Research Database of Taiwan. All patients of ages ≥20 years diagnosed with ureteral stone(s( International Classification of Diseases, Ninth Revision, Clinical Modification/ICD-9-CM: 592.1 from January 2001 to December 2011 were enrolled. We included a comorbidity code only if the diagnosis appeared in at least 2 separate claims in a patient’s record. Treatment modalities (code included extracorporeal shock-wave lithotripsy (SWL; 98.51, ureteroscopic lithotripsy (URSL; 56.31, percutaneous nephrolithotripsy (PNL; 55.04, (open ureterolithotomy (56.20, and laparoscopy (ie, laparoscopic ureterolithotomy; 54.21. There were 28 513 patients with ureteral stones (13 848 men and 14 665 women in the randomized sample of 1 million patients. The mean cost was 526.4 ± 724.1 United States Dollar (USD. The costs of treatment were significantly increased in patients with comorbidities. The costs of treatment among each primary treatment modalities were 1212.2 ± 627.3, 1146.7 ± 816.8, 2507.4 ± 1333.5, 1533.3 ± 1137.1, 2566.4 ± 2594.3, and 209.8 ± 473.2 USD in the SWL, URSL, PNL, (open ureterolithotomy, laparoscopy (laparoscopic ureterolithotomy, and conservative treatment group, respectively. In conclusion, URSL was more cost-effective than SWL and PNL as a primary treatment modality for ureteral stone(s when the possible additional costs within 45 days after the initial operation were included in the calculation.

  2. Late effects of breast cancer treatment and potentials for rehabilitation

    DEFF Research Database (Denmark)

    Ewertz, Marianne; Jensen, Anders Bonde


    in 35%. Physiotherapy is the standard treatment for the latter while no pain intervention trials have been published. Chemotherapy may cause infertility and premature menopause, resulting in vasomotor symptoms, sexual dysfunction, and osteoporosis, which are similar to the side effects of endocrine...


    This report summarizes the results of Mine Waste Technology Program (MWTP) Activity III, Project 39, Permeable Treatment Wall Effectiveness Monitoring Project, implemented and funded by the U.S. Environmental Protection Agency (EPA) and jointly administered by EPA and the U.S. De...

  4. Correlates, Causes, Effects, and Treatment of Test Anxiety. (United States)

    Hembree, Ray


    A meta-analysis of the results of 562 studies illustrates the nature, effect, and treatment of academic test anxiety (TA). TA correlated inversely to students' self-esteem and directly to their fears of negative evaluation, defensiveness, and other forms of anxiety. Ability, gender, and school grade level also affect TA. (TJH)

  5. Effect of 82% Lactic Acid in Treatment of Melasma (United States)

    Singh, Rashmi; Goyal, Sapna; Ahmed, Qazi Rais; Gupta, Narendra; Singh, Sujata


    Melasma is an acquired, chronic, and symmetrical hypermelanosis, characterized by brown patches of variable darkness on sun exposed areas of body. There are numerous modalities of treatment currently in use for this disease, of which the chemical peeling is very commonly used. Therefore, the present work was done to see the effect of 82% lactic acid peel in the treatment of melasma. A total number of 20 patients of either sex attending the OPD of dermatology department with clinically evident melasma were included in the study. 82% Lactic acid peel was applied on the face for 12 weeks in each patient. Patients were evaluated clinically and photographically at various intervals and in follow-up till 24 weeks. Assessment of patient satisfaction and side effects were also noted. All the subjects completed the study. Application of this peel for 12 weeks significantly decreased the melasma area severity index score and also melasma severity scale score. Patient and physician analogue scales also showed the improvement by the treatment. Regarding the adverse effects, burning sensation was the only side effect noted in our study. In conclusion, 82% lactic acid peel is well tolerated and can be used for the treatment of melasma. PMID:27355080

  6. Immunological effects of methylprednisolone pulse treatment in progressive multiple sclerosis

    DEFF Research Database (Denmark)

    Ratzer, R; Romme Christensen, J; Romme Nielsen, B


    phenotypes investigated, 25 changed at nominal significance from baseline to week 12 (pTh17 or TFH cells. CONCLUSION: Methylprednisolone pulse treatment has...... some effects on circulating immune cells but does not modulate markers of Th17 and TFH cell activity in progressive MS....

  7. Contact transcleral ciliary body photodynamic therapy with verteporfin in pigmented rabbits: effect of repeated treatments. (United States)

    Charisis, Spyridon K; Naoumidi, Irene I; Ginis, Harilaos S; Detorakis, Efstathios T; Tsilimbaris, Miltiadis K


    We studied the effect on the intraocular pressure (IOP) and the ciliary body (CB) morphology after four consecutive contact transcleral photodynamic treatments of the ciliary body (CB-PDT) with verteporfin in pigmented rabbits. Twenty-two pigmented rabbits underwent CB-PDT (study group), performed once (six rabbits) or repeated for up to four times (16 rabbits). Six additional rabbits received only laser treatment without photosensitizer administration (control group). CB-PDT was performed in one eye in rabbits of the study group, with the fellow eye serving as internal control. Verteporfin dosage was 1 mg kg(-1) as bolus injection and laser settings were 40 mW (600 microm core optical fiber) for 1.5 min per spot, for 10 spots. In repeated CB-PDT, treatments were performed in 4-day intervals. Daily IOP measurements were recorded. Histological studies were performed at selected time points. An IOP reduction, more sustained following repeated treatments, was detected in all treated eyes but not in fellow eyes or in the control group. On the average, the IOP was restored to pretreatment levels 4 days after the last treatment. No serious adverse events were observed and the CB architecture was intact at the end of the experiment. Repeated CB-PDT is safe and results in a short-term reduction of IOP. Induced CB alterations are reversible.

  8. Fall rice straw management and winter flooding treatment effects on a subsequent soybean crop (United States)

    Anders, M.M.; Windham, T.E.; McNew, R.W.; Reinecke, K.J.


    The effects of fall rice (Oryza sativa L.) straw management and winter flooding on the yield and profitability of subsequent irrigated and dryland soybean [Glycine max (L.) Merr.] crops were studied for 3 years. Rice straw treatments consisted of disking, rolling, or standing stubble. Winter flooding treatments consisted of maintaining a minimum water depth of 10 cm by pumping water when necessary, impounding available rainfall, and draining fields to prevent flooding. The following soybean crop was managed as a conventional-tillage system or no-till system. Tillage system treatments were further divided into irrigated or dryland. Results indicated that there were no significant effects from either fall rice straw management or winter flooding treatments on soybean seed yields. Soybean seed yields for, the conventional tillage system were significantly greater than those for the no-till system for the first 2 yrs and not different in the third year. Irrigated soybean seed yields were significantly greater than those from dryland plots for all years. Net economic returns averaged over the 3 yrs were greatest ($390.00 ha-1) from the irrigated no-till system.

  9. Charge neutral MoS2 field effect transistors through oxygen plasma treatment (United States)

    Dhall, Rohan; Li, Zhen; Kosmowska, Ewa; Cronin, Stephen B.


    Lithographically fabricated MoS2 field effect transistors suffer from several critical imperfections, including low sub-threshold swings, large turn-on gate voltages (VT), and wide device-to-device variability. The large magnitude and variability of VT stems from unclean interfaces, trapped charges in the underlying substrate, and sulfur vacancies created during the mechanical exfoliation process. In this study, we demonstrate a simple and reliable oxygen plasma treatment, which mitigates the effects of unintentional doping created by surface defect sites, such as S vacancies, and surface contamination. This plasma treatment restores charge neutrality to the MoS2 and shifts the threshold turn-on voltage towards 0 V. Out of the 10 devices measured, all exhibit a shift of the FET turn-on voltage from an average of -18 V to -2 V. The oxygen plasma treatment passivates these defects, which reduces surface scattering, causing increased mobility and improved subthreshold swing. For as-prepared devices with low mobilities (˜0.01 cm2/V s), we observe up to a 190-fold increase in mobility after exposure to the oxygen plasma. Perhaps the most important aspect of this oxygen plasma treatment is that it reduces the device-to-device variability, which is a crucial factor in realizing any practical application of these devices.

  10. Evaluating the cost effectiveness of donepezil in the treatment of Alzheimer's disease in Germany using discrete event simulation

    Directory of Open Access Journals (Sweden)

    Hartz Susanne


    Full Text Available Abstract Background Previous cost-effectiveness studies of cholinesterase inhibitors have modeled Alzheimer's disease (AD progression and treatment effects through single or global severity measures, or progression to "Full Time Care". This analysis evaluates the cost-effectiveness of donepezil versus memantine or no treatment in Germany by considering correlated changes in cognition, behavior and function. Methods Rates of change were modeled using trial and registry-based patient level data. A discrete event simulation projected outcomes for three identical patient groups: donepezil 10 mg, memantine 20 mg and no therapy. Patient mix, mortality and costs were developed using Germany-specific sources. Results Treatment of patients with mild to moderately severe AD with donepezil compared to no treatment was associated with 0.13 QALYs gained per patient, and 0.01 QALYs gained per caregiver and resulted in average savings of €7,007 and €9,893 per patient from the healthcare system and societal perspectives, respectively. In patients with moderate to moderately-severe AD, donepezil compared to memantine resulted in QALY gains averaging 0.01 per patient, and savings averaging €1,960 and €2,825 from the healthcare system and societal perspective, respectively. In probabilistic sensitivity analyses, donepezil dominated no treatment in most replications and memantine in over 70% of the replications. Donepezil leads to savings in 95% of replications versus memantine. Conclusions Donepezil is highly cost-effective in patients with AD in Germany, leading to improvements in health outcomes and substantial savings compared to no treatment. This holds across a variety of sensitivity analyses.

  11. Effectiveness of hypnosis therapy and Gestalt therapy as depression treatments

    Directory of Open Access Journals (Sweden)

    Elizabeth González-Ramírez


    Full Text Available We analyzed the effectiveness of two psychological therapies to treat depression in the Culiacan population, Mexico. According to criteria of MINI (international Neuropsychiatric interview, 30 individuals from a total of 300 were selected and diagnosed with some kind of depression. Patients were divided in three groups: 1 treatment with hypnosis therapy, 2 treatment with Gestalt-hypnosis therapy, and 3 control group. Before and after the treatments the Beck Anxiety Inventory (BAI was applied to know the depression level of the analyzed groups. The results show that the three groups were presenting a moderated level of depression. The groups under hypnosis therapy and Gestalt-hypnosis therapy show statistical differences between pre-test and post-test. The hypnosis therapy shows significant statistic differences to treat depression with respect to the other two groups. In conclusion, the therapeutic hypnosis is an effective treatment and has relevance to treat depression, while other therapeutic treatments tend to be slow and with minor result. This study is the first of this kind carried out in Culiacan in Sinaloa, Mexico.

  12. The effects of isotretinoin treatment on sensory nerves: Electromyographic findings

    Directory of Open Access Journals (Sweden)

    Filiz Canpolat


    Full Text Available Background: Isotretinoin, a first generation retinoid, has been reported to cause a variety of side effects on the neuromuscular system. The aim of this study is to investigate the effects of oral isotretinoin on electromyographic findings.Material and Method: Fifteen patients (9 males, 6 females, aged 21.0 ± 3.1 years with no evident neurological and neurophysiological findings planned to be treated with oral isotretinoin for nodulocystic acne were enrolled in this study. All the patients underwent some laboratory investigations before treatment to exclude the other causes of peripheral neuropathy. Patients with normal findings in the first exam were prescribed 0.5 mg/kg/day oral isotretinoin. Before and after 6th months of isotretinoin treatment, neurological examination and electromyographic studies were performed.Results: Clinical examinations and electromyographic evaluations before and after treatment disclosed no abnormalities in any of the patients. Although the motor conduction parameters did not show any difference, a significant decrease in the mean sensory conduction velocities of median, ulnar and sural nerves and the mean amplitude of sensory action potential of ulnar nerve were detected 6 months after onset of treatment compared with pre-treatment values (p=0.04, p=0.03, p=0.01, p<0.01, respectively.Conclusion: Systemic administration of isotretinoin may cause electromyographic changes.

  13. Effects of 3% trehalose as an adjuvant treatment after LASIK (United States)

    Mateo Orobia, Antonio J; Casas Pascual, Paula; Cristóbal Bescós, José Á; Perez García, Diana; Peiro Embid, Carlos; del Buey Sayas, M Ángeles; Korobko Kulikova, Valentyna; Lafuente Ojeda, Noelia


    Purpose To evaluate the effect of 3% trehalose as an adjuvant in the standard treatment after laser-assisted in situ keratomileusis. Design Interventional prospective comparative single-blind study. Setting Department of Ophthalmology, Hospital Quirón Zaragoza, Spain. Methods A total of 26 eyes (13 patients) were included, of which 12 eyes (group 1) received conventional treatment with lubricant drops of hyaluronic acid (0.15%) and 14 eyes (group 2) received, additionally, an ophthalmic solution of 3% trehalose. Pre- and postoperative quality-of-life tests and vital stains, tear breakup time, and osmolarity measurements were made. Results We obtained statistically significant differences between the groups in the Symptom Assessment in Dry Eye test in all visits with respect to severity, and in the postoperative day 1 visit with respect to frequency, in all cases favoring the trehalose treatment. The values of osmolarity were not significantly different between groups. However, we did find significant differences in the Oxford scale in day 90 for the trehalose treatment (P<0.001), and in the National Eye Institute scale in day 30 (P=0.02). Conclusion The results of this exploratory study indicate that the adjuvant treatment with 3% trehalose could be superior with respect to the standard treatment, with improvements in the objective and subjective parameters of tear quality. PMID:28243058

  14. Effects of Bright Light Treatment on Psychomotor Speed in Athletes

    Directory of Open Access Journals (Sweden)

    Mikko Paavo Tulppo


    Full Text Available Purpose: A recent study suggests that transcranial brain targeted light treatment via ear canals may have physiological effects on brain function studied by functional magnetic resonance imaging (fMRI techniques in humans. We tested the hypothesis that bright light treatment could improve psychomotor speed in professional ice hockey players. Methods: Psychomotor speed tests with audio and visual warning signals were administered to a Finnish National Ice Hockey League team before and after 24 days of transcranial bright light or sham treatment. The treatments were given during seasonal darkness in the Oulu region (latitude 65 degrees north when the strain on the players was also very high (10 matches during 24 days. A daily 12-min dose of bright light or sham (n = 11 for both treatment was given every morning between 8–12 am at home with a transcranial bright light device. Mean reaction time and motor time were analyzed separately for both psychomotor tests. Analysis of variance for repeated measures adjusted for age was performed. Results: Time x group interaction for motor time with a visual warning signal was p = 0.024 after adjustment for age. In Bonferroni post-hoc analysis, motor time with a visual warning signal decreased in the bright light treatment group from 127 ± 43 to 94 ± 26 ms (p = 0.024 but did not change significantly in the sham group 121 ± 23 vs. 110 ± 32 ms (p = 0.308. Reaction time with a visual signal did not change in either group. Reaction or motor time with an audio warning signal did not change in either the treatment or sham group. Conclusion: Psychomotor speed, particularly motor time with a visual warning signal, improves after transcranial bright light treatment in professional ice-hockey players during the competition season in the dark time of the year.

  15. Effects of Treatment on the Treated: Identification and Generalization

    CERN Document Server

    Shpitser, Ilya


    Many applications of causal analysis call for assessing, retrospectively, the effect of withholding an action that has in fact been implemented. This counterfactual quantity, sometimes called "effect of treatment on the treated," (ETT) have been used to to evaluate educational programs, critic public policies, and justify individual decision making. In this paper we explore the conditions under which ETT can be estimated from (i.e., identified in) experimental and/or observational studies. We show that, when the action invokes a singleton variable, the conditions for ETT identification have simple characterizations in terms of causal diagrams. We further give a graphical characterization of the conditions under which the effects of multiple treatments on the treated can be identified, as well as ways in which the ETT estimand can be constructed from both interventional and observational distributions.

  16. Fenbendazole treatment may influence lipopolysaccharide effects in rat brain. (United States)

    Hunter, Randy L; Choi, Dong-Young; Kincer, Jeanie F; Cass, Wayne A; Bing, Guoying; Gash, Don M


    In evaluating discrepant results between experiments in our laboratory, we collected data that challenge the notion that anthelminthic drugs like FBZ do not alter inflammatory responses. We found that FBZ significantly modulates inflammation in F344 rats intrastriatally injected with LPS. FBZ treatment of LPS-injected rats significantly increased weight loss, microglial activation, and dopamine loss; in addition, FBZ attenuated the LPS-induced loss of astrocytes. Therefore, FBZ treatment altered the effects of LPS injection. Caution should be used in interpreting data collected from rats treated with LPS and FBZ.

  17. The effect of atmospheric corona treatment on AA1050 aluminium

    DEFF Research Database (Denmark)

    Jariyaboon, Manthana; Møller, Per; Dunin-Borkowski, Rafal E.


    The effect of atmospheric corona discharge on AM 050 aluminium surface was investigated using electrochemical polarization, SEM-EDX, FIB-SEM. and XPS. The corona treatment was performed with varying time (1, 5, and 15 min) in atmospheric air. A 200 nm oxide layer was generated on AA1050 after...... the 15 min air corona treatment. A significant reduction in anodic and cathodic reactivities was observed starting from 1 min exposure, which further decreased with prolonged exposure (15 min) and after delayed testing (after 30 days). The reduction in surface reactivity is due to the formation...

  18. 兰州市日均气温对荨麻疹发病的滞后效应研究%Lag effect of daily average temperature on the occurrence of urticaria in Lanzhou city

    Institute of Scientific and Technical Information of China (English)

    石春蕊; 熊潇; 潘亚娟; 董继元; 骆志成; 郗群; 王亚婷


    Objective To evaluate effects of daily average temperature on the occurrence of urticaria in Lanzhou city,and to analyze differences in the effects between different populations.Methods Time-series data on daily outpatient visits for urticaria between January 1,2007 and December 31,2013 were collected from the First Hospital of Lanzhou University and Lanzhou University Second Hospital.Daily meteorological data during this peroid were obtained from the Gansu Meteorological Bureau.Distributed lag non-linear models were used to analyze the association between daily average temperature and occurrence of urticaria,and the analysis was stratified by age and gender.Results The association between daily average temperature and daily number of outpatient visits for urticaria was nonlinear.Low temperature had significant lag effects on the daily number of outpatient visits for urticaria,with the maximum relative risk (RR) value (1.014 [95% CI 1.000-1.023]) observed at 6 ℃ on lag day 18.Stratification analysis demonstrated that the effects of high temperature on the number of outpatient visits for urticaria were apparent on the day of exposure in age groups of 0-18 and 19-64 years,but decreased on the day of exposure in the age group ≥ 65 years.The effects of low temperature,which showed similar trends along with the increment of lag days in all groups,were relatively delayed and occurred 2 to 4 days after exposure.Conclusions Air temperature affects the occurrence of urticaria in Lanzhou city.Low temperature has evident lag effects on the occurrence of urticaria,while high temperature does not have.%目的 探讨兰州市日均气温对荨麻疹发病的影响,以及不同人群中的差异.方法 收集兰州大学第一、二医院皮肤科2007年1月1日至2013年12月31日,荨麻疹就诊人数的时间序列资料和相应的气象资料,运用分布滞后非线性模型分析气温与荨麻疹发病的关系,并按性别和年龄进行分层分析.结果 日均

  19. Do time-averaged, whole-building, effective volatile organic compound (VOC) emissions depend on the air exchange rate? A statistical analysis of trends for 46 VOCs in U.S. offices. (United States)

    Rackes, A; Waring, M S


    We used existing data to develop distributions of time-averaged air exchange rates (AER), whole-building 'effective' emission rates of volatile organic compounds (VOC), and other variables for use in Monte Carlo analyses of U.S. offices. With these, we explored whether long-term VOC emission rates were related to the AER over the sector, as has been observed in the short term for some VOCs in single buildings. We fit and compared two statistical models to the data. In the independent emissions model (IEM), emissions were unaffected by other variables, while in the dependent emissions model (DEM), emissions responded to the AER via coupling through a conceptual boundary layer between the air and a lumped emission source. For 20 of 46 VOCs, the DEM was preferable to the IEM and emission rates, though variable, were higher in buildings with higher AERs. Most oxygenated VOCs and some alkanes were well fit by the DEM, while nearly all aromatics and halocarbons were independent. Trends by vapor pressure suggested multiple mechanisms could be involved. The factors of temperature, relative humidity, and building age were almost never associated with effective emission rates. Our findings suggest that effective emissions in real commercial buildings will be difficult to predict from deterministic experiments or models.

  20. Quantile treatment effects of job loss on health. (United States)

    Schiele, Valentin; Schmitz, Hendrik


    Studies on health effects of job loss mostly estimate mean effects. We argue that the effects might differ over the distribution of the health status and use quantile regression methods to provide a more complete picture. To take the potential endogeneity of job loss into account, we estimate quantile treatment effects where we rely on job loss due to plant closures. We find that the effect of job loss indeed varies across the mental and physical health distribution. Job loss due to plant closures affects physical health adversely for individuals in the middle and lower part of the health distribution while those in best physical condition do not seem to be affected. The results for mental health, though less distinct, point in the same direction. We find no effects on BMI.

  1. Emissions of ammonia, carbon dioxide, and hydrogen sulfide from swine wastewater during and after acidification treatment: effect of pH, mixing and aeration

    DEFF Research Database (Denmark)

    Dai, Xiao-Rong; Blanes-Vidal, Victoria


    This study aimed at evaluating the effect of swine slurry acidification and acidification-aeration treatments on ammonia (NH(3)), carbon dioxide (CO(2)) and hydrogen sulfide (H(2)S) emissions during slurry treatment and subsequent undisturbed storage. The study was conducted in an experimental...... setup consisting of nine dynamic flux chambers. Three pH levels (pH = 6.0, pH = 5.8 and pH = 5.5), combined with short-term aeration and venting (with an inert gas) treatments were studied. Acidification reduced average NH(3) emissions from swine slurry stored after acidification treatment compared...... on average NH(3), CO(2) and H(2)S emissions both during the process and from stored slurry after venting treatments. During aeration treatment, the NH(3), CO(2) and H(2)S release pattern observed was related to the liquid turbulence caused by the gas bubbles rather than to biological oxidation processes...

  2. Antipsychotic treatment and the Rorschach Perceptual Thinking Index (PTI) in psychotic disorder patients: Effects of treatment. (United States)

    Biagiarelli, Mario; Curto, Martina; Di Pomponio, Ileana; Comparelli, Anna; Baldessarini, Ross J; Ferracuti, Stefano


    The Rorschach-based Perceptual Thinking Index (PTI) is used to identify and rate features of psychotic disorders, but effects of antipsychotic treatment on such ratings is not clear. Accordingly, we examined potential effects of antipsychotic drugs on PTI measures in 114 patients with a psychotic or bipolar-I disorder. Use and doses of antipsychotic drugs (as chlorpromazine-equivalent [CPZ-eq] mg/day) were unrelated to PTI total or subscale scores in any diagnostic group. PTI scores were independently and significantly associated with psychotic symptomatic severity (PANSS score) and less with female sex. These findings support the validity and value of the PTI in identifying features of psychosis even in the presence of antipsychotic treatment.

  3. On the relativistic mass function and averaging in cosmology

    CERN Document Server

    Ostrowski, Jan J; Roukema, Boudewijn F


    The general relativistic description of cosmological structure formation is an important challenge from both the theoretical and the numerical point of views. In this paper we present a brief prescription for a general relativistic treatment of structure formation and a resulting mass function on galaxy cluster scales in a highly generic scenario. To obtain this we use an exact scalar averaging scheme together with the relativistic generalization of Zel'dovich's approximation (RZA) that serves as a closure condition for the averaged equations.

  4. Factors Associated with Effectiveness of Treatment and Reproductive Outcomes in Patients with Thin Endometrium Undergoing Estrogen Treatment

    Directory of Open Access Journals (Sweden)

    Si-Miao Liu


    Conclusions: Thinner EMT before estrogen treatment requires longer treatment duration and predicts poorer treatment outcomes. The effectiveness of treatment depends on the duration of estrogen administration. Assisted reproductive outcomes of patients whose treatment is successful (i.e., achieves an EMT ≥8 mm are similar to those of controls. The quality of embryos transferred is an important predictor of assisted reproductive outcomes in patients treated successfully with exogenous estrogen.

  5. Accurate Switched-Voltage voltage averaging circuit


    金光, 一幸; 松本, 寛樹


    Abstract ###This paper proposes an accurate Switched-Voltage (SV) voltage averaging circuit. It is presented ###to compensated for NMOS missmatch error at MOS differential type voltage averaging circuit. ###The proposed circuit consists of a voltage averaging and a SV sample/hold (S/H) circuit. It can ###operate using nonoverlapping three phase clocks. Performance of this circuit is verified by PSpice ###simulations.

  6. Spectral averaging techniques for Jacobi matrices

    CERN Document Server

    del Rio, Rafael; Schulz-Baldes, Hermann


    Spectral averaging techniques for one-dimensional discrete Schroedinger operators are revisited and extended. In particular, simultaneous averaging over several parameters is discussed. Special focus is put on proving lower bounds on the density of the averaged spectral measures. These Wegner type estimates are used to analyze stability properties for the spectral types of Jacobi matrices under local perturbations.

  7. Dealing with heterogeneity of treatment effects: is the literature up to the challenge?

    Directory of Open Access Journals (Sweden)

    Elmore Joann G


    Full Text Available Abstract Background Some patients will experience more or less benefit from treatment than the averages reported from clinical trials; such variation in therapeutic outcome is termed heterogeneity of treatment effects (HTE. Identifying HTE is necessary to individualize treatment. The degree to which heterogeneity is sought and analyzed correctly in the general medical literature is unknown. We undertook this literature sample to track the use of HTE analyses over time, examine the appropriateness of the statistical methods used, and explore the predictors of such analyses. Methods Articles were selected through a probability sample of randomized controlled trials (RCTs published in Annals of Internal Medicine, BMJ, JAMA, The Lancet, and NEJM during odd numbered months of 1994, 1999, and 2004. RCTs were independently reviewed and coded by two abstractors, with adjudication by a third. Studies were classified as reporting: (1 HTE analysis, utilizing a formal test for heterogeneity or treatment-by-covariate interaction, (2 subgroup analysis only, involving no formal test for heterogeneity or interaction; or (3 neither. Chi-square tests and multiple logistic regression were used to identify variables associated with HTE reporting. Results 319 studies were included. Ninety-two (29% reported HTE analysis; another 88 (28% reported subgroup analysis only, without examining HTE formally. Major covariates examined included individual risk factors associated with prognosis, responsiveness to treatment, or vulnerability to adverse effects of treatment (56%; gender (30%; age (29%; study site or center (29%; and race/ethnicity (7%. Journal of publication and sample size were significant independent predictors of HTE analysis (p Conclusion HTE is frequently ignored or incorrectly analyzed. An iterative process of exploratory analysis followed by confirmatory HTE analysis will generate the data needed to facilitate an individualized approach to evidence

  8. Effectiveness of Radioiodine Treatment for Toxic Nodular Goiter

    Directory of Open Access Journals (Sweden)

    Hatice Şakı


    Full Text Available Objective: The aim of this retrospective study is to evaluate the treatment outcomes in patients with toxic nodular goiter (TNG that received radioiodine treatment (RAIT and to determine the influence of age, gender, nodule size, I-131 dose, underlying etiology and antithyroid drugs on the outcomes of RAIT. Methods: Two hundred thirty three patients (mean 64±10 years old with TNG that received RAIT were included in the study. Treatment success was analyzed according to demographic (age and gender and clinical data (thyroid function tests before and after RAIT, thyroid sonography and scintigraphy, I-131 dose, antithyroid drugs. A fixed dose of 555 MBq was administered to patients with nodules smaller than 2 cm in diameter and of 740 MBq to patients with nodules larger than 2 cm. Hyperthyroidism treatment success was defined as achieving hypothyroidism or euthyroidism six months after RAIT. Results: In our study, the cure rate was 93.9% six months after RAIT. Hypothyroidism was observed in 74 (31.7% patients, and euthyroidism was achieved in 145 (62.2% patients while 14 (6% patients remained in hyperthyroid state. Age and gender did not affect treatment outcomes. No correlation was found between underlying etiology or antithyroid drugs and therapeutic effectiveness. The effectiveness of RAIT was better in patients with nodules smaller than 2 cm. Conclusion: We observed that high cure rates were obtained in patients with TNG with 555 MBq and 740 MBq doses of I-131. While nodule diameter and RAI dose are important factors for treatment efficacy; age, gender, underlying etiology and antithyroid drugs do not affect the outcome of RAIT.

  9. Effective Medicinal Plant in Cancer Treatment, Part 2. (United States)

    Kooti, Wesam; Servatyari, Karo; Behzadifar, Masoud; Asadi-Samani, Majid; Sadeghi, Fatemeh; Nouri, Bijan; Zare Marzouni, Hadi


    Cancer is the second cause of death after cardiovascular diseases. With due attention to rapid progress in the phytochemical study of plants, they are becoming popular because of their anticancer effects. The aim of this study was to investigate the effective medicinal plants in the treatment of cancer and study their mechanism of action. In order to gather information the keywords "traditional medicine," "plant compounds," "medicinal plant," "medicinal herb," "toxicity," "anticancer effect," "cell line," and "treatment" were searched in international databases such as ScienceDirect, PubMed, and Scopus and national databases such as Magiran, Sid, and Iranmedex, and a total of 228 articles were collected. In this phase, 49 nonrelevant articles were excluded. Enhancement P53 protein expression, reducing the expression of proteins P27, P21, NFκB expression and induction of apoptosis, inhibition of the PI3K/Akt pathway, and reduction of the level of acid phosphatase and lipid peroxidation are the most effective mechanisms of herbal plants that can inhibit cell cycle and proliferation. Common treatments such as radiotherapy and chemotherapy can cause some complications. According to results of this study, herbal extracts have antioxidant compounds that can induce apoptosis and inhibit cell proliferation by the investigated mechanisms.

  10. Effect of early treatment in polymyositis and dermatomyositis

    Directory of Open Access Journals (Sweden)

    Naji Peyman


    Full Text Available Background : Idiopathic inflammatory myopathies, dermatomyositis (DM and polymyositis (PM are rare but are potentially treatable. Aim : To compare the effect of early and late treatment in patients with PM and DM. Materials and Methods : The study included all the adult patients with definite diagnosis of PM or DM treated for at least 12 months. The patients were divided into two groups: Early Group - treatment within three months and Late Group - treatment after three months. The number of patients with positive therapeutic response, remission in less than one year and the mean time elapsed for reaching the remission were assessed and compared between the two groups. Chi-square test, Fisher′s exact test, t-test and Pearson correlation test were used for data analysis. Results : The analysis included 65 patients, 42 with DM and 23 with PM. Late Group included 24 patients (seven PM and 17 DM, while Early Group included 41 patients (16 PM and 25 DM. Positive therapeutic response, remission rate within one year was higher in Early Group (80% vs. 46%, P: 0.004. The mean time needed to achieve remission was much less with early treatment (5.5 vs. 11.9 months, P: 0.003. The relapse rate was also lower in Early Group (5% vs. 25%, P < 0.02. The comparison of treatment outcomes showed the same results in both PM and DM, but it was statistically significant in patients with DM. Conclusions : Early treatment in patients with PM and DM is associated with higher remission rates, shorter treatment period and low complication rates.

  11. Sever's injury: treatment with insoles provides effective pain relief. (United States)

    Perhamre, S; Janson, S; Norlin, R; Klässbo, M


    Sever's injury (apophysitis calcanei) is considered to be the dominant cause of heel pain among children between 8 and 15 years. The traditional advice is to reduce and modify the level of physical activity. Recommended treatment in general is the same as for adults with Achilles tendon pain. The purpose of the study was to find out if insoles, of two different types, were effective in relieving heel pain in a group of boys (n=38) attending a Sports Medicine Clinic for heel pain diagnosed as Sever's injury. The type of insole was randomized, and self-assessed pain during physical activity in the treatment phase with insoles was compared with pain in the corresponding pre- and post-treatment phases without insoles. There were no other treatments added and the recommendations were to stay on the same activity level. All patients maintained their high level of physical activity throughout the study period. Significant pain reduction during physical activity when using insoles was found. Application of two different types of insoles without any immobilization, other treatment, or modification of sport activities results in significant pain relief in boys with Sever's injury.

  12. Effect of heat treatment on stainless steel orthodontic wires

    Directory of Open Access Journals (Sweden)

    Osmar Aparecido Cuoghi


    Full Text Available This study evaluated the effect of heat treatment on CrNi stainless steel orthodontic archwires. Half of forty archwires of each thickness - 0.014" (0.35 mm, 0.016" (0.40 mm, 0.018" (0.45 mm and 0.020" (0.50 mm (totalling 160 archwires - were subjected to heat treatment while the remainder were not. All of the archwires had their individual thickness measured in the anterior and posterior regions using AutoCad 2000 software before and after compressive and tensile strength testing. The data was statistically analysed utilising multivariance ANOVA at a 5% significance level. All archwires without heat treatment that were subjected to tensile strength testing presented with anterior opening, which was more accentuated in the 0.020" archwires. In the posterior region, the opening produced by the tensile force was more accentuated in the archwires without heat treatment. There was greater stability in the thermally treated archwires, especially those subjected to tensile strength testing, which indicates that the heat treatment of orthodontic archwires establishes a favourable and indispensable condition to preserve the intercanine width.

  13. Effect of combined treatments on viscosity of whey dispersions

    Energy Technology Data Exchange (ETDEWEB)

    Camillo, A.; Sabato, S.F. E-mail:


    Whey proteins, enriched protein fractions from milk, are of great interest as ingredients due to nutritional value associated with its functional properties. These proteins could have their structural properties improved when some treatments are applied, such as thermal and gamma irradiation or when some compounds are added. The current work aimed to study the viscometer behavior of whey dispersions submitted to two different combined treatments: (1) thermal plus irradiation and (2) thermal plus vacuum and N{sub 2} plus irradiation. Dispersions of whey protein in water (5% and 8% protein (w/v) base) and containing proteins and glycerol at ratios 1:1 and 2:1 (protein:glycerol) were submitted to both combined treatments. The irradiation doses were 0, 5, 15 and 25 kGy. The viscosity of the two combined treatments and for four levels of absorbed doses is presented and the combined effects are discussed. The thermal treatment combined with gamma irradiation contributed to increase the viscosity as irradiation doses increases for both (5% and 8%) concentrations of proteins (p<0.05). For protein and glycerol solutions, the irradiation dose seemed to result in a slightly increase. The vacuum applied before the irradiation showed a small contribution.

  14. Effect of combined treatments on viscosity of whey dispersions (United States)

    Camillo, A.; Sabato, S. F.


    Whey proteins, enriched protein fractions from milk, are of great interest as ingredients due to nutritional value associated with its functional properties. These proteins could have their structural properties improved when some treatments are applied, such as thermal and gamma irradiation or when some compounds are added. The current work aimed to study the viscometer behavior of whey dispersions submitted to two different combined treatments: (1) thermal plus irradiation and (2) thermal plus vacuum and N 2 plus irradiation. Dispersions of whey protein in water (5% and 8% protein (w/v) base) and containing proteins and glycerol at ratios 1:1 and 2:1 (protein:glycerol) were submitted to both combined treatments. The irradiation doses were 0, 5, 15 and 25 kGy. The viscosity of the two combined treatments and for four levels of absorbed doses is presented and the combined effects are discussed. The thermal treatment combined with gamma irradiation contributed to increase the viscosity as irradiation doses increases for both (5% and 8%) concentrations of proteins ( p<0.05). For protein and glycerol solutions, the irradiation dose seemed to result in a slightly increase. The vacuum applied before the irradiation showed a small contribution.

  15. Oxygen plasma-treatment effects on Si transfer. (United States)

    Langowski, Bryan A; Uhrich, Kathryn E


    Oxygen plasma-treatment is commonly used to increase the hydrophilicity of poly(dimethylsiloxane) (PDMS) stamps used for microcontact printing (muCP) aqueous-based inks. Review of the literature reveals that a wide range of plasma parameters are currently employed to modify stamp surfaces. However, little is known about the effect of these parameters (e.g., power, chamber pressure, duration) on the undesirable transfer of low-molecular-weight silicon-containing fragments from the stamps that commonly occurs during muCP. To study the effect of oxygen plasma-treatment on Si transfer, unpatterned PDMS stamps were treated with oxygen plasma under various conditions and used to stamp deionized water on plasma-activated poly(methyl methacrylate) (PMMA) substrates. Once stamped, the PMMA substrates were analyzed with X-ray photoelectron spectroscopy (XPS) to quantify and characterize silicon present on the substrate surface. In addition, used PDMS stamps were analyzed with scanning electron microscopy (SEM) to observe topographical changes that occur during oxygen plasma-treatment. XPS results show that all plasma treatments studied significantly reduced the amount of Si transfer from the treated stamps during muCP as compared to untreated PDMS stamps and that the source of transfer is residual PDMS fragments not removed by oxygen plasma. SEM results show that, although the treated stamps undergo a variety of topographical changes, no correlation exists between stamp topography and extent of Si transfer from the stamps.

  16. [Effectiveness of intranasal salmon calcitonin treatment in postmenopausal osteoporosis]. (United States)

    Kopaliani, M


    The aim of this study was to assess clinical efficacy of intranasal salmon calcitonin (Miacalcic, Novartis pharma) treatment in women with established postmenopausal osteoporosis. 30 women of the main group with established postmenopausal osteoporosis(T-score salmon calcitonin: 200 IU daily for 2 months with subsequent pause of 2 months (3 cycles), 12 months in total. Age matched control group was formed by 25 postmenopausal women with similar clinical status. SOS (speed of sound) of cortical bone was measured in the middle of the tibia by ultrasound densitometer--Sound Scan Compact (Myriad-Israel). Patients of both groups received 500 mg Ca and 200 IU vit.D3 (CaD3 Nycomed) two times daily in the same regimen (two months treatment--two months pause). Our results showed that intranasal treatment with 200 IU daily effectively influence the back pain, reduces bone turnover and significantly increases cortical BMD. Significant changes were not observed in patients of the control group, who received only CaD3 Nycomed, that showed that Calcium and vitamin D supplementation is more effective for prevention of bone lose in postmenopausal women, rather for treatment of established osteoporosis.

  17. Bivariate phase-rectified signal averaging

    CERN Document Server

    Schumann, Aicko Y; Bauer, Axel; Schmidt, Georg


    Phase-Rectified Signal Averaging (PRSA) was shown to be a powerful tool for the study of quasi-periodic oscillations and nonlinear effects in non-stationary signals. Here we present a bivariate PRSA technique for the study of the inter-relationship between two simultaneous data recordings. Its performance is compared with traditional cross-correlation analysis, which, however, does not work well for non-stationary data and cannot distinguish the coupling directions in complex nonlinear situations. We show that bivariate PRSA allows the analysis of events in one signal at times where the other signal is in a certain phase or state; it is stable in the presence of noise and impassible to non-stationarities.

  18. Average-Time Games on Timed Automata


    Jurdzinski, Marcin; Trivedi, Ashutosh


    An average-time game is played on the infinite graph of configurations of a finite timed automaton. The two players, Min and Max, construct an infinite run of the automaton by taking turns to perform a timed transition. Player Min wants to minimise the average time per transition and player Max wants to maximise it. A solution of average-time games is presented using a reduction to average-price game on a finite graph. A direct consequence is an elementary proof of determinacy for average-tim...

  19. Grassmann Averages for Scalable Robust PCA

    DEFF Research Database (Denmark)

    Hauberg, Søren; Feragen, Aasa; Black, Michael J.


    arbitrarily corrupt the results. Unfortunately, state-of-the-art approaches for robust PCA do not scale beyond small-to-medium sized datasets. To address this, we introduce the Grassmann Average (GA), which expresses dimensionality reduction as an average of the subspaces spanned by the data. Because averages...... to vectors (subspaces) or elements of vectors; we focus on the latter and use a trimmed average. The resulting Trimmed Grassmann Average (TGA) is particularly appropriate for computer vision because it is robust to pixel outliers. The algorithm has low computational complexity and minimal memory requirements...

  20. Safety Impact of Average Speed Control in the UK

    DEFF Research Database (Denmark)

    Lahrmann, Harry Spaabæk; Brassøe, Bo; Johansen, Jonas Wibert


    in the UK. The study demonstrates that the introduction of average speed control results in statistically significant and substantial reductions both in speed and in number of accidents. The evaluation indicates that average speed control has a higher safety effect than point-based automatic speed control....

  1. Effects of Melt Thermal Treatment on A356 Alloy

    Institute of Scientific and Technical Information of China (English)


    To increase the casting quality of hypoeutectic Al-Si alloys, the effects of melt thermal treatment on the solidification structure of the A356 alloy were analyzed by a factorial experiment, in which the overheated melt was mixed with the low temperature melt. Experimental results show that the elongation ratio and strength of the treated samples increase remarkably compared with the control sample. The primary dendrite size reduces dramatically and the dendrite changes from columnar to equiaxed, with a little change of the secondary dendrite arm spacing (SDAS).Combined with the measurement of the nucleation undercooling, it is concluded that the solidification structure and refining effect are dependent primarily on the low temperature melt. The refining mechanism is believed as a result of the multiplication of the nuclei in the melt thermal treatment procedure.

  2. Effects of Osteopathic Manipulative Treatment on Diabetic Gastroparesis. (United States)

    Van Ravenswaay, Valerie J; Hain, Simeon J; Grasso, Sierra; Shubrook, Jay H


    As the number of diagnoses of diabetes mellitis continues to increase, so does the incidence of diabetic complications, such as gastroparesis. The current case report examines the effect of osteopathic manipulative treatment (OMT) on the symptoms of diabetic gastroparesis in a patient with type 1 diabetes mellitus. After a prescribed regimen of OMT, the patient's Gastroparesis Cardinal Symptom Index score improved from 13 to 8, and his hospitalization stays decreased from once every 6 to 8 weeks to once in 6 months. After 6 sessions of OMT, the patient experienced a reduction in and subsequent relief of diabetic gastroparesis symptoms and improved quality of life. The role of OMT needs to be further investigated as a cost-effective adjunctive treatment for patients with diabetic gastroparesis.

  3. Aeolian transport in the field: A comparison of the effects of different surface treatments (United States)

    Dong, Zhibao; Lv, Ping; Zhang, Zhengcai; Qian, Guangqiang; Luo, Wanyin


    Aeolian transport represents the result of wind-surface interactions, and therefore depends strongly on variations in the characteristics of the sediment surface. We conducted field observations of aeolian transport of typical dune sand in three 80 m × 80 m plots with different surface treatments: gravel-covered sand, enclosed shifting sand, and open (unprotected) shifting sand. The study was performed at the Shapotou Aeolian Experiment Site in the southeastern part of China's Tengger Desert to compare the effects of these different surface treatments on aeolian transport. To do so, we analyzed the flux density profiles and transport rates above each surface. The flux density profiles for all three treatments followed the exponential decay law that was proposed by most previous researchers to describe the saltation flux density profiles. Coefficients of the exponential decay function were defined as a function of the surface and the wind velocity. The enclosed and open plots with shifting sand had similar flux density profiles, but the flux density above gravel-covered plots showed that transport decayed more slowly with increasing height, producing flux density profiles with a higher average saltation height. The transport rate above the three treatment plots tended to increase proportionally with the cube of the mean wind velocity and with the maximum wind velocity during the observation period, but was more strongly correlated with the square of drift potential. Transport rates above the plot with open shifting sand were greater than those above the plots with enclosed shifting sand and the gravel-covered plot.

  4. Towards Effective Photothermal/Photodynamic Treatment Using Plasmonic Gold Nanoparticles


    Alla Bucharskaya; Galina Maslyakova; Georgy Terentyuk; Alexander Yakunin; Yuri Avetisyan; Olga Bibikova; Elena Tuchina; Boris Khlebtsov; Nikolai Khlebtsov; Valery Tuchin


    Gold nanoparticles (AuNPs) of different size and shape are widely used as photosensitizers for cancer diagnostics and plasmonic photothermal (PPT)/photodynamic (PDT) therapy, as nanocarriers for drug delivery and laser-mediated pathogen killing, even the underlying mechanisms of treatment effects remain poorly understood. There is a need in analyzing and improving the ways to increase accumulation of AuNP in tumors and other crucial steps in interaction of AuNPs with laser light and tissues. ...

  5. The Effects of Acupuncture in Treatment of Coronary Heart Diseases

    Institute of Scientific and Technical Information of China (English)



    A clinical study on acupuncture at point Neiguan (PC 6) was conducted on the basis of successful treatment of patients with angina pectoris and acute myocardial infarct. The effective rate (91.3%) was found to be far superior to isosorbide dinitrate and nifedipine (P<0.01). The experimental studies in animal models demonstrated that electro-acupuncture could decrease the elevated ST segments in ECGs and reduce the infarct areas induced by coronary ligation.

  6. Treatment of cloud radiative effects in general circulation models

    Energy Technology Data Exchange (ETDEWEB)

    Wang, W.C.; Dudek, M.P.; Liang, X.Z.; Ding, M. [State Univ. of New York, Albany, NY (United States)] [and others


    We participate in the Atmospheric Radiation Measurement (ARM) program with two objectives: (1) to improve the general circulation model (GCM) cloud/radiation treatment with a focus on cloud verticle overlapping and layer cloud optical properties, and (2) to study the effects of cloud/radiation-climate interaction on GCM climate simulations. This report summarizes the project progress since the Fourth ARM Science Team meeting February 28-March 4, 1994, in Charleston, South Carolina.

  7. Glyburide - Novel Prophylaxis and Effective Treatment for Traumatic Brain Injury (United States)


    ABSTRACT The overall subject of this project is blast- traumatic brain injury (blast- TBI ) and the role of the SUR1-regulated NCCa-ATP channel in blast- TBI ...project is blast- traumatic brain injury (blast- TBI ) and the role of the SUR1-regulated NCCa-ATP channel in secondary injury following blast- TBI . The...effective treatment for traumatic brain injury PRINCIPAL INVESTIGATOR: J. Marc Simard, M.D., Ph.D

  8. Averaging and exact perturbations in LTB dust models

    CERN Document Server

    Sussman, Roberto A


    We introduce a scalar weighed average ("q-average") acting on concentric comoving domains in spherically symmetric Lemaitre-Tolman-Bondi (LTB) dust models. The resulting averaging formalism allows for an elegant coordinate independent dynamical study of the models, providing as well a valuable theoretical insight on the properties of scalar averaging in inhomogeneous spacetimes. The q-averages of those covariant scalars common to FLRW models (the "q-scalars") identically satisfy FLRW evolution laws and determine for every domain a unique FLRW background state. All curvature and kinematic proper tensors and their invariant contractions are expressible in terms of the q-scalars and their linear and quadratic local fluctuations, which convey the effects of inhomogeneity through the ratio of Weyl to Ricci curvature invariants and the magnitude of radial gradients. We define also non-local fluctuations associated with the intuitive notion of a "contrast" with respect to FLRW reference averaged values assigned to a...

  9. Research Recommendations for Improving Measurement of Treatment Effectiveness in Depression (United States)

    Kamenov, Kaloyan; Cabello, María; Nieto, Mónica; Bernard, Renaldo; Kohls, Elisabeth; Rummel-Kluge, Christine; Ayuso-Mateos, José L.


    Background: Despite the steadily escalating psychological and economic burden of depression, there is a lack of evidence for the effectiveness of available interventions on functioning areas beyond symptomatology. Therefore, the main objective of this study was to give an insight into the current measurement of treatment effectiveness in depression and to provide recommendations for its improvement. Materials and Methods: The study was based on a multi-informant approach, comparing data from a systematic literature review, an expert survey with representatives from clinical practice (130), and qualitative interviews with patients (11) experiencing depression. Results: Current literature places emphasis on symptomatic outcomes and neglects other domains of functioning, whereas clinicians and depressed patients highlight the importance of both. Interpersonal relationships, recreation and daily activities, communication, social participation, work difficulties were identified as being crucial for recovery. Personal factors, neglected by the literature, such as self-efficacy were introduced by experts and patients. Furthermore, clinicians and patients identified a number of differences regarding the areas improved by psychotherapeutic or pharmacological interventions that were not addressed by the pertinent literature. Conclusion: Creation of a new cross-nationally applicable measure of psychosocial functioning, broader remission criteria, report of domain-specific information, and a personalized approach in treatment decision-making are the first crucial steps needed for the improvement of the measurement of treatment effectiveness in depression. A better measurement will facilitate the clinical decision making and answer the escalating burden of depression.

  10. Weightbath hydrotraction treatment: application, biomechanics, and clinical effects

    Directory of Open Access Journals (Sweden)

    Márta Kurutz


    Full Text Available Márta Kurutz1, Tamás Bender21Department of Structural Mechanics, Budapest University of Technology and Economics, Hungary; 2Department of Physical Medicine, Polyclinic and Hospital of the Hospitaller Brothers of St. John of God, Budapest, Medical University of Szeged, HungaryBackground and purpose: Weightbath hydrotraction treatment (WHT is a simple noninvasive effective method of hydro- or balneotherapy to stretch the spine or lower limbs, applied successfully in hospitals and health resort sanitaria in Hungary for more than fifty years. This study aims to introduce WHT with its biomechanical and clinical effects. History, development, equipment, modes of application, biomechanics, spinal traction forces and elongations, indications and contraindications of WHT are precented.Subjects and methods: The calculation of traction forces acting along the spinal column during the treatment is described together with the mode of suspension and the position of extra weight loads applied. The biomechanics of the treatment are completed by in vivo measured elongations of lumbar segments using a special underwater ultrasound measuring method. The clinical effects, indications, and contraindications of the treatment are also presented.Results: In the underwater cervical suspension of a human body, approximately 25 N stretching load occurs in the cervical spine, and about 11 N occurs in the lumbar spine. By applying extra weights, the above tensile forces along the spinal column can be increased. Thus, the traction effect can be controlled by applying such loads during the treatment. Elongations of segments L3–L4, L4–L5, and L5–S1 were measured during the usual WHT of patients suspended cervically in water for 20 minutes, loaded by 20–20 N lead weights on the ankles. The mean initial elastic elongations of spinal segments were about 0.8 mm for patients aged under 40 years, 0.5 mm between 40–60 years, and 0.2 mm for patients over 60 years. The mean

  11. Effects of electrokinetic treatment of a heavy metal contaminated soil on soil enzyme activities

    Energy Technology Data Exchange (ETDEWEB)

    Cang Long [State Key Laboratory of Soil and Sustainable Agriculture, Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210008 (China); Graduate School of the Chinese Academy of Sciences, Beijing 100049 (China); Zhou Dongmei, E-mail: [State Key Laboratory of Soil and Sustainable Agriculture, Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210008 (China); Wang Quanying; Wu Danya [State Key Laboratory of Soil and Sustainable Agriculture, Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210008 (China); Graduate School of the Chinese Academy of Sciences, Beijing 100049 (China)


    There is a growing concern on the potential application of a direct current (DC) electric field to soil for removing contaminants, but little is known about its impact on soil enzyme activities. This study investigated the change of enzyme activities of a heavy metal contaminated soil before and after electrokinetic (EK) treatments at lab-scale and the mechanisms of EK treatment to affect soil enzyme activities were explored. After treatments with 1-3 V cm{sup -1} of voltage gradient for 420 h, soil pH, electrical conductivity (EC), soil organic carbon, dissolved organic carbon (DOC), soil heavy metal concentration and enzyme activities were analyzed. The results showed that the average removal efficiencies of soil copper were about 65% and 83% without and with pH control of catholyte, respectively, and all the removal efficiencies of cadmium were above 90%. The soil invertase and catalase activities increased and the highest invertase activity was as 170 times as the initial one. The activities of soil urease and acidic phosphatase were lower than the initial ones. Bivariate correlation analyses indicated that the soil invertase and acidic phosphatase activities were significantly correlated with soil pH, EC, and DOC at P < 0.05, but the soil urease activities had no correlation with the soil properties. On the other hand, the effects of DC electric current on solution invertase and catalase enzyme protein activities indicated that it had negative effect on solution catalase activity and little effect on solution invertase activity. From the change of invertase and catalase activities in soil and solution, the conclusion can be drawn that the dominant effect mechanism is the change of soil properties by EK treatments.

  12. Comparison the effectiveness of aripiprazole and risperidone for the treatment of acute bipolar mania

    Directory of Open Access Journals (Sweden)

    Amir Akhavan Rezayat


    Full Text Available Background: Second-generation antipsychotics, approved for the treatment of mania, are associated with adverse effects such as weight gain and metabolic disorders. Aripiprazole, a recently introduced second-generation antipsychotic, are thought to account for its low propensity for weight gain, metabolic disturbances and sedation. The purpose of this study was to investigate the effect of risperidone versus aripiprazole in the treatment of acute mania. Materials and Methods: Fifty patients with acute episodes of mania were enrolled in this study, and they were randomly assigned into a risperidone group of 24 cases and an aripiprazole group of 26 cases. In group A, aripiprazole with a dose of 5-30 mg/day and in group B, risperidone with a dose of 2-8 mg/day was given to patients. The average dose of aripiprazole was 27 mg/day, and the average dose of risperidone was 6 mg/day. The effects of each drug for the treatment of acute mania were assessed on the 1 st day of admission and on days 2, 4, 6, 8 and at weeks 2, 4 and 6 after therapy using the young mania rating scale (YMRS and at the baseline and on weeks 3 and 6 after admission using the clinical global impression (CGI scale. Results: The mean age of the group of risperidone was 34 ± 8.6 years and in a group of aripiprazole it was 34 ± 9.1 years (P = 0.83. Comparison of YMRS scores over the period of 6 weeks revealed a statistically significant difference in both groups (P < 0.0001.There was also a statistically significant difference in YMRS scores between risperidone and aripiprazole at day 8 (P = 0.026 and weeks 2 (P = 0.035 and 4 (P = 0.042. There was also a statistically significant difference in CGI-Severity scale score at weeks 3 (P = 0.003 and 6 (P = 0.000 and in CGI-Improvement scale score at weeks 3 (P = 0.005 and 6 (P = 0.002. The most common side-effect observed in both groups was headache (0%15/4 in aripiprazole vs. %16/7 in risperidone Conclusion: Aripiprazole that is readily

  13. Averaging and sampling for magnetic-observatory hourly data

    Directory of Open Access Journals (Sweden)

    J. J. Love


    Full Text Available A time and frequency-domain analysis is made of the effects of averaging and sampling methods used for constructing magnetic-observatory hourly data values. Using 1-min data as a proxy for continuous, geomagnetic variation, we construct synthetic hourly values of two standard types: instantaneous "spot" measurements and simple 1-h "boxcar" averages. We compare these average-sample types with others: 2-h average, Gaussian, and "brick-wall" low-frequency-pass. Hourly spot measurements provide a statistically unbiased representation of the amplitude range of geomagnetic-field variation, but as a representation of continuous field variation over time, they are significantly affected by aliasing, especially at high latitudes. The 1-h, 2-h, and Gaussian average-samples are affected by a combination of amplitude distortion and aliasing. Brick-wall values are not affected by either amplitude distortion or aliasing, but constructing them is, in an operational setting, relatively more difficult than it is for other average-sample types. It is noteworthy that 1-h average-samples, the present standard for observatory hourly data, have properties similar to Gaussian average-samples that have been optimized for a minimum residual sum of amplitude distortion and aliasing. For 1-h average-samples from medium and low-latitude observatories, the average of the combination of amplitude distortion and aliasing is less than the 5.0 nT accuracy standard established by Intermagnet for modern 1-min data. For medium and low-latitude observatories, average differences between monthly means constructed from 1-min data and monthly means constructed from any of the hourly average-sample types considered here are less than the 1.0 nT resolution of standard databases. We recommend that observatories and World Data Centers continue the standard practice of reporting simple 1-h-average hourly values.

  14. Effect of heat treatment on corrosion behavior of duplex coatings

    Directory of Open Access Journals (Sweden)

    K. Raghu Ram Mohan Reddy


    Full Text Available In the present paper, duplex WC-Co/NiCrAlY coating is coated onto Ti6Al4V substrate and vacuum heat treatment is employed to investigate the corrosion behavior of heat treated samples as well as Ti6Al4V substrate for comparison. In this duplex coating system, High Velocity Oxy Fuel (HVOF process is used to deposit NiCrAlY interlayer with a constant thickness of 200 μm and WC-Co ceramic top layer with varying thickness of 250 μm, 350 μm and 450 μm deposited by Detonation Spray (DS process. Different heat treatment temperatures (600–1150 °C were employed for the coated samples to study the microstructure and the effect on corrosion resistance of the duplex coatings. Potentiodynamic polarization tests were carried to investigate the corrosion performance of duplex coated heat treated samples and the substrate in Ringer’s solution at 37 °C and prepared the pH to 5.7. The microstructure upon corrosion after heat treatment was characterized by SEM analysis to understand the corrosion behavior. The results disclosed that at all heat treatment temperatures, all the coated samples exhibited better corrosion resistance than the base substrate. However, during 950 °C and 1150 °C heat treatment temperatures, it was observed highest corrosion potential than 600 °C and 800 °C. The 350 μm thickness, coated sample exhibited highest corrosion resistance compared to other two coated samples and the substrate at all heat treatment temperatures.

  15. Amantadine in the treatment of neuroendocrine side effects of neuroleptics. (United States)

    Correa, N; Opler, L A; Kay, S R; Birmaher, B


    An open-label reversal drug study was undertaken on 10 neuroleptic-treated schizophrenic inpatients to assess the impact of amantadine hydrochloride on presumed prolactin-mediated neuroendocrine side effects. Measures were conducted across 7 weeks, including a 2-week neuroleptic baseline, a 3-week neuroleptic-plus-amantadine phase, and a 2-week return to the baseline regimen. Significant reduction with amantadine was observed on all six indices of neuroendocrine side effects: serum prolactin levels, body weight, gynecomastia/galactorrhea, breast tenderness, decreased libido, and amenorrhea. Improvement on these parameters was noted for as many as nine or all 10 patients, while in no cases was there worsening. In terms of motor and clinical effects, significant diminution of extrapyramidal and psycho-pathological symptoms was also achieved during this phase. The results suggested that amantadine may be beneficial for the treatment of neuro-endocrine side effects of antipsychotic medication owing to its ability to reverse neuroleptic-induced hyperprolactinemia.

  16. Effect of oral cephalexin in the treatment of BCG lymphadenitis. (United States)

    Ayazi, Parviz; Mahyar, Abolfazl; Taremiha, Alireza; Ghorani, Najmeh; Esmailzadehha, Neda


    Lymphadenitis and abscess formation are the most common side effects of vaccination with Bacille Calmette Guerin (BCG). The lower the child's age at the time of vaccination, the higher the incidence of BCG lymphadenitis tends to be. Although various therapeutic approaches are in use for the treatment of BCG lymphadenitis, there is no consensus on which of them is optimal. This study aimed to determine whether oral cephalexin treatment hastens recovery from BCG lymphadenitis. The study involved 40 children (24 boys and 16 girls) with BCG lymphadenitis who were referred to Qazvin Children's Hospital, Qazvin University of Medical Sciences between December 2008 and the end of September 2009. The patients were randomly assigned to two groups of 20 patients each (12 boys and 8 girls in each group): group A patients did not receive any treatment and served as controls, and group B patients were treated with 50 mg/kg/day cephalexin syrup, administered in four doses, for 10 days. In all patients, clinical examination was normal, except for lymphadenitis. In all patients, BCG vaccination had been performed at birth, and polymerase chain reaction tests were positive for tuberculous bacilli. The recovery period and requirement of fine needle aspiration did not significantly differ between the two groups (P 0.05). This study showed that treatment with cephalexin does not hasten recovery from BCG lymphadenitis.

  17. Effect of antihypertensive treatment on progression of incipient diabetic nephropathy

    DEFF Research Database (Denmark)

    Christensen, Cramer; Mogensen, C E


    The aim of the study was to clarify whether antihypertensive treatment with a selective beta blocker would have an effect on the progression rate of kidney disease in patients with incipient diabetic nephropathy. Six male patients with juvenile-onset diabetes with incipient nephropathy (urinary...... albumin excretion above 15 micrograms/min and total protein excretion below 0.5 g/24 hr) were treated with metoprolol (200 mg daily). At the start of the antihypertensive treatment the mean age was 32 years +/- 4.2 (SD). The patients were followed a mean 5.4 years +/- 3.1 (SD) with repeated measurements...... of urinary albumin excretion before and during 2.6 years +/- 1.0 (SD) of treatment. The blood pressure was depressed by the treatment (systolic blood pressure from 135 mm Hg +/- 8.6 to 124 mm Hg +/- 6.2, NS; mean blood pressure from 107 mm Hg +/- 7.6 to 97 mm Hg +/- 3.4, 2p less than 0.05; diastolic blood...

  18. A quantitative method to evaluate microbial electrolysis cell effectiveness for energy recovery and wastewater treatment

    KAUST Repository

    Ivanov, Ivan


    Microbial electrolysis cells (MECs) are potential candidates for sustainable wastewater treatment as they allow for recovery of the energy input by producing valuable chemicals such as hydrogen gas. Evaluating the effectiveness of MEC treatment for different wastewaters requires new approaches to quantify performance, and the establishment of specific procedures and parameters to characterize the outcome of fed-batch treatability tests. It is shown here that Coulombic efficiency can be used to directly calculate energy consumption relative to wastewater treatment in terms of COD removal, and that the average current, not maximum current, is a better metric to evaluate the rate of the bioelectrochemical reactions. The utility of these methods was demonstrated using simulated current profiles and actual wastewater tests. Industrial and domestic wastewaters were evaluated using small volume MECs, and different inoculation strategies. The energy needed for treatment was 2.17kWhkgCOD-1 for industrial wastewater and 2.59kWhkgCOD-1 for domestic wastewater. When these wastewaters were combined in equal amounts, the energy required was reduced to 0.63kWhkgCOD-1. Acclimation of the MEC to domestic wastewater, prior to tests with industrial wastewaters, was the easiest and most direct method to optimize MEC performance for industrial wastewater treatment. A pre-acclimated MEC accomplished the same removal (1847 ± 53 mg L-1) as reactor acclimated to only the industrial wastewater (1839 ± 57 mg L-1), but treatment was achieved in significantly less time (70 h versus 238 h). © 2013, Hydrogen Energy Publications, LLC. Published by Elsevier Ltd. All rights reserved.

  19. Record keeping, genetic selection, educational experience and farm management effects on average milk yield per cow, milk fat percentage, bacterial score and bulk tank somatic cell count of dairy farms in the Central region of Thailand. (United States)

    Rhone, J A; Koonawootrittriron, S; Elzo, M A


    A study was conducted to estimate the record keeping, genetic selection, educational, and farm management effects on average milk yield per cow (AYC), milk fat percentage, bacterial score, and bulk tank somatic cell count (BTSCC) of dairy farms in the central region of Thailand. Farms were located in the provinces of Saraburi and Nakhon Ratchisima and were members of the Muaklek dairy cooperative. Records from individual animals were unavailable. Thus, farm records of milk yield, milk fat percentage, bacterial score, and BTCCC were collected from July 1, 2003 through June 30, 2006. Additional record keeping, genetic selection, education, and farm management information was collected through a questionnaire in May of 2006. Data from the Muaklek dairy cooperative and the questionnaire were then merged by a farm identification number. A single trait mixed model was used to analyze AYC, milk fat percentage, and BTSCC, while a log linear model was used to analyze bacterial score. Results showed that farms that kept records on individual animals had higher (P personal opinion. Farms milking cows with a single unit milking machine and by hand, had higher (P < 0.05) bacterial scores and BTSCC than farms using only a single or multi unit machine. Overall farms that kept individual animal records, used EBV when selecting sires, used a single method for collecting milk, and used family labor achieved higher performance from their herds than farms that did not.

  20. [Effect of hydraulic load distribution on sewage treatment efficiency of earthworm bio-filter]. (United States)

    Yang, Jian; Yang, Jian; Yang, Ju-Chuan; Chen, Qiao-Yan; Lou, Shan-Jie


    Effect of hydraulic load distribution on sewage treatment efficiency of earthworm bio-filter was studied by analyzing influent and effluent of earthworm bio-filter and earthworm behaviors. The results show that when hydraulic load varying from 2.0 m3/(m2 x d) to 6.0 m3/(m2 x d), the concentration of each pollutant in earthworm bio-filter effluent increases slowly and is little effected by hydraulic load. When hydraulic load reaches 6.7 m3/(m2 x d), the concentration of COD, BOD5, SS, NH4(+) -N and TP in earthworm bio-filter effluent increases obviously, but the TN concentration in effluent presents descending tendency. The earthworms become rather inadaptable to the living conditions at this operating mode. As hydraulic load increasing, the earthworms' relative ingestive ability is improved at first, and then decreases. The earthworms' relative ingestive ability comes to the maximum at hydraulic load of 4.8 m3/(m2 x d), with good organic removal efficiency. The relation ships between hydraulic load and average weight, average density, unit-area biomass of the earthworms are significant negative correlation. The hydraulic load of 4.8 m3/(m2 x d) is recommended, but not over 6.7 m3/(m2 x d).


    Institute of Scientific and Technical Information of China (English)

    刘永平; 许贵桥


    This paper concerns the problem of the Kolmogorov n-width, the linear n-width, the Gel'fand n-width and the Bernstein n-width of Sobolev classes of the periodicmultivariate functions in the space Lp(Td) and the average Bernstein σ-width, averageKolmogorov σ-widths, the average linear σ-widths of Sobolev classes of the multivariatequantities.

  2. Lasso adjustments of treatment effect estimates in randomized experiments. (United States)

    Bloniarz, Adam; Liu, Hanzhong; Zhang, Cun-Hui; Sekhon, Jasjeet S; Yu, Bin


    We provide a principled way for investigators to analyze randomized experiments when the number of covariates is large. Investigators often use linear multivariate regression to analyze randomized experiments instead of simply reporting the difference of means between treatment and control groups. Their aim is to reduce the variance of the estimated treatment effect by adjusting for covariates. If there are a large number of covariates relative to the number of observations, regression may perform poorly because of overfitting. In such cases, the least absolute shrinkage and selection operator (Lasso) may be helpful. We study the resulting Lasso-based treatment effect estimator under the Neyman-Rubin model of randomized experiments. We present theoretical conditions that guarantee that the estimator is more efficient than the simple difference-of-means estimator, and we provide a conservative estimator of the asymptotic variance, which can yield tighter confidence intervals than the difference-of-means estimator. Simulation and data examples show that Lasso-based adjustment can be advantageous even when the number of covariates is less than the number of observations. Specifically, a variant using Lasso for selection and ordinary least squares (OLS) for estimation performs particularly well, and it chooses a smoothing parameter based on combined performance of Lasso and OLS.

  3. Effects of thermal treatments on donkey milk nutritional characteristics. (United States)

    Polidori, Paolo; Vincenzetti, Silvia


    Human breast milk is the best nutritional support to ensure right development and influence immune status of the newborn infant. However, when it is not possible to breast feed it may be necessary to use commercial infant formulas that mimic, where possible, the levels and types of nutrients present in human milk. Despite this, some formula-fed infants develop allergy and/or atopic disease compared to breast-fed infants. Most infants with cow's milk protein allergy (CMPA) develop symptoms before 1 month of age, often within 1 week after introduction of cow's milk-based formula. Donkey milk may be considered a good substitute for cow's milk in feeding children with CMPA since its composition is very similar to human milk. An in-depth analysis of the donkey milk protein profile has been performed in this study. The interest was focused on the milk proteins considered safe for the prevention and treatment of various disorders in human. Since donkey milk supply is related to its seasonal availability during the year, in this study were evaluated the effects of different thermal treatments on the protein fractions of donkey milk. The results obtained in fresh, frozen, powdered and lyophilized donkey milk showed different values in total proteins, caseins, whey proteins and lysozyme content. This study demonstrated the possibility of using lyophilization in order to maintain the nutritional characteristics of donkey milk. The article presents some promising patents on the effects of thermal treatments on donkey milk nutritional characteristics.

  4. Postantibiotic effect of disinfection treatment by photolysis of hydrogen peroxide. (United States)

    Odashima, Yu; Nakamura, Keisuke; Ikai, Hiroyo; Kanno, Taro; Meirelles, Luiz; Sasaki, Keiichi; Niwano, Yoshimi


    The purpose of the present study was to evaluate the postantibiotic effect (PAE) of the disinfection treatment by photolysis of H2O2. Postantibiotic effect was induced in Staphylococcus aureus and Streptococcus salivarius by exposing the bacteria to H2O2 at concentrations of 250-1000 mmol/l, laser irradiation at a wavelength of 405 nm, and the combination of both (photolysis of H2O2) for 10-30 seconds. The photolysis of H2O2 induced significantly longer PAE than other treatments. The PAE was augmented dependently on not only the concentration of H2O2 but the laser irradiation time. Electron spin resonance analysis showed that the hydroxyl radical was also generated dependently on both the concentration of H2O2 and the laser irradiation time, suggesting that the hydroxyl radicals contribute to the PAE. These results suggest that the disinfection treatment by photolysis of H2O2 induces PAE in S. aureus and S. salivarius even though they were treated for only 10-30 seconds.

  5. Late effects of breast cancer treatment and potentials for rehabilitation

    Energy Technology Data Exchange (ETDEWEB)

    Ewertz, Marianne (Dept. of Oncology, Odense Univ. Hospital, Odense (Denmark)); Bonde Jensen, Anders (Inst. of Clinical Research, Univ. of Southern Denmark (Denmark))


    Background. Breast cancer is the most frequent malignant disease among women world wide. Survival has been improving leading to an increasing number of breast cancer survivors, in the US estimated to about 2.6 million. Material and methods. The literature was reviewed with focus on data from the Nordic countries. Results. Local therapies such as breast cancer surgery and radiotherapy may cause persistent pain in the breast area, arm, and shoulder reported by 30-50% of patients after three to five years, lymphedema in 15-25% of patients, and restrictions of arm and shoulder movement in 35%. Physiotherapy is the standard treatment for the latter while no pain intervention trials have been published. Chemotherapy may cause infertility and premature menopause, resulting in vasomotor symptoms, sexual dysfunction, and osteoporosis, which are similar to the side effects of endocrine treatment in postmenopausal women. Awareness of cardiotoxicity is needed since anthracyclines, trastuzumab, and radiotherapy can damage the heart. Breast cancer survivors have an increased risk of a major depression and far from all receive adequate anti-depressive treatment. Other psychological symptoms include fear of recurrence, sleep disturbances, cognitive problems, fatigue, and sexual problems. Discussion. To improve rehabilitation, specific goals have to be formulated into national guidelines and high priority directed towards research into developing and testing new interventions for alleviating symptoms and side effects experienced by breast cancer survivors

  6. Characterizing individual painDETECT symptoms by average pain severity

    Directory of Open Access Journals (Sweden)

    Sadosky A


    -severity levels can serve as proxies to determine treatment effects, thus indicating probabilities for more favorable outcomes on pain symptoms. Keywords: neuropathic pain, painDETECT, pain severity, psychometric properties

  7. [Effectiveness of N-acetylcysteine in the treatment of schizophrenia]. (United States)

    Miyake, Nobumi; Miyamoto, Seiya


    Oxidative stress and neuroinflammation have recently been focused on the pathological hypotheses of schizophrenia. N-acetylcysteine (NAC) is a precursor of endogenous antioxidant glutathione and has antioxidant, anti-inflammatory, and neuroprotective properties. NAC is widely available as an over-the-counter nutritional supplement. Increasing lines of evidence suggest that NAC is effective for various mental disorders. In randomized controlled trials, treatment with NAC as an add-on to antipsychotics showed beneficial effects and safety profiles in patients with chronic schizophrenia. The results of a recent preclinical study using a neurodevelopmental model of schizophrenia suggest that NAC may have promising effects in an early stage of schizophrenia and an at-risk mental state. However, there is little clinical evidence for the efficacy and safety of NAC at these stages of schizophrenia. In this review, we summarize the evidence regarding the effectiveness of NAC for the treatment of schizophrenia and its prodromal stage. We also introduce the preliminary results of our research on NAC.

  8. Yoga as a Complementary Treatment of Depression: Effects of Traits and Moods on Treatment Outcome

    Directory of Open Access Journals (Sweden)

    David Shapiro


    Full Text Available Preliminary findings support the potential of yoga as a complementary treatment of depressed patients who are taking anti-depressant medications but who are only in partial remission. The purpose of this article is to present further data on the intervention, focusing on individual differences in psychological, emotional and biological processes affecting treatment outcome. Twenty-seven women and 10 men were enrolled in the study, of whom 17 completed the intervention and pre- and post-intervention assessment data. The intervention consisted of 20 classes led by senior Iyengar yoga teachers, in three courses of 20 yoga classes each. All participants were diagnosed with unipolar major depression in partial remission. Psychological and biological characteristics were assessed pre- and post-intervention, and participants rated their mood states before and after each class. Significant reductions were shown for depression, anger, anxiety, neurotic symptoms and low frequency heart rate variability in the 17 completers. Eleven out of these completers achieved remission levels post-intervention. Participants who remitted differed from the non-remitters at intake on several traits and on physiological measures indicative of a greater capacity for emotional regulation. Moods improved from before to after the yoga classes. Yoga appears to be a promising intervention for depression; it is cost-effective and easy to implement. It produces many beneficial emotional, psychological and biological effects, as supported by observations in this study. The physiological methods are especially useful as they provide objective markers of the processes and effectiveness of treatment. These observations may help guide further clinical application of yoga in depression and other mental health disorders, and future research on the processes and mechanisms.

  9. NOAA Average Annual Salinity (3-Zone) (United States)

    California Department of Resources — The 3-Zone Average Annual Salinity Digital Geography is a digital spatial framework developed using geographic information system (GIS) technology. These salinity...

  10. Effect of variations in treatment regimen and liver cirrhosis on exposure to benzodiazepines during treatment of alcohol withdrawal syndrome


    Gershkovich, Pavel; Wasan, Kishor M.; Ribeyre, Charles; Ibrahim, Fady; McNeill, John H


    Purpose: Benzodiazepines (BDZs) are the drugs of choice to prevent the symptoms of alcohol withdrawal syndrome (AWS). Various treatment protocols are published and have been shown to be effective in both office-managed and facility-managed treatment of AWS. The aim of this scientific commentary is to demonstrate the differences in the expected exposure to BDZs during AWS treatment using different treatment regimens available in the literature, in patients with or without alcoholic liver cirrh...

  11. Shape Effects of Iron Nanowires on Hyperthermia Treatment

    Directory of Open Access Journals (Sweden)

    Wei-Syuan Lin


    Full Text Available This research discusses the influence of morphology of nanomagnetic materials (one-dimensional iron nanowires and zero-dimensional iron nanoparticles on heating efficiency of the hyperthermia treatment. One-dimensional iron nanowires, synthesized by reducing method in external magnetic field, are explored in terms of their material properties, magnetic anisotropy, and cytotoxicity of EMT-6 cells. The magnetic anisotropy of an array of nanowires is examined in parallel and perpendicular magnetic fields by VSM. For the magnetic hyperthermia treatment tests, iron nanowires and nanoparticles with different concentrations are heated in alternating magnetic field to measure their actual heating efficiency and SLP heating properties. The shape effects of iron nanomaterials can be revealed from their heating properties. The cytotoxicity of nanowires with different concentrations is measured by its survival rate in EMT-6 with the cells cultivated for 6 and 24 hours.

  12. Short imidazolium chains effectively clear fungal biofilm in keratitis treatment. (United States)

    Liu, Lihong; Wu, Hong; Riduan, Siti Nurhanna; Ying, Jackie Y; Zhang, Yugen


    Fungal keratitis is a leading cause of ocular morbidity throughout the world. However, current therapies against fungal keratitis are often ineffective. Herein, we have developed the amphiphilic main-chain imidazolium polymer (PIM-45) and oligomer (IBN-1) materials that can efficiently inhibit the growth of fungi with low minimal inhibition concentration (MIC) values and clear the fungal biofilm, while displaying minimal hemolysis. In vivo keratitis treatment indicates that topical solutions of these polyimidazolium salts (PIMSs) are safe and as effective as that of amphotericin B, the most commonly used agent for the treatment of Candida albicans (C. albicans) keratitis. Compared to the costly and unstable amphotericin B and fluconazole, PIM-45 and IBN-1 are easy to prepare, inexpensive and stable. They can be stored in phosphate-buffered saline (PBS) solutions with long shelf life for routine topical use.

  13. Towards Effective Photothermal/Photodynamic Treatment Using Plasmonic Gold Nanoparticles. (United States)

    Bucharskaya, Alla; Maslyakova, Galina; Terentyuk, Georgy; Yakunin, Alexander; Avetisyan, Yuri; Bibikova, Olga; Tuchina, Elena; Khlebtsov, Boris; Khlebtsov, Nikolai; Tuchin, Valery


    Gold nanoparticles (AuNPs) of different size and shape are widely used as photosensitizers for cancer diagnostics and plasmonic photothermal (PPT)/photodynamic (PDT) therapy, as nanocarriers for drug delivery and laser-mediated pathogen killing, even the underlying mechanisms of treatment effects remain poorly understood. There is a need in analyzing and improving the ways to increase accumulation of AuNP in tumors and other crucial steps in interaction of AuNPs with laser light and tissues. In this review, we summarize our recent theoretical, experimental, and pre-clinical results on light activated interaction of AuNPs with tissues and cells. Specifically, we discuss a combined PPT/PDT treatment of tumors and killing of pathogen bacteria with gold-based nanocomposites and atomic clusters, cell optoporation, and theoretical simulations of nanoparticle-mediated laser heating of tissues and cells.

  14. Towards Effective Photothermal/Photodynamic Treatment Using Plasmonic Gold Nanoparticles

    Directory of Open Access Journals (Sweden)

    Alla Bucharskaya


    Full Text Available Gold nanoparticles (AuNPs of different size and shape are widely used as photosensitizers for cancer diagnostics and plasmonic photothermal (PPT/photodynamic (PDT therapy, as nanocarriers for drug delivery and laser-mediated pathogen killing, even the underlying mechanisms of treatment effects remain poorly understood. There is a need in analyzing and improving the ways to increase accumulation of AuNP in tumors and other crucial steps in interaction of AuNPs with laser light and tissues. In this review, we summarize our recent theoretical, experimental, and pre-clinical results on light activated interaction of AuNPs with tissues and cells. Specifically, we discuss a combined PPT/PDT treatment of tumors and killing of pathogen bacteria with gold-based nanocomposites and atomic clusters, cell optoporation, and theoretical simulations of nanoparticle-mediated laser heating of tissues and cells.

  15. Effect of Heat Treatment on Microstructure Characteristics of Laser Composites (United States)

    Liu, Peng; Zhang, Yuanbin; Li, Yajiang; Yang, Qingqing; Liu, Yan; Ren, Guocheng


    In this paper, effect of heat treatment on the microstructures and wear properties of laser alloying (LA) composites is investigated. LA of the T-Co50/FeSi/TiC/TiN/CeO2 mixed powders on substrate of 45 steel can form the hard composites, which increased the wear resistance of substrate greatly. Such LA composites were investigated by means of a scanning electron microscope (SEM) and a transmission electron microscope (TEM). The tempering promoted the growth of the block-shape hard phases, favoring an enhancement of the integrity of block-shape hard phases; and tempering also improved greatly the formation mechanism, guarantying the composites to have enough ability of intensity transfer. This research provided essential experiment and theoretical basis to promote the application of the laser and heat treatment technologies in the field of surface modification.

  16. Effect of treatment time on characterization and properties of nanocrystalline surface layer in copper induced by surface mechanical attrition treatment

    Indian Academy of Sciences (India)

    Farzad Kargar; M Laleh; T Shahrabi; A Sabour Rouhaghdam


    Nanocrystalline surface layers were synthesized on pure copper by means of surface mechanical attrition treatment (SMAT) at various treatment times. The microstructural features of the surface layers produced by SMAT were systematically characterized by optical microscopy (OM), transmission electron microscopy (TEM) and X-ray diffraction (XRD) analysis. Hardness and surface roughness measurements were also carried out. It is found that the thickness of the deformed layer increased from 50 to 500 m with increasing treatment time from 10 to 300 min, while the average grain size of the top surface layer decreased from 20 to 7 nm. Hardness of the all SMATed samples decreased with depth. Furthermore, the hardness of the top surface layer of the SMATed samples was at least two times higher than that of the un-treated counterpart. Surface roughness results showed different trend with treatment time. Amounts of PV and a values first sharply increased and then decreased.

  17. Effect and treatment of lactobacillus on inflammation around the implant. (United States)

    Zhao, Bing; Wu, Feng; Tian, Guobing


    Ultrasonic scaling and antibiotic therapy are traditional therapeutic methods for inflammation around the implant but therapeutic effect is not ideal. In view of maintaining flora balance around the implant and implant long-term solid holdup, this experiment observes impact and clinical effect of lactobacillus metabolite on inflammation around the impact to explore a new kind of ecological drug. This drug has little or no side effect, good curative effect and low recurrence rate, which can be applied for broad groups of people. 16 cases with inflammation around the impact were divided into experimental group and control group, 8 cases for each group. Lactobacillus metabolites gargle was offered to experimental group; purified water was offered to control group. Gargle way is 3 times/day, 20 ml/time, 3 min/time and for 7 days. Two groups of cases were clinical and microbiological tested before gargle, 3 days, 7 days and 30 days after gargle. Based on clinical and microbiological test of 8 cases of health implant, we observe sub gingival flora variation trend and clinical effects of infectors with inflammation around implant. Lactobacillus metabolite can improve clinical index of inflammation around the impact including MPLI, GI, MBI and PD. Lactobacillus metabolite has a strong treatment effect on inflammation around the implant and has no side effect.

  18. Effective post-exposure treatment of Ebola infection.

    Directory of Open Access Journals (Sweden)

    Heinz Feldmann


    Full Text Available Ebola viruses are highly lethal human pathogens that have received considerable attention in recent years due to an increasing re-emergence in Central Africa and a potential for use as a biological weapon. There is no vaccine or treatment licensed for human use. In the past, however, important advances have been made in developing preventive vaccines that are protective in animal models. In this regard, we showed that a single injection of a live-attenuated recombinant vesicular stomatitis virus vector expressing the Ebola virus glycoprotein completely protected rodents and nonhuman primates from lethal Ebola challenge. In contrast, progress in developing therapeutic interventions against Ebola virus infections has been much slower and there is clearly an urgent need to develop effective post-exposure strategies to respond to future outbreaks and acts of bioterrorism, as well as to treat laboratory exposures. Here we tested the efficacy of the vesicular stomatitis virus-based Ebola vaccine vector in post-exposure treatment in three relevant animal models. In the guinea pig and mouse models it was possible to protect 50% and 100% of the animals, respectively, following treatment as late as 24 h after lethal challenge. More important, four out of eight rhesus macaques were protected if treated 20 to 30 min following an otherwise uniformly lethal infection. Currently, this approach provides the most effective post-exposure treatment strategy for Ebola infections and is particularly suited for use in accidentally exposed individuals and in the control of secondary transmission during naturally occurring outbreaks or deliberate release.

  19. Effectiveness of Urban Wastewater Treatment Policies in Selected Countries

    DEFF Research Database (Denmark)

    Andersen, Mikael Skou; Smith, Carey; Kristensen, Peter

    This pilot study examines the effectiveness of wastewater policies and measures in six Member States in order to identify and understand the reasons for both the successes and the shortfalls in implementation. Two of these countries have almost fully implemented the directive, two have yet to do ......-effectiveness. The report focuses on the extension of sewage plants with appropriate levels of treatment (biological or advanced) and trends in discharges to surface waters......., and two have only recently acceded to the EU and are therefore allowed more time to accomplish the environmental acquis. The report seeks to clarify the role of local authorities, policy instruments and financial mechanisms in securing effective implementation, and it also addresses the issue of cost...

  20. pH对大菱鲆幼鱼平均日增重及鳃显微结构的影响%Effects of pH on Average Daily Growth Rate and Gill Microstructure of Juvenile Scophthalmus maximus

    Institute of Scientific and Technical Information of China (English)

    王双耀; 毛守康; 苗治欧; 姜志强; 杨晶晶; 温施慧; 姚恩长


    The average daily growth rate (AGR) and the microstructure of the gill of juvenile turbot (Scophthalmus maximus) were examined under different pH levels. The results show that the AGR decreased with increasing pH levels, and the AGR of pH 8.3 and 8.8 groups were significantly lower than that of other treatment groups (P<0.05). When the fish was exposed to pH 6.3, the lamellar epithelia were keratinized severely, no significant changes in lamellar epithelia were observed from pH 6.8 to 7.8, keratinization and lifting were found in the lamellar epithelia at pH 8.3, and the keratinization was more severe at pH 8.8. The results suggest that pH 6.8~7.8 is considered as the optimum ranges for juvenile turbot.%研究不同pH对大菱鲆(Scophthalmus maximus)幼鱼平均日增重及鳃显微结构的影响。结果显示:大菱鲆平均日增重随pH升高而降低,pH 8.3和8.8组平均日增重显著低于其他处理组(P<0.05)。pH 6.3时鳃小片上皮细胞角质化较为严重;pH 6.8和7.8时鳃上皮细胞未见明显变化;pH 8.3时上皮细胞出现脱离,部分出现角质化;pH 8.8时上皮细胞角质化较为严重。结果表明,水环境pH在6.8~7.8范围内比较适宜于大菱鲆幼鱼的健康生长。

  1. Inhibitory effects of the macrolide antimicrobial tylosin on anaerobic treatment. (United States)

    Shimada, Toshio; Zilles, Julie L; Morgenroth, Eberhard; Raskin, Lutgarde


    A laboratory-scale anaerobic sequencing batch reactor (ASBR) was operated using a glucose-based synthetic wastewater to study the effects of tylosin, a macrolide antimicrobial commonly used in swine production, on treatment performance. The experimental period was divided into three consecutive phases with different influent tylosin concentrations (0, 1.67, and 167 mg/L). The addition of 1.67 mg/L tylosin to the reactor had negligible effects on the overall treatment performance, that is, total methane production and effluent chemical oxygen demand did not change significantly (P tylosin was added. The addition of 167 mg/L tylosin to the reactor resulted in a gradual decrease in methane production and the accumulation of propionate and acetate. Subsequent inhibition of methanogenesis was attributed to a decrease in the pH of the reactor. After the addition of 167 mg/L tylosin to the reactor, an initial decrease in the rate of glucose uptake during the ASBR cycle followed by a gradual recovery was observed. In batch tests, the specific biogas production with the substrate butyrate was completely inhibited in the presence of tylosin. This study indicated that tylosin inhibited propionate- and butyrate-oxidizing syntrophic bacteria and fermenting bacteria resulting in unfavorable effects on methanogenesis.

  2. Average sampling theorems for shift invariant subspaces

    Institute of Scientific and Technical Information of China (English)


    The sampling theorem is one of the most powerful results in signal analysis. In this paper, we study the average sampling on shift invariant subspaces, e.g. wavelet subspaces. We show that if a subspace satisfies certain conditions, then every function in the subspace is uniquely determined and can be reconstructed by its local averages near certain sampling points. Examples are given.

  3. Testing linearity against nonlinear moving average models

    NARCIS (Netherlands)

    de Gooijer, J.G.; Brännäs, K.; Teräsvirta, T.


    Lagrange multiplier (LM) test statistics are derived for testing a linear moving average model against an additive smooth transition moving average model. The latter model is introduced in the paper. The small sample performance of the proposed tests are evaluated in a Monte Carlo study and compared

  4. Averaging Einstein's equations : The linearized case

    NARCIS (Netherlands)

    Stoeger, William R.; Helmi, Amina; Torres, Diego F.


    We introduce a simple and straightforward averaging procedure, which is a generalization of one which is commonly used in electrodynamics, and show that it possesses all the characteristics we require for linearized averaging in general relativity and cosmology for weak-field and perturbed FLRW situ

  5. Average Transmission Probability of a Random Stack (United States)

    Lu, Yin; Miniatura, Christian; Englert, Berthold-Georg


    The transmission through a stack of identical slabs that are separated by gaps with random widths is usually treated by calculating the average of the logarithm of the transmission probability. We show how to calculate the average of the transmission probability itself with the aid of a recurrence relation and derive analytical upper and lower…

  6. Average excitation potentials of air and aluminium

    NARCIS (Netherlands)

    Bogaardt, M.; Koudijs, B.


    By means of a graphical method the average excitation potential I may be derived from experimental data. Average values for Iair and IAl have been obtained. It is shown that in representing range/energy relations by means of Bethe's well known formula, I has to be taken as a continuously changing fu

  7. New results on averaging theory and applications (United States)

    Cândido, Murilo R.; Llibre, Jaume


    The usual averaging theory reduces the computation of some periodic solutions of a system of ordinary differential equations, to find the simple zeros of an associated averaged function. When one of these zeros is not simple, i.e., the Jacobian of the averaged function in it is zero, the classical averaging theory does not provide information about the periodic solution associated to a non-simple zero. Here we provide sufficient conditions in order that the averaging theory can be applied also to non-simple zeros for studying their associated periodic solutions. Additionally, we do two applications of this new result for studying the zero-Hopf bifurcation in the Lorenz system and in the Fitzhugh-Nagumo system.

  8. Bioinjection treatment: effects of post-injection residual stress on left ventricular wall stress. (United States)

    Lee, Lik Chuan; Wall, Samuel T; Genet, Martin; Hinson, Andy; Guccione, Julius M


    Injection of biomaterials into diseased myocardium has been associated with decreased myofiber stress, restored left ventricular (LV) geometry and improved LV function. However, its exact mechanism(s) of action remained unclear. In this work, we present the first patient-specific computational model of biomaterial injection that accounts for the possibility of residual strain and stress introduced by this treatment. We show that the presence of residual stress can create more heterogeneous regional myofiber stress and strain fields. Our simulation results show that the treatment generates low stress and stretch areas between injection sites, and high stress and stretch areas between the injections and both the endocardium and epicardium. Globally, these local changes are translated into an increase in average myofiber stress and its standard deviation (from 6.9 ± 4.6 to 11.2 ± 48.8 kPa and 30 ± 15 to 35.1 ± 50.9 kPa at end-diastole and end-systole, respectively). We also show that the myofiber stress field is sensitive to the void-to-size ratio. For a constant void size, the myofiber stress field became less heterogeneous with decreasing injection volume. These results suggest that the residual stress and strain possibly generated by biomaterial injection treatment can have large effects on the regional myocardial stress and strain fields, which may be important in the remodeling process.

  9. The Effect of Mechanochemical Treatment of the Cellulose on Characteristics of Nanocellulose Films (United States)

    Barbash, V. A.; Yaschenko, O. V.; Alushkin, S. V.; Kondratyuk, A. S.; Posudievsky, O. Y.; Koshechko, V. G.


    The development of the nanomaterials with the advanced functional characteristics is a challenging task because of the growing demand in the market of the optoelectronic devices, biodegradable plastics, and materials for energy saving and energy storage. Nanocellulose is comprised of the nanosized cellulose particles, properties of which depend on characteristics of plant raw materials as well as methods of nanocellulose preparation. In this study, the effect of the mechanochemical treatment of bleached softwood sulfate pulp on the optical and mechanical properties of nanocellulose films was assessed. It was established that the method of the subsequent grinding, acid hydrolysis and ultrasound treatment of cellulose generated films with the significant transparency in the visible spectral range (up to 78 % at 600 nm), high Young's modulus (up to 8.8 GPa), and tensile strength (up to 88 MPa) with increased ordering of the packing of the cellulose macromolecules. Morphological characterization was done using the dynamic light scattering (DLS) analyzer and transmission electron microscopy (TEM). The nanocellulose particles had an average diameter of 15-30 nm and a high aspect ratio in the range 120-150. The crystallinity was increased with successive treatments as shown by the X-ray diffraction (XRD) and Fourier transform infrared spectroscopy (FTIR) analysis. The thermal degradation behavior of cellulose samples was explored by thermal gravimetric analysis (TGA).

  10. Effectiveness of Educational Technology in Promoting Quality of Life and Treatment Adherence in Hypertensive People. (United States)

    de Souza, Ana Célia Caetano; Moreira, Thereza Maria Magalhaes; Oliveira, Edmar Souza de; Menezes, Anaíze Viana Bezerra de; Loureiro, Aline Maria Oliveira; Silva, Camila Brasileiro de Araújo; Linard, Jair Gomes; Almeida, Italo Lennon Sales de; Mattos, Samuel Miranda; Borges, José Wicto Pereira


    The objective of this study was to test the effectiveness of an educational intervention with use of educational technology (flipchart) to promote quality of life (QOL) and treatment adherence in people with hypertension. It was an intervention study of before-and-after type conducted with 116 hypertensive people registered in Primary Health Care Units. The educational interventions were conducted using the flipchart educational technology. Quality of life was assessed through the MINICHAL (lowest score = better QOL) and the QATSH (higher score = better adherence) was used to assess the adherence to hypertension treatment. Both were measured before and after applying the intervention. In the analysis, we used the Student's t-test for paired data. The average baseline quality of life was 11.66 ± 7.55, and 7.71 ± 5.72 two months after the intervention, showing a statistically significant reduction (p educational intervention using the flipchart improved the total score of quality of life in the scores of physical and mental domains, and increased adherence to hypertension treatment in people with the disease.

  11. Effectiveness of shock wave therapy as an alternative to the rotator cuff injury treatment

    Directory of Open Access Journals (Sweden)

    Roberto Joaquín Del Gordo-D´Amato


    Full Text Available Rotator cuff injuries are reason for consultation frequent in elderly patients. Most of the time there are no background traumatic acute generating progressive limitations in activities of daily living (ADLS. The objective of this study is to show results in tendonitis of the rotator cuff, in patients treated with extracorporeal shock wave therapy (ESWT. It is a prospective descriptive observational study which presents clinical and functional outcomes in patients with described lesion, treated with ESWT with poor response to conventional treatments and clinical pictures of longstanding through implementing visual analog scale (VAS of pain and evaluation of range of motion. The greater presence of lesion is present in women 63.6%. Mostly affected shoulder was right in a 63.6%. Found significant changes in VAS pre and post treatment with averages of 7.9 and 0.5 respectively and different statistical p < 0.001. We were conclude that the ESWT is an effective method in the treatment of the tendonitis of the rotator cuff with relief from pain and return to functional levels.

  12. Effect of preliminary vacuum plasma treatment on coating adhesion (United States)

    Slabodchikov, Vladimir A.; Borisov, Dmitry P.; Kuznetsov, Vladimir M.


    The paper presents research results on the adhesion properties of Si coatings synthesized by different methods and under different conditions of preliminary vacuum ion plasma treatment of substrates with subsequent magnetron sputtering. The substrate surface was pretreated with low-energy ion beams, high-energy ion beams, gas discharge plasma, and plasma produced by a magnetron sputtering system. The vacuum conditions (pump type, pressure, etc.), the ion current density, and the bias parameters (pulse repetition frequency and duration) were varied. The research results demonstrate a considerable effect of plasma immersion ion implantation on the adhesion of Si coatings to NiTi substrates.

  13. Effect of Surface Treatments on Leakage of Zirconium Oxide Ceramics


    Göknil Alkan Demetoğlu; Mustafa Zortuk


    Objective: The aim of this pilot study was to compare the effects of pretreatments on leakage of zirconia ceramics. Materials and Methods: The speciments divided into 6 groups that were subsequently treated as follows: group 1, no treatment (control); group 2, the ceramic surfaces were airborne-particle abraded with 110 μm aluminum-oxide (Al2O3) particles; group 3, after abrasion of the surfaces with 110 μm Al2O3 particles, silica coating using 30 μm (Al2O3) particles modified by silica (r...

  14. Cost-effectiveness of raloxifene in the treatment of osteoporosis in Chinese postmenopausal women: impact of medication persistence and adherence (United States)

    Chen, Mingsheng; Si, Lei; Winzenberg, Tania M; Gu, Jieruo; Jiang, Qicheng; Palmer, Andrew J


    Aims Raloxifene treatment of osteoporotic fractures is clinically effective, but economic evidence in support of raloxifene reimbursement is lacking in the People’s Republic of China. We aimed at evaluating the cost-effectiveness of raloxifene in the treatment of osteoporotic fractures using an osteoporosis health economic model. We also assessed the impact of medication persistence and adherence on clinical outcomes and cost-effectiveness of raloxifene. Methods We used a previously developed and validated osteoporosis state-transition microsimulation model to compare treatment with raloxifene with current practices of osteoporotic fracture treatment (conventional treatment) from the health care payer’s perspective. A Monte Carlo probabilistic sensitivity analysis with microsimulations was conducted. The impact of medication persistence and adherence on clinical outcomes and the cost-effectiveness of raloxifene was addressed in sensitivity analyses. The simulated patients used in the model’s initial state were 65-year-old postmenopausal Chinese women with osteoporosis (but without previous fractures), simulated using a 1-year cycle length until all patients had died. Costs were presented in 2015 US dollars (USD), and costs and effectiveness were discounted at 3% annually. The willingness-to-pay threshold was set at USD 20,000 per quality-adjusted life year (QALY) gained. Results Treatment with raloxifene improved clinical effectiveness by 0.006 QALY, with additional costs of USD 221 compared with conventional treatment. The incremental cost-effectiveness ratio was USD 36,891 per QALY gained. The cost-effectiveness decision did not change in most of the one-way sensitivity analyses. With full raloxifene persistence and adherence, average effectiveness improved compared with the real-world scenario, and the incremental cost-effectiveness ratio was USD 40,948 per QALY gained compared with conventional treatment. Conclusion Given the willingness-to-pay threshold

  15. Effect of microalgal treatments on pesticides in water. (United States)

    Hultberg, Malin; Bodin, Hristina; Ardal, Embla; Asp, Håkan


    The effect of the microalgae Chlorella vulgaris on a wide range of different pesticides in water was studied. Treatments included short-term exposure (1 h) to living and dead microalgal biomass and long-term exposure (4 days) to actively growing microalgae. The initial pesticide concentration was 63.5 ± 3.9 µg L(-1). There was no significant overall reduction of pesticides after short-term exposure. A significant reduction of the total amount of pesticides was achieved after the long-term exposure to growing microalgae (final concentration 29.7 ± 1.0 µg L(-1)) compared with the long-term control (37.0 ± 1.2 µg L(-1)). The concentrations of 10 pesticides out of 38 tested were significantly lowered in the long-term algal treatment. A high impact of abiotic factors such as sunlight and aeration for pesticide reduction was observed when the initial control (63.5 ± 3.9 µg L(-1)) and the long-term control (37.0 ± 1.2 µg L(-1)) were compared. The results suggest that water treatment using microalgae, natural inhabitants of polluted surface waters, could be further explored not only for removal of inorganic nutrients but also for removal of organic pollutants in water.

  16. Physicochemical treatments of anionic surfactants wastewater: Effect on aerobic biodegradability. (United States)

    Aloui, Fathi; Kchaou, Sonia; Sayadi, Sami


    The effect of different physicochemical treatments on the aerobic biodegradability of an industrial wastewater resulting from a cosmetic industry has been investigated. This industrial wastewater contains 11423 and 3148mgL(-1) of chemical oxygen demand (COD) and anionic surfactants, respectively. The concentration of COD and anionic surfactants were followed throughout the diverse physicochemical treatments and biodegradation experiments. Different pretreatments of this industrial wastewater using chemical flocculation process with lime and aluminium sulphate (alum), and also advanced oxidation process (electro-coagulation (Fe and Al) and electro-Fenton) led to important COD and anionic surfactants removals. The best results were obtained using electro-Fenton process, exceeding 98 and 80% of anionic surfactants and COD removals, respectively. The biological treatment by an isolated strain Citrobacter braakii of the surfactant wastewater, as well as the pretreated wastewater by the various physicochemical processes used in this study showed that the best results were obtained with electro-Fenton pretreated wastewater. The characterization of the treated surfactant wastewater by the integrated process (electro-coagulation or electro-Fenton)-biological showed that it respects Tunisian discharge standards.

  17. Fiber Treatment Effects on Bioreactor Bulk Fluid Trends (United States)

    Ellis, Ronald II


    In order to facilitate the exploration of worlds beyond the borders of our planet, it is necessary to maintain sustainable levels of clean water. The remediation of water via Membrane Aerated Bioreactors (MABRs) is one such method, and the focus of this study. MARRs rely on healthy biofilms grown on hollow fiber membranes to clean non-potable water. These biofilms can take weeks to months to establish. Therefore, various fiber treatments and two inoculums were evaluated for their effect on rapid biofilm formation. Fiber treatments are as follows: sanding of the fibers with 1500 and 8000 grit sandpaper, immersion of the fibers in a 1% hydrofluoric acid solution for 12 seconds and 15 minutes, and the immersion of the fibers in a Fluoroetch® solution for 18 seconds and 5 minutes. The two inoculums utilized were sourced from healthy, established MARRs; Texas Tech University (TTU) MABR "TRL5" and Kennedy Space Center (KSC) MABR "R3". Data attained from direct bacterial cell counts of the reactor bulk fluids via fluorescent microscopy, suggests that the fluoroetching treatment combined with the TTU inoculum show the greatest biofilm creation.

  18. Effects of treatment of peripheral pain generators in fibromyalgia patients. (United States)

    Affaitati, Giannapia; Costantini, Raffaele; Fabrizio, Alessandra; Lapenna, Domenico; Tafuri, Emmanuele; Giamberardino, Maria Adele


    Fibromyalgia syndrome (FS) frequently co-occurs with regional pain disorders. This study evaluated how these disorders contribute to FS, by assessing effects of local active vs placebo treatment of muscle/joint pain sources on FS symptoms. Female patients with (1) FS+myofascial pain syndromes from trigger points (n=68), or (2) FS+joint pain (n=56) underwent evaluation of myofascial/joint symptoms [number/intensity of pain episodes, pressure pain thresholds at trigger/joint site, paracetamol consumption] and FS symptoms [pain intensity, pressure pain thresholds at tender points, pressure and electrical pain thresholds in skin, subcutis and muscle in a non-painful site]. Patients of both protocols were randomly assigned to two groups [34 each for (1); 28 each for (2)] to receive active or placebo local TrP or joint treatment [injection/hydroelectrophoresis] on days 1 and 4. Evaluations were repeated on days 4 and 8. After therapy, in active--but not placebo-treated-- groups: number and intensity of myofascial/joint episodes and paracetamol consumption decreased and pressure thresholds at trigger/joint increased (ppain intensity decreased and all thresholds increased progressively in tender points and the non-painful site (ppain was still lower than basis in patients not undergoing further therapy and had decreased in those undergoing active therapy from day 8 (ppains impact significantly on FS, probably through increased central sensitization by the peripheral input; their systematic identification and treatment are recommended in fibromyalgia.

  19. Effects of heat treatment on properties of boron nitride fiber

    Institute of Scientific and Technical Information of China (English)

    LI Duan; ZHANG ChangRui; LI Bin; CAO Feng; WANG SiQing


    The boron nitride fibers were heated at the range of 600-1400°C in flowing nitrogen and air,respectively,and the effects of heat treatment on the structure,composition and morphology of BN fibers were studied.The results showed that BN fibers exhibited smooth surfaces,and that t-BN was the main phase with a little B2O3 included.After heat treatment at 1400°C in nitrogen atmosphere,the fibers displayed rough surfaces with little change in mass.Better crystallinity was obtained with the increasing temperature.During heat treatment in air,the fibers were oxidized severely as the temperature went up,especially at 1400°C.The volatilization of B2O3,HBO2 and H3BO3 led to the pores on the surfaces of the fibers,while the boron oxide glaze and nitrogen gas produced during the oxidation process protected the fibers from further oxidation.

  20. Effect of high pressure treatment on liquid whole egg (United States)

    Németh, Csaba; Dalmadi, István; Mráz, Balázs; Friedrich, László; Zeke, Ildikó; Juhász, Réka; Suhajda, Ágnes; Balla, Csaba


    In our tests, we artificially infected liquid whole egg samples with Salmonella enteritidis, Listeria monocytogenes, and Staphylococcus aureus bacteria, and then treated the samples in "Food Lab900" high hydrostatic pressure (HHP) instrument for 3-17 min at 200-400 MPa. Subsequently, the change of the viable cell count of the specific bacteria has been tested. In addition to the samples infected with various bacteria, non-infected samples were also treated in each test and the change in viable cell count, colour and viscosity of the samples upon the effect of the treatment. In summary, it can be concluded that in each test of our investigations, the viable cell count of S. enteritidis critical for egg products is reduced significantly, while the reduction of the total viable cell count was around two magnitudes. Additionally, based on our results, microbial destruction, reduction of enthalpy (denaturation of egg white) caused by the treatment at HPP, and colour change are primarily affected by the pressure level, while the changes in rheological properties are also significantly affected by the duration of high pressure treatment (p<0.05).

  1. Telemedicine diabetes consultations are cost-effective, and effects on essential diabetes treatment parameters are similar to conventional treatment

    DEFF Research Database (Denmark)

    Levin, Klaus; Madsen, Jette R; Petersen, Inge


    been offered expert diabetes care using teleconsultations. This article describes the impact of the telemedicine solution on essential diabetes treatment parameters, patient satisfaction, and cost-effectiveness. METHODS: Telemedicine consultations were conducted with the patient and nurse specialist......BACKGROUND: The increasing number of patients with diabetes poses a major challenge for the health care system. One instrument to meet these challenges could be the use of telemedicine, which, at the same time, may reduce treatment costs. Since 2005, diabetes patients on the island of Aeroe have...... placed in a consultation room of Aeroe Hospital in audiovisual contact with the physician situated at the hospital on the mainland. Consultations were supported by an electronic patient record and a Web-based quality-monitoring diabetes database. RESULTS: Inclusion criteria in this retrospective study...

  2. Emissions of ammonia, carbon dioxide, and hydrogen sulfide from swine wastewater during and after acidification treatment: effect of pH, mixing and aeration. (United States)

    Dai, X R; Blanes-Vidal, V


    This study aimed at evaluating the effect of swine slurry acidification and acidification-aeration treatments on ammonia (NH(3)), carbon dioxide (CO(2)) and hydrogen sulfide (H(2)S) emissions during slurry treatment and subsequent undisturbed storage. The study was conducted in an experimental setup consisting of nine dynamic flux chambers. Three pH levels (pH = 6.0, pH = 5.8 and pH = 5.5), combined with short-term aeration and venting (with an inert gas) treatments were studied. Acidification reduced average NH(3) emissions from swine slurry stored after acidification treatment compared to emissions during storage of non-acidified slurry. The reduction were 50%, 62% and 77% when pH was reduce to 6.0, 5.8 and 5.5, respectively. However, it had no significant effect on average CO(2) and H(2)S emissions during storage of slurry after acidification. Aeration of the slurry for 30 min had no effect on average NH(3), CO(2) and H(2)S emissions both during the process and from stored slurry after venting treatments. During aeration treatment, the NH(3), CO(2) and H(2)S release pattern observed was related to the liquid turbulence caused by the gas bubbles rather than to biological oxidation processes in this study.

  3. Preliminary effect of proximal femoral nail antirotation on emergency treatment of senile patients with intertrochanteric fracture

    Institute of Scientific and Technical Information of China (English)

    TANG Xin; LIU Lei; YANG Tian-fu; TU Chong-qi; WANG Guang-lin; FANG Yue; DUAN Hong; ZHANG Hui; PEI Fu-xing


    Objective: To retrospectively analyse the clinical outcome of emergency treatment of senile intertrochanteric fractures with proximal femoral nail antirotation (PFNA).Methods: From September 2008 to March 2009, 35 senile patients with intertrochanteric fracture, aged from 65 to 92 years with an average age of 76.5 years, were treated with PFNA within 24 hours after injury. There were 10 type Ⅰ fractures, 19 type Ⅱ and 6 type Ⅲ according to upgraded Evans-Jensen classification system. All patients were complicated with osteoporosis, and 19 patients had preexisting internal medical diseases. According to the rating scale of disease severity by the American Society of Anesthesiologists (ASA), there were 9 grade Ⅰ, 14 grade Ⅱ, 8 grade Ⅲ, and 4 grade Ⅳ.Results: The duration for operation ranged from 45 to 73 minutes with an average of 57.6 minutes. The volume of blood loss during operation ranged from 50 to 120 ml with an average of 77.5 ml. Patients could ambulate 2-4 days after operation (mean 3.5 days). Hospital stay was 4-7 days (mean 5.3 days). Full weight bearing time was 10-14 weeks (mean 12.8 weeks). During hospitalization period, there was no regional or deep infection, hypostatic pneumonia, urinary tract infection and bedsore except for 2 cases of urine retention. All cases were followed up with an average period of 12.3 months, and bone healing achieved within 15-18 weeks (mean 16.6 weeks). No complications such as delayed union, coxa vara or coxa valga, screw breakage or backout occurred and only 2 cases had trochanter bursitis because of thin body and overlong end of the antirotated nail. According to the Harris grading scale, the results were defined as excellent in 21 cases, good in 9 cases and fair in 5 cases, with the excellent and good rates of 85.7%.Conclusion: The emergency treatment of senile intertrochanteric fracture with proximal femoral nail antirotation has the advantages of minimal invasion, easy manipulation,less blood loss


    Directory of Open Access Journals (Sweden)



    Full Text Available Purpose: This in vitro study compared the effect of five different techniques on the surface roughness of feldspathic porcelain. Materials and Methods: 100 feldspathic porcelain disk samples mounted in acrylic resin blocks were divided into five groups (n=20 according to type of surface treatment: I, hydrofluoric acid (HFA; II, Deglazed surface porcelain treated with Neodymium:yttrium- aluminum-garnet (Nd:YAG laser; III, Deglazed porcelain surface treated with Erbium:yttrium-aluminum-garnet (Er:YAG laser; IV, Glazed porcelain surface treated with Neodymium:yttrium-aluminum-garnet (Nd:YAG laser, V; Glazed porcelain surface treated with Erbium:yttrium-aluminum-garnet (Er:YAG laser. The surface roughness of porcelain was measured with a noncontact optical profilometer. For each porcelain sample, two readings were taken across the sample, before porcelain surface treatment (T1 and after porcelain surface treatment (T2. The roughness parameter analyzed was the average roughness (Ra. Statistical analysis was performed using Kolmogorov–Smirnov and Wilcoxon signed rank test. Results: Mean Ra values for each group were as follows: I, 12.64±073; II, 11.91±0.74; III, 11.76±0.59; IV, 3.82 ±0.65; V, 2.77±0.57. For all porcelain groups, the lowest Ra values were observed in Group V. The highest Ra values were observed for Group I, with a significant difference with the other groups. Kolmogorov–Smirnov showed significant differences among groups (p<0.001. Conclusion: Surface treatment of porcelain with HFA resulted in significantly higher Ra than laser groups. Both Er:YAG laser or Nd:YAG laser on the deglaze porcelain surface can be recommended as viable treatment alternatives to acid etching.

  5. SU-F-BRD-16: Relative Biological Effectiveness of Double-Strand Break Induction for Modeling Cell Survival in Pristine Proton Beams of Different Dose-Averaged Linear Energy Transfers

    Energy Technology Data Exchange (ETDEWEB)

    Peeler, C; Bronk, L [UT MD Anderson Cancer Center, Houston, TX (United States); UT Graduate School of Biomedical Sciences at Houston, Houston, TX (United States); Taleei, R; Guan, F; Patel, D; Titt, U; Mirkovic, D; Grosshans, D; Mohan, R [UT MD Anderson Cancer Center, Houston, TX (United States); Stewart, R [University of Washington School of Medicine, Seattle, WA (United States)


    Purpose: High throughput in vitro experiments assessing cell survival following proton radiation indicate that both the alpha and the beta parameters of the linear quadratic model increase with increasing proton linear energy transfer (LET). We investigated the relative biological effectiveness (RBE) of double-strand break (DSB) induction as a means of explaining the experimental results. Methods: Experiments were performed with two lung cancer cell lines and a range of proton LET values (0.94 – 19.4 keV/µm) using an experimental apparatus designed to irradiate cells in a 96 well plate such that each column encounters protons of different dose-averaged LET (LETd). Traditional linear quadratic survival curve fitting was performed, and alpha, beta, and RBE values obtained. Survival curves were also fit with a model incorporating RBE of DSB induction as the sole fit parameter. Fitted values of the RBE of DSB induction were then compared to values obtained using Monte Carlo Damage Simulation (MCDS) software and energy spectra calculated with Geant4. Other parameters including alpha, beta, and number of DSBs were compared to those obtained from traditional fitting. Results: Survival curve fitting with RBE of DSB induction yielded alpha and beta parameters that increase with proton LETd, which follows from the standard method of fitting; however, relying on a single fit parameter provided more consistent trends. The fitted values of RBE of DSB induction increased beyond what is predicted from MCDS data above proton LETd of approximately 10 keV/µm. Conclusion: In order to accurately model in vitro proton irradiation experiments performed with high throughput methods, the RBE of DSB induction must increase more rapidly than predicted by MCDS above LETd of 10 keV/µm. This can be explained by considering the increased complexity of DSBs or the nature of intra-track pairwise DSB interactions in this range of LETd values. NIH Grant 2U19CA021239-35.

  6. Effects of 3% trehalose as an adjuvant treatment after LASIK

    Directory of Open Access Journals (Sweden)

    Mateo Orobia AJ


    Full Text Available Antonio J Mateo Orobia,1–3 Paula Casas Pascual,1,4 José Á Cristóbal Bescós,1 Diana Perez García,1,4 Carlos Peiro Embid,1,4 M Ángeles del Buey Sayas,1,4 Valentyna Korobko Kulikova,1 Noelia Lafuente Ojeda5 1Department of Ophthalmology, Hospital Quirón, 2Department of Ophthalmology, Hospital Universitario Miguel Servet, 3Instituto de Investigación Sanitaria de Aragón (IIS, 4Department of Ophthalmology, Hospital Clínico Universitario Lozano-Blesa, 5Department of Anesthesiology, Hospital Universitario Miguel Servet, Zaragoza, Spain Purpose: To evaluate the effect of 3% trehalose as an adjuvant in the standard treatment after laser-assisted in situ keratomileusis.Design: Interventional prospective comparative single-blind study.Setting: Department of Ophthalmology, Hospital Quirón Zaragoza, Spain.Methods: A total of 26 eyes (13 patients were included, of which 12 eyes (group 1 received conventional treatment with lubricant drops of hyaluronic acid (0.15% and 14 eyes (group 2 received, additionally, an ophthalmic solution of 3% trehalose. Pre- and postoperative quality-of-life tests and vital stains, tear breakup time, and osmolarity measurements were made.Results: We obtained statistically significant differences between the groups in the Symptom Assessment in Dry Eye test in all visits with respect to severity, and in the postoperative day 1 visit with respect to frequency, in all cases favoring the trehalose treatment. The values of osmolarity were not significantly different between groups. However, we did find significant differences in the Oxford scale in day 90 for the trehalose treatment (P<0.001, and in the National Eye Institute scale in day 30 (P=0.02.Conclusion: The results of this exploratory study indicate that the adjuvant treatment with 3% trehalose could be superior with respect to the standard treatment, with improvements in the objective and subjective parameters of tear quality. Keywords: dry eye syndrome, trehalose

  7. Factors Associated with Effectiveness of Treatment and Reproductive Outcomes in Patients with Thin Endometrium Undergoing Estrogen Treatment

    Institute of Scientific and Technical Information of China (English)

    Si-Miao Liu; Yuan-Zheng Zhou; Han-Bi Wang; Zheng-Yi Sun; Jing-Ran Zhen; Keng Shen; Cheng-Yan Deng


    Background: Thin endometrium is associated with poor reproductive outcomes;estrogen treatment can increase endometrial thickness (EMT).The aim of this retrospective cohort study was to investigate the factors influencing the effectiveness of estrogen treatment and reproductive outcomes after the treatment in patients with thin endometrium.Methods: Relevant clinical data of 101 patients with thin endometrium who had undergone estrogen treatment were collected.Possible factors influencing the effectiveness of treatment were analyzed retrospectively by logistic regression analysis.Eighty-seven infertile women without thin endometrium who had undergone assisted reproduction served as controls.The cases and controls were matched for age, assisted reproduction method, and number of embryos transferred.Reproductive outcomes of study and control groups were compared using Student's t-test and the Chi-square test.Results: At the end of estrogen treatment, EMT was ≥8 mm in 93/101 patients (92.1%).Effectiveness of treatment was significantly associated with maximal pretreatment EMT (P =0.017) and treatment duration (P =0.004).The outcomes of assisted reproduction were similar in patients whose treatment was successful in increasing EMT to ≥8 mm and the control group.The rate of clinical pregnancy in patients was associated with the number of good-quality embryos transferred in both fresh (P =0.005) and frozen-thawed (P =0.000) embryo transfer cycles.Conclusions: Thinner EMT before estrogen treatment requires longer treatment duration and predicts poorer treatment outcomes.The effectiveness of treatment depends on the duration of estrogen administration.Assisted reproductive outcomes of patients whose treatment is successful (i.e., achieves an EMT ≥8 mm) are similar to those of controls.The quality of embryos transferred is an important predictor of assisted reproductive outcomes in patients treated successfully with exogenous estrogen.

  8. The Effect of Laser Treatment as a Weed Control Method

    DEFF Research Database (Denmark)

    Bak, Thomas; Mathiassen, Solvejg K.; Christensen, Svend


    A laser beam directed towards weeds can be an efficient weed control method as an alternative to herbicides. Lasers may deliver high-density energy to selected plant material, raising the temperature of the water in the plant cells and thereby stop or delay the growth. A commercial use of lasers...... for weed control, however, require a systematic investigation of the relationship between energy density and the biological effect on different weed species, growth stages, etc. This paper investigates the effect of laser treatment directed towards the apical meristems of selected weed species...... at the cotyledon stage. Experiments were carried out under controlled conditions, using pot-grown weeds. Two lasers and two spot sizes were tested and different energy doses were applied by varying the exposure time. The biological efficacy was examined on three different weed species: Stellaria media (common...

  9. Effects of nutritional supplementation for HIV patients starting antiretroviral treatment

    DEFF Research Database (Denmark)

    Olsen, Mette Frahm; Abdissa, Alemseged; Kæstel, Pernille


    Objectives: To determine the effects of lipid based nutritional supplements with either whey or soy protein in patients with HIV during the first three months of antiretroviral treatment (ART) and to explore effects of timing by comparing supplementation at the start of ART and after three months...... delay. Design: Randomised controlled trial. Setting: Three public ART facilities in Jimma, Oromia region, Ethiopia. Participants: Adults with HIV eligible for ART with body mass index (BMI) >16. Intervention: Daily supplementation with 200 g (4600 kJ) of supplement containing whey or soy during either...... and CD3 and CD8 counts. Results: Of 318 patients enrolled, 210 (66%) were women, mean age was 33 (SD 9), and mean BMI was 19.5 (SD 2.4). At three months, participants receiving the supplements containing whey or soy had increased their lean body mass by 0.85 kg (95% confidence interval 0.16 kg to 1.53 kg...

  10. Antidepressant-associated sexual dysfunction: impact, effects, and treatment. (United States)

    Higgins, Agnes; Nash, Michael; Lynch, Aileen M


    Sexual dysfunction is a common side effect of antidepressants and can have significant impact on the person's quality of life, relationships, mental health, and recovery. The reported incidence of sexual dysfunction associated with antidepressant medication varies considerably between studies, making it difficult to estimate the exact incidence or prevalence. The sexual problems reported range from decreased sexual desire, decreased sexual excitement, diminished or delayed orgasm, to erection or delayed ejaculation problems. There are a number of case reports of sexual side effects, such as priapism, painful ejaculation, penile anesthesia, loss of sensation in the vagina and nipples, persistent genital arousal and nonpuerperal lactation in women. The focus of this article is to explore the incidence, pathophysiology, and treatment of antidepressant iatrogenic sexual dysfunction.

  11. Antidepressant-associated sexual dysfunction: impact, effects, and treatment

    Directory of Open Access Journals (Sweden)

    Agnes Higgins


    Full Text Available Agnes Higgins, Michael Nash, Aileen M LynchSchool of Nursing and Midwifery Studies, Trinity College Dublin, Dublin, IrelandAbstract: Sexual dysfunction is a common side effect of antidepressants and can have significant impact on the person’s quality of life, relationships, mental health, and recovery. The reported incidence of sexual dysfunction associated with antidepressant medication varies considerably between studies, making it difficult to estimate the exact incidence or prevalence. The sexual problems reported range from decreased sexual desire, decreased sexual excitement, diminished or delayed orgasm, to erection or delayed ejaculation problems. There are a number of case reports of sexual side effects, such as priapism, painful ejaculation, penile anesthesia, loss of sensation in the vagina and nipples, persistent genital arousal and nonpuerperal lactation in women. The focus of this article is to explore the incidence, pathophysiology, and treatment of antidepressant iatrogenic sexual dysfunction.Keywords: depression, antidepressant, iatrogenic sexual dysfunction, SSRI, SNRI

  12. Effectiveness and safety evaluation in the dyslipidemia treatment with statins

    Directory of Open Access Journals (Sweden)

    André Santos Silva


    Full Text Available Statins are used to reduce morbidity and mortality in patients with a high risk of cardiovascular disease. However, the use of statins does not ensure effectiveness and pharmacotherapeutic safety. In this context, the present study aimed to evaluate the effectiveness and safety of the therapy with statins in patients with dyslipidemia and high cardiovascular risk. To evaluate these parameters, this study selected 113 dyslipidemic patients with regular statins use of at least seven months. It was an observational cross-sectional study, based on data analysis collected from biochemical tests of patients with dyslipidemia in the public health system in the state of Pernambuco, Brazil. Isolated hypercholesterolemia was the most prevalent dyslipidemia type and the most used statin was atorvastatin (84%, followed by simvastatin (16%. The study observed no effectiveness in 58.4% of the patients; 28% had no safety in the treatment, and 48.3% were using doses above the standard dosage. Comparing effectiveness and safety between the same drugs, at standard dosage with higher dosages, there was not any statistical difference in biochemical test results. Therapeutic goals for LDL-C ≤ 70 mg/dL were found in 28% of cases. However, the useof doses above the standard dosage intended to reach very low LDL-C levels should be reevaluated, since there was no statistical difference in reducing the lipid profile, suggesting that the same results can be obtained with a lower standardized dose. This study provides  data relevant to the discussion of statins use and to the necessity of strengthening pharmacotherapeutic monitoring in dyslipidemia treatment.Keywords: Dyslipidemias. Drug Monitoring. Evaluation of Results of Therapeutic Interventions. Hydroxymethylglutaryl-CoA Reductase Inhibitors.  

  13. Effect of thermal treatments on arsenic species contents in food. (United States)

    Devesa, V; Vélez, D; Montoro, R


    In arsenic-endemic and other areas, food is an important path of exposure to this contaminant. Food is generally consumed in processed form, after a preservation treatment or cooking, which may alter the concentrations and chemical forms of arsenic. This article summarizes and discusses the work so far published on the effect that thermal treatment used in the cooking or processing of food, including sterilization and preservation stages, has on total arsenic and arsenic species contents. It also reviews possible transformations in arsenic species. The studies included use model systems or food products of marine or vegetable origin. Processing may cause a considerable increase or decrease in the real arsenic intake from food. For example, traditional washing and soaking of Hizikia fusiforme seaweed, which has very high inorganic arsenic contents, may reduce the contents by up to 60%. On the other hand, all the arsenic present in cooking water may be retained during boiling of rice, increasing the contents of this metalloid to significant levels from a toxicological viewpoint. This calls for modifications in arsenic risk assessment, hitherto based on analysis of the raw product. It is necessary to consider the effect of processing on total arsenic and arsenical species in order to obtain a realistic view of the risk associated with intake in arsenic-endemic and other areas.

  14. New Effective Treatment of Liver Fibrosis by Chinese Herbal Medicine

    Institute of Scientific and Technical Information of China (English)



    @@ Liver fibrosis is an abnormal proliferation pathologic process of intrahepatic fibrous connective tissue that occurs after liver cells have been necrotized and stimulated by inflammatory factors. It is called fibrosis when the pathological change is mild, and liver cirrhosis when the change becomes so severe as to reconstruct the liver lobuli to form pseudolobuli and nodule(1). Liver fibrosis is an important pathological characteristic of chronic hepatopathy and the chief intermediate link to further develop of liver cirrhosis. No ideal remedy for treatment of chronic hepatitic cirrhosis has been found so far. Although some drugs, such as colchicine and penicillamine, had been reported to have the effect of fibrosis inhibition, their clinical application is still limited for the rather severe toxic-side effects. Certain progress have been made from the clinical and experimental studies on anti-fibrosis treatment by traditional Chinese medicine (TCM) carried out widely in China in recent ten years. And here is a general review of the drugs used.

  15. Dosimetric effects of setup uncertainties on breast treatment delivery. (United States)

    Harron, Elizabeth Christine; McCallum, Hazel Mhairi; Lambert, Elizabeth Lyn; Lee, Daniela; Lambert, Geoffrey David


    This study aimed to assess the dosimetric impact of setup errors during the delivery of radiotherapy to the breast, and use this information to make recommendations on intervention tolerances for portal imaging of breast treatments. Translational and rotational setup errors were simulated for 10 recent breast patients using an Oncentra MasterPlan treatment planning system. The effect of these errors on the breast and tumor bed target volumes receiving 95% and 107% of the prescribed dose were assessed. For the majority of patients, shifts of up to 10 mm or a 4 degrees patient rotation about the cranio-caudal axis had no significant effect on the dose distribution. Changes in dosimetry were more likely if the reference plan contained large hot or cold spots. For a typical patient, it is estimated that a shift of 5 mm in any one direction, or a 2 degrees patient rotation would not cause more than a 5% change in the target volume receiving between 95% and 107% of the prescribed dose. If combinations of errors occur, greater dosimetric changes would be expected. It is concluded that individual patient shifts of up to 5 mm or rotations about the cranio-caudal axis of 2 degrees or less are unlikely to affect dose-volume histogram parameters by an amount judged as clinically significant. Setup errors exceeding these values may cause large dosimetric changes for some patients, particularly those with larger hot or cold regions in the dose distribution, and intervention is therefore recommended.

  16. Canaloplasty: A Minimally Invasive and Maximally Effective Glaucoma Treatment

    Directory of Open Access Journals (Sweden)

    Mahmoud A. Khaimi


    Full Text Available Canaloplasty is a highly effective, minimally invasive, surgical technique indicated for the treatment of open-angle glaucoma that works by restoring the function of the eye’s natural outflow system. The procedure’s excellent safety profile and long-term efficacy make it a viable option for the majority of glaucoma patient types. It can be used in conjunction with existing drug based glaucoma treatments, after laser or other types of incisional surgery, and does not preclude or affect the outcome of future surgery. Numerous scientific studies have shown Canaloplasty to be safe and effective in lowering IOP whilst reducing medication dependence. A recent refinement of Canaloplasty, known as ab-interno Canaloplasty (ABiC, maintains the IOP-lowering and safety benefits of traditional (ab-externo Canaloplasty using a more efficient, simplified surgical approach. This paper presents a review of Canaloplasty indications, clinical data, and complications, as well as comparisons with traditional incisional glaucoma techniques. It also addresses the early clinical evidence for ABiC.

  17. The prevalence of intestinal parasitic infections and the effect of medical treatment in children 2-5 years old

    Directory of Open Access Journals (Sweden)

    Alavi Naeeni M


    Full Text Available Intestinal parasitic infections are found all over the world. With all the progresses made in the last decades which have resulted in reduction of infection and mortality, yet parasitic infections are one of the biggest public health problems in the developing countries. In this research children 2-5 years old of Saveh city were randomly chosen. Intestinal parasitic infections and the effect of medical treatment on the infected cases were assessed. In order to treat the infected cases. Iranian generic drugs were used in which for Giardia infection Metronidazole 87.5% and furazolidone (66.7% were proved effective. Metronidazole in treatment of Entamoeba histolytica infection (88.2% and Metronidazole+Paramomycin proved 100% effective. In treatment of children infected with Oxyuris, the two drugs, Metronidazole and Pyrvinium Pamoate were almost 100% effective. Metronidazole in Ascaris infection was about 88.9% effective. Niclosamide in treatment of Hymenolepis nana (100% and in Tenia saginata were 75% effective. Reinfection after three months in treated children was about 20.9% which was the most prevalent intestinal parasitic infection related to Oxyuris. The successfully treated group had higher average body weight compared to the control group.

  18. The effect of tannic compounds on anaerobic wastewater treatment.

    NARCIS (Netherlands)

    Field, J.A.


    Anaerobic wastewater treatment is an alternative to the conventional aerobic treatment processes for the removal of easily biodegradable organic matter in medium to high strength industrial wastestreams. Anaerobic treatment has several advantages, however one important disadvantage is the high sensi

  19. Social costs of robbery and the cost-effectiveness of substance abuse treatment. (United States)

    Basu, Anirban; Paltiel, A David; Pollack, Harold A


    Reduced crime provides a key benefit associated with substance abuse treatment (SAT). Armed robbery is an especially costly and frequent crime committed by some drug-involved offenders. Many studies employ valuation methods that understate the true costs of robbery, and thus the true social benefits of SAT-related robbery reduction. At the same time, regression to the mean and self-report bias may lead pre-post comparisons to overstate crime reductions associated with SAT. Using 1992-1997 data from the National Treatment Improvement Evaluation Study (NTIES), we examined pre-post differences in self-reported robbery among clients in five residential and outpatient SAT modalities. Fixed-effect negative binomial regression was used to examine incidence rate reductions (IRR) in armed robbery. Published data on willingness to pay to avoid robbery were used to determine the social valuation of these effects. Differences in IRR across SAT modalities were explored to bound potential biases.All SAT modalities were associated with large and statistically significant reductions in robbery. The average number of self-reported robberies declined from 0.83/client/year pre-entry to 0.12/client/year following SAT (pcosts of these interventions. Conventional wisdom posits the economic benefits of SAT. We find that SAT is even more beneficial than is commonly assumed.

  20. Effects of vegetation management in constructed wetland treatment cells on water quality and mosquito production (United States)

    Thullen, J.S.; Sartoris, J.J.; Walton, W.E.


    The impact of three vegetation management strategies on wetland treatment function and mosquito production was assessed in eight free water surface wetland test cells in southern California during 1998-1999. The effectiveness of the strategies to limit bulrush Schoenoplectus californicus culm density within the cells was also investigated. Removing accumulated emergent biomass and physically limiting the area in which vegetation could reestablish, significantly improved the ammonia - nitrogen removal efficiency of the wetland cells, which received an ammonia-dominated municipal wastewater effluent (average loading rate = 9.88 kg/ha per day NH4-N). We determined that interspersing open water with emergent vegetation is critical for maintaining the wetland's treatment capability, particularly for systems high in NH4-N. Burning aboveground plant parts and thinning rhizomes only temporarily curtailed vegetation proliferation in shallow zones, whereas creating hummocks surrounded by deeper water successfully restricted the emergent vegetation to the shallower hummock areas. Since the hummock configuration kept open water areas interspersed throughout the stands of emergent vegetation, the strategy was also effective in reducing mosquito production. Decreasing vegetation biomass reduced mosquito refuge areas while increasing mosquito predator habitat. Therefore, the combined goals of water quality improvement and mosquito management were achieved by managing the spatial pattern of emergent vegetation to mimic an early successional growth stage, i.e. actively growing plants interspersed with open water. ?? 2002 Elsevier Science B.V. All rights reserved.


    Institute of Scientific and Technical Information of China (English)

    Haiying WANG; Xinyu ZHANG; Guohua ZOU


    In applications, the traditional estimation procedure generally begins with model selection.Once a specific model is selected, subsequent estimation is conducted under the selected model without consideration of the uncertainty from the selection process. This often leads to the underreporting of variability and too optimistic confidence sets. Model averaging estimation is an alternative to this procedure, which incorporates model uncertainty into the estimation process. In recent years, there has been a rising interest in model averaging from the frequentist perspective, and some important progresses have been made. In this paper, the theory and methods on frequentist model averaging estimation are surveyed. Some future research topics are also discussed.

  2. Averaging of Backscatter Intensities in Compounds (United States)

    Donovan, John J.; Pingitore, Nicholas E.; Westphal, Andrew J.


    Low uncertainty measurements on pure element stable isotope pairs demonstrate that mass has no influence on the backscattering of electrons at typical electron microprobe energies. The traditional prediction of average backscatter intensities in compounds using elemental mass fractions is improperly grounded in mass and thus has no physical basis. We propose an alternative model to mass fraction averaging, based of the number of electrons or protons, termed “electron fraction,” which predicts backscatter yield better than mass fraction averaging. PMID:27446752

  3. Average-passage flow model development (United States)

    Adamczyk, John J.; Celestina, Mark L.; Beach, Tim A.; Kirtley, Kevin; Barnett, Mark


    A 3-D model was developed for simulating multistage turbomachinery flows using supercomputers. This average passage flow model described the time averaged flow field within a typical passage of a bladed wheel within a multistage configuration. To date, a number of inviscid simulations were executed to assess the resolution capabilities of the model. Recently, the viscous terms associated with the average passage model were incorporated into the inviscid computer code along with an algebraic turbulence model. A simulation of a stage-and-one-half, low speed turbine was executed. The results of this simulation, including a comparison with experimental data, is discussed.

  4. Changing mortality and average cohort life expectancy

    DEFF Research Database (Denmark)

    Schoen, Robert; Canudas-Romo, Vladimir


    of survivorship. An alternative aggregate measure of period mortality which has been seen as less sensitive to period changes, the cross-sectional average length of life (CAL) has been proposed as an alternative, but has received only limited empirical or analytical examination. Here, we introduce a new measure......, the average cohort life expectancy (ACLE), to provide a precise measure of the average length of life of cohorts alive at a given time. To compare the performance of ACLE with CAL and with period and cohort life expectancy, we first use population models with changing mortality. Then the four aggregate...

  5. Effect of the presence of the antimicrobial tylosin in swine waste on anaerobic treatment. (United States)

    Angenent, Largus T; Mau, Margit; George, Usha; Zahn, James A; Raskin, Lutgarde


    An anaerobic sequencing batch reactor (ASBR), seeded with a biomass inoculum that previously had not been exposed to the macrolide antimicrobial tylosin (mixture of Tylosin A, B, C, and D), was operated for 3 months with swine waste without Tylosin A and for 9 months with swine waste containing Tylosin A at an average concentration of 1.6 mg/L. When swine waste with tylosin was fed to the ASBR, methane production and volatile solids removal did not appear to be inhibited and a methane yield of 0.47 L methane per gram volatile solids fed to the ASBR was observed. Throughout the operating period, Tylosin A levels in ASBR biomass and effluent were below the detection limit of 0.01 mg/L. However, during the first 3 months of operation, the levels of macrolide-lincosamide-streptogramin B (MLSB)-resistant bacteria in the ASBR biomass increased substantially as determined by hybridizations with oligonucleotide probes designed to target MLSB-resistant bacteria. Since no Tylosin A was present in the swine waste during the initial 3 months, the presence of MLSB-resistant bacteria in the swine waste was likely the reason for the increase in resistance. Subsequently, the levels of MLSB-resistant bacteria in ASBR biomass stabilized with an average of 44.9% for the 9 months of operation with swine waste containing Tylosin A. The level of MLSB-resistant bacteria in the swine waste fed to the ASBR during this period averaged 18.0%. The results indicate that anaerobic treatment of a waste stream containing tylosin was effective (based on reactor performance) and that the level of resistant bacteria in the ASBR was substantially higher than in the waste stream fed to this system.

  6. Assessment of the effectiveness of low level laser in the treatment of alveolar osteitis

    Directory of Open Access Journals (Sweden)

    Jovanović Goran


    Full Text Available Background/Aim. Alveolar osteitis (AO is the extraction wound healing disorder with a presence of severe pain. Low level laser therapy stimulates cell metabolism and microcirculation, have has pronounced analgesic, antiedematous and anti-inflammatory effect and speeds up wound healing process. The aim of this study was to present results of clinical research that examined the effectiveness of low level laser in pain relief and healing of extraction wounds with alveolar osteitis in the lower jaw which was formed on the second day after tooth extraction. Methods. The study was conducted on 60 subjects divided into the study and the control group. In both groups extraction wounds were processed in similar way, except that in the study group was applied daily treatment of low level laser with a total of eight sessions of radiation, while in the control group extraction wounds were dressed with zinc oxide eugenol paste, which was changed every 48 hours up to the pain cessation. Measurement of pain intensity was done with a visual analogue scale (VAS 10 min prior to processing of extraction wounds and daily for the next eight days. Assessment of the effectiveness of low level laser on healing of extraction wounds was performed on the day eight of the treatment. Results. On the day five after beginning of the treatment of extraction wounds with alveolar osteitis in the patients of the study group a lower average value of pain as compared to the control group was registered. This difference was increased within the following days. Extraction wounds healing in the study group was more successful and faster than in the control group. Conclusion. This study suggested that the reduction of pain was more pronounced in the patients with alveolar osteitis whose extraction wounds were subjected to low level laser radiation in comparison to those in which extraction wounds were treated with zinc oxide eugenol paste.

  7. Efetividade do tratamento da tuberculose Effectiveness of tuberculosis treatment

    Directory of Open Access Journals (Sweden)

    Letícia Nazareth Fernandes da Paz


    Full Text Available OBJETIVO: Analisar as estratégias que influenciam a efetividade do tratamento da tuberculose em Unidades Básicas de Saúde (UBS. MÉTODOS: Levantamento epidemiológico, descritivo, retrospectivo, envolvendo os prontuários médicos de 588 pacientes com tuberculose cadastrados no programa de controle da tuberculose, entre janeiro de 2004 e dezembro de 2008, em duas UBS - Centro de Saúde Escola do Marco (CSEM e UBS da Pedreira (UBSP - localizadas na cidade de Belém (PA. Os critérios de exclusão foram ter idade 59 anos e ter alta por transferência ou mudança de diagnóstico. Os dados coletados foram idade, sexo, tipo de tratamento (autoadministrado ou supervisionado, coinfecção por HIV e desfecho do tratamento. Os profissionais de saúde envolvidos no programa da tuberculose das duas UBS foram entrevistados quanto às estratégias utilizadas no controle da doença e à rotina de atendimento. RESULTADOS: Não houve diferenças significativas quanto a idade, sexo e coinfecção com HIV nas duas UBS. A utilização de tratamento supervisionado foi significativamente maior no CSEM que na UBSP, assim como a taxa de cura, enquanto a taxa de abandono foi maior na UBSP que no CSEM. CONCLUSÕES: Para pacientes cadastrados em programas de controle da tuberculose em UBS no Brasil, o tratamento supervisionado provavelmente é uma estratégia de extrema importância para se alcançar uma menor taxa de abandono.OBJECTIVE: To analyze the treatment strategies that influence the effectiveness of tuberculosis treatment at primary care clinics (PCCs in Brazil. METHODS: This was a descriptive, retrospective epidemiological survey based on the medical records of 588 tuberculosis patients enrolled in the tuberculosis control programs at two PCCs located in the city of Belém, Brazil: Centro de Saúde Escola do Marco (CSEM and Unidade Básica de Saúde da Pedreira (UBSP. The survey was limited to patients enrolled between January of 2004 and December of 2008

  8. Unbiased Cultural Transmission in Time-Averaged Archaeological Assemblages

    CERN Document Server

    Madsen, Mark E


    Unbiased models are foundational in the archaeological study of cultural transmission. Applications have as- sumed that archaeological data represent synchronic samples, despite the accretional nature of the archaeological record. I document the circumstances under which time-averaging alters the distribution of model predictions. Richness is inflated in long-duration assemblages, and evenness is "flattened" compared to unaveraged samples. Tests of neutrality, employed to differentiate biased and unbiased models, suffer serious problems with Type I error under time-averaging. Finally, the time-scale over which time-averaging alters predictions is determined by the mean trait lifetime, providing a way to evaluate the impact of these effects upon archaeological samples.

  9. A practical guide to averaging functions

    CERN Document Server

    Beliakov, Gleb; Calvo Sánchez, Tomasa


    This book offers an easy-to-use and practice-oriented reference guide to mathematical averages. It presents different ways of aggregating input values given on a numerical scale, and of choosing and/or constructing aggregating functions for specific applications. Building on a previous monograph by Beliakov et al. published by Springer in 2007, it outlines new aggregation methods developed in the interim, with a special focus on the topic of averaging aggregation functions. It examines recent advances in the field, such as aggregation on lattices, penalty-based aggregation and weakly monotone averaging, and extends many of the already existing methods, such as: ordered weighted averaging (OWA), fuzzy integrals and mixture functions. A substantial mathematical background is not called for, as all the relevant mathematical notions are explained here and reported on together with a wealth of graphical illustrations of distinct families of aggregation functions. The authors mainly focus on practical applications ...

  10. Rotational averaging of multiphoton absorption cross sections

    Energy Technology Data Exchange (ETDEWEB)

    Friese, Daniel H., E-mail:; Beerepoot, Maarten T. P.; Ruud, Kenneth [Centre for Theoretical and Computational Chemistry, University of Tromsø — The Arctic University of Norway, N-9037 Tromsø (Norway)


    Rotational averaging of tensors is a crucial step in the calculation of molecular properties in isotropic media. We present a scheme for the rotational averaging of multiphoton absorption cross sections. We extend existing literature on rotational averaging to even-rank tensors of arbitrary order and derive equations that require only the number of photons as input. In particular, we derive the first explicit expressions for the rotational average of five-, six-, and seven-photon absorption cross sections. This work is one of the required steps in making the calculation of these higher-order absorption properties possible. The results can be applied to any even-rank tensor provided linearly polarized light is used.

  11. Rotational averaging of multiphoton absorption cross sections (United States)

    Friese, Daniel H.; Beerepoot, Maarten T. P.; Ruud, Kenneth


    Rotational averaging of tensors is a crucial step in the calculation of molecular properties in isotropic media. We present a scheme for the rotational averaging of multiphoton absorption cross sections. We extend existing literature on rotational averaging to even-rank tensors of arbitrary order and derive equations that require only the number of photons as input. In particular, we derive the first explicit expressions for the rotational average of five-, six-, and seven-photon absorption cross sections. This work is one of the required steps in making the calculation of these higher-order absorption properties possible. The results can be applied to any even-rank tensor provided linearly polarized light is used.

  12. Sea Surface Temperature Average_SST_Master (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Sea surface temperature collected via satellite imagery from and averaged for each region using ArcGIS...

  13. MN Temperature Average (1961-1990) - Line (United States)

    Minnesota Department of Natural Resources — This data set depicts 30-year averages (1961-1990) of monthly and annual temperatures for Minnesota. Isolines and regions were created using kriging and...

  14. MN Temperature Average (1961-1990) - Polygon (United States)

    Minnesota Department of Natural Resources — This data set depicts 30-year averages (1961-1990) of monthly and annual temperatures for Minnesota. Isolines and regions were created using kriging and...

  15. Spacetime Average Density (SAD) Cosmological Measures

    CERN Document Server

    Page, Don N


    The measure problem of cosmology is how to obtain normalized probabilities of observations from the quantum state of the universe. This is particularly a problem when eternal inflation leads to a universe of unbounded size so that there are apparently infinitely many realizations or occurrences of observations of each of many different kinds or types, making the ratios ambiguous. There is also the danger of domination by Boltzmann Brains. Here two new Spacetime Average Density (SAD) measures are proposed, Maximal Average Density (MAD) and Biased Average Density (BAD), for getting a finite number of observation occurrences by using properties of the Spacetime Average Density (SAD) of observation occurrences to restrict to finite regions of spacetimes that have a preferred beginning or bounce hypersurface. These measures avoid Boltzmann brain domination and appear to give results consistent with other observations that are problematic for other widely used measures, such as the observation of a positive cosmolo...

  16. Monthly snow/ice averages (ISCCP) (United States)

    National Aeronautics and Space Administration — September Arctic sea ice is now declining at a rate of 11.5 percent per decade, relative to the 1979 to 2000 average. Data from NASA show that the land ice sheets in...

  17. Appeals Council Requests - Average Processing Time (United States)

    Social Security Administration — This dataset provides annual data from 1989 through 2015 for the average processing time (elapsed time in days) for dispositions by the Appeals Council (AC) (both...

  18. Average Annual Precipitation (PRISM model) 1961 - 1990 (United States)

    U.S. Geological Survey, Department of the Interior — This map layer shows polygons of average annual precipitation in the contiguous United States, for the climatological period 1961-1990. Parameter-elevation...

  19. Average Vegetation Growth 1990 - Direct Download (United States)

    U.S. Geological Survey, Department of the Interior — This map layer is a grid map of 1990 average vegetation growth for Alaska and the conterminous United States. The nominal spatial resolution is 1 kilometer and the...

  20. Average Vegetation Growth 1997 - Direct Download (United States)

    U.S. Geological Survey, Department of the Interior — This map layer is a grid map of 1997 average vegetation growth for Alaska and the conterminous United States. The nominal spatial resolution is 1 kilometer and the...

  1. Average Vegetation Growth 1992 - Direct Download (United States)

    U.S. Geological Survey, Department of the Interior — This map layer is a grid map of 1992 average vegetation growth for Alaska and the conterminous United States. The nominal spatial resolution is 1 kilometer and the...

  2. Average Vegetation Growth 2001 - Direct Download (United States)

    U.S. Geological Survey, Department of the Interior — This map layer is a grid map of 2001 average vegetation growth for Alaska and the conterminous United States. The nominal spatial resolution is 1 kilometer and the...

  3. Average Vegetation Growth 1995 - Direct Download (United States)

    U.S. Geological Survey, Department of the Interior — This map layer is a grid map of 1995 average vegetation growth for Alaska and the conterminous United States. The nominal spatial resolution is 1 kilometer and the...

  4. Average Vegetation Growth 2000 - Direct Download (United States)

    U.S. Geological Survey, Department of the Interior — This map layer is a grid map of 2000 average vegetation growth for Alaska and the conterminous United States. The nominal spatial resolution is 1 kilometer and the...

  5. Average Vegetation Growth 1998 - Direct Download (United States)

    U.S. Geological Survey, Department of the Interior — This map layer is a grid map of 1998 average vegetation growth for Alaska and the conterminous United States. The nominal spatial resolution is 1 kilometer and the...

  6. Average Vegetation Growth 1994 - Direct Download (United States)

    U.S. Geological Survey, Department of the Interior — This map layer is a grid map of 1994 average vegetation growth for Alaska and the conterminous United States. The nominal spatial resolution is 1 kilometer and the...

  7. Treatment of reindeer with ivermectin - effect on dung insect fauna

    Directory of Open Access Journals (Sweden)

    Arne C. Nilssen


    Full Text Available Ivermectin is an antiparasitic drug widely used in reindeer (Rangifer tarandus (L. in Fennoscandia and North America. Most of the ivermectin injected in the animal is excreted unchanged in the faeces. Several reports show that ivermectin in cattle dung disrupts colonisation and survival of beneficial dung breeding insects. The present study investigated the effect of ivermectin on the reindeer dung fauna. Four reindeer calves (males, 6 months of age were injected subcutaneously with standard doses of ivermectin (0.2 mg/kg body weight in early December. The daily produced faeces was collected until day 30 after treatment, and the concentration of ivermectin was determined by high pressure liquid chromatography (HPLC with fluorescence detection. The highest concentration measured (mean 1632 ng/g faeces (dry weight, range 907 to 2261 ng/g among the animals was on day 4 after treatment. The concentration decreased gradually to 28 ng/g (range 6 to 58 ng/g on day 30. Faeces portions from day 4 and from untreated reindeer were placed in the field on 2-4 July and recollected on 13-22 September in order to detect possible differences in decomposition fauna between the samples. The most important coprophilous beetles (Apbodius spp. and flies (Scatbophaga spp. were not detected in this winter dung whether it contained ivermectin or not, probably because of the dry consistency and small size of the pellets. On the other hand, these insects (larvae and imagines were common in summer dung, which had been deposited naturally in the field and later placed together with the ivermectin-containing winter dung for comparison. The summer dung has a more soft and lumpy consistency. Treatment in autumn or early winter implies that the bulk of the ivermectin from the animal will be present in faeces with winter consistency, since this bulk portion is excreted during the first 30 days after treatment. This dry and pelleted faeces is not utilized by the important

  8. Adolescent idiopathic scoliosis: natural history and long term treatment effects

    Directory of Open Access Journals (Sweden)

    Asher Marc A


    risks of major surgery, a 6 to 29% chance of requiring re-operation, and the remote possibility of developing a pain management problem. Knowledge of adolescent idiopathic scoliosis natural history and long-term treatment effects is and will always remain somewhat incomplete. However, enough is know to provide patients and parents the information needed to make informed decisions about management options.

  9. Symmetric Euler orientation representations for orientational averaging. (United States)

    Mayerhöfer, Thomas G


    A new kind of orientation representation called symmetric Euler orientation representation (SEOR) is presented. It is based on a combination of the conventional Euler orientation representations (Euler angles) and Hamilton's quaternions. The properties of the SEORs concerning orientational averaging are explored and compared to those of averaging schemes that are based on conventional Euler orientation representations. To that aim, the reflectance of a hypothetical polycrystalline material with orthorhombic crystal symmetry was calculated. The calculation was carried out according to the average refractive index theory (ARIT [T.G. Mayerhöfer, Appl. Spectrosc. 56 (2002) 1194]). It is shown that the use of averaging schemes based on conventional Euler orientation representations leads to a dependence of the result from the specific Euler orientation representation that was utilized and from the initial position of the crystal. The latter problem can be overcome partly by the introduction of a weighing factor, but only for two-axes-type Euler orientation representations. In case of a numerical evaluation of the average, a residual difference remains also if a two-axes type Euler orientation representation is used despite of the utilization of a weighing factor. In contrast, this problem does not occur if a symmetric Euler orientation representation is used as a matter of principle, while the result of the averaging for both types of orientation representations converges with increasing number of orientations considered in the numerical evaluation. Additionally, the use of a weighing factor and/or non-equally spaced steps in the numerical evaluation of the average is not necessary. The symmetrical Euler orientation representations are therefore ideally suited for the use in orientational averaging procedures.

  10. Average Bandwidth Allocation Model of WFQ

    Directory of Open Access Journals (Sweden)

    Tomáš Balogh


    Full Text Available We present a new iterative method for the calculation of average bandwidth assignment to traffic flows using a WFQ scheduler in IP based NGN networks. The bandwidth assignment calculation is based on the link speed, assigned weights, arrival rate, and average packet length or input rate of the traffic flows. We prove the model outcome with examples and simulation results using NS2 simulator.

  11. Effect of comprehensive intervention on the therapeutic effect and treatment compliance in elderly patients with hypertension

    Institute of Scientific and Technical Information of China (English)

    Li-Ming Zhang


    Objective:To explore the effect of comprehensive intervention on the therapeutic effect and treatment compliance in elderly patients with hypertension. Methods:A total of 110 elderly patients with hypertension who were admitted in our hospital were included in the study and randomized into the intervention group (n=56) and the control group (n=54). The patients in the two groups were given pressure controlling drugs and symptomatic treatment. On this basis, the patients in the intervention group were given the comprehensive intervention. The blood pressure controlling and medication compliance change on admission, and 4 and 8 weeks after treatment in the two groups were compared. SF-36 living quality rating scale was used to evaluate the living quality after hospital discharge. Results:The comparison of SBP and DBP before intervention between the two groups was not statistically significant. SBP and DBP 4 and 8 weeks after treatment were significantly reduced when compared with on admission. SBP and DBP 4 and 8 weeks after treatment in the intervention group were significantly lower than those in the control group. The medication compliance after intervention in the intervention group was significantly higher than that in the control group. The improvement of living quality after intervention in the intervention group was significantly superior to that in the control group. Conclusions:The comprehensive intervention in the treatment of senile hypertension can enhance the medication compliance, effectively control and stabilize the blood pressure, and improve the living quality.

  12. Use of a Correlation Coefficient for Conditional Averaging. (United States)


    data. Selection of the sine function period and a correlation coefficient threshold are discussed. Also examined are the effects of the period and...threshold level on the number of ensembles captured for inclusion for conditional averaging. Both the selection of threshold correlation coefficient and the...A method of collecting ensembles for conditional averaging is presented that uses data collected from a plane mixing layer. The correlation

  13. Effectiveness of conservative treatments for the lumbosacral radicular syndrome: A systematic review

    NARCIS (Netherlands)

    P.A.J. Luijsterburg (Pim); A.P. Verhagen (Arianne); R.W.J.G. Ostelo (Raymond); T.A.G. van Os (Ton); W.C. Peul (Wilco); B.W. Koes (Bart)


    textabstractPatients with a lumbosacral radicular syndrome are mostly treated conservatively first. The effect of the conservative treatments remains controversial. To assess the effectiveness of conservative treatments of the lumbosacral radicular syndrome (sciatica). Relevant electronic databases

  14. Strength training and testosterone treatment have opposing effects on migration inhibitor factor levels in ageing men

    DEFF Research Database (Denmark)

    Glintborg, D.; Christensen, L. L.; Kvorning, T.;


    Strength Training and Testosterone Treatment Have Opposing Effects on Migration Inhibitor Factor Levels in Ageing Men......Strength Training and Testosterone Treatment Have Opposing Effects on Migration Inhibitor Factor Levels in Ageing Men...

  15. Risk for Sleep Disorder Measured during Students' First College Semester May Predict Institutional Retention and Grade Point Average over a 3-Year Period, with Indirect Effects through Self-Efficacy (United States)

    Gaultney, Jane F.


    The present study used a validated survey to assess freshmen college students' sleep patterns and risk for sleep disorders and then examined associations with retention and grade point average (GPA) over a 3-year period. Students at risk for a sleep disorder were more likely to leave the institution over the 3-year period, although this…

  16. Preventive effects of sevoflurane treatment on lung inflammation in rats

    Institute of Scientific and Technical Information of China (English)

    Shu-Ye Song; Bing Zhou; Shuang-Mei Yang; Guo-Ze Liu; Jian-Min Tian; Xiu-Qin Yue


    Objective: To observe the effects of sevoflurane treatment on lung inflammation in rats with lipopoIysaccharide-induced acute lung injury (ALI). Methods: The rat model of ALI was established by intratracheal instillation of lipopolysaccharide (LPS). 45 infantile SD rats [body weight (272±15) g] were randomly divided into 3 groups (n=15): control group, LPS group, sevoflurane group. NS (1 mL/kg) was instillated in rats’airways of control group; LPS (5 mg/kg) was instillated in rats’airways of LPS group. Sevoflurane group rats received sevoflurane (2.4%) inhalation for a hour after LPS was instillated in rats’airways. Six hours after NS or LPS instillation, all rats were exsanguinated. Lung tissues were examined by HE staining. Expressions of TNF-α and ICAM1 mRNA were detected by semiquantitative RT-PCR techniques. The protein level of TNF-α and ICAM1 were assessed by western blot techniques. Results: In LPS group the permeability of lung tissues increased, organizational structure severely damaged and the alveolar wall tumed thick, with interstitial edema and Europhiles infiltrated increasingly. The LPS group had higher mRNA expressions of TNF-α and ICAM1 than control group and sevoflurane group (P<0.05), and LPS group had higher protein level of TNF-α and ICAM1 than control group and sevoflurane group (P<0.05). Conclusions: Sevoflurane treatment can attenuate lung inflammation in rats with lipopolysaccharide-induced acute lung injury.

  17. Ecological effects after an alum treatment in Spring Lake, Michigan. (United States)

    Steinman, Alan D; Ogdahl, Mary


    A whole-lake alum treatment was applied to eutrophic Spring Lake during October and November 2005. Eight months later, an ecological assessment of the lake was performed and compared with data collected in 2003 and 2004. Field measurements showed reduced soluble reactive phosphorus (SRP) and total phosphorus (TP) concentrations in the water column the summer after the alum application, but chlorophyll levels and irradiance profiles were not significantly affected. Total macroinvertebrate density declined significantly in 2006 compared with 2004, with chaoborids and oligochaetes experiencing the greatest reductions. Internal phosphorus release rates, measured using sediment cores incubated in the laboratory, ranged from -0.052 to 0.877 mg TP m(-2) d(-1) under anaerobic conditions. These internal loading rates were significantly lower than those measured in 2003 at three out of four sites. Mean porewater SRP concentrations were lower in 2006 than in 2003, but this difference was statistically significant only under aerobic conditions. The NaOH-extractable SRP fraction in the sediment was also significantly lower in 2006 compared with 2003, whereas the HCl-extractable SRP sediment fraction showed the opposite pattern. Overall, these results indicate that the alum treatment effectively reduced internal P loading in Spring Lake. However, water column phosphorus concentrations remain high in this system, presumably due to high external loading levels, and may account for the high chlorophyll levels. An integrated watershed management approach that includes reducing internal and external inputs of P is necessary to address the cultural eutrophication of Spring Lake.


    Directory of Open Access Journals (Sweden)

    Y. M’Sadak


    Full Text Available The object of this work was to study the effect of thermal treatments (in the oven and in the compost on the seed germination SOEL. The laboratory evaluation on the treatment in the oven berries at two temperatures (50°C and 60°C for three exposure time ( one day, two days and three days gave a germination rate zero for 60°C for an exposure time of one day. The spatio-temporal thermal monitoring of forestry compost windrow which was introduced to deal with berries SOEL showed a substantially homogeneous distribution of the temperature rising to 60°C and even longer swath stretching and used for a time period of 5 consecutive days. The germination rate was zero for all fruit seeds treated before the first reversal fact, regardless of the depth and location of the windrow considered that the berries were introduced. Thus, composting can be a solution to prevent the spread of SOEL by seed.

  19. The Effect of Vestibular Rehabilitation in the Treatment of Elderly Patients with Benign Paroxysmal Positional Vertigo

    Directory of Open Access Journals (Sweden)

    N. Saki


    Full Text Available Introduction & Objective: Vertigo in the elderly is relatively common, but only a few studies are available. Vestibular rehabilitation (VR therapy is an important therapeutic option in treating patients with significant balance deficits. The purpose of this study was to analyze the effect of vestibular rehabilitation on vertigo symptoms in elderly patients with benign paroxysmal positional vertigo (BPPV. Materials & Methods: In a cross sectional analytic design, 46 patients older than 60 years (aged 61 to 72 years with BPPV who referred to the ENT center of Imam Khomeini Hospital, Ahwaz, were studied. After an otologic evaluation, videonystagmography and dizziness handicap inventory (DHI evaluations were performed for each case. Then, vestibular rehabilitation (VR therapy was carried out by means of Epley maneuver. Efficacy of a VRT was tested by comparing pre-treatment with post-treatment VNG and DHI assessments. The data were analyzed by SPSS 16 software. Results: The average age of the patients was 67.28 ± 4.5 years. VR caused normal Hallpike findings in 31 (67.4 % and noticeable reduction in nystagmus amplitudes in 9 patients. We found a significant correlation between nystagmus amplitudes and DHI scores (r=0.77. The mean DHI scores decreased from 53.26±16.12 points to 15.36±9.23 points (p<0.001 at the end of the treatment course. Conclusion: Our investigation revealed that VR plays an important role in reducing vertigo in at-risk elderly patients. Lack of appropriate treatment in this population may cause a serious balance problem (such as bone fracture and long-term handicap that may interfere with their daily activities. (Sci J Hamadan Univ Med Sci 2011;18(1:33-36

  20. Cost-Effectiveness Analysis of Fosfomycin for Treatment of Uncomplicated Urinary Tract Infections in Ontario (United States)

    Dahan, Sybil; Iliza, Ange Christelle; LeLorier, Jacques


    Background and Objective. Bacterial resistance to antibiotics traditionally used to treat uncomplicated urinary tract infections (uUTIs) is rising in Canada. We compared the cost-per-patient in Ontario of including fosfomycin (an antibiotic with a low resistance profile) as an option for first-line empirical treatment of uUTIs with current cost of treatment with sulfonamides, fluoroquinolones, and nitrofurantoin. Methods. A decision-tree model was used to perform a cost-minimization analysis. All possible outcomes of a uUTI caused by bacterial species treated with either sulfonamides, fluoroquinolones, nitrofurantoin, or fosfomycin were included. Results. In the base case analysis, the cost-per-patient for treating uUTI with fosfomycin was $105.12. This is similar to the cost-per-patient for each of the other currently reimbursed antibiotics (e.g., $96.19 for sulfonamides, $98.85 for fluoroquinolones, and $99.09 for nitrofurantoins). The weighted average cost-per-patient for treating uUTI was not substantially elevated with the inclusion of fosfomycin in the treatment landscape ($98.41 versus $98.29 with and without fosfomycin, resp.). The sensitivity analyses revealed that most (88.34%) of the potential variation in cost was associated with the probability of progressing to pyelonephritis and hospitalization for pyelonephritis. Conclusion. Fosfomycin in addition to being a safe and effective agent to treat uUTI has a low resistance profile, offers a single-dose treatment administration, and is similar in cost to other reimbursed antibiotics.

  1. Interference with work in fibromyalgia - effect of treatment with pregabalin and relation to pain response

    Directory of Open Access Journals (Sweden)

    Hallier Ernst


    Full Text Available Abstract Background Clinical trials in chronic pain often collect information about interference with work as answers to component questions of commonly used questionnaires but these data are not normally analysed separately. Methods We performed a meta-analysis of individual patient data from four large trials of pregabalin for fibromyalgia lasting 8-14 weeks. We analysed data on interference with work, inferred from answers to component questions of Fibromyalgia Impact Questionnaire (FIQ, Short Form 36 Health Survey, Sheehan Disability Scale, and Multidimensional Assessment of Fatigue, including "How many days in the past week did you miss work, including housework, because of fibromyalgia?" from FIQ. Analyses were performed according to randomised treatment group (pregabalin 150-600 mg daily or placebo, pain improvement (0-10 numerical pain rating scale scores at trial beginning vs. end, and end of trial pain state (100 mm visual analogue pain scale [VAS]. Results Comparing treatment group average outcomes revealed modest improvement over the duration of the trials, more so with active treatment than with placebo. For the 'work missed' question from FIQ the change for patients on placebo was from 2.2 (standard deviation [SD] 2.3 days of work lost per week at trial beginning to 1.9 (SD 2.1 days lost at trial end (p /= 50% pain improvement and from 1.9 (SD 2.2 days to 0.73 (SD 1.4 days (p /= 50% pain improvement and a pain score Conclusions Effective pain treatment goes along with benefit regarding work. A reduction in time off work >1 day per week can be achieved in patients with good pain responses.

  2. Cost-Effectiveness Analysis of Fosfomycin for Treatment of Uncomplicated Urinary Tract Infections in Ontario. (United States)

    Perrault, Louise; Dahan, Sybil; Iliza, Ange Christelle; LeLorier, Jacques; Zhanel, George G


    Background and Objective. Bacterial resistance to antibiotics traditionally used to treat uncomplicated urinary tract infections (uUTIs) is rising in Canada. We compared the cost-per-patient in Ontario of including fosfomycin (an antibiotic with a low resistance profile) as an option for first-line empirical treatment of uUTIs with current cost of treatment with sulfonamides, fluoroquinolones, and nitrofurantoin. Methods. A decision-tree model was used to perform a cost-minimization analysis. All possible outcomes of a uUTI caused by bacterial species treated with either sulfonamides, fluoroquinolones, nitrofurantoin, or fosfomycin were included. Results. In the base case analysis, the cost-per-patient for treating uUTI with fosfomycin was $105.12. This is similar to the cost-per-patient for each of the other currently reimbursed antibiotics (e.g., $96.19 for sulfonamides, $98.85 for fluoroquinolones, and $99.09 for nitrofurantoins). The weighted average cost-per-patient for treating uUTI was not substantially elevated with the inclusion of fosfomycin in the treatment landscape ($98.41 versus $98.29 with and without fosfomycin, resp.). The sensitivity analyses revealed that most (88.34%) of the potential variation in cost was associated with the probability of progressing to pyelonephritis and hospitalization for pyelonephritis. Conclusion. Fosfomycin in addition to being a safe and effective agent to treat uUTI has a low resistance profile, offers a single-dose treatment administration, and is similar in cost to other reimbursed antibiotics.

  3. Effectiveness of cidofovir intralesional treatment in recurrent respiratory papillomatosis. (United States)

    Wierzbicka, Małgorzata; Jackowska, Joanna; Bartochowska, Anna; Józefiak, Agata; Szyfter, Witold; Kędzia, Witold


    To present the results of recurrent respiratory papillomatosis (RRP) treatment with surgical excision and adjuvant anti-viral cidofovir intralesional use and to examine the correlation between the cidofovir effectiveness and the patient previous history of multiple larynx procedures, age, extension of lesion and dose. 32 patients with laryngeal papillomas were treated with cidofovir in our Department between I.2009 and I.2011. The number of previous RRP debulking procedures ranged from 1 to 100. The intensity of papillomatosis differed from one anatomic site and moderate growth to four or five localizations with heavy extension. The number of injections per patient varied from 1 to 7, and the total volume of 5 mg/ml solution varied from 2 to 33 ml. The injections were combined with laser debulking of the lesions. In disperse papillomata, the injections were administered in particular anatomical sites in 4-6 weeks intervals, in massive lesions injections were repeated in the same anatomical site in 2-4 weeks. Complete remission was observed in 18 out of 32 patients. 13 patients showed remission in a place of cidofovir injection. One patient did not react to the drug. In four patients, new changes in injection places appeared. In two patients, hepatic toxic side effects were observed. Intralesional cidofovir injection has been shown to be an effective and safe therapy for laryngeal papillomatosis and should be considered in those patients who experienced disease relapse.

  4. Differential effects of dopamine-directed treatments on cognition

    Directory of Open Access Journals (Sweden)

    Ashby FG


    Full Text Available F Gregory Ashby, Vivian V Valentin, Stella S von Meer Department of Psychological and Brain Sciences, University of California, Santa Barbara, CA, USA Abstract: Dopamine, a prominent neuromodulator, is implicated in many neuropsychiatric disorders. It has wide-ranging effects on both cortical and subcortical brain regions and on many types of cognitive tasks that rely on a variety of different learning and memory systems. As neuroscience and behavioral evidence for the existence of multiple memory systems and their corresponding neural networks accumulated, so did the notion that dopamine’s role is markedly different depending on which memory system is engaged. As a result, dopamine-directed treatments will have different effects on different types of cognitive behaviors. To predict what these effects will be, it is critical to understand: which memory system is mediating the behavior; the neural basis of the mediating memory system; the nature of the dopamine projections into that system; and the time course of dopamine after its release into the relevant brain regions. Consideration of these questions leads to different predictions for how changes in brain dopamine levels will affect automatic behaviors and behaviors mediated by declarative, procedural, and perceptual representation memory systems. Keywords: dopamine, cognition, memory systems, learning

  5. Effect of periodontal treatment on adipokines in type 2 diabetes

    Institute of Scientific and Technical Information of China (English)

    Hiroshi; Ogawa; Teerasak; Damrongrungruang; Sayaka; Hori; Kaname; Nouno; Kumiko; Minagawa; Misuzu; Sato; Hideo; Miyazaki


    The association between adipokines and inflammatory periodontal diseases has been studied over the last two decades. This review was intended to explore the observation that periodontal therapy may lead to an improvement of adipokines in diabetic patients. In summary, substantial evidence suggests that diabetes is associated with increased prevalence, extent and severity of periodontitis. Numerous mechanisms have been elucidated to explain the impact of diabetes on the periodontium. However, current knowledge concerning the role of major adipokines indicates only some of their associations with the pathogenesis of periodontitis in type 2 diabetes. Conversely, treatment of periodontal disease and reduction of oral inflammation may have positive effects on the diabetic condition, although evidence for this remains somewhat equivocal.

  6. How does wireless phones effect communication and treatment in hospitals?

    DEFF Research Database (Denmark)

    Paasch, Bettina Sletten


    phones can compromise patient safety, both by disturbing the practitioners’ concentration, causing mistakes, and by transporting bacteria between patients. This qualitative Ph.D.-study wishes to further investigate the effect of wireless phones on communication and treatment in hospital units, using......The use of wireless phones in hospital units are increasing, inducing practitioners to carry a working phone each. A study performed in a medical hospital unit demonstrates that wireless phones can impair communication between health care practitioners and patients (Paasch, in press). Also wireless...... participant observations, ethnographic interviews and video observations. The study will explore how wireless phones mediate and is mediated by practitioners communication with each other and patients. As hospitals are constructed and reconstructed by all communication within, this insight will enable...

  7. Rehabilitation in progressive supranuclear palsy: Effectiveness of two multidisciplinary treatments (United States)

    Clerici, Ilaria; Ferrazzoli, Davide; Maestri, Roberto; Bossio, Fabiola; Zivi, Ilaria; Canesi, Margherita; Pezzoli, Gianni; Frazzitta, Giuseppe


    Background to date, there are no medical or surgical treatments for progressive supranuclear palsy (PSP). It is possible to speculate that patients with PSP could benefit from rehabilitative treatments designed for Parkinson’s disease, including the use of robot-assisted walking training. Objective to evaluate whether the use of the robotic device Lokomat® is superior in PSP patients to the use of treadmill with visual cues and auditory feedbacks (treadmill-plus) in the context of an aerobic, multidisciplinary, intensive, motor-cognitive and goal-based rehabilitation treatment (MIRT) conceived for Parkinsonian patients. Methods we enrolled twenty-four PSP patients. Twelve subjects underwent a 4-week MIRT exploiting the use of the treadmill-plus (MIRT group). Twelve subjects underwent the same treatment, but replacing the treadmill-plus with Lokomat® (MIRT-Lokomat group). Subjects were evaluated with clinical and functional scales at admission and discharge. The primary outcomes were the total PSP Rating Scale (PSPRS) score and its “limb” and “gait” sub-scores. Secondary outcomes were Berg Balance Scale (BBS), Six Minutes Walking test (6MWT) and the number of falls. Results total PSPRS, PSPRS-gait sub-score, BBS, 6MWT and number of falls improved significantly in both groups (p ≤ 0.003 all, except 6MWT, p = 0.032 and p = 0.018 in MIRT-Lokomat and MIRT group respectively). The PSPRS-limb sub-score improved significantly only in the MIRT group (p = 0.002). A significant difference between groups was observed only for total PSPRS, indicating a slightly better improvement for patients in the MIRT group (p = 0.047). No differences between groups were revealed for the other outcomes, indicating that the effect of rehabilitation was similar in both groups. Conclusions Lokomat® training, in comparison with treadmill-plus training, does not provide further benefits in PSP patients undergoing MIRT. Our findings suggest the usefulness of an aerobic

  8. The effect of reminder systems on patients' adherence to treatment

    Directory of Open Access Journals (Sweden)

    Fenerty SD


    Full Text Available Sarah D Fenerty1, Cameron West1, Scott A Davis1, Sebastian G Kaplan3, Steven R Feldman1,2,41Center for Dermatology Research, Department of Dermatology, 2Department of Pathology, 3Department of Psychiatry and Behavioral Medicine, 4Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USABackground: Patient adherence is an important component of the treatment of chronic disease. An understanding of patient adherence and its modulating factors is necessary to correctly interpret treatment efficacy and barriers to therapeutic success.Purpose: This meta-analysis aims to systematically review published randomized controlled trials of reminder interventions to assist patient adherence to prescribed medications.Methods: A Medline search was performed for randomized controlled trials published between 1968 and June 2011, which studied the effect of reminder-based interventions on adherence to self-administered daily medications.Results: Eleven published randomized controlled trials were found between 1999 and 2009 which measured adherence to a daily medication in a group receiving reminder interventions compared to controls receiving no reminders. Medication adherence was measured as the number of doses taken compared to the number prescribed within a set period of time. Meta-analysis showed a statistically significant increase in adherence in groups receiving a reminder intervention compared to controls (66.61% versus 54.71%, 95% CI for mean: 0.8% to 22.4%. Self-reported and electronically monitored adherence rates did not significantly differ (68.04% versus 63.67%, P = 1.0. Eight of eleven studies showed a statistically significant increase in adherence for at least one of the reminder group arms compared to the control groups receiving no reminder intervention.Limitations: The data are limited by imperfect measures of adherence due to variability in data collection methods. It is also likely

  9. Dimensional Analysis of Average Diameter of Bubbles for Bottom Blown Oxygen Copper Furnace

    Directory of Open Access Journals (Sweden)

    Dongxing Wang


    Full Text Available Average diameter of bubbles is important in copper furnace. Based on the principle of similarity, a slice water model of a furnace with bottom-blown oxygen in matte-smelting process was established. A high-speed camera was used to record images continuously and clearer pictures were selected for treatment. Finally, image processing software was used for obtaining the average diameter of the bubbles. The effects of different injection conditions and equipment factors such as the diameter of nozzle, the nozzle installing angle, and gas velocity on the average diameter of bubbles were studied with cold water model experiment, exploring the dispersion and disintegration rules of bubbles. According to experimental data and Buckingham’s theorem, by using dimensional analysis method, an empirical formula on average diameter of bubbles was established (dB=0.41666d0.29374θ-0.46572v-0.16725. It can be seen from the formula that nozzle installing angle and diameter of nozzle make the most impact on the average diameter of bubbles in bottom blown oxygen copper furnace.


    Directory of Open Access Journals (Sweden)



    Full Text Available BACKGROUND: Varices are expanded blood vessels that develop most commonly in the esophagus. Esophageal varices is responsible for 5-11% of all cases of upper GI bleeding. Endoscopic injection sclerotherapy (EST is a valuable therapeutic modality for the management of variceal bleeding. Other options for treatment such as variceal band ligation are either expensive or unavailable. AIM: To study the common causes for development of portal hypertension to present as esophageal varices and its different clinical mode of presentation and to know the effect of endoscopic sclerotherapy with absolute alcohol particularly in acute bleeding varices of different grades. MATERIALS AND METHODS: A clinical study of esophageal varices who presented to casualty in Basaveshwar Teaching and General Hospital, Gulbarga; from May 2012 to May 2014. Etiology, presentation, outcome from EST was evaluated. RESULTS: Common affected age group was 30-50yrs, common presentation is haematemesis (90%, melena (55%, distension of abdomen (70%, haemorrhoids (20% and all cases of esophageal varices were due to portal hypertension, the common pathological condition was cirrhosis (alcoholic, cryptogenic, posthepatitis cirrhosis and next common was portal vein thrombosis followed by splenic vein thrombosis. 70% cases of bleeding varices were very well controlled with EST alone and some needed initial sengstaken balloon tamponade treatment to control the bleeding followed by EST (30%. Recurrence of bleeding and complications of EST is less. CONCLUSION: This study provides evidence that endoscopic injection sclerotherapy is an important component in the management of bleeding oesophageal varices caused by portal hypertension. It is a safe and effective procedure.

  11. Average Temperatures in the Southwestern United States, 2000-2015 Versus Long-Term Average (United States)

    U.S. Environmental Protection Agency — This indicator shows how the average air temperature from 2000 to 2015 has differed from the long-term average (1895–2015). To provide more detailed information,...

  12. Prevention, screening and treatment of colorectal cancer: a global and regional generalized cost effectiveness analysis

    Directory of Open Access Journals (Sweden)

    Johns Benjamin P


    Full Text Available Abstract Background Regional generalized cost-effectiveness estimates of prevention, screening and treatment interventions for colorectal cancer are presented. Methods Standardised WHO-CHOICE methodology was used. A colorectal cancer model was employed to provide estimates of screening and treatment effectiveness. Intervention effectiveness was determined via a population state-transition model (PopMod that simulates the evolution of a sub-regional population accounting for births, deaths and disease epidemiology. Economic costs of procedures and treatment were estimated, including programme overhead and training costs. Results In regions characterised by high income, low mortality and high existing treatment coverage, the addition of screening to the current high treatment levels is very cost-effective, although no particular intervention stands out in cost-effectiveness terms relative to the others. In regions characterised by low income, low mortality with existing treatment coverage around 50%, expanding treatment with or without screening is cost-effective or very cost-effective. Abandoning treatment in favour of screening (no treatment scenario would not be cost effective. In regions characterised by low income, high mortality and low treatment levels, the most cost-effective intervention is expanding treatment. Conclusions From a cost-effectiveness standpoint, screening programmes should be expanded in developed regions and treatment programmes should be established for colorectal cancer in regions with low treatment coverage.

  13. Cost-effectiveness of new oral anticoagulants in the treatment and secondary prevention of venous thromboembolism

    Directory of Open Access Journals (Sweden)

    A. V. Rudakova


    Full Text Available Aim. To assess the cost-effectiveness of apixaban in the treatment and secondary prevention of venous thromboembolism (VTE compared with low molecular weight heparin (LMWH/warfarin and other new oral anticoagulants (NOACs. Material and methods. Cost-effectiveness analysis was performed using a Markov model, developed on the basis of the results of AMPLIFY AMPLIFY-Ext trials, and network meta-analyzes on the use of antithrombotic drugs in acute VTE and long-term administration after VTE. Markov cycle duration was 3 months. The duration of therapy in the simulation was 6 and 12 months. The time horizon of the study was 5 years. Life expectancy and costs were discounted by 3.5% per year. The costs on drugs were estimated based on the registered marginal cost price. Besides, the analysis was performed to the weighted average auctions prices for NOACs. The costs of monitoring and treatment of complications were calculated on the basis of the collective agreement of compulsory health insurance system (St. Petersburg, 2015. Results. Apixaban provided significant cost savings compared with other modes of anticoagulant therapy for hospital treatment. Apixaban provided cost savings compared with other NOACs with a minimal increase in life expectancy with regard to quality in long-term analysis. Apixaban provided an increase in life expectancy compared with the appointment of LMWH/warfarin, but required some increase in costs. At therapy duration of 6 months, the costs per one additional year of life with regard to quality and to one additional calendar year of life were 309.8-403.7 and 481.6-627.4 thousand rubles, respectively; at therapy duration of 12 months – 1254.4-1476.9 and 649.0-764.1 thousand rubles, respectively. Conclusion. Apixaban provided a reduction in the incidence of bleeding compared with other NOACs and LMWH/warfarin with comparable efficacy in treatment and secondary prevention of VTE. Apixaban therapy costs were lower than these

  14. Beyond Fuel Treatment Effectiveness: Characterizing Interactions between Fire and Treatments in the US

    Directory of Open Access Journals (Sweden)

    Kevin Barnett


    Full Text Available In the United States, fuel reduction treatments are a standard land management tool to restore the structure and composition of forests that have been degraded by past management. Although treatments can have multiple purposes, their principal objective is to create landscape conditions where wildland fire can be safely managed to help achieve long-term land management goals. One critique is that fuel treatment benefits are unlikely to transpire due to the low probability that treated areas will be burned by a subsequent fire within a treatment’s lifespan, but little quantitative information exists to corroborate this argument. We summarized the frequency, extent, and geographic variation of fire and fuel treatment interactions on federal lands within the conterminous United States (CONUS. We also assessed how the encounters between fuel treatments and fires varied with treatment size, treatment age, and number of times treated. Overall, 6.8% of treatment units evaluated were encountered by a subsequent fire during the study period, though this rate varied among ecoregions across the CONUS. Larger treatment units were more likely to be encountered by a fire, and treatment units were most frequently burned within one year of the most recent treatment, the latter of which is likely because of ongoing maintenance of existing treatments. Our results highlight the need to identify and prioritize additional opportunities to reduce fuel loading and fire risk on the millions of hectares of federal lands in the CONUS that are in need of restoration.

  15. Averaged controllability of parameter dependent conservative semigroups (United States)

    Lohéac, Jérôme; Zuazua, Enrique


    We consider the problem of averaged controllability for parameter depending (either in a discrete or continuous fashion) control systems, the aim being to find a control, independent of the unknown parameters, so that the average of the states is controlled. We do it in the context of conservative models, both in an abstract setting and also analysing the specific examples of the wave and Schrödinger equations. Our first result is of perturbative nature. Assuming the averaging probability measure to be a small parameter-dependent perturbation (in a sense that we make precise) of an atomic measure given by a Dirac mass corresponding to a specific realisation of the system, we show that the averaged controllability property is achieved whenever the system corresponding to the support of the Dirac is controllable. Similar tools can be employed to obtain averaged versions of the so-called Ingham inequalities. Particular attention is devoted to the 1d wave equation in which the time-periodicity of solutions can be exploited to obtain more precise results, provided the parameters involved satisfy Diophantine conditions ensuring the lack of resonances.

  16. Effective treatment of depression improves post-myocardial infarction survival

    Institute of Scientific and Technical Information of China (English)

    Soudabeh; Khojasteh; Banankhah; Erika; Friedmann; Sue; Thomas


    effective treatment of depression reduced mortality in depressed post-MI patients.It is important to monitor the effectiveness of depression treatment and change treatments if necessary to reduce depression and improve cardiac outcomes in depressed post-MI patients.

  17. Effects of Chemical Treatments on Microbiologically Influenced Corrosion (United States)

    Friedman, E. S.; Strom, M.; Dexter, S. C.


    Biofilms are known to have an effect on galvanic corrosion of alloys in seawater systems. In the Delaware Bay, biofilm formation on surface of cathodes has been shown to cause galvanic corrosion to occur up to 100 times more rapidly. Given the impacts that corrosion can have on structures, it is important to study how we can affect corrosion rates. One way of doing this is the application of chemical treatments to biofilms on metal samples. To investigate this, natural marine biofilms were grown on alloy 6XN stainless steel samples, and various chemical treatments were applied to discover their effects on open circuit potentials and corrosion currents. Another objective of this study was to determine if there was a threshold molecular weight above which molecules were unable to penetrate the biofilm. It was discovered that chemicals with molecular weights as high as 741.6 g/mol were able to penetrate at least some parts of the heterogeneous biofilm and reach the metal surface. No upper threshold value was found in this study. It was found that the reducing agents sodium L-ascorbate and NADH as well as the chelate ferizene caused a drop in open circuit potential of biofilmed 6XN samples. Also, glutaraldahyde, which is used as a fixative for bacteria, shifted the open circuit potential of biofilm samples in the noble direction but had no effect on the corrosion current. Sodium L- ascorbate was found to reach the metal surface, but in concentrations lower than those present in the bulk fluid. It was not determined in this study whether this was due to physical or chemical processes within the biofilm. A synergistic effect was observed when applying a mixture of ferizene and glutaraldahyde. It is thought that this was due to the death of the bacteria as well as the disruption of iron cycling in the biofilm. Finally, it was observed that NADH caused a reduction in current at potentials associated with iron reduction, leading us to believe that the iron was being reduced

  18. Cost-Effectiveness Of The Injury Treatment On Diabetes Based On The Leg Between Modern Treatment Method With Conventional Treatment Method Of Bone

    Directory of Open Access Journals (Sweden)

    Muhammad Basri


    Full Text Available The aim of the research was to analyze cost effectiveness of the injury on diabetic leg based on the difference between modern treatment method and conventional method. The research was a quasi experimental study conducted in nurse independent practice and Tenriawaru hospital of bone. The sample was determined using purposive sampling method based on inclusive criteria. The data were obtained using instrument on the study of Bates-Jensen and record sheets of material cost of injury treatment. The difference of cost effectiveness between modern method and conventional method was examined using indenpendent t-tes with a confident level of 95. The results of indevendent t-tes indicate that there is a difference of cost effectiveness between modern treatment method and conventional method with a value of p 0001. Therefore health service institution need to develop treatment method of injury on diabetic leg using modern treatment method.


    Institute of Scientific and Technical Information of China (English)

    ZHANG Gui-xiang


    Objective: To explore an effective method for managing middle and late stages of scapulohumeral periarthritis. Methods: A total of 182 cases of scapulohumeral periarthritis were randomized into treatment group (100 cases) and control group ( 82 cases); those in treatment group were managed by "Heguci" (合谷刺muscle needling) at the reactionary spot of focus (found out via palpation around the shoulder region) in combination with reinforcing needling manipulation of "Setting the Mountain on Fire" and topical massage; whereas, those in control group treated by conventional method of "selecting acupoints [Jianqian (肩前extra point), Jianyu (肩髃 LI 15), Jianliao (肩髎 TE 14), etc] along the course of the affected meridians in combination with massage". The treatment was given once daily, with 10 sessions being a therapeutic course, 20 sessions altogether. Results: Of the 100 cases and 82 cases in control and treatment groups, 36 (43.90%) and 69 (69.00%) were cured, 42 (51.21%) and 26 (26.00%) improved, 4 (4.87%) and 5 (5.00%) failed, with the total effective rates being 95.13% and 95.00% respectively. The average treatment sessions of control and treatment groups were 16.32±4.24 and 9.66±8.44 separately. The curative rate of treatment group was significantly higher than that of control group and the number of the therapeutic sessions required of the former group was evidently fewer than that of the later group (P<0.01). Conclusion: The therapeutic effect of "Heguci" combined with massage is significantly superior to that of conventional acupuncture plus massage in the treatment of middle and late stages of scapulohumeral periarthritis.

  20. Effect of thermal treatment on potato starch evidenced by EPR, XRD and molecular weight distribution. (United States)

    Bidzińska, Ewa; Michalec, Marek; Pawcenis, Dominika


    Effect of heating of the potato starch on damages of its structure was investigated by quantitative electron paramagnetic resonance (EPR) spectroscopy, X-ray diffraction and determination of the molecular weight distribution. The measurements were performed in the temperature range commonly used for starch modifications optimizing properties important for industrial applications. Upon thermal treatment, because of breaking of the polymer chains, diminishing of the average molecular weights occurred, which significantly influences generation of radicals, evidenced by EPR. For the relatively mild conditions, with heating parameters not exceeding temperature 230 °C and time of heating equal to 30 min a moderate changes of both the number of thermally generated radicals and the mean molecular weight of the starch were observed. After more drastic thermal treatment (e.g. 2 h at 230 °C), a rapid increase in the radical amount occurred, which was accompanied by significant reduction of the starch molecular size and crystallinity. Experimentally established threshold values of heating parameters should not be exceeded in order to avoid excessive damages of the starch structure accompanied by the formation of the redundant amount of radicals. This requirement is important for industrial applications, because significant destruction of the starch matrix might annihilate the positive influence of the previously performed intentional starch modification.

  1. Effects O{sub 2} plasma surface treatment on the electrical properties of the ITO substrate

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Jin-Woong; Oh, Dong-Hoon; Shim, Sang-Min; Lee, Young-Sang; Kang, Yong-Gil [Kwangwoon University, Seoul (Korea, Republic of); Shin, Jong-Yeol [Sahmyook University, Seoul (Korea, Republic of)


    The indium-tin-oxide (ITO) substrate is used as a transparent electrode in organic light-emitting diodes (OLEDs) and organic photovoltaic cells. The effect of an O{sub 2} plasma surface treatment on the electrical properties of the ITO substrate was examined. The four-point probe method, an atomic force microscope (AFM), a LCR meter, a Cole-Cole plot, and a conductive mechanism analysis were used to assess the properties of the treated ITO substrates. The four-point probe method and the AFM study revealed a lower ITO surface resistance of 17.6 Ω/sq and an average roughness of 2 nm, respectively, for a substrate treated by a plasma at 250 W for 40 s. The lower surface resistance of the ITO substrate treated at 250 W for 40 s was confirmed by using a LCR meter. An amorphous fluoropolymer (AF) was deposited on an ITO substrate treated under the optimal conditions and on a non-plasma treated ITO substrate as well. The potential barriers for charge injection in these devices were 0.25 eV and 0.15 eV, respectively, indicating a 0.1-eV decrease due to the plasma treatment.

  2. Stochastic Averaging and Stochastic Extremum Seeking

    CERN Document Server

    Liu, Shu-Jun


    Stochastic Averaging and Stochastic Extremum Seeking develops methods of mathematical analysis inspired by the interest in reverse engineering  and analysis of bacterial  convergence by chemotaxis and to apply similar stochastic optimization techniques in other environments. The first half of the text presents significant advances in stochastic averaging theory, necessitated by the fact that existing theorems are restricted to systems with linear growth, globally exponentially stable average models, vanishing stochastic perturbations, and prevent analysis over infinite time horizon. The second half of the text introduces stochastic extremum seeking algorithms for model-free optimization of systems in real time using stochastic perturbations for estimation of their gradients. Both gradient- and Newton-based algorithms are presented, offering the user the choice between the simplicity of implementation (gradient) and the ability to achieve a known, arbitrary convergence rate (Newton). The design of algorithms...

  3. Books average previous decade of economic misery. (United States)

    Bentley, R Alexander; Acerbi, Alberto; Ormerod, Paul; Lampos, Vasileios


    For the 20(th) century since the Depression, we find a strong correlation between a 'literary misery index' derived from English language books and a moving average of the previous decade of the annual U.S. economic misery index, which is the sum of inflation and unemployment rates. We find a peak in the goodness of fit at 11 years for the moving average. The fit between the two misery indices holds when using different techniques to measure the literary misery index, and this fit is significantly better than other possible correlations with different emotion indices. To check the robustness of the results, we also analysed books written in German language and obtained very similar correlations with the German economic misery index. The results suggest that millions of books published every year average the authors' shared economic experiences over the past decade.

  4. High Average Power Yb:YAG Laser

    Energy Technology Data Exchange (ETDEWEB)

    Zapata, L E; Beach, R J; Payne, S A


    We are working on a composite thin-disk laser design that can be scaled as a source of high brightness laser power for tactical engagement and other high average power applications. The key component is a diffusion-bonded composite comprising a thin gain-medium and thicker cladding that is strikingly robust and resolves prior difficulties with high average power pumping/cooling and the rejection of amplified spontaneous emission (ASE). In contrast to high power rods or slabs, the one-dimensional nature of the cooling geometry and the edge-pump geometry scale gracefully to very high average power. The crucial design ideas have been verified experimentally. Progress this last year included: extraction with high beam quality using a telescopic resonator, a heterogeneous thin film coating prescription that meets the unusual requirements demanded by this laser architecture, thermal management with our first generation cooler. Progress was also made in design of a second-generation laser.

  5. Books average previous decade of economic misery.

    Directory of Open Access Journals (Sweden)

    R Alexander Bentley

    Full Text Available For the 20(th century since the Depression, we find a strong correlation between a 'literary misery index' derived from English language books and a moving average of the previous decade of the annual U.S. economic misery index, which is the sum of inflation and unemployment rates. We find a peak in the goodness of fit at 11 years for the moving average. The fit between the two misery indices holds when using different techniques to measure the literary misery index, and this fit is significantly better than other possible correlations with different emotion indices. To check the robustness of the results, we also analysed books written in German language and obtained very similar correlations with the German economic misery index. The results suggest that millions of books published every year average the authors' shared economic experiences over the past decade.

  6. Cosmic structure, averaging and dark energy

    CERN Document Server

    Wiltshire, David L


    These lecture notes review the theoretical problems associated with coarse-graining the observed inhomogeneous structure of the universe at late epochs, of describing average cosmic evolution in the presence of growing inhomogeneity, and of relating average quantities to physical observables. In particular, a detailed discussion of the timescape scenario is presented. In this scenario, dark energy is realized as a misidentification of gravitational energy gradients which result from gradients in the kinetic energy of expansion of space, in the presence of density and spatial curvature gradients that grow large with the growth of structure. The phenomenology and observational tests of the timescape model are discussed in detail, with updated constraints from Planck satellite data. In addition, recent results on the variation of the Hubble expansion on < 100/h Mpc scales are discussed. The spherically averaged Hubble law is significantly more uniform in the rest frame of the Local Group of galaxies than in t...

  7. Ensemble vs. time averages in financial time series analysis (United States)

    Seemann, Lars; Hua, Jia-Chen; McCauley, Joseph L.; Gunaratne, Gemunu H.


    Empirical analysis of financial time series suggests that the underlying stochastic dynamics are not only non-stationary, but also exhibit non-stationary increments. However, financial time series are commonly analyzed using the sliding interval technique that assumes stationary increments. We propose an alternative approach that is based on an ensemble over trading days. To determine the effects of time averaging techniques on analysis outcomes, we create an intraday activity model that exhibits periodic variable diffusion dynamics and we assess the model data using both ensemble and time averaging techniques. We find that ensemble averaging techniques detect the underlying dynamics correctly, whereas sliding intervals approaches fail. As many traded assets exhibit characteristic intraday volatility patterns, our work implies that ensemble averages approaches will yield new insight into the study of financial markets’ dynamics.

  8. An approximate analytical approach to resampling averages

    DEFF Research Database (Denmark)

    Malzahn, Dorthe; Opper, M.


    Using a novel reformulation, we develop a framework to compute approximate resampling data averages analytically. The method avoids multiple retraining of statistical models on the samples. Our approach uses a combination of the replica "trick" of statistical physics and the TAP approach for appr......Using a novel reformulation, we develop a framework to compute approximate resampling data averages analytically. The method avoids multiple retraining of statistical models on the samples. Our approach uses a combination of the replica "trick" of statistical physics and the TAP approach...

  9. A singularity theorem based on spatial averages

    Indian Academy of Sciences (India)

    J M M Senovilla


    Inspired by Raychaudhuri's work, and using the equation named after him as a basic ingredient, a new singularity theorem is proved. Open non-rotating Universes, expanding everywhere with a non-vanishing spatial average of the matter variables, show severe geodesic incompletness in the past. Another way of stating the result is that, under the same conditions, any singularity-free model must have a vanishing spatial average of the energy density (and other physical variables). This is very satisfactory and provides a clear decisive difference between singular and non-singular cosmologies.

  10. Tract shape modeling detects changes associated with preterm birth and neuroprotective treatment effects

    Directory of Open Access Journals (Sweden)

    Devasuda Anblagan


    Tract topology is a biomarker of preterm brain injury. The data provide proof of concept that tract-averaged dMRI parameters have utility for evaluating tissue effects of perinatal neuroprotective strategies.

  11. CT perfusion measurements of head and neck carcinoma from single section with largest tumor dimensions or average of multiple sections: Agreement between the two methods and effect on intra- and inter-observer agreement

    Energy Technology Data Exchange (ETDEWEB)

    Tawfik, Ahmed M., E-mail: [Institut für Diagnostische und Interventionelle Radiologie, Klinikum der J.W.v. Goethe Universität Frankfurt am Main, Theodor-Stern-Kai 7 Frankfurt am Main 60590 (Germany); Diagnostic Radiology Department, Mansoura Faculty of Medicine, 62 Elgomhorya Street, Mansoura 35512 (Egypt); Nour-Eldin, Nour-Eldin A.; Naguib, Nagy N. [Institut für Diagnostische und Interventionelle Radiologie, Klinikum der J.W.v. Goethe Universität Frankfurt am Main, Theodor-Stern-Kai 7 Frankfurt am Main 60590 (Germany); Razek, Ahmed Abdel [Diagnostic Radiology Department, Mansoura Faculty of Medicine, 62 Elgomhorya Street, Mansoura 35512 (Egypt); Denewer, Adel T. [Surgical Oncology Department, Mansoura Oncology Centre, Mansoura Faculty of medicine (Egypt); Bisdas, Sotirios [Department of Neuroradiology, Eberhard Karls University, Tübingen (Germany); Vogl, Thomas J. [Institut für Diagnostische und Interventionelle Radiologie, Klinikum der J.W.v. Goethe Universität Frankfurt am Main, Theodor-Stern-Kai 7 Frankfurt am Main 60590 (Germany)


    Purpose: To evaluate the agreement between quantitative CT perfusion measurements of head and neck squamous cell carcinoma (SCC) obtained from single section with maximal tumor dimension and from average values of multiple sections, and to compare intra- and inter-observer agreement of the two methods. Methods: Perfusion was measured for 28 SCC cases using a region of interest (ROI) inserted in the single dynamic CT section showing maximal tumor dimension, then using average values of multiple ROIs inserted in all tumor-containing sections. Agreement between values of blood flow (BF), blood volume (BV), mean transit time (MTT) and permeability surface area product (PS) calculated by the two methods was assessed. Intra-observer agreement was assessed by comparing repeated calculations done by the same radiologist using both methods after 2 months blinding period. Perfusion measurements were done by another radiologist independently to assess inter-observer agreement of both methods. Results: No significant differences were observed between the means of the 4 perfusion parameters calculated by both methods, all p values >0.05 The 95% limits of agreement between the two methods were (−33.9 to 43) ml/min/100 g for BF, (−2.5 to 2.8) ml/100 g for BV, (−4.9 to 3.9) s for MTT and (−17.5 to 18.6) ml/min/100 g for PS. Narrower limits of agreement were obtained using average of multiple sections than with single section denoting improved intra- and inter-observer agreement. Conclusion: Agreement between both methods is acceptable. Taking the average of multiple sections slightly improves intra- and inter-observer agreement.

  12. Effect of Anti-inflammatory Treatment on Depression, Depressive Symptoms, and Adverse Effects

    DEFF Research Database (Denmark)

    Köhler, Karl Ole; Benros, Michael E; Nordentoft, Merete


    adverse effects of anti-inflammatory interventions. DATA SOURCES: Trials published prior to December, 31, 2013, were identified searching Cochrane Central Register of Controlled Trials, PubMed, EMBASE, PsychINFO,, and relevant review articles. STUDY SELECTION: Randomized placebo......-controlled trials assessing the efficacy and adverse effects of pharmacologic anti-inflammatory treatment in adults with depressive symptoms, including those who fulfilled the criteria for depression. DATA EXTRACTION AND SYNTHESIS: Data were extracted by 2 independent reviewers. Pooled standard mean difference (SMD......IMPORTANCE: Several studies have reported antidepressant effects of anti-inflammatory treatment; however, the results have been conflicting and detrimental adverse effects may contraindicate the use of anti-inflammatory agents. OBJECTIVE: To systematically review the antidepressant and possible...

  13. Effects of Cancer Treatment on Fertility (For Parents) (United States)

    ... the reproductive organs to remove the cancer. continue Sperm and Egg Preservation Options If your child's treatment carries a ... the cancer treatment works? What proactive measures, like sperm banking or egg preservation, are possible for my child? Are any ...

  14. Effect of cryogenic treatment on thermal conductivity properties of copper (United States)

    Nadig, D. S.; Ramakrishnan, V.; Sampathkumaran, P.; Prashanth, C. S.


    Copper exhibits high thermal conductivity properties and hence it is extensively used in cryogenic applications like cold fingers, heat exchangers, etc. During the realization of such components, copper undergoes various machining operations from the raw material stage to the final component. During these machining processes, stresses are induced within the metal resulting in internal stresses, strains and dislocations. These effects build up resistance paths for the heat carriers which transfer heat from one location to the other. This in turn, results in reduction of thermal conductivity of the conducting metal and as a result the developed component will not perform as per expectations. In the process of cryogenic treatment, the metal samples are exposed to cryogenic temperature for extended duration of time for 24 hours and later tempered. During this process, the internal stresses and strains are reduced with refinement of the atomic structure. These effects are expected to favourably improve thermal conductivity properties of the metal. In this experimental work, OFHC copper samples were cryotreated for 24 hours at 98 K and part of them were tempered at 423K for one hour. Significant enhancement of thermal conductivity values were observed after cryotreating and tempering the copper samples.

  15. Integrating Multiscale Modeling with Drug Effects for Cancer Treatment. (United States)

    Li, Xiangfang L; Oduola, Wasiu O; Qian, Lijun; Dougherty, Edward R


    In this paper, we review multiscale modeling for cancer treatment with the incorporation of drug effects from an applied system's pharmacology perspective. Both the classical pharmacology and systems biology are inherently quantitative; however, systems biology focuses more on networks and multi factorial controls over biological processes rather than on drugs and targets in isolation, whereas systems pharmacology has a strong focus on studying drugs with regard to the pharmacokinetic (PK) and pharmacodynamic (PD) relations accompanying drug interactions with multiscale physiology as well as the prediction of dosage-exposure responses and economic potentials of drugs. Thus, it requires multiscale methods to address the need for integrating models from the molecular levels to the cellular, tissue, and organism levels. It is a common belief that tumorigenesis and tumor growth can be best understood and tackled by employing and integrating a multifaceted approach that includes in vivo and in vitro experiments, in silico models, multiscale tumor modeling, continuous/discrete modeling, agent-based modeling, and multiscale modeling with PK/PD drug effect inputs. We provide an example application of multiscale modeling employing stochastic hybrid system for a colon cancer cell line HCT-116 with the application of Lapatinib drug. It is observed that the simulation results are similar to those observed from the setup of the wet-lab experiments at the Translational Genomics Research Institute.

  16. Effect of irradiation as quarantine treatment on citrus fruit quality

    Energy Technology Data Exchange (ETDEWEB)

    Betancurt, Pablo; Montalban, Antonio; Arcia, Patricia; Borthagaray, Maria D.; Curutchet, Ana; Pica, Leticia; Soria, Alejandra; Abreu, Anibal V., E-mail:, E-mail: [Laboratorio Tecnologico del Uruguay (LATU), Montevideo (Uruguay); Ares, M. Ines, E-mail: mares@mgap.gub.u [Ministerio de Ganaderia, Agricultura y Pesca (MGAP), Montevideo (Uruguay). Directoria General de Sanidad Vegetal (DGSV)


    Gamma radiations have been used to improve sanitation treatments without significant effects on fresh fruit quality. The objective of this work was to evaluate the fruit quality characteristics of citrus variety Valencia (Valencia Late), main variety produced and exported in Uruguay. All samples were stored at 3-5 deg C, 80% RH, for 20 and 40 days. Irradiation doses used were 0,35 kGy min. and 0,80 kGy max. (doses that also eliminate the fruit fly). Irradiation experiments were conducted using irradiation equipment from Atomic Center (CAE), year 1968, Co60 source, 800.000 Ci. The effects of irradiation on sensory qualities and physical characteristics were studied. The attributes evaluated were visual appearance (1- 4 hedonic scale, expert), overall acceptance (1-9 hedonic scale, consumers), texture (TAB Stevens, speed: 2m/s, distance: 2mm), yield of juice and colour (Hunter values). In general, no significant changes in these parameters were observed after irradiation. Quality was not significantly affected by doses usually applied to decrease the viability of pathogen that cause citrus Scab. This is an important contribution for the protocols that would allow citrus fruit exportation. (author)

  17. Graves’ Disease and Treatment Effects on Warfarin Anticoagulation

    Directory of Open Access Journals (Sweden)

    Amanda Howard-Thompson


    Full Text Available Background. Hyperthyroidism causes an increased hypoprothrombinemic response to warfarin anticoagulation. Previous studies have demonstrated that patients with hyperthyroidism require lower dosages of warfarin to achieve a therapeutic effect. As hyperthyroidism is treated and euthyroidism is approached, patients may require increasing warfarin dosages to maintain appropriate anticoagulation. We describe a patient’s varying response to warfarin during treatment of Graves’ disease. Case Presentation. A 48-year-old African American female presented to the emergency room with tachycardia, new onset bilateral lower extremity edema, gradual weight loss, palpable goiter, and generalized sweating over the prior 4 months. She was admitted with Graves’ disease and new onset atrial fibrillation. Primary stroke prophylaxis was started using warfarin; the patient developed a markedly supratherapeutic INR likely due to hyperthyroidism. After starting methimazole, her free thyroxine approached euthyroid levels and the INR became subtherapeutic. She remained subtherapeutic over several months despite steadily increasing dosages of warfarin. Immediately following thyroid radioablation and discontinuation of methimazole, the patient’s warfarin dose and INR stabilized. Conclusion. Clinicians should expect an increased response to warfarin in patients with hyperthyroidism and close monitoring of the INR is imperative to prevent adverse effects. As patients approach euthyroidism, insufficient anticoagulation is likely without vigilant follow-up, INR monitoring, and increasing warfarin dosages.

  18. Effect of Ozone Treatment on Deoxynivalenol and Wheat Quality. (United States)

    Wang, Li; Shao, Huili; Luo, Xiaohu; Wang, Ren; Li, Yongfu; Li, Yanan; Luo, Yingpeng; Chen, Zhengxing


    Deoxynivalenol (DON) is a secondary metabolite produced by Fusarium fungi, which is found in a wide range of agricultural products, especially in wheat, barley, oat and corn. In this study, the distribution of DON in the wheat kernel and the effect of exposure time to ozone on DON detoxification were investigated. A high concentration of toxin was found in the outer part of the kernel, and DON was injected from the outside to the inside. The degradation rates of DON were 26.40%, 39.16%, and 53.48% after the samples were exposed to 75 mg/L ozone for 30, 60, and 90 min, respectively. The effect of ozonation on wheat flour quality and nutrition was also evaluated. No significant differences (P > 0.05) were found in protein content, fatty acid value, amino acid content, starch content, carbonyl and carboxyl content, and swelling power of ozone-treated samples. Moreover, the ozone-treated samples exhibited higher tenacity and whiteness, as well as lower extensibility and yellowness. This finding indicated that ozone treatment can simultaneously reduce DON levels and improve flour quality.

  19. Effect of levodopa treatment on contrast sensitivity in Parkinson's disease. (United States)

    Bulens, C; Meerwaldt, J D; Van der Wildt, G J; Van Deursen, J B


    We studied contrast sensitivity function in 10 parkinsonian patients before and after levodopa treatment. Pretreatment contrast sensitivity function was abnormal in 16 of the 20 eyes. After treatment, only high-frequency loss was observed in 6 eyes. All other types of deficit disappeared under treatment. These changes of contrast sensitivity function following treatment suggest that dopamine is a functional transmitter in the visual pathways.

  20. A Search for Sources of Treatment Effects in a Teacher Effectiveness Training Program. (United States)

    Harris, Alene Hawes

    This study investigated possible sources of teacher change in the Stallings Effective Use of time (EUOT) staff development program administered to preservice teachers. These sources were: (1) the full EUOT program with feedback plus workshops; (2) feedback only; and (3) the trainer as post-treatment observer. Over a 15-month period, 20 student…