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Sample records for before-and-after design before-phase

  1. A Study of Stranding of Juvenile Salmon by Ship Wakes Along the Lower Columbia River Using a Before-and-After Design: Before-Phase Results

    Energy Technology Data Exchange (ETDEWEB)

    Pearson, Walter H.; Skalski, J R.; Sobocinski, Kathryn L.; Miller, Martin C.; Johnson, Gary E.; Williams, Greg D.; Southard, John A.; Buchanan, Rebecca A.

    2006-02-01

    Ship wakes produced by deep-draft vessels transiting the lower Columbia River have been observed to cause stranding of juvenile salmon. Proposed deepening of the Columbia River navigation channel has raised concerns about the potential impact of the deepening project on juvenile salmon stranding. The Portland District of the U.S. Army Corps of Engineers requested that the Pacific Northwest National Laboratory design and conduct a study to assess stranding impacts that may be associated with channel deepening. The basic study design was a multivariate analysis of covariance of field observations and measurements under a statistical design for a before and after impact comparison. We have summarized field activities and statistical analyses for the ?before? component of the study here. Stranding occurred at all three sampling sites and during all three sampling seasons (Summer 2004, Winter 2005, and Spring 2005), for a total of 46 stranding events during 126 observed vessel passages. The highest occurrence of stranding occurred at Barlow Point, WA, where 53% of the observed events resulted in stranding. Other sites included Sauvie Island, OR (37%) and County Line Park, WA (15%). To develop an appropriate impact assessment model that accounted for relevant covariates, regression analyses were conducted to determine the relationships between stranding probability and other factors. Nineteen independent variables were considered as potential factors affecting the incidence of juvenile salmon stranding, including tidal stage, tidal height, river flow, current velocity, ship type, ship direction, ship condition (loaded/unloaded), ship speed, ship size, and a proxy variable for ship kinetic energy. In addition to the ambient and ship characteristics listed above, site, season, and fish density were also considered. Although no single factor appears as the primary factor for stranding, statistical analyses of the covariates resulted in the following equations: (1) Stranding

  2. Physics before and after Einstein

    CERN Document Server

    Capria, M Mamone

    2005-01-01

    It is now a century ago that one of the icons of modern physics published some of the most influential scientific papers of all times. With his work on relativity and quantum theory, Albert Einstein has altered the field of physics forever. It should not come as a surprise that looking back at Einstein''s work, one needs to rethink the whole scope of physics, before and after his time. This books aims to provide a perspective on the history of modern physics, spanning from the late 19th century up to today. It is not an encyclopaedic work, but it presents the groundbreaking and sometimes provocative main contributions by Einstein as marking the line between ''old'' and ''new'' physics, and expands on some of the developments and open issues to which they gave rise.

  3. Physical Activity before and after School

    Science.gov (United States)

    Beighle, Aaron; Moore, Melanie

    2012-01-01

    This article discusses a variety of before- and after-school programs (BASPs) that can be implemented from preschool through 12th grade. These programs offer physical activity opportunities before and after school for youths of various ages, skill levels, and socioeconomic levels. In addition, strategies for the director of physical activity to…

  4. Sexual Dysfunction before and after Cardiac Rehabilitation

    OpenAIRE

    Jörg Schumann; Zellweger, Michael J.; Marcello Di Valentino; Simone Piazzalonga; Andreas Hoffmann

    2010-01-01

    Background. The aim of this study was to assess sexual function before and after cardiac rehabilitation in relation to medical variables. Methods. Analysis of patients participating in a 12-week exercise-based outpatient cardiac rehabilitation program (OCR) between April 1999 and December 2007. Exercise capacity (ExC) and quality of life including sexual function were assessed before and after OCR. Results. Complete data were available in 896 male patients. No sexual activity at all was indic...

  5. A community-based intervention for improving health-seeking behavior among sexual violence survivors: a controlled before and after design study in rural Tanzania

    Directory of Open Access Journals (Sweden)

    Muzdalifat Abeid

    2015-09-01

    Full Text Available Background: Despite global recognition that sexual violence is a violation of human rights, evidence still shows it is a pervasive problem across all societies. Promising community intervention studies in the low- and middle-income countries are limited. Objective: This study assessed the impact of a community-based intervention, focusing on improving the community's knowledge and reducing social acceptability of violence against women norms with the goal to prevent and respond to sexual violence. Design: The strategies used to create awareness included radio programs, information, education communication materials, and advocacy meetings with local leaders. The intervention took place in Morogoro region in Tanzania. The evaluation used a quasi-experimental design including cross-sectional surveys at baseline (2012 and endline (2014 with men and women aged 18–49 years. Main outcome measures were number of reported rape cases at health facilities and the community's knowledge and attitudes toward sexual violence. Results: The number of reported rape events increased by more than 50% at health facilities during the intervention. Knowledge on sexual violence increased significantly in both areas over the study period (from 57.3 to 80.6% in the intervention area and from 55.5 to 71.9% in the comparison area; p<0.001, and the net effect of the intervention between the two areas was statistically significant (6.9, 95% CI 0.2–13.5, p=0.03. There was significant improvement in most of the attitude indicators in the intervention area, but not in the comparison area. However, the intervention had no significant effect on the overall scores of acceptance attitudes in the final assessment when comparing the two areas (−2.4, 95% CI: −8.4 to 3.6, p=0.42. Conclusions: The intervention had an effect on some indicators on knowledge and attitudes toward sexual violence even after a short period of intervention. This finding informs the public health

  6. Happiness - before and after the Kids

    OpenAIRE

    Myrskylä, Mikko; Margolis, Rachel

    2014-01-01

    Understanding how the process of childbearing influences parental well-being has great potential to explain variation in fertility. However, most research on fertility and happiness uses cross-sectional data, hindering causal conclusions. We study trajectories of parental happiness before and after the birth of a child using British and German panel data and methods which control for unobserved parental characteristics. We find that happiness increases prior to and in the year of having a chi...

  7. VOICE QUALITY BEFORE AND AFTER THYROIDECTOMY

    Directory of Open Access Journals (Sweden)

    Dora CVELBAR

    2016-04-01

    Full Text Available Introduction: Voice disorders are a well-known complication which is often associated with thyroid gland diseases and because voice is still the basic mean of communication it is very important to maintain its quality healthy. Objectives: The aim of this study referred to questions whether there is a statistically significant difference between results of voice self-assessment, perceptual voice assessment and acoustic voice analysis before and after thyroidectomy and whether there are statistically significant correlations between variables of voice self-assessment, perceptual assessment and acoustic analysis before and after thyroidectomy. Methods: This scientific research included 12 participants aged between 41 and 76. Voice self-assessment was conducted with the help of Croatian version of Voice Handicap Index (VHI. Recorded reading samples were used for perceptual assessment and later evaluated by two clinical speech and language therapists. Recorded samples of phonation were used for acoustic analysis which was conducted with the help of acoustic program Praat. All of the data was processed through descriptive statistics and nonparametric statistical methods. Results: Results showed that there are statistically significant differences between results of voice self-assessments and results of acoustic analysis before and after thyroidectomy. Statistically significant correlations were found between variables of perceptual assessment and acoustic analysis. Conclusion: Obtained results indicate the importance of multidimensional, preoperative and postoperative assessment. This kind of assessment allows the clinician to describe all of the voice features and provides appropriate recommendation for further rehabilitation to the patient in order to optimize voice outcomes.

  8. Plasma adiponectin before and after kidney transplantation

    DEFF Research Database (Denmark)

    Idorn, Thomas; Hornum, Mads; Bjerre, Mette;

    2012-01-01

    The role of plasma adiponectin (ADPN) in patients with impaired kidney function and following kidney transplantation (Tx) is debated. We aimed to: (i) determine whether pretransplant ADPN level is an independent risk factor for deterioration of glucose tolerance including development of new......-onset diabetes mellitus after Tx, (ii) describe which parameters that influence the ADPN concentration before and after Tx. Fifty-seven nondiabetic kidney allograft recipients and 40 nondiabetic uraemic patients were included. The Tx group was examined at baseline and 3 and 12 months after Tx. The uraemic...

  9. Psychosocial challenges before and after organ transplantation

    Directory of Open Access Journals (Sweden)

    Schulz KH

    2015-08-01

    Full Text Available Karl-Heinz Schulz,1,2 Sylvia Kroencke,1,2 1Department of Medical Psychology, 2University Transplant Center, University Medical Center Hamburg-Eppendorf, Hamburg, Germany Abstract: This review addresses psychosocial challenges before and after solid organ transplantation. Stressors, corresponding psychosocial changes of the recipient, and psychological interventions in the different phases of the transplant process are described. Furthermore, important aspects of the preoperative psychosocial evaluation are presented with a special focus on living donors and patients with alcoholic liver disease. For the postoperative period, adherence, quality of life, and return to work are highlighted. Finally, research and clinical implications are presented. Keywords: adherence, alcoholic liver disease, evaluation, living donation, quality of life, return to work

  10. Happiness: before and after the kids.

    Science.gov (United States)

    Myrskylä, Mikko; Margolis, Rachel

    2014-10-01

    Understanding how having children influences parents' subjective well-being ("happiness") has great potential to explain fertility behavior. We study parental happiness trajectories before and after the birth of a child, using large British and German longitudinal data sets. We account for unobserved parental characteristics using fixed-effects models and study how sociodemographic factors modify the parental happiness trajectories. Consistent with existing work, we find that happiness increases in the years around the birth of a first child and then decreases to before-child levels. Moreover, happiness increases before birth, suggesting that the trajectories may capture not only the effect of the birth but also the broader process of childbearing, which may include partnership formation and quality. Sociodemographic factors strongly modify this pattern. Those who have children at older ages or who have more education have a particularly positive happiness response to a first birth; and although having the first two children increases happiness, having a third child does not. The results, which are similar in Britain and Germany, suggest that having up to two children increases happiness, and mostly for those who have postponed childbearing. This pattern is consistent with the fertility behavior that emerged during the second demographic transition and provides new insights into low and late fertility. PMID:25143019

  11. Sexual Dysfunction before and after Cardiac Rehabilitation

    Directory of Open Access Journals (Sweden)

    Jörg Schumann

    2010-01-01

    variables. Methods. Analysis of patients participating in a 12-week exercise-based outpatient cardiac rehabilitation program (OCR between April 1999 and December 2007. Exercise capacity (ExC and quality of life including sexual function were assessed before and after OCR. Results. Complete data were available in 896 male patients. No sexual activity at all was indicated by 23.1% at baseline and 21.8% after OCR, no problems with sexual activity by 40.8% at baseline and 38.6% after OCR. Patients showed an increase in specific problems (erectile dysfunction and lack of orgasm from 18% to 23% (<.0001 during OCR. We found the following independent positive and negative predictors of sexual problems after OCR: hyperlipidemia, age, CABG, baseline ExC and improvement of ExC, subjective physical and mental capacity, and sense of affiliation. Conclusions. Sexual dysfunction is present in over half of the patients undergoing OCR with no overall improvement during OCR. Age, CABG, low exercise capacity are independent predictors of sexual dysfunction after OCR.

  12. Opioid prescriptions before and after high-energy trauma

    DEFF Research Database (Denmark)

    Zwisler, Stine T; Hallas, Jesper; Larsen, Morten S;

    2015-01-01

    OBJECTIVE: To describe the legal use of opioids in adult patients before and after high-energy trauma. DESIGN: The study was a retrospective database study. SETTING: Clinical care outside hospitals. PATIENTS: All patients who suffered high-energy trauma and were brought to Odense University...... Hospital (OUH), Denmark, in 2007 and 2008 were retrieved from the trauma database. These patients were linked with data on opioid use from the regional prescription database. In all, 938 patients were included. MAIN OUTCOME MEASURE: Redemption of opioid prescription during the 6 months prior to a...... multitrauma or redemption of two or more prescriptions for opioids 6 months or later after a multitrauma. RESULTS: Of the 938 patients brought to OUH with severe trauma within the study period, 61 patients died (7 percent) and six of these had redeemed prescriptions for opioids within 6 months prior to the...

  13. The evaluation of gastroesophageal reflux before and after medical therapies

    International Nuclear Information System (INIS)

    Gastroesophageal scintigraphy is a quantitative technique that can be employed to detect and quantitate gastroesophageal reflux before and after the application of therapeutic modalities, including change in body position, bethanechol, atropine, antacids, and antacid-alginate compounds. Five groups of 10-15 patients each were studied before and after using each therapeutic modality and before and after atropine. The results were compared to the patient's symptomatology and to the acid reflux test. Gastroesophageal scintigraphy was performed following oral administration of 300 microCi 99mTc-sulfur colloid in 300 ml acidified orange juice. Thirty-second gamma camera images were obtained as the gastroesophageal gradient was increased from approximately 10 to 35 mm Hg at 5 mm Hg increments using an inflatable abdominal binder. Data were processed using a digital computer. Reflux was reduced by change in position from recumbent to upright, and by the use of subcutaneous bethanechol, oral antacid, or oral antacidalginate compound. Atropine increased reflux. Gastroesophageal scintigraphy is more sensitive than fluoroscopy, correlates well with clinical symptomatology, and is a reliable and convenient technique for the quantitative estimation of reflux before and after therapy

  14. Strength and Flexibility in Gymnasts Before and After Menarche.

    Science.gov (United States)

    Haywood, Kathleen M.

    Twenty female gymnasts between the ages of twelve and fourteen were tested to determine possible difference in strength and flexibility before and after the development of an active menstrual cycle. Results indicate that females participating in gymnastics on a seriously competitive level tend to be short and light for their ages, as well as to…

  15. Morbidity before and after the diagnosis of hyperthyroidism

    DEFF Research Database (Denmark)

    Brandt, Frans; Thvilum, Marianne; Pedersen, Dorthe Almind; Christensen, Kaare; Green, Anders; Hegedüs, Laszlo; Brix, Thomas Heiberg

    2013-01-01

    Hyperthyroidism has been linked with different morbidities, like atrial fibrillation, stroke and diabetes mellitus. However, our knowledge regarding the extent and temporal relation between hyperthyroidism and other diseases is fragmented. Here, we aimed at evaluating various morbidities before and...... after the diagnosis of hyperthyroidism....

  16. Antioxidant status in neonatal jaundice before and after phototherapy

    OpenAIRE

    Dahiya, Kiran; Tiwari, A. D.; Shankar, Vijay; Kharb, Simmi; Dhankhar, Rakesh

    2006-01-01

    Phototherapy has been related to increased oxidative stress and lipid peroxidation. In the present study, thirty full term jaundiced neonates with appropriate weight were analyzed before and after completion of phototherapy for malondialdehyde (MDA), reduced glutathione (GSH), total thiols, vitamin C and superoxide dismutase (SOD) levels in hemolysate and albumin levels in plasma. These parameters were analyzed in cord blood samples of 20 healthy neonates as control. It was observed that leve...

  17. Patient Satisfaction Before and After Executing Health Sector Evolution Plan

    OpenAIRE

    Behrouz Hashemi; Alireza Baratloo; Mohammad Mehdi Forouzafar; Maryam Motamedi; Mohammadreza Tarkhorani

    2015-01-01

    Introduction: After long discussions, carrying out health sector evolution (HSE) plan began on May 5, 2014 throughout Iran. Shohadaye Tajrish Hospital, Tehran, was also included in this plan. This study aimed to evaluate the level of emergency department patient satisfaction, before and after running this plan. Methods: This cross-sectional study analyzed the data extracted from a standard questionnaire filled out by the patients presented to the emergency department of Shohadaye Tajrish Hosp...

  18. Pulsations of blue supergiants before and after helium core ignition

    OpenAIRE

    Ostrowski, Jakub; Daszyńska-Daszkiewicz

    2013-01-01

    We present results of pulsation analyses of B-type supergiant models with masses of $14 - 18 M_\\odot$, considering evolutionary stages before and after helium core ignition. Using a non-adiabatic pulsation code, we compute instability domains for low degree modes. For selected models in these two evolutionary phases, we compare properties of pulsation modes. Significant differences are found in oscillation spectra and the kinetic energy density of pulsation modes.

  19. Before and After: Gender Transitions, Human Capital, and Workplace Experiences

    OpenAIRE

    Schilt Kristen; Wiswall Matthew

    2008-01-01

    We use the workplace experiences of transgender people individuals who change their gender typically with hormone therapy and surgery to provide new insights into the long-standing question of what role gender plays in shaping workplace outcomes. Using an original survey of male-to-female and female-to-male transgender people, we document the earnings and employment experiences of transgender people before and after their gender transitions. We find that while transgender people have the same...

  20. Effect of low-dose aspirin during pregnancy on fibrinolytic variables before and after parturition

    NARCIS (Netherlands)

    H.A. Bremer (Henk); N. Rotmans (Nel); E.J.Ph. Brommer; H.C.S. Wallenburg (Henk)

    1995-01-01

    textabstractOBJECTIVE: We assessed the effects of a daily oral dose of 60 to 80 mg of aspirin from 12 weeks gestation until delivery on fibrinolytic variables before and after parturition. STUDY DESIGN: In a prospective controlled study labor was electively induced in 24 patients, eight receiving l

  1. Phosphorus Spectroscopy of Calf Muscles before and after Exercise

    International Nuclear Information System (INIS)

    The aim of this study was to determine 31PMRS reference spectrum and intracellular pH of calf muscles in the dominant limb of healthy, young, male volunteers before and after intense physical effort. Examinations were performed with a 1.5 T MR system. FID CSI (Free Induction Decay Chemical Shift Imaging) sequence was used with the following parameters: TR=4000 ms, FA=90°, NEX=2 and VOI (Volume Of Interest)=8×8×8 cm3 (512 cm3) involving in calf muscles. Raw data was preprocessed using SAGE (GE) software. Authors analyzed relative concentrations ratios of selected metabolites: PCr/ATP and PCr/Pi. Intracellular pH and relative concentrations ratios of each metabolite (Pi, PCr, α-ATP, β-ATP, γ-ATP, ATP) were also calculated relative to the sum of concentrations of all metabolites. Results were compared with a t-test. Based on statistical analysis of results significant differences (p<0.05) were demonstrated for some of the studied metabolites and for intracellular pH. Increase in PCr concentration in relation to the sum of concentrations of all metabolites and to ATP concentration was noted. However, β-ATP, α-ATP and ATP concentrations relative to the sum of concentrations of all metabolites become reduced. Decrease in pH after physical effort was demonstrated. There were no significant differences (p<0.05) in concentrations of remaining metabolites before and after exercise. Increase in PCr concentration relative to Pi concentration and decrease of Pi and γ-ATP concentration relative to the sum of concentrations of all metabolites were demonstrated. The 31PMRS method enables assessment of concentrations of phosphorus-containing metabolites as well as intercellular pH before and after exercise. This method is still under examination, but it has already shown promise as a diagnostic tool for the future

  2. Vaginal pressure during daily activities before and after vaginal repair

    DEFF Research Database (Denmark)

    Mouritsen, L; Hulbaek, M; Brostrøm, S;

    2007-01-01

    The objective of the study was to measure vaginal pressure during various daily activities in patients before and after vaginal surgery for pelvic organ prolapse, searching data for evidence-based activity guidelines. Vaginal pressure (VP) was studied in 23 patients during activities such as rest......, pelvic floor contraction (PFC), coughing, Valsalva, rising from sitting to standing and lifting 2 and 5 kg with four different lifting techniques. VP was measured before, 1-5 days and 4-6 weeks after vaginal repair. Mean VP was four to five times higher during coughing and Valsalva compared to PFC and...

  3. Evolution of agricultural production of Zaire before and after 1960

    Directory of Open Access Journals (Sweden)

    Sabiti, K.

    1991-01-01

    Full Text Available This study presents the evolution of agricultural production of Zaire before and after 1960 with the help of variable quantifies of products, the cultured area and the exported quantifies of products. A comparative analysis of quantifies of studied products shows that after 1960, the agricultural production of basis foodstuffs of the Zairian population has fallen of the order of 91 % in comparison with the first period. This study shows that the system of peasantry introduced in 1936 by the INEAC, the rationalization of cultural methods connected to the governmental explain the agricultural expansion of Zaire before 1960.

  4. Saliva in relation to dental erosion before and after radiotherapy

    DEFF Research Database (Denmark)

    Jensdottir, Thorbjorg; von Buchwald, Christian; Nauntofte, Birgitte;

    2013-01-01

    Abstract Objective. Low saliva flow and abnormal saliva composition are common conditions after radiotherapy for oral cavity and pharyngeal cancer. Both conditions increase the susceptibility to dental caries and erosion, which may be further accelerated by changes in food preferences. The aim of...... this study was to determine changes in saliva flow and susceptibility to erosive challenges in pharyngeal cancer patients before and after radiotherapy to the head and neck. Materials and methods: The erosive potential of sucking acidic candies with and without calcium was determined in nine patients...

  5. Phosphorus Spectroscopy of Calf Muscles before and after Exercise

    OpenAIRE

    Wcisło, Bożena; Cichocka, Monika; Urbanik, Andrzej

    2014-01-01

    Summary Background The aim of this study was to determine 31PMRS reference spectrum and intracellular pH of calf muscles in the dominant limb of healthy, young, male volunteers before and after intense physical effort. Material/Methods Examinations were performed with a 1.5 T MR system. FID CSI (Free Induction Decay Chemical Shift Imaging) sequence was used with the following parameters: TR=4000 ms, FA=90°, NEX=2 and VOI (Volume Of Interest)=8×8×8 cm3 (512 cm3) involving in calf muscles. Raw ...

  6. Patient Satisfaction Before and After Executing Health Sector Evolution Plan

    Directory of Open Access Journals (Sweden)

    Behrouz Hashemi

    2015-02-01

    Full Text Available Introduction: After long discussions, carrying out health sector evolution (HSE plan began on May 5, 2014 throughout Iran. Shohadaye Tajrish Hospital, Tehran, was also included in this plan. This study aimed to evaluate the level of emergency department patient satisfaction, before and after running this plan. Methods: This cross-sectional study analyzed the data extracted from a standard questionnaire filled out by the patients presented to the emergency department of Shohadaye Tajrish Hospital over 6-month periods before and after the beginning of HSE. Results: 3665 patients were surveyed. After the execution of the plan, satisfaction decreased significantly regarding pre-discharge training (p = 0.03, hospitalization room condition (p = 0.0002, restroom sanitation (p = 0.007, waiting time to be visited by the physician (p = 0.04, accuracy and duration of physical examination (p = 0.007, feeling confident and desirable outcome (p = 0.03, commitment to religious and moral principles (p = 0.01, and handling financial affairs (p = 0.03. Conclusion: Based on the results of the present study, after execution of HSE plan, patient satisfaction has decreased significantly regarding pre-discharge training, hospitalization room condition, restroom sanitation, timely visit of the physicians, accuracy and duration of physical examination, suggestions for wellbeing of the patient, handling financial affairs, and commitment to religious and moral principles.

  7. A Water Rehabilitation Program in Patients with Hip Osteoarthritis Before and After Total Hip Replacement.

    Science.gov (United States)

    Łyp, Marek; Kaczor, Ryszard; Cabak, Anna; Tederko, Piotr; Włostowska, Ewa; Stanisławska, Iwona; Szypuła, Jan; Tomaszewski, Wiesław

    2016-01-01

    BACKGROUND Pain associated with coxarthrosis, typically occurring in middle-aged and elderly patients, very commonly causes considerable limitation of motor fitness and dependence on pharmacotherapy. This article provides an assessment of a rehabilitation program with tailored water exercises in patients with osteoarthritis before and after total hip replacement. MATERIAL AND METHODS A total of 192 patients (the mean age 61.03±10.89) suffering from hip osteoarthritis (OA) were evaluated before and after total hip replacement (THR). The clinical study covered measurements of hip active ranges of motion (HAROM) and the forces generated by pelvis stabilizer muscles. Pain intensity was assessed according to analogue-visual scale of pain (VAS) and according to the Modified Laitinen Questionnaire. The patients were divided into 6 groups (4 treatment and 2 control). We compared 2 rehabilitation programs using kinesitherapy and low-frequency magnetic field. One of them also had specially designed exercises in the water. Statistical analysis was carried out at the significance level α=0.05. This was a cross-sectional study. RESULTS A positive effect of water exercises on a number of parameters was found in patients with OA both before and after total hip replacement surgery. We noted a significant reduction of pain (pwater exercises most significantly reduced pain in patients with OA before and after total hip replacement surgery. 2. Inclusion of water exercises in a rehabilitation program can reduce the use of medicines in patient with OA and after THR. PMID:27455419

  8. Stress and marital satisfaction among women before and after their first cycle of in vitro fertilization and intracytoplasmic sperm injection

    NARCIS (Netherlands)

    Verhaak, C.M.; Smeenk, J.M.J.; Eugster, A.; Minnen, A. van; Kremer, J.A.M.; Kraaimaat, F.W.

    2001-01-01

    Objective: To determine differences in emotional status (anxiety and depression) and marital satisfaction in pregnant and nonpregnant women before and after their first cycle of IVF and intracytoplasmic sperm injection (ICSI). Design: Repeated measurement. Setting: Fertility department at a universi

  9. Stress and marital satisfaction among women before and after their first cycle of in vitro fertilization and intracytoplasmic sperm injection.

    NARCIS (Netherlands)

    Verhaak, C.M.; Smeenk, J.M.J.; Eugster, A.; Minnen, A. van; Kremer, J.A.M.; Kraaimaat, F.W.

    2001-01-01

    OBJECTIVE: To determine differences in emotional status (anxiety and depression) and marital satisfaction in pregnant and nonpregnant women before and after their first cycle of IVF and intracytoplasmic sperm injection (ICSI). DESIGN: Repeated measurement. SETTING: Fertility department at a universi

  10. Sexual Function before and after Total Hip Replacement: Narrative Review

    Directory of Open Access Journals (Sweden)

    Rotem Meiri, BPT

    2014-12-01

    Conclusions: The ability to move comfortably is included among the many physical and psychosocial factors influencing sexual functioning. Practitioners should be encouraged to question their THR patients about sexual concerns and to provide counseling related to physical and functional aspects of sexual activity. Rehabilitation that focuses specifically on activities of daily living of sex should include sexual counseling, therapeutic exercise, and advice regarding sexual positions. Rehabilitation provided by physical therapists may help decrease pain, and facilitate greater self‐awareness, self‐confidence, and improved body image, all of which encourage and affirm optimal sexual health. Meiri R, Rosenbaum TY, and Kalichman L. Sexual function before and after total hip replacement: Narrative review. Sex Med 2014;2:159–167.

  11. Breast Cancer Patients’ Cognitive Functioning Before and After Chemotherapy

    DEFF Research Database (Denmark)

    Andersen, Christina Maar; Pedersen, Anette Fischer; Mehlsen, Mimi Yung;

    evidence concerning cognitive functioning of breast cancer patients before and after chemotherapy. Methods: The databases PubMed and SSCI were searched for articles on the cognitive functioning of breast cancer patients receiving chemotherapy. The search took place from August to December 2010 and extended...... patients who were to receive chemotherapy scored higher on executive function than the controls (effect size (ES)=-0.202, p=0.011), but significantly lower on overall cognitive functioning as well as on the specific domains of attention, working memory, verbal learning and memory, motor function, visual...... learning and memory and visuospatial function (ES=0.248 to 0.407, p=0.000 to 0.010). Post-treatment, the patients who had received chemotherapy continued to score significantly lower than the controls on overall cognitive functioning and on the same specific domains as before treatment (ES=0.189 to 0...

  12. Morphometric evaluation of keratocystic odontogenic tumor before and after marsupialization

    Directory of Open Access Journals (Sweden)

    Deborah Campos Telles

    2013-12-01

    Full Text Available The aim of the present study was the morphometric evaluation of the epithelial lining and fibrous capsule in histological specimens of keratocystic odontogenic tumors (KOTs before and after marsupialization. Histological sections from six KOTs that had undergone marsupialization followed by enucleation were photographed. The thickness and features of the capsule and of the epithelial lining of the tumor were evaluated upon marsupialization and upon subsequent enucleation using Axion Vision software. The histological specimens taken upon marsupialization presented an epithelial lining that is typical of KOTs. After marsupialization, the enucleated specimens had a modified epithelial lining and a fibrous capsule that both presented a greater median thickness (p = 0.0277 and p = 0.0212, respectively, morphological changes, and significant enlargement. These modifications can facilitate full surgical treatment and may well be related to a low KOT recurrence rate.

  13. Body composition in acromegaly - before and after therapy

    International Nuclear Information System (INIS)

    Acromegaly is a disease caused by a benign pituitary tumor producing excess amount of growth hormone. A changed body composition can be a functional parameter of the disorder. The aim of this study is to describe body composition in acromegaly before and after therapy. Total body potassium (TBK) was measured as total exchangeable potassium using 42K by dilution technique or by counting gamma radiation from the naturally present 40K in a high sensitivity 3π whole body counter. Total body water (TBW) was determined with an isotope dilution technique using tritiated water as a tracer. The specific activity was measured in urine or plasma. The predicted values for TBK, TBW, and body fat (BF) were calculated by equations using body weight (BW), body height, age and sex as independent variables. The normal values for BW were calculated by using body height and sex as independent variables

  14. Balance in Visual Impairment Before and After Intervention Based Games

    Directory of Open Access Journals (Sweden)

    Maria Cecília Moraes Frade

    2014-09-01

    Full Text Available This article’s objective was to evaluate the balance in low vision deficients before and after 16 game therapy sessions. It was approved by the Research Ethics Committee with protocol 2349/2012, and developed at the Institute of the Blind of Central Brazil in Uberaba, Minas Gerais. The sample was made with 10 individuals with low vision in the age group of 12-23 years. Initially, participants were assessed with the Berg Balance Scale, underwent a session of game therapy with Nintendo Wii Fit and then reassessed. After that, 4 of the 10 participants were chosen to conduct 16 sessions of therapy for 2 months. In the end, the balance was reassessed. The results showed significant improvement in balance. The virtual rehabilitation can be used in several kinds of treatments, as it improves motor function, decreases perception of pain and improves balance. We conclude that the game therapy showed balance improvements in the subjects.

  15. Antioxidant status in neonatal jaundice before and after phototherapy

    Directory of Open Access Journals (Sweden)

    S Ayyappan

    2015-01-01

    Full Text Available Background: Neonatal jaundice refers to yellow coloration of the skin and the sclera (whites of the eyes of newborn babies that result from the accumulation of bilirubin in the skin and mucous membranes. Because bilirubin is potentially toxic to the central nervous system. Genetic disorders of bilirubin conjugation, particularly the common Gilbert′s syndrome, can also contribute to neonatal hyperbilirubinemia. Objective: The aim of this study was to evaluate the lipid per-oxidation and antioxidant enzyme activities in patients with neonatal jaundice before and after phototherapy. Materials and Methods: The study includes 50 neonatal jaundice patients with average age 2-15 days. All patients of neonatal jaundice receiving phototherapy except feeding, cleaning. Subjects selected were from the patients attending Pediatrics Department. Plasma malondialdehyde (MDA, erythrocyte glutathione peroxidase (GPX, superoxide dismutase and catalase (CAT to monitor the bilirubin level. Results: The results show increased levels of bilirubin compared with controls (P < 0.001 shows the level of plasma MDA in control, before and after phototherapy. Represents the level of GPX was significantly increased in after the phototherapy group when compared with before phototherapy and control SPSS soft ware: (P < 0.001. Shows the reduced glutathione (GSH level in plasma was significantly decreased in the after phototherapy group when compared with before phototherapy and control (P < 0.001. And finally with ascorbic acid and CAT. Conclusion: It is evident from the study that increased oxidative stress in neonatal jaundice babies leads to decrease in the levels of antioxidants like GSH and ascorbic acid and disturb their metabolism, that weaken their ability to fight the growing stress. Intense oxidative stress and decreased antioxidants may contribute to neural cell death and alter the erythrocytomembrane structure processing in neonatal jaundice.

  16. Diarrheal Diseases Hospitalization in Yemen before and after Rotavirus Vaccination

    Directory of Open Access Journals (Sweden)

    Mohammed Amood AL-Kamarany

    2016-01-01

    Full Text Available The study aims to assess the impact of rotavirus vaccine introduction on diarrheal diseases hospitalization and to identify the rotavirus genotypes most prevalent before and after vaccine introduction among children ≤ 5 years of age. Rotarix™ ® rotavirus vaccine is currently licensed for infants in Yemen and was introduced in 2012. The vaccination course consists of two doses. The first dose is administrated at 6 weeks of age and the second dose is completed by 10 weeks. Based on a longitudinal observational study, we assessed the impact of vaccination on rotavirus hospitalization before and after vaccination among children ≤ 5 years of age at the Yemeni-Swedish Hospital (YSH in Taiz, Yemen. Prevaccination covered January 2009–July 2012 during which 2335 fecal samples were collected from children ≤ 5 years old. Postvaccination covered January 2013–December 2014 during which 1114 fecal samples were collected. Rotavirus was detected by Enzyme Linkage Immunosorbent Assay (ELISA. The incidence of rotavirus hospitalization decreased from 43.79% in 2009 to 10.54% in 2014. Hospitalization due to rotavirus diarrhea was reduced by 75.93%. Vaccine coverage increased from 23% in 2012 to 72% in 2014. Also, the results showed that the most predominant genotypes in prevaccination period were G2P[4] (55.0%, followed by G1P[8] (15.0%, while in postvaccination period G1P[8] (31% was the predominant genotype, followed by G9P[8] (27.5%. In conclusion, rotavirus vaccination in Yemen resulted in sharp reduction in diarrheal hospitalization. A successful rotavirus vaccination program in Yemen will rely upon efficient vaccine delivery systems and sustained vaccine efficacy against diverse and evolving rotavirus strains.

  17. Diarrheal Diseases Hospitalization in Yemen before and after Rotavirus Vaccination.

    Science.gov (United States)

    Amood Al-Kamarany, Mohammed; Al-Areqi, Lina; Mujally, Abulatif; Alkarshy, Fawzya; Nasser, Arwa; Jumaan, Aisha O

    2016-01-01

    The study aims to assess the impact of rotavirus vaccine introduction on diarrheal diseases hospitalization and to identify the rotavirus genotypes most prevalent before and after vaccine introduction among children ≤ 5 years of age. Rotarix™ ® rotavirus vaccine is currently licensed for infants in Yemen and was introduced in 2012. The vaccination course consists of two doses. The first dose is administrated at 6 weeks of age and the second dose is completed by 10 weeks. Based on a longitudinal observational study, we assessed the impact of vaccination on rotavirus hospitalization before and after vaccination among children ≤ 5 years of age at the Yemeni-Swedish Hospital (YSH) in Taiz, Yemen. Prevaccination covered January 2009-July 2012 during which 2335 fecal samples were collected from children ≤ 5 years old. Postvaccination covered January 2013-December 2014 during which 1114 fecal samples were collected. Rotavirus was detected by Enzyme Linkage Immunosorbent Assay (ELISA). The incidence of rotavirus hospitalization decreased from 43.79% in 2009 to 10.54% in 2014. Hospitalization due to rotavirus diarrhea was reduced by 75.93%. Vaccine coverage increased from 23% in 2012 to 72% in 2014. Also, the results showed that the most predominant genotypes in prevaccination period were G2P[4] (55.0%), followed by G1P[8] (15.0%), while in postvaccination period G1P[8] (31%) was the predominant genotype, followed by G9P[8] (27.5%). In conclusion, rotavirus vaccination in Yemen resulted in sharp reduction in diarrheal hospitalization. A successful rotavirus vaccination program in Yemen will rely upon efficient vaccine delivery systems and sustained vaccine efficacy against diverse and evolving rotavirus strains. PMID:27437161

  18. Production of annual winter forage sown before and after soybean harvest under different nitrogen fertilization levels

    OpenAIRE

    Francisco Migliorini; André Brugnara Soares; Laércio Ricardo Sartor; Paulo Fernando Adami; Carlos Alberto Pattis; Patrícia Migliorini

    2010-01-01

    The objective of this work was to evaluate the effect on forage yield of sowing winter forage species before and after soybean harvest, at different nitrogen application levels. The experiment was set out in a randomized block design with a strip-split plot arrangement, and three replicates. Sowing methods (18 days before soybean harvest and six days after soybean harvest) were allocated in the main plots, and the combination among forage species (Avena strigosa cv. IAPAR 61 + Lolium multiflo...

  19. Variation in clinical findings associated with neonatal colibacillosis in lambs before and after treatment

    OpenAIRE

    Hassan, N.; Sheikh, G. N.; S. A. Hussian; G. Nazir

    2014-01-01

    Aim: To identify the changes in clinical findings before and after treatment associated with enteric colibacillosis in lambs under different managemental setup. Materials and Methods: Clinical trial was designed on thirty lambs showing the following signs: scanty fecal volume to profuse watery to whitish diarrhoea, varying degree of dehydration, respiration and heart rate, pale mucous membrane and prolonged capillary refill time. Results: Clinical signs associated with colibacillosis v...

  20. Effect of low-dose aspirin during pregnancy on fibrinolytic variables before and after parturition

    OpenAIRE

    Bremer, Henk; Rotmans, Nel; Brommer, E.J.Ph.; Wallenburg, Henk

    1995-01-01

    textabstractOBJECTIVE: We assessed the effects of a daily oral dose of 60 to 80 mg of aspirin from 12 weeks gestation until delivery on fibrinolytic variables before and after parturition. STUDY DESIGN: In a prospective controlled study labor was electively induced in 24 patients, eight receiving low-dose aspirin and 16 controls. Levels were determined in maternal and cord plasma of tissue-type plasminogen activator antigen and activity, plasminogen activator inhibitor-1 antigen, plasminogen ...

  1. Legislation for smoke-free workplaces and health of bar workers in Ireland: before and after study

    OpenAIRE

    Allwright, Shane; Paul, Gillian; Greiner, Birgit A.; Mullally, Bernie J.; Pursell, Lisa; Kelly, Alan; Bonner, Brendan; D'Eath, Maureen; McConnell, Bill; McLaughlin, James P; O'Donovan, Diarmuid; O'Kane, Eamon; Perry, Ivan J

    2005-01-01

    Objectives: To compare exposure to secondhand smoke and respiratory health in bar staff in the Republic of Ireland and Northern Ireland before and after the introduction of legislation for smoke-free workplaces in the Republic. Design: Comparisons before and after the legislation in intervention and control regions. Setting: Public houses in three areas in the Republic (intervention) and one area in Northern Ireland (control). Participants: 329 bar staff enrolled in baseline survey...

  2. Computed tomography in low back pain before and after myelography

    International Nuclear Information System (INIS)

    Forty-six patients with possible lumbar disk herniation were examined with computed tomography (CT) before and after lumbar myelography with metrizamide. Altogehter 90 intervertebral spaces (L4/L5 and L5/S1) were analyzed with regard to the diagnostic information provided by pre- and postmyelography CT. Corresponding to the level of 73 intervertebral spaces (81%) the contrast medium filling of the dural sac was homogeneous, while corresponding to 17 spaces (19%) the filling was inhomogeneous, with layering of contrast medium. The demarcation of the disk margin and of the dural sac was poor at the level of 13 spaces (14%), the majority of which (9 spaces) belonged to the group with homogeneous dural sac filling. At the level of 4 intervertebral spaces the dural sac was isodense with the intervertebral disk. The overall diagnostic information from the premyelography examination was equal to the postmyelography examination at 66 intervertebral spaces (73%). The postmyelography CT examination showed the details better than the conventional CT at 11 intervertebral spaces (12%), and poorer than conventional CT at 13 intervertebral spaces (15%). It is concluded that in general a conventional CT examination is adequate in the evaluation of patients with suggested intervertebral disk herniation. The need for a postmyelography CT examination can be specified on the basis of the findings at myelography. (orig.)

  3. ESR detection of wheat flour before and after irradiation

    Science.gov (United States)

    Shimoyama, Yuhei; Ukai, Mitsuko; Nakamura, Hideo

    2006-03-01

    We revealed free radicals in wheat flour before and after γ-ray irradiation and their thermal behavior during heat-treatment using electron spin resonance (ESR) spectroscopy. The ESR spectrum of wheat flour before irradiation consists of a sextet centered at g = 2.0 and a singlet signal at the same g-value position. The first one is attributable to a signal with hyperfine (hf) interactions of Mn 2+ ion (hf constant: 7.4 mT). The second is originated from carbon-centered radical. Upon γ-ray irradiation, however, a new signal with two triplet lines at the low and high field ends was detected in wheat flour on top of the Mn 2+ sextet lines. We analyzed the triplet ESR lines as powder spectra (rhombic g-tensor symmetry) with nitrogen ( 14N) hyperfine interactions. This indicates that a new organic radical was induced in the conjugated protein portion of wheat flour by the γ-ray irradiation. Intensity of the organic free radical at g = 2.0 detected in irradiated wheat flour increased monotonically by the thermal treatment. The analysis of the time-dependent evolution and decay process based on the theory of transient phenomena as well as the nonlinear least-squares numerical method provided a unique time constant for the radical evolution and decay in wheat flour during the heat-treatment.

  4. Spousal similarity in life satisfaction before and after divorce.

    Science.gov (United States)

    Wortman, Jessica; Lucas, Richard E

    2016-04-01

    Previous research has explored possible origins of individual differences in subjective well-being, focusing largely on stable, internal characteristics of traits as predictors of life satisfaction (Diener & Lucas, 1999). Although past work has demonstrated that life satisfaction is largely stable over the life span, other evidence has also demonstrated the lasting impact of life events. In this study, we use married couples as a test of the impact of life circumstances on life satisfaction, focusing on similarity in life satisfaction before and after divorce. If life satisfaction is impacted by shared life circumstances, married couples (who share life circumstances) should show greater similarity in life satisfaction before divorce than after. We tested this possibility using a dyadic latent-state-trait model that examined cross-spouse similarity in the stable and changing components of life satisfaction. Using a nationally representative panel study from Germany (Wagner, Frick & Schupp, 2007), we showed that similarity declined substantially following divorce. This suggests that life satisfaction is related to shared life circumstances. (PsycINFO Database Record PMID:26436842

  5. EPR study on tomatoes before and after gamma-irradiation

    International Nuclear Information System (INIS)

    The results from the EPR studies on fresh, air-dried and lyophilized tomato samples before and after gamma-irradiation are reported. Before irradiation fresh and air-dried tomatoes exhibit one singlet EPR line characterized with common g-factor of 2.0048±0.0005, whereas freeze-dried tomato does not show any EPR spectrum. After irradiation, a typical 'cellulose-like' triplet EPR spectrum appears in all samples, attributed to cellulose free radicals, generated by gamma-irradiation. It consists of intense central line with g=2.0048±0.0005 and two weak satellite lines separated ca. 3 mT left and right of it. In air-dried and lyophilized tomatoes the 'cellulose-like' EPR spectrum is superimposed by an additional partly resolved carbohydrate spectrum. Fading measurements of the radiation-induced EPR signals indicate that the intensity of the EPR spectra of air-dried and freeze-dried tomato are reduced to about 50% after 50 days, whereas those of fresh irradiated tomatoes kept at 4 oC fade completely in 15 days. The reported results unambiguously show that the presence of two satellite lines in the EPR 'cellulose-like' spectra of tomato samples can be used for identification of radiation processing.

  6. Diabetes management before and after cancer diagnosis: missed opportunity

    Science.gov (United States)

    Camacho, Fabian T.; Chukmaitov, Askar S.; Fleming, Steven T.; Anderson, Roger T.

    2015-01-01

    Background Few studies have examined the management of comorbidities in cancer patients. This study used population-based data to estimate the guideline concordance rates for diabetes management before and after cancer diagnosis and examined if diabetes management services among cancer patients was associated with characteristics of the hospital where the patient was treated. Methods We linked 2005-2009 Medicare claims data to information on 2,707 breast and colorectal cancers patients in state cancer registry files. Multivariate logistic regression models examined hospital characteristics associated with receipt of diabetes management care after cancer diagnosis. Results The rates of HbAlc testing, LDL-C testing, and retinal eye exam decreased from 72.7%, 79.6%, and 57.9% before cancer diagnosis to 58.3%, 69.5%, and 55.8% after diagnosis. The pre- and post-diagnosis diabetes management care was not significantly different by hospital characteristics in the bivariate analysis except for that the distance between residence and hospital was negatively related to retinal eye exam after diagnosis (P<0.05). The multivariate analysis did not identify any significant differences in diabetes management care after cancer diagnosis by hospital characteristics. Conclusions Cancer patients received fewer diabetes management care after diagnosis than prior to diagnosis, even for those who were treated in large comprehensive centers. This may reflect a missed opportunity to connect diabetic cancer patients to diabetes care. This study provides benchmarks to measure improvements in comorbidity management among cancer patients. PMID:25992371

  7. Cholescintigraphy in patients with acute cholecystitis before and after percutaneous gallbladder drainage

    DEFF Research Database (Denmark)

    Borly, L; Stage, J G; Grønvall, S; Højgaard, L

    1995-01-01

    OBJECTIVE: To investigate gallbladder function by use of cholescintigraphy in patients with acute cholecystitis before and after percutaneous gallbladder drainage. DESIGN: A cholescintigraphy was performed in 40 patients with acute cholecystitis before and after the performance of percutaneous...... gallbladder drainage. During the post-drainage cholescintigraphies, a cholecystokinin stimulation was performed to investigate gallbladder emptying in 12 selected patients. Gallbladder pressure and volume were measured before drainage in another group of 12 patients with acute cholecystitis. RESULTS: As...... treatment. Post-drainage cholescintigraphy revealed a mean gallbladder ejection fraction of 24%, which is significantly lower than the corresponding value in normal individuals and gallstone patients without cholecystitis (n = 12). Gallbladder pressure and volume were markedly increased compared with normal...

  8. Chewing gum increases energy expenditure before and after controlled breakfasts.

    Science.gov (United States)

    Kresge, Daniel L; Melanson, Kathleen

    2015-04-01

    Chewing has been associated with improved satiation and satiety, but little is known about the metabolic impact of gum chewing. We tested the hypothesis that gum chewing would increase energy expenditure (EE) and reduce respiratory exchange ratio (RER) before and after a controlled test meal. Seventeen males and 13 females (age 21.5 ± 6.6 years, body mass index 23.9 ± 2.8 kg/m(2)) participated in a randomized crossover study in which subjects chewed sugar-free gum for a total of 1 h (3 sessions of 20 min) on the test day (GC) and did not chew gum on a control day (NG). EE and RER were measured by indirect calorimetry after an overnight fast. Subjects consumed a breakfast shake containing 30% of their measured energy needs, and then postprandial EE and RER were measured for 3 h. Blood glucose (GLC) was measured in the fasting and postprandial states at regular intervals. Fasting EE was higher during GC (1.23 ± 0.04 kcal/min; 1 kcal = 4.2 kJ) than during NG (1.17 ± 0.04 kcal/min; p = 0.016). Postprandial EE was also higher during GC (1.46 ± 0.05 kcal/min) than during NG (1.42 ± 0.05 kcal/min; p = 0.037). Fasting and postprandial RER and GLC did not differ between GC and NG. The findings demonstrate that GC is associated with higher fasting and postprandial EE without altering blood glucose or substrate oxidation as measured by RER. These data suggest that gum chewing potentially could influence short-term energy balance in this population; however, longer-term research is needed. PMID:25794237

  9. A Water Rehabilitation Program in Patients with Hip Osteoarthritis Before and After Total Hip Replacement

    Science.gov (United States)

    Łyp, Marek; Kaczor, Ryszard; Cabak, Anna; Tederko, Piotr; Włostowska, Ewa; Stanisławska, Iwona; Szypuła, Jan; Tomaszewski, Wiesław

    2016-01-01

    Background Pain associated with coxarthrosis, typically occurring in middle-aged and elderly patients, very commonly causes considerable limitation of motor fitness and dependence on pharmacotherapy. This article provides an assessment of a rehabilitation program with tailored water exercises in patients with osteoarthritis before and after total hip replacement. Material/Methods A total of 192 patients (the mean age 61.03±10.89) suffering from hip osteoarthritis (OA) were evaluated before and after total hip replacement (THR). The clinical study covered measurements of hip active ranges of motion (HAROM) and the forces generated by pelvis stabilizer muscles. Pain intensity was assessed according to analogue-visual scale of pain (VAS) and according to the Modified Laitinen Questionnaire. The patients were divided into 6 groups (4 treatment and 2 control). We compared 2 rehabilitation programs using kinesitherapy and low-frequency magnetic field. One of them also had specially designed exercises in the water. Statistical analysis was carried out at the significance level α=0.05. This was a cross-sectional study. Results A positive effect of water exercises on a number of parameters was found in patients with OA both before and after total hip replacement surgery. We noted a significant reduction of pain (pdegree of degenerative deforming lesions and the effects of the treatment process (p<0.01). Conclusions 1. The rehabilitation program including water exercises most significantly reduced pain in patients with OA before and after total hip replacement surgery. 2. Inclusion of water exercises in a rehabilitation program can reduce the use of medicines in patient with OA and after THR. PMID:27455419

  10. Symptoms in Children with Convergence Insufficiency: Before and After Treatment

    Science.gov (United States)

    Barnhardt, Carmen; Cotter, Susan A.; Mitchell, G. Lynn; Scheiman, Mitchell; Kulp, Marjean T.

    2012-01-01

    Purpose To investigate symptom patterns and evaluate the relationship between patient characteristics and symptom severity before and after treatment for symptomatic children with convergence insufficiency (CI). Methods In a randomized clinical trial, the Convergence Insufficiency Symptom Survey (CISS) was administered pre- and post-treatment to 221 children 9 to <18 years with symptomatic CI. Frequency of symptom type was determined at baseline, mean change in performance-related versus eye-related symptoms for treatment responders was compared, and the relationship between patient characteristics and symptom severity at baseline for the entire cohort and after treatment for those who responded to treatment, was determined. Results At baseline, the score for performance-related symptoms was greater than that for eye-related symptoms (mean response of 2.3 vs. 1.8, p<0.001) regardless age, sex, race/ethnicity, or presence of parent-reported ADHD. Symptom severity increased with age for both the overall and eye-related subscale scores (p=0.048, p=0.022, respectively). Children with parent-reported ADHD were more symptomatic (p=0.005) than those without parent-reported ADHD because of a higher performance-related score (p<0.001). A significant and equal improvement (p<0.01) for the performance-related and eye-related symptoms was found in treatment responders. Girls had significantly lower performance-related symptoms than boys (p=0.014) and African-American children reported less eye-related symptoms than White children (p=0.022). Children without parent-reported ADHD had significantly less symptoms overall and less eye-related symptoms than children with parent-reported ADHD (p=0.019, p=0.011, respectively). Conclusions Because of a high frequency of both performance- and eye-related symptoms, clinicians should perform a targeted history that addresses both types of symptoms to help identify children with symptomatic CI. Future study regarding the relationship of CI

  11. Correlations of Cervical Sagittal Alignment before and after Occipitocervical Fusion.

    Science.gov (United States)

    Matsubayashi, Yoshitaka; Shimizu, Takachika; Chikuda, Hirotaka; Takeshita, Katsushi; Oshima, Yasushi; Tanaka, Sakae

    2016-06-01

    Study Design Retrospective radiographic study. Objective To investigate changes and correlations of cervical sagittal alignment including T1 slope before and after occipitocervical corrective surgery. We also investigated the relevance for preoperative planning. Methods We conducted a retrospective radiographic analysis of 27 patients who underwent surgery for occipitocervical deformity. There were 7 men and 20 women with a mean age of 56.0 years. Mean follow-up was 68.0 months (range 24 to 120). The radiographic parameters measured before surgery and at final follow-up included McGregor slope, T1 slope, occipito (O)-C2 angle, O-C7 angle, and C2-C7 angle. Pearson correlation coefficient was used to examine the correlation between the radiographic parameters. Results There was a stronger positive correlation between the T1 slope and the O-C7 angle both preoperatively and postoperatively (r = 0.72 and r = 0.83, respectively) than between the T1 slope and the C2-C7 angle (r = 0.60 and r = 0.76, respectively). The O-C2 angle and C2-C7 angle had inverse correlations to each other both pre- and postoperatively (r =  - 0.50 and -0.45). McGregor slope and T1 slope did not significantly change postoperatively at final follow-up. Increase in O-C2 angle after surgery (mean change, 10.7 degrees) inversely correlated with decrease in postoperative C2-C7 angle (mean change, 12.2 degrees). As result of these complementary changes, O-C7 angle did not statistically change. Conclusions Our results suggest that the O-C7 angle is regulated by T1 slope and the corresponding O-C7 angle is divided into the O-C2 and C2-C7 angles, which have inverse correlation to each other and then maintain McGregor slope (horizontal gaze). PMID:27190739

  12. Effect of an environmental health educational programme for paediatricians in an Egyptian University Hospital: before and after study

    OpenAIRE

    Abbas, Reem A; Alghobashy, Ashgan A

    2012-01-01

    Objectives To study the effect of an educational intervention on paediatricians' knowledge, attitudes and practices regarding children's environmental health and to identify the sources of information and common environmental history taking constrains. Design Before and after study. Setting Zagazig University Paediatric Hospital. Participants Practising paediatricians from all specialty units. Main outcome measures The outcome of a specifically designed educational programme about paediatric ...

  13. Adjustment to College Before and After September 11, 2001

    Science.gov (United States)

    Johnson, Vanessa K.; Kerr, Sandra; Gans, Susan E.; Bierschwale, Deborah

    2009-01-01

    The present study compares college adjustment among emerging adults beginning college in 2000 (before the September 11, 2001 terrorist attacks) and in 2001 (three weeks before 9/11). A prospective longitudinal design was used to follow 41 students throughout their first college year. Participants completed questionnaires about symptoms of anxiety…

  14. Nuclear Energy in the European Union - Before and after enlargement

    International Nuclear Information System (INIS)

    2004 will be a key milestone for the European Union's political and economic development, with the expansion of its membership from 15 to 25 countries. In comparison the changes in the nuclear sector seem small - but they are nevertheless significant. The political changes in 1989 increased public and political concerns over the dangers of nuclear power in Eastern Europe. These concerns led to the closure of all operating reactors in former Eastern Germany following unification, and increased international efforts to close similar reactors in the current accession countries. These attempts only reached fruition as a result of the negotiations for accession to the EU, and the first WWER 440-230 reactors were closed in Bulgaria in 2003. A total of eight reactors in three countries are scheduled for closure by 2010. However, the closure dates finally agreed will still enable RBMK design reactors to operate in the EU, in Lithuania. In addition, for the first time reactors in existing Member States will/may be closed for safety reasons effectively at the request of the EU. The enlarged EU will have 156 nuclear reactors in operation and will be the world's largest producer of nuclear electricity, generating around 32% of the Union's electricity. Accession countries largely mirror the EU's lack of new orders, as only Slovakia officially has any reactors under-construction, and so enlargement will not bring additional optimism for new construction. This lack of new orders is resulting in the ageing of the EU 25's reactor fleet, which has an average age of 22 years, up by 7 years in a decade. The current lack of new orders is predicted to result in a significant decline in the percentage contribution that nuclear power generation plays in the EU during the period 2015-2025. In part as a result of EU enlargement and in part due to this ageing trend, the European Commission has prepared two new Directives, one on nuclear safety and the other on radioactive waste management

  15. Sun exposure before and after a diagnosis of cutaneous malignant melanoma

    DEFF Research Database (Denmark)

    Idorn, L W; Philipsen, P A; Wulf, H C

    2011-01-01

    Previous studies on ultraviolet radiation (UVR) exposure before and after a diagnosis of cutaneous malignant melanoma (CMM) have been based primarily on questionnaires. Objective measures are needed....

  16. 5-HMF and carbohydrates content in stingless bee honey by CE before and after thermal treatment.

    Science.gov (United States)

    Biluca, Fabíola C; Della Betta, Fabiana; de Oliveira, Gabriela Pirassol; Pereira, Lais Morilla; Gonzaga, Luciano Valdemiro; Costa, Ana Carolina Oliveira; Fett, Roseane

    2014-09-15

    This study aimed to assess 5-hydroximethylfurfural and carbohydrates (fructose, glucose, and sucrose) in 13 stingless bee honey samples before and after thermal treatment using a capillary electrophoresis method. The methods were validated for the parameters of linearity, matrix effects, precision, and accuracy. A factorial design was implemented to determine optimal thermal treatment conditions and then verify the postprocedural 5-HMF formation, but once 5-HMF were HMF, and carbohydrate levels ranged from 48.59% to 69.36%. In the same conditions of thermal treatment, Apis mellifera honey presented higher 5-HMF content than stingless bee honey. Results suggest that a high temperature related to briefer thermal treatment could be an efficient way to extend shelf life without affecting 5-HMF content in stingless bee honey. PMID:24767051

  17. Tissue electrical properties in head and neck tumors before and after surgery: Preliminary observations

    Directory of Open Access Journals (Sweden)

    T Malecka-Massalska

    2014-01-01

    Full Text Available Context: Bioelectrical impedance analysis (BIA detects changes in tissue electrical properties and has been seen as a prognostic tool in several chronic conditions, including cancer. AIMS: The study was conducted to investigate whether there are any tissue electrical differences in patients with head and neck cancer (H and NC before and after surgery treatment. Settings and Design: The observational study was performed at the Otolaryngology Department, Head and Neck Oncology. Materials and Methods : Tissue electrical properties were assessed in 31 patients with H and NC before and 2 weeks after surgery treatment. Direct bioimpedance measures [resistance, reactance, phase angle (PA] were determined by BIA. Statistical Analysis Used: The Shapiro-Wilk test was used to assess the distribution conformity of examined parameters with a normal distribution; the Fisher (F test was used to assess variance homogeneity. For group comparisons of metric data we used the Mann-Whitney U test. P value < 0.05 was considered as statistically significant. The statistical analysis for this study was performed using the computer software STATISTICA v. 8.0 (StatSoft. Results: PA at 50 kHz was found to be significantly (P = 0.000009 lower after surgery in patients with H and NC than before treatment (4.69° ±0.71 vs. 4.22 ± 0.83, respectively. Resistance was significantly (P = 0.0005 greater after surgery in patients with H and NC than before (596.24 ± 96.31 ohm vs 647.64 ± 276.11 ohm, respectively. Conclusions: There are tissue electrical differences before and after surgery in patients diagnosed with H and NC. Further observations would be useful to feedback in support therapy planning of individual patients.

  18. The Effects of Vitamin D Supplementation on Pulmonary Function of Chronic Obstructive Pulmonary Disease Patients, before and after Clinical Trial

    OpenAIRE

    Seyed Ali Javad Moosavi; Maryam Haddadzadeh Shoushtari

    2015-01-01

    Vitamin D has several extra calcemic effects. Vitamin D deficiency is highly prevalent in chronic obstructive pulmonary disease (COPD) patients but little is known about it’s association with lung function. Objective: To investigate whether supplementation with vitamin D could improve pulmonary function in COPD patients. Design: Before and after, double center, clinical trial. Setting: Hazrat Rasoul University Hospital, Tehran, and Imam Khomaini University Hospital, Ahvaz, Iran. Participants:...

  19. Coral-Bacterial Communities before and after a Coral Mass Spawning Event on Ningaloo Reef

    OpenAIRE

    Janja Ceh; Jean-Baptiste Raina; Soo, Rochelle M; Mike van Keulen; Bourne, David G.

    2012-01-01

    Bacteria associated with three coral species, Acropora tenuis, Pocillopora damicornis and Tubastrea faulkneri, were assessed before and after coral mass spawning on Ningaloo Reef in Western Australia. Two colonies of each species were sampled before and after the mass spawning event and two additional samples were collected for P. damicornis after planulation. A variable 470 bp region of the 16 S rRNA gene was selected for pyrosequencing to provide an understanding of potential variations in ...

  20. Differences of adaptation to school and self-resilience before and after sleep education for adolescent

    OpenAIRE

    Lee, So-Mi; Kim, Jong-Hee

    2016-01-01

    This study aims to verify the effectiveness of sleep education by identifying the differences of adaption to school and self-resilience of the high school students before and after sleep education for a certain period of time. The conclusion of this study is presented below: First, there were differences in adaptation to school and self-resilience of the high school students before and after sleep education for the high school students. After sleep education, adaptation to school environment ...

  1. Assessment of preclinical students’ academic motivation before and after a three-day academic affair program

    Science.gov (United States)

    Aung, Myo Nyein; Somboonwong, Juraiporn; Jaroonvanichkul, Vorapol; Wannakrairot, Pongsak

    2015-01-01

    Background Medical students’ motivation is an important driving factor for academic performance, and therefore medical teachers and educators are often highly interested in this topic. This study evaluated the impact of an academic affair program upon preclinical year medical students’ motivation to study. Design and methods An intervention study was conducted using a pretest-posttest study design. A total of 296 preclinical year medical students who had just passed their first year and were about to attend their second year at the Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, participated in the study. The intervention comprised of dialogues for personality development, pictorial expression in groups, as well as small group lectures delivered by senior students giving information on how to prepare for the forthcoming classes. Students’ academic motivation was measured before and after the intervention program, applying the transculturally translated Academic Motivation Scale (AMS). Cronbach’s alpha of Thai version AMS was 0.8992. The average scores in seven scales of AMS were compared between the pre- and posttest results, using the Wilcoxon signed-rank test. The differences were confirmed by using the multivariate analysis of variance. Results Students’ academic motivation increased after participation in the three-day academic program. There was also a significant increase in introjected extrinsic motivation, which can enhance the students’ self-esteem and feeling of self-worth (Pmotivation toward accomplishment increased significantly (Pacademic milestones, and a step ahead of autonomous motivation. Amotivation level declined significantly (Pacademic motivational constructs before and after the intervention was altogether significant (P=0.036, multivariate analysis of variance). Conclusion After experiencing a three-day intervention, the new students’ motivation advanced along the continuum of self-determination toward

  2. Assessment of preclinical students’ academic motivation before and after a three-day academic affair program

    Directory of Open Access Journals (Sweden)

    Aung MN

    2015-12-01

    Full Text Available Myo Nyein Aung,1 Juraiporn Somboonwong,2 Vorapol Jaroonvanichkul,1 Pongsak Wannakrairot3 1Medical Education Unit, 2Quality Management Division and Department of Physiology, 3Academic Affairs Division, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandBackground: Medical students’ motivation is an important driving factor for academic performance, and therefore medical teachers and educators are often highly interested in this topic. This study evaluated the impact of an academic affair program upon preclinical year medical students’ motivation to study.Design and methods: An intervention study was conducted using a pretest-posttest study design. A total of 296 preclinical year medical students who had just passed their first year and were about to attend their second year at the Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, participated in the study. The intervention comprised of dialogues for personality development, pictorial expression in groups, as well as small group lectures delivered by senior students giving information on how to prepare for the forthcoming classes. Students’ academic motivation was measured before and after the intervention program, applying the transculturally translated Academic Motivation Scale (AMS. Cronbach’s alpha of Thai version AMS was 0.8992. The average scores in seven scales of AMS were compared between the pre- and posttest results, using the Wilcoxon signed-rank test. The differences were confirmed by using the multivariate analysis of variance.Results: Students’ academic motivation increased after participation in the three-day academic program. There was also a significant increase in introjected extrinsic motivation, which can enhance the students’ self-esteem and feeling of self-worth (P<0.001. Moreover, intrinsic motivation toward accomplishment increased significantly (P<0.001. This is related to the enjoyment of passing academic milestones, and a step

  3. CHEMICAL AND ENERGETIC CONTENT OF CORN BEFORE AND AFTER PRE-CLEANING

    Directory of Open Access Journals (Sweden)

    Sandra Iara Furtado Costa Rodrigues

    2015-04-01

    Full Text Available The poultry industry normally has little control over the raw material that arrives at the processing plant. This experiment aimed to evaluate chemical and energetic quality of corn obtained in a feed mill before and after pre-cleaning. Twenty samples of 30 kg of corn each were taken from trucks delivering corn to the mill. The trucks were then unloaded and the material passed through a pre-cleaning process when another sample was taken. Samples were graded and physical properties evaluated: density (g/L, grain percentages of foreign material, impurities, fragments, broken, soft, insect damaged, fire-burnt, fermented, damaged, cracked and fine particles, as well as chemical composition analysis: Apparent metabolizable energy for poultry (AME, ether extract (EE, crude fiber (CF, starch (STA, water activity (WA, crude protein (CP, digestible and total lysine, methionine, cystine, threonine, tryptophan, valine, isoleucine, leucine, phenylalanine, histidine and arginine. The experiment was a randomized design with two treatments (before and after pre-cleaning and twenty replications. Data was analyzed using SAS ® and treatment differences obtained using F test. Correlations and principal components were calculated. There was a decrease in density after the pre-cleaning process, which was probably due to the removal of earth and stones rather than grain and its fractions. Significant increases were found for insect damage, fermented and damaged grain while fire-burn was significantly reduced after the pre-cleaning process. Starch increased after pre-cleaning which is a result of contaminants that normally are poor in this carbohydrate, but fiber levels increased too. Apparent metabolizable energy, aminoacids, digestible (P<0.05 and total (P<0.05 histidine, total lysine and methionine (P<0.1 levels were reduced after pre-cleaning. Density was higher when there were fewer impurities such as straw, husk or small grains. Broken corn was positively

  4. Production of annual winter forage sown before and after soybean harvest under different nitrogen fertilization levels

    Directory of Open Access Journals (Sweden)

    Francisco Migliorini

    2010-10-01

    Full Text Available The objective of this work was to evaluate the effect on forage yield of sowing winter forage species before and after soybean harvest, at different nitrogen application levels. The experiment was set out in a randomized block design with a strip-split plot arrangement, and three replicates. Sowing methods (18 days before soybean harvest and six days after soybean harvest were allocated in the main plots, and the combination among forage species (Avena strigosa cv. IAPAR 61 + Lolium multiflorum; A. strigosa cv. Comum + L. multiflorum; A. strigosa cv. Comum + L. multiflorum + Vicia villosa; A. strigosa cv. Comum + L. multiflorum + Raphanus sativus; and L. multiflorum and nitrogen levels (0, 140, 280 and 420 kg ha-1 in the plots and subplots, respectively. Forage sowing before the soybean harvest made it possible to anticipate first grazing by 14 days, with satisfactory establishment of forage species without affecting forage production. This method permitted a longer grazing period, preventing the need for soil disking, besides allowing the use of no-tillage system. The mixture of forage species enables higher forage yield for pasture in relation to single species pastures, with response to nitrogen fertilization up to 360 kg ha-1.

  5. Electronic and Optical Properties of Aluminum Oxide Before and After Surface Reduction by Ar+ Bombardment

    Directory of Open Access Journals (Sweden)

    D. Tahir

    2014-08-01

    Full Text Available The electronic and optical properties of a-Al2O3 after induced by 3-keV Ar+ sputtering have been studied quantitatively by use of reflection electron energy loss spectroscopy (REELS spectra. The band gap values of a-Al2O3 was determined from the onset values of the energy loss spectrum to the background level of REELS spectra as a function of time Ar+ bombardment. The bandgap changes from 8.4 eV before sputtering to 6.2 eV after 4 minutes of sputtering.The optical properties of α-Al2O3 thin films have been determined by comparing the experimental cross section obtained from reflection electron energy loss spectroscopy with the theoretical inelastic scattering cross section, deduced from the simulated energy loss function (ELF by using QUEELS-ε(k-REELS software. The peak assignments are based on ELF and compared with reported data on the electronic structure of α-Al2O3 obtained using different techniques. The results demonstrate that the electronic and optical properties before and after surface reduction will provide further understanding in the fundamental properties of α-Al2O3 which will be useful in the design, modeling and analysis of devices applications performance.

  6. Status in physical properties of coloured rice varieties before and after inducing retro-gradation.

    Science.gov (United States)

    Itagi, HameedaBanu N; Singh, Vasudeva

    2015-12-01

    Three varieties of paddy in brown, red (non-waxy) and black (waxy) forms were de-husked and milled before and after inducing retro-gradation and their physical properties were studied. Normalized grain weight, porosity of parboiled paddy (PP) and its de-husked rice (DR), were high compared to their respective native. True and bulk density were lowest for black variety, its DR, its raw and parboiled forms compared to other varieties of paddy. Angle of repose increased from raw paddy to PP whereas it decreased from raw DR to parboiled DR. Under similar conditions of milling of DR, raw and parboiled milled rice of black variety was the darkest. Raw husk showed higher EMC compared to husk of parboiled. Hardness followed the pattern: Raw: Paddy (~230-280 N) > DR (~120-260 N) > Milled rice (~110 N); for parboiled: DR (~270-480 N) > PP (~260-425 N) > Parboiled milled rice (~250-340 N). Cooking time was high for DR of parboiled ones and least for waxy raw milled rice. Results of this study will be helpful in understanding the quality of pigmented rice cultivars, design and fabrication of some of the equipments in rice processing industry. PMID:26604348

  7. Exercise-induced increase in dog adipose tissue blood flow before and after denervation

    DEFF Research Database (Denmark)

    Bülow, J; Madsen, J

    1986-01-01

    Subcutaneous adipose tissue blood flow was examined during rest and exercise in the inguinal fat pads of four female dogs using the Xe wash-out technique. The experiments were performed before and after denervation of one of the pads. No difference between the resting flows in the two pads could be...... demonstrated either before or after denervation. The flow increased about two-fold on average from rest to exercise. This response was similar before and after denervation. It is concluded that direct sympathetic innervation is not involved in the regulation of adipose tissue blood flow during exercise....

  8. Blood levels of organochlorines before and after chemotherapy among non-Hodgkin's lymphoma patients.

    Science.gov (United States)

    Baris, D; Kwak, L W; Rothman, N; Wilson, W; Manns, A; Tarone, R E; Hartge, P

    2000-02-01

    Several small studies suggest a link between environmental exposure to organochlorine compounds and risk of non Hodgkin's lymphoma (NHL). Because NHL is uncommon, studies of the topic often use a population-based case-control design, in which cases generally are enrolled after treatment has begun. If chemotherapy affects blood levels of organochlorines, exposure will be misclassified and findings distorted. To determine whether chemotherapy alters serum levels of organochlorines in NHL cases, we compared serum samples before and after treatment in 22 cases diagnosed with NHL between March 1994 and August 1995 and enrolled in a clinical trial at the United States National Cancer Institute's Clinical Center. The time difference between pretreatment and posttreatment samples ranged from 15 to 27 months with an average of 20 months. Laboratory analyses were conducted in blinded pretreatment and posttreatment pairs of the subjects. Pretreatment and posttreatment organochlorine serum levels were compared using Pearson correlation coefficient (r) and paired t test. The pretreatment and posttreatment serum levels were highly correlated for 1,1-dichloro-2,2-bis(p-chlorophenyl)ethylene (DDE) and polychlorinated biphenyls (PCBs) PCB-138, PCB-153, PCB-156, and total PCBs (ranging from 0.78 to 0.93). Serum levels of all of these organochlorines significantly decreased between initiation and completion of chemotherapy, 25% for total PCB (P = 0.0044), 28% for DDE (P = 0.0014), 25% for PCB-138 (P = 0.0053), 27% for PCB-153 (P = 0.0031), and 29% for PCB-156 (P = 0.045). Neither weight change nor lipid change was correlated with changes in chemical levels. There was no association between the length of time between blood draws and changes in chemical levels. Our data raise the possibility that lymphoma treatment depresses serum organochlorine levels. PMID:10698481

  9. Requests for euthanasia in general practice before and after implementation of the Dutch Euthanasia Act

    Science.gov (United States)

    van Alphen, Jojanneke E; Donker, Gé A; Marquet, Richard L

    2010-01-01

    Background The Netherlands was the first country in the world to implement a Euthanasia Act in 2002. It is unknown whether legalising euthanasia under strict conditions influences the number and nature of euthanasia requests. Aim To investigate changes in the number of, and reasons for, requests for euthanasia in Dutch general practice after implementation of the Euthanasia Act. Design of study Retrospective dynamic cohort study comparing 5 years before (1998–2002) and 5 years after (2003–2007) implementation of the Act. Method Standardised registration forms were used to collect data on requests for euthanasia via the Dutch Sentinel Practice Network. This network of 45 general practices is nationally representative by age, sex, geographic distribution, and population density. Results The mean annual incidence of requests before implementation amounted to 3.1/10 000 and thereafter to 2.8/10 000 patients. However, trends differed by sex. The number of requests by males decreased significantly from 3.7/10 000 to 2.6/10 000 (P = 0.008); the requests by females increased non-significantly from 2.6/10 000 to 3.1/10 000. Before and after implementation, cancer remained the major underlying disease for requesting euthanasia: 82% versus 77% for men; 73% versus 75% for females. Pain was a major reason for a request, increasing in the period before implementation (mean 27%), but declining in the period thereafter (mean 22%). Loss of dignity became a less important reason after implementation (from 18% to 10%, P = 0.04), predominantly due to a marked decrease in the number of females citing it as a reason (from 17% to 6%, P = 0.02). Conclusion There was no increase in demand for euthanasia after implementation of the Euthanasia Act. Pain as a reason for requesting euthanasia showed an increasing trend before implementation, but declined thereafter. Loss of dignity as a reason declined, especially in females. PMID:20353671

  10. Micro- and Nanostructural Characteristics of Particles Before and After an Exhaust Gas Recirculation System Scrubber

    DEFF Research Database (Denmark)

    Lieke, Kirsten Inga; Rosenørn, Thomas; Pedersen, Jannik;

    2013-01-01

    atomic scale such as layer distance, lamella length, and tortuosity were not observed to be influenced by the scrub-ber. We also found that particles in the size range between 30 and 50 nm, which were abundant in the exhaust before and after scrubber, were not graphitic soot. Furthermore, we found...

  11. Following an HIV Regimen: Steps to Take Before and After Starting HIV Medicines

    Science.gov (United States)

    HIV Treatment Following an HIV Regimen: Steps to Take Before and After Starting HIV Medicines (Last updated 3/1/2016; last reviewed 3/1/2016) ... maintain long-term medication adherence. Before starting an HIV regimen, talk to your health care provider about ...

  12. Effects of outdoor temperature on changes in physiological variables before and after lunch in healthy women

    Science.gov (United States)

    Okada, Masahiro; Kakehashi, Masayuki

    2014-03-01

    Previous studies of autonomic nervous system responses before and after eating when controlling patient conditions and room temperature have provided inconsistent results. We hypothesized that several physiological parameters reflecting autonomic activity are affected by outdoor temperature before and after a meal. We measured the following physiological variables before and after a fixed meal in 53 healthy Japanese women: skin temperature, systolic and diastolic blood pressure, salivary amylase, blood glucose, heart rate, and heart rate variability. We assessed satiety before and after lunch using a visual analog scale (100 mm). We recorded outdoor temperature, atmospheric pressure, and relative humidity. Skin temperature rose significantly 1 h after eating (greater in cold weather) (P = 0.008). Cold weather markedly influenced changes in diastolic blood pressure before (P = 0.017) and after lunch (P = 0.013). Fasting salivary amylase activity increased significantly in cold weather but fell significantly after lunch (significantly greater in cold weather) (P = 0.007). Salivary amylase was significantly associated with cold weather, low atmospheric pressure, and low relative humidity 30 min after lunch (P salivary amylase activity imply that cold outdoor temperature is associated with dominant parasympathetic activity after lunch. Our results clarify the relationship between environmental factors, food intake, and autonomic system and physiological variables, which helps our understanding of homeostasis and metabolism.

  13. Use of symptom-relieving drugs before and after surgery for urinary incontinence in women

    DEFF Research Database (Denmark)

    Sørensen, Rikke Guldberg; Brostrøm, Søren; Kesmodel, Ulrik Schiøler;

    2013-01-01

    To describe the use of symptom-relieving drugs (antimuscarinic drugs or duloxetine) before and after surgery for urinary incontinence (UI); and for those with use of antimuscarinic drugs or duloxetine before surgery, to estimate the risk of being a postoperative user, relative to those without use...

  14. Peer Review in Higher Education: Student Perceptions before and after Participation

    Science.gov (United States)

    Mulder, Raoul A.; Pearce, Jon M.; Baik, Chi

    2014-01-01

    Peer review is integral to academic endeavour, but opportunities for students to benefit from peer review in higher education remain limited, and relatively little is known about how student perceptions influence their appreciation of peer review. University student perceptions were examined before and after experiencing student peer review in…

  15. Energy consumption and indoor climate in a residential building before and after comprehensive energy retrofitting

    DEFF Research Database (Denmark)

    Thomsen, Kirsten Engelund; Rose, Jørgen; Christen Mørck, Ove;

    2016-01-01

    including new facades, new windows, additional insulation, mechanical ventilation with heat recovery and a photovoltaic installation on the roof. The measured energy consumption for heating and domestic hot water before and after renovation was 139.1 kWh/m2/year and 95.6 kWh/m2/year respectively, and...

  16. Drug disposition and modelling before and after gastric bypass: immediate and controlled-release metoprolol formulations

    OpenAIRE

    Gesquiere, Ina; Darwich, Adam S; Van der Schueren, Bart; de Hoon, Jan; Lannoo, Matthias; Matthys, Christophe; Rostami, Amin; Foulon, Veerle; Augustijns, Patrick

    2015-01-01

    The aim of the present study was to evaluate the disposition of metoprolol after oral administration of an immediate and controlled-release formulation before and after Roux-en-Y gastric bypass (RYGB) surgery in the same individuals and to validate a physiologically based pharmacokinetic (PBPK) model for predicting oral bioavailability following RYGB.

  17. Television Entertainment Shows in Romania before and after the Revolution Moment in 1989

    OpenAIRE

    Calinciuc, Iulia Andreea

    2013-01-01

    A comparative analysis of the television entertainment shows before and after the revolution moment in 1989, focusing on the messages transmitted, as well as the type of entertainment, censorship, values and relationships between the technical and artistic teams at the Romanian public television (TVR)

  18. Educational Choices and the Selection Process: Before and after Compulsory Schooling

    Science.gov (United States)

    Mocetti, Sauro

    2012-01-01

    The aim of this paper is to analyze the selection process at work before and after compulsory schooling by assessing the determinants of school failures, dropouts, and upper secondary school decisions of young Italians. The data-set is built combining individual data by the Labor Force Survey and aggregate data on local labor markets and school…

  19. Imaging of Gastrointestinal Stromal Tumors before and after Imatinib Mesylate Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Shankar, S.; Dundamadappa, S.K.; Karam, A.R. (Radiology Dept., Univ. of Massachusetts Medical Center, Worcester, MA (United States)); Stay, R.M. (Radiology Dept., Univ. of Virginia, Charlottesville, VA (United States)); Sonnenberg, E. van (Radiology Dept., Dana Farber Cancer Inst., Boston, MA (United States))

    2009-10-15

    Gastrointestinal stromal tumors (GISTs) account for the majority of gastrointestinal mesenchymal tumors. Recent advances in treatment using the molecular targeting agent imatinib mesylate have shown startling response rates and variegated imaging findings. We present the various imaging appearances of GIST on computed tomography (CT) and magnetic resonance imaging (MRI), both before and after treatment.

  20. Dynamic Mapping of Cortical Development before and after the Onset of Pediatric Bipolar Illness

    Science.gov (United States)

    Gogtay, Nitin; Ordonez, Anna; Herman, David H.; Hayashi, Kiralee M.; Greenstein, Deanna; Vaituzis, Cathy; Lenane, Marge; Clasen, Liv; Sharp, Wendy; Giedd, Jay N.; Jung, David; Nugent, Tom F., III; Toga, Arthur W.; Leibenluft, Ellen; Thompson, Paul M.; Rapoport, Judith L.

    2007-01-01

    Background: There are, to date, no pre-post onset longitudinal imaging studies of bipolar disorder at any age. We report the first prospective study of cortical brain development in pediatric bipolar illness for 9 male children, visualized before and after illness onset. Method: We contrast this pattern with that observed in a matched group of…

  1. The frequency of drugs among Danish drivers before and after the introduction of fixed concentration limits

    DEFF Research Database (Denmark)

    Steentoft, Anni; Simonsen, Kirsten Wiese; Linnet, Kristian

    2010-01-01

    Until July 2007, the driving under the influence of drugs (DUID) legislation in Denmark was based on impairment, evaluated on the basis of a clinical investigation and toxicological analyses, but in 2007 fixed concentration limits were introduced into the Danish traffic legislation. The objective...... for this study was to investigate the prevalence of medication and illicit drugs among Danish drivers before and after 2007....

  2. The focus parameters and their correlation from small earthquakes before and after the 1995 Douhe earthquake

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Based on seismic source spectrum solution by multi-station and multi-event coda method, applying Brune seismic source model, we have got the source factors and spectra of 48 small earthquakes occurred before and after the Douhe earthquake of October 6 in 1995. The seismic moments, corner frequencies and stress drops are estimated from the spectra, and their correlation and variation with time before and after the Douhe earthquake are discussed. The results indicate that the source factors show good stability, their peak frequencies and variation with frequency appear quite similar. Some events with higher stress drops occurred about one year before the Douhe earthquake. Taking into the account that the stress drop is calculated from seismic moment and frequency, as well as the correlation between them, we emphasis that the higher stress drop mentioned here just implies the higher corner frequency than the normal value.

  3. Evaluation of quality of life before and after videothoracoscopic simpathectomy for primary hyperhidrosis

    Directory of Open Access Journals (Sweden)

    João Batista Baroncello

    2014-10-01

    Full Text Available Objective: To assess quality of life before and after thoracoscopic sympathectomy for treatment of primary hyperhidrosis. Methods: we conducted an observational, analytical, cross-sectional and quantitative study. We evaluated patients undergoing thoracoscopic sympathectomy for primary axillary hyperhidrosis, primary palmar hyperhidrosis, and axillary hyperhidrosis associated with palmar one. We applied a questionnaire on quality of life related to hyperhidrosis before and after the operation. Results: The questionnaire was administered to 51 patients with a mean age of 32.4 years, 45 women and six men. The average quality of life related to hyperhidrosis in a score of 0-100 before sympathectomy was 34.6 and after the operation it was 77.1. Compensatory hyperhidrosis occurred in 84.3% of patients. Conclusion: thoracoscopic sympathectomy improves the quality of life of patients with primary hyperhidrosis, with results supported over time. Compensatory hyperhidrosis occurred in most patients, but did not significantly influence the improved quality of life.

  4. On the stability of preferences and attitudes before and after experiencing an electric vehicle

    DEFF Research Database (Denmark)

    Jensen, Anders Fjendbo; Cherchi, Elisabetta; Mabit, Stefan Lindhard

    2013-01-01

    after a real experience with an electric vehicle in the household. In particular, there are major changes in the preference for driving range, top speed, fuel cost, battery life and charging in city centres and train stations. In line with other studies, we find that environmental concern has a positive......In this study, we investigate the extent to which experience affects individual preferences for specific electric vehicle characteristics, individual attitudes toward the environment, and the impact of the attitudes on the choice between an electric and a conventional vehicle. We use a two......-wave stated preference experiment where data was collected before and after the respondents experienced an electric vehicle for three months. We estimate a hybrid choice model using jointly the stated choices before and after the test period. The results show that individual preferences change significantly...

  5. Neuropsychological assessment before and after radiotherapy in a child with an intracranial tumor: case report

    Directory of Open Access Journals (Sweden)

    Alessandra Pereira Lopes

    2013-12-01

    Full Text Available INTRODUCTION: Brain tumors are the most common solid tumors and the second largest group of neoplasms diagnosed in childhood. Treatment includes surgery, radiotherapy, and chemotherapy. However, radiotherapy can cause complications, e.g., cognitive deficits. CASE DESCRIPTION: We describe the case of a child diagnosed with a brain tumor evaluated before and after radiotherapy to investigate cognitive decline after treatment. The results showed a decline in Intelligence Quotient (IQ scores and reversal of the predominance of verbal and nonverbal skills. After radiotherapy, the subject showed slowness, academic deficits, and difficulties learning new information. COMMENTS: Even though the post-treatment evaluation showed scores compatible with the average, comparison between pre- and post-treatment evaluations demonstrated the impact of radiotherapy on the subject's cognitive profile. These results highlight the importance of evaluating patients who undergo radiotherapy before and after treatment and understanding neuropsychological scores associated with the subjects' complaints.

  6. Statistical processing of natality data for the Czech Republic before and after the Chernobyl accident

    International Nuclear Information System (INIS)

    All available data regarding natality in Czechoslovakia (or the Czech Republic) before and after the Chernobyl accident are summarized. Data from the databases of the Czech Statistical Office and of the State Office for Nuclear Safety were used to analyze natality and mortality of children in the Czech Republic and to evaluate the relationship between the level of contamination and the change in the sex ratio at time of birth that was observed in some areas in November of 1986. Although the change in the ratio of newborn boys-to-girls ratio was statistically significant, no direct relationship between that ratio and the level of contamination was found. Statistically significant changes in the sex ratio also occurred in Czechoslovakia (or in the Czech Republic) in the past, both before and after the accident. Furthermore, no statistically significant changes in the rate of stillbirths and multiple pregnancies were observed after the Chernobyl accident

  7. High resolution chest CT in patients with pulmonary tuberculosis: Characteristic findings before and after antituberculous therapy

    International Nuclear Information System (INIS)

    Objective: The purpose of this study was (a) to describe HRCT findings for pulmonary tuberculosis before and after treatment, and (b) to evaluate the possible use of HRCT to assess disease activity. Patients and methods: We prospectively studied 52 patients with newly diagnosed pulmonary tuberculosis that was proven bacteriologically. HRCT scans were performed before and after treatment. Results: Micronodules, nodules, tree-in-bud appearance, consolidation, and cavities were the most common HRCT findings seen in active pulmonary tuberculosis. The disappearance of tree-in-bud appearance, pleural effusion and the presence of fibrotic change appear to be indications of the effectiveness of treatment. HRCT can differentiate old fibrotic lesions from newly active tuberculous lesions. Conclusions: HRCT may be helpful in the diagnosis of pulmonary tuberculosis and may be useful in the assessment of the efficacy of anti-tuberculous treatment

  8. Clinical effect and necessity of interventional treatment in diabetic foot before and after amputation

    International Nuclear Information System (INIS)

    Objective: To assess the clinical effect and necessity of interventional treatment in diabetic foot before and after amputation. Methods: Combined intravascular angioplasty with intraarterial medicine perfusing were carried out in fourteen patients with diabetic foot including 10 patients treated before amputation and 4 after amputation involving superficial femoral, deep femoral, tibial and fitular arteries. Among them seventeen vessels with irregular stenosis and obstruction were treated by intravascular angioplasty through balloon dilation. Results: The technical successful rate was 100%, no complication happened. The symptoms were relieved in all patients after treatment, including promotion of lower extremity arterial blood perfusion, reducing range of amputation and wound healing after amputation. Conclusions: Intravascular interventional treatment is safe, effective and valuable in diabetic foot before and after amputation. (authors)

  9. Zinc status before and after zinc supplementation of eating disorder patients.

    Science.gov (United States)

    McClain, C J; Stuart, M A; Vivian, B; McClain, M; Talwalker, R; Snelling, L; Humphries, L

    1992-12-01

    Reduced food consumption is a major manifestation of zinc (Zn) deficiency. Many manifestations of Zn deficiency are complications of anorexia nervosa and bulimia nervosa. We evaluated serum and 24-hour urinary Zn values in 12 healthy volunteers and 33 eating disorder patients before and after hospitalization which included either Zn supplementation (75 mg Zn/day) or placebo. Bulimics had depressed serum Zn concentrations (p deficiency may act as a "sustaining" factor for abnormal eating behavior in certain eating disorder patients. PMID:1460184

  10. Biological hazard evaluation of a pharmaceutical effluent before and after a photo-Fenton treatment.

    Science.gov (United States)

    Novoa-Luna, Karen Adriana; Mendoza-Zepeda, Arisbeht; Natividad, Reyna; Romero, Rubi; Galar-Martínez, Marcela; Gómez-Oliván, Leobardo Manuel

    2016-11-01

    The aim of this study was to evaluate the biological hazard of a pharmaceutical effluent before and after treatment. For the former, the determined 96h-LC50 value was 1.2%. The photo-Fenton treatment catalyzed with an iron-pillared clay reduced this parameter by 341.7%. Statistically significant increases with respect to the control group (PPCT, oxidative stress, genotoxic damage and LC50 in Hyalella azteca. PMID:27392336

  11. In vivo P-glycoprotein function before and after epilepsy surgery

    OpenAIRE

    Bauer, Martin; Karch, Rudolf; Zeitlinger, Markus; Liu, Joan; Koepp, Matthias J.; Asselin, Marie-Claude; Sisodiya, Sanjay M; Hainfellner, Johannes A; Wadsak, Wolfgang; Mitterhauser, Markus; Müller, Markus; Pataraia, Ekaterina; Langer, Oliver

    2014-01-01

    Objectives: To study the functional activity of the multidrug efflux transporter P-glycoprotein (Pgp) at the blood-brain barrier of patients with temporal lobe epilepsy using (R)-[11C]verapamil (VPM)-PET before and after temporal lobe surgery to assess whether postoperative changes in seizure frequency and antiepileptic drug load are associated with changes in Pgp function. Methods: Seven patients with drug-resistant temporal lobe epilepsy underwent VPM-PET scans pre- and postsurgery. Patient...

  12. Effect of transparency on changing views regarding nuclear energy before and after Fukushima accident

    OpenAIRE

    YAMAMURA, Eiji

    2011-01-01

    Using cross-country data, this paper examines the influence of government transparency on changing views regarding nuclear energy before and after Japan’s natural and nuclear disasters of 2011. It was observed that in the majority of countries the rate of favoring nuclear energy declined after the disaster. However, empirical results have shown that this rate is less likely to decrease in a more transparent country, even after a disaster. This implies that views regarding nuclear energy were ...

  13. A Model of U.S. Monetary Policy Before and After the Great Recession

    OpenAIRE

    Andolfatto, David

    2015-01-01

    The author studies a simple dynamic general equilibrium monetary model to interpret key macroeconomic developments in the U.S. economy both before and after the Great Recession. In normal times, when the Federal Reserve’s policy rate is above the interest paid on reserves, countercyclical monetary policy works in a textbook manner. When a shock drives the policy rate to the zero lower bound, the economy enters a liquidity-trap scenario in which open market purchases of government securities h...

  14. Iranian Medical Students’ Perception of Psychiatry: Before and After a Psychiatry Clerkship

    OpenAIRE

    Homayoun Amini; Ali-Akbar Nejatisafa; Saeed Shoar; Hosein Kaviani; Mehdi Samimi-Ardestani; Amir Shabani; Sara Esmaeili; Yasaman Moghaddam

    2013-01-01

    Objective We aimed to compare the medical students’ attitude towards psychiatry before and after psychiatry clerkship, and to examine the association of choosing psychiatry as a future career with some personal characteristics. Method In a self-controlled, quasi-experimental study, all of the medical students entering the psychiatry clerkship in three major medical schools of Iran located in Tehran (Tehran, Shahid Beheshti, and Iran University of Medical Sciences) were asked to participate an...

  15. Uncomplicated Diverticular Disease: Innate and Adaptive Immunity in Human Gut Mucosa before and after Rifaximin

    OpenAIRE

    Rossella Cianci; Simona Frosali; Danilo Pagliari; Paola Cesaro; Lucio Petruzziello; Fabio Casciano; Raffaele Landolfi; Guido Costamagna; Franco Pandolfi

    2014-01-01

    Background/Aim. Uncomplicated diverticular disease (UDD) is a frequent condition in adults. The pathogenesis of symptoms remains unknown. Bacteria are able to interact with Toll-like receptors (TLRs) and to induce inflammation through both innate immunity and T-cell recruitment. We investigated the pattern of TLRs 2 and 4 and the intestinal homing in patients with UDD before and after a course of Rifaximin. Methods. Forty consecutive patients with UDD and 20 healthy asymptomatic subjects were...

  16. A comparison before and after lamotrigine use in long term continuation treatment: effect of blood level

    OpenAIRE

    Kesebir, Sermin; Akdeniz, Fisun; Demir, Aysun; Bilici, Mustafa

    2013-01-01

    Objective: The hypothesis of this study is that the efficacy of lamotrigine is related with blood level in bipolar disorder. Our aim is to compare the periods before and after lamotrigine use in cases with bipolar disorder and to investigate whether there has been any relation between lamotrigine blood level and clinical progress or not. Method: For this aim, 40 consecutive cases diagnosed with bipolar disorder type I according to DSM-IV criteria, using lamotrigine for at least two years i...

  17. Evaluation of physiological parameters before and after respiratory physiotherapy in newborns with acute viral bronchiolitis

    OpenAIRE

    S Gonçalves, Rodrigo A; Feitosa, Sérgio; de Castro Selestrin, Cláudia; Vitor E. Valenti; de Sousa, Fernando H; F Siqueira, Arnaldo A; Petenusso, Márcio; de Abreu, Luiz Carlos

    2014-01-01

    Background Acute viral bronchiolitis is a respiratory disease with high morbidity that affects newborn in the first two years of life. Its treatment with physiotherapy has been highlighted as an important tool, however, there is no consensus regarding its effects on patients improvement. We aimed to evaluate the physiological parameters before and after the procedure respiratory therapy in newborn with acute viral bronchiolitis. Method This was a cross sectional observational study in 30 newb...

  18. Pulmonary function before and after anterior spinal surgery in adult idiopathic scoliosis.

    OpenAIRE

    Wong, C. A.; Cole, A. A.; L. Watson; Webb, J K; Johnston, I. D.; Kinnear, W. J.

    1996-01-01

    BACKGROUND: Little is known about the long term effects of anterior spinal surgery on pulmonary function in adult patients with idiopathic scoliosis. A study was therefore undertaken of pulmonary function before and after anterior spinal surgery in this group of patients. METHODS: Fourteen patients (12 women) of mean age 26.5 years (range 17-50, 10 > or = 20 years) were studied. All 14 patients underwent thoracotomy and anterior arthrodesis, and five also underwent posterior arthrodesis. Scol...

  19. Thermo-exoemission of NaCl:Ag crystals, cleaved before and after X-irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Sorkin, B.; Kaeaembre, H. (AN Ehstonskoj SSR, Tartu. Inst. Fiziki)

    1984-06-16

    Thermally stimulated exoelectron emission (TSEE) has been measured in Ag-doped NaCl crystal slices cleaved before and after X-irradiation. The TSEE peaks in the thermal spectra obtained for excitation at 100 and 295 K, respectively have been assigned to different volume traps and surface processes. It is concluded that TSEE of NaCl:Ag cannot be completely reduced to surface excitation processes.

  20. Airway response to inhaled salbutamol in hyperthyroid and hypothyroid patients before and after treatment.

    OpenAIRE

    Harrison, R N; Tattersfield, A. E.

    1984-01-01

    For many years the development of thyrotoxicosis has been known to cause a deterioration in asthma but the mechanism is unknown. We have studied the effect of thyroid function on airway beta adrenergic responsiveness in 10 hyperthyroid and six hypothyroid subjects before and after treatment of their thyroid disease. Airway adrenergic responsiveness was assessed by measuring specific airway conductance (sGaw) after increasing doses of inhaled salbutamol (10-410 micrograms). After treatment the...

  1. Determination of element composition in CoffeeBricks before and after incineration

    OpenAIRE

    Fröling, Annika

    2015-01-01

    The purpose for this study was to determine the element composition in CoffeeBricks before and after incineration. The difference between element composition in CoffeeBricks (barbecue briquettes made out of spent coffee grounds) and regular barbecue briquettes was also evaluated in this study. Aqua regia digests from the ash residues of CoffeeBricks and the ash residues of regular barbecue briquettes were analyzed with Inductively Coupled Plasma Atomic Emission Spectroscopy (ICP-AES). H2SO4/H...

  2. Pulmonary alveolar proteinosis in a child: HRCT findings before and after bronchoalveolar lavage

    International Nuclear Information System (INIS)

    We demonstrate the high-resolution computed tomography (HRCT) findings of pulmonary alveolar proteinosis in a child before and after bronchoalveolar lavage. The CT pattern in our case differs from the pattern described in previous reports. We found a more homogeneous distribution of the pulmonary changes and a ''crazy paving'' pattern. High-resolution CT may be helpful in the differential diagnosis of this rare disease and in the follow-up of the pulmonary changes after bronchoalveolar lavage. (orig.)

  3. CHEMICAL AND ENERGETIC CONTENT OF CORN BEFORE AND AFTER PRE-CLEANING

    OpenAIRE

    Sandra Iara Furtado Costa Rodrigues; José Henrique Stringhini; Márcio Ceccantini; Antonio Mário Penz Júnior; Andrea Machado Leal Ribeiro; Vanessa Peripolli; Concepta Margaret McManus Pimentel

    2015-01-01

    The poultry industry normally has little control over the raw material that arrives at the processing plant. This experiment aimed to evaluate chemical and energetic quality of corn obtained in a feed mill before and after pre-cleaning. Twenty samples of 30 kg of corn each were taken from trucks delivering corn to the mill. The trucks were then unloaded and the material passed through a pre-cleaning process when another sample was taken. Samples were graded and physical properties evaluated: ...

  4. Before and after the Hartz reforms: the performance of active labour market policy in Germany

    OpenAIRE

    Jacobi, Lena; Kluve, Jochen

    2006-01-01

    "Having faced high unemployment rates for more than a decade, the German government implemented a comprehensive set of labour market reforms during the period 2003-2005. This paper describes the economic and institutional context of the German labour market before and after these so-called Hartz reforms. Focussing on active policy measures, we delineate the rationale for reform and its main principles. As preliminary results of programme evaluation studies post-reform have become available ju...

  5. Nociception Before and After Exercise In Rats Bred for High and Low Aerobic Capacity

    OpenAIRE

    Geisser, Michael E; Wang, Wenfei; Smuck, Matthew; Koch, Lauren G.; Britton, Steven L.; Lydic, Ralph

    2008-01-01

    Exercise and stress are known to influence pain perception. However, little is known about how level of fitness influences pain perception and the experience of pain. In the present study, pain perception before and after exercise to exhaustion was examined in 6 rats systematically bred to have a high aerobic capacity (HCR animals) and 6 rats systematically bred to have a low aerobic capacity (LCR animals). HCR animals had significantly higher pain thresholds compared to LCR animals before an...

  6. Dielectric Properties of Dual-Frequency Reactive Mesogens before and after Photopolymerization

    OpenAIRE

    Takayuki Kumagai; Hiroyuki Yoshida; Masanori Ozaki

    2014-01-01

    The dielectric properties of reactive mesogens before and after photopolymerization were investigated. Commercially available nematic reactive mesogens (RMS03-013C, Merck) were measured and found to be dual-frequency liquid crystals. The property arose from the δ-relaxation process that was caused by rotational fluctuations parallel to the molecule’s long axis. After polymerization, the polymerized reactive mesogens still exhibited this dual-frequency property. The result was attributed to th...

  7. Statistical properties of the Jakarta and Kuala Lumpur stock exchange indices before and after crash

    OpenAIRE

    Mart, T.

    2002-01-01

    Using the tools developed for statistical physics, we simultaneously analyze statistical properties of the Jakarta and Kuala Lumpur Stock Exchange indices. In spite of the small number of data used in the analysis, the result shows the universal behavior of complex systems previously found in the leading stock indices. We also analyze their features before and after the financial crisis. We found that after the crisis both stocks do not show a same statistical behavior. The impact of currency...

  8. Topical drug delivery in chronic rhinosinusitis patients before and after sinus surgery using pulsating aerosols.

    Directory of Open Access Journals (Sweden)

    Winfried Möller

    Full Text Available OBJECTIVES: Chronic rhinosinusitis (CRS is a common chronic disease of the upper airways and has considerable impact on quality of life. Topical delivery of drugs to the paranasal sinuses is challenging, therefore the rate of surgery is high. This study investigates the delivery efficiency of a pulsating aerosol in comparison to a nasal pump spray to the sinuses and the nose in healthy volunteers and in CRS patients before and after sinus surgery. METHODS: (99mTc-DTPA pulsating aerosols were applied in eleven CRSsNP patients without nasal polyps before and after sinus surgery. In addition, pulsating aerosols were studied in comparison to nasal pump sprays in eleven healthy volunteers. Total nasal and frontal, maxillary and sphenoidal sinus aerosol deposition and lung penetration were assessed by anterior and lateral planar gamma camera imaging. RESULTS: In healthy volunteers nasal pump sprays resulted in 100% nasal, non-significant sinus and lung deposition, while pulsating aerosols resulted 61.3+/-8.6% nasal deposition and 38.7% exit the other nostril. 9.7+/-2.0 % of the nasal dose penetrated into maxillary and sphenoidal sinuses. In CRS patients, total nasal deposition was 56.7+/-13.3% and 46.7+/-12.7% before and after sinus surgery, respectively (p<0.01. Accordingly, maxillary and sphenoidal sinus deposition was 4.8+/-2.2% and 8.2+/-3.8% of the nasal dose (p<0.01. Neither in healthy volunteers nor in CRS patients there was significant dose in the frontal sinuses. CONCLUSION: In contrast to nasal pump sprays, pulsating aerosols can deliver significant doses into posterior nasal spaces and paranasal sinuses, providing alternative therapy options before and after sinus surgery. Patients with chronic lung diseases based on clearance dysfunction may also benefit from pulsating aerosols, since these diseases also manifest in the upper airways.

  9. The relationship between serum vitamin A and breast cancer staging before and after radiotherapy

    OpenAIRE

    Andréa Matos; Carla Nogueira; Carlos Franca; Antônio Carvalho; Sérgio Lannes Vieira; Antônio Penna; Andréa Ramalho

    2014-01-01

    Introduction: Several adverse effects of radiotherapy have been associated with the process of increased oxidative stress in the organism. In this context, vitamin A noteworthy for its important role in combating oxidative stress, in addition to its chemoprotective effect. Objective: To assess the serum levels of vitamin A (retinol and β-carotene) and their relationship to breast cancer staging in patients before and after radiotherapy. Methods: This is a prospective study of women with breas...

  10. Value of angiography and radiological intervention before and after liver transplantation

    International Nuclear Information System (INIS)

    The study demonstrates the value of angiography and radiological interventions before and after liver transplantation. From September 1988 till February 1991 84% out of 124 hepatic transplant recipients underwent pretransplant angiography evaluation for the demonstrates of arterial and portal venous blood supply of the liver. Posttransplant angiography was performed in cases with suspected vascular complications, chronical rejection, and splenohepatic steal syndrome. Radiological interventions were performed for bacteriological examination and percutaneous drainage of encapsulated fluid collections. (orig.)

  11. Diffusion-weighted MR imaging of salivary glands with gustatory stimulation - Comparison before and after radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Yunyan; Gu, Yajia; Peng, Weijun; Mao, Jian; Lei, Yue; Shen, Xigang [Dept. of Radiology, Fudan Univ. Shanghai Cancer Center, Shanghai (China); Dept. of Oncology, Shanghai Medical College, Fudan Univ., Shanghai (China); Ou, Dan; He, Xiayun [Dept. of Radiation Oncology, Fudan Univ. Shanghai Cancer Center, Shanghai (China); Dept. of Oncology, Shanghai Medical College, Fudan Univ., Shanghai (China)

    2013-10-15

    Background: Xerostomia is the most prominent complication in patients with head and neck carcinoma after radiotherapy (RT). Diffusion-weighted magnetic resonance imaging (DWI) with gustatory stimulation may contribute to the evaluation of salivary gland function. Purpose: To investigate the value of DWI for quantifying physiological changes of the parotid gland during gustatory stimulation in patients before and after RT. Material and Methods: Magnetic resonance imaging (MRI) was performed in 28 consecutive patients with nasopharyngeal carcinoma before and after RT and clinical xerostomia was also assessed. A DWI sequence was performed once at rest and continually repeated seven times during stimulation with ascorbic acid. Apparent diffusion coefficient (ADC) maps for parotid glands at different time points and the range of increase with stimulation were calculated. Paired two-tailed Student t tests were used to compare the ADC values before and after stimulation, and before and after RT. Results: Before RT, the ADC showed an initial increase (P<0.001) and then fluctuated during stimulation. After RT, as the clinical xerostomia changed from Grade 0 to Grade 2, the mean ADC at rest increased compared with the pre-RT value (P<0.001). A similar response to stimulation was observed, but the range of increase between the maximum ADC during stimulation and the baseline value at rest was higher post-RT than pre-RT (P=0.022). The minimum ADC during stimulation was higher than the baseline value post-RT (P=0.028), but there was no difference pre-RT (P=0.603). Conclusion: DWI combined with gustatory stimulation seems to display the physiological changes of the parotid gland following RT and may be a potential tool for non-invasively assessing salivary gland function.

  12. Cognitive performance before and after the onset of subjective cognitive decline in old age

    OpenAIRE

    Koppara, Alexander; Wagner, Michael; Lange, Carolin; Ernst, Annette; Wiese, Birgitt; König, Hans-Helmut; Brettschneider, Christian; Riedel-Heller, Steffi; Luppa, Melanie; Weyerer, Siegfried; Werle, Jochen; Bickel, Horst; Mösch, Edelgard; Pentzek, Michael; Fuchs, Angela

    2015-01-01

    Background Our objectives were (1) to test the association between the report of subjective cognitive decline (SCD) and prospective objective cognitive performance in high age individuals and (2) to study the course of longitudinal cognitive performance before and after the first report of SCD. Methods Cognitively normal elderly participants of the German Study on Ageing, Cognition, and Dementia study (N = 2330) with SCD (subjective decline in memory with and without associated concerns) and ...

  13. Parent-rated behavior problems associated with overweight before and after controlling for sleep disordered breathing

    OpenAIRE

    Goodwin James L; Kaemingk Kristine L; Mulvaney Shelagh A; Quan Stuart F

    2006-01-01

    Abstract Background Researchers and clinicians are seeking to develop efficacious behavioral interventions to treat overweight children; however, few studies have documented the behavioral correlates of overweight children in community samples. The goal of this study was to determine the nature and prevalence of behavior problems for overweight school-aged children versus normal weight peers before and after controlling for the effect of sleep disordered breathing. Methods Hispanic and Caucas...

  14. Thermographic Imaging of the Superficial Temperature in Racing Greyhounds before and after the Race

    OpenAIRE

    Mari Vainionpää; Esa-Pekka Tienhaara; Marja Raekallio; Jouni Junnila; Marjatta Snellman; Outi Vainio

    2012-01-01

    A total of 47 racing greyhounds were enrolled in this study on two race days (in July and September, resp.) at a racetrack. Twelve of the dogs participated in the study on both days. Thermographic images were taken before and after each race. From the images, superficial temperature points of selected sites (tendo calcaneus, musculus gastrocnemius, musculus gracilis, and musculus biceps femoris portio caudalis) were taken and used to investigate the differences in superficial temperatures bef...

  15. Plasticity of visual attention in Isha yoga meditation practitioners before and after a 3-month retreat

    OpenAIRE

    ClaireBraboszcz; ArnaudDelorme; B. RaelCahn; BhavaniBalakrishnan; RajK.Maturi

    2013-01-01

    Meditation has lately received considerable interest from cognitive neuroscience. Studies suggest that daily meditation leads to long lasting attentional and neuronal plasticity. We present changes related to the attentional systems before and after a 3 month intensive meditation retreat. We used 3 behavioral psychophysical tests - a Stroop task, an attentional blink task, and a global-local letter task - to assess the effect of Isha yoga meditation on attentional resource allocation. 82 Isha...

  16. Microstructure of oxide insulator coating before and after thermal cycling test

    International Nuclear Information System (INIS)

    Erbium oxide (Er2O3) was shown to be a high potential candidate for tritium permeation barrier and electrical insulator coating for advanced breeding blanket systems such as liquid Li, Li-Pb or molten-salt blankets. Recently, we succeeded to form Er2O3 coating layer on large interior surface area of metal pipe using Metal Organic Chemical Vapor Deposition (MOCVD) process. In this paper, we investigated the microstructure of Er2O3 coating layer on stainless steel 316 (SUS 316) plate before and after heat treatments with hydrogen or argon gases. From the results of TEM observations, we confirmed that Er2O3 coating layer with 700 nm thickness was formed on the SUS 316 plate and this layer was identified to poly-crystal phase because the diffraction fleck which was arranged like a ring was observed in the selected electron diffraction pattern. No macroscopic defects such as crack and peeling in Er2O3 coating layer were observed before and after thermal cycling test. The change of microstructure of the Er2O3 coating layer on before and after heat cycling test was reported. (author)

  17. Non-verbal auditory cognition in patients with temporal epilepsy before and after anterior temporal lobectomy

    Directory of Open Access Journals (Sweden)

    Aurélie Bidet-Caulet

    2009-11-01

    Full Text Available For patients with pharmaco-resistant temporal epilepsy, unilateral anterior temporal lobectomy (ATL - i.e. the surgical resection of the hippocampus, the amygdala, the temporal pole and the most anterior part of the temporal gyri - is an efficient treatment. There is growing evidence that anterior regions of the temporal lobe are involved in the integration and short-term memorization of object-related sound properties. However, non-verbal auditory processing in patients with temporal lobe epilepsy (TLE has raised little attention. To assess non-verbal auditory cognition in patients with temporal epilepsy both before and after unilateral ATL, we developed a set of non-verbal auditory tests, including environmental sounds. We could evaluate auditory semantic identification, acoustic and object-related short-term memory, and sound extraction from a sound mixture. The performances of 26 TLE patients before and/or after ATL were compared to those of 18 healthy subjects. Patients before and after ATL were found to present with similar deficits in pitch retention, and in identification and short-term memorisation of environmental sounds, whereas not being impaired in basic acoustic processing compared to healthy subjects. It is most likely that the deficits observed before and after ATL are related to epileptic neuropathological processes. Therefore, in patients with drug-resistant TLE, ATL seems to significantly improve seizure control without producing additional auditory deficits.

  18. Change of sonographic findings on cervical lymph nodes before and after preoperative radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Chikui, Toru; Yuasa, Kenji; Tokumori, Kenji; Kanda, Shigenobu [Department of Oral and Maxillofacial Radiology, Graduate School of Dental Science, 3-1-1 Maidashi Higashi-ku, 812-8582, Fukuoka (Japan); Kunitake, Naonobu; Nakamura, Katsumasa [Department of Clinical Radiology, Graduate School of Medical Science, Kyushu University, Fukuoka (Japan); Nagata, Tetsuji [First Department of Oral and Maxillofacial Surgery, Graduate School of Dental Science, Kyushu University, Fukuoka (Japan); Hiraki, Akimitsu [Second Department of Oral and Maxillofacial Surgery, Graduate School of Dental Science, Kyushu University, Fukuoka (Japan)

    2004-07-01

    The aim of this study was to assess the changes in the power Doppler sonographic findings in patients with oral cancer undergoing chemotherapy and radiotherapy. We performed US examinations on 187 cervical lymph nodes (71 metastatic and 116 reactive nodes) excised from 52 patients before and after preoperative therapy. On Power Doppler images, we calculated the vascular index (VI) and evaluated the vascular pattern. We also assessed the diagnostic power using receiver operating characteristic (ROC) curve analysis. Irradiation caused an increase of the VI and better visualization of the vessels within the lymph node in the reactive nodes; however, in the metastatic nodes, the VI was not significantly different between that before and after irradiation. When the reader observed the images before irradiation, the area under an ROC curve (Az values) observed by B-mode sonography were closely similar to those obtained by B-mode plus power Doppler sonography. With both images before and after irradiation, the Az value obtained by B-mode plus power Doppler sonography was higher than that by B-mode sonography alone. After irradiation, the enhanced Doppler signals contributed to a better visualization of the vessels and a better detection of any vascular abnormalities. (orig.)

  19. Comparison Analysis of MR Images Before and After External Beam Radiotherapy in Brachytherapy

    International Nuclear Information System (INIS)

    To analyze availability of MR images before and after external beam radiotherapy in brachytherapy, we will acquire MR images before and after external beam radiotherapy and compare the change of direction of uterine cavity and analyze the accuracy of applicator insertion. From January 2009 to December 2010, we compared MR images before and after external beam radiotherapy for uterine cervical cancer only with radical purpose treatment. MR images which was acquired after external beam radiotherapy has done with inserted status of CT/MR applicator. As a consequence, the tumor was markedly reduced after external beam radiotherapy. The change of anteflexion of uterus turned into retroflexion of the uterine cavity was 17.1%. The case of wrong insertion of tandem include direction or length was 14.3%. According to MR images taken after external beam radiotherapy, we recognized not only reduced the tumor volume but the marked change of exact direction or length of the uterine cavity. So the confirmation of accurate insertion based on MR images before brachytherapy could be very helpful for optimal brachytherapy treatment planning with reduced applicator insertion errors.

  20. [Variations of IR-spectra of three coating materials before and after spraying on urea fertilizer].

    Science.gov (United States)

    Liu, Xing-bin; Chen, Li-jun; Wu, Zhi-jie; Zhang, Guang-na

    2009-09-01

    Coated fertilizer is a hot spot in the domain of fertilizer research. Related researches mainly focused on the action mechanisms of coating materials in controlling the nutrient release from coated fertilizers, but less information is available on the structural variation of the coating materials before and after spraying on fertilizers, which is the key to whether we can directly use coating materials to extrapolate its mechanisms in controlling coated fertilizers' nutrient release. With polylactic acid (PLA), poly (butynelenes succinate) (PBS), and polycarbonate (PC) as test materials, the variations of their IR spectra before and after spraying on urea fertilizer were determined, which was aimed to supply theoretical basis for further studying the action mechanisms of coating materials in controlling coated fertilizers nutrient release. The results showed that PLA and PC had less variation in their IR spectra before and after spraying on urea fertilizer, while PBS acted in reverse, suggesting that the former two coating materials could be directly used for studying the patterns of nutrient release from coated fertilizers. PMID:19950629

  1. Observed changes in aerosol physical and optical properties before and after precipitation events

    Science.gov (United States)

    Li, Xingmin; Dong, Yan; Dong, Zipeng; Du, Chuanli; Chen, Chuang

    2016-08-01

    Precipitation scavenging of aerosol particles is an important removal process in the atmosphere that can change aerosol physical and optical properties. This paper analyzes the changes in aerosol physical and optical properties before and after four rain events using in situ observations of mass concentration, number concentration, particle size distribution, scattering and absorption coefficients of aerosols in June and July 2013 at the Xianghe comprehensive atmospheric observation station in China. The results show the effect of rain scavenging is related to the rain intensity and duration, the wind speed and direction. During the rain events, the temporal variation of aerosol number concentration was consistent with the variation in mass concentration, but their size-resolved scavenging ratios were different. After the rain events, the increase in aerosol mass concentration began with an increase in particles with diameter particle sizer (APS)], and fine particles with diameter particle sizer (SMPS)]. Rainfall was most efficient at removing particles with diameter ~0.6 μm and greater than 3.5 μm. The changes in peak values of the particle number distribution (measured using the SMPS) before and after the rain events reflect the strong scavenging effect on particles within the 100-120 nm size range. The variation patterns of aerosol scattering and absorption coefficients before and after the rain events were similar, but their scavenging ratios differed, which may have been related to the aerosol particle size distribution and chemical composition.

  2. Significance of assess the iron reserves of severe renal anemia patients before and after blood transfusion

    Institute of Scientific and Technical Information of China (English)

    Gui-Fen Zhang

    2015-01-01

    Objective:To study the significance of evaluating hemoglobin and iron reserves in the severe renal anemia patient before and after blood transfusion, to guide clinical treatment.Methods:Simple randomly selected 120 patients in phase 5 of chronic renal failure from the department of nephrology, who are regular dialysis with severe renal anemia, according to the situation of iron reserves before blood transfusion, patients will be divided into its reserves of iron deficiency and iron overload group and normal group, and the three groups were divided into 1 U and 2 U group. Comparing the change of different unit quantity of hemoglobin, serum iron, iron, protein and total iron binding force before and after blood transfusion and variation is compared between groups.Results: Three groups of patients with 1U blood transfusion ,Hemoglobin, serum iron and ferritin, total iron binding force, transferrin saturation are higher before a blood transfusion,The differences were statistically significant; before and after blood transfusion hemoglobin, serum iron and ferritin, total iron binding force, transferrin saturation change in 1 U group normal iron reserves compared with Insufficient iron reserves 1 U group has no statistically significant difference, iron overload 1 U group before and after blood transfusion hemoglobin, serum iron and ferritin, total iron binding force, transferrin saturation change significantly greater than Insufficient iron reserves 1 U group and 1U with normal iron reserves group, the differences were statistically significant; Three groups of patients blood transfusion after 2 U, hemoglobin, serum iron and ferritin, total iron binding force, transferrin saturation were higher before a blood transfusion, differences were statistically significant; iron overload 2 U group before and after blood transfusion hemoglobin, serum iron and ferritin, total iron binding force, transferrin saturation change significantly greater than Insufficient iron reserves 2

  3. Comparison of Bolton’s Ratios before and after Treatment in an Iranian Population

    Science.gov (United States)

    Ebadifar, Asghar; Taliee, Rojin

    2013-01-01

    Background and aims The correct relationship of the total mesiodistal width of the mandibular teeth to that of the maxillary teeth (Bolton’s ratios) is among the main factors considered in obtaining an optimal occlusion. The present study was conducted to determining the Bolton’s ratios before and after treatment in skeletal class I patients. Materials and methods In this descriptive analytical study, 200 study casts of 100 patients (including 73 females and 27 males) were selected from 1,700 patient files with fixed, non-extraction orthodontic treatment protocol. The greatest mesiodistal width of teeth was measured using a digital caliper. The total Bolton index (TBI) and anterior Bolton index (ABI) were calculated for subjects and the obtained results were compared with the values reported by Bolton using one-sample t-test. The alterations in these indexes before and after treatment were compared with paired t-test. Results Post-treatment ABI and TBI in patients were 77.35% ± 4.12% and 91.2% ± 1.66%, respectively. No significant difference was detected in ABI and TBI of patients after treatment when compared with the results of Bolton’s study (P > 0.05). However, a significant correlation was observed in values of ABI (P < 0.001) and TBI (P < 0.01) before and after treatment. Conclusion These findings suggest that patients with mild hypodontia have narrower teeth than normal subjects espe-cially in posterior segments, which may have clinical implications during the orthodontic treatment process. PMID:23487005

  4. Urinary Ghrelin Concentration in Children With Urinary Tract Infections Before and After Treatment

    Directory of Open Access Journals (Sweden)

    Sharifian

    2016-03-01

    Full Text Available Background Urinary tract infections (UTIs are common in children. They can lead to hypertension and end stage renal disease (ESRD. Ghrelin is a regulatory hormone that maintains fat tissues and body composition. Ghrelin is mainly produced in the stomach and in smaller amounts in kidneys. It stimulates release of growth hormone (GH, increases food intake, and causes weight gain. Objectives The aim of this study was to examine weather urinary Ghrelin concentration is involved in anorexia in patients with UTI and its urinary concentration changes with treatment. Patients and Methods This study was performed on 40 hospitalized children with UTI at Mofid children’s hospital during years 2013 to 2014. Ghrelin and Creatinine were measured before and after treatment. statistical analyzes were performed using the SPSS software version 18 by student t test, Wilcoxon test and Spearman coefficient and differences were considered as significant if P < 0.05. Results Mean age was 4.5 ± 3.8 years and 34 (85% were females; 14 children (35% had proteinuria, nine patients (29% had Vesicoureteral Reflux (VUR, eight (20% scare, five (12.5% hydronephrosis and 33 (82.5% anorexia. Mean urinary acylated Ghrelin before and after treatment were 138.4 ± 70.9 and 147.2 ± 72.6, respectively (P < 0.001. There was no significant difference between mean urinary Ghrelin before and after treatment in children with UTI with or without anorexia. Acylated Ghrelin had a direct correlation with the incidence of renal scarring (r = 0.37, P = 0.034. Conclusions Urinary Ghrelin concentration was lower before treatment of UTI and significantly increased after cessation of inflammation. Further studies are required for more definite results.

  5. Four-dimensional computed tomography angiographic evaluation of cranial dural arteriovenous fistula before and after embolization

    Energy Technology Data Exchange (ETDEWEB)

    Tian, Bing, E-mail: bing.tian@hotmail.com; Xu, Bing, E-mail: aishanli0102@126.com; Lu, Jianping, E-mail: tianbing2003@163.com; Liu, Qi, E-mail: liuqimd@126.com; Wang, Li, E-mail: wangli_changhai@163.com; Wang, Minjie, E-mail: cjr.wangminjie@vip.163.com

    2015-06-15

    Highlights: • 4D CTA showed excellent agreement with DSA with regard to identification of feeding arteries and drainage veins. • The most important finding was 4D CTA in determining the impact of DAVF treatment with transarterial embolization. • 4D CTA provides images similar to those obtained with DSA both before and after treatment. - Abstract: Purpose: This study aimed to evaluate the usefulness of four-dimensional CTA before and after embolization treatment with ONYX-18 in eleven patients with cranial dural arteriovenous fistulas, and to compare the results with those of the reference standard DSA. Patients and Methods: Eleven patients with cranial dural arteriovenous fistulas detected on DSA underwent transarterial embolization with ONYX-18. Four-dimensional CTA was performed an average of 2 days before and 4 days after DSA. Four-dimensional CTA and DSA images were reviewed by two neuroradiologists for identification of feeding arteries and drainage veins and for determining treatment effects. Interobserver and intermodality agreement between four-dimensional CTA and DSA were assessed. Results: Forty-two feeding arteries were identified for 14 fistulas in the 11 patients. Of these, 36 (85.71%) were detected on four-dimensional CTA. After transarterial embolization, one patient got partly embolized, and the fistulas in the remaining 10 patients were completely occluded. The interobserver agreement for four-dimensional CTA and intermodality agreement between four-dimensional CTA and DSA were excellent (κ = 1) for shunt location, identification of drainage veins, and fistula occlusion after treatment. Conclusion: Four-dimensional CTA images are highly accurate when compared with DSA images both before and after transarterial embolization treatment. Four-dimensional CTA can be used for diagnosis as well as follow-up of cranial dural arteriovenous fistulas in clinical settings.

  6. Psychological evaluation of patients with a thyroid nodule before and after surgical treatment

    Directory of Open Access Journals (Sweden)

    Čaparević Zorica

    2002-01-01

    Full Text Available Introduction Association between endocrine and mental disorders has been recognized a long time ago, as well as their mutual dependence. The aim of this study was to evaluate the psychological structure of patients with thyroid nodule before and after surgical treatment. Material and methods In order to establish the type and degree of psychological disorders, we have examined 60 patients with thyroid nodule before and after surgical treatment by using DSM-IV classification of mental disorders and psychological instruments: semi structured psychiatric interview, MMPI, Zung Depression Scale and a list of panic symptoms. Patients with nonautonomous ("cold" nodules presented as euthyroid, and those with autonomous ("hot" nodules (after a period of drug therapy if they were hyperthyroid, required surgery. After a period of drug therapy two groups of patients were compared: group 1- euthyroid with "cold" nodules and group 2 - euthyroid with "hot" nodules. Before surgical treatment both groups under went psychological evaluation. Group 2 presented with: anxiety, depression and panic disorder with or without agoraphobia (72%, 46%, 28% while group 1 presented with following results: 48%, 23%, 14% respectively. After surgical treatment patients from group 1 presented with psychologic disorders in less than 1%. Discussion and conclusion In some physical disorders, psychologic factors contribute directly or indirectly to the etiology, in others, psychologic symptoms are the direct results of a lesion affecting neural or endocrine organs. One of the key etiological factors is often a short-time or long-time stress and its direct consequence is altered functioning of various hormonal systems. Unexpected high percentage of psychological disorders in patients with thyroid disorders suggests that psychological evaluation before and after surgical treatment is unavoidable for good assessment and choice of treatment. These patients need psychotherapeutic and

  7. Four-dimensional computed tomography angiographic evaluation of cranial dural arteriovenous fistula before and after embolization

    International Nuclear Information System (INIS)

    Highlights: • 4D CTA showed excellent agreement with DSA with regard to identification of feeding arteries and drainage veins. • The most important finding was 4D CTA in determining the impact of DAVF treatment with transarterial embolization. • 4D CTA provides images similar to those obtained with DSA both before and after treatment. - Abstract: Purpose: This study aimed to evaluate the usefulness of four-dimensional CTA before and after embolization treatment with ONYX-18 in eleven patients with cranial dural arteriovenous fistulas, and to compare the results with those of the reference standard DSA. Patients and Methods: Eleven patients with cranial dural arteriovenous fistulas detected on DSA underwent transarterial embolization with ONYX-18. Four-dimensional CTA was performed an average of 2 days before and 4 days after DSA. Four-dimensional CTA and DSA images were reviewed by two neuroradiologists for identification of feeding arteries and drainage veins and for determining treatment effects. Interobserver and intermodality agreement between four-dimensional CTA and DSA were assessed. Results: Forty-two feeding arteries were identified for 14 fistulas in the 11 patients. Of these, 36 (85.71%) were detected on four-dimensional CTA. After transarterial embolization, one patient got partly embolized, and the fistulas in the remaining 10 patients were completely occluded. The interobserver agreement for four-dimensional CTA and intermodality agreement between four-dimensional CTA and DSA were excellent (κ = 1) for shunt location, identification of drainage veins, and fistula occlusion after treatment. Conclusion: Four-dimensional CTA images are highly accurate when compared with DSA images both before and after transarterial embolization treatment. Four-dimensional CTA can be used for diagnosis as well as follow-up of cranial dural arteriovenous fistulas in clinical settings

  8. Iranian Medical Students’ Perception of Psychiatry: Before and After a Psychiatry Clerkship

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    Homayoun Amini

    2013-03-01

    Full Text Available Objective: We aimed to compare the medical students’ attitude towards psychiatry before and after psychiatry clerkship, and to examine the association of choosing psychiatry as a future career with some personal characteristics.Method: In a self-controlled, quasi-experimental study, all of the medical students entering the psychiatry clerkship in three major medical schools of Iran located in Tehran (Tehran, Shahid Beheshti, and Iran University of Medical Sciences were asked to participate anonymously in the study on the first and the last 3-days of their psychiatry clerkship. From 346 invited 4th-5th year medical students, 225 (65% completed anonymous self-report questionnaires before and after a 4-week psychiatry clerkship.Results: Positive response to choose psychiatry as a career was seen in 13.3 % and 18.3 % before and after psychiatry rotation, respectively. However, the difference was not statistically significant; about one-quarter of the students were turned on to psychiatry and 25% were discouraged during the clerkship. Individual pair wise comparisons revealed significant improvements only in two out of 13 measured aspects of psychiatry. Seventeen out of 38 (47.7% students who identified psychiatry as the career of choice or strong possibility reported that one of their family members or close friends’ mental illness had an impact on their choice. Those students who considered psychiatry as the strong possibility claimed that they are more interested in humanities (OR = 2.96; 95% CI: 1.17, 7.49, and playing a musical instrument (OR = 2.53; 95% CI: 1.15, 5.57.Conclusion: It may be concluded that exposure to psychiatry clerkship could influence medical students’ opinion about psychiatry positively, or negatively. Personal characteristics and individual interests of students may play an important role in choosing psychiatry as their future

  9. Characterization of municipal solid waste incineration fly ash before and after electrodialytic treatment

    DEFF Research Database (Denmark)

    Pedersen, Anne Juul; Gardner, Kevin H.

    2003-01-01

    Municipal solid waste incineration (MSWI) fly ash, which has been treated electrodialytically for the removal of heavy metals, may have changed characteristics compared to untreated fly ash. In this study, MSWI fly ash was characterized with respect to leaching properties (pH static leaching......, availability tests), mineralogy (X-ray powder diffraction (XRPD)), and morphology and element distribution (scanning electron microscopy/energy dispersive X-ray analysis (SEM/EDX)) before and after electrodialytic treatment. It was shown that even though a significant amount of the ini-tially present heavy...

  10. Macroeconomical development of Czech Republic before and after accession to the European Union

    OpenAIRE

    DOHNAL, Jaroslav

    2011-01-01

    The diploma work deals with development, analysing and assessment of the Czech economy in the years between 2000 and 2010, with a year 2004 as a turning point. Therefore it provides an overview of macroeconomic development before and after the accession of the Czech Republic to the European Union. A conclusion of the work is dedicated to a macroeconomic prediction and its evaluation in a short-term view. Main means of the evaluation are year-on-year figures changes of macroeconomic indica...

  11. Antibody isotype responses to egg antigens in human chronic Schistosomiasis mansoni before and after treatment

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    Gomes Yara M

    2002-01-01

    Full Text Available In the present communication we analyzed the levels of IgG1, IgG2, IgG3, IgG4 and IgE isotypes to soluble egg antigen of Schistosoma mansoni by ELISA in individuals from an endemic area for schistosomiasis in Northeast Brazil. The analysis was performed before and after treatment to evaluate the age-dependent pattern, and to identify differences in the reactivities to antigens. Our results suggest that schistosomiasis treatment would not interfere with this sort of immune response.

  12. Energy consumption and indoor climate in a residential building before and after comprehensive energy retrofitting

    DEFF Research Database (Denmark)

    Thomsen, Kirsten Engelund; Rose, Jørgen; Christen Mørck, Ove;

    2016-01-01

    Denmark is participating in IEA EBC Annex 56 “Cost Effective Energy and Carbon Emissions Optimization in Building Renovation”. This paper presents results from the housing complex Traneparken that was chosen as a Danish case for the project. It has undergone a comprehensive energy retrofit...... including new facades, new windows, additional insulation, mechanical ventilation with heat recovery and a photovoltaic installation on the roof. The measured energy consumption for heating and domestic hot water before and after renovation was 139.1 kWh/m2/year and 95.6 kWh/m2/year respectively, and...

  13. Politics without parties : political change and democracy building in Egypt before and after the revolution

    OpenAIRE

    COLLOMBIER, Virginie

    2013-01-01

    This working paper is the first draft of a work in progress on party politics in contemporary Egypt. Written in early 2013, following the first round of free elections to take place after Hosni Mubarak had been ousted from power, it focuses on non-Islamist parties, their development and their role in political change before and after the popular uprising of 2011. It shows that since 2011, similarly throughout the 2000s, political mobilization in the non-Islamist sphere has mostly happened thr...

  14. Pulmonary alveolar proteinosis in a child: HRCT findings before and after bronchoalveolar lavage

    Energy Technology Data Exchange (ETDEWEB)

    Zontsich, T.; Helbich, T.H.; Herold, C.J. [Department of Radiology, University of Vienna (Austria); Wojnarovsky, C.; Eichler, I. [Department of Pediatrics, University of Vienna (Austria)

    1998-12-01

    We demonstrate the high-resolution computed tomography (HRCT) findings of pulmonary alveolar proteinosis in a child before and after bronchoalveolar lavage. The CT pattern in our case differs from the pattern described in previous reports. We found a more homogeneous distribution of the pulmonary changes and a ``crazy paving`` pattern. High-resolution CT may be helpful in the differential diagnosis of this rare disease and in the follow-up of the pulmonary changes after bronchoalveolar lavage. (orig.) With 1 fig., 9 refs.

  15. Contrast-enhanced MRI in spinal arteriovenous malformations and fistulae before and after embolisation therapy

    International Nuclear Information System (INIS)

    MRI was performed in six cases of spinal arteriovenous malformation (AVM) and arteriovenous fistula (AVF) before and after embolisation. Intramedullary and perimedullary AVMs showed marked vascular enhancement after embolisation. This was thought to reflect feeding vessel occlusion and correlated well with a favourable clinical outcome. In dural AVFs, contrast-enhanced studies were essential for the diagnosis, unenhanced images being nonspecific. After embolisation, enhancement of the spinal cord was reduced, although one case with a poor outcome showed persistent enhancement. (orig.). With 3 figs., 3 tabs

  16. Dynamics of the radioecological situation in Kiev before and after the disaster on Chernobyl NPP

    International Nuclear Information System (INIS)

    The results of long standing observations of radioecological situation in Kiev, which were carried out from the beginning of 60-th and till today in 12 selected points of control are presented in this work. The dynamics of changes of main radiation situation parameters before and after Chernobyl disaster was investigated: the γ-exposure dose rate; the activity of global precipitations, atmosphere sediments and settling dust; radioactive pollution of soil and vegetation. The comparison of the radioecological situations in Kiev and dose loads due to internal and external irradiation for Kiev population in 1985 and 1992 was carried out

  17. Indoor Air Quality in Multi-Apartment Buildings before and after Renovation

    Directory of Open Access Journals (Sweden)

    Dimdina Ilze

    2014-12-01

    Full Text Available The article summarizes the IAQ parameters of multi-apartment buildings before and after renovation in Latvia. In a building with natural ventilation system air exchange is significantly dependent on the position of the apartment within the building. If CO2 as an indicator of indoor air quality is analyzed, the results show that inhabitants’ behavior has a considerable impact on IAQ. The planning of adequate investment in buildings to improve energy efficiency and choosing the modern, adequate and effective engineering solutions, it is possible to raise the comfort level of living space and to reduce heat and thermal energy consumption.

  18. Change of risk information disclosure in annual report. Before and after earthquake disaster

    International Nuclear Information System (INIS)

    This research examines how risk information disclosure is changing in annual report before and after East Japan Great Earthquake Disaster. Company voluntary disclose risk information in annual report. Manager can decide a style and items of risk information. This paper explores risk information disclosures of Tokyo Electric Power Company, Chubu Power Electric Company, Kansai Electric Power Company and Toyota Motor Corporation. The managers except Tokyo Electric Company are likely to disclose own catastrophe risk before the disaster. However, they do not try to reduce their risk. Corporations' risk information do not link with own risk management. (author)

  19. Comparison of tritium concentration in rainwater and atmosphere around TNPS before and after commercial service

    International Nuclear Information System (INIS)

    Monitoring results of tritium concentration in the rainwater and atmosphere around Tianwan Nuclear Power Station (TNPS) are introduced, and relevant factors influencing tritium concentration are analyzed. Before and after TNPS commercial service, the result shows that tritium concentration in the rainwater and atmosphere around TNPS rises from background level to twice background level or so and there is not obviously change beyond ten kilometers. Relative factors influencing tritium concentration in the rainwater and atmosphere mainly include gas tritium discharge, the distance to discharge point, the direction and frequency of wind, and amount of precipitation. (author)

  20. The Market Reaction Around Ex-Dates of Stock Splits Before and After Decimalization

    OpenAIRE

    Robin K. Chou; Wan-Chen Lee; Sheng-Syan Chen

    2005-01-01

    This paper examines the stock price behavior around the ex-split dates both before and after the decimalization on the New York Stock Exchange (NYSE). We find that the abnormal ex-split day returns decrease and the abnormal trading volume increases in the 1/16th and decimal pricing eras, relative to the 1/8th pricing era. These findings are consistent with the microstructure-based explanations for the ex-day price movements. Our study also supports the hypothesis that short-term traders perfo...

  1. The nuclide imaging of primary malignant bone tumor before and after HIFU treatment

    International Nuclear Information System (INIS)

    Objective: To investigate the difference of bone nuclide imaging on primary malignant bone tumor before and after high intensity focused ultrasound (HIFU) treatment. Methods: 99Tcm-methylene-diphosphonate (MDP) bone imaging was applied before and after HIFU treatment and 99Tcm(V)-dimercaptosuccinic acid (DMSA) imaging was used when it was needed. Results: 1) There were areas of abnormal high uptake of 99Tcm-MDP in bone foci, while the lower uptake or no-uptake areas of 99Tcm-MDP outside the foci were found simultaneously. 2) The high uptake of 99Tcm(V)-DMSA in 5 cases after the HIFU treatment in the foci indicated the relapse of the former bone tumor. Conclusions: The location and extent of the tumor, and effectiveness of HIFU treatment can be estimated sensitively with 99Tcm-MDP bone imaging. The high uptake of 99Tcm(V)-DMSA in the focus indicates the relapse of the primary malignant bone tumor or new bone lesion in a certain degree

  2. TCF7L2 polymorphisms and inflammatory markers before and after treatment with fenofibrate

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    Kabagambe Edmond K

    2009-10-01

    Full Text Available Abstract Background Inflammation is implicated in causing diabetes. We tested whether transcription factor 7 like-2 (TCF7L2 gene polymorphisms (rs12255372 and rs7903146, consistently associated with type 2 diabetes, are associated with plasma concentrations of inflammatory markers before and after three weeks of daily treatment with fenofibrate. Methods Men and women in the Genetics of Lipid-Lowering Drugs and Diet Network study (n = 1025, age 49 ± 16 y were included. All participants suspended use of lipid-lowering drugs for three weeks and were then given 160 mg/day of fenofibrate for three weeks. Inflammatory markers and lipids were measured before and after fenofibrate. ANOVA was used to test for differences across TCF7L2 genotypes. Results Under the additive or dominant model, there were no significant differences (P > 0.05 in the concentrations of inflammatory markers (hsCRP, IL-2, IL-6, TNF-α and MCP-1 across TCF7L2 genotypes in the period before or after treatment. For both rs12255372 and rs7903146, homozygote T-allele carriers had significantly higher (P Conclusion Overall these data show no association between TCF7L2 polymorphisms and the inflammatory markers suggesting that the effects of TCF7L2 on diabetes may not be via inflammation.

  3. Variability of prefrontal neuronal discharges before and after training in a working memory task.

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    Xue-Lian Qi

    Full Text Available Variability of neural discharges can be revealing about the computations and network properties of neuronal populations during the performance of cognitive tasks. We sought to quantify neuronal variability in the prefrontal cortex of naïve monkeys that were only required to fixate, and to examine how this measure was altered by learning and execution of a working memory task. We therefore performed analysis of a large database of recordings in the same animals, using the same stimuli, before and after training. Our results indicate that the Fano Factor, a measure of variability, differs across neurons depending on their functional properties both before and after learning. Fano Factor generally decreased after learning the task. Variability was modulated by task events and displayed lowest values during the stimulus presentation. Nonetheless, the decrease in variability after training was present even prior to the presentation of any stimuli, in the fixation period. The greatest decreases were observed comparing populations of neurons that exhibited elevated firing rate during the trial events. Our results offer insights on how properties of the prefrontal network are affected by performance of a cognitive task.

  4. Variability of prefrontal neuronal discharges before and after training in a working memory task.

    Science.gov (United States)

    Qi, Xue-Lian; Constantinidis, Christos

    2012-01-01

    Variability of neural discharges can be revealing about the computations and network properties of neuronal populations during the performance of cognitive tasks. We sought to quantify neuronal variability in the prefrontal cortex of naïve monkeys that were only required to fixate, and to examine how this measure was altered by learning and execution of a working memory task. We therefore performed analysis of a large database of recordings in the same animals, using the same stimuli, before and after training. Our results indicate that the Fano Factor, a measure of variability, differs across neurons depending on their functional properties both before and after learning. Fano Factor generally decreased after learning the task. Variability was modulated by task events and displayed lowest values during the stimulus presentation. Nonetheless, the decrease in variability after training was present even prior to the presentation of any stimuli, in the fixation period. The greatest decreases were observed comparing populations of neurons that exhibited elevated firing rate during the trial events. Our results offer insights on how properties of the prefrontal network are affected by performance of a cognitive task. PMID:22848426

  5. Canine distemper virus infection among wildlife before and after the epidemic.

    Science.gov (United States)

    Suzuki, Junko; Nishio, Yohei; Kameo, Yuki; Terada, Yutaka; Kuwata, Ryusei; Shimoda, Hiroshi; Suzuki, Kazuo; Maeda, Ken

    2015-11-01

    In 2007-2008, a canine distemper virus (CDV) epidemic occurred among wild animals in Wakayama Prefecture, Japan, and many mammals, including the wild boar and deer, were infected. In this study, CDV prevalence among wild animals was surveyed before and after the epidemic. At first, an enzyme-linked immunosorbent assay (ELISA) with horseradish peroxidase-conjugated protein A/G was established to detect CDV antibodies in many mammalian species. This established ELISA was available for testing dogs, raccoons and raccoon dogs as well as virus-neutralization test. Next, a serological survey of wild mammalians was conducted, and it was indicated that many wild mammalians, particularly raccoons, were infected with CDV during the epidemic, but few were infected before and after the epidemic. On the other hand, many raccoon dogs died during the epidemic, but CDV remained prevalent in the remaining population, and a small epidemic occurred in raccoon dogs in 2012-2013. These results indicated that the epidemic of 2007-2008 may have been intensified by transmission to raccoons. PMID:26074342

  6. ESTIMATION OF MALONDIALDEHYDE AND VITAMIN-E LEVELS IN NEONATAL HYPERBILIRUBINEMIA BEFORE AND AFTER PHOTOTHERAPY

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    Sidrah, Tandrapad Priyanka, Asiya Naaz, Lakshmi Chaitanya G, Sridevi D

    2015-07-01

    Full Text Available Background: Hyperbilirubinemia is a common and benign problem in neonates worldwide. It is observed during the 1st week of life in approximately 60% of term neonates and 80% of preterm neonates. Phototherapy is most widely used as therapy for unconjugated hyperbilirubinemia. Phototherapy is related to oxidative stress and lipid peroxidation. The present study is undertaken to establish the relation between anti-oxidant status and the marker of lipid peroxidation in neonatal hyperbilirubinemia before and after phototherapy. Objectives: To estimate the levels of MDA (malondialdehyde and vit-E levels in neonatal hyperbilirubinemia before and after phototherapy. Material and Methods: A total of 30 patients were eligible for the study who met the inclusion and exclusion criteria. Blood sample was collected from neonates of preterm/full term age 1 to 10 days with hyperbilirubinemia undergoing phototherapy. Total Bilirubin, Direct Bilirubin, MDA and vit-E levels were estimated in serum by thiobarbituric acid (TBA method and Backer and Frank’s Method respectively. Results: The present study showed increase in Total bilirubin, Direct bilirubin, MDA and decrease in vit-E levels before phototherapy when compared to control group and same subjects after phototherapy showed decrease in Total bilirubin and Direct bilirubin, MDA and a further decrease in vit-E levels. Conclusion: From these results it is concluded though phototherapy had a beneficial effect in treatment of neonatal hyperbilirubinemia, supplementation of vit-E is necessary in addition to phototherapy.

  7. The changes of serum levels of sexual hormones before and after uterine artery embolization

    International Nuclear Information System (INIS)

    Objective: To investigate the changes of serum hormones before and after uterine artery embolization. Methods: 27 cases of uterine fibroids were performed with uterine artery embolization (UAE). In all cases, follicle stimulating hormone (FSH), luteinizing hormone (LH) and estriol (E2) were measured before and after the UAE. Results: The serum levels of FSH before embolization were (8.63 +- 10.33) IU/L and (15.8 +- 27.89) IU/L months after embolization. The serum levels of LH before embolization were (11.77 +- 12.21) IU/L and (25.79 +- 37.24) IU/L3 months after embolization. The serum levels of E2 before embolization were (160 +- 67) pg/ml and (184 +- 87) pg/ml 3 months after embolization. There was no statistical difference between the measurements of FSH, LH, E2 before UAE and after UAE (P > 0.05, t TEST). But FSH, LH, E2 appeared to have menopause change in two cases. Conclusions: Uterine artery embolization would not affect the serum levels of FSH, LH and E2

  8. Background parenchymal enhancement in breast MRI before and after neoadjuvant chemotherapy: correlation with tumour response

    International Nuclear Information System (INIS)

    To correlate the decrease in background parenchymal enhancement (BPE) and tumour response measured with MRI in breast cancer patients treated with neoadjuvant chemotherapy (NAC). One hundred and forty-six MRI examinations of 73 patients with 80 biopsy-proven breast cancers who underwent breast MRI before and after NAC were retrospectively analysed. All images were reviewed by two blinded readers, who classified BPE into categories (BEC; 1 = minimal, 2 = mild, 3 = moderate, 4 = marked) before and after NAC. Histopathological and morphological tumour responses were analysed and compared. The distribution of BEC 1/2/3/4 was 25/46/18/11 % before and 78/20/2/0 % after NAC. On average, BPE decreased by 0.87 BEC. Cohen's kappa showed substantial agreement (k = 0.73-0.77) before and moderate agreement (k = 0.43-0.60) after NAC and moderate agreement (k = 0.62-0.60) concerning the change in BEC. Correlating the change in BPE with tumour response, the average decrease in BEC was 1.3 in cases of complete remission, 0.83 in cases with partial response, 0.85 in cases with stable disease and 0.40 in cases with progressive disease. Correlation analysis showed a significant correlation between the decrease in BEC and tumour response (r = -0.24, p = 0.03). BPE decreased by, on average, 0.87 BEC following NAC for breast cancer. The degree of BPE reduction seemed to correlate with tumour response. (orig.)

  9. Multifrequency EPR study on freeze-dried fruits before and after X-ray irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Yordanov, N.D. [Laboratory EPR, Institute of Catalysis, Bulgarian Academy of Sciences, 1113 Sofia (Bulgaria)]. E-mail: ndyepr@bas.bg; Aleksieva, K. [Laboratory EPR, Institute of Catalysis, Bulgarian Academy of Sciences, 1113 Sofia (Bulgaria); Dimitrova, A. [Laboratory EPR, Institute of Catalysis, Bulgarian Academy of Sciences, 1113 Sofia (Bulgaria); Georgieva, L. [Institute of Cryobiology and Food Technologies, 1162 Sofia (Bulgaria); Tzvetkova, E. [Institute of Cryobiology and Food Technologies, 1162 Sofia (Bulgaria)

    2006-09-15

    X-, K- and Q-band EPR studies on lyophilized whole pulp parts of blue plum, apricot, peach, melon as well as achens and pulp separately of strawberry before and after X-ray irradiation are reported. Before irradiation all samples show in X band a weak singlet EPR line with g=2.0030+/-0.0005, except melon, which is EPR silent. Immediately after irradiation all samples exhibit complex fruit-depending spectra, which decay with time and change to give, in ca. 50days, an asymmetric singlet EPR line with g=2.0041+/-0.0005. Only apricot pulp gave a typical ''sugar-like'' EPR spectrum. Singlet EPR lines recorded after irradiation in X -band are K- and Q-band resolved as typical anisotropic EPR spectra with g{sub ||}=2.0023+/-0.0003 and g{sub -}bar =2.0041+/-0.0005. In addition, K- and Q-band EPR spectra of all samples show a superposition with the six EPR lines of Mn{sup 2+} naturally present in the fruits. The saturation behavior of the EPR spectra of achens of lyophilized and fresh strawberry is also studied. The differences in g factors of samples before and after X-ray irradiation might be used for the identification of radiation processing of fruits in the case of pulp and the differences in the EPR saturation behavior might be used for the achens of strawberry.

  10. Background parenchymal enhancement in breast MRI before and after neoadjuvant chemotherapy: correlation with tumour response

    Energy Technology Data Exchange (ETDEWEB)

    Preibsch, H.; Wanner, L.; Bahrs, S.D.; Wietek, B.M.; Nikolaou, K.; Wiesinger, B. [University Hospital Tuebingen, Diagnostic and Interventional Radiology, Tuebingen (Germany); Siegmann-Luz, K.C. [Diagnostic Center for Breast Cancer and Screening Mammography Brandenburg Ost, Koenigs Wusterhausen (Germany); Oberlecher, E.; Hahn, M. [University Hospital Tuebingen, Department of Gynecology and Obstetrics, Tuebingen (Germany); Staebler, A. [University Hospital Tuebingen, Institute of Pathology and Neuropathology, Tuebingen (Germany)

    2016-06-15

    To correlate the decrease in background parenchymal enhancement (BPE) and tumour response measured with MRI in breast cancer patients treated with neoadjuvant chemotherapy (NAC). One hundred and forty-six MRI examinations of 73 patients with 80 biopsy-proven breast cancers who underwent breast MRI before and after NAC were retrospectively analysed. All images were reviewed by two blinded readers, who classified BPE into categories (BEC; 1 = minimal, 2 = mild, 3 = moderate, 4 = marked) before and after NAC. Histopathological and morphological tumour responses were analysed and compared. The distribution of BEC 1/2/3/4 was 25/46/18/11 % before and 78/20/2/0 % after NAC. On average, BPE decreased by 0.87 BEC. Cohen's kappa showed substantial agreement (k = 0.73-0.77) before and moderate agreement (k = 0.43-0.60) after NAC and moderate agreement (k = 0.62-0.60) concerning the change in BEC. Correlating the change in BPE with tumour response, the average decrease in BEC was 1.3 in cases of complete remission, 0.83 in cases with partial response, 0.85 in cases with stable disease and 0.40 in cases with progressive disease. Correlation analysis showed a significant correlation between the decrease in BEC and tumour response (r = -0.24, p = 0.03). BPE decreased by, on average, 0.87 BEC following NAC for breast cancer. The degree of BPE reduction seemed to correlate with tumour response. (orig.)

  11. Comparison of Perceptual Signs of Voice before and after Vocal Hygiene Program in Adults with Dysphonia

    Directory of Open Access Journals (Sweden)

    Seyyedeh Maryam khoddami

    2011-12-01

    Full Text Available Background and Aim: Vocal abuse and misuse are the most frequent causes of voice disorders. Consequently some therapy is needed to stop or modify such behaviors. This research was performed to study the effectiveness of vocal hygiene program on perceptual signs of voice in people with dysphonia.Methods: A Vocal hygiene program was performed to 8 adults with dysphonia for 6 weeks. At first, Consensus Auditory- Perceptual Evaluation of Voice was used to assess perceptual signs. Then the program was delivered, Individuals were followed in second and forth weeks visits. In the last session, perceptual assessment was performed and individuals’ opinions were collected. Perceptual findings were compared before and after the therapy.Results: After the program, mean score of perceptual assessment decreased. Mean score of every perceptual sign revealed significant difference before and after the therapy (p≤0.0001. «Loudness» had maximum score and coordination between speech and respiration indicated minimum score. All participants confirmed efficiency of the therapy.Conclusion: The vocal hygiene program improves all perceptual signs of voice although not equally. This deduction is confirmed by both clinician-based and patient-based assessments. As a result, vocal hygiene program is necessary for a comprehensive voice therapy but is not solely effective to resolve all voice problems.

  12. Marginal microleakage of class V composite restorations before and after AFP gel application

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    Davari Abdolrahim

    2015-01-01

    Full Text Available   Background and Aims: The most effective preventing tooth decay method is fluoride compounds applications. Some studies suggested that APF gels caused changes on the superficial physical properties of composite. Therefore, the purpose of this study was to evaluate the marginal microleakage of class V composite restorations before and after AFP gel application.   Materials and Methods: The class V cavities in buccal surfaces of 45 molar teeth were made in such a way that occlusal margin was placed in enamel and cervical margin in cement. In group 1, at first fluoride-therapy and then cavity preparation and restoration by composite resin was done. In group 2, at first the class V cavities were prepared and restored, then fluoride-therapy was carried out. In group 3, cavities were prepared and restored with no fluoride-therapy. The dye penetration rate in occlusal and cervical margins was examined by stereomicroscope. Data were statistically analyzed using Kruskal-Wallis and Mann-Whitney test.   Results: There was no statistically significant difference between groups ( P=0.975.   Conclusion: Fluoride-therapy using AFP gel before and after class V composite restorations, had no significant effect on the microleakage of dentin and enamel margins.

  13. Patients’ expectation and satisfaction with complete denture before and after the therapy

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    Zou Yun

    2015-01-01

    Full Text Available Background/Aim. Difficulties in the acceptance of dentures are multifactorial including psychosocial ones. It is questionable whether the patients’ satisfaction depends only on the complete denture therapy characteristics. The aim of the study was to evaluated patients’ expectation and satisfaction with complete dentures before and after the treatment concerning phonetics, chewing, comfort of use and aesthetics. Methods. Forty complete edentulous patients rated their expectation before and satisfaction after the treatment based on a questionnaire scores. Patient-related variables regarding age, gender and previous experience (whether worn complete denture or not were also recorded. Results. Patients’ rating for expectations were higher than the satisfaction after treatment regarding phonetics, chewing, comfort of use and aesthetics. A negative significant correlation was shown between the items before and after the treatment rating for phonetics, chewing, comfort of use and aesthetics. No statistical correlation was found between all the evaluated aspects’ (i.e. phonetics, chewing, comfort of use and aesthetics of expectation and satisfaction, and age, gender, and previous experience except a weak negative correlation noticed between age and comfort of denture use. Conclusion. Patients’ expectations ratings significantly exceeded their satisfactions. Expectations and satisfaction ratings were irrespective of gender and patients previous experience.

  14. SELECTIVE EVALUATION OF TWO URINARY ENZYMES (NAG AND AAP BEFORE AND AFTER UNILATERAL SHOCK WAVE LITHOTRIPSY

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    M. R. Nikoobakht

    2006-09-01

    Full Text Available Biological effects extracorporeal shock wave lithotripsy (ESWL is not precisely known. We have evaluated two urinary enzymes activity N-acetyl-B-D-glucosamine (NAG and alanine amino peptidase (AAP before and after unilateral ESWL as markers for renal parenchymal damage. Forty eight patients with kidney stones (mean age 39 who had presented for the first time or at least one year after their previous lithotripsy underwent ESWL. Urinary specimens were collected before and after first, third and seventh days of lithotripsy and NAG, AAP were evaluated. These enzymes displayed the greatest activity 24 hours after ESWL with significant difference compared to the control group, (P < 0.05 versus 0.02. Elevation of urinary enzymes activity correlated with stone size particularly stones larger than 2 cm. These data suggest that there is some tubular and parenchymal damage induced by ESWL that needs time to get improved. The higher urinary enzyme activity in patients with larger stones ( > 2 cm is probably related to injury resulting from passage of smaller stones, produced after lithotripsy of a large stone, and it is suggested that these patients are treated with a safer procedure.

  15. Alterations of the blood pool in the femoral head before and after renal transplantation

    International Nuclear Information System (INIS)

    The pathogenesis of idiopathic osteonecrosis of the femoral head (ION) is thought to be an ischemic event. The purpose of this study is to investigate alterations of the blood pool in the femoral head before and after renal transplantation. After renal transplantation, all patients received the same immunosuppressive therapy: corticosteroids, cyclosporin-A, and azathioprine. We performed 3-phase bone scintigraphy on 16 renal allograft recipients within 1 week before renal transplantation, and between week 4 and 9 after renal transplantation. Regions of interest (ROI) were assigned bilaterally in the femoral head, diaphysis, and soft tissue. The head-to-diaphysis ratios (HD ratios) were then calculated. Idiopathic osteonecrosis of the femoral head occurred in 2 femoral heads of 1 patient. The HD ratio before renal transplantation (mean HD±SD, 1.52±0.30) and the HD ratio after renal transplantation (1.28±0.30) were significantly different (P=0.000024). The HD ratios before and after renal transplantation were significantly different, indicating that the administration of steroids diminished the blood pool in the femoral head. A low HD ratio before renal transplantation revealed a poor blood pool in the femoral head, which may be a risk factor for ION. (author)

  16. Before and After How has the SNO NC measurement changed things?

    CERN Document Server

    Bahcall, J N; Peña-Garay, C; Bahcall, John N.; Peña-Garay, Carlos

    2002-01-01

    We present "Before and After" global oscillation solutions, as well as predicted "Before and After" values and ranges for eight future solar neutrino observables. The ``Before'' case includes all solar neutrino data (and some theoretical improvements) available prior to April 20, 2002 and the ``After'' case includes, in addition, the new SNO data on the CC, NC, and day-night asymmetry. The LMA solution is the only currently allowed MSW oscillation solution at a CL of 98.8 %. The LOW solution is allowed only at 2.5 sigma, SMA at 3.7 sigma, and pure sterile oscillations at 5.4 sigma. Small mixing angles are ``out''(pure sterile is ``way out''); MSW with large mixing angles is definitely ``in''. Vacuum oscillations are allowed, but not robustly, at 2.1 sigma. Precise maximal mixing is excluded at 3.2 sigma for MSW solutions and at 2.8 sigma for vacuum solutions. Most of the predicted values for future observables for the BOREXINO, KamLAND, and future SNO measurements are changed only by minor amounts by the incl...

  17. Thermographic imaging of the superficial temperature in racing greyhounds before and after the race.

    Science.gov (United States)

    Vainionpää, Mari; Tienhaara, Esa-Pekka; Raekallio, Marja; Junnila, Jouni; Snellman, Marjatta; Vainio, Outi

    2012-01-01

    A total of 47 racing greyhounds were enrolled in this study on two race days (in July and September, resp.) at a racetrack. Twelve of the dogs participated in the study on both days. Thermographic images were taken before and after each race. From the images, superficial temperature points of selected sites (tendo calcaneus, musculus gastrocnemius, musculus gracilis, and musculus biceps femoris portio caudalis) were taken and used to investigate the differences in superficial temperatures before and after the race. The thermographic images were compared between the right and left legs of a dog, between the raced distances, and between the two race days. The theoretical heat capacity of a racing greyhound was calculated. With regard to all distances raced, the superficial temperatures measured from the musculus gastrocnemius were significantly higher after the race than at baseline. No significant differences were found between the left and right legs of a dog after completing any of the distances. Significant difference was found between the two race days. The heat loss mechanisms of racing greyhounds during the race through forced conduction, radiation, evaporation, and panting can be considered adequate when observing the calculated heat capacity of the dogs. PMID:23097633

  18. Thermographic Imaging of the Superficial Temperature in Racing Greyhounds before and after the Race

    Directory of Open Access Journals (Sweden)

    Mari Vainionpää

    2012-01-01

    Full Text Available A total of 47 racing greyhounds were enrolled in this study on two race days (in July and September, resp. at a racetrack. Twelve of the dogs participated in the study on both days. Thermographic images were taken before and after each race. From the images, superficial temperature points of selected sites (tendo calcaneus, musculus gastrocnemius, musculus gracilis, and musculus biceps femoris portio caudalis were taken and used to investigate the differences in superficial temperatures before and after the race. The thermographic images were compared between the right and left legs of a dog, between the raced distances, and between the two race days. The theoretical heat capacity of a racing greyhound was calculated. With regard to all distances raced, the superficial temperatures measured from the musculus gastrocnemius were significantly higher after the race than at baseline. No significant differences were found between the left and right legs of a dog after completing any of the distances. Significant difference was found between the two race days. The heat loss mechanisms of racing greyhounds during the race through forced conduction, radiation, evaporation, and panting can be considered adequate when observing the calculated heat capacity of the dogs.

  19. Fatigue Analysis Before and After Shaker Exercise: Physiologic Tool for Exercise Design

    OpenAIRE

    White, Kevin T.; Easterling, Caryn; Roberts, Niles; Wertsch, Jacqueline; Shaker, Reza

    2008-01-01

    Recent studies suggest that the Shaker exercise induces fatigue in the upper esophageal sphincter (UES) opening muscles and sternocleidomastoid (SCM), with the SCMs fatiguing earliest. The aim of this study was to measure fatigue induced by the isometric portion of the Shaker exercise by measuring the rate of change in the median frequency (MF rate) of the power spectral density (PSD) function, which is interpreted as proportional to the rate of fatigue, from surface electromyography (EMG) of...

  20. Student Flows and Employment Opportunities before and after Implementation of a Third Year in Vocational Programmes at Upper Secondary School

    Science.gov (United States)

    Murray, Asa; Sundin, Sven

    2008-01-01

    The present study describes students flows before and after the latest reform of upper secondary school in which a third year as well as a new grading system and new entrance requirements were introduced in vocational programmes. Published and unpublished data on student flows through upper secondary school before and after implementation of the…

  1. Liver volume, portal vein flow, and clearance of indocyanine green and antipyrine in hyperthyroidism before and after antithyroid treatment

    DEFF Research Database (Denmark)

    Andersen, Vibeke; Sonne, J; Court-Payen, M; Sletting, Susanne; Prip, A; Mølholm Hansen, J

    1999-01-01

    The aim of the study was to examine liver volume, portal vein flow, and indocyanine green (ICG) and antipyrine clearance in hyperthyroidism before and after antithyroid drug treatment.......The aim of the study was to examine liver volume, portal vein flow, and indocyanine green (ICG) and antipyrine clearance in hyperthyroidism before and after antithyroid drug treatment....

  2. Comparison of adenovirus viruria in bone marrow transplant patients before and after transplantation

    Directory of Open Access Journals (Sweden)

    H. Saderi

    2005-01-01

    Full Text Available Baekgrouund & purpose: In recent years, the role of adenoviruses in infection and disease in recipients of bone marrow transplantation (BMT has been studied. It suppose that adenoviral infections are prevalant in these patients Due to using medicines for preventing transplant rejection. This study was performed to compare the incidence of adenoviruses in urine samples taken before and after BMT from individuals undergoing BMT. In addition, The correlation between age, sex, etiology and kind of transplantation and adenovirus infection was studied.Materials and Methods: From 11 November 2002 to 12 June 2003, 91 patients received BMT in Hematology, Oncology and Bone Marrow Transplantation center of Tehran University of Medical Sciences. From 72 patients, 2 urine samples were taken before and 4 weeks after transplantation The DNA samples were examined by PCR using primers that detect 134 bp sequence in Hexon gene shared in human adenovirus DNA was extracted using Phenol-Chloroform method and concentrated by sodium acetate and ethanol.In Faculty of Medicine, Shahed University.Results: Adenovirus DNA was found in 39 patients (54.2% before transplantation and in 37 patients (51.4% after that. Both before and after BMT samples were negative for adenoviruses in 21 patients and positive in 25 patients. In 14 patients only before BMT and in 12 patients only after BMT urine samples were positive. No statistical difference between before and after BMT viruria was shown by McNemar’s test. Also, no statistical difference was shown between mean age of infected and non-infected patients by t-test. In spite of higher frequency of males, malignant and allogeneic transplant among studied patients, there was no statistical difference between two mentioned patients (P>0.05.Conclusion: In the present study, increase of prevalence of viruria in patients after bone marrow transplantation was not seen. In adition, there was no correlation between patients with various

  3. Alveolar dead space and capnographic variables before and after thrombolysis in patients with acute pulmonary embolism

    Directory of Open Access Journals (Sweden)

    Marcos Mello Moreira

    2008-11-01

    Full Text Available Marcos Mello Moreira1, Renato G G Terzi1, Carlos Heitor N Carvalho2, Antonio Francisco de Oliveira Neto3, Mônica Corso Pereira4, Ilma Aparecida Paschoal41Department of Surgery, State University of Campinas, School of Medical Sciences; 2Department of Cardiology, State University of Campinas, School of Medical Sciences; 3Intensive Care Unit of the State University of Campinas, School of Medical Sciences; 4Department of Pulmonology, State University of Campinas, School of Medical Sciences, Campinas, BrazilAbstract: Pulmonary embolism (PE is a common condition. The central aim of this study was to describe the use of volumetric capnography (VCap before and after fibrinolytic treatment of major PE. Lung scintigraphy was used as a base of comparison for the results of this treatment. We describe the cases of two conscious and spontaneously breathing patients (20- and 24-year-old women with major PE undergoing thrombolysis. Curves of CO2 were obtained by VCap and associated with arterial blood gas analysis and D-dimer. The pattern of VCap was compared with the VCap of health volunteers. Parameters also calculated were: P(a-etCO2 gradient, alveolar dead space fraction (AVDSf , late dead space fraction (f Dlate, and slope phase III (Slp III. The VCap results before and after thrombolysis for patients 1 and 2 were, respectively, P(a-etCO2: 12.6 to 5.8 and 7.9 to 1.6 (mmHg; AVDSf: 0.46 to 0.18 and 0.25 to 0.05; fDlate: 0.46 to 0.21 and 0.24 to 0.04; Slp III: 1.75 to 5.10 and 1.21 to 5.61 (mmHg/L. Lung scintigraphy was used to compare VCap results from the two subjects with VCap results from healthy volunteers and pigs before and after treatment associated with arterial blood gas, D-dimer, and showed satisfactory agreement.Keywords: pulmonary embolism, capnography, respiratory dead space, thrombolysis, fibrin fibrinogen degradation products/fibrin fragment D

  4. Relationship Between Vertical Jump Height and Swimming Start Performance Before and After an Altitude Training Camp.

    Science.gov (United States)

    García-Ramos, Amador; Padial, Paulino; de la Fuente, Blanca; Argüelles-Cienfuegos, Javier; Bonitch-Góngora, Juan; Feriche, Belén

    2016-06-01

    García-Ramos, A, Padial, P, de la Fuente, B, Argüelles-Cienfuegos, J, Bonitch-Góngora, J, and Feriche, B. Relationship between vertical jump height and swimming start performance before and after an altitude training camp. J Strength Cond Res 30(6): 1638-1645, 2016-This study aimed (a) to analyze the development in the squat jump height and swimming start performance after an altitude training camp, (b) to correlate the jump height and swimming start performance before and after the altitude training period, and (c) to correlate the percent change in the squat jump height with the percent change in swimming start performance. Fifteen elite male swimmers from the Spanish Junior National Team (17.1 ± 0.8 years) were tested before and after a 17-day training camp at moderate altitude. The height reached in the squat jump exercise with additional loads of 0, 25, 50, 75, and 100% of swimmers' pretest body weight and swimming start performance (time to 5, 10, and 15 m) were the dependent variables analyzed. Significant increases in the jump height (p ≤ 0.05; effect size [ES]: 0.35-0.48) and swimming start performance (p < 0.01; ES: 0.48-0.52) after the training period were observed. The start time had similar correlations with the jump height before training (r = -0.56 to -0.77) and after training (r = -0.50 to -0.71). The change in the squat jump height was inversely correlated with the change in the start time at 5 m (r = -0.47), 10 m (r = -0.73), and 15 m (r = -0.62). These results suggest that altitude training can be suitable to enhance explosive performance. The correlations obtained between the squat jump height and start time in the raw and change scores confirm the relevance of having high levels of lower-body muscular power to optimize swimming start performance. PMID:26473522

  5. Internal Exposure of a Seoul Subway Passenger due to Radon Inhalation: Before and After PSD Installation

    International Nuclear Information System (INIS)

    Radon is the major source of public exposure to natural radiation and is also known to cause lung cancer. Platform screen doors (PSD) were installed primarily for passenger's safety purposes. Radon concentration and aerosol distribution have been changed since PSD installation. In this study, we have assessed the annual effective dose of regular subway passengers, before and after PSD installation, by employing current available data on air concentration of radon in Seoul subways with aerosol size distributions taken into account. ICRP recommends that the reference value for internal dose from radon be between 1.0 and 20.0 mSv. Korean Ministry of Environment enacted the indoor radon regulation, which requires the indoor radon level should not exceed 148 Bq/m3. Radon concentrations in Seoul subways and annual dose estimates meet the requirements

  6. Surface roughness and gloss of current CAD/CAM resin composites before and after toothbrush abrasion.

    Science.gov (United States)

    Koizumi, Hiroyasu; Saiki, Osamu; Nogawa, Hiroshi; Hiraba, Haruto; Okazaki, Tomoyo; Matsumura, Hideo

    2015-01-01

    The purpose of this study was to evaluate the gloss and surface roughness behaviors of newly developed CAD/CAM composite blocks with different filler contents and characteristics. The gloss and surface roughness were quantified before and after a toothbrush dentifrice abrasion test; the results were compared to the gloss and surface roughness of a ceramic CAD/CAM block. Knoop hardness was determined before abrasion test. The results were analyzed by ANOVA, Tukey HSD, and Dunnett t test (pVita Enamic>Gradia block>Shofu Block HC, Lava Ultimate≥Katana Avencia block≥Cerasmart. After toothbrush abrasion, a significant difference in the gloss unit was detected between the Shofu Block HC material and the ceramic block. The Ra and Rz of the Cerasmart and Shofu Block HC materials were significantly larger than those of the ceramic block after toothbrush abrasion. PMID:26632238

  7. Analysis of Serum proteom before and after Intravenous Injection of wild ginseng herbal acupuncture

    Directory of Open Access Journals (Sweden)

    Tae-Sik Kang

    2004-12-01

    Full Text Available Objectives : To observe changes in the serum proteins before and after intravenous injection of wild ginseng herbal acupuncture. Methods : Blood was collected before and after the administration of wild ginseng herbal acupuncture and only the serum was centrifuged. Then differences in the spots on the scanned image after running 2-Dimensional electrophoresis were located and conducted mass analysis and protein identification. Results : Following results were obtained from the comparative analysis of serum proteins before and after the administration of wild ginseng herbal acupuncture. 1. 28 spots were identified before and after the administration. 2. In confirming manifestation degree, spots with more than two-times increase were 204, 803, 1505, 2205, 3105, 7104, 9001 spots, with more than one-time increase were 1101, 1302, 2013, 3009, 3010, 4002, 4009, 6706, 7103, 8006, 8101, and spots with decrease were 205, 801, 3205, 5202, 6105. 3. After conducting protein identification, proteins 205, 804, 1302, 4009, 6105, 6106 are unidentified yet, and 1101 is unnamed protein. Protein 204 is identified as complement receptor CR2-C3d, 801 as YAP1 protein, 803 as antitrypsin polymer, 1505 as PRO0684, 2013 and 3010 as proapolipoprotein, 2205 as USP48, 2403 as vitamin D binding protein, 3009 as complement component 4A preprotein, 3105 as immunoglobulin lambda chain, 3205 as transthyretin, 4002 as Ras-related protein Ral-A, 4204 as beta actin, 5202 and 7104 as apolipoprotein L1, 6704 as alpha 2 macroglobulin precursor, 7103 as complement component 3 precursor, 8006 as testis-specific protein Y, 8101 as transferrin, 9001 as (Alpha-Oxy, Beta-(C112gdeoxy T-State Human Hemoglobin, and 9003 as human hemoglobin. 4. Immune protein CR2-C3d, which acts against microbes and pathogenic organisms, and Antitrypsin(803, which is secreted with inflammatory response in the lungs, were increased by more than 200% after the administration of herbal acupuncture. 5

  8. The Role of Trust in Financial Customer-seller Relationships Before and After the Financial Crisis

    DEFF Research Database (Denmark)

    Hansen, Torben

    2014-01-01

    This study examines the role of trust in customer-seller relationships before and after the 2008 financial crisis. On the basis of two surveys comprising 1155 and 757 bank customers, respectively, it is shown that trust is less likely to mediate the relationship between satisfaction and loyalty...... after the financial crisis compared with before the financial crisis. The results suggest that consumers rely more on satisfaction and less on trust after the financial crisis compared with before the financial crisis when determining whether they should remain loyal to a particular financial service...... provider. Hence, as a direct managerial implication, financial service managers should consider investing additional resources in satisfying their customers in the after crisis era. In addition, it is suggested that managers should seek to rebuild the positive relationship between trust and loyalty...

  9. [A survey on serious accidents associated with abortion before and after the law of 1975].

    Science.gov (United States)

    Achard, B; Cohen, J; Legrain, M; Chapman, A

    1979-11-01

    To investigate the effects of the law legalizing abortion, passed in France in 1975, on serious complications caused by the procedure, the authors have investigated 2 such complications, acute renal failure, and tetanus. Such complications are treated only in specialized reanimation centers, therefore it was possible, through the medical dossiers, to statistically measure the number of cases treated before and after the 1975 law. The number of cases of acute renal insufficiency began to drop in 1973, possibly due to the fact that many women would then go to Britain to seek abortion, where it had already been legalized. After 1975 the number of cases treated went from 233 to 45, and cases of death went from 34 to 4. Only 8 cases of tetanus were reported, and all before the 1975 law. These conclusions agree with other data published in the literature on the effects of the legalization of abortion on its medical complications. PMID:12261674

  10. [Perceived attractiveness and other characteristics of different male facial types before and after orthognathic surgery].

    Science.gov (United States)

    Allon, D M; Shmuly, T

    2015-07-01

    Orthognathic intervention has not only profound implications on the individual's function and esthetics, but also on the perception of his surrounding environment. In this study, frontal and profile photographs of 3 groups of men (a control group with normal profile and prognathic and retrognathic profiles, before and after orthognathic surgery) were shown in random order to a group of 83 women, who were asked to rate the pictures according to attractiveness and several personality traits on an analog scale. Results show that men with normal profiles got the most positive scores on all categories. Men with prognathic profiles were perceived as more aggressive and assertive, while men with retrognathic profiles were perceived as less intelligent and reliable. After orthognathic intervention both retrognathic and prognathic groups had a significant improvement in their scores, which were closer to the normal profile group. PMID:26548147

  11. Tobacco smoke exposure in nonsmoking hospitality workers before and after a state smoking ban.

    Science.gov (United States)

    Jensen, Joni A; Schillo, Barbara A; Moilanen, Molly M; Lindgren, Bruce R; Murphy, Sharon; Carmella, Steven; Hecht, Stephen S; Hatsukami, Dorothy K

    2010-04-01

    Secondhand smoke exposure is estimated to account for 3,000 cancer deaths per year. Although several countries and states in the United States have passed comprehensive smoke-free laws to protect all employees, a significant number of workers are still not protected. The purpose of this study was to determine the effects of passing a comprehensive smoking ban that included bars and restaurants on biomarkers of nicotine and carcinogen exposure. The urines of nonsmoking employees (n = 24) of bars and restaurants that allowed smoking before the smoke-free law were analyzed before and after the law was passed in Minnesota. The results showed significant reductions in both total cotinine and 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (free plus glucuronidated) after the ban was instituted. These results provide further support for the importance of protecting employees working in all venues. PMID:20354127

  12. Tobacco Smoke Exposure in Non-smoking Hospitality Workers Before and After a State Smoking Ban

    Science.gov (United States)

    Jensen, Joni A.; Schillo, Barbara A.; Moilanen, Molly M.; Lindgren, Bruce R.; Murphy, Sharon; Carmella, Steven; Hecht, Stephen S.; Hatsukami, Dorothy K.

    2010-01-01

    Secondhand smoke exposure is estimated to account for 3000 cancer deaths per year. While several countries and states in the U.S. have passed comprehensive smoke-free laws to protect all employees, a significant number of workers are still not protected. The purpose of this study was to determine the effects of passing a comprehensive smoking ban that included bars and restaurants on biomarkers of nicotine and carcinogen exposure. The urines of non-smoking employees (N=24) of bars and restaurants that allowed smoking prior to the smoke-free law were analyzed before and after the law was passed in Minnesota. The results showed significant reductions in both total cotinine and 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) (free plus glucuronidated) after the ban was instituted. These results provide further support for the importance of protecting employees working in all venues. PMID:20354127

  13. Coronal CT of the paranasal sinuses before and after functional endoscotic sinus surgery

    International Nuclear Information System (INIS)

    Coronal CT of the paranasal sinuses and the ostiomeatal complex (OMC) was performed before and 12 months after bilateral functional endoscopic sinus surgery (FESS) in 30 patients with sinusitis and 12 patients with nasal polyposis. The extent of sinus mucosal thickening was graded, and the patency of the OMC was evaluated. After FESS, the percentage of open OMCs had increased from 42% to 83% in the sinusitis group, and from 8% to 45% in the polyposis group. There was only a small improvement in mucosal score in sinuses with opened OMC, so that the overall extent of sinus opacification before and after FESS was almost the same. Despite this, 91% of the patients reported clinical relief of symptoms. Preoperative coronal CT of the paranasal sinuses serves as an anatomical map for the surgeon, but there is no benefit of routine postoperative CT. (orig.)

  14. A STUDY OF SYMPTOM SCORE AND LIPID PROFILE IN SUBCLINICAL HYPOTHYROIDISM BEFORE AND AFTER THYROXINE SUPPLEMENTATION

    Directory of Open Access Journals (Sweden)

    Polu Poina

    2015-04-01

    Full Text Available Hypothyroidism is the most common form of thyroid disorder with a broad range of clinical spectrum. Sub clinical hypothyroidism (SH is the mildest form of the disease in which a few if any non - specific symptoms and/or lipid abnormalities are present. The effect of SH on lipid profile is controversial . [1,2] Elevation of total and LDL cholesterol is observed. SH is associated with subtle abnormalties in myocardial contractility, depression, sub fertility and ovalutary dysfunction. Thyroid replacement in SH is associated with improvement in above mentioned symptoms. This study was carried out to analyse symptom score and lipid profile in patients with SH before and after treatment with L - thyroxine.

  15. Electron Spectroscopy Studies on SiC Films before and after Hydrogen Ion Irradiation

    Institute of Scientific and Technical Information of China (English)

    HUANG Ningkang; YANG Bing; WANG Dezhi

    2005-01-01

    The ion beam mixing prepared SiC films on stainless steel substrates were irradiated by hydrogen ion beam with an energy of 5 keV to a dose of 1×1018 ions/cm2. AES and XPS were used for the characterization of chemical bonding states of C and Si elements in SiC films as well as contamination oxygen before and after hydrogen ion irradiation in order to study the effect of hydrogen ion irradiation on SiC films and to understand oxygen behaviors in the SiC films prepared with ion beam mixing. The results show that contamination oxygen can react with silicon to form silicon oxides,and more oxygen entered into the films during hydrogen ion irradiation.In addition, oxygen also reacts with carbon related hydrogen to form species including carbon,hydrogen and oxygen.

  16. Body experience in eating disorders before and after treatment: a follow-up study.

    Science.gov (United States)

    Probst, M; Vandereycken, W; Van Coppenolle, H; Pieters, G

    1999-10-01

    Since body dissatisfaction is an essential part of anorexia/bulimia nervosa, we wanted to assess the patients' body experience before and after intensive treatment. Body experience was studied in 290 eating disorder patients, admitted to a specialised unit, after six months and again after one year using the Body Attitude Test (BAT), the Eating Disorder Inventory (EDI), and the Eating Disorder Evaluation Scale (EDES). The clearly negative body experience of eating disorder patients evolved in a positive way after therapy and this improvement lasted for up to one year after admission. EDI scores and Body Mass Index at the time of admission appeared to be the strongest predictors of the total BAT score at follow-up. Although body dissatisfaction can be quite persistent in eating disorders, intensive treatment can substantially improve the patients' body experience. PMID:10572365

  17. Hematologic profile of hematophagous Desmodus rotundus bats before and after experimental infection with rabies virus

    Directory of Open Access Journals (Sweden)

    Marilene Fernandes de Almeida

    2014-06-01

    Full Text Available Introduction Hematophagous Desmodus rotundus bats play an important role in the rabies lifecycle. This study describes the hematological profile of these bats before and after experimental infection with rabies virus. Methods Cells counts were performed in a Neubauer chamber. Results The average values of erythrocytes and leucocytes counts in blood before experimental infections were 9.97 × 106mm3 and 4.80 × 103mm3, respectively. Neutrophils represented 69.9% of white blood cells and the lymphocytes represented 26.9%. Following the experimental infections, the average numbers of erythrocytes and leucocytes was 9.43 × 106mm3 and 3.98 × 103mm3, respectively. Neutrophils represented 40% of white blood cells and the lymphocytes represented 59%. Conclusions The hematological profile given in this study can serve as reference values for D. rotundus bats.

  18. Contrast Agent Ultrasonography before and after HIFU Treatment of Parathyroid Glands

    Science.gov (United States)

    Kovatcheva, Roussanka; Arnaud, Françoise; Lacoste, François

    2010-03-01

    OBJECTIVES: To observe changes in the parathyroid tissue treated by extracorporeal HIFU. MATERIAL AND METHODS: 5 patients were treated for primary hyperparathyroidism by thermally ablating enlarged parathyroid glands using an external HIFU applicator. The treated glands were visualized with B-Mode and contrast enhanced ultrasonography (CEUS) before, 1 week and 4 weeks post HIFU. Serum iPTH, calcium, and phosphorus levels were monitored before and after the treatment. RESULTS: The initial results showed a correlation between contrast agent uptake of treated parathyroid tissue, the reduction of volume of the gland and the decrease of iPTH levels. CONCLUSIONS These results show it is possible to use CEUS to monitor the thermal ablation of parathyroid glands.

  19. Radioimmunological investigation of calcitonine in patients with reccurent calcium nephrolithiasis before and after calcium loading

    International Nuclear Information System (INIS)

    The diagnostic value of the changes in the calcitonine serum levels for differentiation of different types of hypercalciuria was assessed. The investigation was carried out with 15 patients with recurrent calcium nephrolithiasis and hypercalciuria, 4 - with primary hyperparathyroidism, 3 - with renal hypercalciuria, 7 - with absorptive hypercalciuria and 1 -with adenomectomy of the parathyroid glands. The calcitonine serum was determined before and after loading with 1000 mg Ca. A double-antibody radioimmunological method with high specificity, accuracy and sensitivity was used for calcitonine determination. The results of the study revealed that the serum calcitonine cannot serve as differential diagnostic criterion in determination of the type of hypercalciuria, but could be useful in the diagnosis of the medullary cancer of the thyroid gland. 3 figs., 5 refs

  20. The calcium endocrine system of adolescent rhesus monkeys and controls before and after spaceflight

    Science.gov (United States)

    Arnaud, Sara B.; Navidi, Meena; Deftos, Leonard; Thierry-Palmer, Myrtle; Dotsenko, Rita; Bigbee, Allison; Grindeland, Richard E.

    2002-01-01

    The calcium endocrine system of nonhuman primates can be influenced by chairing for safety and the weightless environment of spaceflight. The serum of two rhesus monkeys flown on the Bion 11 mission was assayed pre- and postflight for vitamin D metabolites, parathyroid hormone, calcitonin, parameters of calcium homeostasis, cortisol, and indexes of renal function. Results were compared with the same measures from five monkeys before and after chairing for a flight simulation study. Concentrations of 1,25-dihydroxyvitamin D were 72% lower after the flight than before, and more than after chairing on the ground (57%, P system were similar to the effects of chairing on the ground, but were more pronounced. Reduced intestinal calcium absorption, losses in body weight, increases in cortisol, and higher postflight blood urea nitrogen were the changes in flight monkeys that distinguished them from the flight simulation study animals.

  1. CT value analysis and clinical significance before and after percutaneous lumbar discectomy

    Institute of Scientific and Technical Information of China (English)

    刘雷; 裴福兴; 宋跃明; 沈彬; 周宗科; 宋文锴; 张聪

    2002-01-01

    To provide theoretical basis for effect and mechanism of percutaneous lumbar discectomy in clinic. Methods: A total of 180 patients with lumbar intervertebral disc herniation were evaluated by CT on the fifth day before and after operation. Meanwhile, CT value was measured in the determined level and region. Results: After operation, CT value of the central and posterior determined point of herniated intervertebral disc was lower significantly than that before operation (P<0.01), but CT value of the anterior determined point was different insignificantly. The excellent and good results of the patients together were 83% postoperatively. Conclusions: The curative effect of percutaneous lumbar discectomy is achieved through reduction of lumbar intradiscal pressure.

  2. Dielectric Properties of Dual-Frequency Reactive Mesogens before and after Photopolymerization

    Directory of Open Access Journals (Sweden)

    Takayuki Kumagai

    2014-02-01

    Full Text Available The dielectric properties of reactive mesogens before and after photopolymerization were investigated. Commercially available nematic reactive mesogens (RMS03-013C, Merck were measured and found to be dual-frequency liquid crystals. The property arose from the δ-relaxation process that was caused by rotational fluctuations parallel to the molecule’s long axis. After polymerization, the polymerized reactive mesogens still exhibited this dual-frequency property. The result was attributed to the β-relaxation process which arose from rotational fluctuations of localized parts of the main chain. The sign change of the dielectric anisotropy with increasing frequency after polymerization was opposite to the sign change before polymerization.

  3. Avascular bone necrosis: MR imaging findings before and after core decompression

    International Nuclear Information System (INIS)

    17 patients with avascular epiphyseal necrosis were examined by MRI using T1-weighted spin echo sequences before and after gadopentetate dimeglumine application, T2-weighted spin echo sequences and in some patients with fat-saturated 2D gradient echo sequences up to 22 months after core decompression. All patients but one recovered from symptoms after core decompression. Although the signal morphology of the necrotic area remained unchanged in the majority of the cases, a decrease of the joint effusion was observed as well as an ongoing signal increase after gadopentetate dimeglumine application. The last examinations displayed similar signal characteristics as on the preoperative scans; however, a reduction of the necrotic zone became evident. (orig./MG)

  4. The study of I-123-IMP-SPECT before and after surgery for craniosynostosis

    International Nuclear Information System (INIS)

    Single photon emission computed tomography with N-isopropyl-p-[I-123]iodoamphetamine was performed in 13 cases of craniosynostosis before and after surgery. Of 13 cases, 8 cases (62%) showed focal low perfusion area on preoperative study. Four of seven cases (57%) with brachycephaly showed low perfusion areas in either of frontal lobes, occipital lobes, and cerebellum. Besides, two patients with scaphocephaly and one with plagiocephaly showed low perfusion area in the unilateral cerebral hemisphere. Two Crouzon disease cases showed no focal low perfusion area, but an Apert disease showed low perfusion areas in both frontal lobes, cerebellum, as well as left occipital lobe. Corresponding CT and MRI showed no focal abnormality in any of these cases. These low perfusion areas were diminished or disappeared after surgical treatment in 6 cases (75%). We conclude that the I-123-IMP-SPECT is considered to be a useful index for the evaluation of functional recovery after surgery in cases of craniosynostosis. (author)

  5. 99mTc-DTPA renography before and after extracorporeal shock wave lithotripsy for renal calculi

    International Nuclear Information System (INIS)

    This study was undertaken to evaluate 99mTc-DTPA renography before and after extracorporeal shock wave lithotripsy (ESWL). Twelve patients with renal calculi were examined in this study. In three patients, bilateral kidneys were treated with ESWL. Sequential renal images of the vascular phase, and the functional and excretory phases were taken using a gamma camera (ZLC 7500, Siemens), after intravenous injection of 555 MBq of 99mTc-DTPA. Renograms were generated using data stored every 10 seconds for a period of 30 minutes by computer (Scintipac-2400, Shimadzu). Some treated kidneys were enlarged and/or showed uniform retention of radioactivity on sequential images, within a week after ESWL. Renogram patterns after ESWL were varied in each patient. The renogram findings after ESWL seemed to be affected by the presence or absence of stone fragments in the urinary tract. (author)

  6. The severity of cutaneous leishmaniasis before and after the earthquake in Bam, southeastern Iran.

    Science.gov (United States)

    Sharifi, Iraj; Aflatoonian, Mohammad Reza; Aflatoonian, Behnaz; Kermanizadeh, Alireza

    2015-12-01

    Cutaneous leishmaniasis (CL) is a major disease with significant public health concerns in Iran. The objective of this study was to compare the severity of CL among the patients before and after the earthquake in the city and suburbs of Bam, southeastern Iran. This study was carried out as a descriptive-analytical manner by house-to-house visits in 2010 in Bam, southeastern Kerman province of Iran, where a massive earthquake has recently occurred. Overall, 1,481 individuals were selected as a cluster random sampling. Suspected lesions were detected by direct smear preparation and X(2) test was used for statistical significance at P risk factors particularly after a major natural disaster. Possibly the establishment of the CL health clinic to serve patients and to coordinate various activities had a major role in planning control strategies and thus reduction in severity of the CL disease. PMID:26688645

  7. Fabrication of ceramics from manganite and their electrical characterization before and after gamma irradiation

    International Nuclear Information System (INIS)

    Fabrication of manganese oxide ceramics from manganite mineral has been carried out. Manganese oxide powder was derived from manganite mineral by dilution and precipitation. The precipitated powder was pressed and sintered at 1000°C-1200°C for 1 hour in air. Electrical characteristic was determined before and after gamma irradiation of 50 kGy. The XRD analyses showed that the precipitated powder composed of mainly Fe oxide (Fe2O3) and Mn oxide (Mn2O3), and the sintered ceramics tend to crystallize in cubic spinel forming a solid solution. The electrical characteristics showed that the ceramics had an negative thermal coefficient (NTC) property that is the electrical resistivity decreases with the increase of temperature The effect of gamma irradiation of 50 kGy on the electrical characteristics was not seen. (author)

  8. The calcium endocrine system of adolescent rhesus monkeys and controls before and after spaceflight

    Science.gov (United States)

    Arnaud, Sara B.; Navidi, Meena; Deftos, Leonard; Thierry-Palmer, Myrtle; Dotsenko, Rita; Bigbee, Allison; Grindeland, Richard E.

    2002-01-01

    The calcium endocrine system of nonhuman primates can be influenced by chairing for safety and the weightless environment of spaceflight. The serum of two rhesus monkeys flown on the Bion 11 mission was assayed pre- and postflight for vitamin D metabolites, parathyroid hormone, calcitonin, parameters of calcium homeostasis, cortisol, and indexes of renal function. Results were compared with the same measures from five monkeys before and after chairing for a flight simulation study. Concentrations of 1,25-dihydroxyvitamin D were 72% lower after the flight than before, and more than after chairing on the ground (57%, P endocrine system were similar to the effects of chairing on the ground, but were more pronounced. Reduced intestinal calcium absorption, losses in body weight, increases in cortisol, and higher postflight blood urea nitrogen were the changes in flight monkeys that distinguished them from the flight simulation study animals.

  9. Probation Officer Role Emphases and Use of Risk Assessment Information before and after Training.

    Science.gov (United States)

    Ricks, Elijah P; Eno Louden, Jennifer; Kennealy, Patrick J

    2016-03-01

    This research examined how probation officers use risk information about offenders, and how its use is affected by what aspects of their role they emphasize. Officers (N = 152) were invited to complete surveys before and after a risk assessment tool training (46.0-65.8% participation rate). Surveys assessed estimates of reoffense and officers' likely supervision approach given a probationer's risk level. Officers tended to overestimate the likelihood of medium- and high-risk offenders to reoffend. As risk level rose, officers tended to increase the number of meetings and referrals. Officers' role emphases were related to how they perceived low-risk offenders' likelihood to reoffend, but not for offenders at other risk levels. There was relative consistency in officers' role emphases, supervision decisions, and responses to violations, so that differences in practice did not appear to be systematic. Most officers' risk perceptions were more realistic after training. Copyright © 2016 John Wiley & Sons, Ltd. PMID:26990018

  10. Microhardness measurement in AISI 321 stainless steel with niobium additions before and after fast neutron irradiation

    International Nuclear Information System (INIS)

    Data about influence of neutron irradiation on the microhardness of stainless steel of type AISI 321 with 0.05 and 0.1wt.% Nb additions are presented. The microhardness measurements were made in the range of 300 to 6500C, before and after fast neutron irradiation with fluences about 1017n/cm2. Our results indicate that radiation damage peaks occur around 4800C for the stainless steel of type AISI 321 without Nb addition, around 5000C for the composition with 0.05 wt.% Nb addition and around 5700C for the composition with 0.1 wt.% Nb addition. Microhardness data are in agreement with those obtained by means of electrical resistivity measurements, performed at the same conditions. (Author)

  11. Comparison of urinary excretion of radon from the human body before and after radon bath therapy

    International Nuclear Information System (INIS)

    Theoretically, the human body absorbs radon through the lungs and the skin and excretes it through the lungs and the excretory organs during radon bath therapy. To check this theory, the radon concentrations in urine samples were compared before and after radon bath therapy. During the therapy, the geometric mean (GM) and the geometric standard deviation of the radon concentration in air and in the bath water were 979 Bq m-3, 1.58 and 73.6 Bq dm-3, 1.1, respectively. Since radon was detected in each urine sample (GM around 3.0 Bq dm-3), urinary excretion of radon was confirmed. The results of this study can neither reject nor confirm the hypothesis of radon absorption through the skin. A 15 times higher increment of inhaled radon level did not cause significant changes in radon of urine samples. (authors)

  12. The Truth Before and After: Brain Potentials Reveal Automatic Activation of Event Knowledge during Sentence Comprehension.

    Science.gov (United States)

    Nieuwland, Mante S

    2015-11-01

    How does knowledge of real-world events shape our understanding of incoming language? Do temporal terms like "before" and "after" impact the online recruitment of real-world event knowledge? These questions were addressed in two ERP experiments, wherein participants read sentences that started with "before" or "after" and contained a critical word that rendered each sentence true or false (e.g., "Before/After the global economic crisis, securing a mortgage was easy/harder"). The critical words were matched on predictability, rated truth value, and semantic relatedness to the words in the sentence. Regardless of whether participants explicitly verified the sentences or not, false-after-sentences elicited larger N400s than true-after-sentences, consistent with the well-established finding that semantic retrieval of concepts is facilitated when they are consistent with real-world knowledge. However, although the truth judgments did not differ between before- and after-sentences, no such sentence N400 truth value effect occurred in before-sentences, whereas false-before-sentences elicited an enhanced subsequent positive ERPs. The temporal term "before" itself elicited more negative ERPs at central electrode channels than "after." These patterns of results show that, irrespective of ultimate sentence truth value judgments, semantic retrieval of concepts is momentarily facilitated when they are consistent with the known event outcome compared to when they are not. However, this inappropriate facilitation incurs later processing costs as reflected in the subsequent positive ERP deflections. The results suggest that automatic activation of event knowledge can impede the incremental semantic processes required to establish sentence truth value. PMID:26244719

  13. Sleep Problems Before and After Acute Myocardial Infarction: A Comparative Study

    Directory of Open Access Journals (Sweden)

    Belguzar Kara

    2012-12-01

    Full Text Available AIM: The purpose of this study was to compare patients’ sleep problems before and after acute myocardial infarction (AMI and also to determine factors affecting sleep problems in patients undergoing AMI. METHOD: This cross-sectional study was conducted at the Coronary Intensive Care Unit in a training hospital between January 1 and April 30, 2007. The sample of the study was composed of 26 patients with a first-ever AMI. Data were collected by using a questionnaire to determine the patient and illness-related descriptive characteristics and the Post Sleep Inventory Scale (PSIS. The Shapiro-Wilks test, descriptive statistics, paired samples t test, Mann Whitney U test, Wilcoxon test, reliability analysis and correlation analysis were used to analyze the data. RESULTS: The mean age of the study group was 53.2 ± 12.6 years and approximately 81% were males. The patients’ mean bedtime (t= -3.422, p= 0.001, quality of nocturnal sleep (t= -3.221, p= 0.001, awakening (t =-3.533, p<0.001 and total PSIS scores (t= -5.652, p<0.001 were significantly higher after AMI compared to before AMI. The mean PSIS scores of patients undergoing AMI were statistically significant different by gender (z= -2.164, p= 0.030 and working status (z= -2.171, p= 0.030. There was a negative correlation between the PSIS score and haemoglobin and haematocrit values (r= -0.503, p<0.01; r= -0.473, p<0.05; respectively. CONCLUSION: There were differences in the patients’ reported sleep problems between before and after AMI. The results of this study showed that sleep problems were more common among women, patients not working and those with anemia. Nurses should be aware of the sleep problems and factors that affect to sleep problems. [TAF Prev Med Bull 2012; 11(6.000: 687-694

  14. Role of leukotrienes in exercise-induced bronchoconstriction before and after a pilot rehabilitation training program

    Directory of Open Access Journals (Sweden)

    El-Akkary IM

    2013-07-01

    Full Text Available Ibrahim M El-Akkary,1 Zeinat Abdel-Fatah El-Khouly,2 Mervat El-Sayed El-Seweify,1 Gihan A El-Batouti,3 Ekhlas Abdel Aziz,2 Abdelnasser I Adam1 1Department of Human Physiology, 2Department of Applied Medical Chemistry, Medical Research Institute, Alexandria University, 3Department of Microbiology and Immunology, Faculty of Pharmacy, Pharos University, Alexandria, Egypt Background: Whatever the initial stimulus for the exercise-induced bronchoconstriction (EIB observed in asthmatic patients after exercise, the final effect is release of bronchoactive mediators, especially cysteinyl leukotrienes. Exercise rehabilitation training programs have been reported to protect against EIB. The exact mechanism(s involved are not well understood. However, this protective effect may be related to adaptation and better coordination during exercise, depletion of cysteinyl leukotrienes, and/or a sluggish cysteinyl leukotriene response to exercise. The aim of the present work was to test the hypothesis that improvement in the incidence and severity of post-exercise bronchoconstriction after a rehabilitation training program is related to a change in leukotriene levels in response to exercise. Methods: Twenty asthmatic children aged 6–12 years and known to develop EIB were enrolled in an exercise training program for 12 weeks. The severity and incidence of EIB before and after training was assessed. Baseline and post-exercise sputum cysteinyl leukotriene levels were assessed before and after the training program. Results: The training program offered significant protection against EIB with a concomitant decrease in sputum cysteinyl leukotriene levels in response to exercise. Conclusion: A training program can result in depletion and/or a sluggish cysteinyl leukotriene response to exercise and may be responsible for the protective effect of training programs on EIB. It is recommended to use an exercise rehabilitation training program as a complementary tool in the

  15. Change in antihypertensive drug prescribing after guideline implementation: a controlled before and after study

    Directory of Open Access Journals (Sweden)

    Helin-Salmivaara Arja

    2011-08-01

    Full Text Available Abstract Background Antihypertensive drug choices and treatment levels are not in accordance with the existing guidelines. We aimed to assess the impact of a guideline implementation intervention on antihypertensive drug prescribing. Methods In this controlled before and after study, the effects of a multifaceted (education, audit and feedback, local care pathway quality programme was evaluated. The intervention was carried out in a health centre between 2002 and 2003. From each health care unit (n = 31, a doctor-nurse pair was trained to act as peer facilitators in the intervention. All antihypertensive drugs prescribed by 25 facilitator general practitioners (intervention GPs and 53 control GPs were retrieved from the nationwide Prescription Register for three-month periods in 2001 and 2003. The proportions of patients receiving specific antihypertensive drugs and multiple antihypertensive drugs were measured before and after the intervention for three subgroups of hypertension patients: hypertension only, with coronary heart disease, and with diabetes. Results In all subgroups, the use of multiple concurrent medications increased. For intervention patients with hypertension only, the odds ratio (OR was 1.12 (95% CI 0.99, 1.25; p = 0.06 and for controls 1.13 (1.05, 1.21; p = 0.002. We observed no statistically significant differences in the change in the prescribing of specific antihypertensive agents between the intervention and control groups. The use of agents acting on the renin-angiotensin-aldosterone system increased in all subgroups (hypertension only intervention patients OR 1.19 (1.06, 1.34; p = 0.004 and controls OR 1.24 (1.15, 1.34; p Conclusions A multifaceted guideline implementation intervention does not necessarily lead to significant changes in prescribing performance. Rigorous planning of the interventions and quality projects and their evaluation are essential.

  16. Radiocesium in Canadian Arctic Beluga and Caribou Before and After the Fukushima Accident of 2011

    Energy Technology Data Exchange (ETDEWEB)

    Stocki, Trevor J.; Pellerin, Eric; Bergman, Lauren; Mercier, Jean-Francois; Genovesi, Linda; Cooke, Michael; Todd, Bonnie; Sandles, Diane; Whyte, Jeff [Radiation Protection Bureau, Health Canada, AL6302D, 775 Brookfield Road, Ottawa, Ontario, Canada, K1A 0K9 (Canada); Gamberg, Mary [Gamberg Consulting, Whitehorse, Yukon (Canada); Loseto, Lisa [Fisheries and Oceans Canada, Winnipeg, Manitoba (Canada); Wang, X. [Environment Canada, Burlington Ontario (Canada)

    2014-07-01

    Following the Fukushima Daiichi nuclear accident in March 2011, northern Canadians expressed concerns about the levels of radioactive contaminants in important traditional foods. Therefore, a study has been conducted to measure the levels of radionuclides in Arctic caribou and beluga whales. The main radionuclide of concern is cesium-137, which has a half-life of 30 years and is chemically similar to potassium, thereby easily accumulating in plants and animals. Cesium-137 was released into the atmosphere during nuclear weapons tests in the 1950's-60's and during nuclear accidents, such as Chernobyl. Previous studies have been made on the cesium-137 levels in Canadian caribou herds from 1958 to 2000, allowing researchers to determine the amount of cesium-137 in caribou specifically attributable to atmospheric weapons testing and the Chernobyl accident. Samples of lichens, mushrooms, caribou and beluga whales taken before and after the Fukushima accident were freeze dried, homogenized, and measured using gamma ray spectroscopy to identify the radionuclides present and determine the radioactivity concentration in the samples. To determine the efficiency of the detectors for the different sized samples, physical calibration standards were used and virtual simulations were also performed. A comparison of the caribou samples from before and after the accident has indicated no increase in radioactivity as a result of the Fukushima accident. Results are consistent with pre-Fukushima levels for these caribou. No Cs-137 was found in the pre-Fukushima beluga whale samples, even if all the measurements were combined into one spectrum. In the individual post-Fukushima beluga whale samples, Cs-137 was also not found. However, when the post-Fukushima beluga whale measurements were combined, an insignificant amount of radioactive Cs-137 was found. The amount of this Cs-137 was about 200 times smaller than the natural radioactive potassium in the samples. Most likely the

  17. Diffusion-weighted MR imaging of benign and malignant breast lesions before and after contrast enhancement

    International Nuclear Information System (INIS)

    Purpose: Many publications describe the use of diffusion-weighted imaging (DWI) in breast MRI. This article addresses the question of when to apply the DWI sequence in the course of the scan protocol. The effect of T1-shortening contrast media (CM) on the ADC values of breast lesions is investigated. Materials and Methods: Data were acquired on a 1.5 T scanner. 60 patients with 79 lesions (20 benign, 59 malignant) were included. The DWI sequence (4 mm slice thickness, b-values: 50, 400, 800) was applied before and after CM administration. Before calculating the ADC map, the b50, b400 and b800 series were analyzed concerning lesion displacement. ADC values before and after CM application were compared. Results: The mean lesion size was 1.5 ± 0.8 cm. On the basis of the b50 and b400 measurements, the mean ADC value of benign lesions was 1.89 ± 0.30 x 10-3 mm2/s before and 1.85 ± 0.28 x 10-3 mm2/s after CM administration. The consecutive values for two pure mucinous carcinomas were 1.88 x 10-3 mm2/s and 1.81 x 103 mm2/s and for the remaining malignant lesions 1.00 ± 0.18 x 10-3 mm2/s and 0.88 ± 0.21 x 10-3 mm2. On the basis of the b50, b400 and b800 measurements, the mean ADC value of benign lesions was 1.99 ± 0.37 x 10-3 mm2/s before and 1.97 ± 0.30 x 10-3 mm2/s after CM application, whereas the mean ADC value of the malignant lesions was 0.90 ± 0.14 x 10-3 mm2/s before and 0.80 ± 0.14 x 10-3 mm2/s after CM application. While there was no significant change for benign lesions, the ADC value decrease in post-contrast malignant lesions was highly significant. Conclusion: DWI after CM is possible and even leads to slightly better lesion discrimination between benign and malignant. However, further studies need to be performed to verify this. (orig.)

  18. Radiocesium in Canadian Arctic Beluga and Caribou Before and After the Fukushima Accident of 2011

    International Nuclear Information System (INIS)

    Following the Fukushima Daiichi nuclear accident in March 2011, northern Canadians expressed concerns about the levels of radioactive contaminants in important traditional foods. Therefore, a study has been conducted to measure the levels of radionuclides in Arctic caribou and beluga whales. The main radionuclide of concern is cesium-137, which has a half-life of 30 years and is chemically similar to potassium, thereby easily accumulating in plants and animals. Cesium-137 was released into the atmosphere during nuclear weapons tests in the 1950's-60's and during nuclear accidents, such as Chernobyl. Previous studies have been made on the cesium-137 levels in Canadian caribou herds from 1958 to 2000, allowing researchers to determine the amount of cesium-137 in caribou specifically attributable to atmospheric weapons testing and the Chernobyl accident. Samples of lichens, mushrooms, caribou and beluga whales taken before and after the Fukushima accident were freeze dried, homogenized, and measured using gamma ray spectroscopy to identify the radionuclides present and determine the radioactivity concentration in the samples. To determine the efficiency of the detectors for the different sized samples, physical calibration standards were used and virtual simulations were also performed. A comparison of the caribou samples from before and after the accident has indicated no increase in radioactivity as a result of the Fukushima accident. Results are consistent with pre-Fukushima levels for these caribou. No Cs-137 was found in the pre-Fukushima beluga whale samples, even if all the measurements were combined into one spectrum. In the individual post-Fukushima beluga whale samples, Cs-137 was also not found. However, when the post-Fukushima beluga whale measurements were combined, an insignificant amount of radioactive Cs-137 was found. The amount of this Cs-137 was about 200 times smaller than the natural radioactive potassium in the samples. Most likely the Cs-137

  19. Xenon computed tomography can evaluate the improvement of hepatic hemodynamics before and after endoscopic injection sclerotherapy

    International Nuclear Information System (INIS)

    Xenon computed tomography (Xe-CT) provides quantitative information on tissue blood flow (TBF). In the present study, Xe-CT was performed in patients with esophagogastric varices (EGV) before and after endoscopic injection sclerotherapy (EIS) to evaluate hepatic blood flow (HBF), hepatic arterial TBF (HATBF) and portal venous TBF (PVTBF). Subjects comprised of 88 patients with EGV (49 men, 39 women, average age 65.8±11.5 years, median age 68 years, 30-86 years) and liver cirrhosis related to either hepatitis C virus (C) (n=33), hepatitis B virus (B) (n=3), alcohol (AL) (n=22), AL + C (n=7), AL + B (n=1), B + C + AL (n=1), nonalcoholic steatohepatitis (NASH) (n=4), autoimmune hepatitis (AIH) (n=5), primary biliary cirrhosis (PBC) (n=2), or cryptogenic (n=10) were enrolled. All patients, who were enrolled in this study, were performed EIS for prophylaxis. Xe-CT and measurement of the retention rate of indocyanine green 15 min after administration (ICG R15) were performed before and after EIS. Total hepatic TBF (THTBF) and PVTBF/HATBF ratio (P/A) were also calculated. PVTBF, HATBF, THTBF, P/A and ICG R15 before EIS were 28.3±8.91, 22.5±14.4 and 50.8±17.6 ml/100 ml/min, 1.62±0.71 and 28.8±12.7%, respectively and those after EIS were 31.9±10.0, 19.3±11.6, and 51.2±17.0 ml/100 ml/min, 1.92±0.84 and 23.6±11.3%, respectively. PVTBF and P/A after EIS were significantly higher than those before EIS (p=0.00444, p=0.0179, respectively), and HATBF and ICG R15 after EIS were significantly lower than those before EIS (p=0.00129, p<0.001, respectively). Xenon computed tomography showed that PVTBF increased after EIS for EGV and HATBF decreased in response to an increase in PVTBF. (author)

  20. Ovarian activity before and after gonadal suppression by GnRH-a in patients with polycystic ovary syndrome, hyperandrogenism, hyperinsulinism and acanthosis nigricans

    OpenAIRE

    Motta E.L.A.; Baracat E.C.; Haidar M.A.; Juliano I.; Lima G.R.

    1998-01-01

    OBJECTIVE: To investigate the ovarian activity before and after gonadal suppression with GnRH-analog in patients with PCO, hyperandrogenism, hyperinsulinism and acanthosis nigricans. DESIGN: Controlled clinical study. SETTING: Tertiary academic medical center. PATIENTS: Six patients with clinical findings of PCO, hirsutism and acanthosis nigricans. INTERVENTIONS: Morning blood samples in the follicular phase to determine the steroid levels, glucose and insulin curve, comparing to a control gr...

  1. Lung function in volunteers before and after exposure to trichloramine in indoor pool environments and asthma in a cohort of pool workers

    OpenAIRE

    Nordberg, Gunnar F.; Lundström, Nils-Göran; Forsberg, Bertil; Hagenbjörk-Gustafsson, Annika; Lagerkvist, Birgitta J-son; Nilsson, Johan; Svensson, Mona; Blomberg, Anders; Nilsson, Leif; Bernard, Alfred; Dumont, Xavier; Bertilsson, Helen; Eriksson, Kåre

    2012-01-01

    OBJECTIVES: Exposure to trichloramine (NCl(3)) in indoor swimming-pool environments is known to cause mucous membrane irritation, but if it gives rise to changes in lung function or asthma in adults is not known. (1) We determined lung function in volunteers before and after exposure to indoor pool environments. (2) We studied the occurrence of respiratory symptoms and asthma in a cohort of pool workers. DESIGN/METHODS/PARTICIPANTS: (1) We studied two groups of volunteers, 37 previously non-e...

  2. Reliability and reproducibility of spectral and time domain optical coherence tomography images before and after correction for patients with age-related macular degeneration

    OpenAIRE

    Sadiq, Mohammad A.; Aymen Rashid; Roomasa Channa; Elham Hatef; Do, Diana V.; Quan Dong Nguyen; Sepah, Yasir J.

    2015-01-01

    Purpose: To evaluate the reproducibility and reliability of optical coherence tomography scans obtained using the time domain (TD-OCT) Stratus TM OCT, and the Spectral Domain (SD-OCT) Spectralis TM and Cirrus TM OCT devices before and after manual correction in eyes with either Neovascular (NV-AMD) or Non-Neovascular (NNV-AMD) age-related macular degeneration. Design: Prospective observational study. Methods: Setting: University-based retina practice. Patients: Thirty-six patients (50 eyes) w...

  3. Childhood IQ and all-cause mortality before and after age 65: Prospective observational study linking the Scottish Mental Survey 1932 and the Midspan studies

    OpenAIRE

    Hart, C. L.; M. D. Taylor; Davey Smith, G; Whalley, L.J.; Starr, J M; Hole, D; Wilson, V.; Deary, I J

    2005-01-01

    OBJECTIVES: The objective was to investigate how childhood IQ related to all-cause mortality before and after age 65. DESIGN: The Midspan prospective cohort studies, followed-up for mortality for 25 years, were linked to individuals' childhood IQ from the Scottish Mental Survey 1932. METHODS: The Midspan studies collected data on risk factors for cardiorespiratory disease from a questionnaire and at a screening examination, and were conducted on adults in Scotland in the 1970s. An age 11 IQ f...

  4. Trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991–2010 Health Surveys of England

    OpenAIRE

    Katikireddi, Srinivasa Vittal; Niedzwiedz, Claire L; Popham, Frank

    2012-01-01

    Objective: To assess short-term differences in population mental health before and after the 2008 recession and explore how and why these changes differ by gender, age and socio-economic position. Design: Repeat cross-sectional analysis of survey data. Setting: England. Participants: Representative samples of the working age (25–64 years) general population participating in the Health Survey for England between 1991 and 2010 inclusive. Main outcome measures: Prevalence of poor...

  5. Dioxin body burden among blood donors before and after the Belgian dioxin/PCB incident

    Energy Technology Data Exchange (ETDEWEB)

    Debacker, N.; Sasse, A.; Wouwe, N. Van; Windal, I.; Carbonnelle, S.; Overmeire, I. Van; Sartor, F.; Goeyens, L.; Oyen, H. Van [Scientific Inst. of Public Health, Brussels (Belgium); Eppe, G.; Xhrouet, C.; Pauw, E. De [Centre of Analysis of Residues in Traces, Luik (Belgium)

    2004-09-15

    In spring 1999, Belgium faced a severe food contamination when about 50 kg of PCBs containing 1 g of dioxins were introduced in the food chain. The possible public health impact of this food chain contamination was subject of a debate between different scientists. According to Vrijens et al. and Bernard et al. there was no significant public health impact, whereas van Larebeke et al. presumed the opposite claiming a significant increase of cancer incidence. These risk assessments were based on measurements of dioxins/PCBs in contaminated foods and nutritional habits observed in a selected group of adolescents (14-18 years old) using simulation techniques or on the estimation of the incremental cancer risk associated with the incremental levels of exposure to dioxins/PCBs during the incident. In the meantime, an epidemiological survey has been carried out in order to measure the dioxin levels in plasma samples collected before and after the incident. The aim of this paper is to report the preliminary results of this epidemiological survey.

  6. MRI findings in Tolosa-Hunt syndrome before and after systemic corticosteroid therapy

    Energy Technology Data Exchange (ETDEWEB)

    Cakirer, Sinan E-mail: scakirer@yahoo.com

    2003-02-01

    Tolosa-Hunt syndrome (THS) is characterized by painful ophthalmoplegia due to a granulomatous inflammation in the cavernous sinus. Corticosteroid therapy dramatically resolves both the clinical and radiological findings of THS. We present MRI findings of six patients with a clinical history of at least one episode of unilateral or bilateral orbital-periorbital pain, clinical findings of associated paresis of one or more of 3rd, 4th, 5th or 6th cranial nerves. All of the patients revealed an enlargement of the symptomatic cavernous sinus on magnetic resonance imaging (MRI) scans. Five patients revealed total resolution of the clinical findings within 1-8 weeks, following systemic corticosteroid treatment. One patient revealed only minor regression of clinical findings within 2 weeks after the initiation of the treatment, so the cavernous sinus lesion was reevaluated as meningioma on MRI, and the patient underwent surgical resection of the mass with resultant histopathological finding of cavernous sinus meningioma. A follow-up MRI scan was performed for five patients at the end of 8-weeks of steroid therapy. Three of these five patients showed total resolution of the cavernous sinus lesions whereas two of them revealed a partial regression of the cavernous sinus lesions. MRI findings before and after systemic corticosteroid therapy are important diagnostic criteria to put the definitive diagnosis of THS and to differentiate it from other cavernous sinus lesions that simulate THS both clinically and radiologically.

  7. Incidental intracranial hemorrhage after uncomplicated birth: MRI before and after neonatal heart surgery

    International Nuclear Information System (INIS)

    We investigated the prevalence of intracranial hemorrhage (ICH) before and after neonatal heart surgery. We carried out pre- and postoperative MRI looking for brain lesions in 24 full-term new-borns with known congenital heart disease. They underwent heart surgery with cardiopulmonary bypass (CPB), usually with deep hypothermic circulatory arrest (DHCA). The first MRI was 1-22 days after birth. There were 21 children born after uncomplicated vaginal delivery and three delivered by cesarean section (CS). ICH was seen in 13 (62%) of the vaginal delivery group but in none of the CS group. We saw subdural bleeding along the inferior surface of the tentorium in 11 (52%) and supratentorially in six (29%) of the 21 children with ICH. Small hemorrhages were present in the choroid plexus in seven (33%), in the parenchyma in one (5%) and in the occipital horn in one (5%). There were 26 foci of bleeding in these 21 patients (1.2 per patient). None was judged by formal neurologic examination to be symptomatic from the hemorrhage. Follow-up MRI after cardiac surgery was obtained in 23 children, showing 37 foci of ICH (1.6 per patient), but all appeared asymptomatic. Postoperatively, ICH had increased in 10 children (43%), was unchanged in seven (30%) and was less extensive in six (26%). (orig.)

  8. Quantitative law describing market dynamics before and after interest-rate change

    International Nuclear Information System (INIS)

    We study the behavior of U.S. markets both before and after U.S. Federal Open Market Commission meetings and show that the announcement of a U.S. Federal Reserve rate change causes a financial shock, where the dynamics after the announcement is described by an analog of the Omori earthquake law. We quantify the rate n(t) of aftershocks following an interest-rate change at time T and find power-law decay which scales as n(t-T)∼(t-T)-Ω, with Ω positive. Surprisingly, we find that the same law describes the rate n'(|t-T|) of 'preshocks' before the interest-rate change at time T. This study quantitatively relates the size of the market response to the news which caused the shock and uncovers the presence of quantifiable preshocks. We demonstrate that the news associated with interest-rate change is responsible for causing both the anticipation before the announcement and the surprise after the announcement. We estimate the magnitude of financial news using the relative difference between the U.S. Treasury Bill and the Federal Funds effective rate. Our results are consistent with the 'sign effect', in which 'bad news' has a larger impact than 'good news'. Furthermore, we observe significant volatility aftershocks, confirming a 'market under-reaction' that lasts at least one trading day.

  9. Evaluation of patients with Alzheimer's disease before and after dental treatment

    Directory of Open Access Journals (Sweden)

    Thaís de Souza Rolim

    2014-12-01

    Full Text Available Oral infections may play a role in Alzheimer's disease (AD. Objective To describe the orofacial pain, dental characteristics and associated factors in patients with Alzheimer's Disease that underwent dental treatment. Method 29 patients with mild AD diagnosed by a neurologist were included. They fulfilled the Mini Mental State Exam and Pfeffer's questionnaire. A dentist performed a complete evaluation: clinical questionnaire; research diagnostic criteria for temporomandibular disorders; McGill pain questionnaire; oral health impact profile; decayed, missing and filled teeth index; and complete periodontal investigation. The protocol was applied before and after the dental treatment. Periodontal treatments (scaling, extractions and topic nystatin were the most frequent. Results There was a reduction in pain frequency (p=0.014, mandibular functional limitations (p=0.011 and periodontal indexes (p<0.05, and an improvement in quality of life (p=0.009 and functional impairment due to cognitive compromise (p<0.001 after the dental treatment. Orofacial complaints and intensity of pain also diminished. Conclusion The dental treatment contributed to reduce co-morbidities associated with AD and should be routinely included in the assessment of these patients.

  10. Evaluation of patients with Alzheimer's disease before and after dental treatment.

    Science.gov (United States)

    Rolim, Thaís de Souza; Fabri, Gisele Maria Campos; Nitrini, Ricardo; Anghinah, Renato; Teixeira, Manoel Jacobsen; Siqueira, José Tadeu T de; Cesari, José Augusto Ferrari; Siqueira, Silvia Regina Dowgan Tesseroli de

    2014-12-01

    Oral infections may play a role in Alzheimer's disease (AD). Objective To describe the orofacial pain, dental characteristics and associated factors in patients with Alzheimer's Disease that underwent dental treatment. Method 29 patients with mild AD diagnosed by a neurologist were included. They fulfilled the Mini Mental State Exam and Pfeffer's questionnaire. A dentist performed a complete evaluation: clinical questionnaire; research diagnostic criteria for temporomandibular disorders; McGill pain questionnaire; oral health impact profile; decayed, missing and filled teeth index; and complete periodontal investigation. The protocol was applied before and after the dental treatment. Periodontal treatments (scaling), extractions and topic nystatin were the most frequent. Results There was a reduction in pain frequency (p=0.014), mandibular functional limitations (p=0.011) and periodontal indexes (pquality of life (p=0.009) and functional impairment due to cognitive compromise (p<0.001) after the dental treatment. Orofacial complaints and intensity of pain also diminished. Conclusion The dental treatment contributed to reduce co-morbidities associated with AD and should be routinely included in the assessment of these patients. PMID:25517641

  11. Australians' views on carbon pricing before and after the 2013 federal election

    Science.gov (United States)

    Dreyer, Stacia J.; Walker, Iain; McCoy, Shannon K.; Teisl, Mario F.

    2015-12-01

    As climate policies change through the legislative process, public attitudes towards them may change as well. Therefore, it is important to assess how people accept and support controversial climate policies as the policies change over time. Policy acceptance is a positive evaluation of, or attitude towards, an existing policy; policy support adds an active behavioural component. Acceptance does not necessarily lead to support. We conducted a national survey of Australian residents to investigate acceptance of, and support for, the Australian carbon pricing policy before and after the 2013 federal election, and how perceptions of the policy, economic ideology, and voting behaviour affect acceptance and support. We found acceptance and support were stable across the election period, which was surprising given that climate policy was highly contentious during the election. Policy acceptance was higher than policy support at both times and acceptance was a necessary but insufficient condition of support. We conclude that acceptance is an important process through which perceptions of the policy and economic ideology influence support. Therefore, future climate policy research needs to distinguish between acceptance and support to better understand this process, and to better measure these concepts.

  12. Neurological Deficits before and after Surgical Resection of Schwannomas in the Upper Extremities.

    Science.gov (United States)

    Mizushima, Hideyuki

    2016-06-01

    Background Schwannomas are the most common primary solitary tumor among peripheral nerve sheath tumors. The occurrence of transient or permanent neurological deficits after schwannoma resection is more common than previously recognized. Here, the neurological deficits before and after surgical resection of schwannomas in the upper extremities were examined. Methods The study included 43 upper-extremity schwannomas that were treated surgically between January 2000 and July 2013. The neurological status of each patient (such as pain, sensory disturbances, and motor disturbances) was evaluated preoperatively, immediately postoperatively, and at the final postoperative follow-up. Results Out of the 43 cases, 34 cases exhibited neurological symptoms before the operation, and in 31 of the 34 cases, neurological symptoms were either reduced or disappeared after the surgery. In 20 of the 43 cases, new neurological deficits that had not been observed preoperatively were noted immediately postoperatively; the newly acquired neurological deficits disappeared over time in 5 of the 20 cases. Significantly, more newly acquired neurological deficits remained in cases where the tumor was located in the upper arm and elbow than in cases where the tumor was located in the distal forearm. Conclusion New neurological deficits occurred after surgery in about half of the cases. This ratio was higher than expected, suggesting that schwannoma resection is not always a complication-free operation. Therefore, patients should be informed preoperatively about the possibility of neurological deficits. Furthermore, extreme care should be taken not to damage the affected and uninvolved nerves during surgery. PMID:26872028

  13. Study of regional cerebral blood flow with IMP-SPECT before and after administration of nilvadipine

    International Nuclear Information System (INIS)

    Regional cerebral blood flow (rCBF) was measured quantitatively by IMP-SPECT before and after administration of nilvadipine. The drug was administered at a dose of 8 mg/day for 8 or more weeks in 7 patients with chronic multiple cerebral infarction, one with hydrocephalus with normal pressure, and one with alcoholic encephalopathy. An average rCBF was increased after administration in all 6 patients with cerebral infarction confined to the perforated branch, with significant difference from the value before administration. In the other with cerebral infarction in both the perforated branch and the cortical branch, however, there was no change in average rCBF. In patients with hydrocephalus and alcoholic encephalopathy, on the other hand, post-administration rCBF tended to be lower than pre-administration rCBF. These results suggest that nilvadipine may be effective in increasing rCBF for patients with cerebral infarction confined to the perforated branch. (N.K.)

  14. Evaluation of Serum Zinc Levels in Hyperbilirubinemic Neonates Before and After Phototherapy

    Directory of Open Access Journals (Sweden)

    Ziba Mosayebi

    2016-03-01

    Full Text Available Background The existing therapeutic methods for neonatal jaundice are costly, time-consuming and potentially risky. Zinc salts can reduce phototherapy duration by precipitating unconjugated bilirubin in the intestine (bilirubin and zinc can form a complex in physiologic pH; however, zinc toxicity is an issue that must be considered since theoretically bilirubin reduction by phototherapy may increase serum zinc levels, making additional zinc supplementation the potential cause of zinc toxicity. Objectives So, our purpose was evaluating the serum zinc level alterations before and after phototherapy, in hyperbilirubinemic newborns. Materials and Methods A prospective cohort study was performed at the children’s medical center of Tehran University of Medical Sciences from 2012 to 2014. Healthy, full-term exclusively breast fed newborns with non-hemolytic jaundice were enrolled in the study. Participants were divided into two groups based on serum bilirubin levels (TSB 200 in only neonates with severe hyperbilirubinemia. Conclusions Phototherapy increases serum zinc level by reducing bilirubin level so that additional supplementation of this element can lead potentially to zinc toxicity.

  15. Analysis of Water Properties and Geostrophic Currents in Fiji Waters Before and After Tropical Cyclone Gene

    Directory of Open Access Journals (Sweden)

    Shivneel Prasad

    2009-01-01

    Full Text Available Problem statement: Water properties influence ocean primary production and drive the ocean food chain. This study depicts changes in temperature and salinity and its effects on geostrophic currents near Fiji before and after Tropical Cyclone (TC Gene. Approach: Available Argo float data from 6 January-4 February 2008 were used for analysis since TC Gene passed the area on 28 January 2008. The dynamic height and geostrophic current data were obtained from the Aviso website. Results: The thermocline depth increased by 20 m after the cyclone. A temperature drop of approximately 3°C was also noticed in the study area. Using this drop in temperature, the heat energy removed by the cyclone was calculated to be 0.095 MWh m-2. Salinity profiles showed an increase of 0.42 psu to a depth of 35 m after the cyclone. Changes in salinity and temperature of water may also cause changes in the dynamic height and in turn the geostrophic current patterns. After plotting the geostrophic current vectors, it was observed that the current patterns changed significantly after TC gene. Seasonal changes were also evident before the cyclone. Conclusion/Recommendations: Although the lifespan of TC gene was short, its effect on the water properties near Fiji was significant as it completely changed the geostrophic current patterns and this can have a huge implication on marine life.

  16. Lattice defects in V–Ti BCC alloys before and after hydrogenation

    Energy Technology Data Exchange (ETDEWEB)

    Matsuda, Junko, E-mail: junko.matsuda@i2cner.kyushu-u.ac.jp [International Institute for Carbon-Neutral Energy Research (WPI-I2CNER), Kyushu University, 744 Motooka, Nishi-ku, Fukuoka 819-0395 (Japan); Akiba, Etsuo [International Institute for Carbon-Neutral Energy Research (WPI-I2CNER), Kyushu University, 744 Motooka, Nishi-ku, Fukuoka 819-0395 (Japan); Department of Mechanical Engineering, Faculty of Engineering, Kyushu University, 744 Motooka, Nishi-ku, Fukuoka 819-0395 (Japan)

    2013-12-25

    Highlights: •Strain contrast with spacing smaller than 20 nm is observed in as-cast and hydrogenated V–Ti alloys. •Twin boundaries and stacking faults are introduced into the V–Ti alloys after hydrogenation. •These planar defects are formed due to accommodation of shear stress during hydrogenation. •Densities of twin boundaries are higher in the alloys with smaller contents of V. •Effective absorbing capacities at ambient condition depend on the densities of twin boundaries. -- Abstract: Microstructures of V–Ti BCC alloys before and after hydrogenation/dehydrogenation are investigated using transmission electron microscopy. Strain contrast with spacing smaller than 20 nm is observed both in the as-cast alloys and hydrogenated alloys. Twin boundaries and stacking faults with spacing of 5–20 nm are introduced into the V–Ti BCC alloys after hydrogenation. These are parallel to {11"¯1} planes of FCC hydrides. The twin boundaries and stacking faults are formed due to the accommodation of shear stress during hydrogenation accompanied by large anisotropic expansion along the c-axis direction in V–Ti BCC alloys. Density of twin boundaries is high in the alloys with small contents of V, which have a small effective hydrogen capacity at ambient condition. Dependence of microstructure evolution in the V–Ti alloys during hydrogenation on the V/Ti ratio is also discussed with the thermodynamic stabilities from measurements of Pressure–Composition isotherms and mechanical properties.

  17. Trends in breast cancer mortality in Sweden before and after implementation of mammography screening.

    Directory of Open Access Journals (Sweden)

    Jari Haukka

    Full Text Available BACKGROUND: Incidence-based mortality modelling comparing the risk of breast cancer death in screened and unscreened women in nine Swedish counties has suggested a 39% risk reduction in women 40 to 69 years old after introduction of mammography screening in the 1980s and 1990s. OBJECTIVE: We evaluated changes in breast cancer mortality in the same nine Swedish counties using a model approach based on official Swedish breast cancer mortality statistics, robust to effects of over-diagnosis and treatment changes. Using mortality data from the NordCan database from 1974 until 2003, we estimated the change in breast cancer mortality before and after introduction of mammography screening in at least the 13 years that followed screening start. RESULTS: Breast mortality decreased by 16% (95% CI: 9 to 22% in women 40 to 69, and by 11% (95% CI: 2 to 20% in women 40 to 79 years of age. DISCUSSION: Without individual data it is impossible to completely separate the effects of improved treatment and health service organisation from that of screening, which would bias our results in favour of screening. There will also be some contamination of post-screening mortality from breast cancer diagnosed prior to screening, beyond our attempts to adjust for delayed benefit. This would bias against screening. However, our estimates from publicly available data suggest considerably lower benefits than estimates based on comparison of screened versus non-screened women.

  18. Variability of isolated colonies in bean nodulating Rhizobium strains before and after exposure to high temperature

    Directory of Open Access Journals (Sweden)

    Raposeiras Rui

    2002-01-01

    Full Text Available Irregular response to bean plants to Rhizobium inoculation has been attributed to among other factors, low competitive ability, low N2 fixation efficiency and genetic instability of the symbiont. This genetic instability caused by high rates of genomic rearrangements and/or plasmid deletions can be accentuated by high temperatures. This fact may limit the utilization of these strains as inoculants, especially in tropical soils. In this study, the variability of isolated colonies derived from effective R. leguminosarum bv. phaseoli (SLP1.3 and BR 10.026 and R tropici (SLA2.2 and BR322 strains was evaluated before and after exposure to high temperatures (four consecutive thermal shocks at 45masculineC. This evaluation involved plant dry matter analysis of inoculated plants and genotypic (plasmid profile and genomic patterns via RAPD analysis of the Rhizobium strains. The results evidenced that high temperature improve the natural performance variability especially between isolated colonies from R. leguminosarum bv. phaseoli strains. The plasmid profile of isolated colonies from R. tropici strains were identical regardless of temperature treatment whereas isolated colonies from R. leguminosarum bv. phaseoli alterations were detected especially after the thermal treatment. The genomic patterns generated by AP-PCR showed more alterations and genetic variation in isolated colonies from R. leguminosarum bv. phaseoli strains indicating that R. tropici strains are more stable and lower affected by high temperature.

  19. Occupational Stress and Mental Health of Employees of a Petrochemical Company before and after Privatization

    Directory of Open Access Journals (Sweden)

    A Mahdad

    2010-03-01

    Full Text Available Background: Many countries make many of their governmental sectors private. This transition, however, may affect their employees in numerous ways.Objective: To determine the level of occupational stress and mental health of employees of a petrochemical company in Isfahan, Central Iran, before and 3 months after privatization.Methods: Out of the 700 employees of the studied company, using a stratified random sampling technique, 140 persons were selected. We used Steinmetz occupational stress and GHQ-28 questionnaires to determine the level of stress and mental health status of participants.Results: The reliability of the questionnaires used was acceptable (Chronbach alpha coefficients: 0.85 and 0.86, respectively. Job stress level was significantly increased 3 months after privatization; the mean±SD job stress score before and after privatization were 22.9±10.43 and 28.3±12.25, respectively (p<0.001. The mean±SD mental health score after privatization (17.57±11.63 was also significantly (p<0.001 higher than that before the privatization (13.8±6.0. There was a significant (p<0.001 positive correlation between the mental health status score and job score (r=0.476.Conclusion: After privatization, the job stress of employees increased significantly. This increase was associated with a decrease in mental health. To lessen the side effects of privatization, the process should be performed cautiously.

  20. Inflammation and Growth in Young Children with Obstructive Sleep Apnea Syndrome before and after Adenotonsillectomy

    Directory of Open Access Journals (Sweden)

    Yuval Nachalon

    2014-01-01

    Full Text Available Background. Obstructive sleep apnea (OSA is associated with growth impairment that usually improves following effective treatment. In this study we investigated the mechanisms underlying the growth processes in young children diagnosed with OSA, before and after adenotonsillectomy (T&A. Methods. Young children (6–36 months old were enrolled and evaluated before and several months after T&A surgery for height, weight, circulating high sensitive C-reactive protein (CRP, and insulin-like growth factor 1 (IGF-1 levels. Caloric intake was assessed by a validated Short Food Frequency Questionnaire (SFFQ. Results. Following T&A, children added 4.81 cm and 1.88 kg to their height and weight, respectively (P<0.001 for both and had a significant increase in BMI Z score (P=0.002. Increased caloric intake of 377 kcal/day was noted (P<0.001, with increased protein and decreased fat intake. The decrease in CRP levels correlated with the increase in body weight in boys (P<0.05, adjusted for caloric intake. Conclusions. Adenotonsillectomy results in enhanced somatic growth in young children that correlates with a decrease in systemic inflammation and caloric intake increment. Our findings imply that systemic inflammation may have an important role in this OSA-related morbidity.

  1. Serum levels of epidermal growth factor in patients with hepatitis B before and after treatment

    International Nuclear Information System (INIS)

    To observe the serum levels of epidermal growth factor (EGF) in patients with hepatitis B and cirrhosis, the levels of serum EGF in 108 patients with hepatitis B, chronic mild, moderate, severe hepatitis B and liver cirrhosis before and after treatment were detected by RIA. Hyaturonic acid (HA), laminin (LN), procollagen type III(PC III) and collagen type IV(C-IV) were also assayed in these patients, and 30 healthy blood donors served as normal control. The serum levels of EGF in patient with hepatitis B were remarkably higher than those in nomal control. After treatment, the serum levels of EGF, HA, LN, PCIII and C-III were decreased significantly compared with those before treatment (P<0.01). EGF were positively correlated with HA, LN, PCIII and C-IV. The results suggested that determination of serum EGF more times may be of value in assessment of the seveity of liver inflammation and fibrosis. It may also be used to observe the therapeutic effect. (authors)

  2. Surface and interfacial properties of PVDF/acrylic copolymer blends before and after UV exposure

    International Nuclear Information System (INIS)

    Morphological and chemical properties of both the surface and interface of poly(vinylidene fluoride)/poly(methyl methacrylate)-co-poly(ethyl acrylate) (PVDF/PMMA-co-PEA) blend films have been investigated before and after the samples were exposed to ultraviolet (UV) irradiation using a xenon arc lamp at 50 deg. Cand 9% relative humidity (RH) for 7 months. Surface and interfacial morphologies were studied by atomic force microscopy (AFM). Chemical composition information was obtained by confocal Raman microscopy, attenuated total reflection-FTIR spectroscopy (ATR-FTIR), X-ray photoelectron spectroscopy (XPS), and contact angle measurements. Results show an enrichment of the PVDF material at the air surface, while the acrylic copolymer enriches the interface. Blends having greater than 50% mass fraction of PVDF show little change in the surface morphology after UV exposure for 7 months. However, for a lower PVDF content, blends exhibit significant degradation of PMMA-co-PEA copolymer and a much rougher surface after UV exposure. Microstructural changes in the PVDF spherulites are also observed after UV degradation. It is found that the surface and interfacial morphologies are correlated with the chemical properties

  3. Amylin level and gastric emptying in obese children: before and after weight loss.

    Science.gov (United States)

    El-Rasheidy, Omnia F; Amin, Dina A; Ahmed, Hala A; El Masry, Hesham; Montaser, Zeinab M

    2012-08-01

    Amylin is a neuroendocrine hormone that inhibits food intake and gastric emptying in animal studies. Its role in obese human beings is still controversial. We aimed to estimate the fasting and postprandial amylin levels in obese children before and after weight loss [through weight loss intervention program (WLIP)] and to relate these levels to the lipid profile, homeostasis model assessment of insulin resistance (HOMA-IR) and ultrasonography gastric half emptying time (t1/2). This study was conducted initially on 20 obese children, 10 of them only continued 6 months follow up strategy on WLIP. Ten lean children served as controls. All children were subjected initially and on follow up to dietetic history taking, anthropometric measurements and laboratory assessment oflipid profile, HOMA-IR, fasting and postprandial amylin levels and ultrasonography gastric half emptying time (t1/2). The results showed that IR, significantly increased in fasting and postprandial amylin levels and significant delay in gastric emptying among obese children. After WLIP completion, IR was reversible, fasting and postprandial amylin levels decreased and gastric emptying significantly improved yet still significantly delayed than controls. There was significant positive correlation between fasting amylin levels and body mass index %, fasting insulin and HOMA-IR. PMID:23214220

  4. Mechanical and structural characterization of tibial prosthetic interfaces before and after aging under simulated service conditions.

    Science.gov (United States)

    Cavaco, A; Ramalho, A; Pais, S; Durães, L

    2015-03-01

    Prosthesis interface is one of the most important components to promote individual׳s health and comfort, as it establishes direct contact with the skin and transfers loads generated during gait. The aim of this study was to mechanically characterize, three commercial interfaces (block copolymer, silicone gel and silicone elestomer), under static and dynamic conditions, before and after undergoing a process of chemical aging in synthetic sweat for periods up to 90 days. Static mechanical compression tests were performed on the materials, as well as fatigue tests to assess their static and dynamic mechanical behaviors, respectively. For the second, a sinusoidal load was applied with an appropriate range of deformation for each material. Several analytical techniques were also used to characterize the materials, namely Fourier Transform Infrared Spectroscopy (FTIR), X-ray diffraction (XRD), and morphology characterization by Scanning Electron Microscopy (SEM). All the tested materials have strong viscoelastic behavior, showing a linear response for small deformations, followed by a nonlinear behavior for higher deformation. The block copolymer and the silicone gel are affected by aging in synthetic sweat in a similar way, with a significant increase of their rigidity after 30 days, followed by a progressive reduction. The silicone elastomer displays a continuous increase of rigidity along the 90 days of storage, being the most sensitive to aging affects. It also exhibits the lowest stiffness value, being suitable for uses that require maximum comfort. All materials demonstrate chemical and structural stability under service simulated conditions. PMID:25554916

  5. Shock induced damage in copper: A before and after, three-dimensional study

    Science.gov (United States)

    Menasche, David B.; Lind, Jonathan; Li, Shiu Fai; Kenesei, Peter; Bingert, John F.; Lienert, Ulrich; Suter, Robert M.

    2016-04-01

    We report on the microstructural features associated with the formation of incipient spall and damage in a fully recrystallized, high purity copper sample. Before and after ballistic shock loading, approximately 0.8 mm3 of the sample's crystal lattice orientation field is mapped using non-destructive near-field High Energy Diffraction Microscopy. Absorption contrast tomography is used to image voids after loading. This non-destructive interrogation of damage initiation allows for novel characterization of spall points vis-a-vis microstructural features and a fully 3D examination of microstructural topology and its influence on incipient damage. The spalled region is registered with and mapped back onto the pre-shock orientation field. As expected, the great majority of voids occur at grain boundaries and higher order microstructural features; however, we find no statistical preference for particular grain boundary types. The damaged region contains a large volume of Σ-3 (60 °) connected domains with a large area fraction of incoherent Σ-3 boundaries.

  6. Multi-cycling nanoindentation in MgO single crystals before and after ion irradiation

    International Nuclear Information System (INIS)

    The paper presents a nanoindentation study of MgO single crystals before and after ion irradiation up to a fluence of 1020 Ar+ m-2. It is confirmed that crystalline MgO is a brittle material of comparatively high nanohardness, ranging from H = 12.5 to 14.5 GPa depending on surface orientation. The plastic deformation is based on a dislocation glide with formation of slip bands giving rise to piling up around the indent which is strongly related to the sample crystallography. Repeated loading-unloading cycles (multi-cycling) revealed the appearance of hysteresis loops that are related to nanofracturing. Irradiation with 100 keV Ar+ ions resulted in a reproducible hardness increase to a value of H = 19 GPa independent of surface orientation. The indentation modulus E = 285 GPa remained unaffected by ion irradiation. Furthermore, no hysteresis loop in the force-displacement curve was formed with multi-cycling after implantation. This is explained in terms of point defect assisted plasticity: defect pinning will decrease the dislocation mobility and hence increase the hardness and also cause the sample to become less brittle resulting in a large decrease in nanocrack formations. In contrast to the dislocation glide, the point defect contribution to plastic deformation is almost orientation independent. This picture is supported by the orientation independent hardness as well as by the observation that ion irradiated samples exhibit a reduction in, and more homogeneously distributed, piling up around the indent

  7. Investigating shock-driven Richtmyer-Meshkov ripple evolution before and after re-shock

    Science.gov (United States)

    Nagel, S. R.; Huntington, C. M.; MacLaren, S. A.; Raman, K. S.; Baumann, T.; Benedetti, L. R.; Doane, D. M.; Islam, T. S.; Felker, S.; Holder, J. P.; Seugling, R. M.; Wang, P.; Zhou, Y. K.; Doss, F. W.; Flippo, K. A.; Perry, T. S.

    2015-11-01

    Late-time Rayleigh-Taylor/Richtmyer-Meshkov(RM) ripple growth in an opposing-shock geometry is investigated using x-ray area backlit imaging of a shock-tube with indirectly driven shocks. The shocks are driven from opposing sides of the tube. The ablator layer on one side has pre-imposed ripples in the form of a sine wave with two amplitudes and a single wavelength. This ablator includes an opaque tracer layer that is used to track the perturbed interface as it is driven into a lower density foam. The ablator on the opposing side of the tube is flat, and is used to launch the shock that re-shocks the rippled interface. A large-area backlighter and gated x-ray radiography is used to capture images at different times during the RM instability growth. Here, first measurements obtained with this experimental platform at the NIF, including the optimization of the platform are presented. The RM ripple evolution before and after re-shock, including a possible loss of initial conditions are, also discussed. The data that informs the codes is compared to simulation results Work supported by U.S. Department of Energy under Contract DE- AC52-06NA27279. LLNL-ABS-674941.

  8. Positional variation of antipodal cells in polyembryonic rice ApⅢ before and after fertilization

    Institute of Scientific and Technical Information of China (English)

    YUAN Liangchen; CHEN Yongzhe; MU Xijin; LIN Jinxing

    2003-01-01

    The variation in the position of antipodal cells before and after fertilization in polyembryonic rice strain ApⅢ was studied by using conventional sectioning technique. It was shown that initially the three antipodal cells lie at the chalazal end of the young embryo sacs. Along with the development of embryo sac, the antipodal cells proliferate into a multicellular structure containing up to about 20 cells. Most of the cells migrate to its dorsal side when the embryo sacs turn into mature. In a few embryo sacs the antipodal cells are situated in the positions adjacent to the egg apparatus at the micropylar end, while in other sacs, they spread from the midst of the embryo sac to the micropylar end clinging to the nucellar tissue. Furthermore, it is reported for the first time that cells of some egg apparatus or proembryos disorganize when antipodal cells lie at the micropylar end, indicating that the function of the antipodal cells may vary during the embryogenesis in rice ApⅢ.

  9. Hypothalamus-Anchored Resting Brain Network Changes before and after Sertraline Treatment in Major Depression

    Directory of Open Access Journals (Sweden)

    Rui Yang

    2014-01-01

    Full Text Available Sertraline, one of the oldest antidepressants, remains to be the most efficacious treatment for depression. However, major depression disorder (MDD is characterized by altered emotion processing and deficits in cognitive control. In cognitive interference tasks, patients with MDD have shown excessive hypothalamus activity. The purpose of this study was to examine the effects of antidepressant treatment (sertraline on hypothalamus-anchored resting brain circuitry. Functional magnetic resonance imaging was conducted on depressed patients (n=12 both before and after antidepressant treatment. After eight weeks of antidepressant treatment, patients with depression showed significantly increased connectivity between the hypothalamus and dorsolateral prefrontal cortex, orbitofrontal cortex, anterior cingulate cortex, insula, putamen, caudate, and claustrum. By contrast, decreased connectivity of the hypothalamus-related areas was primarily located in the inferior frontal gyrus, medial frontal gyrus, cingulated gyrus, precuneus, thalamus, and cerebellum. After eight weeks of antidepressant therapy, 8 out of the 12 depressed subjects achieved 70% reduction or better in depressive symptoms, as measured on the Hamilton depression rating scale. Our findings may infer that antidepressant treatment can alter the functional connectivity of the hypothalamus resting brain to achieve its therapeutic effect.

  10. Biochemical Evaluation of Serum Adiponectin Level in Egyptian Breast Cancer Patients before and after Treatment

    International Nuclear Information System (INIS)

    In this study, serum adiponectin level was evaluated in 35 primary breast cancer patients and 10 healthy females, before and after treatment to assess if there is a relation between it and breast cancer, and to find out if it has a prognostic value. Serum adiponectin level was significantly lower in all and postmenopausal breast cancer patients before taking any type of treatment, and non-significantly lower in locally advanced breast cancer patients after treatment by 4 cycles of neoadjuvant chemotherapy than healthy controls. Non-significant elevations was shown after treatment by surgery, and also after completing treatment by surgery followed by taking 2 cycles of adjuvant chemotherapy followed by treatment by radiotherapy in case of premenopausal locally advanced breast cancer patients. Triglycerides showed significantly higher level in all groups of patients. There was statistical negative correlation between serum adiponectin level and body mass index (BMI) in postmenopausal healthy controls, and between serum adiponectin level and BMI, triglycerides in all and postmenopausal breast cancer patients before taking any type of treatment. In conclusion, this study suggests that low serum adiponectin level is likely to be associated with increased breast cancer risk, particularly among postmenopausal women. The association between obesity and breast cancer risk might be partly explained by adiponectin

  11. Microstructure of a 14Cr-ODS ferritic steel before and after helium ion implantation

    International Nuclear Information System (INIS)

    A 14Cr-ODS ferritic steel with the nominal compositions of Fe–14Cr–2 W–0.3Ti–0.3Y2O3 (wt.%) was produced by mechanical alloying (MA) and hot isostatic pressing (HIP). Helium ion was implanted into the 14Cr-ODS steel along with Eurofer 97 steel as reference at 400 °C to a fluence of 1 × 1017 He+/cm2. High resolution transmission electron microscopy (HRTEM), high angle annual dark field (HAADF) scanning TEM (STEM) and atom probe tomography (APT) were used to characterize the microstructure of 14Cr-ODS and Eurofer 97 steels before and after helium implantation. High-density Y–Ti–O-rich nanoclusters and Y2Ti2O7 precipitates as well as large Cr–Ti rich oxides were observed in the 14Cr-ODS steel. The average size of Y–Ti–O nanoclusters and Y2Ti2O7 precipitates is 9 nm. After helium implantation, the helium bubbles formed in the 14Cr-ODS steel exhibit the smaller size and the lower volume fraction than that in Eurofer 97 steel, indicating high-density nano-scale precipitates can effectively suppress the coarsening of helium bubbles

  12. Assessment of plasma acylcarnitines before and after weight loss in obese subjects.

    Science.gov (United States)

    Schooneman, Marieke G; Napolitano, Antonella; Houten, Sander M; Ambler, Graeme K; Murgatroyd, Peter R; Miller, Sam R; Hollak, Carla E M; Tan, Chong Y; Virtue, Samuel; Vidal-Puig, Antonio; Nunez, Derek J; Soeters, Maarten R

    2016-09-15

    Acylcarnitines, fatty acid oxidation (FAO) intermediates, have been implicated in diet-induced insulin resistance and type 2 diabetes mellitus, as increased levels are found in obese insulin resistant humans. Moreover plasma acylcarnitines have been associated with clinical parameters related to glucose metabolism, such as fasting glucose levels and HbA1c. We hypothesized that plasma acylcarnitines would correlate with energy expenditure, insulin sensitivity and other clinical parameters before and during a weight loss intervention. We measured plasma acylcarnitines in 60 obese subjects before and after a 12 week weight loss intervention. These samples originated from three different interventions (diet alone (n = 20); diet and exercise (n = 21); diet and drug treatment (n = 19)). Acylcarnitine profiles were analysed in relation to clinical parameters of glucose metabolism, insulin sensitivity and energy expenditure. Conclusions were drawn from all 60 subjects together. Despite amelioration of HOMA-IR, plasma acylcarnitines levels increased during weight loss. HOMA-IR, energy expenditure and respiratory exchange ratio were not related to plasma acylcarnitines. However non-esterified fatty acids correlated strongly with several acylcarnitines at baseline and during the weight loss intervention (p < 0.001). Acylcarnitines did not correlate with clinical parameters of glucose metabolism during weight loss, questioning their role in insulin resistance and type 2 diabetes mellitus. PMID:27444119

  13. Routine testing of liver function before and after elective laparoscopic cholecystectomy: is it necessary?

    LENUS (Irish Health Repository)

    Ahmad, Nasir Zaheer

    2012-01-31

    BACKGROUND AND OBJECTIVES: Liver function tests (LFTs) include alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl transpeptidase (GGT), alkaline phosphatase (ALP), and bilirubin. The role of routine testing before and after laparoscopic cholecystectomy was evaluated in this study. PATIENTS AND METHODS: A total of 355 patients were retrospectively analyzed by examining the LFTs the day before, the day after, and 3 weeks after the surgery. The Wilcoxon signed-rank test and Student t test were performed to determine statistical significance. RESULTS: Alterations in the serum AST, ALT, and GGT were seen on the first postoperative day. Minor changes were seen in bilirubin and ALP. An overall disturbance in the LFTs was seen in more than two-thirds of the cases. Repeat LFTs performed after 3 weeks on follow-up were found to be within normal limits. CONCLUSION: Mild-to-moderate elevation in preoperative LFTs may not be associated with any deleterious effect, and, in the absence of clinical indications, routine preoperative or postoperative liver function testing is unnecessary.

  14. Santorinicele: secretin-enhanced magnetic resonance cholangiopancreatography findings before and after minor papilla sphincterotomy

    Energy Technology Data Exchange (ETDEWEB)

    Boninsegna, Enrico; Manfredi, Riccardo; Ventriglia, Anna; Negrelli, Riccardo; Pedrinolla, Beatrice; Mehrabi, Sara; Pozzi Mucelli, Roberto [University of Verona, Department of Radiology - Policlinico G.B. Rossi, Verona (Italy); Gabbrielli, Armando [University of Verona, Department of Medicine - Policlinico G.B. Rossi, Verona (Italy)

    2015-08-15

    To evaluate secretin-enhanced MRCP (S-MRCP) findings of patients with pancreas divisum and Santorinicele, before and after minor papilla sphincterotomy. S-MRCP examinations of 519 patients with suspected pancreatic disease were included. Size of the main pancreatic duct, presence and calibre of Santorinicele were evaluated. Duodenal filling was assessed on dynamic images. After sphincterotomy the same parameters and the clinical findings were re-evaluated. Pancreas divisum was depicted in 55/519 patients (11 %) by MRCP and an additional 26/519 by S-MRCP (total 81/519, 16 %). Santorinicele was detected in 7/81 patients (8.6 %) with pancreas divisum by MRCP and an additional 20/81 by S-MRCP (total 27/81, 33 %). Dorsal duct in patients with Santorinicele was significantly larger in the head compared with patients with only pancreas divisum (p < 0.01), in basal conditions (average 2.4 versus 1.9 mm) and after secretin administration (average 3.0 versus 2.4 mm). Duodenal filling was impaired in 11/27 patients (41 %) with Santorinicele. After sphincterotomy significant reduction in size of Santorinicele (-33 %) and dorsal duct (-17 %), increase of pancreatic juice and symptoms improvement were observed. Secretin administration increases the accuracy of MRCP in detecting Santorinicele and demonstrates the impaired duodenal filling. S-MRCP is useful to assess results of sphincterotomy. (orig.)

  15. Usefulness of {sup 99m}Tc-tetrofosmin myocardial scintigraphy before and after coronary intervention

    Energy Technology Data Exchange (ETDEWEB)

    Adachi, Itaru; Hou, Nobuyoshi; Komori, Tsuyoshi; Tabuchi, Koujiro; Matsui, Ritsuo; Sueyoshi, Kouzou; Narabayashi, Isamu; Matsuda, Shigeki; Tamoto, Shigemi [Osaka Medical Coll., Takatsuki (Japan)

    1997-06-01

    Dipyridamole-loading {sup 99m}Tc-tetrofosmin myocardial scintigraphy was performed for patients with coronary artery disease who underwent percutaneous transluminal coronary angiography (PTCA) in order to examine whether SPECT imaging prior to treatment is useful for the determination of prognosis after coronary intervention. Thirty-six patients including 9 with angina pectoris (AP), 22 with old myocardial infarction (OMI) and 5 OMI with AP were underwent dipyridamole-loading {sup 99m}Tc-tetrofosmin myocardial SPECT before and after coronary intervention. The length of follow-up was 185{+-}107 days after PTCA. Improvement of myocardial uptake was observed on myocardial SPECT in all cases with AP. Improvement of the myocardial uptake was observed 50% (4/8) of patients with OMI who had no myocardial viability. It was suggested that the improvement of myocardial uptake after PTCA was due to incomplete fill-in in cases with AP and that presence of fill-in was important for level of fill-in in patients with AP. The improvement of myocardial uptake in the scar tissue in patients with OMI contributed to the hibernating myocardium. We concluded that correct detection of hibernating myocardium was difficult despite the superior imaging capacity of {sup 99m}Tc-tetrofosmin myocardial SPECT. (author)

  16. COMPARATIVE STUDY OF EMOTIONAL DISORDERS STRUCTURE IN PATIENTS BEFORE AND AFTER ORTHOTOPIC LIVER TRANSPLANTATION

    Directory of Open Access Journals (Sweden)

    T. G. Mikhaylichenko

    2011-01-01

    Full Text Available Being based on a private experience, authors considered necessary to study features of emotional disorders that will allow understanding the mechanism of mental adaptation to disease at patients before and after OLT. In comparative research of structure of emotional frustration at the patients making the most numerous groups of patients before transplantation of a liver (viral hepatitis and autoimmune liver diseases, 129 persons, from them 75 before OLT are included at entering into a waiting list and 54 to through 22 ± 9 days after OLT. Distinctions in structure of emotional frustration are revealed: at patients with autoimmune liver diseases be- fore OLT and viral hepatitis after OLT the semiology combined with disturbing-depressive experiences and hypochondriac fixings is brightly expressed neurotic, them distinguishes high level of personal uneasiness. For patients with autoimmune liver diseases after OLT and viral hepatitis before OLT are characteristic moderately expressed neurotic frustration of an asthenia circle and low level of personal and situational anxiety. 

  17. Medical Brain Drain in Romania: Trends before and after Accession to the European Union

    Directory of Open Access Journals (Sweden)

    Irina Boncea

    2013-05-01

    Full Text Available This article aims to identify the impact of Romania’s accession to the European Union on medical emigration, analyzing the evolution of the phenomenon before and after 2007. Prior work in this field consists in theoretical and qualitative studies, highlighting the push and pull factors contributing to the emigration of Romanian physicians, the impact and the possible measures. Emigration trends before integration are analyzed using a data set existing in the literature. For the following period, between 2007 and 2010, the data set was filled by collecting statistics on the medical doctors trained in Romania and practicing abroad from the destination countries. The results confirm the concern rose about the massive emigration of medical doctors following the integration, compared to the previous period: between 2007 and 2010, Romania lost 8131 physicians. This study has major implications for academics with interest in modeling the effects of medical brain drain on economic development. Also it is a valuable instrument for policy makers, offering an overview of the magnitude of this phenomenon, helpful in adopting the right policy measures. The article offers a unique data set on the emigration of physicians, constituting a starting point in the attempt of implementing a monitoring system.

  18. Occurrence of neuropathies in patients with severe heart failure before and after heart transplantation.

    Science.gov (United States)

    Bagnato, Sergio; Minà, Chiara; Sant'Angelo, Antonino; Boccagni, Cristina; Prestandrea, Caterina; Caronia, Alessandra; Clemenza, Francesco; Galardi, Giuseppe

    2016-03-01

    Neuropathies may affect heart reinnervation and functional outcome after heart transplantation (HT). In this study, neurological evaluations, standard nerve conduction studies, and electromyography were performed in 32 HT candidates without a previous history of neuromuscular disorder. Ten patients underwent HT and were revaluated 3 months later. We found that before HT 10 (31.3%) patients had sensorimotor polyneuropathy (18.8%) or sensory polyneuropathy (12.5%). After HT, the percentage of patients with a neuromuscular disorder increased to 70%, most of them showing new or worsening neuropathies or neuromyopathies. The most sensitive abnormality that indicated neuromuscular involvement after HT was a reduction of the compound muscle action potential (CMAP) of the deep peroneal nerve. In conclusion, neuromuscular disorders are common in HT candidates, and they further increase in occurrence after HT. A reduction of the deep peroneal nerve CMAP amplitude after HT may help to identify patients who need a more detailed neurophysiological evaluation. The diagnosis of neuromuscular disorders before and after HT may contribute to the development of more accurate therapeutic and rehabilitative strategies for these patients. PMID:26573590

  19. Runners greatly underestimate sweat losses before and after a 1-hr summer run.

    Science.gov (United States)

    O'Neal, Eric K; Davis, Brett A; Thigpen, Lauren K; Caufield, Christina R; Horton, Anthony D; McIntosh, Joyce R

    2012-10-01

    The purpose of this study was to determine how accurately runners estimate their sweat losses. Male (n = 19) and female (n = 20) runners (41 ± 10 yr, VO2max 57 ± 9 ml · kg(-1) · min(-1) from the southeastern U.S. completed an ~1-hr run during late summer on a challenging outdoor road course (wet bulb globe temperature 24.1 ± 1.5 °C). Runs began at ~6:45 a.m. or p.m. Before and after running, participants filled race-aid-station paper cups with a volume of fluid they felt would be equivalent to their sweat losses. Total sweat losses and losses by percent body weight differed (p accuracy by percentage between genders. Runners who reported measuring changes in pre- and postrun weight to assess sweat losses within the previous month (n = 9, -54% ± 18%) were no more accurate (p = .55) than runners who had not (n = 30, -48% ± 24%). These results suggest that inadequate fluid intake during runs or between runs may stem from underestimations of sweat losses and that runners who do assess sweat-loss changes may be making sweat-loss calculation errors or do not accurately translate changes in body weight to physical volumes of water. PMID:23011653

  20. Orbito-frontal cortex and thalamus volumes in obsessive-compulsive disorder before and after pharmacotherapy.

    Science.gov (United States)

    Atmaca, Murad; Mermi, Osman; Yildirim, Hanefi; Gurok, M Gurkan

    2016-09-01

    In the present study, we focused on the key brain regions, OFC and thalamus, to investigate the roles of antiobsessional agents on volume changes of these brain regions after 12 weeks of anti-obsessional treatment in patients with obsessive-compulsive disorder (OCD). Fourteen patients with OCD and the same number of healthy controls were included in the study. At baseline, the volumes of the OFC and thalamus were compared by using magnetic resonance imaging (MRI) between groups. The volumes of OFC and thalamus were evaluated before and after the anti-obsessional drug treatment solely in the patient group. Our study revealed that thalamus volumes were reduced statistically significantly throughout the treatment period. However, we found that OFC volumes did not change statistically significantly throughout the treatment period. In summary, our study found that anti-obsessional drug treatment had an effect on thalamus volumes throughout the treatment period for both sides but not on OFC volumes. However, future studies with larger sample are required. PMID:26311393

  1. Dynamics of eosinophil infiltration in the bronchial mucosa before and after the late asthmatic reaction.

    Science.gov (United States)

    Aalbers, R; de Monchy, J G; Kauffman, H F; Smith, M; Hoekstra, Y; Vrugt, B; Timens, W

    1993-06-01

    We wanted to determine whether changes in bronchial hyperresponsiveness (BHR) following allergen challenge show a time relationship with inflammatory events in the airways of allergic asthmatic subjects. Lavage was performed and endobronchial biopsies were taken via the fiberoptic bronchoscope, before, and 3 and 24 h after, allergen challenge, on separate occasions, in nine dual asthmatic responders. The numbers of activated eosinophils, identified by immunohistochemistry, using the monoclonal anti-eosinophil cationic protein antibody, EG2, were significantly increased both at 3 h and at 24 h in the submucosa and bronchial lavage. A significant negative correlation was found between the number of EG2+ cells in the submucosa and in the bronchial lavage 24 h after the allergen challenge (r = -0.70). At 24 h, the amount of eosinophil cationic protein (ECP) was increased in the bronchial lavage. A significant correlation was observed between the amount of ECP at 3 h and the log provocative dose of house dust mite producing a 20% fall in forced expiratory volume in one second (PD20 HDM) (r = -0.63). The results suggest a recruitment of activated eosinophils to the submucosa and, further, to the epithelial lining, followed by degranulation. This process has already started 3 h after allergen challenge, and lasts for at least 24 h, which may result in mucosal damage and subsequent allergen-induced increase in BHR, before and after the late asthmatic reaction. PMID:8339804

  2. The impact of the economic situation of the couples before and after divorce

    Directory of Open Access Journals (Sweden)

    Alketa Molla

    2015-07-01

    Full Text Available Divorce is not just a problem caused by social, but also economic consequences. Social implications are vital and cannot be overlooked. It is not easy to bring up children nowadays, even if both parents are employed and contribute both economically for their welfare. There are more difficulties for divorced parents, who are forced to make such a task. It is very difficult for this category to provide good living conditions for children, especially when they do not have a house to live, when they are unemployed, or in the cases when the other parent does not contribute economically. Often parents of divorced couples provide shelter and help, but this is not enough. Many divorced parents choose another country to ensure better living conditions for their children. Main objective of this article is to present the economic situation in which couples were before and after the divorce. The survey data are taken from the personal data of divorced from the Albanian Court of Elbasan.

  3. MRI of the knee before and after arthroscopic synovectomy in patients with rheumatoid arthritis

    International Nuclear Information System (INIS)

    The effectiveness of arthroscopic synovectomy (A-S) for the knee of rheumatoid arthritis (RA) patients was assessed by comparing the severity of synovial proliferation on MRI before and after the surgery. Twenty-five patients (30 knees) were studied. The mean duration of RA was 6 years and 7 months and the mean age at the time of A-S was 49.0 years. The mean follow-up period was 19 months (range: 6-39 months). The preoperative Larsen's classification from grade I to IV was 8, 13, 6, and 3 knees, respectively. Synovial proliferation was evaluated by the modified Takeuchi's classification (MRI score). The MRI score was investigated in relationships with the radiographic grade, wet weight of excised tissue, treatment score for RA knees of the Japanese Orthopaedic Association (JOA score), and the CRP value. The MRI score, JOA score, and CRP all significantly improved during follow-up. The radiographic grade showed less progression, the JOA score improved more, and CRP was lower during follow-up in patients with a postoperative MRI score less than 5. The wet weight of excised tissue showed no related with the MRI score. These results suggest that the effectiveness of A-S can be determined by evaluation of improvement of the MRI score. (author)

  4. Diagnostic significance of dynamic and static esophagoscintigraphy in esophageal cancer before and after operative treatment

    International Nuclear Information System (INIS)

    A total of 381 esophagoscintigraphies were performed in 93 subjects: 34 - control group, 46 - patients with esophageal cancer before treatment and 47 - at different terms after operation. Examination of the motor-evacuative function of the esophagus was carried out on scintillation gamma-camera PHO/GAMMA-HP NUCLEAR CHICAGO, with CLINCOM-computer. The procedure consists in consecutive determination of esophageal transit labelled liquid and solid food. A physiological nutritive solid bolus, labelled with 99mTc-phyton or 113mIn-coinol, which leaves no trace activity on the esophageal mucosa, is proposed. Qualitative and quantitative characteristics of esophageal function and Down Esophageal Sphincter (DES) in norm and in esophageal cancer before and after treatment was demonstrated. Esophageal disfunction, with or without DES damage, is observed at the following conditions: for liquid food - Esophageal Transit Time (ETT) > 5 s, clearance < 87,2% and passage rate < 21,6%/s; for solid food - ETT < 9 s, clearance < 86,6% and passege rate < 11,39%/s. In esophageal cancer before treatment the organ function suffers to a different degree, directly proportional to the degree of tumor growth and out of proportion to the clinical manifestations of dysphagia. In 83,7% of the patients reflux at the site of the anastomosis was observed; this may be a reason for development of postoperative esophagitis. Esophagoscontigraphy allows to detect early motor disturbances, degree of dissemination of the pathologic process and degree of reestablishment of esophageal function after treatment

  5. Factors affecting isokinetic muscle strength before and after anterior cruciate ligament reconstruction.

    Science.gov (United States)

    Yüksel, Halil Yalçin; Erkan, Serkan; Uzun, Macit

    2011-06-01

    The purpose of this study was to evaluate the factors affecting muscle strength of ACL-deficient knees before and after ACL reconstruction. The study included 122 male patients who underwent primary ACL reconstruction with a bone-patellar tendon-bone autograft. Preoperative loss and change in muscle strength in both extensor and flexor muscle groups after ACL reconstruction were calculated separately at 60 degrees/sec and 180 degrees/sec angular velocities. We evaluated the effect of surgical delay on the preoperative deficit and on its change after surgery. Muscle strength change after ACL reconstruction was also evaluated in relation to patient compliance to treatment. The longer the delay of ACL reconstruction the more the muscle strength deficit of flexor and extensor muscles increased. In the ACL deficient knees with high strength deficit, improvement in muscle strength was higher after ACL reconstruction for both muscle groups. When delay of ACL reconstruction was short and the patient was compliant to treatment, flexor muscle strength recovery was early. Shortening the delay to reconstruction had a positive influence on muscle strength after ACL reconstruction when preoperative muscle strength deficit was high. PMID:21846002

  6. Performance of CMS 3D silicon pixel detectors before and after irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Obertino, M., E-mail: margherita.obertino@cern.ch [Università del Piemonte Orientale, Novara, and INFN, Torino (Italy); Solano, A. [Università di Torino and INFN, Torino (Italy); Alagoz, E. [Physics Department, Purdue University, West Lafayette, IN (United States); Andresen, J. [University of Colorado, Boulder (United States); Arndt, K.; Bolla, G.; Bortoletto, D. [Physics Department, Purdue University, West Lafayette, IN (United States); Boscardin, M. [Centro per i Materiali e i Microsistemi Fondazione Bruno Kessler (FBK), Povo di Trento (Italy); Brosius, R. [SUNY, Buffalo (United States); Bubna, M. [Physics Department, Purdue University, West Lafayette, IN (United States); Dalla Betta, G.-F. [INFN Padova (Gruppo Collegato di Trento) and Università di Trento, Povo di Trento (Italy); Jensen, F. [University of Colorado, Boulder (United States); Krzywda, A. [Physics Department, Purdue University, West Lafayette, IN (United States); Kumar, A. [SUNY, Buffalo (United States); Kwan, S. [Fermi National Accelerator Laboratory, Batavia, IL (United States); Lei, C.M. [University of Colorado, Boulder (United States); Menasce, D.; Moroni, L. [INFN Milano Bicocca, Milano (Italy); Ngadiuba, J. [Università di Milano Bicocca and INFN, Milano (Italy); Osipenkov, I. [Texas A and M University, TX (United States); and others

    2013-12-01

    Three-dimensional (3D) silicon detectors are emerging as one of the most promising technologies for the innermost layers of tracking devices for the foreseen upgrades of the LHC. 3D sensors compatible with the CMS readout, fabricated at FBK (Trento, Italy), were tested in the laboratory and with a 120 GeV/c proton beam at the FNAL test beam facility, before and after irradiation up to a fluence of 3.5×10{sup 15}neq/cm{sup 2}. Preliminary results of the data analysis are presented. -- Highlights: •3D characterized in laboratory, tested with beam and irradiated with 800 MeV protons. •Leakage current: few hundred nA before irradiation, ∼10 μA after irradiation. •Depletion voltage: 20 V. Breakdown voltage: 25–35 V, not increasing after irradiation. •Efficiency: 97.5%, increasing when tilting sensors with respect to the beam. •Radiation effect: lower efficiency and lower collected charge.

  7. Residents' performance before and after night call as evaluated by an indicator of creative thought.

    Science.gov (United States)

    Nelson, C S; Dell'Angela, K; Jellish, W S; Brown, I E; Skaredoff, M

    1995-10-01

    The effects of sleep deprivation on medical personnel have received much attention. This study evaluates the effects of sleep loss on divergent-thinking (creative or innovative) processes as measured by the Torrance Test of Creative Thinking (TTCT). Anesthesia residents who had approximately 30 minutes sleep while being on-call were evaluated. These physicians had similar caffeine and nicotine consumption before and after the test. The results reported here demonstrate that postcall residents had TTCT scores that were appreciably below those scores of rested residents. Postcall verbal fluency was less among the on-call group than among the rested group (94.0 +/- 9.7 vs 101.8 +/- 9.8) as was figural originality (89.9 +/- 22.1 vs 113.3 +/- 20.3). These study results suggest that sleep deprivation affects divergent, or creative, thinking. Divergent-thinking processes are usually innovative and are used during complex problem-solving tasks. Further studies are needed on the effects of sleep deprivation. This information can then be used to help improve residents' working conditions and patient care. PMID:8557549

  8. Mechanical and Microstructural Evaluations of Lightweight Aggregate Geopolymer Concrete before and after Exposed to Elevated Temperatures

    Directory of Open Access Journals (Sweden)

    Mohammed Binhussain

    2013-10-01

    Full Text Available This paper presents the mechanical and microstructural characteristics of a lightweight aggregate geopolymer concrete (LWAGC synthesized by the alkali-activation of a fly ash source (FA before and after being exposed to elevated temperatures, ranging from 100 to 800 °C. The results show that the LWAGC unexposed to the elevated temperatures possesses a good strength-to-weight ratio compared with other LWAGCs available in the published literature. The unexposed LWAGC also shows an excellent strength development versus aging times, up to 365 days. For the exposed LWAGC to the elevated temperatures of 100 to 800 °C, the results illustrate that the concretes gain compressive strength after being exposed to elevated temperatures of 100, 200 and 300 °C. Afterward, the strength of the LWAGC started to deteriorate and decrease after being exposed to elevated temperatures of 400 °C, and up to 800 °C. Based on the mechanical strength results of the exposed LWAGCs to elevated temperatures of 100 °C to 800 °C, the relationship between the exposure temperature and the obtained residual compressive strength is statistically analyzed and achieved. In addition, the microstructure investigation of the unexposed LWAGC shows a good bonding between aggregate and mortar at the interface transition zone (ITZ. However, this bonding is subjected to deterioration as the LWAGC is exposed to elevated temperatures of 400, 600 and 800 °C by increasing the microcrack content and swelling of the unreacted silicates.

  9. Longitudinal data on cortical thickness before and after working memory training.

    Science.gov (United States)

    Metzler-Baddeley, Claudia; Caeyenberghs, Karen; Foley, Sonya; Jones, Derek K

    2016-06-01

    The data and supplementary information provided in this article relate to our research article "Task complexity and location specific changes of cortical thickness in executive and salience networks after working memory training" (Metzler-Baddeley et al., 2016) [1]. We provide cortical thickness and subcortical volume data derived from parieto-frontal cortical regions and the basal ganglia with the FreeSurfer longitudinal analyses stream (http://surfer.nmr.mgh.harvard.edu [2]) before and after Cogmed working memory training (Cogmed and Cogmed Working Memory Training, 2012) [3]. This article also provides supplementary information to the research article, i.e., within-group comparisons between baseline and outcome cortical thickness and subcortical volume measures, between-group tests of performance changes in cognitive benchmark tests (www.cambridgebrainsciences.com [4]), correlation analyses between performance changes in benchmark tests and training-related structural changes, correlation analyses between the time spent training and structural changes, a scatterplot of the relationship between cortical thickness measures derived from the occipital lobe as control region and the chronological order of the MRI sessions to assess potential scanner drift effects and a post-hoc vertex-wise whole brain analysis with FreeSurfer Qdec (https://surfer.nmr.mgh.harvard.edu/fswiki/Qdec [5]). PMID:27115029

  10. Ultrastructure of the seminiferous tubules in human testes before and after varicocelectomy.

    Science.gov (United States)

    Ozgür, H; Kaya, M; Doran, S; Solmaz, S

    2003-12-01

    Ultrastructure of the membrana propria and the seminiferous epithelium was studied in infertile human testis both before and 3-6 months after varicocelectomy. The frequent alterations, observed before and after the operation, were extremely thickened membrana propria, deep invaginations, multilamination and knob-like formation of basal laminae and formation of multinucleated spermatids, which were all considered as the common response of the testis to different noxious agents. Although the cells of the seminiferous epithelium were clearly affected by varicocele before varicocelectomy, many areas exhibited normal features after the operation. Furthermore, multinucleated cells, sharing common features of Sertoli cell and spermatogonium, were observed, as well as presence of well-developed annulate lamellae in the Sertoli cells, exhibiting centrioles in the vicinity of their nuclei after varicocelectomy. These multiple ultrastructural observations indicate that Sertoli cell division takes place. This study suggests that if the observation period of the tissue samples after varicocelectomy is long enough, the reversible changes of the tubular cells would be seen much more frequently. PMID:14618398

  11. Electrocortical Dynamics in Children with a Language-Learning Impairment Before and After Audiovisual Training.

    Science.gov (United States)

    Heim, Sabine; Choudhury, Naseem; Benasich, April A

    2016-05-01

    Detecting and discriminating subtle and rapid sound changes in the speech environment is a fundamental prerequisite of language processing, and deficits in this ability have frequently been observed in individuals with language-learning impairments (LLI). One approach to studying associations between dysfunctional auditory dynamics and LLI, is to implement a training protocol tapping into this potential while quantifying pre- and post-intervention status. Event-related potentials (ERPs) are highly sensitive to the brain correlates of these dynamic changes and are therefore ideally suited for examining hypotheses regarding dysfunctional auditory processes. In this study, ERP measurements to rapid tone sequences (standard and deviant tone pairs) along with behavioral language testing were performed in 6- to 9-year-old LLI children (n = 21) before and after audiovisual training. A non-treatment group of children with typical language development (n = 12) was also assessed twice at a comparable time interval. The results indicated that the LLI group exhibited considerable gains on standardized measures of language. In terms of ERPs, we found evidence of changes in the LLI group specifically at the level of the P2 component, later than 250 ms after the onset of the second stimulus in the deviant tone pair. These changes suggested enhanced discrimination of deviant from standard tone sequences in widespread cortices, in LLI children after training. PMID:26671710

  12. Comparison of CT numbers of organs before and after plastination using standard S-10 technique.

    Science.gov (United States)

    Shanthi, Pauline; Singh, Rabi Raja; Gibikote, Sridhar; Rabi, Suganthy

    2015-05-01

    Plastination is the art of preserving biological tissues with curable polymers. Imaging with plastinates offers a unique opportunity for radiographic, anatomical, pathological correlation to elucidate complex anatomical relationships. The aim of this study was to make plastinates from cadavers using the standard S-10 plastination technique and to compare the radiological properties of the tissue before and afterwards to examine the suitability of plastinates as phantoms for planning radiotherapy treatment. An above-diaphragm and a below-diaphragm specimen were obtained from a male and a female cadaver, respectively, and subjected to the standard S-10 plastination technique. CT images were obtained before and after plastination and were compared using Treatment Planning System for anatomical accuracy, volume of organs, and CT numbers. The plastinated specimens obtained were dry, robust, and durable. CT imaging of the plastinated specimens showed better anatomical detail of the organs than the preplastinate. Organ volumes were estimated by contouring the organs' outline in the CT images of the preplastinated and postplastinated specimens, revealing an average shrinkage of 25%. CT numbers were higher in the plastinated specimens except in bones and air-filled cavities such as the maxillary air sinus. Although plastination by the standard S-10 technique preserves anatomical accuracy, it increases the CT numbers of the organs because of the density of silicone, making it unsuitable for radiation dosimetry. Further improvements of the technique could yield more suitable plastinated phantoms. PMID:25708008

  13. Consequences of a false-positive mammography result: drug consumption before and after screening.

    Science.gov (United States)

    von Euler-Chelpin, My; Bæksted, Christina; Vejborg, Ilse; Lynge, Elsebeth

    2016-05-01

    Background Previous research showed women experiencing false-positive mammograms to have greater anxiety about breast cancer than women with normal mammograms. To elucidate psychological effects of false-positive mammograms, we studied impact on drug intake. Methods We calculated the ratio of drug use for women with false-positive versus women with normal mammograms, before and after the event, using population-based registers, 1997-2006. The ratio of the ratios (RRR) assessed the impact. Results Before the test, 40.3% of women from the false-positive group versus 36.2% from the normal group used anxiolytic and antidepressant drugs. There was no difference in use of beta blockers. Hormone therapy was used more frequently by the false-positive, 36.6% versus 28.7%. The proportion of women using anxiolytic and antidepressant drugs increased with 19% from the before to the after period in the false-positive group, and with 16% in the normal group, resulting in an RRR of 1.02 (95% CI 0.92-1.14). RRR was 1.03 for beta blockers, 0.97 for hormone therapy. Conclusion(s) Drugs used to mitigate mood disorders were used more frequently by women with false-positive than by women with normal mammograms already before the screening event, while the changes from before to after screening were similar for both groups. The results point to the importance of control for potential selection in studies of screening effects. PMID:26799406

  14. MRI findings in Tolosa-Hunt syndrome before and after systemic corticosteroid therapy

    International Nuclear Information System (INIS)

    Tolosa-Hunt syndrome (THS) is characterized by painful ophthalmoplegia due to a granulomatous inflammation in the cavernous sinus. Corticosteroid therapy dramatically resolves both the clinical and radiological findings of THS. We present MRI findings of six patients with a clinical history of at least one episode of unilateral or bilateral orbital-periorbital pain, clinical findings of associated paresis of one or more of 3rd, 4th, 5th or 6th cranial nerves. All of the patients revealed an enlargement of the symptomatic cavernous sinus on magnetic resonance imaging (MRI) scans. Five patients revealed total resolution of the clinical findings within 1-8 weeks, following systemic corticosteroid treatment. One patient revealed only minor regression of clinical findings within 2 weeks after the initiation of the treatment, so the cavernous sinus lesion was reevaluated as meningioma on MRI, and the patient underwent surgical resection of the mass with resultant histopathological finding of cavernous sinus meningioma. A follow-up MRI scan was performed for five patients at the end of 8-weeks of steroid therapy. Three of these five patients showed total resolution of the cavernous sinus lesions whereas two of them revealed a partial regression of the cavernous sinus lesions. MRI findings before and after systemic corticosteroid therapy are important diagnostic criteria to put the definitive diagnosis of THS and to differentiate it from other cavernous sinus lesions that simulate THS both clinically and radiologically

  15. Se status in normal and pathological human individuals before and after Se supplementation

    Science.gov (United States)

    Bellisola, G.; Cinque, G.; Galassini, S.; Guidi, G. C.; Liu, N. Q.; Moschini, G.

    1996-04-01

    The determination of selenium in plasma and in urine samples has been suggested for the assessment of Se status in human individuals. The kidney is of fundamental importance in Se homeostasis: with low Se intake its excretion will be decreased and with high Se intake it will be increased. In 21 patients with kidney disease (8 with normal kidney function and 13 with moderate renal failure) Se was measured in 1 ml of urine by PIXE after preconcentration of the sample. The total urine volume was measured to calculate total daily Se excretion. The same procedure was applied to 14 normal individuals for comparison. All individuals were then supplemented orally with selenite for 8 weeks (Se = 600 μg/day) and the procedure was repeated. The behaviour of the major selenoproteins was also investigated by measuring glutathione peroxidase activities in plasma, in platelets and in erythrocyte samples. For renal function, serum and urine creatinine concentrations were utilised and creatinine clearances were calculated. Results obtained were compared before and after Se treatment and between groups. Some correlation studies were carried out between Se and kidney functions and/or selenoperoxidase activities.

  16. Gastric emptying studies in the morbidly obese before and after gastroplasty

    International Nuclear Information System (INIS)

    Dual isotope gastric emptying studies were performed on 16 morbidly obese patients before and after gastroplasty to determine the effect of this surgery on the rate of emptying. The solid and liquid phases of gastric emptying were compared with a normal control group. In the 900-g and 50-g meals there was a significant difference in the mean half emptying time between solid and liquid phases of emptying (p less than 0.05). Pre-operatively, the 900-g meal half emptying times of both solids and liquids and the 50-g liquid phase meal did not differ significantly between obese patients and the control group. However, in the solid phase of the 50-g meal obese patients differed significantly from a control group (p = 0.007). Three months after gastroplasty, gastric emptying of 50-g meals from the total stomach was not significantly changed from the pre-operative 50-g meal values in ten of 12 patients (p less than 0.05) and no change in total stomach emptying times were seen at 12 mo compared to the 3-mo study (p less than 0.05). Emptying of the pouch alone for both solids and liquids was significantly faster than the pre-operative and postoperative total stomach studies. Gastric emptying in the obese is normal with large meals, but is delayed in small meals. In most patients, gastroplasty does not result in slower emptying of meals

  17. Life quality of low-vision elderly people: before and after hearing and speech intervention

    Directory of Open Access Journals (Sweden)

    Mayla Myrina Bianchim Monteiro

    2015-08-01

    Full Text Available ABSTRACT Aim: To evaluate life quality of elderly people with acquired low vision before and after hearing and speech intervention. Methods: This was a descriptive cross-sectional study. The study was made with 52 elderly people with acquired low vision. Two questionnaires that measures life quality were used in this study. The first was ‘Low Quality of Life Vision (LVQOL’ and the second the ‘National Eye Institute Visual Function Questionnaire (NEIVFQ-25’. The study included people with more than 60 years with acquired low vision and who accepted to participate signing the consent form. The hearing and speech therapy were made into three months, one meeting a week. The questionnaires were applied in the first and last day of the intervention. Results: The age ranged between 60 and 91 years. The macular disorder (38%, such as age-related macular degeneration, macular hole and high myopia were the main causes of visual loss. Although the tests show superior performance after the intervention, there was no statistically significant difference. On the question about difficulties seeing in general, 17 participants answered that they had much more difficulty before the intervention and only 5 participants have reported having much difficulty after the intervention. Conclusion: The intervention trended to positive results, and after the meetings, participants showed improvements in aspects of the two questionnaires used in the study, decreasing the degree of difficulty in performing activities.

  18. MR venography in cervical myelopathy before and after direct skull traction

    International Nuclear Information System (INIS)

    MR venography (MRV) was performed to evaluate the anterior cervical venous plexuses in five normal volunteers and eight patients with cervical myelopathy before and after direct skull traction. Visibility of the plexuses from C2 to C7 was evaluated and scored by five observers in those groups. The venography was performed with FISP sequences (fast imaging with steady state precession) and with the injection of Gd-derivatives. The MRV was obtained after maximum-intensity projection and 3D reconstruction. In the normal volunteers, the internal vertebral plexus (IVP), intervertebral vein (IV) and anastomotic vein (AV) were all well demonstrated. In the patients, those plexuses were less well demonstrated in comparison with the normal volunteer, particularly in C5 which is the most frequently affected area. The patient group had lower scores than the normal group. However, the score at C5 was not lower than those at non-affected sites. After treatment, MRV demonstrated those plexuses better in some cases of cervical myelopathy; although this was not evaluated statistically. (author)

  19. MR venography in cervical myelopathy before and after direct skull traction

    Energy Technology Data Exchange (ETDEWEB)

    Sekiguchi, Akira; Enomoto, Kyoko; Kato, Hiroshi [Saitama Medical School, Moroyama (Japan)

    1999-01-01

    MR venography (MRV) was performed to evaluate the anterior cervical venous plexuses in five normal volunteers and eight patients with cervical myelopathy before and after direct skull traction. Visibility of the plexuses from C2 to C7 was evaluated and scored by five observers in those groups. The venography was performed with FISP sequences (fast imaging with steady state precession) and with the injection of Gd-derivatives. The MRV was obtained after maximum-intensity projection and 3D reconstruction. In the normal volunteers, the internal vertebral plexus (IVP), intervertebral vein (IV) and anastomotic vein (AV) were all well demonstrated. In the patients, those plexuses were less well demonstrated in comparison with the normal volunteer, particularly in C5 which is the most frequently affected area. The patient group had lower scores than the normal group. However, the score at C5 was not lower than those at non-affected sites. After treatment, MRV demonstrated those plexuses better in some cases of cervical myelopathy; although this was not evaluated statistically. (author)

  20. Some studies on calcium phosphate embedded in polyvinyl alcohol matrix before and after γ-irradiation

    International Nuclear Information System (INIS)

    The Ca-P ratio in polymer matrix was adjusted to 1.67 as in hydroxyapatite. The complexed polyvinyl alcohol (PVA) materials exhibit the characteristic absorption bands of phosphate at 601 and 962 cm-1 indicating the presence of (HPO4)-1 anions in the structure. The X-ray diffraction (XRD) revealed that the reaction between Ca and P ions in the PVA medium has a great effect on polymeric matrix crystallization. After irradiation, XRD results for sample c showed more sharp peaks indicating that irradiation can break the principal chemical bonds and favoring additional crystallization processes and therefore the crystallinity increases. An improvement in the thermal stability of PVA doped with calcium phosphate could be seen with the increase of calcium phosphate intercalated with PVA. The surfaces of films were analyzed by scanning electron microscope (SEM) before and after γ-irradiation. The formation of hydroxyapatite is confirmed by energy dispersive X-ray spectroscopy (EDX analysis). The electric conduction data were interpreted on the basis of an intrachain one-dimensional interpolaron hopping model of Kuivalainen.

  1. Chemical Bonding States of TiC Films before and after Hydrogen Ion Irradiation

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    TiC films deposited by rf magnetron sputtering followed by Ar+ ion bombardment were irradiated with a hydrogen ion beam. X-ray photoelectron spectroscopy (XPS) was used for characterization of the chemical bonding states of C and Ti elements of the TiC films before and after hydrogen ion irradiation, in order to understand the effect of hydrogen ion irradiation on the films and to study the mechanism of hydrogen resistance of TiC films. Conclusions can be drawn that ion bombardment at moderate energy can cause preferential physical sputtering of carbon atoms from the surface of low atomic number (Z) material. This means that ion beam bombardment leads to the formation of a non-stoichiometric composition of TiC on the surface.TiC films prepared by ion beam mixing have the more excellent characteristic of hydrogen resistance. One important cause, in addition to TiC itself, is that there are many vacant sites in TiC created by ion beam mixing.These defects can easily trap hydrogen and effectively enhance the effect of hydrogen resistance.

  2. COMPARISON OF LABOUR RELATIONS OF WORKERS OF FORMER TEKEL IN ADIYAMAN BEFORE AND AFTER ITS PRIVATIZATION

    Directory of Open Access Journals (Sweden)

    Gazanfer KAYA

    2015-12-01

    Full Text Available The Monopoly, Turkey's oldest and is a well-established as a public enterprises has a presence for many years. This business more tobacco production, has control processes related processing and selling. The Monopoly enterprises has become a major source of income for both agricultural producers and labor. In this article, before and after privatization labour relations of the Adiyaman the former Monopoly workers were examined in a comparative perspective. According to the findings of the study area; Adiyaman closure of the Monopoly, workers and their families, economic, social, and psychological extremely negative affect. Satisfaction from the current operating conditions is very low compared to the Monopoly period. Losses incurred in the period compared with the monopoly is the main reason for this dissatisfaction. When considering the intervening four years, more than half of the interviewees (62.8% were found to continue the difficulties of labor. The main difficulties of employees in the status of temporary staff, lacks a built of permanent jobs and they do not receive a wage to live a more humane.

  3. A Prospective Evaluation of Missed Injuries in Trauma Patients, Before and After Formalising the Trauma Tertiary Survey

    OpenAIRE

    Keijzers, Gerben B.; Campbell, Don; Hooper, Jeffrey; Bost, Nerolie; Crilly, Julia; Steele, Michael Craig; Del Mar, Chris; Geeraedts, Leo M.G.

    2013-01-01

    Objective This study prospectively evaluated in-hospital and postdischarge missed injury rates in admitted trauma patients, before and after the formalisation of a trauma tertiary survey (TTS) procedure. Methods Prospective before-and-after cohort study. TTS were formalised in a single regional level II trauma hospital in November 2009. All multitrauma patients admitted between March–October 2009 (preformalisation of TTS) and December 2009–September 2010 (post-) were assessed for missed injur...

  4. COMPARISON OF OPINIONS OF STUDENTS IN TOURISM FIELD WITH PRE-BACHELOR'S DEGREE EDUCATION BEFORE AND AFTER TRAINING

    OpenAIRE

    Oktay EMİR; Elbeyi PELİT; ARSLAN, Soner

    2010-01-01

    ABSTRACT In order to compare the opinions before and after training of students with pre-bachelor's degree in the tourism filed, as data collecting method in this study questionnaire technique was used. A questionnaire prepared by researcher was prepared and applied to total 177 students of connected Vocational Schools of Ayfon Kocatepe University before and after training period. For analyzing the obtained data's, for regarded estimation the t test and for individual sampling the t, An...

  5. Plasticity of visual attention in Isha yoga meditation practitioners before and after a 3-month retreat

    Directory of Open Access Journals (Sweden)

    ClaireBraboszcz

    2013-12-01

    Full Text Available Meditation has lately received considerable interest from cognitive neuroscience. Studies suggest that daily meditation leads to long lasting attentional and neuronal plasticity. We present changes related to the attentional systems before and after a 3 month intensive meditation retreat. We used 3 behavioral psychophysical tests - a Stroop task, an attentional blink task, and a global-local letter task - to assess the effect of Isha yoga meditation on attentional resource allocation. 82 Isha yoga practitioners were tested at the beginning and at the end of the retreat. Our results showed an increase in correct responses specific to incongruent stimuli in the Stroop task. Congruently, a positive correlation between previous meditation experience and accuracy to incongruent Stroop stimuli was also observed at baseline. We also observed a reduction of the attentional blink. Unexpectedly, a negative correlation between previous meditation experience and attentional blink performance at baseline was observed. Regarding spatial attention orientation as assessed using the global-local letter task, participants showed a bias toward local processing. Only slight differences in performance were found pre- vs. post- meditation retreat. Previous meditation experience influenced the Stroop and attentional blink tasks in opposite directions – for the Stroop task congruent with the improvements seen after the retreat whereas for the attentional blink previous experience correlated negatively with performance. Biasing towards the local stimuli in the global-local task and negative correlation of previous meditation experience with attentional blink performance is consistent with Isha practices being more focused-attention practices. Given the relatively small effect sizes and the absence of a control group, our results do not allow clear support nor rejection of the hypothesis of meditation-driven neuronal plasticity in the attentional system for Isha yoga

  6. Characterization of Brazilian mango kernel fat before and after gamma irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Aquino, Fabiana da Silva; Ramos, Clecio Souza, E-mail: fasiaquino@yahoo.com.br, E-mail: clecio@dcm.ufrpe.br [Universidade Federal Rural de Pernambuco (UFRPE), Recife, PE (Brazil); Aquino, Katia Aparecida da Silva, E-mail: aquino@ufpe.br [Universidade Federal de Pernambuco (UFPE), Recife, PE (Brazil)

    2013-07-01

    Mangifera indica Linn (family of Anacardiaceae) is a tree indigenous to India, whose both unripe and ripe fruits (mangoes) are widely used by the local population. After consumption or industrial processing of the fruits, considerable amounts of mango seeds are discarded as waste. The kernel inside the seed represents from 45% to 75% of the seed and about 20% of the whole fruit and lipid composition of mango seed kernels has attracted the attention of researches because of their unique physical and chemical characteristics. Our study showed that fat of the mango kernel obtained by Soxhlet extraction with hexane had a solid consistency at environmental temperature (27 deg C) because it is rich in saturated acid. The fat contents of the seed of Mangifera indica was calculated to 10% and are comparable to the ones for commercial vegetable oils like soybean (11-25%). One problem found in the storage of fast and oils is the attack by microorganisms and the sterilization process becomes necessary. Samples of kernel fat were irradiated with gamma radiation ({sup 60}Co) at room temperature and air atmosphere at 5 and 10 kGy (sterilization doses). The data of GC-MS analysis revealed the presence of four major fatty acids in the sample of mango kernel examined and that the chemical profile of the sample not altered after being irradiated. Moreover, analysis of Proton Nuclear Magnetic Resonance (NMR H{sup 1}) was used to obtain the mango kernel fat parameters before and after gamma irradiation. The data interpretation of RMN H{sup 1} indicated that there are significant differences in the acidity and saponification indexes of fat. However, it was found an increase of 14% in iodine index of fat after irradiation. This result means that some double bonds were formed on the irradiation process of the fat. (author)

  7. Characterization of Brazilian mango kernel fat before and after gamma irradiation

    International Nuclear Information System (INIS)

    Mangifera indica Linn (family of Anacardiaceae) is a tree indigenous to India, whose both unripe and ripe fruits (mangoes) are widely used by the local population. After consumption or industrial processing of the fruits, considerable amounts of mango seeds are discarded as waste. The kernel inside the seed represents from 45% to 75% of the seed and about 20% of the whole fruit and lipid composition of mango seed kernels has attracted the attention of researches because of their unique physical and chemical characteristics. Our study showed that fat of the mango kernel obtained by Soxhlet extraction with hexane had a solid consistency at environmental temperature (27 deg C) because it is rich in saturated acid. The fat contents of the seed of Mangifera indica was calculated to 10% and are comparable to the ones for commercial vegetable oils like soybean (11-25%). One problem found in the storage of fast and oils is the attack by microorganisms and the sterilization process becomes necessary. Samples of kernel fat were irradiated with gamma radiation (60Co) at room temperature and air atmosphere at 5 and 10 kGy (sterilization doses). The data of GC-MS analysis revealed the presence of four major fatty acids in the sample of mango kernel examined and that the chemical profile of the sample not altered after being irradiated. Moreover, analysis of Proton Nuclear Magnetic Resonance (NMR H1) was used to obtain the mango kernel fat parameters before and after gamma irradiation. The data interpretation of RMN H1 indicated that there are significant differences in the acidity and saponification indexes of fat. However, it was found an increase of 14% in iodine index of fat after irradiation. This result means that some double bonds were formed on the irradiation process of the fat. (author)

  8. Sexual behaviour reported by a sample of Italian MSM before and after HIV diagnosis

    Directory of Open Access Journals (Sweden)

    Laura Camoni

    2011-01-01

    Full Text Available In 2006 we conducted a cross-sectional study involving hospital clinical centres in five Italian cities to compare the sexual behaviour of HIV-positive MSM (men who have sex with men before and after the diagnosis of HIV infection. Each centre was asked to enrol 30 HIV-positive persons aged > 18 years. The questionnaire was administered to 143 MSM on average 9 years after HIV diagnosis. After diagnosis there was a decrease in the number of sexual partners: the percentage of persons who reported having had more than 2 partners decreased from 95.8% before diagnosis to 76.2% after diagnosis. After diagnosis, there was a significant decrease in the percentage of persons who had never (or not always used a condom with their stable partner for anal sex from 69.2% before diagnosis to 26.6% after diagnosis and for oral-genital sex from 74.8% before diagnosis to 51.7% after diagnosis. Though at-risk behaviour seems to decrease after diagnosis, seropositive MSM continue to engage in at-risk practices: one fourth of them did not use a condom during sexually transmitted infections (STI episodes, 12.5% of the participants had had sex for money, and 8.4% had paid for sex. The study shows that our sample of Italian HIV-positive MSM, though aware of being infected, engage in sexual behaviours that could sustain transmission of HIV and other STIs. The results could constitute the first step in implementing national prevention programs for persons living with HIV.

  9. Microscopic Structures of Endosperms Before and After Gelatinization in Rice Varieties with Varied Grain Quality

    Institute of Scientific and Technical Information of China (English)

    YANG Ze-min; WANG Wei-jin; LAN Sheng-yin; XU Zhen-xiu; ZHOU Zhu-qing; WANG Meng

    2003-01-01

    The microscopic structures of the endosperm of indica rice varieties with different quality be-fore and after gelatinization were observed using scanning electron microscope. The results showed that the de-gree of gelatinization varied in different parts of the grain and in different varieties under the same experimen-tal conditions. The gelatinization of dorsal side was the most complete. Its cells were decomposed totally intopuff-like or flocculent materials. The ventral side gelatinized less thoroughly, appearing agglomerate and somecell frames were still visible. The middle part gelatinized most incompletely and the cells were still integrated.Evident differences in gelatinization were observed among different varieties, the dorsal, ventral and middleparts of high quality varieties gelatinized more thoroughly than those of the corresponding parts of low qualityvarieties respectively. An obvious concavity often appeared in the middle of the cross-section of the low qualitygrains while the cross-section of high quality grains was normally flat. The same phenomenon was noted whencomparing the early maturing indica rice and the late maturing indica rice. Varietal difference of gelatiniza-tion in dorsal sides was not as distinct as in middle parts and ventral sides. The difference among dorsal side,middle part and ventral side in gelatinization was greater in low quality grains than that of high quality grains.In addition, a lot of ruptured cells were observed in the cross-section of high quality rice, while few of themcould be found in the low quality rice. Apparently, the number of ruptured cells is positively correlated withrice quality. Quality of rice grain also has positive correlation with the rate of water absorption and extension. Highrates of water absorption and extension lead to better gelatinization of rice grain, and hence indicate good quality.

  10. The cost of hospital care in the year before and after parasuicide.

    Science.gov (United States)

    O'Sullivan, M; Lawlor, M; Corcoran, P; Kelleher, M J

    1999-01-01

    This study, based in Ireland in the Limerick centre of the WHO/EURO Multicentre Study of Parasuicide, tests the hypothesis that the uptake of hospital services increases significantly following an act of parasuicide. To investigate this, the costs of hospital attendance in the year before and in the year after an act of parasuicide are measured and compared. The sample is comprised of the first 100 individuals who attended an acute general hospital following an act of parasuicide after July 1, 1995. Using a computerized patient record system, every hospital attendance is identified, for each individual, in the 12 months before and after the parasuicide act. This includes every visit to the Emergency Room as well as both general and psychiatric inpatient admissions and outpatient attendances. There was a 50% increase in the uptake of hospital services--32% of the sample attended hospital in the year before compared with 48% in the year after. The total yearly costs for the 100 patients almost doubled from IR 53,652 Pounds (Euro 68,138) to IR 104,454 Pounds (Euro 132,657). Generalizing to the 539 individuals who engaged in parasuicide in the Limerick catchment area, total costs increased from IR 289,184 Pounds (Euro 367,264) to IR 563,007 Pounds (Euro 715,019). This study is an initial step toward the more complex task of estimating to what extent the increased uptake of hospital services is due to the consequences of parasuicide and how much is due to other aspects of the patient's health. PMID:10680285

  11. Self-Reported Cognitive Outcomes in Patients With Brain Metastases Before and After Radiation Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Cole, Ansa Maer [Department of Radiation Oncology, Medical School Hannover, Hannover (Germany); Scherwath, Angela [Department of Medical Psychology, University Medical Centre Hamburg-Eppendorf, Hamburg (Germany); Ernst, Gundula [Department of Medical Psychology, Medical School Hannover, Hannover (Germany); Lanfermann, Heinrich [Institute for Neuroradiology, Medical School Hannover, Hannover (Germany); Bremer, Michael [Department of Radiation Oncology, Medical School Hannover, Hannover (Germany); Steinmann, Diana, E-mail: steinmann.diana@mh-hannover.de [Department of Radiation Oncology, Medical School Hannover, Hannover (Germany)

    2013-11-15

    Purpose: Patients with brain metastases may experience treatment-related cognitive deficits. In this study, we prospectively assessed the self-reported cognitive abilities of patients with brain metastases from any solid primary cancer before and after irradiation of the brain. Methods and Materials: The treatment group (TG) consisted of adult patients (n=50) with brain metastases who received whole or partial irradiation of the brain without having received prior radiation therapy (RT). The control group (CG) consisted of breast cancer patients (n=27) without cranial involvement who were treated with adjuvant RT. Patients were recruited between May 2008 and December 2010. Self-reported cognitive abilities were acquired before RT and 6 weeks, 3 months, and 6 months after irradiation. The information regarding the neurocognitive status was collected by use of the German questionnaires for self-perceived deficits in attention (FEDA) and subjectively experienced everyday memory performance (FEAG). Results: The baseline data showed a high proportion of self-perceived neurocognitive deficits in both groups. A comparison between the TG and the CG regarding the course of self-reported outcomes after RT showed significant between-group differences for the FEDA scales 2 and 3: fatigue and retardation of daily living activities (P=.002) and decrease in motivation (P=.032) with an increase of attention deficits in the TG, but not in the CG. There was a trend towards significance in FEDA scale 1: distractibility and retardation of mental processes (P=.059) between the TG and the CG. The FEAG assessment presented no significant differences. An additional subgroup analysis within the TG was carried out. FEDA scale 3 showed significant differences in the time-related progress between patients with whole-brain RT and those receiving hypofractionated stereotactic RT (P=.025), with less decrease in motivation in the latter group. Conclusion: Self-reported attention declined in

  12. Gene expression during Drosophila melanogaster egg development before and after reproductive diapause

    Directory of Open Access Journals (Sweden)

    Baker Dean A

    2009-05-01

    Full Text Available Abstract Background Despite the importance of egg development to the female life cycle in Drosophila, global patterns of gene expression have not been examined in detail, primarily due to the difficulty in isolating synchronised developmental stages in sufficient quantities for gene expression profiling. Entry into vitellogenesis is a key stage of oogenesis and by forcing females into reproductive diapause we are able to arrest oogenesis at the pre-vitellogenic stages. Releasing females from diapause allows collection of relatively synchronous developing egg populations and an investigation of some of the transcriptional dynamics apparent before and after reproductive diapause. Results Focusing on gender-biased transcription, we identified mechanisms of egg development suppressed during reproductive dormancy as well as other molecular changes unique to the diapausing female. A microarray based analysis generated a set of 3565 transcripts with at least 2-fold greater expression in females as compared to control males, 1392 such changes were biased during reproductive dormancy. In addition, we also detect 1922 up-regulated transcriptional changes after entry into vitellogenesis, which were classified into discrete blocks of co-expression. We discuss some of the regulatory aspects apparent after re-initiation of egg development, exploring the underlying functions, maternal contribution and evolutionary conservation of co-expression patterns involved in egg production. Conclusion Although much of the work we present is descriptive, fundamental aspects of egg development and gender-biased transcription can be derived from our time-series experiment. We believe that our dataset will facilitate further exploration of the developmental and evolutionary characteristics of oogenesis as well as the nature of reproductive arrest in Drosophila.

  13. Medical student attitudes before and after participation in rural health fairs

    Directory of Open Access Journals (Sweden)

    David C Landy

    2012-01-01

    Full Text Available Background: Despite an increased need, residents of rural communities have decreased access to healthcare and oftenpresentuniquehealthcare challenges associated with their rurality. Ensuring medical students receive adequate exposure to these issues is complicated by the urban location of most medical schools. Health fairs (fairs conducted in rural communities can provide students exposure to ruralhealth;however, it is unknown how participation affects attitudes regarding these issues. Materials and Methods: During the 2010-2011 academic year, first-year medical students were surveyed before and after participating in a rural fair regarding the importance of rural health issues, the need for exposure to rural healthcare, their plans to practice in a rural community,andthe educational impact of fairs. Results : Of the 121participating students, 77% and 61% completed pre- and post-fair surveys, respectively. Few had lived in a rural area or planned to practice primary care. Participants strongly agreed that the delivery of healthcare in rural areas was important, and that all physicians should receive rural health training (4.8 and 3.7 out of 5, respectively despite less than halfplanning to practice in a rural community.After participating in a rural fair, student attitudes were unchanged, although 87% of participants strongly agreed their involvement had contributed to improving patient health and 70% that the fairs provided rural medicine experience. Conclusions : Among urban medical school students with varied interests in primary care, there was strong interest in volunteering at rural fairs and appreciation for the importance of rural health. Fairs provided interested students with rural medicine experience that reinforced student attitudes regarding rural health. Further, students felt their participation improved patient health.

  14. Environmental organic pollutants in human milk before and after weight loss.

    Science.gov (United States)

    Lignell, Sanna; Winkvist, Anna; Bertz, Fredrik; Rasmussen, Kathleen M; Glynn, Anders; Aune, Marie; Brekke, Hilde Kristin

    2016-09-01

    Many persistent organic pollutants (POPs) are banned because they accumulate in organisms and are toxic. Lipophilic POPs are stored in maternal adipose tissue and concentrations in human milk (HM) may increase during weight loss. Our aim was to examine associations between weight loss and concentrations of chlorinated POPs in HM in lactating women participating in a weight loss study. We analysed POPs (PCB 28, PCB 153, HCB, DDE) in HM at 12 and 24 weeks postpartum from 32 women who participated in a randomized, 2 × 2 factorial trial of diet and exercise for postpartum weight loss. Participants donated milk before and after the intervention period. We examined associations between weight loss and change in POP concentrations and estimated the intake of POPs by their breastfed infants. Most (n = 27) women lost weight during intervention, 0.45 ± 0.30 kg/week (mean ± SD). Among these women, the concentration of PCB 153 in HM was significantly (p = 0.04) higher at follow-up than at baseline. Weight loss was significantly positively associated with changes in concentrations of all studied POPs (2.0-2.4% increase per percent weight loss). Estimated mean intakes of POPs (ng/day) remained stable because infant milk consumption decreased during the study period. As infants gained weight, estimated mean intakes per kg body weight decreased 17-22%. Changes in concentrations of POPs in HM correlated positively with maternal weight loss, but it is unlikely that the balance between the benefits and risks of breastfeeding will change if the weight loss is restricted to 0.5 kg per week. PMID:27281542

  15. Diabetes mellitus and impaired glucose tolerance in patients with schizophrenia, before and after antipsychotic treatment

    Directory of Open Access Journals (Sweden)

    Rayees Ahmad Wani

    2015-01-01

    Full Text Available Background: Treatment with antipsychotics increases the risk of developing diabetes in patients of schizophrenia but this diabetogenic potential of different antipsychotics seems to be different. Moreover, there may be an independent link between schizophrenia and diabetes. So we plan to study the prevalence of glucose dysregulation in patients of schizophrenia before and after treatment with various antipsychotics. Materials and Methods: Fifty patients (32 males and 18 females diagnosed with schizophrenia were evaluated for glucose dysregulation using oral glucose tolerance test, initially (drug naive and after antipsychotic treatment. Age- and sex-matched healthy volunteer group of 50 subjects (35 males and 15 females was taken for comparison. Results were interpreted using American Diabetic Association criteria. Results: Though the glycemic status of the patient group was comparable with healthy controls initially but antipsychotic treatment was associated with glucose dysregulation. For first 6 weeks the antipsychotic (olanzapine, risperidone, haloperidol and aripiprazole-induced glucose dysregulation was comparable, which was seen to be maximum with the olanzapine-treated group at the end of this study, 14 weeks. Conclusion: We conclude that antipsychotic treatment of nondiabetic drug naive schizophrenia patients was associated with adverse effects on glucose regulation. For initial 6 weeks the antipsychotic-induced glucose dysregulation was comparable, which was seen to be maximum with olanzapine at the end of study, i.e. 14 weeks. Keeping this at the back of mind we can stabilize a patient initially with a more effective drug, olanzapine, and later on shift to one with less metabolic side effects.

  16. Radiation incidents involving human exposure in the former USSR before and after Chernobyl

    International Nuclear Information System (INIS)

    The Chernobyl accident has changed the people representations on the degree of danger for the person of development of a nuclear power. From more than 384 people involved, from 134 suffered from acute radiation syndrome, from which 28 persons died at the acute period. And what has been happening before and after Chernobyl? Which radiating incidents took place on a territory of former USSR and on which ''background'' Chernobyl consequences are observed? Materials of the Registry of SRSR - Institute of Biophysics (IBP), which clinical department has provided medical assistance, observation and treatment in the majority of victims damaged at radiating incidents on a territory of former USSR, certifies that at least 147 radiating incidents have taken place for a period from 1950 to 1996 (excluding South Urals accidents, nuclear submarine accidents and consequences of nuclear explosions). More than 776 individuals were exposed in these incidents. It is authentically known, that at least 393 of them were observed with clinical symptoms of acute radiation injury, local radiation damages or their combinations, and 57 patients died during acute period of radiation injury and about half of given statistics are on the Chernobyl accident. More than half the cases (79 of 147) were connected to radioisotope devices and their sources of radiations. In the last three decades small fluctuations of frequency of radiating incidents, on the average are observed: about 3-4 cases in a year (maximum 9, 1971) from which, only 1-2 with two and more damaged and about one case in two years with fatal outcomes at the acute period. Quantity of victims with clinical symptoms makes on the average 5-6 in a year, and with fatal outcome - on the average less than one case in a year before Chernobyl accident and only three cases for 10-year period after Chernobyl

  17. Parkinsonism and AIDS: a clinical comparative study before and after HAART

    Directory of Open Access Journals (Sweden)

    Ana Lucia Zuma de Rosso

    2009-09-01

    Full Text Available In 2002, after analyzing 28 HIV-positive patients with movement disorders we emphasized the decreasing not only of Parkinsonism but also of other involuntary movements in HIV patients in the last few years. The objective of this study is to compare the clinical results between HIV-positive patients with Parkinsonism before and after HAART. In 14 years (1986-1999 2,460 HIV-positive patients were seen in our Hospital 14 (0.6% of which presented with Parkinsonism. Eight years after (2000-2007 970 HIV positive patients were seen and only two (0.2% had Parkinsonism. We conclude that after the introduction of HAART there was an evident decrease in AIDS-related Parkinsonism.No ano de 2002, após analisarmos 28 pacientes HIV-positivos que apresentavam distúrbios do movimento, enfatizamos o declínio, não só do parkinsonismo, como também de outros movimentos involuntários em pacientes infectados pelo HIV nos últimos anos. O objetivo deste estudo é comparar os resultados clínicos entre pacientes HIV-positivos com parkinsonismo antes e depois da introdução do esquema HAART. Em 14 anos (1986-1999, 2.460 pacientes HIV-positivos foram avaliados em nosso Hospital dos quais 14 (0,6% apresentaram parkinsonismo. Nos oito anos seguintes (2000-2007, 970 pacientes HIV-positivos foram avaliados e somente dois (0,2% tinham parkinsonismo. Concluímos que após a introdução do esquema HAART houve evidente declínio do parkinsonismo secundário à AIDS.

  18. Structural investigation of the spinel phase formed in fuel CRUD before and after zinc injection

    International Nuclear Information System (INIS)

    Spinel phase is an important constituent of fuel CRUD. Since it can accommodate 60Co in its crystal structure, its stability in reactor water environment is crucial for the radioactivity control in LWR plants. With increasing curiosity about zinc injection technology, the mechanism of the interaction of zinc with the spinel has drawn much attention. This paper describes the crystal and microstructures of spinel phase in the fuel CRUD collected on four fuel rods of 1- and 5-cycle, respectively, from Barsebaeck 2 BWR before and after zinc injection operation. High precision X-ray powder diffraction technique has been applied to identify the phase compositions of fuel CRUD and to measure the cell length of the spinel phase formed. The results show that, after about 1-cycle zinc injection operation, the tenacious CRUD formed on the fresh fuel rod contains defective zinc oxide, in addition to hematite and spinel as commonly seen. Moreover, the phase ratio of spinel to hematite is much increased. The cell length of the spinel is increased accordingly, which is the direct evidence for the presence of zinc in the spinel structure. For the 5-cycle rod, however, neither zinc oxide nor any change in the phase ratio has been detected. The cell length of the spinel has been increased, in a less degree, however, as compared to that for the 1-cycle rod. The cell lengths of spinel are similar in both tenacious and loose CRUD layers, indicating that zinc was able to easily penetrate through the tenacious CRUD layer. (authors)

  19. Bioimpedance spectroscopy for assessment of volume status in patients before and after general anaesthesia.

    Directory of Open Access Journals (Sweden)

    Matthäus Ernstbrunner

    Full Text Available BACKGROUND: Technically assisted assessment of volume status before surgery may be useful to direct intraoperative fluid administration. We therefore tested a recently developed whole-body bioimpedance spectroscopy device to determine pre- to postoperative fluid distribution. METHODS: Using a three-compartment physiologic tissue model, the body composition monitor (BCM, Fresenius Medical Care, Germany measures total body fluid volume, extracellular volume, intracellular volume and fluid overload as surplus or deficit of 'normal' extracellular volume. BCM-measurements were performed before and after standardized general anaesthesia for gynaecological procedures (laparotomies, laparoscopies and vaginal surgeries. BCM results were blinded to the attending anaesthesiologist and data analysed using the 2-sided, paired Student's t-test and multiple linear regression. RESULTS: In 71 females aged 45 ± 15 years with body weight 67 ± 13 kg and Duration of anesthesia 154 ± 69 minutes [corrected] duration of anaesthesia 154 ± 68 min, pre- to postoperative fluid overload increased from -0.7 ± 1.1 L to 0.1 ± 1.0 L, corresponding to -5.1 ± 7.5% and 0.8 ± 6.7% of normal extracellular volume, respectively (both p<0.001, after patients had received 1.9 ± 0.9 L intravenous crystalloid fluid. Perioperative urinary excretion was 0.3 ± 0.2 L [corrected]. The increase in extracellular volume was paralleled by an increase in total body fluid volume, while intracellular volume increased only slightly and without reaching statistical significance (p = 0.15. Net perioperative fluid balance (administered fluid volume minus urinary excretion was significantly associated with change in extracellular volume (r(2 = 0.65, but was not associated with change in intracellular volume (r(2 = 0.01. CONCLUSIONS: Routine intraoperative fluid administration results in a significant, and clinically meaningful increase in the extracellular compartment. BCM-measurements yielded

  20. Prospective Study on Salivary Evening Melatonin and Sleep before and after Pinealectomy in Humans.

    Science.gov (United States)

    Slawik, Helen; Stoffel, Michael; Riedl, Lina; Veselý, Zdenko; Behr, Michael; Lehmberg, Jens; Pohl, Corina; Meyer, Bernhard; Wiegand, Michael; Krieg, Sandro M

    2016-02-01

    Melatonin is secreted systemically from the pineal gland maximally at night but is also produced locally in many tissues. Its chronobiological function is mainly exerted by pineal melatonin. It is a feedback regulator of the main circadian pacemaker in the hypothalamic suprachiasmatic nuclei and of many peripheral oscillators. Although exogenous melatonin is approved for circadian rhythm sleep disorders and old-age insomnia, research on endogenous melatonin in humans is hindered by the great interindividual variability of its amount and circadian rhythm. Single case studies on pinealectomized patients report on disrupted but also hypersomnic sleep. This is the first systematic prospective report on sleep with respect to pinealectomy due to pinealocytoma World Health Organization grade I without chemo- or radiotherapy. Before and after pinealectomy, 8 patients completed questionnaires on sleep quality and circadian rhythm (Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, and Morningness-Eveningness Questionnaire), 2 nights of polysomnography, salivary evening melatonin profiles, and qualitative assessment of 2 weeks of actigraphy and sleep logs. Six patients were assessed retrospectively up to 4 years after pinealectomy. Before pinealectomy, all but 1 patient showed an evening melatonin rise typical for indifferent chronotypes. After pinealectomy, evening saliva melatonin was markedly diminished, mostly below the detection limit of the assay (0.09 pg/mL). No systematic change in subjective sleep quality or standard measures of polysomnography was found. Mean pre- and postoperative sleep efficiency was 94% and 95%, and mean sleep-onset latency was 21 and 17 min, respectively. Sleep-wake rhythm during normal daily life did not change. Retrospective patients had a reduced sleep efficiency (90%) and more stage changes, although this was not significantly different from prospective patients. In conclusion, melatonin does seem to have a modulatory, not a

  1. Disparities in colorectal cancer in African-Americans vs Whites: Before and after diagnosis

    Institute of Scientific and Technical Information of China (English)

    Anastasios Dimou; Kostas N Syrigos; Muhammad Wasif Saif

    2009-01-01

    There are differences between African-American and white patients with colorectal cancer, concerning their characteristics before and after diagnosis. Whites are more likely to adhere to screening guidelines. This is also the case among people with positive family history. Colorectal cancer is more frequent in Blacks. Studies have shown that that since 1985, colon cancer rates have dipped 20% to 25% for Whites, while rates have gone up for African-American men and stayed the same for African-American women. Overall, African-Americans are 38% to 43% more likely to die from colon cancer than are Whites. Furthermore, it seems that there is an African-American predominance in right-sited tumors. African Americans tend to be diagnosed at a later stage, to suffer from better differentiated tumors, and to have worse prognosis when compared with Whites. Moreover, less black patients receive adjuvant chemotherapy for resectable colorectal cancer or radiation therapy for rectal cancer. Caucasians seem to respond better to standard chemotherapy regimens than African- Americans. Concerning toxicity, it appears that patients of African-American descent are more likely to develop 5-FU toxicity than Whites, possibly because of their different dihydropyridine dehydrogenase status. Last but not least, screening surveillance seems to be higher among white than among black long-term colorectal cancer survivors. Socioeconomic and educational status account for most of these differences whereas little evidence exists for a genetic contribution in racial disparity. Understanding the nature of racial differences in colorectal cancer allows tailoring of screening and treatment interventions.

  2. Changes in angiotensin II receptor bindings in the hen neurohypophysis before and after oviposition.

    Science.gov (United States)

    Takahashi, T; Nozaki, Y; Nakagawa-Mizuyachi, K; Nakayama, H; Kawashima, M

    2011-11-01

    The present study was performed to elucidate whether the angiotensin II (ANG II) receptor exists in the plasma membrane fraction of the neurohypophysis in hens, to estimate the time of action of ANG II on the neurohypophysis before and after oviposition, and to examine relationships between the action of ANG II on the neurohypophysis and those of estrogen and prostaglandin F(2α) (PGF(2α)) in relation to arginine vasotocin (AVT) release. The specific binding had a binding specificity to chicken ANG II (cANG II), reversibility, and saturation in the [(125)I]cANG II binding assay. Scatchard analysis revealed that the binding sites are of a single class. The equilibrium dissociation constant (K(d)) obtained by kinetic analysis and Scatchard analysis suggested a high affinity, and the maximum binding capacity (B(max)) obtained by Scatchard analysis suggested a limited capacity. These results suggest that an ANG II receptor exists in the neurohypophysis of hens. The K(d) and the B(max) value was significantly smaller in laying hens than in nonlaying hens, which suggests that bindings of the cANG II receptor change, depending on the difference in laying condition. Values of the K(d) and the B(max) decreased approximately 15 min before oviposition in laying hens, and decreased 1 h after an intramuscular injection of estradiol-17β and 5 min after an intravenous injection of cANG II in nonlaying hens. The amount of specific binding of PGF(2α) receptor in the neurohypophysis also decreased and AVT concentration in blood increased after the cANG II injection. It seems likely that the action of cANG II in the neurohypophysis increases due to the effect of estrogen approximately 15 min before oviposition, and the cANG II action stimulates AVT release through the increase in the PGF(2α) action in this tissue. PMID:22010242

  3. Green tea catechins and their metabolites in human skin before and after exposure to ultraviolet radiation.

    Science.gov (United States)

    Clarke, Kayleigh A; Dew, Tristan P; Watson, Rachel E B; Farrar, Mark D; Osman, Joanne E; Nicolaou, Anna; Rhodes, Lesley E; Williamson, Gary

    2016-01-01

    Dietary flavonoids may protect against sunburn inflammation in skin. Preliminary reports using less complete analysis suggest that certain catechins and their metabolites are found in skin biopsies and blister fluid after consumption of green tea; however, it is not known if they are affected by solar-simulated ultraviolet radiation (UVR) or whether conjugated forms, with consequently altered bioactivity, are present. The present study tested the hypothesis that UVR affects the catechin levels in the skin of healthy volunteers after consumption of green tea and how catechins in the plasma are related to their presence in skin tissue samples. In an open oral intervention study, 11 subjects consumed green tea and vitamin C supplements daily for 3months. Presupplementation and postsupplementation plasma samples, suction blister fluid and skin biopsies were collected; the latter two samples were collected both before and after UVR. A sensitive high-performance liquid chromatography/mass spectrometric assay was used to measure the intact catechin metabolites, conjugates and free forms. Seven green tea catechins and their corresponding metabolites were identified postsupplementation in skin biopsies, 20 in blister fluid and 26 in plasma, with 15 green tea catechin metabolites present in both blister fluid and plasma. The valerolactone, O-methyl-M4-O-sulfate, a gut microbiota metabolite of catechins, was significantly increased 1.6-fold by UVR in blister fluid samples. In conclusion, there were some common catechin metabolites in the plasma and blister fluid, and the concentration was always higher in plasma. The results suggest that green tea catechins and metabolites are bioavailable in skin and provide a novel link between catechin metabolites derived from the skin and gut microbiota. PMID:26454512

  4. Myocardial perfusion assessed by dynamic computed tomography before and after percutaneous transluminal coronary angioplasty

    Energy Technology Data Exchange (ETDEWEB)

    Mori, Takao; Takeuchi, Motoshi; Igarashi, Yuichiro and others

    1987-12-01

    A method for quantitatively and visually assessing myocardial perfusion using a new transmission computed tomography scanner and contrast media injection was devised. Myocardial perfusion was assessed before and after percutaneous transluminal coronary angioplasty (PTCA). Six patients with left anterior descending coronary artery stenosis undergoing PTCA were successfully studied. Cardiac outputs calculated from the ventricular curves of the ROIs in the left ventricular cavity correlated well with the thermodilution measurements using Swan-Ganz catheters (r = 0.90, p < 0.01). The ratios of myocardial blood flow (F) to the tissue element volume (V) were calculated (F/V) from the myocardial curves of the ROIs in the myocardium as parameters of myocardial perfusion, according to the Zierler's principle. The F/Vs in the myocardium perfused by the left anterior descending coronary artery before PTCA were significantly less than those of the control subjects (4.4 x 10/sup -2/ +- 1.2 x 10/sup -2/ vs 8.1 x 10/sup -2/ +- 2.9 x 10/sup -2/: p < 0.05). After PTCA, the F/Vs improved significantly (7.7 x 10/sup -2/ +- 2.0 x 10/sup -2/), but even after PTCA, the F/Vs in three patients with old myocardial infarction were lower than those of three without myocardial infarction (9.1 x 10/sup -2/ +- 1.3 x 10/sup -2/ vs 6.4 x 10/sup -2/ +- 1.6 x 10/sup -2/), suggesting that myocardial infarction may have a decreased vascular bed. For visual assessment, functional images were synthesized by deriving a functional parameter for blood flow (PH/M1E) from the gammavariate fitted time density curves for each pixel. In all patients, before PTCA, decreased myocardial perfusion was imaged as dark pixels. After PTCA, myocardial perfusion improved in all patients, but decreased perfusion was still observed in some. (J.P.N.).

  5. Immune dysfunction in patients with obstructive jaundice before and after endoscopic retrograde cholangiopancreatography.

    Science.gov (United States)

    Chowdhury, Abeed H; Camara, Miguel; Martinez-Pomares, Luisa; Zaitoun, Abed M; Eremin, Oleg; Aithal, Guruprasad P; Lobo, Dileep N

    2016-09-01

    This prospective observational study investigated monocyte cytokine responses to lipopolysaccharide (LPS) in patients with obstructive jaundice (OJ) before and after endoscopic biliary drainage. Dendritic cell (DC) subsets and their expression of co-stimulatory molecules were also studied. Forty patients with OJ and ten non-jaundiced patients with normal gastroscopy findings were recruited. Ten healthy volunteers provided control blood samples for immunological assays. Patients with OJ had blood and duodenal mucosa sampled at the time of endoscopic retrograde cholangiopancreatography (ERCP) and further blood sampled during the recovery phase. Monocyte cytokine responses to LPS, DC subsets and co-stimulatory molecule expression were compared with controls. Duodenal morphology and occludin expression were also assessed. Monocytes obtained before ERCP from jaundiced patients demonstrated reduced cytokine responses to endotoxin compared with controls (IL-1β: 2678 compared with 4631 pg/ml, P=0.04 and IL-6: 3442 compared with 6157 pg/ml, P=0.002). Monocytes from patients with malignancy had poorer responses to endotoxin than from those with benign OJ (IL-1β: 2025 compared with 3332 pg/ml, P=0.001). After ERCP, the secretion of inflammatory cytokines by monocytes obtained from jaundiced patients increased (IL-1β: 2150 compared with 2520 pg/ml, P=0.03 and IL-6: 2488 compared with 3250 pg/ml, P=0.01). Occludin expression (85 compared with 95%, P=0.004) and mean duodenal villus height (334 compared with 404 μm, P=0.03) were lower in jaundiced patients. Before biliary drainage, patients with OJ had a higher percentage of myeloid dendritic cells (mDCs) and greater mDC expression of CD40 (P=0.04) and CD86 (P=0.04). Monocytes from patients with OJ had lower proinflammatory cytokine secretion in response to LPS, an effect reversed following biliary drainage. PMID:27252406

  6. Self-Reported Cognitive Outcomes in Patients With Brain Metastases Before and After Radiation Therapy

    International Nuclear Information System (INIS)

    Purpose: Patients with brain metastases may experience treatment-related cognitive deficits. In this study, we prospectively assessed the self-reported cognitive abilities of patients with brain metastases from any solid primary cancer before and after irradiation of the brain. Methods and Materials: The treatment group (TG) consisted of adult patients (n=50) with brain metastases who received whole or partial irradiation of the brain without having received prior radiation therapy (RT). The control group (CG) consisted of breast cancer patients (n=27) without cranial involvement who were treated with adjuvant RT. Patients were recruited between May 2008 and December 2010. Self-reported cognitive abilities were acquired before RT and 6 weeks, 3 months, and 6 months after irradiation. The information regarding the neurocognitive status was collected by use of the German questionnaires for self-perceived deficits in attention (FEDA) and subjectively experienced everyday memory performance (FEAG). Results: The baseline data showed a high proportion of self-perceived neurocognitive deficits in both groups. A comparison between the TG and the CG regarding the course of self-reported outcomes after RT showed significant between-group differences for the FEDA scales 2 and 3: fatigue and retardation of daily living activities (P=.002) and decrease in motivation (P=.032) with an increase of attention deficits in the TG, but not in the CG. There was a trend towards significance in FEDA scale 1: distractibility and retardation of mental processes (P=.059) between the TG and the CG. The FEAG assessment presented no significant differences. An additional subgroup analysis within the TG was carried out. FEDA scale 3 showed significant differences in the time-related progress between patients with whole-brain RT and those receiving hypofractionated stereotactic RT (P=.025), with less decrease in motivation in the latter group. Conclusion: Self-reported attention declined in

  7. Cerebral metabolic changes in cirrhotic patients before and after liver transplantation: a MR spectroscopy study

    International Nuclear Information System (INIS)

    Objective: To quantitatively evaluate the metabolic changes in posterior cingulated cortex and left basal ganglia in patients with liver cirrhosis before and after liver Transplantation (LT). Methods: A total of 22 controls and 37 cirrhotic patients listed for LT were enrolled in the study. Brain. MRS (PRESS sequence) and neuropsychological (NP) tests were performed in all subjects. Eighteen patients were followed up at 1 month and 3 month after LT. The NP parameters including number connection test-A (NCT-A), digital symbol test (DST) and symbol digital test (SDT) were measured. MRS metabolic contents were measured automatically at posterior cingulate cortex (PCC) and left basal ganglia (LBG). Independent t-test was used to compare the parameters of NP test and MRS metabolites between the 2 groups, The changes of the parameters before and after LT were compared using analysis of variance. Pearson correlation test was also used to analysis the relationship between NP test parameters and MRS metabolites. Results: (1) Before LT, significant difference of metabolites was found in the PCC between the two groups [NAA/Cr (1.96±0.21, 1.73±0.12), Cho/Cr (0.65±0.12, 0.83±0.09), ml/Cr (0.41± 0.14, 0.72±0.11), Glx/Cr (2.37±0.38, 1.92±0.32) (t=-5.42, 5.96, 8.62, -4.72, P<0.01)]. And statistical significance also were found in LBG between the 2 groups [Cho/Cr (0.63±0.16, 0.77± 0.10), ml/Cr (0.38±0.17, 0.53±0.21), Glx/Cr (1.70±0.36, 1.29±0.30), (t=3.64, 3.07, -4.58, P<0.01)]. (2) Compared with controls, the patients before LT had longer NCT-A reaction time [(58.17±19.12) s, (37.68±8.02) s, t=4.14, P<0.01], lower scores of DST (36.67±9.91, 55.36± 9.27, t=4.60, P<0.01) and SDT (31.67±9.49, 50.73±8.34, t=4.652, P<0.01) before LT. All the scores of NP tests changed significantly at 1 and 3 month after LT compared with those before LT [NCT-A (53.06±12.71) s, (35.72±5.20) s, F=33.554, P<0.01], DST (41.89±8.17, 54.39±5.69, F= 85.772, P<0.01), SDT (37.44±7

  8. Engaging life in two Irish nursing home units for people with dementia: Quantitative comparisons before and after implementing household environments.

    LENUS (Irish Health Repository)

    Morgan-Brown, Mark

    2012-09-03

    Objectives: This study compares the Social Engagement and Interactive Occupation of residents with dementia in two Irish nursing homes, before and after conversion to a household model environment. The changes were an open plan design and a functioning unit kitchen, supported by a homemaker role and operational policies which reduced task-based work in favour of person-centred care offering choice. Method: A snapshot observation method was used to obtain quantitative data of resident activity using the Assessment Tool for Occupation and Social Engagement (ATOSE). Residents were assessed for four hours, on seven different weekdays, over a six-week period both pre- and post-renovation. The exception to this was the assessment of the traditional model unit (TMU) for Nursing Home 1 which was reduced to four days due to the early start of the building work. Results: The results were consistent for both nursing homes and data were aggregated. Residents spent more time in the communal living spaces and were more likely to be active and engaged in the household model units (HMUs) compared to the TMUs. Using the independent t-test, these changes were found to be highly significant (p < 0.001). Conclusion: Creating an HMU increased the Interactive Occupation and Social Engagement of residents in the communal areas of the two nursing homes. The physical environment change, in conjunction with supportive staff procedures and organizational initiatives, improved the well-being of residents with dementia. The outcomes must be viewed in context with financial implications.

  9. Assessment of patients with diffuse pigmented Villonodular Synovitis of Knee before and after radio-synovectomy

    International Nuclear Information System (INIS)

    Full text of publication follows. Aim: the aim of this study was to evaluate subjective and objective findings of patients with diffuse pigmented villonodular synovitis (DPVNS) of knee before and after treatment with Yttrium-90 (Y-90) radio-synovectomy. Materials and methods: between years 2005 and 2013, 23 patients, 15 female and 8 male, who had adjuvant radio-synovectomy after arthroscopic surgery were included to our study. 5 mCi of Y-90 radiocolloid was administered under local anesthesia at least 6 weeks after arthroscopic surgery. The patients were reevaluated 6 months after radio-synovectomy. All the patients were assigned a Lysholm knee score prior to surgery, prior to radio-synovectomy and 6 months after radio-synovectomy. Lysholm score was calculated according to patients' pain, swelling, instability, locking, limping, support, climbing the stairs, squatting and the highest evaluation score was 100. In addition modified Marshall scoring system was calculated according to objective and subjective findings of the patients prior to surgery and six months after radio-synovectomy. The highest evaluation score was 30 in modified Marshall scoring system where 19 points were provided by objective findings and 11 points were provided by subjective findings. Scores higher than 26 were defined as very good, between 21-25 was good, between 16-20 was medium, and values less than 16 points are considered to be poor. The obtained points using scoring systems were evaluated statistically. Results: the mean age was (31.7 ± 13.2) years. The average time period between the operation and radio-synovectomy was (12.8 ± 8.14) weeks. The calculated Lysholm scores prior to surgery, prior to radio-synovectomy and 6 months after radio-synovectomy were (38.8 ± 4.1), (60.0 ± 4.4) and (82.9 ± 6.5), respectively (p <0.001). Modified Marshall scores prior to surgery, and 6 months after radio-synovectomy, was (12.4 ± 2.7) and (25.5 ± 3.1) respectively (p <0.001). Conclusion

  10. First experience of brain tumour scintigraphy with 99mTc-MIBI before and after surgery

    International Nuclear Information System (INIS)

    Full text: Morphological imaging techniques like computed tomography and magnetic resonance imaging are routinely used to localize tumours. However, their use for prediction of histopathological diagnosis and tumour changes after treatment is difficult. Functional imaging using positron emission tomography and single photon emission computed tomography (SPECT) were introduced as non-invasive methods for the differentiation and evaluation of brain tumours, especially for their follow-up. The purpose of present study was to investigate the uptake of 99mTc-MIBI in case of malignant brain tumours before and after surgery. 25 patients (13 males and 12 females; age range 21-75 years; average age 48.76±17.25 years) with brain tumours were investigated. The histological diagnoses of the tumours were confirmed from surgical specimens. None of the patients had received any treatment before enrolment for the study. 99mTc-MIBI brain SPECT was performed 3.88±2.85 days before surgery and 9.88±2.24 days after surgery in all cases. SPECT scans were acquired in 64 projections over 360 deg. using a dual-head gamma camera (Siemens E.Cam) coupled with low energy collimator, 15 minutes after intravenous injection of 550 MBq 99mTc-MIBI. Data were recorded in a 64x64 matrix at a zoom factor of 1.78. SPECT images were reconstructed and analysed in the transversal, axial and coronal planes. The study results are presented in the table. Of the 25 tumors, only 19, majority glioblastoma (11) showed avid uptake in the pre- surgery scan. Tumors, II0 astrocytoma (1), oligoasrtrocytoma (1), III0 astrocytoma (3) were missed in the pre surgery scan. Comparison of pre- and postoperative images showed the reduction of 99mTc-MIBI uptake post-operatively except in one case of gliosarcoma where the uptake increased after surgery. In one case of III deg. astrocytoma the 99mTc-MIBI uptakes was observed only after the surgery. All post-operative images showed more intensive uptake in the scalp (zone of

  11. Depression and anxiety before and after percutaneous coronary intervention and their relationship to age

    Institute of Scientific and Technical Information of China (English)

    Zhiyong Zhao; Jing Luo; Jianmei Wang; Yan Su

    2008-01-01

    Percutaneous coronary intervention (PCI) is becoming a common practice in the treatment of patients with coronary heart disease (CHD) of all age.Depression is considered to be a risk factor for the development of CHD and deteriorates the outcome after cardiac rehabilitation efforts.The aim of our study was to evaluate the presence of clinically relevant anxiety and depression in patients before and after PCI.Additionally we evaluated their relationship to age because of the increasing number of elderly patients undergoing PCI.Methods One hundred and twelve consecutive patients in three Sanatoria for Retired Cadres in Beijing who underwent PCI were asked to fill in the Hospital Anxiety and Depression Scale (HADS) to measure depression and anxiety scores two days before and ten days after PCI.Differences between these pre- and post-surgical scores were then calculated as means for changes,and the amount of elevated scores was appraised,in order to investigate the relationship between age and anxiety and depression,respectively,Spearman correlations between age and the difference scores were calculated.In addition,ANOVA procedures with the factor "age group" and McNemar tests were calculated.Results 25.8% of the patients were clinically depressed before and 17.5% after PCI;34.0% of the patients were clinically anxious before and 24.7% after PCI.This overall change is not significant.We found a significant negative correlation between age and the difference between the two time points for anxiety (Spearman rho = -.218,P = 0.03),but not for depression (Spearman rho = -.128,P = 0.21).ANOVA and McNemar tests revealed that anxiety scores and the number of patients high in anxiety declined statistically meaningful only in the youngest patient group.Such a relationship could not be found for depression.Conclusions Our data show a relationship between age and anxiety.Younger patients are more anxious before PCI than older ones and show a decline in symptoms while elderly

  12. Analysis of diaphragmatic movement before and after pulmonary rehabilitation using fluoroscopy imaging in patients with COPD

    Directory of Open Access Journals (Sweden)

    Chun EM

    2015-01-01

    Full Text Available Eun Mi Chun,1 Soo Jeong Han,2 Hitesh N Modi3 1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul, Republic of Korea; 2Rehabilitation Medicine, Ewha Womans University School of Medicine, Seoul, Republic of Korea; 3Scoliosis Research Institute, Department of Orthopedics, Korea University Guro Hospital, Seoul, Republic of Korea Background: The diaphragm is the principal inspiratory muscle. The purpose of this study was to assess improvements in diaphragmatic movement before and after pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD, using a fluoroscopy-guided chest X-ray.Patients and methods: Among 117 patients with COPD receiving pulmonary rehabilitation who underwent the initial fluoroscopy-guided chest X-ray and pulmonary function test, 37 of those patients who underwent both initial and follow-up fluoroscopy and pulmonary function tests were enrolled in this study. After hospital education, participants received pulmonary rehabilitation through regular home-based training for at least 3 months by the same physiatrist. We assessed the changes in diaphragm area with fluoroscopy-guided posteroanterior chest X-rays between pre- and postpulmonary rehabilitation. To minimize radiation hazards for subjects, the exposure time for fluoroscopy to take chest X-rays was limited to less than 5 seconds.Results: There were significant improvements (2,022.8±1,548.3 mm² to 3,010.7±1,495.6 mm² and 2,382.4±1,475.9 mm² to 3,315.9±1,883.5 mm²; right side P=0.001 and left side P=0.019, respectively in diaphragmatic motion area during full inspiration and expiration in both lungs after pulmonary rehabilitation. Pulmonary function tests showed no statistically significant difference between pre- and postpulmonary rehabilitation.Conclusion: The study suggests that the strategy to assess diaphragm movement using fluoroscopy is a relatively effective tool for the evaluation of pulmonary

  13. Ghrelin and gastrin in advanced gastric cancer before and after gastrectomy

    Institute of Scientific and Technical Information of China (English)

    Anna Zub-Pokrowiecka; Kazimierz Rembiasz; Peter C Konturek; Andrzej Budzyński; Stanis(l)aw J Konturek; Marek Winiarski; W(l)adys(l)aw Bielański

    2011-01-01

    AIM: To investigate plasma ghrelin, gastrin and growth hormone secretagogue receptor (GHS-R) expression in advanced gastric cancer (GC) before and after resection. METHODS: Seventy subjects in whom endoscopy of the upper gastrointestinal tract was performed in the Department of General Surgery at Cracow University during the past decade: (1) 25 patients with GC associated with Helicobacter pylori (H. pylori ) infection; (2) 10 patients with GC 4-5 years after (total or subtotal) gastrectomy; (3) 25 healthy H. pylori -negative controls, matched by age and BMI to the above two groups; and (4) 10 GC patients 4-5 years after total gastrectomy. Ghrelin and gastrin plasma concentrations were measured by specific radioimmunoassay under fasting conditions and postprandially at 60 and 90 min after ingestion of a mixed meal. GHS-R expression was examined in biopsy samples from intact healthy mucosa and GC tissue using semi-quantitative reverse transcriptionpolymerase chain reaction. RESULTS: In healthy controls, fasting plasma ghrelin levels were significantly elevated and declined markedly at 60 and 90 min after a mixed meal. The concomitant enhanced ghrelin, GHS-R and gastrin expression in GC tissue over that recorded in intact mucosa, and the marked rise in plasma gastrin in these subjects under fasting conditions indicate the role of these hormonal factors in GC formation. Fasting plasma levels and postprandial response of ghrelin and gastrin appear to be inversely correlated in healthy subjects. Feeding in the controls resulted in a significant fall in plasma ghrelin with a subsequent rise in plasma gastrin, but in H. pylori -positive GC patients submitted to total or distal gastrectomy, feeding failed to affect significantly the fall in plasma ghrelin that was recorded in these patients before surgery. Fasting ghrelin concentrations were significantly lower in patients 4-5 years after total gastrectomy compared to those in healthy controls and to these in GC patients

  14. Single photon emission computed tomography (SPECT of anxiety disorders before and after treatment with citalopram

    Directory of Open Access Journals (Sweden)

    Seedat Soraya

    2004-10-01

    Full Text Available Abstract Background Several studies have now examined the effects of selective serotonin reuptake inhibitor (SSRI treatment on brain function in a variety of anxiety disorders including obsessive-compulsive disorder (OCD, posttraumatic stress disorder (PTSD, and social anxiety disorder (social phobia (SAD. Regional changes in cerebral perfusion following SSRI treatment have been shown for all three disorders. The orbitofrontal cortex (OFC (OCD, caudate (OCD, medial pre-frontal/cingulate (OCD, SAD, PTSD, temporal (OCD, SAD, PTSD and, thalamic regions (OCD, SAD are some of those implicated. Some data also suggests that higher perfusion pre-treatment in the anterior cingulate (PTSD, OFC, caudate (OCD and antero-lateral temporal region (SAD predicts subsequent treatment response. This paper further examines the notion of overlap in the neurocircuitry of treatment and indeed treatment response across anxiety disorders with SSRI treatment. Methods Single photon emission computed tomography (SPECT using Tc-99 m HMPAO to assess brain perfusion was performed on subjects with OCD, PTSD, and SAD before and after 8 weeks (SAD and 12 weeks (OCD and PTSD treatment with the SSRI citalopram. Statistical parametric mapping (SPM was used to compare scans (pre- vs post-medication, and responders vs non-responders in the combined group of subjects. Results Citalopram treatment resulted in significant deactivation (p = 0.001 for the entire group in the superior (t = 4.78 and anterior (t = 4.04 cingulate, right thalamus (t = 4.66 and left hippocampus (t = 3.96. Deactivation (p = 0.001 within the left precentral (t = 4.26, right mid-frontal (t = 4.03, right inferior frontal (t = 3.99, left prefrontal (3.81 and right precuneus (t= 3.85 was more marked in treatment responders. No pattern of baseline activation distinguished responders from non-responders to subsequent pharmacotherapy. Conclusions Although each of the anxiety disorders may be mediated by different

  15. Functional imaging of parotid glands: Diffusion-weighted echo-planar MRI before and after stimulation

    Energy Technology Data Exchange (ETDEWEB)

    Habermann, C.R.; Cramer, M.C.; Gossrau, P.; Adam, G. [University Hospital Hamburg-Eppendorf (Germany). Department of Diagnostic and Interventional Radiology; Graessner, J. [Siemens AG, Hamburg (Germany). Medical Solutions; Reitmeier, F.; Jaehne, M. [University Hospital Hamburg-Eppendorf (Germany). Department of Oto-, Rhino-, Laryngology; Fiehler, J. [University Hospital Hamburg-Eppendorf (Germany). Department of Neuroradiology; Schoder, V. [University Hospital Hamburg-Eppendorf (Germany). Institute for Medical Biometry and Epidemiology

    2004-10-01

    Purpose: To investigate the feasibility of diffusion-weighted (DW) echo-planar imaging (EPI) for measuring different functional conditions of the parotid gland and to compare different measurement approaches. Materials and Methods: Parotid glands of 27 healthy volunteers were examined with a DW EPI sequence (TR 1,500 msec, TE 77 msec, field-of-view 250 x 250 mm, pixel size 2.10 x 1.95 mm, section thickness 5 mm) before and after oral stimulation with commercially available lemon juice. The b factors used were 0, 500, and 1,000 sec/mm{sup 2}. Apparent diffusion coefficient (ADC) maps were digitally transferred to MRIcro (Chris Rorden, University of Nottingham, Great Britain) and evaluated with a manually placed circular region of interest (ROI) containing 100-200 pixel. Additional ROIs including the entire parotid gland were placed on either side. The results of both measurements were compared, using the Student's t test based on the median ADC values for each person. A two-tailed p-value of less than.05 was determined to indicate statistical significance. To compare both measurement approaches, the Pearson's correlation coefficient (r) was calculated. Results: Diffusion-weighted echo-planar MR imaging successfully visualized the parotid gland of all volunteers. In a first step, the median ADC value per person was computed. Using ROIs of 100-200 pixels, the mean was calculated to be 1.08 x 10{sup -3} mm{sup 2}/sec{+-}0.12 x 10{sup -3} mm{sup 2}/sec for both parotid glands prior to simulation. After stimulation, the mean ADC was measured at 1.15 x 10{sup -3} mm{sup 2}/sec{+-}0.11 x 10{sup -3} mm{sup 2}/sec for both parotid glands. Evaluating the entire parotid gland, the ADC was 1.12 x 10{sup -3} mm{sup 2}/sec{+-}0.08 x 10{sup -3} mm{sup 2}/sec prior to simulation, whereas the ADC increased to 1.18 x 10{sup -3} mm{sup 2}/sec{+-}0.09 x 10{sup -3} mm{sup 2}/sec after simulation with lemon juice. For both types of measurements, the increase in ADC after

  16. Functional imaging of parotid glands: Diffusion-weighted echo-planar MRI before and after stimulation

    International Nuclear Information System (INIS)

    Purpose: To investigate the feasibility of diffusion-weighted (DW) echo-planar imaging (EPI) for measuring different functional conditions of the parotid gland and to compare different measurement approaches. Materials and Methods: Parotid glands of 27 healthy volunteers were examined with a DW EPI sequence (TR 1,500 msec, TE 77 msec, field-of-view 250 x 250 mm, pixel size 2.10 x 1.95 mm, section thickness 5 mm) before and after oral stimulation with commercially available lemon juice. The b factors used were 0, 500, and 1,000 sec/mm2. Apparent diffusion coefficient (ADC) maps were digitally transferred to MRIcro (Chris Rorden, University of Nottingham, Great Britain) and evaluated with a manually placed circular region of interest (ROI) containing 100-200 pixel. Additional ROIs including the entire parotid gland were placed on either side. The results of both measurements were compared, using the Student's t test based on the median ADC values for each person. A two-tailed p-value of less than.05 was determined to indicate statistical significance. To compare both measurement approaches, the Pearson's correlation coefficient (r) was calculated. Results: Diffusion-weighted echo-planar MR imaging successfully visualized the parotid gland of all volunteers. In a first step, the median ADC value per person was computed. Using ROIs of 100-200 pixels, the mean was calculated to be 1.08 x 10-3 mm2/sec±0.12 x 10-3 mm2/sec for both parotid glands prior to simulation. After stimulation, the mean ADC was measured at 1.15 x 10-3 mm2/sec±0.11 x 10-3 mm2/sec for both parotid glands. Evaluating the entire parotid gland, the ADC was 1.12 x 10-3 mm2/sec±0.08 x 10-3 mm2/sec prior to simulation, whereas the ADC increased to 1.18 x 10-3 mm2/sec±0.09 x 10-3 mm2/sec after simulation with lemon juice. For both types of measurements, the increase in ADC after stimulation proved to be significant (p.83). Conclusion: Diffusion-weighted echo-planar MR imaging allows noninvasive

  17. Expression of sIL-2R before and after Chemotherapy in Patients with Breast Cancer

    Institute of Scientific and Technical Information of China (English)

    FAN Yuan-ming; SUN Zhi-jun

    2008-01-01

    Objective:To investigate the difference of peripheral blood sIL-2R before and after chemotherapy in breast cancer patients,and evaluate the clinical value of the sIL-2R in breast cancer's diagnosis and therapy.Methods:The peripheral blood sIL-2R levels of the breast cancer patients with or without chemotherapy were detected by ELISA.The healthy persons were made as the control group.Results:The slL-2R levels of the breast cancer patients were higher than that of the control group(P<0.05);the slL-2R's levels in Ⅰ~Ⅱ stage breast cancer were lower than that in Ⅲ~Ⅳ stag e breast cancer (P<0.05);the sIL-2R levels of the patients before chemotherapy were higher than that of the patients undergone chemotherapy(P<0.05);The level of the patient with chemotherapy was still higher than that of the control group(P<0.05);the sIL-2R levels of the patients whose chemotherapies were noneffective were higher than that of the patients received effective chemotherapies(P<0.05).There was no significant difference between the group with ER(+)or PR(+)and the group with ER(-)or PR(-)(P>0.05).Conclusion:The breast cancer patients have the high slL-2R levels.There is a close relationship between the cancer incidence and the patients,immune situation.The level of slL-2R could be a clinical index which Can be used for evaluating the cancer degree,because the higher levels of slL-2R can indicate that the immune ability of patient is worse.There is a significant difference between the slL-2R levels of the patients before chemotherapy and that of the patients undergone chemotherapy.

  18. Diuretic renography using 99mTc-EC before and after treatment of renal stone disease

    International Nuclear Information System (INIS)

    Full text: Renal stone disease (RSD) is one of the most common disorders of the urinary tract. Surgical techniques like percutaneous nephrolithotomy have also been developed to remove kidney stones when other treatment methods are not effective. Improvement in the function of these kidneys after surgery is usually followed by using diuretic renography with 99mTc-ethylene dicysteine (EC) which is proved to be a reliable non invasive test for diagnosis of upper urinary tract obstruction. Objectives: To evaluate the use of diuretic renography using 99mTc -EC in determining the function of kidneys with RSD before and after surgery. Materials and Methods: Retrospective analysis of medical records of renal scintigraphy with 99mTc-EC performed during the past 4 years was done. Out of 3780 cases, 550 (15%) patients were found to have RSD. 50 cases were undergone 99mTc EC diuretic renography. There were 34(72%) males and 16(28%) females with age between 7 to 66 years.11 patients had right side,16 had left side and remaining had bilateral RSD were referred to evaluate relative function and drainage of kidneys. Scintigraphy was done as per predefined protocol using 99mTc -EC with measurement of Tmax, relative function (RF). Results: Hydronephrosis was observed in 48 cases. Analysis of T1/2 revealed obstruction in 16(28%) patients and equivocal drainage in 25(50%) patients and unobstructed drainage in remaining 9(22%).16 patients with obstructed drainage underwent surgery to improve drainage which on subsequent follow up scans showed improvement in drainage and function in 6 patients, remaining 10 after surgery didn't show any improvement. 25 patients with equivocal drainage, follow up renogram which revealed improvement in drainage in 3 patients, worsening in 4 patient and remained the same in 18 patients. 9 patients showing unobstructed drainage didn't underwent surgical intervention which on follow up showed same status of function and drainage which helped in conservative

  19. Cytological Study of Breast Carcinoma Before and After Oncotherapy with Special Reference to Morphometry and Proliferative Activity.

    Science.gov (United States)

    Koley, Sananda; Chakrabarti, Srabani; Pathak, Swapan; Manna, Asim Kumar; Basu, Siddhartha

    2015-12-01

    Our study was done to assess the cytological changes due to oncotherapy in breast carcinoma especially on morphometry and proliferative activity. Cytological aspirates were collected from a total of 32 cases of invasive ductal carcinoma both before and after oncotherapy. Morphometry was done on the stained cytological smears to assess the different morphological parameters of cell dimension by using the ocular morphometer and the software AutoCAD 2007. Staining was done with Ki-67 and proliferating cell nuclear antigen (PCNA) as proliferative markers. Different morphological parameters were compared before and after oncotherapy by unpaired Student's t test. Statistically significant differences were found in morphometric parameters, e.g., mean nuclear diameter, mean nuclear area, mean cell diameter, and mean cell area, and in the expression of proliferative markers (Ki-67 and PCNA). Statistical analysis was done by obtaining p values. There are statistically significant differences between morphological parameter of breast carcinoma cells before and after oncotherapy. PMID:26730066

  20. Determination of NSE and GST Levels Before and After Treatment in Patients with Acute Cerebral Infarction and Its Clinical Significance

    International Nuclear Information System (INIS)

    To explore the changes of NSE and GST levels before and after treatment in patient with acute cerebral infarction and its clinical significance, the plasma NSE levels and serum GST levels in 64 patients with acute cerebral infarction and in 44 health controls were determined by RIA and EIA respectively. The results showed that there was significantly difference in the levels of NSE and GST between two groups,as well as before and after treatment. The determination of NSE and GST levels might be helpful in the diagnosis of patient with acute cerebral infarction and to assess the therapeutic efficacy dynamically. (authors)

  1. The applied observation of ultrasonography on before and after anti-early pregnancy with mifepristone (reports of 660 cases)

    International Nuclear Information System (INIS)

    Objective: To estimate the clinical significance of ultrasonography on before and after anti-early pregnancy with mifepristone. Methods: 660 cases of premedical abortion were ultrasonic diagnosed to know the status of inner-uterus pregnancy and exclude the taboo of medical abortion; after-medical abortion ultrasonic were performed to find rudimental embryo in uterus, recuperation of uterus, etc. Results: 88.18% of cases are full abortion; 10.15% of cases are semi-abortion; 1.7% of cases are unsuccessful abortion. Conclusions: It is a quick and safe method to use ultrasonography before and after medical abortion. (authors)

  2. Effectiveness of a 1-Year Resident Training Program in Clinical Research: A Controlled Before-and-After Study

    Science.gov (United States)

    Hartmann, Mechthild; Wild, Beate; Nikendei, Christoph; Kroenke, Kurt; Niehoff, Dorothea; Henningsen, Peter; Zipfel, Stephan; Herzog, Wolfgang

    2007-01-01

    Background To increase the number of clinician scientists and to improve research skills, a number of clinical research training programs have been recently established. However, controlled studies assessing their effectiveness are lacking. Objective To investigate the effectiveness of a 1-year resident training program in clinical research. Design Controlled before-and-after study. The training program included a weekly class in clinical research methods, completion of a research project, and mentorship. Participants Intervention subjects were 15 residents participating in the 1-year training program in clinical research. Control subjects were 22 residents not participating in the training program. Measurements and Main Results Assessments were performed at the beginning and end of the program. Outcomes included methodological research knowledge (multiple-choice progress test), self-assessed research competence, progress on publications and grant applications, and evaluation of the program using quantitative and qualitative methods. Results Intervention subjects and controls were well matched with respect to research experience (5.1 ± 2.2 vs 5.6 ± 5.8 years; p = .69). Methodological knowledge improved significantly more in the intervention group compared to the control group (effect size = 2.5; p < .001). Similarly, self-assessed research competence increased significantly more in the intervention group (effect size = 1.1; p = .01). At the end of the program, significantly more intervention subjects compared to controls were currently writing journal articles (87% vs 36%; p = .003). The intervention subjects evaluated the training program as highly valuable for becoming independent researchers. Conclusions A 1-year training program in clinical research can substantially increase research knowledge and productivity. The program design makes it feasible to implement in other academic settings. PMID:17922168

  3. Comparison of Blood Cholesterol Profiles Before and After The Measurements of Maximum Aerobic Capacity (VO2max

    Directory of Open Access Journals (Sweden)

    Ar Rasyid Shadiqin

    2013-11-01

    Full Text Available This study is aimed to compare the blood cholesterol profile, before and after the measurement of maximum aerobic capacity (VO2max in the students of Jurusan Pendidikan Olahraga dan Kesehatan (JPOK pada Fakultas Keguruan dan Ilmu Pendidikan (FKIP Universitas Lambung Mangkurat Banjarmasin.Variables in this study consist of lipid profiles, including total cholesterol, high density lipoprotein (HDL, low density lipoprotein (LDL, triglyceride (TG and Maximum Aerobic Capacity (VO2max. The concept of VO2max according to Kent(1994:268: “maximum oxygen volume consumed per minute to show total work capacity, or volume per minute relative to body weight (ml/kg.min”. Operationally, VO2max referred in this study is the maximum volume of oxygen that can be consumed per minute, as measured at progressive run (Bleep Test.The method used in this study is pre-experimental with one group pretest-posttest design. This design implies that a group of subjects are treated for a specific period and the measurements are taken both pre and post.The results: There are changes in blood cholesterol profile after the measurement of maximum oxygen capacity (VO2max, shown by significant decrease of total cholesterol variable, increased HDL, and decreased LDL. Changes in triglyceride variable showed no significant decrease despite the statistic differences. Specific HDL sub-class increasing after exercise is a constructive lipoprotein sub-class whereas LDL is destructive lipoproteins sub-class that might damage the body. Therefore, an increase in HDL and decrease in LDL found in this study appears to be advantageous and consequently might alter the risk of coronary heart disease.

  4. Epidemiology of birth defects, perinatal mortality and thyroid cancer before and after the Chernobyl catastrophe

    International Nuclear Information System (INIS)

    Spatial and temporal trends of birth defects and perinatal mortality in Germany and Europe as well as in least and most contaminated regions have been compared and investigated by trends. In numerous data sets, especially from northern and eastern Europe, positive and significant trend variations with upward 'disturbances' in temporal relation associated with the Chernobyl accident 1986 have been identified and spatial associations with regional fallout have been found. A surprisingly consistent picture evolves of significantly raised stillbirth rates after Chernobyl of ca. 5 % in Poland, ca. 10 % in parts of Germany and Sweden, ca. 20 % in Denmark and Finland, and up to ca. 30% in Iceland and Hungary. Low as compared to higher contaminated regions show weaker or stronger effects, respectively. The additional relative risks for birth defects are in the same order of magnitude as the additional relative risks for stillbirth, namely 0,5%-20 %/kBq·m2. Using well-known conversion coefficients, the excess relative risk of 1 %/kBq·m2 translates theoretically to a preliminary relative risk of 1,6/mSv/a. The incidence of thyroid carcinoma among children affected by Chernobyl fallout has increased dramatically in certain parts of Europe. Less evidence exists for a similar effect among adolescents and adults. The cancer registry of the Czech Republic provides an opportunity to study various determinants of the occurrence of thyroid cancer. After the Chernobyl accident, the thyroid cancer incidence of the Czech Republic reveals an additional annual increase of up to 5% depending on age and gender. The additional increases of thyroid cancer in the whole population of the Czech Republic are consistent with reports from other countries. To investigate trends in the sex distribution of newborns before and after the Chernobyl accident, gender-specific annual birth statistics were obtained from the Czech Republic, Denmark, Finland, Germany, Hungary, Norway, Poland, and Sweden

  5. Concentrations of cardiac Troponin I before and after ovariohysterectomy in 46 female dogs with pyometra

    Directory of Open Access Journals (Sweden)

    Hagman Ragnvi

    2008-09-01

    total, 20 dogs (43% had increased pre- or postoperative cTnI concentrations. Seven dogs (15% had pre-or postoperative concentrations of cTnI of 1.0 μg/l or higher. Conclusion Mild to moderate increases in cTnI appears to be common in dogs with pyometra before and after surgery, but the clinical importance of this finding is uncertain. None of the studied clinical variables were found to reliably predict increased preoperative cTnI concentrations. Because of the pre- and postoperative variation in cTnI concentrations, it was not possible to identify a negative effect of anaesthesia and surgery on myocardial cell integrity.

  6. Before and after the earthquake: a case study of attrition from the HIV antiretroviral therapy program in Haiti

    Directory of Open Access Journals (Sweden)

    Nancy H. Puttkammer

    2014-08-01

    Full Text Available Background: On January 12, 2010, a devastating 7.0 magnitude earthquake struck the West Department of Haiti, killing more than 200,000 people and injuring or displacing many more. This disaster threatened continuity of HIV care and treatment services. Objectives: This case study examined the effect of the devastating 2010 earthquake in Haiti on attrition from the HIV antiretroviral therapy (ART program. Design: The study triangulated retrospective data from existing sources, including: 1 individual-level longitudinal patient data from an electronic medical record for ART patients at two large public sector departmental hospitals differently affected by the earthquake; and 2 aggregate data on the volume of HIV-related services delivered at the two hospitals before and after the earthquake. Methods: The study compared ART attrition and service delivery in Jacmel, a site in the ‘very strong’ zone of earthquake impact, and in Jérémie, a site in the ‘light’ zone of earthquake impact. The analysis used time-to-event analysis methods for the individual-level patient data, and descriptive statistical methods for the aggregate service delivery data. Results: Adjusted ART attrition risk was lower at the hospital in Jacmel after vs. before the earthquake (HR=0.51; p=0.03, and was lower in Jacmel vs. Jérémie both before (HR=0.55; p=0.01 and after the earthquake (HR=0.35; p=0.001. The number of new ART patient enrollments, new HIV patient registrations, and HIV clinical visits dropped notably in Jacmel immediately after the earthquake, but then rapidly rebounded. On average, there was no change in new ART enrollments per month after vs. before the earthquake at either site. Conclusion: These findings underscore the resilience of Haitian ART providers and patients, and contribute evidence that it is possible to maintain continuity of ART services even in the context of a complex humanitarian crisis.

  7. Radionuclide accumulation by aquatic biota exposed to contaminated water in artificial ecosystems before and after its passage through the ground

    International Nuclear Information System (INIS)

    This study was designed to investigate the comparative accumulation of radionuclides from contaminated water in artificial ecosystems before and after the water's passage through the ground. Fish, clams, algae, and an emergent vascular plant were experimentally exposed to mixtures of radionuclides in three aqueous streams. Two streams consisted of industrial water discharged directly into a leaching trench, and the same water after it had migrated through the ground for a distance of 260 meters. The third stream was river water, which served as a background or control. Biota exposed to river water in the control stream had very low concentrations of 60Co, less than 3 pCi per gram dry weight (pCi/g DW). Other radionuclides were essentially unmeasurable. Biota exposed to trench water accumulated very high relative concentrations of 60Co. Biota exposed to trench water also had measurable concentrations of 155Eu, 144Ce, 141Ce, 125Sb, 124Sb, 103Ru, 106Ru, 137Cs, 95Zr, 95Nb, 58Co, 54Mn, 59Fe, 65Zn, 90Sr, /sup 239,240/Pu, and 238Pu. Biota exposed to ground water had concentrations of 60Co that ranged between 50 and 1200 pCi/g DW. Fish flesh had the lowest concentration of 60Co and algae the highest. Strontium-90 was measured in the tissues of aquatic biota at concentrations ranging between 360 pCi/g DW in clam flesh to 3400 pCi/g DW in leaves and stems of Veronica. Leaves and fruits of tomato plants rooted in the ground water accumulated 90Sr at concentrations of 160 pCi in fruits and 4200 pCi in leaves. Data indicate that 60Co and 90Sr migrated through the ground along with ground-water flow and were available to all classes of aquatic biota and tomato plants rooted in the water via root uptake, sorption, and food chain transfers. 8 refs., 4 figs., 6 tabs

  8. Attitudes of Mississippi College Students toward David Duke before and after Seeing the Film "Who Is David Duke?"

    Science.gov (United States)

    Eisenman, Russell; And Others

    1993-01-01

    Investigated attitudes of 211 college students in Mississippi before and after viewing film "Who Is David Duke?" which provided evidence of Duke's current racism, anti-Semitism, and pro-Nazi leanings. Previous study with students in Louisiana, majority did not change attitudes after viewing film. In present study, students' attitudes showed change…

  9. Publication Productivity among Doctoral Graduates of Educational Psychology Programs at Research Universities before and after the Year 2000

    Science.gov (United States)

    Barnard-Brak, Lucy; Saxon, Terrill F.; Johnson, Heather

    2011-01-01

    Research suggests that new doctoral graduates face increased publication pressure to achieve tenure: doctoral programs may have also increased this expectation. We examined whether faculty graduating before and after the year 2000 differed significantly in total publications, peer-reviewed publications, and first-authored publications as of the…

  10. Head injury resulting from scooter accidents in Rome: Differences before and after implementing a universal helmet law

    NARCIS (Netherlands)

    G. La Torre (Giuseppe); E.F. van Beeck (Ed); G. Bertazzoni (Giuliano); W. Ricciardi

    2007-01-01

    textabstractObjectives: To estimate the incidence rates and related determinants of head injuries before and after the implementation of a new universal helmet law in Italy. Methods: The investigation took place in the Emergency Room of the Accident and Emergency Department, Teaching Hospital 'Umber

  11. Glucose-induced thermogenesis in patients with small cell lung carcinoma. Before and after inhibition of tumour growth by chemotherapy

    DEFF Research Database (Denmark)

    Simonsen, L; Bülow, J; Sengeløv, H;

    1993-01-01

    Seven weight-losing patients with histologically verified small cell lung carcinoma were given an oral glucose load of 75 g before and at least 3 weeks after the end of chemotherapy to examine the effect of glucose on whole body and skeletal muscle thermogenesis before and after reduction of tumo...

  12. Malmquist Index Analysis of the Dynamic Changes in Scientific Research Productivity of Some Chinese Universities before and after Merger

    Science.gov (United States)

    Hu, Yongmei; Liang, Wenyan

    2008-01-01

    This paper describes the dynamic changes in research productivity of Chinese higher education institutions (HEIs) before and after merger with Malmquist index, and decomposes the total factor productivity change index into catching-up effect, scale effect and frontier-shift effect. The main finding is that technological improvement and innovation…

  13. Comparison of the students’ satisfaction about the performance of academic advisors before and after the advisor project in Shahrekord University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    MASOUMEH DELARAM

    2014-01-01

    Full Text Available Introduction: Inappropriate advice interferes with the students’ achievement of educational and professional goals and they may fail to use proper resources for their educational needs. The present study was carried out to compare the students’ satisfaction about the performance of academic advisors before and after the advisor project in Shahrekord University of Medical Sciences. Methods: This longitudinal study was carried out using census report on 244 students in different courses at Shahrekord University of Medical Sciences in two stages at the first semester of 2010-2011 and first semester of 2011-2012. To collect the data, we used a self-designed questionnaire including individual and educational information and 10 multiple-choice questions with Likert scale to assess the students’ satisfaction about the advisors’ performance. Data were analyzed in SPSS 14 using paired t-test, qui-square test. P<0.05 was considered significant. Results: Of the ten items of satisfaction, there was only a significant difference in “accessibility to an advisor before and after the advisor project in students of nursing and midwifery school” (p=0.010, and the difference was not significant in other items in these students. No significant difference was found in ten items of satisfaction in students at other schools before and after the advisor project (p=0.010. Conclusion: It seems that the implementation of advisor project could not provide a satisfactory position for students. Adequate supervision of university officials on proper implementation of the advisor project, supporting faculty advisors and strengthening their position can help to improve the process.

  14. Analysis by NASA's VESGEN Software of Retinal Blood Vessels Before and After 70-Day Bed Rest: A Retrospective Study

    Science.gov (United States)

    Raghunandan, Sneha; Vyas, Ruchi J.; Vizzeri, Gianmarco; Taibbi, Giovanni; Zanello, Susana B.; Ploutz-Snyder, Robert; Parsons-Wingerter, Patricia A.

    2016-01-01

    Significant risks for visual impairment associated with increased intracranial pressure (VIIP) are incurred by microgravity spaceflight, especially long-duration missions. Impairments include decreased near visual acuity, posterior globe flattening, choroidal folds, optic disc edema and cotton wool spots. We hypothesize that microgravity-induced fluid shifts result in pathological changes within the retinal blood vessels that precede development of visual and other ocular impairments. Potential contributions of retinal vascular remodeling to VIIP etiology are therefore being investigated by NASAs innovative VESsel GENeration Analysis (VESGEN) software for two studies: (1) head-down tilt in human subjects before and after 70 days of bed rest, and (2) U.S. crew members before and after ISS missions. VESGEN analysis in previous research supported by the US National Institutes of Health identified surprising new opportunities to regenerate retinal vessels during early-stage, potentially reversible progression of the visually impairing and blinding disease, diabetic retinopathy.

  15. Activity of the neuroendocrine axes in patients with polymyalgia rheumatica before and after TNF-α blocking etanercept treatment

    DEFF Research Database (Denmark)

    Kreiner, Frederik Flindt; Galbo, Henrik

    2012-01-01

    ABSTRACT: INTRODUCTION: In this study, we evaluated the activity of the neuroendocrine axes in patients with polymyalgia rheumatica (PMR) before and after tumor necrosis factor (TNF)-α-blocking etanercept treatment, which previously has been shown to reduce interleukin 6 (IL-6) and C-reactive pro......ABSTRACT: INTRODUCTION: In this study, we evaluated the activity of the neuroendocrine axes in patients with polymyalgia rheumatica (PMR) before and after tumor necrosis factor (TNF)-α-blocking etanercept treatment, which previously has been shown to reduce interleukin 6 (IL-6) and C......), cortisol, adrenaline, thyroid-stimulating hormone (TSH), follicle-stimulating hormone (FSH), prolactin, and insulin-like growth factor 1 (IGF-1). RESULTS: Before TNF-α-blocking treatment, plasma TNF-α, ACTH, and cortisol levels were higher in patients versus controls (P <0.05 and P <0.001, respectively...

  16. Straylight before and after hyperopic laser in situ keratomileusis or laser-assisted subepithelial keratectomy

    NARCIS (Netherlands)

    R. Lapid-Gortzak; J.W. van der Linden; I.J.E. van der Meulen; C.P. Nieuwendaal; M.P. Mourits; T.J.T.P. van den Berg

    2010-01-01

    PURPOSE To compare straylight values before and 3 months after hyperopic laser in situ keratomileusis (LASIK) or laser-assisted subepithelial keratectomy (LASEK) and determine the cause of any change SETTING Private refractive surgery clinic, Driebergen, The Netherlands DESIGN Comparative case serie

  17. A tale of two vintages: credit limit management before and after the CARD act and Great Recession

    OpenAIRE

    Santucci, Lawrence

    2015-01-01

    This paper uses tradeline-level credit card data to examine initial credit limits and early credit limit increases before and after the Great Recession and implementation of the Credit Card Accountability, Responsibility, and Disclosure Act of 2009 (the CARD Act). I compare two vintages of credit card accounts, those opened in 2005 and 2011; I also follow each vintage for more than two years after the account opening. In general, I find that significantly less credit was extended to approved ...

  18. COMPARISION OF ENERGY EXPENDITURE DURING WALKING AND RUNNING ON TRACK BEFORE AND AFTER TRAINING IN YOUNG HEALTHY ADULT WOMEN

    OpenAIRE

    Muni sekhar.K; Arpana bhide; Hemalatha,; Shiva Krishna G

    2013-01-01

    Aim:The purpose of this study was to evaluate the energy expenditure in healthy women before training andafter training during the walking and running.Materials and Methods:Forty healthy women were taken asthe subjects and energy expenditure was calculated before and after training during walking and running. Inthis study a 1600 metres (1 mile) track measured using PVC reel tape was used for walking and running.Results:The examination of parameters, body mass index, heart rate, energy expendi...

  19. Sensation Seeking and Perceived Need for Structure Moderate Soldiers’ Well-Being Before and After Operational Deployment

    OpenAIRE

    Parmak, Merle; Mylle, Jacques J. C.; Martin C. Euwema

    2014-01-01

    This study examined associations between sensation seeking and perceived need for structure, and changes in reported well-being among deployed soldiers. Participants (n = 167) were assessed before and after a six-month deployment to south Afghanistan. Results indicated that although well-being declined in the soldier sample as a whole following deployment, the degree of decrease was significantly different among soldiers with different personality profiles. Differences were moderated by soldi...

  20. Impact of practice size on delivery of diabetes care before and after the Quality and Outcomes Framework implementation

    OpenAIRE

    Tahrani, Abd A.; McCarthy, Mary; Godson, Jojo; Taylor, Sarah; Slater, Helen; Capps, Nigel; Moulik, Probal; Macleod, Andrew F

    2008-01-01

    General practice characteristics are important for healthcare providers to maximise outcomes. Although different aspects of general practice characteristics have been studied previously, the impact of practice size on the delivery of care has been sparsely studied, particularly in relation to diabetes care. This brief report presents a longitudinal study in Shropshire (66 practices, 16 858 patients with diabetes) to assess the impact of practice size on diabetes care before and after implemen...

  1. Does Marriage Lead to Specialization? An Evaluation of Swedish Trends in Adult Earnings Before and After Marriage

    OpenAIRE

    Sundström, Marianne; Ginther, Donna K.

    2010-01-01

    We examine whether marriage leads to specialization in Sweden by implementing a model that differentiates specialization in the household by cohabitation and marriage. Our paper evaluates this model using panel data to analyze trends in earnings before and after marriage between 1985 and 1995 for married and long-term cohabiting Swedish couples with children. To identify the effect of marriage on earnings we use the reform of the widow’s pension system that resulted in a marriage boom in Swed...

  2. Diet of a catfish before and after damming of the salto caxias reservoir, iguaçu river

    OpenAIRE

    Rosilene Luciana Delariva; Norma Segatti Hahn; Luiz Carlos Gomes

    2007-01-01

    This study evaluated the diet of Pimelodus sp., before and after damming of Salto Caxias, (waterfall in the Iguaçu river), as well spatial and ontogenetic diet shift. Surveys were carried out from March 1997 to February 1998 (before damming) and from April 1999 to January 2000 (after damming) inside the reservoir and adjacent tributaries. Stomach contents analysis of 682 specimens revealed omnivory with high degree of trophic opportunism to this species. Analysis of variance (three way ANOVA)...

  3. The use of a blood conservation device to reduce red blood cell transfusion requirements: a before and after study

    OpenAIRE

    Mukhopadhyay, Amartya; Yip, Hwee S; Prabhuswamy, Dimple; Chan, Yiong H; Phua, Jason; Lim, Tow K; Leong, Patricia

    2010-01-01

    Introduction Anaemia and the associated need for packed red blood cell (PRBC) transfusions are common in patients admitted to the intensive care unit (ICU). Among many causes, blood losses from repeated diagnostic tests are contributory. Methods This is a before and after study in a medical ICU of a university hospital. We used a closed blood conservation device (Venous Arterial blood Management Protection, VAMP, Edwards Lifesciences, Irvine, CA, USA) to decrease PRBC transfusion requirements...

  4. Effects of Oxygen on Exercise Duration in Chronic Obstructive Pulmonary Disease Patients before and after Pulmonary Rehabilitation

    OpenAIRE

    Nha Voduc; Caroline Tessier; Elham Sabri; Dean Fergusson; Lyne Lavallee; Aaron, Shawn D.

    2010-01-01

    BACKGROUND: Supplemental oxygen therapy has been shown to improve exercise performance in patients with chronic obstructive pulmonary disease (COPD). It is unknown whether the magnitude of this benefit would be affected by participation in a pulmonary rehabilitation program.OBJECTIVE: To compare the effects of supplemental oxygen on exercise capacity in nonhypoxemic COPD patients before and after participation in a pulmonary rehabilitation program.METHODS: Sixteen patients with COPD underwent...

  5. Comparison of health care financing schemes before and after market reforms in China¡¯s urban areas

    OpenAIRE

    WANG Nuo; SUN Huixin; Gericke, Christian

    2009-01-01

    The health financing schemes is the foundation for the nation¡¯s health care system, and the health insurance is a main one of some options for financing health care. This article compares two health care financing schemes in urban areas before and after the health reform, and targets at the impacts facing coverage groups, the financing methods, decision-making power or financial management (i.e. the distribution of responsibility and rights between the central government and local government...

  6. Systematic Patterns Before and After Large Price Changes: Evidence from High Frequency Data from the Paris Bourse

    OpenAIRE

    Foort HAMELINK

    1999-01-01

    This paper examines the intra-day behavior of asset prices shortly before and after large price changes. Whereas similar studies so far have been based on daily closing prices, I use three years of high frequency data of 120 stocks listed on the French stock exchange. Various systematic patterns, in addition to those often reported in the literature, emerge from this data. Evidence is found that prices do overreact and that a correction takes place after large price movements, especially thos...

  7. Porous media investigation before and after hydrochloric acid injection on a pre-salt carbonate coquinas sample.

    Science.gov (United States)

    Machado, A C; Teles, A P; Pepin, A; Bize-Forest, N; Lima, I; Lopes, R T

    2016-04-01

    Porous space characterization of carbonate rocks is an important aid in petroleum exploration from carbonate reservoir. In this study, X-ray microtomography technique was applied to evaluate total porosity of a coquina sample extracted from pre-salt reservoir, in Brazil, before and after acid injection. Two image processing program were used in order to assess performance. The results showed that microtomography has potential to compute porosity of coquina samples and provides information about rock porous network. PMID:26794261

  8. Comparison of anti-mullerian hormone level in non-endometriotic benign ovarian cyst before and after laparoscopic cystectomy

    OpenAIRE

    Sedigheh Amooee; Mahboubeh Gharib; Parsa Ravanfar

    2015-01-01

    Background: Benign ovarian cysts are common among both pre- and postmenstrual women. Surgical intervention for excision of an ovarian cyst is mandated when symptomatic, or chance for malignancy is high. The damaging effect of surgical ovarian cystectomy on ovarian reserve is debated in recent studies. Objective: In the present study we investigated serum level of anti-mullerian hormone (AMH) as an indicator of ovarian reserve before and after surgical cystectomy. Materials and Methods: ...

  9. Costs and treatment patterns of incident ADHD patients - a comparative analysis before and after the initial diagnosis -

    OpenAIRE

    Klora, Mike; Zeidler, Jan; Linder, Roland; Verheyen, Frank; von der Schulenburg, J.-Matthias Graf

    2015-01-01

    Background and objectives The costs and treatment patterns of attention deficit hyperactivity disorder (ADHD) are subjects of health services research in Germany and worldwide. Previous publications focused mainly on prevalent patients and thus research gaps were identified regarding costs and treatment patterns of incident patients before and after the first diagnosis. Methods Analyses were conducted using claims data obtained from a large German sickness fund (Techniker Krankenkasse). Inclu...

  10. The impact of novel therapeutic agents before and after frontline autologous stem cell transplantation in patients with multiple myeloma

    Science.gov (United States)

    Lee, Sung-Eun; Yahng, Seung-Ah; Cho, Byung-Sik; Eom, Ki-Seong; Kim, Yoo-Jin; Kim, Hee-Je; Lee, Seok; Cho, Seok-Goo; Kim, Dong-Wook; Lee, Jong-Wook; Min, Woo-Sung; Park, Chong-Won

    2013-01-01

    Background Novel agents (NAs) such as thalidomide and bortezomib have been administered in combination with autologous stem-cell transplantation (ASCT) to effectively treat multiple myeloma (MM). However, whether NAs perform better as induction treatments prior to transplantation, or as post-transplant maintenance therapies remains unclear. Methods We retrospectively analyzed 106 consecutive patients with MM who underwent ASCT within 1 year of diagnosis as first-line therapy. Results Eighty-seven (82.1%) patients received NAs before ASCT, whereas 68 (64.2%) received NAs after ASCT. NAs were administered to each patient as follows: before ASCT alone (N=29, 27.4%), after ASCT alone (N=10, 9.4%) or both before and after ASCT (N=58, 54.7%). High-quality rates before and after ASCT were significantly higher for patients who received NAs as induction treatment compared to those who did not receive pre-transplant NAs. At a median follow-up of 37.9 months, the 3-year progression-free survival (PFS) and overall survival (OS) rates were 42.8% and 70.2%, respectively. The PFS and OS were significantly higher in patients with NAs as post-transplant maintenance treatment (P=0.03 and P=0.04, respectively), but not in those with NAs as pre-transplant induction treatment. The PFS of patients with NAs before and after ASCT was higher than that of the patients with NAs as induction therapy alone (P=0.05). Age, serum β2-microglobulin level, complete response after ASCT, and NA use post-ASCT independently predicted survival outcomes. Conclusion These findings suggest that integration of NAs post-ASCT could benefit patients with MM undergoing ASCT. Induction therapy using NAs also improves high-quality response rates before and after ASCT. PMID:24086940

  11. Timing of antenatal care and ART initiation in HIV-infected pregnant women before and after introduction of NIMART

    Directory of Open Access Journals (Sweden)

    Coceka Nandipha Mnyani

    2014-05-01

    Full Text Available In this review of routinely collected data from five community health centres in the Johannesburg Health District, we assess timing of antenatal care and antiretroviral therapy (ART initiation in HIV-infected pregnant women before and after the introduction of nurse-initiated management of ART in antenatal clinics. There are important lessons to be learnt as we reflect on the South African prevention of mother-to-child transmission of HIV programme.

  12. Liver elasticity measurement before and after biliary drainage in patients with obstructive jaundice: a prospective cohort studya prospective cohort study

    OpenAIRE

    Kubo, Kimitoshi; Kawakami, Hiroshi; Kuwatani, Masaki; Nishida, Mutsumi; Kawakubo, Kazumichi; Kawahata, Shuhei; Taya, Yoko; Kubota, Yoshimasa; Amano, Toraji; Shirato, Hiroki; Sakamoto, Naoya

    2016-01-01

    Background Obstructive jaundice has been reported to influence liver elasticity, independent of liver fibrosis. The aim of our prospective study was to evaluate the changes in liver elasticity, before and after biliary drainage, in patients with obstructive jaundice, and to evaluate the correlation between elasticity measures and serum markers of liver fibrosis. Methods This is a prospective cohort study of 20 patients with obstructive jaundice. Liver elasticity was assessed by Transient Elas...

  13. Does primary neoadjuvant systemic therapy eradicate minimal residual disease? Analysis of disseminated and circulating tumor cells before and after therapy

    OpenAIRE

    Kasimir-Bauer, Sabine; BITTNER, ANN-KATHRIN; König, Lisa; Reiter, Katharina; Keller, Thomas; Kimmig, Rainer; HOFFMANN, OLIVER

    2016-01-01

    Background Patients with breast cancer (BC) undergoing neoadjuvant chemotherapy (NACT) may experience metastatic relapse despite achieving a pathologic complete response. We analyzed patients with BC before and after NACT for disseminated tumor cells (DTCs) in the bone marrow(BM); comprehensively characterized circulating tumor cells (CTCs), including stem cell–like CTCs (slCTCs), in blood to prove the effectiveness of treatment on these cells; and correlated these findings with response to t...

  14. Comparing Cystatin C Changes as a Measure of Renal Function Before and After Radiotherapy in Patients with Stomach Cancer

    OpenAIRE

    Ahmad Ameri; Asadollah Alidoosti; Khosro Mojir Sheybani; Farnaz Taslimi; Morteza Tabatabaiefar; Maryam Mirzaie Moghadam; Hooshang Amir Rasouli; Pedram Fadavi; Shahrzad Aref

    2012-01-01

    The objective of this study was to determine and compare Cystatin C changes before and after radiotherapy in patients with stomach cancer who were candidate for radiotherapy. This study was conducted as a prospective cohort one. Eighteen patients with definite diagnosis of stomach cancer under treatment by radiotherapy who presented to Radiotherapy-Oncology Center of Imam Hossein Hospital, Tehran-Iran, and the treatment in all cases was simultaneous chemoradiation with Xeloda were included. I...

  15. Values Following a Major Terrorist Incident: Finnish Adolescent and Student Values Before and After September 11, 2001

    OpenAIRE

    Goodwin, R; Verkasalo, M.; Bezmenova, I

    2006-01-01

    The horrific terrorist attacks on the United States on September 11, 2001, left an indelible mark on perceptions of security and threat across the world. This paper uses Schwartz’s (1992) value circumplex model to examine value change across matched high school and university student samples in Finland, questioned before and after the World Trade Center (WTC) and associated attacks. In Study 1 (N5419), security values of adolescents were higher the day following the WTC atta...

  16. Predictive Validity of Stated Preference Data: Evidence from Mountain Bike Park Visits Before and After Trail System Expansion

    OpenAIRE

    Kevin Atkinson; John C. Whitehead

    2014-01-01

    This paper investigates the validity of stated preference data for use in recreation demand estimation. We use stated preference and revealed preference data from users of a mountain bike park collected before and after an expansion of the trail system. The ex-ante stated preference data elicited before the change exhibits hypothetical bias, but, it would provide useful information for demand prediction. Key Words: hypothetical bias, recreation demand, revealed preference, stated preference

  17. Comparison of Blood Cholesterol Profiles Before and After The Measurements of Maximum Aerobic Capacity (VO2max)

    OpenAIRE

    Ar Rasyid Shadiqin

    2013-01-01

    This study is aimed to compare the blood cholesterol profile, before and after the measurement of maximum aerobic capacity (VO2max) in the students of Jurusan Pendidikan Olahraga dan Kesehatan (JPOK) pada Fakultas Keguruan dan Ilmu Pendidikan (FKIP) Universitas Lambung Mangkurat Banjarmasin.Variables in this study consist of lipid profiles, including total cholesterol, high density lipoprotein (HDL), low density lipoprotein (LDL), triglyceride (TG) and Maximum Aerobic Capacity (VO2max). The c...

  18. Behavioral and Neurological Responses to Musical Features in Adolescent Cochlear Implant Users Before and After an Intensive Musical Training Program

    OpenAIRE

    Petersen, Bjørn

    2013-01-01

    This study aimed to investigate perception and processing of musical features in prelingually deaf adolescent CI-users and examine whether this is influenced by music training. Eleven adolescent CI-users received intensive music training for two weeks. Before and after training they completed a session of behavioral tests and EEG recordings. CI users significantly improved their overall behavioral perception of music and, in particular, their discrimination of melodic contour and rhythm. Thou...

  19. Time-Based Network Analysis Before and After the M_w 8.3 Illapel Earthquake 2015 Chile

    Science.gov (United States)

    Pastén, Denisse; Torres, Felipe; Toledo, Benjamín; Muñoz, Víctor; Rogan, José; Valdivia, Juan Alejandro

    2016-06-01

    A complex network analysis of the seismic activity in the central zone of Chile is made, where each node corresponds to a location, where a seism occurs. The M_w = 8.3 Illapel earthquake (16 September 2015) is included in the data set studied. Assuming a self-similar data network, the value of the power law characteristic exponent γ for the link probability distribution of the directed network and the value of the power law characteristic exponent δ for the cumulative distribution of the betweenness centrality are studied, before and after the earthquake. Both exponents have a different values before and after the earthquake when the network is built with cell size of 5 × 5 × 5 km, but there is no difference when the cell size is 10 × 10 × 10 km. The exponents were evaluated for the data set with the total number of seismic events and for three cutoffs in magnitude. There is not much variation when applying the cutoff. Variations of both exponents are found when both subsets, before and after the main event, are compared, suggesting that the topological features of the complex network of seisms are modified by major events.

  20. Ivy signs on FLAIR images before and after STA-MCA anastomosis in patients with Moyamoya disease

    Energy Technology Data Exchange (ETDEWEB)

    Ideguchi, Reiko; Enokizono, Mikako; Uetani, Masataka (Dept. of Radiological Sciences, Nagasaki Univ. Graduate School of Biomedical Sciences, Nagasaki (Japan)), e-mail: qqtt37gd9@forest.ocn.ne.jp; Morikawa, Minoru (Dept. of Radiology, Nagasaki Univ. School of Medicine, Nagasaki (Japan)); Ogawa, Yoji (Dept. of Radiology, Hanwa Daini Senboku Hospital, Osaka (Japan)); Nagata, Izumi (Dept. of Neurosurgery, Nagasaki Univ. School of Medicine, Nagasaki (Japan))

    2011-04-15

    Background: Leptomeningeal high signal intensity (ivy sign) on fluid-attenuated inversion-recovery (FLAIR) MR imaging is one of the features of Moyamoya disease. However, the correlation between ivy sign and cerebral perfusion status has not been fully evaluated. Purpose: To characterize ivy sign on FLAIR images in Moyamoya disease and compare this finding with hemodynamic alterations on perfusion single-photon emission CT (SPECT) obtained before and after bypass surgery. Material and Methods: Sixteen patients with angiographically confirmed Moyamoya disease who underwent superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis were included in the study. The presence of ivy sign on FLAIR images was classified as 'negative', 'minimal' and 'positive'. We evaluated the relationship between ivy sign and findings of SPECT, including cerebral vascular reserve (CVR) before and after surgery. Results: Minimal or positive ivy sign was seen in 13 (81%) of 16 patients, and 21 (66%) of 32 hemispheres. CVR in the areas with positive or minimal ivy sign was lower than that in the areas with negative ivy sign. After STA-MCA anastomosis, ivy sign disappeared or decreased in all 21 hemispheres demonstrating ivy sign. SPECT demonstrated apparent hemodynamic improvement in areas demonstrating disappearance or decrease of ivy sign. Conclusion: Ivy sign on FLAIR image is seen in areas with decreased cerebral perfusion. The sign is useful for non-invasive assessment of cerebral hemodynamic status before and after surgery

  1. Ivy signs on FLAIR images before and after STA-MCA anastomosis in patients with Moyamoya disease

    International Nuclear Information System (INIS)

    Background: Leptomeningeal high signal intensity (ivy sign) on fluid-attenuated inversion-recovery (FLAIR) MR imaging is one of the features of Moyamoya disease. However, the correlation between ivy sign and cerebral perfusion status has not been fully evaluated. Purpose: To characterize ivy sign on FLAIR images in Moyamoya disease and compare this finding with hemodynamic alterations on perfusion single-photon emission CT (SPECT) obtained before and after bypass surgery. Material and Methods: Sixteen patients with angiographically confirmed Moyamoya disease who underwent superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis were included in the study. The presence of ivy sign on FLAIR images was classified as 'negative', 'minimal' and 'positive'. We evaluated the relationship between ivy sign and findings of SPECT, including cerebral vascular reserve (CVR) before and after surgery. Results: Minimal or positive ivy sign was seen in 13 (81%) of 16 patients, and 21 (66%) of 32 hemispheres. CVR in the areas with positive or minimal ivy sign was lower than that in the areas with negative ivy sign. After STA-MCA anastomosis, ivy sign disappeared or decreased in all 21 hemispheres demonstrating ivy sign. SPECT demonstrated apparent hemodynamic improvement in areas demonstrating disappearance or decrease of ivy sign. Conclusion: Ivy sign on FLAIR image is seen in areas with decreased cerebral perfusion. The sign is useful for non-invasive assessment of cerebral hemodynamic status before and after surgery

  2. CT perfusion assessment of Moyamoya syndrome before and after direct revascularization (superficial temporal artery to middle cerebral artery bypass)

    International Nuclear Information System (INIS)

    To evaluate the utility of CT perfusion (CTP) for the assessment of superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis in patients with Moyamoya syndrome (MMS). Twenty-four consecutive MMS patients, who underwent unilateral STA-MCA bypass surgery, received CTP before and after surgery. The relative perfusion parameter values of surgical hemispheres before treatment were compared with post-treatment values. All patients underwent CT angiography (CTA) before and after surgery in order to confirm the patency of bypass. The follow-up CTA after surgery clearly demonstrated 20 (20/24, 83.3 %) bypass arteries, whereas four (16.7 %) bypass arteries were occluded or very small. Postoperative rMTT and rTTP values (P < 0.05) of the surgical side were significantly lower than pre-operation. In patients (n = 20) with bypass patency, postoperative rCBF, rMTT and rTTP values (P < 0.05) of the surgical side were significantly improved. However, the differences of all parameters were not significant (P > 0.05) in the patients (n = 4) without bypass patency after revascularization. This study demonstrates that CTP can provide a crucial quantitative assessment of cerebral haemodynamic changes in MMS before and after STA-MCA anastomosis. (orig.)

  3. Microbial water quality before and after the repair of a failing onsite wastewater treatment system adjacent to coastal waters

    Science.gov (United States)

    Conn, K.E.; Habteselassie, M.Y.; Denene, Blackwood A.; Noble, R.T.

    2012-01-01

    Aims: The objective was to assess the impacts of repairing a failing onsite wastewater treatment system (OWTS, i.e., septic system) as related to coastal microbial water quality. Methods and Results: Wastewater, groundwater and surface water were monitored for environmental parameters, faecal indicator bacteria (total coliforms, Escherichia coli, enterococci) and the viral tracer MS2 before and after repairing a failing OWTS. MS2 results using plaque enumeration and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) often agreed, but inhibition limited the qRT-PCR assay sensitivity. Prerepair, MS2 persisted in groundwater and was detected in the nearby creek; postrepair, it was not detected. In groundwater, total coliform concentrations were lower and E.??coli was not detected, while enterococci concentrations were similar to prerepair levels. E.??coli and enterococci surface water concentrations were elevated both before and after the repair. Conclusions: Repairing the failing OWTS improved groundwater microbial water quality, although persistence of bacteria in surface water suggests that the OWTS was not the singular faecal contributor to adjacent coastal waters. A suite of tracers is needed to fully assess OWTS performance in treating microbial contaminants and related impacts on receiving waters. Molecular methods like qRT-PCR have potential but require optimization. Significance and Impact of Study: This is the first before and after study of a failing OWTS and provides guidance on selection of microbial tracers and methods. ?? 2011 The Authors. Journal of Applied Microbiology ?? 2011 The Society for Applied Microbiology.

  4. Validity of resting energy expenditure predictive equations before and after an energy-restricted diet intervention in obese women.

    Directory of Open Access Journals (Sweden)

    Jonatan R Ruiz

    Full Text Available BACKGROUND: We investigated the validity of REE predictive equations before and after 12-week energy-restricted diet intervention in Spanish obese (30 kg/m(2>BMI<40 kg/m(2 women. METHODS: We measured REE (indirect calorimetry, body weight, height, and fat mass (FM and fat free mass (FFM, dual X-ray absorptiometry in 86 obese Caucasian premenopausal women aged 36.7±7.2 y, before and after (n = 78 women the intervention. We investigated the accuracy of ten REE predictive equations using weight, height, age, FFM and FM. RESULTS: At baseline, the most accurate equation was the Mifflin et al. (Am J Clin Nutr 1990; 51: 241-247 when using weight (bias:-0.2%, P = 0.982, 74% of accurate predictions. This level of accuracy was not reached after the diet intervention (24% accurate prediction. After the intervention, the lowest bias was found with the Owen et al. (Am J Clin Nutr 1986; 44: 1-19 equation when using weight (bias:-1.7%, P = 0.044, 81% accurate prediction, yet it provided 53% accurate predictions at baseline. CONCLUSIONS: There is a wide variation in the accuracy of REE predictive equations before and after weight loss in non-morbid obese women. The results acquire especial relevance in the context of the challenging weight regain phenomenon for the overweight/obese population.

  5. The study of KBP of road construction workers of highway AIDS prevention project before and after intervention

    Institute of Scientific and Technical Information of China (English)

    Dan Liu; Si-Ping Dong; Guang-Ming Gao; Ming-Yu Fan; Zong-Jiu Zhang; Peng-Qian Fang

    2013-01-01

    Objective:To get scientific basis for further health education through the research of the road construction workers’KBP before and after the interventions of highwayAIDS prevention project. Methods:Multi-stage random sampling method was employeed to select workers of8 sites from14 sites along highway to investigate theirAIDS knowledge, belief and performance(KBP) before and after highwayAIDS prevention project.Results:Over90% of the investigated workers had ever heard aboutAIDS, and the non-skilled workers of lower educational level improved more after intervention.The correct answer rate of the three transmitting ways ofAIDS of drivers which is the focused group of highway before and after intervention had the obvious statistical significance(P<0.05), and the other group’s correct answer rates also had improved after intervention.Most people’s understanding of preventingAIDS through correct use of condoms when having sex had a statistically significant difference(P<0.05) after prevention.The rates of using condoms of foremen and skilled workers when having sex with commercial sex worker/casual partner increased after intervention.Conclusions:The health education ofHIV among the road construction workers is effective and further health education ofHIV prevention should be carried out among the road construction workers to improve their knowledge and awareness of avoiding the high-risk behaviors.

  6. CT perfusion assessment of Moyamoya syndrome before and after direct revascularization (superficial temporal artery to middle cerebral artery bypass)

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Yueqin [Hospital of Qingdao University, Department of Radiology, Qingdao (China); Hospital of Jining Medical College, CT Department, Jining (China); Xu, Wenjian [Hospital of Qingdao University, Department of Radiology, Qingdao (China); Guo, Xiang; Shi, Zhitao; Sun, Zhanguo; Wang, Jiehuan [Hospital of Jining Medical College, CT Department, Jining (China); Gao, Lingyun [Hospital of Jining Medical College, MR Department, Jining (China); Jin, Feng [Hospital of Jining Medical College, Department of Neurosurgery, Jining (China); Chen, Weijian; Yang, Yunjun [Hospital of Wenzhou Medical University, Department of Radiology, Wenzhou (China)

    2016-01-15

    To evaluate the utility of CT perfusion (CTP) for the assessment of superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis in patients with Moyamoya syndrome (MMS). Twenty-four consecutive MMS patients, who underwent unilateral STA-MCA bypass surgery, received CTP before and after surgery. The relative perfusion parameter values of surgical hemispheres before treatment were compared with post-treatment values. All patients underwent CT angiography (CTA) before and after surgery in order to confirm the patency of bypass. The follow-up CTA after surgery clearly demonstrated 20 (20/24, 83.3 %) bypass arteries, whereas four (16.7 %) bypass arteries were occluded or very small. Postoperative rMTT and rTTP values (P < 0.05) of the surgical side were significantly lower than pre-operation. In patients (n = 20) with bypass patency, postoperative rCBF, rMTT and rTTP values (P < 0.05) of the surgical side were significantly improved. However, the differences of all parameters were not significant (P > 0.05) in the patients (n = 4) without bypass patency after revascularization. This study demonstrates that CTP can provide a crucial quantitative assessment of cerebral haemodynamic changes in MMS before and after STA-MCA anastomosis. (orig.)

  7. Requests for euthanasia in general practice before and after implementation of the Dutch Euthanasia Act

    OpenAIRE

    Alphen, J.E. van; Donker, G A; Marquet, R.L.

    2010-01-01

    The Netherlands was the first country in the world to implement a Euthanasia Act in 2002. It is unknown whether legalising euthanasia under strict conditions influences the number and nature of euthanasia requests. AIM: To investigate changes in the number of, and reasons for, requests for euthanasia in Dutch general practice after implementation of the Euthanasia Act. DESIGN OF STUDY: Retrospective dynamic cohort study comparing 5 years before (1998-2002) and 5 years after (2003-2007) implem...

  8. Stage of Change and Motivation to a Healthier Lifestyle before and after an Intensive Lifestyle Intervention

    OpenAIRE

    Buratta Livia; Reginato Elisa; Ranucci Claudia; Pippi Roberto; Aiello Cristina; Sbroma Tomaro Emilia; Perrone Chiara; Tirimagni Alberto; Russo Angelo; De Feo Pierpaolo; Mazzeschi Claudia

    2016-01-01

    Objective. Lifestyle modification programs are different but typically include both nutritional aspects and physical activity as main domains with different behavioral and/or psychological strategies designed to affect change. A fundamental role in modifying unhealthy habits is played by personal motivation for change. The present study sought to investigate, in a group of 100 overweight/obese outpatients with and/or without TMD2, treatment seeking, the effect of an intensive lifestyle progra...

  9. Reduced incidence of admissions for myocardial infarction associated with public smoking ban: before and after study

    OpenAIRE

    Sargent, R P; Shepard, R M; Glantz, Stanton A. Ph.D.

    2004-01-01

    Objective To determine whether there was a change in hospital admissions for acute myocardial infarction while a local law banning smoking in public and in workplaces was in effect. Design Analysis of admissions front December 1997 through November 2003 using Poisson analysis. Setting Helena, Montana, a geographical]), isolated community with one hospital serving a population of 68140. Participants All patients admitted for acute myocardial infarction. Main outcome measures Number of monthly ...

  10. Assessment of nutritional status and health-related quality of life before and after liver transplantation

    OpenAIRE

    García-Rodríguez, María Teresa; Piñón-Villar, María del Carmen; López-Calviño, Beatriz; Otero-Ferreiro, Alejandra; Suárez-López, Francisco; Gómez-Gutiérrez, Manuel; Pita-Fernández, Salvador

    2015-01-01

    Background Patients with chronic liver disease frequently suffer from malnutrition, together with a decline in their health-related quality of life. This study was carried out with the aim of evaluating the nutritional status, complications of medical and surgical care, anxiety, health-related quality of life and dependence level on basic and instrumental activities of daily living in pre- and post-liver transplant patients. Methods/Design A prospective observational study with follow-up of p...

  11. Seismic reflection surveys before and after BEXAR at the Nevada Test Site

    International Nuclear Information System (INIS)

    It is believed that spall may have an important effect on various DOE systems designed for verification of -nuclear underground test treaties. The acoustic pulse studied by the Ionospheric Monitoring Program is created specifically by the rapid acceleration of the ground surface of the spall region. Simulation studies indicated that spall effects on surface and body waves may need to be included for proper regional discrimination and yield estimation (Taylor and Randall, 1989). Detailed experimental studies of spall have been sparse. Some work with small contained chemical explosions (Stump, 1985) have measured the spall mass and characteristics. There is a need to extend these measurements to full UGT strengths

  12. Student Performance in a Pharmacotherapy Oncology Module Before and After Flipping the Classroom.

    Science.gov (United States)

    Bossaer, John B; Panus, Peter; Stewart, David W; Hagemeier, Nick E; George, Joshua

    2016-03-25

    Objective. To determine if a flipped classroom improved student examination performance in a pharmacotherapy oncology module. Design. Third-year pharmacy students in 2012 experienced the oncology module as interactive lectures with optional case studies as supplemental homework. In 2013, students experienced the same content in a primarily flipped classroom. Students were instructed to watch vodcasts (video podcasts) before in-class case studies but were not held accountable (ie, quizzed) for preclass preparation. Examination questions were identical in both cohorts. Performance on examination questions was compared between the two cohorts using analysis of covariance (ANCOVA), with prior academic performance variables (grade point average [GPA]) as covariates. Assessment. The students who experienced the flipped classroom approach performed poorer on examination questions than the cohort who experienced interactive lecture, with previous GPA used as a covariate. Conclusion. A flipped classroom does not necessarily improve student performance. Further research is needed to determine optimal classroom flipping techniques. PMID:27073284

  13. Memory in myasthenia gravis: neuropsychological tests of central cholinergic function before and after effective immunologic treatment.

    Science.gov (United States)

    Glennerster, A; Palace, J; Warburton, D; Oxbury, S; Newsom-Davis, J

    1996-04-01

    There are reports of central cholinergic deficits in myasthenia gravis (MG) describing impaired performance on a variety of tests of memory with varying benefits from plasmapheresis. We tested 11 patients with symptomatic MG at the start of a trial of immunosuppressive treatment (prednisolone plus azathioprine or placebo) and again when in remission. The tests included the Logical Memory and Design Reproduction parts of the Wechsler Memory Scale, the Rey Auditory Verbal Learning Test, Peterson-Peterson task, and an auditory vigilance task. Muscle strength improved significantly over the period of treatment, but overall performance on tests of memory or attention did not. These results fail to substantiate reports of functionally significant and reversible central deficits in myasthenia gravis. PMID:8780106

  14. Microstructure of AE44 magnesium alloy before and after hot-chamber die casting

    Directory of Open Access Journals (Sweden)

    A. Kiełbus

    2007-01-01

    Full Text Available Purpose: AE44 magnesium alloy allows attractive high temperature mechanical properties, as well as diecastabilityand good corrosion resistance. It contains magnesium, aluminum, cerium and lanthanum. Typically,it is used in automotive industry for structural components working at elevated temperature (150÷175°C. Theaim of this paper is to present the results of investigations on the microstructure of the AE44 magnesium alloybefore and after hot chamber die casting.Design/methodology/approach: Die casting was carried out on 280 tone locking force hot-chamber die castingmachine. For the microstructure observation, a Olympus GX+70 metallographic microscope and a HITACHIS-3400N scanning electron microscope with a Thermo Noran EDS spectrometer equipped with SYSTEM SIXwere used.Findings: Based on the investigation carried out it was found that the AE44 magnesium alloy before diecasting is characterized by α-Mg solid solution with globular, lamellar and acicular precipitations of Al11RE3and Al3RE phases. Moreover, there was found globular Mn-rich phase existence (probably Al8CeMn4 phase.After hot-chamber die casting the microstructure of AE44 alloys consist of equiaxed dendrites of α-Mg withprecipitates of Al11RE3 and probably Al2RE phase.Research limitations/implications: Future researches should contain investigations of the influence of the hotchamber die casting process parameters on the microstructure and mechanical properties of AE44 magnesiumalloy.Practical implications: AE44 magnesium alloy can be cast with cold- and hot-chamber die casting machine.Results of investigation may be useful for preparing die casting technology of this alloy.Originality/value: The results of the researches make up a basis for the investigations of new magnesium alloyscontaining rare earth elements for hot chamber die casting designed to service in elevated temperature.

  15. Performance evaluation before and after solar seasonal storage coupled with ground source heat pump

    International Nuclear Information System (INIS)

    Highlights: • A solar seasonal storage coupled with ground source heat pump system was designed and implemented. • The COP of GSHP system and coupled system were calculated and compared. • The COP of the coupled system was higher than that of GSHP system. • The soil temperature increased after solar seasonal storage process. - Abstract: The COP (Coefficient of Performance) of the ground-source heat pump (GSHP) system decreased gradually year after year mainly caused by imbalance of thermal energy inputting, especially in heating-dominated climate zones. An experimental system of solar seasonal storage coupling with ground-source heat pump was designed and implemented. This system was installed in a group of new buildings of the new campus in Tianjin, China, which is located in cold climate zone and heat demand is dominated. To make evaluation to this system, a mathematical method was developed to calculate the COP of GSHP system and the coupled system. In this thermal storage experiment process, a system with 1500 m2 solar thermal collectors and 580 sets of 120 m deep ground thermal exchangers was involved in this research. Results show that the soil temperature has not descended but increased by 0.21 °C, and the COP of system and heat pump unit increased 3.4% and 2.4% respectively compared to the operation data without solar seasonal storage process during last year. Although the effectiveness of solar seasonal storage coupled is not conspicuous as expected during the testing period, it indicates that the tendency of COP declination is prevented, and further illustrating that improving the COP of the system is a long-term work, the application of solar seasonal storage coupled with GSHP system should be encouraged for long-term operation

  16. Assessment of the mechanical properties of ITER magnet insulation candidate systems before and after neutron irradiation

    International Nuclear Information System (INIS)

    The ITER design fluence of fast neutrons is 1x1022 m-2 (E>0.1 MeV). At this fluence conventional glass-fibre / Kapton insulations impregnated with DGEBA epoxy resins are at the edge of disintegration. This was the reason for the Atomic Institute to engage in measuring mechanical properties of sample materials from magnet manufacturers and alternative materials under static and cyclic loads at ambient and low (77 K) temperature. Starting points were the insulation systems used by the suppliers of the ITER TF Model Coil (TFMC). These two systems of the DGEBA-type are very similar and have been successfully used by two companies for many years for many superconducting and conventional magnets. However, it turned out that both systems start to disintegrate after irradiation to the ITER design fluence at ambient temperature (∼340 K) in the TRIGA reactor, Vienna. After consulting specialists of chemical and magnet industry, a program was set up in agreement with EFDA and ITER comprising about 10 systems of conventional and advanced insulation systems containing cyanate ester. Samples of these systems were prepared and part of them were irradiated and tested at 77 K in screening tests. Based on these tests, the most promising systems were selected for more detailed investigation comprising also fatigue tests. For economic reasons the cyanate ester content should be kept as low as possible due to the higher price compared to traditional epoxy resins. Therefore, the optimal percentage of the cyanate ester/epoxy blend is of great importance. This work presents initial results obtained on innovative cyanate ester/epoxy blends, which are alternative materials for the coil insulation of the ITER magnets. The mechanical strength was characterized under static load in tension and interlaminar shear at 77 K prior to and after irradiation, to a fast neutron fluence of 1x1022 m-2 (E>0.1 MeV). In order to simulate the pulsed operation of ITER, fatigue measurements were performed in

  17. MR imaging of the knee in marathon runners before and after competition

    International Nuclear Information System (INIS)

    Objective. To evaluate the findings in MRI-studies of the knee in recreational long-distance runners after competition and to assess the reversibility of the findings.Design and patients. Eight recreational long-distance runners underwent MRI studies of the knee before, immediately after and 6-8 weeks after taking part in the Vienna City Marathon. The studies were evaluated regarding alterations of pre-existing lesions and new pathological findings.Results. In six runners without major pre-existing alterations no negative effects were experienced. In one runner with pre-existing grade III alterations of the menisci, signs of progressive osteoarthritis were experienced 2 months after the competition. In all other cases increased meniscal signal alterations and minor signal changes in the bone marrow after the race were transitory.Conclusion. In healthy individuals no negative long-term-effects were experienced. Pre-existing high-grade lesions of the menisci might be a predisposing risk for osteoarthritis, triggered by the stress of long-distance running. (orig.)

  18. Self-Reported Psychosocial Health in Obese Patients before and after Weight Loss

    Directory of Open Access Journals (Sweden)

    G. Osei-Assibey

    2010-01-01

    Full Text Available Psychosocial profiles were examined in 255 morbidly obese patients attending a hospital service offering access to standard weight loss therapies. 129 patients were reassessed after at least 6-month follow-up. At baseline, 51.8% and 32.7% of patients, respectively, had evidence of anxiety and depressive disorders, 24% had severe impairments in self esteem, and 29.7% had an increased risk of eating disorders. At follow-up, weight loss from baseline was significant in all 3 therapies: diet only is 0.74±1.8 kg; pharmacotherapy is 6.7±4.2 kg; and surgery is 20.1±13.6 kg. Anxiety scores improved in all three groups (<.05. Patients having pharmacotherapy or surgery had significant improvements in physical and work function and public distress compared to those having dietary treatment only (<.05. Our observational data suggest that weight management services can lead to psychosocial benefit in morbidly obese patients. Well-designed studies are necessary to examine the link between weight loss and emotional health.

  19. From research to the construction of repository - Development before and after construction license

    International Nuclear Information System (INIS)

    The disposal of spent nuclear fuel from the Finnish nuclear power plants will be implemented by Posiva Oy, a company jointly owned by the two nuclear power companies Fortum Oyj and Teollisuuden Voima Oy. Posiva Oy coordinates, manages and prepares the research, development and construction activities within time frames set already in beginning of 1980 by The Finnish Government. After extensive site investigations the Olkiluoto site in Eurajoki municipality was selected for further investigations in spring 2001. To construct a KBS-3 type repository at the depth of 400-500 metres of crystalline bedrock the construction license application will be submitted in 2012. After the construction licence, the next major milestone is the operating licence, scheduled for 2020. The operational phase will be rather long. Taking into account the current plans for the operation of the nuclear power plants, the disposal facility will be closed sometime in the 2100's. In preparation for the construction licence Posiva is constructing the underground rock characterisation facility ONKALO. It aims to confirm the results from site investigations, allows practicing the underground characterisation and construction methods during the construction. It also serves as an opportunity to develop quality management practices and investigate, test and demonstrate the functioning of the engineered barrier system. When ONKALO will reach the target depth 420 meters it also helps to design the repository layout and characterise the repository panels further in detail. ONKALO will also be part of the repository serving as an access to the repository. ONKALO access tunnel has been excavated with the conventional drill and blast method with inclination 1:10, which means that the length of the access tunnel will be approximately 5 km.. Concurrently with the tunnel excavation three raise bored vertical shafts are under construction for taking care the ventilation and personnel access to the ONKALO. The

  20. Comparing environmental issues in Cuba before and after the Special Period: balancing sustainable development and survival.

    Science.gov (United States)

    Maal-Bared, Rasha

    2006-04-01

    Following the Earth Summit in 1992, Cuba designed and implemented a variety of programs, administrative structures, and public awareness activities to promote sound environmental management and sustainable development. This came shortly after the fall of the Soviet Union and the strengthening of the US blockade in 1990, which resulted in a 35% drop in Cuban GDP. This period, referred to as the Special Period, witnessed a decrease in many environmentally damaging activities both by choice and by necessity, but also resulted in many decisions to resuscitate the Cuban economy. The purpose of this work was to compare and rank the environmental risks Cuba faced before and during the Special Period (1990-2000) using two Comparative environmental risk assessments (CERAs). To do so, an ecosystem integrity risk assessment matrix was constructed with 42 risk end points. The matrix assessed the risk posed by 17 problem areas including air pollution, water contamination, solid waste sites, pesticides and ecosystem degradation. The risks were calculated using five criteria: area affected, vulnerability of affected population, severity of impact, irreversibility of effect and uncertainty. To construct this matrix, both literature reviews and expert interviews in Cuba were conducted in 2000. The results showed a general decrease in risk scores during the Special Period. Before the Special Period, high risks were posed by: terrestrial degradation and industrial wastewater and sludge, followed by freshwater degradation, surface water stressors, and pesticides. After the Special Period, industrial wastewater and sludge and pesticides were no longer high-risk areas, but municipal wastewater and marine coastal degradation ranked higher than previously. Also, the risk endpoints most stressed after 1990 were affected by activities controlled by the government, such as mining and tourism, and lack of infrastructure. Therefore, the claims that public environmental education is the main

  1. Earthquake engineering development before and after the March 4, 1977, Vrancea, Romania earthquake

    International Nuclear Information System (INIS)

    At 25 years since the of the Vrancea earthquake of March, 4th 1977, we can analyze in an open and critical way its impact on the evolution of earthquake engineering codes and protection policies in Romania. The earthquake (MG-R = 7.2; Mw = 7.5), produced 1,570 casualties and more than 11,300 injured persons (90% of the victims in Bucharest), seismic losses were estimated at more then USD 2 billions. The 1977 earthquake represented a significant episode of XXth century in seismic zones of Romania and neighboring countries. The INCERC seismic record of March 4, 1977 put, for the first time, in evidence the spectral content of long period seismic motions of Vrancea earthquakes, the duration, the number of cycles and values of actual accelerations, with important effects of overloading upon flexible structures. The seismic coefficients ks, the spectral curve (the dynamic coefficient βr) and the seismic zonation map, the requirements in the antiseismic design norms were drastically, changed while the microzonation maps of the time ceased to be used, and the specific Vrancea earthquake recurrence was reconsidered based on hazard studies Thus, the paper emphasises: - the existing engineering knowledge, earthquake code and zoning maps requirements until 1977 as well as seismology and structural lessons since 1977; - recent aspects of implementing of the Earthquake Code P.100/1992 and harmonization with Eurocodes, in conjunction with the specific of urban and rural seismic risk and enforcing policies on strengthening of existing buildings; - a strategic view of disaster prevention, using earthquake scenarios and loss assessments, insurance, earthquake education and training; - the need of a closer transfer of knowledge between seismologists, engineers and officials in charge with disaster prevention public policies. (author)

  2. Characterization of silicon pixel detectors with the $n^{+} n/p^{+}$ and double-sided multiguard ring structure before and after neutron-irradiation

    CERN Document Server

    Cho Hyo Sung; Chien, C Y; Liang, G W; Huang, W; Dezillie, B; Eremin, V V; Li, Z

    2000-01-01

    The lifetime of silicon detectors in a severe radiation environment at CERN LHC depends strongly upon careful detector design and material selection, due to the anticipated radiation-induced damage. We fabricated recently more radiation-tolerant CMS forward pixel sensors with new designs of silicon pixel detectors with the n/sup + //n/p/sup +/ and double-sided multiguard ring structure. Electrical characterization of such devices was performed before and after irradiation to neutron fluences (1 MeV equivalent) up to 6*10/sup 14/ n/cm/sup 2/, measuring leakage current, potential distribution over the guard rings and full depletion voltage. Studies on the radiation hardness using oxygen-enriched silicon substrates are being presented separately. (7 refs).

  3. Characterization of silicon pixel detectors with the $n^{+}/n/p^{+}$ and double-sided multiguard ring structure before and after neutron irradiation

    CERN Document Server

    Cho Hyo Sung; Chien, C Y; Liang, G W; Huang, W; Dezillie, B; Eremin, V V; Li, Z

    2000-01-01

    The lifetime of silicon detectors in a severe radiation environment at CERN LHC depends strongly upon careful detector design and material selection, due to the anticipated radiation-induced damage. We fabricated recently more radiation-tolerant CMS forward pixel sensors with new designs of silicon pixel detectors with the n/sup + //n/p/sup +/ and double-sided multiguard ring structure. Electrical characterization of such devices was performed before and after irradiation to neutron fluences (1 MeV equivalent) up to 6*10/sup 14/ n/cm/sup 2/, measuring leakage current, potential distribution over the guard rings and full depletion voltage. Studies on the radiation hardness using oxygen-enriched silicon substrates are being presented separately. (7 refs).

  4. Dopamine transporter density assessed with [123]IPT SPECT before and after risperidone treatment in children with tourette's disorder

    International Nuclear Information System (INIS)

    Tourette's disorder (TD), which is characterized by multiple waxing and waning motor tics and one or more vocal tics, is known to be associated with abnormalities in the dopaminergic system. To testify our hypothesis that risperidone would improve tic symptoms of TD patients through the change of the dopaminergic system, we measured the dopamine transporter (DAT) densities between drug-naive children with TD and normal children, and investigated the DAT density before and after treatment with risperidone in drug-naive children with TD, using iodine-123 labelled N-(3-iodopropen-2-yl)-2β-carbomethoxy-3beta-(4-chlorophenyl)tropane ([123I]IPT) single photon emission computed tomography (SPECT). [123I]IPT SPECT imaging and Yale Global Tic Severity Scale-Korean version (YGTSS-K) for assessing the tic symptom severity were carried out before and after treatment with risperidone for 8 weeks in nine drug-naive children with TD. Eleven normal children also underwent SPECT imaging 2 hours after an intravenous administration of [123I]IPT. Drug-naive children with TD had a significantly greater increase in the specific/nonspecific DAT binding ratio of both basal ganglia compared with the normal children. However, no significant difference in the specific/nonspecific DAT binding ratio of the basal ganglia before and after treatment with risperidone in children with TD was found, although tic symptoms were significantly improved with risperidone. These findings suggest that DAT densities are directly associated with the pathophysiology of TD, however, that the effect of risperidone on tic symptoms in children with TD is not attributed to the change of dopaminergic system

  5. Sleep before and after learning promotes the consolidation of both neutral and emotional information regardless of REM presence.

    Science.gov (United States)

    Cellini, Nicola; Torre, Jacopo; Stegagno, Luciano; Sarlo, Michela

    2016-09-01

    Sleep may play a role in consolidating emotional memories. However, studies on the effects of REM sleep on negative vs. neutral memories have produced inconsistent evidence. Here, we assess the role of NREM and REM sleep before and after learning in promoting the consolidation of neutral and arousing pleasant and unpleasant memories. Forty-six (32 F) healthy university students were exposed to a set of pictures at 1:00PM (Session 1) and to an equivalent set at 4:45PM (Session 2). All the pictures in Session 1 and Session 2 were presented again, intermixed with new similar pictures at 5:15PM in a memory recognition task. Following Session 1, participants took a 90/120-min nap (NAP group), while 16 participants remained awake (WAKE group). Via polysomnographic recording, the NAP group was segregated into REM (N=14) and NoREM groups (N=16). Indices of memory consolidation for both stimuli presented before (discriminability of Session 1 pictures in Session 3) and after sleep (discriminability of Session 2 pictures in Session 3) were calculated. Memory consolidation for pictures presented both before and after the sleep period was higher in the NAP group as compared to the WAKE group, but no differential role of REM sleep emerged. A memory consolidation advantage was evident for neutral over pleasant (but not unpleasant) pictures. Taken together, these results indicate that a daytime nap (with or without REM sleep) facilitates consolidation of declarative memories presented before and after sleep irrespective of their valence. PMID:27321589

  6. Behavioral and Neurological Responses to Musical Features in Adolescent Cochlear Implant Users Before and After an Intensive Musical Training Program

    DEFF Research Database (Denmark)

    Petersen, Bjørn

    This study aimed to investigate perception and processing of musical features in prelingually deaf adolescent CI-users and examine whether this is influenced by music training. Eleven adolescent CI-users received intensive music training for two weeks. Before and after training they completed a...... responses for timbre, intensity and rhythm but not for pitch. No effect of training was found in the MMN responses. The findings indicate that despite congenital deafness and late implantation, young CI users are able to discriminate details in music. Furthermore, the behavioral advances suggest that, in a...

  7. Supply with the vitamins B1, B2 and B6 in carcinomas before and after radiotherapy

    International Nuclear Information System (INIS)

    In 108 breast cancer, 63 cervix carcinoma, 35 corpus carcinoma and 15 ovarial cancer patients the erythrocyte transketolase, gluthathione reductase and aspartate aminotransferase activity were determined as parameters for the supply with vitamin B1, B2 and B6 before and after radiotherapy. The effects of thiamine pyrophosphate determined in cancer patients were normal but the effects of flavin adenine dinucleotide and pyridoxal-5-phosphate were significantly increased compared to the controls. These results revealed radiation-induced disorders in the B2 metabolism and tumor-induced disorders in the B6 metabolism. Both disorders can be avoided by treatment with vitamin B complex. (author)

  8. Attitudes of Mississippi college students toward David Duke before and after seeing the film Who is David Duke?

    Science.gov (United States)

    Eisenman, R; Girdner, E J; Burroughs, R G; Routman, M

    1993-01-01

    The attitudes of 211 students at a university in Mississippi were investigated both before and after seeing the Public Broadcasting Film Who Is David Duke? The film provided evidence of Duke's current racism, anti-Semitism, and pro-Nazi leanings. In a previous study with university students in Louisiana, the majority did not change their attitudes after watching the film (Eisenman, 1993). However, in the present study, students' attitudes showed change in an anti-Duke direction. The findings are discussed and reasons given for the differences between the two samples, and for the popularity of Duke, a former leader of the Ku Klux Klan. PMID:8237541

  9. Study on determination of stress level by seismic stress drops and the stress axis deflections before and after large earthquakes

    Institute of Scientific and Technical Information of China (English)

    WAN Yong-ge

    2006-01-01

    To obtain the stress level at the earthquake source, this paper sets forth the solution of the stress magnitude at the earthquake source by seismic stress drop and the stress axis deflections before and after large earthquakes. The pre-seismic and post-seismic stress direction can be statistically determined by a large collection of foreshock and aftershock focal mechanism data while the stress drop can be determined through the source fracture inversion from seismic wave data or crust deformation data. The paper attempts to make a fundamental contribution to seismic dynamics.

  10. A Register-Based Study of Occupational Functioning in Non-Psychotic Patients Before and After Psychotherapy

    DEFF Research Database (Denmark)

    Fenger, Morten Munthe; Poulsen, Stig Bernt; Mortensen, Erik Lykke;

    2013-01-01

    . Method: We recruited 747 consecutive patients and 14,940 matched control subjects. Data on days on sick leave, unemployment and disability pension were collected for 2002-2007 from central registries and analyzed. Results: Of the 747 patients, 216 did not show up for treatment and 531 completed treatment...... perhaps be explained by the length and symmetry of the observation period before and after intervention. Other possible reasons for the outcome are: disorder chronicity; a labor market that excludes individuals with mental disorders; and that psychotherapy does not address occupational functioning....

  11. Use of Health Care Services Before and After a Natural Disaster Among Survivors With and Without PTSD

    DEFF Research Database (Denmark)

    Rosendal, Susanne; Mortensen, Erik Lykke; Andersen, Henrik Steen;

    2014-01-01

    OBJECTIVE This study used a questionnaire to identify individuals who met criteria for posttraumatic stress disorder (PTSD) ten months after surviving a disaster and compared their use of health care services before and after the disaster with that of survivors who did not meet criteria for PTSD....... METHODS Ten months after the December 26, 2004, Southeast Asian tsunami, Danish tourists who had been in areas exposed to the disaster were mailed a questionnaire asking about demographic characteristics and exposure to the tsunami. The questionnaire included the PTSD Checklist, which measures symptoms of...

  12. Gambling Behavior and Lotto Participation in Iceland: A Comparison before and after the Economic Collapse in 2008

    OpenAIRE

    Gunnur H. Stefánsdóttir 1988

    2015-01-01

    Gambling is popular all over the world and the accessibility to gambling has become more convenient and widespread with the advent of the Internet. The main aim of this study was to examine gambling behavior on the Icelandic national lottery (Lottó 5/40), before and after the economic collapse in Iceland 2008. The purpose was also to examine the effects of the jackpot size on participants’ purchases. The current study used data from the Icelandic Lottery and Sports betting database. Participa...

  13. Pathways into homelessness: recently homeless adults problems and service use before and after becoming homeless in Amsterdam

    Directory of Open Access Journals (Sweden)

    de Wit Matty A

    2009-01-01

    Full Text Available Abstract Background To improve homelessness prevention practice, we met with recently homeless adults, to explore their pathways into homelessness, problems and service use, before and after becoming homeless. Methods Recently homeless adults (last housing lost up to two years ago and legally staying in the Netherlands were sampled in the streets, day centres and overnight shelters in Amsterdam. In April and May 2004, students conducted interviews and collected data on demographics, self reported pathways into homelessness, social and medical problems, and service use, before and after becoming homeless. Results among 120 recently homeless adults, (male 88%, Dutch 50%, average age 38 years, mean duration of homelessness 23 weeks, the main reported pathways into homelessness were evictions 38%, relationship problems 35%, prison 6% and other reasons 22%. Compared to the relationship group, the eviction group was slightly older (average age 39.6 versus 35.5 years; p = 0.08, belonged more often to a migrant group (p = 0.025, and reported more living single (p Conclusion the recently homeless fit the overall profile of the homeless population in Amsterdam: single (Dutch men, around 40 years, with a mix of financial debts, addiction, mental and/or physical health problems. Contacts with services were fragmented and did not prevent homelessness. For homelessness prevention, systematic and outreach social medical care before and during homelessness should be provided.

  14. Changes of fundus blood flow state of patients with open-angle glaucoma before and after the treatment

    Institute of Scientific and Technical Information of China (English)

    Huai-Jie Huang; Mei-Min Niu; Yi Yang; Ke-Qin Li

    2016-01-01

    Objective:To To study and observe the change situation of fundus blood flow state of patients with open-angle glaucoma before and after the treatment.Methods:A total of 60 patients with open-angle glaucoma treated in our hospital from October 2013 to May 2015 were selected as the observation group, and 60 healthy persons with physical examination at the same period were the control group, then the RI, PI, PSV, EDV and VM levels of ocular artery, central retinal artery and posterior ciliary artery of observation group before the treatment and at 2th, 4th, 8th and 12th week after the treatment and control group were compared.Results:The RI and PI levels of ocular artery, central retinal artery and posterior ciliary artery of observation group before the treatment and at 2th, 4th and 8th week after the treatment were higher than those of control group, while the PSV, EDV and VM levels of ocular artery, central retinal artery and posterior ciliary artery were lower than those of control group. The detection results of observation group at different time after the treatment were better than those before the treatment, and there were significant differences (P0.05).Conclusions:The changes of fundus blood flow state of patients with open-angle glaucoma before and after the treatment are great, and the various artery blood flow presents continuous improvement.

  15. Structural, dielectric and ac conductivity properties of Ni-doped HoFeO3 before and after gamma irradiation

    International Nuclear Information System (INIS)

    A series of samples of HoFe1-x Nix O3 (x = 0.0, 0.1, 0.3) were prepared using the solid-state reaction technique to understand the structural, dielectric and conductivity properties before and after gamma irradiation of accumulated dose of 625 KGy. The X-ray diffraction confirms that all the samples exist in single-phase orthorhombic structure having space group Pbnm. With increasing dopant Ni, the unit cell volume and lattice parameters undergo small change. X-ray analysis show change in the interplanar spacing and full width at half maximum values after gamma irradiation. The Raman spectra of the samples show modifications after gamma irradiation. It can be easily seen that after gamma irradiation intensity, peak width are completely altered by gamma-absorbed dose. Measurement of dielectric loss and dielectric constant at room temperature was performed before and after gamma irradiation in the frequency range of 20 Hz-1 MHz. It is observed that the value of dielectric constant decreases after irradiation. The ac conductivity is estimated from the dielectric constant and loss tangent. Exposure to gamma radiation results in substantial modification in the physical properties of the Ni-doped Ho-based orthoferrites. (orig.)

  16. Effects of gamma-irradiation before and after cooking on bacterial population and sensory quality of Dakgalbi

    International Nuclear Information System (INIS)

    The purpose of this study was to compare the effect of gamma irradiation on the total bacterial population and the sensory quality of Dakgalbi irradiated before and after cooking. Fresh chicken meat was cut into small pieces and used to prepare Dakgalbi. For the preparation of Dakgalbi cooked with gamma-irradiated chicken meat and sauce (IBC), raw chicken meat and Dakgalbi sauce were irradiated and then stir-fried. For the preparation of Dakgalbi irradiated after cooking with raw chicken meat and sauce (IAC), raw chicken meat and Dakgalbi sauce were first cooked and subsequently irradiated. Under the accelerated storage condition of 35 °C for 7 days, bacteria in IBC were below the detection limit (1 log CFU/g) on day 1 but were detected on day 2 and gradually increased hereafter. In IAC, on the other hand, bacteria were not detected at all. Evaluation of sensory quality also decreased on both samples. However, IAC showed a better trend. Our results indicate that IAC protocol was a more effective method for reducing bacterial growth in Dakgalbi. - Highlights: ► We compared the microbial safety and sensory property of Dakgalbi irradiated before and after cooking. ► Dakgalbi irradiated after cooking can be more effective processing method on microbial safety. ► Sensory property decreased on both Dakgalbis by irradiation-induced off-flavor. ► Dakgalbi irradiated after cooking showed a better tendency on the sensory evaluation.

  17. Persistent inelastic deformation in central Japan revealed by GPS observation before and after the Tohoku-oki earthquake

    Science.gov (United States)

    Meneses-Gutierrez, Angela; Sagiya, Takeshi

    2016-09-01

    We analyze strain rate distribution in central-northeastern Japan based on continuous GPS data before and after the occurrence of the Great Tohoku earthquake (Mw 9.0) on March 11th, 2011, focusing on the far-field response in the Niigata Kobe Tectonic Zone (NKTZ), an E-W contraction region along the Japan seacoast of central Japan. Wavelength decomposition of the strain rate on the E-W direction, calculated from GPS data, indicates that the long-wavelength pattern changed from preseismic E-W contraction to postseismic E-W extension, representing elastic response to plate interaction at the Japan Trench. However, the short wavelength patterns reveal a persistent localized contraction zone around northern NKTZ before and after the Tohoku-oki earthquake. The persistent localized deformation pattern can be reproduced by an aseismic slip on a fault cutting the lower crust and a part of the upper crust. These results demonstrate that an inelastic process plays an essential role in the deformation of the Japan island arc.

  18. Profiling of Sediment Microbial Community in Dongting Lake before and after Impoundment of the Three Gorges Dam

    Directory of Open Access Journals (Sweden)

    Wei Huang

    2016-06-01

    Full Text Available The sediment microbial community in downstream-linked lakes can be affected by the operation of large-scale water conservancy projects. The present study determined Illumina reads (16S rRNA gene amplicons to analyze and compare the bacterial communities from sediments in Dongting Lake (China before and after impoundment of the Three Gorges Dam (TGD, the largest hydroelectric project in the world. Bacterial communities in sediment samples in Dongting Lake before impoundment of the TGD (the high water period had a higher diversity than after impoundment of the TGD (the low water period. The most abundant phylum in the sediment samples was Proteobacteria (36.4%–51.5%, and this result was due to the significant abundance of Betaproteobacteria and Deltaproteobacteria in the sediment samples before impoundment of the TGD and the abundance of Gammaproteobacteria in the sediment samples after impoundment of the TGD. In addition, bacterial sequences of the sediment samples are also affiliated with Acidobacteria (11.0% on average, Chloroflexi (10.9% on average, Bacteroidetes (6.7% on average, and Nitrospirae (5.1% on average. Variations in the composition of the bacterial community within some sediment samples from the river estuary into Dongting Lake were related to the pH values. The bacterial community in the samples from the three lake districts of Dongting Lake before and after impoundment of the TGD was linked to the nutrient concentration.

  19. PET Study in a Patient with Spinocerebellar Degeneration before and after Long-Term Administration of Thyrotropin Releasing Hormone

    Directory of Open Access Journals (Sweden)

    H. Tanji

    1996-01-01

    Full Text Available We studied the chronic effect of thyrotropin releasing hormone (TRH in a patient with spinocerebellar degeneration by measuring cerebral metabolic rate for glucose (CMRG1c using 2-[18F]fluoro-2-deoxy-D-glucose (18FDG and positron emission tomography (PET. A 56-year-old female, who had suffered from progressive ataxia for 2 years, was treated by intravenous administration of 2 mg TRH for 3 weeks, and CMRG1c of the brain was measured before and after treatment. CMRG1c was markedly decreased in the cerebellum and there was no significant difference before and after the treatment, i.e. mean CMRG1c values were 4.92 and 4.90 mg/100 g/min, and the ratios of the cerebellum versus the frontal cortex were 0.50 and 0.51, respectively. The degree of disequilibrium of her body examined with stabilography became better by the 19th day and further improved by the 26th day after the start of TRH treatment. Based on the present study we conclude that long-term administration of TRH did not improve CMRG1c in the cerebellum, but evidently improved the sway of gravity center by stabilography. We speculate that the chronic effect of TRH was not necessarily due to an improvement of cerebellar function, because TRH receptors are widely distributed throughout the central nervous system.

  20. Pepsinogen II Can Be a Potential Surrogate Marker of Morphological Changes in Corpus before and after H. pylori Eradication

    Directory of Open Access Journals (Sweden)

    Sadegh Massarrat

    2014-01-01

    Full Text Available Background. The aim of this investigation is to study the relationship between gastric morphology and serum biomarkers before and after Helicobacter pylori eradication. Methods. First-degree relatives of gastric cancer patients underwent gastroscopy before and 2.5 years after H. pylori eradication. The morphological changes in two categories (normal to mild and moderate to severe were compared with level of pepsinogens I and II before eradication (n=369, after eradication (n=115, and in those with persistent infection (n=250. Results: After eradication, pepsinogen I decreased to 70% and pepsinogen II to 45% of the previous values. Unlike pepsinogen II and pepsinogen I to II ratio that were affected by the severity of inflammation and atrophy in corpus in all groups, pepsinogen I generally did not change. After eradication, subjects with high mononuclear infiltration in corpus had lower pepsinogen I (54 versus 77.1 μ/mL, higher pepsinogen II (9.4 versus 6.9 μ/mL, and lower ratio (7.9 versus 11.6 than those without (P<0.05. Conclusion. Pepsinogen II is a good marker of corpus morphological changes before and after H. pylori eradication.

  1. Proteomic Changes between Male and Female Worms of the Polychaetous Annelid Neanthes arenaceodentata before and after Spawning

    KAUST Repository

    Chandramouli, Kondethimmanahalli

    2013-08-30

    The Neanthes acuminata species complex (Polychaeta) are cosmopolitan in distribution. Neanthes arenaceodentata, complex, has been widely used as toxicological test animal in the marine environment. Method of reproduction is unique in this polychaete complex. Same sexes fight and opposite sexes lie side by side until egg laying. Females lose about 75% of their weight and die after laying eggs. The male, capable of reproducing up to nine times, fertilizes the eggs and incubates the embryos for 3-4 weeks. The objective of this study was to determine if there is any set of proteins that influences this unique pattern of reproduction. Gel-based two-dimensional electrophoresis (2-DE) and gel-free quantitative proteomics methods were used to identify differential protein expression patterns before and after spawning in both male and female N. arenaceodentata. Males showed a higher degree of similarity in protein expression patterns but females showed large changes in phosphoproteme before and after spawning. There was a decrease (about 70%) in the number of detected phosphoproteins in spent females. The proteins involved in muscular development, cell signaling, structure and integrity, and translation were differentially expressed. This study provides proteomic insights of the male and female worms that may serve as a foundation for better understanding of unusual reproductive patterns in polychaete worms. © 2013 Chandramouli et al.

  2. Profiling of Sediment Microbial Community in Dongting Lake before and after Impoundment of the Three Gorges Dam

    Science.gov (United States)

    Huang, Wei; Jiang, Xia

    2016-01-01

    The sediment microbial community in downstream-linked lakes can be affected by the operation of large-scale water conservancy projects. The present study determined Illumina reads (16S rRNA gene amplicons) to analyze and compare the bacterial communities from sediments in Dongting Lake (China) before and after impoundment of the Three Gorges Dam (TGD), the largest hydroelectric project in the world. Bacterial communities in sediment samples in Dongting Lake before impoundment of the TGD (the high water period) had a higher diversity than after impoundment of the TGD (the low water period). The most abundant phylum in the sediment samples was Proteobacteria (36.4%–51.5%), and this result was due to the significant abundance of Betaproteobacteria and Deltaproteobacteria in the sediment samples before impoundment of the TGD and the abundance of Gammaproteobacteria in the sediment samples after impoundment of the TGD. In addition, bacterial sequences of the sediment samples are also affiliated with Acidobacteria (11.0% on average), Chloroflexi (10.9% on average), Bacteroidetes (6.7% on average), and Nitrospirae (5.1% on average). Variations in the composition of the bacterial community within some sediment samples from the river estuary into Dongting Lake were related to the pH values. The bacterial community in the samples from the three lake districts of Dongting Lake before and after impoundment of the TGD was linked to the nutrient concentration. PMID:27338434

  3. Latent growth curve analysis of fear during a speech task before and after treatment for social phobia.

    Science.gov (United States)

    Price, Matthew; Anderson, Page L

    2011-11-01

    Models of social phobia highlight the importance of anticipatory anxiety in the experience of fear during a social situation. Anticipatory anxiety has been shown to be highly correlated with performance anxiety for a variety of social situations. A few studies show that average ratings of anxiety during the anticipation and performance phases of a social situation decline following treatment. Evidence also suggests that the point of confrontation with the feared stimulus is the peak level of fear. No study to date has evaluated the pattern of anxious responding across the anticipation, confrontation, and performance phases before and after treatment, which is the focus of the current study. Socially phobic individuals (N = 51) completed a behavioral avoidance task before and after two types of manualized cognitive behavioral therapy, and gave ratings of fear during the anticipation and performance phases. Results from latent growth curve analysis were the same for the two treatments and suggested that before treatment, anxiety sharply increased during the anticipation phase, was highly elevated at the confrontation, and gradually increased during the performance phase. After treatment, anxiety increased during the anticipation phase, although at a much slower rate than at pretreatment, peaked at confrontation, and declined during the performance phase. The findings suggest that anticipatory experiences are critical to the experience of fear for public speaking and should be incorporated into exposures. PMID:21907972

  4. Differences in regional pulmonary pressure–impedance curves before and after lung injury assessed with a novel algorithm

    International Nuclear Information System (INIS)

    Global pressure–volume (PV) curves are an adjunct measure to describe lung characteristics in patients with acute respiratory distress syndrome (ARDS). There is convincing evidence that high peak inspiratory pressures (PIP) cause barotrauma, while optimized positive end-expiratory pressure (PEEP) helps avoid mechanical injury to the lungs by preventing repeated alveolar opening and closing. The optimal values of PIP and PEEP are deduced from the shape of the PV curve by the identification of so-called lower and upper inflection points. However, it has been demonstrated using electrical impedance tomography (EIT) that the inflection points vary across the lung. This study employs a simple curve-fitting technique to automatically define inflection points on both pressure–volume (PV) and pressure–impedance (PI) curves to asses the differences between global PV and regional PI estimates in animals before and after induced lung injury. The results demonstrate a clear increase in lower inflection point (LIP) along the gravitational axis both before and after lung injury. Moreover, it is clear from comparison of the local EIT-derived LIPs with those derived from global PV curves that a ventilation strategy based on the PV curve alone may leave dependent areas of the lung collapsed. EIT-based PI curve analysis may help choosing an optimal ventilation strategy

  5. Retinal Straylight Before and After Penetrating Keratoplasty in an Eye with a Post-Herpetic Corneal Scar

    Science.gov (United States)

    Ferrer-Blasco, Teresa; Cerviño, Alejandro; González-Méijome, José M.; García, Santiago; Alfonso, José F.

    2010-01-01

    Purpose In vivo study of retinal straylight in a patient before and after penetrating keratoplasty (PKP). Methods Retinal straylight was measured in a 65-year-old man suffering from a post-herpetic corneal scar, both before and after PKP using the compensation comparison method (C-Quant straylight meter, Oculus GmbH, Germany). Results Retinal straylight values before surgery were high compared to those obtained for age-matched normals in previous studies, due to light scattering induced by the corneal scar. Mean and standard deviation straylight values before and 9 months after PKP were log(s)=1.71±0.09 and 1.05±0.08, respectively. Decrease in retinal straylight could be explained by an improved corneal transparency, resulting in a significant improvement in visual acuity. Conclusions Retinal straylight measurement provides objective and clinically valuable information about forward light scattering as the cause of visual disability. Improvement of the visual function after surgery is underestimated by visual acuity measures.

  6. Preceptors' reflections on their educational role before and after a preceptor preparation course: A prospective qualitative study.

    Science.gov (United States)

    Mårtensson, Gunilla; Löfmark, Anna; Mamhidir, Anna-Greta; Skytt, Bernice

    2016-07-01

    During clinical practice, preceptors play an important educational role in helping nursing students become secure and effective practitioners. For this educational role they need adequate preparation. The aim of the present prospective study was to describe preceptors' experiences of their educational role before and after attending a university preceptor preparation course. This 7.5-credit, Master's level course is offered on a part-time basis and covers one semester. The theoretical approach was self-directed and reflective learning. Twentyseven preceptors participated in group interviews before and after the course, and data were analyzed using qualitative content analysis. The findings revealed a shift in preceptors' perceptions. Their view of the educational role changed from being characterized by individual experiences and notions to being guided by personal and formal demands. Before the course, the lack of sufficient preconditions for preceptorship predominated, whereas after the course participants described ways of creating such preconditions. Before the course, the supervisory process was described as teaching, whereas after the course it was described as a learning process for students. Using reflective learning in a preceptor preparation course can develop and strengthen preceptors' view of their educational role and help them manage and create the preconditions for preceptorship. PMID:27428684

  7. Biological mercury measurements before and after administration of a chelator (DMPS) and subjective symptoms allegedly due to amalgam.

    Science.gov (United States)

    Schuurs, A; Exterkate, R; ten Cate, J M; ten Cate, B

    2000-12-01

    The aim of the study was to explore multivariately the relationship between subjective symptoms allegedly due to amalgam and mercury measurements before and after administration of a chelator. Of 120 participants, the mercury concentrations in urine (U-Hg) and plasma (P-Hg) before and after a chelating agent or placebo were determined as were the numbers of fillings and symptoms allegedly due to subjective symptoms. The dental status was charted. Blood was analysed on 13 parameters. The analysis revealed neither the parameters in blood nor the subjective symptoms to be associated with a dimension dominated by 'mercury indicators'. The final analysis was therefore performed with 'number of subjective symptoms' and enabled to distinguish two subsamples. One subsample was characterised by > 2 subjective "symptoms", highest scores for U-Hg, P-Hg and filled surfaces, and chewing gum for > 1 h a day. The other subsample comprised the subjects with few filled surfaces and low U-Hg and P-Hg, but was not characterised by "no subjective symptoms". The chelator was considered neither to invalidate nor to improve these findings and was concluded not to be helpful in diagnosing "symptoms". The chelator caused side effects in 42% of the subjects and the placebo in 27%. A relationship between amalgam fillings and subjective symptoms could not be shown. Therefore, the mere fact of knowing to have amalgam fillings was assumed to be the reason why subjective symptoms were attributed to amalgam and side effects were ascribed to the treatment. PMID:11153926

  8. Profile of hepatocyte apoptosis and bile lakes before and after bile duct decompression in severe obstructive jaundice patients

    Institute of Scientific and Technical Information of China (English)

    ToarJMLalisang; RadenSjamsuhidajat; NurjatiCSiregar; AkmalTaher

    2010-01-01

    BACKGROUND: Excessive hepatocyte apoptosis and bile lakes in severe obstructive jaundice might impair liver functions. Although decompression of the bile duct has been reported to improve liver functions in animal studies, the mechanism of obstruction differs from that in humans. This study aimed to determine the profiles of hepatocyte apoptosis and bile lakes following bile duct decompression in patients with severe obstructive jaundice in the clinical setting. METHODS: We conducted a "before and after study" on severe obstructive jaundice patients as a model of inhibition of the excessive process by bile duct decompression. Specimens of liver biopsies were taken before and after decompression of the bile duct and then stained by terminal deoxynucleotide transferase-mediated dUTP nick end-labeling (TUNEL) to identify hepatocyte apoptosis and by hematoxilin-eosin (HE) to identify bile lakes. All measurements were independently done by 2 observers. RESULTS: Twenty-one severe obstructive jaundice patients were included. In all patients, excessive hepatocyte apoptosis and bile lakes were apparent. After decompression, the hepatocyte apoptosis index decreased from 53.1 (SD 105) to 11.7 (SD 13.6) (P CONCLUSION: Bile duct decompression improves hepatocyte apoptosis and bile lakes in cases of severe obstructive jaundice, similar to the findings in animal studies.

  9. Sensori-motor adaptation to knee osteoarthritis during stepping-down before and after total knee replacement

    Directory of Open Access Journals (Sweden)

    Viton J-M

    2005-04-01

    Full Text Available Abstract Background Stepping-down is preceded by a shift of the center of mass towards the supporting side and forward. The ability to control both balance and lower limb movement was investigated in knee osteoarthritis patients before and after surgery. It was hypothesized that pain rather than knee joint mobility affects the coordination between balance and movement control. Methods The experiment was performed with 25 adult individuals. Eleven were osteoarthritic patients with damage restricted to one lower limb (8 right leg and 3 left leg. Subjects were recruited within two weeks before total knee replacement by the same orthopedic surgeon using the same prosthesis and technics of surgery. Osteoarthritic patients were tested before total knee replacement (pre-surgery session and then, 9 of the 11 patients were tested one year after the surgery when re-educative training was completed (post-surgery session. 14 adult individuals (men: n = 7 and women: n = 7 were tested as the control group. Results The way in which the center of mass shift forward and toward the supporting side is initiated (timing and amplitude did not vary within patients before and after surgery. In addition knee joint range of motion of the leading leg remained close to normal before and after surgery. However, the relative timing between both postural and movement phases was modified for the osteoarthritis supporting leg (unusual strategy for stepping-down before surgery. The "coordinated" control of balance and movement turned to be a "sequential" mode of control; once the body weight transfer has been completed, the movement onset is triggered. This strategy could be aimed at shortening the duration-time supporting on the painful limb. However no such compensatory response was observed. Conclusion The change in the strategy used when supporting on the arthritis and painful limb could result from the action of nociceptors that lead to increased proprioceptor thresholds

  10. Course of Health Care Costs before and after Psychiatric Inpatient Treatment: Patient-Reported vs. Administrative Records

    Directory of Open Access Journals (Sweden)

    Nadja Zentner

    2015-03-01

    Full Text Available Background There is limited evidence on the course of health service costs before and after psychiatric inpatient treatment, which might also be affected by source of cost data. Thus, this study examines: i differences in health care costs before and after psychiatric inpatient treatment, ii whether these differences vary by source of cost-data (self-report vs. administrative, and iii predictors of cost differences over time. Methods Sixty-one psychiatric inpatients gave informed consent to their statutory health insurance company to provide insurance records and completed assessments at admission and 6-month follow-up. These were compared to the self‐reported treatment costs derived from the “Client Socio-demographic and Service Use Inventory” (CSSRI‐EU for two 6‐month observation periods before and after admission to inpatient treatment to a large psychiatric hospital in rural Bavaria. Costs were divided into subtypes including costs for inpatient and outpatient treatment as well as for medication. Results Sixty-one participants completed both assessments. Over one year, the average patient‐reported total monthly treatment costs increased from € 276.91 to € 517.88 (paired Wilcoxon Z = ‐2.27; P = 0.023. Also all subtypes of treatment costs increased according to both data sources. Predictors of changes in costs were duration of the index admission and marital status. Conclusion Self-reported costs of people with severe mental illness adequately reflect actual service use as recorded in administrative data. The increase in health service use after inpatient treatment can be seen as positive, while the pre-inpatient level of care is a potential problem, raising the question whether more or better outpatient care might have prevented hospital admission. Findings may serve as a basis for future studies aiming at furthering the understanding of what to expect regarding appropriate levels of posthospital care, and what factors may

  11. IL-1, IL-4 production and IgE levels in acute and chronic fasciolosis before and after triclabendazole treatment.

    Science.gov (United States)

    Allam, A F; Osman, M M; el-Sayed, M H; Demian, S R

    2000-12-01

    IL-1 generation by mononuclear phagocytes, IL-4 production by Th2 lymphocytes and IgE levels in serum were measured in eight patients with acute fasciolosis and seven patients in the chronic stage of the disease before and after triclabendazole treatment. Results were compared with those of a control group of ten individuals. The monocytes and lymphocytes from patients with acute and chronic fasciolosis produced significantly lower levels of IL-1 and IL-4 respectively, particularly in the chronic phase of the disease, as compared to the control. A significant increase in IgE level in both acute and chronic fasciolosis was observed. The level was significantly higher in acute as compared to chronic cases. After treatment with triclabendazole IL-1, IL-4 and IgE levels moved towards the control indicating obvious improvement in the immunological responses of the patients. PMID:11198376

  12. Orthostatic function during a stand test before and after head-up or head-down bedrest

    Science.gov (United States)

    Lathers, Claire M.; Diamandis, Peter H.; Riddle, Jeanne M.; Mukai, Chiaki; Elton, Kay F.; Bungo, Michael W.; Charles, John B.

    1991-01-01

    The effects of head-down or head-up bedrest at -5, +10, +20, or +42 deg (simulating 0, 1/6, 1/3, and 2/3 g, respectively) for 6 hrs on four different days on the orthostatic tolerance were investigated by measuring relevant physiological reactions to orthostatic test taken before and after bedrest sessions. The multivariate analysis of variance statistical analyses indicates that there was no angle effect on any of the cardiovascular parameters monitored during the last 3 min of the stand test, suggesting that partial gravity loads would have no effect on the cardiovascular deconditioning exhibited postflight. There was, however, a significant elevation in the heart rate post-bedrest, and the heart rate increased on standing. Results from the stand test pre- and post-bedrest at -5 deg (but not at +10, +20, and +42 deg) were similar to those observed after space flight.

  13. An Attempt to evaluate cerebral hemodynamics before and after neurosurgical treatment of Moyamoya disease by factor analysis

    International Nuclear Information System (INIS)

    We made factor analysis on the data obtained by the radionuclide angiography to evaluate cerebral hemodynamics before and after neurosurgical treatment in a patient with Moyamoya disease (bilateral occlusion of internal carotid arteries). Tracer used was 99mTc-RBC or 99mTcHSA. Before the neurosurgical treatment, the cerebral factor image obtained by the factor analysis showed defects in the right and the left frontal cerebral regions, and the venous factor image showed abnormal accumulations in the right and the left frontal cerebral regions. After Encephalo-Myo-Synangiosis and burr hole operations, defects in the right and the left frontal cerebral regions on the cerebral factor image were improved and abnormal accumulations in the right and the left frontal cerebral regions on the venous factor image disappeared. (author)

  14. Survival in women with ovarian cancer before and after the introduction of adjuvant paclitaxel; a 25-year, single institution review.

    LENUS (Irish Health Repository)

    Shireen, R

    2012-02-01

    Adjuvant chemotherapy regime for ovarian cancer patients remains to be a contentious issue. The aim of this study was to compare the overall and progression-free survival of women with ovarian cancer before and after introduction of paclitaxel in our unit in 1992. A sample of 112 women who received adjuvant therapy following surgery for ovarian cancer was collected, 68 (61%) received platinum+alkylating agent before 1992 and later 44 (39%) received platinum+paclitaxel. Five-year survival was same in both treatment groups when there was no macroscopic disease after surgery (78% versus 70%) and when residual disease was <2 cm (50% versus 40%). Survival was greater in women with residual disease >2 cm in the platinum+paclitaxel group (50% versus 24%), (p = 0.04). However, progression-free survival was similar in both groups irrespective of stage or residual volume of disease. Therefore consideration to selective use of paclitaxel could reduce patient morbidity and costs significantly.

  15. Study on ventilation-perfusion lung scintigraphy before and after closed surgery for atrial septal defect with persistent ostium secundum

    International Nuclear Information System (INIS)

    To examine changes of ventilation and perfusion distribution before and after closed surgery in atrial septal defect (ASD), a total of 25 ventrilation-perfusion lung scintigraphies were performed in a supine position in 15 ASD patients. Their ages ranged from one year and 11 months to 23 years (an average age of 7 years and one month). Ventilation and perfusion distribution was almost uniform before surgery. Preoperative time constant obtained from Xe-133 washout curve had a positive correlation with pulmonary blood flow per pulmonary volume. Although preoperative higher perfusion was seen in the upper lobe, perfusion tended to be uniform after surgery. Non-uniform distribution of ventilation/perfusion ratio became uniform within a few weeks after surgery. (N.K.)

  16. Role of Cardiac Imaging (CT/MR Before and After RF Catheter Ablation in Patients with Atrial Fibrillation

    Directory of Open Access Journals (Sweden)

    Aravindan Kolandaivelu, MD

    2012-08-01

    Full Text Available Pre-procedure X-ray computed tomography (CT and magnetic resonance imaging (MRI angiography are commonly used to delineate the complex and variable relationship of the left atrium, pulmonary veins, and surrounding structures. 3D CT and MR angiography are routinely incorporated into electroanatomic mapping systems to guide ablation lesion placement in the context of patient specific anatomy. Post-procedure CT and MRI have also proven useful for evaluating complications such as pulmonary vein stenosis. In the future, these imaging modalities may be used to visualize more detailed tissue characteristics such as atrial fibrosis and ablation lesions. This could improve selection of patients for different treatment strategies and perhaps guide more effective ablation. This review will discuss current and emerging applications of CT and MRI before and after radiofrequency catheter ablation of atrial fibrillation.

  17. Elemental analysis of ash residue from combustion of CCA treated wood waste before and after electrodialytic extraction

    DEFF Research Database (Denmark)

    Pedersen, Anne Juul; Ottosen, Lisbeth M.

    2006-01-01

    Element distribution in a combined fly ash and bottom ash from combustion of copper chromate arsenate (CCA) treated wood waste was investigated by scanning electron microscopy (SEM/EDX) before and after electrodialytic extraction. The untreated ash contained various particles, including pieces of...... incompletely combusted wood pieces and was also found in almost pure form in a surface layer of some matrix particles – indicating surface condensation of volatile Cu species. In treated ash, Ca and As were no longer found together, indicating that Ca-arsenates had been dissolved due to the electrodialytic...... incompletely combusted wood rich in Cr and Ca, and irregular particles rich in Si, Al and K. Cr was also found incorporated in silica-based matrix particles. As was associated with Ca in porous (char) particles, indicating that Ca-arsenates had been formed during combustion. Cu was associated with Cr in the...

  18. The Dynamics and Structural Changes of Foreign Direct Investments In Romania � before and after the Recent Global Crisis

    Directory of Open Access Journals (Sweden)

    Ramona Mariana Calinica

    2016-07-01

    Full Text Available In the context of the economic globalisation and level of openness increase of various countries� economies to the rest of world, more and more enterprises extended their activity over their national borders, therefore the foreign direct investments being considered key elements in the process of economic integration, playing a major role in the host country�s economy. The aim of this paper consists in realising an in-depth analysis of the FDIs� volume, structure and dynamics in Romania before and after the recent global crisis, on types, sectors and branches, development regions and origin countries, by highlighting in the same time their impact over Romania�s balance of trade.

  19. Mensuration of cardioangiopulmonary indices by radiocardiogram before and after the verapamil oral administration in subjects with chronic obstructive pulmonary disease

    International Nuclear Information System (INIS)

    Twenty subjects with chronic obstructive pulmonary disease were studied. The diagnosis was obtained from the history, clinical evaluation, pulmonary radiography, pulmonary and hepatic scintigraphies and spirometry. About 360 mg of verapamil was administered daily, every eight hours for ten days. Before and after drug administration, the arterial pressures, the spirometric measurements and nine cardiac roentgenographic indexes were measured. Vital capacity increased in all cases, but did not reach the normal levels. These data suggest that the effect of verapamil on the pulmonary circulation brought benefits to the subjects. This occurred either by direct pulmonary vasodilation, or by bronchodilation, reducing hypoxia. In all cases, the pulmonary resistance was diminished. Finally, verapamil seems to be a drug with real benefits in subjects with chronic obstructive pulmonary disease and we advise a continuation of the studies. (author)

  20. Wavelet analysis of skin perfusion to assess the effects of FREMS therapy before and after occlusive reactive hyperemia.

    Science.gov (United States)

    Popa, Stefan Octavian; Ferrari, Myriam; Andreozzi, Giuseppe Maria; Martini, Romeo; Bagno, Andrea

    2015-11-01

    Laser Doppler Fluxmetry is used to evaluate the hemodynamics of skin microcirculation. Laser Doppler signals contain oscillations due to fluctuations of microvascular perfusion. By performing spectral analysis, six frequency intervals from 0.005 to 2 Hz have been identified and assigned to distinct cardiovascular structures: heart, respiration, vascular myocites, sympathetic terminations and endothelial cells (dependent and independent on nitric oxide). Transcutaneous electrical pulses are currently applied to treat several diseases, i.e. neuropathies and chronic painful leg ulcers. Recently, FREMS (Frequency Rhythmic Electrical Modulation System) has been applied to vasculopathic patients, too. In this study Laser Doppler signals of skin microcirculation were measured in five patients with intermittent claudication, before and after the FREMS therapy. Changes in vascular activities were assessed by wavelet transform analysis. Preliminary results demonstrate that FREMS induces alterations in vascular activities. PMID:26391066

  1. Price elasticities in the German Statutory Health Insurance market before and after the health care reform of 2009.

    Science.gov (United States)

    Pendzialek, Jonas B; Danner, Marion; Simic, Dusan; Stock, Stephanie

    2015-05-01

    This paper investigates the change in price elasticity of health insurance choice in Germany after a reform of health insurance contributions. Using a comprehensive data set of all sickness funds between 2004 and 2013, price elasticities are calculated both before and after the reform for the entire market. The general price elasticity is found to be increased more than 4-fold from -0.81 prior to the reform to -3.53 after the reform. By introducing a new kind of health insurance contribution the reform seemingly increased the price elasticity of insured individuals to a more appropriate level under the given market parameters. However, further unintended consequences of the new contribution scheme were massive losses of market share for the more expensive sickness funds and therefore an undivided focus on pricing as the primary competitive element to the detriment of quality. PMID:25670009

  2. Changes of plasma ET and serum IgE levels in children with asthma before and after allergen immunotherapy (AIT)

    International Nuclear Information System (INIS)

    Objective: To investigate the relationship between the changes of plasma ET-1, serum IgE levels and allergen immunotherapy(AIT) in children with asthma. Methods: Plasma levels of ET-1 and serum levels of IgE were measured with radioimmunoassay in 46 children with asthma before and after allergen immunotherapy. Results: In 35 patients benefited from allergen immunotherapy, the plasma levels of ET-1 (59.1 ± 11.7pg/ml) and serum levels of IgE (11.1 ± 3.2IU/ml) were higher significantly than those in controls (P0.05, respectively). Conclusion: These data suggested that the changes of ET-1 and IgE levels after AIT may play an important role in the effective treatment of asthma with AIT. (authors)

  3. Comparison of the quality of life for spectacle wearers and contact lens wearers before and after refractive surgery

    Directory of Open Access Journals (Sweden)

    Xi Chen

    2013-05-01

    Full Text Available AIM: To compare the difference of the quality of life(QOLof spectacle wearers or contact lens wearers before and after refractive surgery by the quality of life impact of refractive correction(QIRC. METHODS:Totally 72 cases were enrolled in the investigation with 50 spectacle wearers and 22 contact lens wearers. The QOL of them were surveyed by Chinese QIRC before surgery and 3 months later after surgery. RESULTS: 1. The QOL scores(42.29±4.90 in post-operation vs 39.30±5.16 in pre-operationand satisfaction scores(86.51±9.14 in post-operation vs 71.58±13.24 in pre-operationof spectacle wearers were higher after surgery more than before, and the difference was statistically significant(P<0.01. The vision and physical functioning(P<0.05, driving and activity in night(

  4. Mössbauer studies of iron doped poly(methyl methacrylate) before and after ion beam modification

    Indian Academy of Sciences (India)

    D R S Somayajulu; C N Murthy; D K Awasthi; N V Patel; M Sarkar

    2001-08-01

    High-energy MeV ions from accelerators are known to produce drastic modifications in polymers. The typical effects include chain scissions, crosslinks, molecular emission and double bond formation. Poly(methyl methacrylate) was doped with Fe(III) and irradiated with 95 MeV O7+ ions. 57Fe-Mössbauer studies were done on the doped samples before and after irradiation. Before irradiation, no Mössbauer absorption was observed. The irradiated samples showed a good Mössbauer absorption, which seems to indicate that there is a significant interaction between the metal ion and the polymer matrix. Two possibilities exist at these doses (∼ 22 × 1012 ions/cm): Fe(III) ions may be bridging the various polymer segments through crosslinking or amorphization of the sample leading to Fe–C bonding. Studies of FTIR, conductivity and glass transition temperatures on these samples support these observations.

  5. Iodine isotopes in precipitation: Four-year time series variations before and after 2011 Fukushima nuclear accident

    DEFF Research Database (Denmark)

    Xu, Sheng; Zhang, Luyuan; Freeman, Stewart P. H. T.;

    2016-01-01

    Rainwater samples were collected monthly from Fukushima, Japan, in 2012-2014 and analysed for 127I and 129I. These are combined with previously reported data to investigate atmospheric levels and behaviour of Fukushima-derived 129I before and after the 2011 nuclear accident. In the new datasets...... values in winter and spring-summer. The high 129I levels in winter and spring-summer are most likely attributed to local resuspension of the Fukushima-derived radionuclide-bearing fine soil particles deposited on land surfaces, and re-emission through vegetation taking up 129I from contaminated soil and...... water, respectively. Long-term declining rate suggests that contribution of the Fukushima-derived 129I to the atmosphere would become less since 2014....

  6. CT studies before and after CNS treatment for acute lymphoblastic leukemia and malignant non-Hodgkin's lymphoma in childhood

    International Nuclear Information System (INIS)

    CT was performed on 72 children with acute lymphoblasitc leukemia or non-Hodgkin's lymphoma. Thirty-two of these patients were investigated prior to CNS radiation and intrathecal methotrexate therapy. Ten of these patients (31%) were known to have hydrocephalic dilatation of the CSF spaces. Clinical data and subsequent observations with analysis of the CT findings show that no difference in the attenuation values of brain tissue occurs in the absence of a CNS relapse. The percentage of abnormal findings before and after therapy remains constant. The adverse late effects described in the CT literature seem principally to be damage diagnosed too late. It is questionable if the CT demonstration of dilated CSF spaces before treatment has a prognostic significance. (orig.)

  7. HIV, syphilis, and behavioral risk factors among female sex workers before and after implementation of harm reduction programs in a high drug-using area of China.

    Directory of Open Access Journals (Sweden)

    Li Zhang

    Full Text Available OBJECTIVE: To evaluate the impact of harm reduction programs on HIV and syphilis infection and related risk behaviors among female sex workers (FSWs in a drug trafficking city in Southwest China. DESIGN: Before and after harm reduction program study. METHODS: Two cross-sectional surveys were conducted among FSWs before and after harm reduction programs were launched in Xichang city, Sichuan province. The first and second cross-sectional surveys were conducted in 2004 and 2010, respectively. Temporal changes in odds of HIV, syphilis, and behavioral risk factors were assessed by multivariable logistic regression while controlling for socio-demographics. RESULTS: The 2004 and 2010 cross-sectional surveys recruited 343 and 404 FSWs, respectively. From 2004 to 2010, the odds of syphilis infection decreased by 35% and was of borderline statistical significance (AOR: 0.65, 95% CI: 0.41-1.03, while odds of HIV infection rose, but not significantly (AOR: 4.12, 95% CI: 0.76-22.45. Although odds of unprotected sex with primary sex partners did not significantly change over time (AOR: 0.96; 95% CI: 0.61-1.50, odds of unprotected sex with clients declined significantly and remarkably (AOR: 0.14, 95% CI: 0.09-0.21. Notably, the odds of reporting ≥10 new sex partners in the previous month increased by 37% (AOR: 1.37; 95% CI: 0.98-1.90. CONCLUSIONS: Harm reduction strategies may be an effective means of reducing unprotected sex with clients among FSWs. Future research is needed to better target both FSWs and IDUs and interrupt bridging networks for HIV transmission in high drug-using areas of China.

  8. Health care providers′ acceptance of unsedated colonoscopy before and after a state-of-the-art lecture on the feasibility of the option

    Directory of Open Access Journals (Sweden)

    Felix W Leung

    2012-01-01

    Full Text Available Background/Aim: The impact of education on acceptance of unsedated colonoscopy by health care providers is unknown. To test the hypothesis that knowledge imparted by a lecture on unsedated colonoscopy is associated with its enhanced acceptance. Settings and Design: At the State-of-the-Art Lecture on "Unsedated colonoscopy: Is it feasible?" presented at the 8 th Pan-Arab Conference on Gastroenterology, February, 2011, Riyadh, Saudi Arabia, a questionnaire survey of the audience was undertaken. Materials and Methods: An expectation questionnaire was administered before and after the lecture. Attendees responded anonymously. Statistical analysis used: The responses of a convenient sample of 49 attendees who provided completed responses to the questionnaire both before and after the lecture were analyzed. Data are expressed as frequency counts and means±SEM. Repeated measures analysis of variance (ANOVA, ANOVA with contrasts and Chi-square analysis (Statview II Program for Macintosh computers were used to assess the data. A P value of <0.05 is considered significant. Results and Conclusions: The mean±SEM credibility score (maximum possible score=50 was 25.8 ± 1.8 before and 33.3 ± 2.1 after the lecture, with a significant improvement in mean score of 7.5 ± 1.3 (P=0.001, paired t test. Nineteen (39% respondents were not willing to consider unsedated colonoscopy for themselves before the lecture. This number decreased to 13 (27% after the lecture. Before the lecture only 4 (8% respondents were willing to consider unsedated colonoscopy for themselves. After the lecture this number increased to 8 (16%. The data suggest education of healthcare professionals regarding the feasibility of unsedated colonoscopy appears to enhance its acceptance as a credible patient care option at a Pan-Arab Gastroenterology Conference.

  9. A comparative analysis of benthic nematode assemblages from Zostera noltii beds before and after a major vegetation collapse

    Science.gov (United States)

    Materatski, Patrick; Vafeiadou, Anna-Maria; Ribeiro, Rui; Moens, Tom; Adão, Helena

    2015-12-01

    Benthic nematodes are widely regarded as very suitable organisms to monitor potential ecological effects of natural and anthropogenic disturbances in aquatic ecosystems. During 2008, the seagrass beds of Zostera noltii located in the Mira estuary (SW Portugal) disappeared completely. However, during 2009, slight symptoms of natural recovery were observed, a process which has since evolved intermittently. This study aims to investigate changes in patterns of nematode density, diversity, and trophic composition between two distinct habitat conditions: "before" the collapse of seagrass beds, and during the early recovery "after" the seagrass habitat loss, through the analysis of: i) temporal and spatial distribution patterns of nematode communities, and ii) the most important environmental variables influencing the nematode assemblages. The following hypotheses were tested: i) there would be differences in nematode assemblage density, biodiversity and trophic composition during both ecological conditions, "before" and "after"; and ii) there would be differences in nematode assemblage density, biodiversity and trophic composition at different sampling occasions during both ecological conditions. Nematode density and diversity were significantly different between the two ecological situations. A higher density was recorded before, but a higher diversity was evident after the collapse of Z. noltii. In spite of the disturbance caused by the seagrass habitat loss in the Mira estuary, the nematode trophic composition did not significantly differ between the before and after seagrass collapse situations. Despite the significant differences found among sampling occasions, a consistent temporal pattern was not evident. The response of nematode communities following this extreme event exhibited considerable resistance and resilience to the new environmental conditions.

  10. Cervical Cancer Histology, Staging and Survival before and after Implementation of Organised Cervical Screening Programme in Poland

    Science.gov (United States)

    Nowakowski, Andrzej; Cybulski, Marek; Buda, Irmina; Janosz, Iwona; Olszak-Wąsik, Katarzyna; Bodzek, Piotr; Śliwczyński, Andrzej; Teter, Zbigniew; Olejek, Anita; Baranowski, Włodzimierz

    2016-01-01

    A population-based organised cervical cancer screening programme (OCCSP) was introduced in Poland in 2006. In this study we have aimed to analyse whether selected parameters related to invasive cervical cancer (ICC) of patients diagnosed in two distant gynaecological oncology centres changed after the first screening round of the programme run between 2006–2008. We have run a retrospective cross-sectional analysis of 189 women diagnosed with ICC between 2002–2005 (directly before introduction of the programme) and 165 patients diagnosed between 2009–2012 (just after the first screening round of the programme) and compared their age at diagnosis, histology, stage of tumours and overall survival (OS). Mean age of patients diagnosed in years 2002–2005 and 2009–2012 was 52.1 and 52.6 years respectively. Squamous cell carcinomas constituted 90.5% and 86.1% of tumours diagnosed in years 2002–2005 and 2009–2012 respectively and the rest of tumours had glandular and other histologies. 74.5% and 61.0% of women diagnosed in years 2002–2005 and 2009–2012 respectively had early ICC (FIGO—International Federation of Gynaecology and Obstetrics stages I-IIA) and the rest had advanced disease (FIGO IIB-IV). We have noticed no significant differences in mean age of patients, histology of tumours and OS of patients with ICC diagnosed before and after the first screening round of OCSSP in Poland. Advanced stages of ICC were more commonly diagnosed after the introduction of OCSSP. Changes only in some clinical parameters of patients with ICC were noticed before and after the first screening round of OCSSP in Poland but OS of patients remained the same. PMID:27196050

  11. Local recurrence of rectal cancer: MR imaging before and after oral superparamagnetic particles vs contrast-enhanced computed tomography

    International Nuclear Information System (INIS)

    The aim of this study was to compare three imaging strategies for the diagnosis of local recurrence of rectal cancer: (a) MR imaging; (b) MR imaging after administration of enteral superparamagnetic particles (Ferristene); and (c) contrast-enhanced CT. Seventeen patients with previous surgery for rectal cancer were examined, 12 patients with local tumour recurrence in the pelvis and 5 patients with postoperative changes. Pelvic multi-coil MR imaging before and after oral administration of superparamagnetic contrast medium [Abdoscan (Ferristene USAN), Nycomed-Amersham, Lidingoe, Sweden] as well as abdominal and pelvic CT was performed in all patients. The examinations were independently evaluated by three different radiologists. The general effect of the oral MR contrast medium, the delineation of normal and pathological structures as well as confidence in the diagnosis were registered on a visual analog scale (VAS). The diagnosis according to MR before and after oral contrast medium, and CT, was compared, in 16 patients, with the final diagnosis which was verified by biopsy (n = 3), surgery (n = 6), clinical follow-up (n = 4) and by follow-up with MR or CT (n = 3). No significant improvement in MR image quality was found after enteral contrast medium. The post-contrast MR diagnosis was not changed in any of the patients. The diagnosis on MR correlated with the final diagnosis in 12 of 16 patients (sensitivity 91 %, accuracy 62 %) and the diagnosis on CT in 11 of 16 patients (sensitivity 82 %, accuracy 56 %). The radiologists' ''confidence'' in the diagnosis and the degree of accordance with the final diagnosis did not score higher on MR after than before oral contrast administration; however, the accordance with the final diagnosis scored better on MR than on CT. No advantages of orally administered superparamagnetic contrast medium were observed in the examined patient group. Magnetic resonance is preferable to CT in diagnosing local tumour recurrence. (orig.)

  12. CHANGES OF PLASMA ENDOTHELIN CONCENTRATIONS BEFORE AND AFTER PERCUTANEOUS BALLOON MITRAL VALVULOPLASTY IN PATIENTS WITH MITRAL STENOSIS

    Institute of Scientific and Technical Information of China (English)

    尹瑞兴; 赵定菁; 朱树雄; 陶新智; 曾知恒; 夏树楹

    1996-01-01

    Plasma concentrations of endothalln in blood from the femoral vein and the antecnbital vein were measured in 35 patients with mitral stenosis and heart failure before and after percutaneous balloon mitral valvuloplasty(PBMV). The basal plasma concentrations of endothelin in blood from the antecubital vein inthe patients were significantly higher than those in 32 control subjects (15.40±3. 32 vs. 9.59±2.66 pg/ml, P<0. 001). Plasma endothefin concentrations in patients in New York Heart Asscclation functional classes Ⅱ and Ⅰ were significantly higher than thee in control subjects, spectiveiy. The concentrationsof endotheiin in patients with atrial fibrillation were also significantly higher than those in patients withnormal sinus rhythm. Ten to fifteen minutes after PBMV, plasma endothelin concentrations in blood (ramthe femoral vein significantly decreased from 16. 14±3.34 to 13. 74±3.78 pg/ml (P<0. 01). Seventy-two hours after the procedure, the concentrations of endothelin in blood from the antecnbital vein had fallen to 12. 31+2. 55 pg/ml (P<0. 001 vs. before PBMV and control subjects). Plasma endothelin concentrations still tended to be higher in patients with atrial fibrillation than those in normal sinus rhythm,but the difference did not reach statistlaal significance. There were ,Weak bnt signlficamly correlations of plasma endotbelin concentrations with the mean left atrial pressure (r= 0. 424, P<0. 001 ), mean right atrial pressure (r=0. 323, P<0. 01), mean transmittal pressure gradient (r=0. 397, P<0. 001), heart rate (r=0. 350,P<0. 005) and mitral valve area (r=-0. 454, P<0. 001) in the patients before and after PBMV.

  13. Functional CT in a rabbit model: Evaluation of the perfusion characteristics before and after Ar-He cryoablation therapy

    International Nuclear Information System (INIS)

    Full text: The objective of this study was to investigate the perfusion characteristics of rabbit liver tumours before and after Ar-He (argon-helium) cryoablation using functional CT and to evaluate the therapeutic effect of Ar-He cryoablation. VX-2 tumour was implanted into the livers of 30 New Zealand white rabbits. Two weeks after tumour implantation, Ar-He cryoablation was performed on these rabbits. Functional CT was performed on the rabbits before and after treatment on days 1, 5, 14, 21 and 35. In the meantime, five rabbits were killed, and the livers were removed for histopathological examination at each of the time points mentioned above. Perfusion characteristics of the tumour and hot spot, such as blood flow (BF), blood volume (BV) and permeability, were analysed based on multislice CT. Histopathological studies corresponding to functional CT were observed, and the therapeutic effects (whether the tumour disappeared completely or still remained) were judged. The two-tailed student's f-test was used to compare the differences between the effect of pre- and post-Ar-He cryoablation treatment on tumour perfusion parameters. After cryoablation treatment, the number of tumours exhibiting complete necrosis was 13 (52%), and their perfusion parameters, such as BF, BV and permeability values, were significantly lower than those before treatment (P 0.05). The hot spot perfusion parameters incomplete necrotic tumours, such as BF, BV and permeability values, showed no significant differences corn-red with pretreatment (P > 0.05). Functional CT can measure the perfusion characteristics of hepatic tumours id is consistent with histopathological changes in the tumour after Ar-He cryoablation. Functional CT might also (accurate in judging the therapeutic effect of Ar-He cryoablation.

  14. Mucosal MicroRNAs Expression Profiles before and after Exclusive Enteral Nutrition Therapy in Adult Patients with Crohn's Disease.

    Science.gov (United States)

    Guo, Zhen; Gong, Jianfeng; Li, Yi; Gu, Lili; Cao, Lei; Wang, Zhiming; Zhu, Weiming; Li, Jieshou

    2016-01-01

    MicroRNAs (miRNAs) have been shown to be important for the pathogenesis of Crohn's disease (CD). Exclusive enteral nutrition (EEN) is an effective therapy for inducing remission in CD. We aimed to investigate the alteration of miRNAs expression profile in the terminal ileal mucosa of CD patients before and after EEN. Twenty-five patients and ten healthy individuals were included. MiRNAs expression profile was firstly assessed using microarray technology and then validation was performed by qRT-PCR. The correlations between miRNAs and CD activity index (CDAI) score and serum C-reactive protein (CRP) level were also evaluated. Microarray analysis showed that mucosal miRNAs expression profile after EEN therapy was significantly changed compared with inflamed mucosa before treatment, and was most similar to the healthy one among all CD groups. Altered expressions of hsa-miR-192-5p, hsa-miR-423-3p, hsa-miR-99a-5p, hsa-miR-124-3p, hsa-miR-301a-5p, hsa-miR-495-5p, and hsa-let-7b-5p were confirmed by qRT-PCR. hsa-let-7b-5p was significantly correlated with serum CRP levels before and after EEN treatment (r = -0.518, p = 0.008, and r = -0.569, p = 0.003). Our study showed EEN induction therapy was associated with a trend for normalizing of the mucosal miRNAs expression profile, and expression of mucosal hsa-let-7b-5p was correlated with serum CRP level in patients with CD. PMID:27556489

  15. Knowledge, attitude and skills before and after a module on pharmaceutical promotion in a Nepalese medical school

    Directory of Open Access Journals (Sweden)

    Shankar P Ravi

    2012-01-01

    Full Text Available Abstract Background Pharmaceutical promotion is widespread and can impact prescribing by health professionals. Little research has been conducted on interactions between medical students and the pharmaceutical industry. Teaching about pharmaceutical promotion is inadequate. A survey showed that many schools spend only about two hours teaching this important topic while others spend around six hours. Recently a manual on understanding and responding to promotion has been published by Health Action International (HAI and the World Health Organization (WHO. From April to August 2011 the department of Clinical Pharmacology at KIST Medical College, Lalitpur, Nepal conducted a module on pharmaceutical promotion for second year students based on the manual. The module used active learning strategies such as brainstorming sessions, role plays and group activities. The study worked on the hypothesis that a module on pharmaceutical promotion will be effective in improving the knowledge, attitude and skills of medical students regarding pharmaceutical promotion. The impact of the module on knowledge, attitude and skills was tested using a retrospective-pre questionnaire. The scores according to gender and method of financing of medical education before and after the module were compared using appropriate non-parametric tests. Results Eighty-seven of the 100 second year students (87% participated in the study. 47 were females (54% and 39 (44.83% were males and one did not state the gender. Seventy-seven students (88.5% were self-financing while 9 were scholarship students. The median knowledge, attitude and skills score before the module were 9, 13 and 6 respectively while the overall score was 28. The scores increased significantly to 16, 15 and 14 respectively after the module while the overall score increased to 45. The median attitude scores and total scores were significantly higher among females both before and after the module. The scores did not

  16. Analysis of seismicity and stress before and after the Mw 8.1 Pisagua, Chile, 2014 earthquake

    Science.gov (United States)

    Grigoli, F.; Cesca, S.; Dahm, T.; Hainzl, S.

    2014-12-01

    On April 1st, 2014 at 23:46:50 UTC, a powerful earthquake of magnitude Mw 8.1 occurred offshore the Northern Chile in the region of the North Chilean seismic gap. The epicenter of the earthquake was approximately 50 km offshore the Chilean coast, near the town of Pisagua. Two days after the main event a Mw 7.6 aftershock struck approximately the same area. In order to identify spatio-temporal changes of source parameters and stress before and after the mainshock, we analyzed in detail the local seismicity above magnitude Mw 3.0 within the time period 01/01/2013-30/04/2014 and estimated long term trends in b-values and earthquake productivity. We used data from the IPOC (Integrated Plate boundary Observatory Chile) regional seismic network, consisting of 20 "in land" broadband station deployed and managed by the GFZ-Potsdam. The recorded earthquake catalog shows an intense foreshock activity consisting of more than 1000 M3+ events in the source region. Full waveform techniques are used to derive both locations and focal mechanisms of about 435 seismic events. The location process has been performed by using a waveform stacking method (Grigoli et al 2013, 2014) with a layered velocity model based on CRUST 2.0 (see the attached figure for the location results of one of these events). Moment tensor inversion has been performed by using the KIWI tool software (Cesca et al. 2010), which is based on a two-step inversion approach. The first step consists in the inversion of the amplitude spectra to retrieve the best fitting focal planes, while the second inversion step is carried out in time domain to solve the focal mechanism polarity and to obtain the centroid location and time. Both location and moment tensor inversion resulted in agreement with the geodynamical settings of the region. Mapping the b-value reveals a spatiotemporal anomaly of low b-values characterizing the frequency-magnitude distribution of the foreshocks in the source area of the mainshock. Finally

  17. Insulin sensitivity and lipid profile in prolactinoma patients before and after normalization of prolactin by dopamine agonist therapy.

    Science.gov (United States)

    Berinder, Katarina; Nyström, Thomas; Höybye, Charlotte; Hall, Kerstin; Hulting, Anna-Lena

    2011-09-01

    Hyperprolactinemia has been associated with impaired metabolism, including insulin resistance. However, the metabolic effects of elevated prolactin (PRL) levels are not completely clarified. The aim of this study was to obtain more insights of metabolic consequences in hyperprolactinemia patients. Fourteen consecutive patients, eight women and six men, aged 39.7 (±13.7) years with prolactinomas (median PRL 72 [49-131] μg/L in women and 1,260 [123-9,600] μg/L in men) were included. Anthropometric data and metabolic values were studied before and after 2 and 6 months on DA agonists (Bromocriptine [5.7 (±3.9) mg/day, n = 13] or Cabergoline [0.5 mg/week, n = 1]). Euglycemic hyperinsulinemic clamps were studied in six patients before and after 6 months of treatment. PRL normalized in all patients. Anthropometric data changed only in males with a significant decrease of median body weight (95.6 [80.7-110.1] to 83.4 [77.8-99.1] kg, P = 0.046), waist circumference and fat percentage after 6 months. LDL cholesterol was positively correlated to PRL at diagnosis (r = 0.62, P = 0.025) and decreased within 2 months (3.4 [±0.9] to 2.9 [±0.6] mmol/L, P = 0.003). Insulin, IGFBP-1 and total adiponectin levels did not change. Insulin sensitivity tended to improve after 6 months; M-value from 5.7 (±1.8) to 7.8 (±2.6) mg/kg/min, P = 0.083 and per cent improvement in M-value was correlated to per cent reduction in PRL levels (r = -0.85, P = 0.034). In conclusion, beneficial metabolic changes were seen in prolactinoma patients after treatment with DA agonists, underscoring the importance of an active treatment approach and to consider the metabolic profile in the clinical management of hyperprolactinemia patients. PMID:21128120

  18. Emergency Department Visits for Homelessness or Inadequate Housing in New York City before and after Hurricane Sandy.

    Science.gov (United States)

    Doran, Kelly M; McCormack, Ryan P; Johns, Eileen L; Carr, Brendan G; Smith, Silas W; Goldfrank, Lewis R; Lee, David C

    2016-04-01

    Hurricane Sandy struck New York City on October 29, 2012, causing not only a large amount of physical damage, but also straining people's health and disrupting health care services throughout the city. In prior research, we determined that emergency department (ED) visits from the most vulnerable hurricane evacuation flood zones in New York City increased after Hurricane Sandy for several medical diagnoses, but also for the diagnosis of homelessness. In the current study, we aimed to further explore this increase in ED visits for homelessness after Hurricane Sandy's landfall. We performed an observational before-and-after study using an all-payer claims database of ED visits in New York City to compare the demographic characteristics, insurance status, geographic distribution, and health conditions of ED patients with a primary or secondary ICD-9 diagnosis of homelessness or inadequate housing in the first week after Hurricane Sandy's landfall versus the baseline weekly average in 2012 prior to Hurricane Sandy. We found statistically significant increases in ED visits for diagnosis codes of homelessness or inadequate housing in the week after Hurricane Sandy's landfall. Those accessing the ED for homelessness or inadequate housing were more often elderly and insured by Medicare after versus before the hurricane. Secondary diagnoses among those with a primary ED diagnosis of homelessness or inadequate housing also differed after versus before Hurricane Sandy. These observed differences in the demographic, insurance, and co-existing diagnosis profiles of those with an ED diagnosis of homelessness or inadequate housing before and after Hurricane Sandy suggest that a new population cohort-potentially including those who had lost their homes as a result of storm damage-was accessing the ED for homelessness or other housing issues after the hurricane. Emergency departments may serve important public health and disaster response roles after a hurricane, particularly for

  19. Study on the change of hepatic fibrosis indicators in serum before and after I-131 treatment in Graves' Patients

    International Nuclear Information System (INIS)

    Full text: Objective: To explore the change of hepatic fibrosis indicators, i.e., PC-III (type III procollagen), IV-C (type IV collagen), HA (hyaluronic acid), LN (laminin) levels in serum of Graves' patients before and after I-131 treatment. Methods: Control group were 40 healthy cases (female 25, male 15, aged 18-60 years) with normal serum levels of those indicators by medical examination in our hospital. Fifty-five Graves' patients (female 32, male 23, aged 17-58) were diagnosed by thyroid function indicators (TT3, TT4, FT3, FT4, TSH) tests, thyroid iodine intake and clinical symptoms and signs, with normal hepatic function indicators and without combined history of hepatic disease, cardiac disease, diabetes, and rheumatic disease. Three to six months after I-131 treatment these were completely recovered (back to normal thyroid function, shrunken thyroid gland volume from swelling, and disappeared clinical symptoms and signs). In both controls and Graves' patients, 2 ml venous blood was taken at early morning from each case with limosis respectively before and after I- 131 treatment. RIA method was adopted for detection of each serum indicator with reagents kit. Data were analyzed by t test in the SPSS statistical software pack. Results: 1. In Graves' patients, before treatment PC- III (type III procollagen) levels were statistically higher than that in controls (p0.05). 2. In Graves' patients, PC-III significantly decreased to a lower level after treatment than before (p05). 3. In Graves' patients, after treatment there is no significant difference of indicator levels when compared with controls (p>0.05). Conclusion: Graves' patients had certain degree of hyperplasia of hepatic connective tissue, and this pathogenesis recovered with healing of Graves' disease. PC-III positive rate and thyroid function indicator positive rate may be better in accordance with the disease process than IV-C, Ha and LN indicators. These data showed that of four serum hepatic

  20. The patient safety culture as perceived by staff at two different emergency departments before and after introducing a flow-oriented working model with team triage and lean principles: a repeated cross-sectional study

    OpenAIRE

    Burström, Lena; Letterstal, Anna; Engström, Marie-Loise Walker; Berglund, Anders; Enlund, Mats

    2014-01-01

    Background: Patient safety is of the utmost importance in health care. The patient safety culture in an institution has great impact on patient safety. To enhance patient safety and to design strategies to reduce medical injuries, there is a current focus on measuring the patient safety culture. The aim of the present study was to describe the patient safety culture in an ED at two different hospitals before and after a Quality improvement (QI) project that was aimed to enhance patient safety...

  1. Physiological and morphological studies of feral perch before and after remediation of a PCB contaminated lake: Jaernsjoen

    Energy Technology Data Exchange (ETDEWEB)

    Foerlin, L. [Goeteborg Univ. (Sweden). Dept. of Zoophysiology; Norrgren, L. [Swedish Univ. of Agricultural Sciences, Uppsala (Sweden). Faculty of Veterinary Medicine, Dept. of Pathology

    1998-08-01

    Lake Jaernsjoen is located in Emaan tributary, southern Sweden, and has in the past received wastewater from a paper mill using recycled paper contaminated with polychlorinated biphenyls (PCBs). Health of perch (Perca fluviatilis) was studied with physiological and morphological methods before and after removal of the PCB contaminated sediment. Before the remedial activity, perch from the PCB polluted Jaernsjoen were morphologically characterized by gill and liver damage with small biochemical/physiological effects. An unexpected nonresponsiveness of perch liver EROD-CYP1A system was discovered. The results seem to indicate that PCB contamination alone cannot explain this observation. Two years after the removal of PCB, perch appeared healthy in Jaernsjoen. However, some female perch from the lower region of Emaan showed severe gonad anomaly. The results may indicate that these perch were affected by other activities in addition to the remedial activity in Jaernsjoen Special issue. The Jaernsjoen project, Sweden. Remediation of PCB-contaminated sediments. 55 refs, 9 figs, 6 tabs

  2. Downstream migration of recently metamorphosed sea lampreys in the Ocqueoc River, Michigan, before and after treatment with lampricides

    Science.gov (United States)

    Hanson, Lee H.; Swink, William D.

    1989-01-01

    The objectives of this study were to determine the effectiveness ofchemical treatments of the Ocqueoc River, Michigan, in reducing the number of recently metamorphosed sea lampreys Petromyzon marinus migrating to Lake Huron and to estimate total numbers of migrants produced before and after treatment. Sea lampreys were captured during their downstream migration in a single fyke net fished in the same location from September 1963 through August 1975. The catch, which averaged 3,474 sea lampreys (range, 3,248-3,913) during four migration periods (September-June) before treatment in 1968, declined to 4 during the 1974-1975 migration period. Markrecapture studies were conducted to determine the capture efficiency of the net for recently metamorphosed sea lampreys and to estimate the total downstream migration for each migration period. Estimated downstream migrations before treatment averaged 62,036 sea lampreys (range, 58,000-69,875) for four migration periods and declined to 71 during the 1974-1975 migration period. Catches were usually greater in fall than in spring. The fall peak in migratory activity was in November or December, and the spring peak was in April; both peaks occurred while water levels were high and water temperatures were near 5A?C.

  3. Biological effect of human serum collected before and after oral intake of Pygeum africanum on various benign prostate cell cultures

    Institute of Scientific and Technical Information of China (English)

    Stéphane Larré; Philippe Camparo; Eva Comperat; Delphine Boulbés; Mohammed Haddoum; Sylvain Baulande; Pascal Soularue; Pierre Costa; Olivier Cussenot

    2012-01-01

    Pygeum africanum (Tadenan) is a popular phytotherapeutic agent used in the treatment of symptomatic benign prostatic hyperplasia.The active compounds of the drug have not been identified,and determining the plasma concentration of the drug is,therefore,not possible.Because there are conflicting results on the efficacy of this drug,we aimed to investigate its effect on prostate cell growth in vitro using human serum collected before and after Pygeum africanum intake.We used primary and organotypic cultures of human prostatic stromal myofibroblast cell line WPMY and prostatic epithelial cell line PNT2.We also used fresh benign prostatic tissue.The serum of a treated man induced decreases in the proliferation of primary cells,organotypic cells and WPMY cells but not PNT2 cells.We also analysed the effect of treated serum on the gene expression profile of WPMY cells.The transcriptome analysis revealed an upregulation of genes involved in multiple tumour suppression pathways and a downregulation of genes involved in inflammation and oxidative-stress pathways.The oral intake of Pygeum africanum resulted in serum levels of active substances that were sufficient to inhibit the proliferation of cultured myofibroblasts prostatic cells.This inhibition was associated with changes in the transcriptome.

  4. Radiographic evaluation of elbow joints before and after surgery in dogs with possible fragmented medial coronoid process

    International Nuclear Information System (INIS)

    To determine the usefulness of 5 radiographic projections of the elbow joint for identification of fragmented coronoid process (FCP) and associated secondary degenerative changes in dogs. Longitudinal clinical study. 19 dogs suspected of having FCP (7 dogs, 1 elbow joint; 12 dogs, both elbow joints). 5 radiographic projections were obtained before and after surgery for all elbow joints on which exploratory arthrotomy was performed because of suspected FCP. Radiographs obtained before surgery were compared with radiographs obtained after surgery and radiographs taken of the excised fragments. Each projection was evalated for its utility in definitively identifying FCP and 7 specific degenerative changes. Interevaluator agreement, use of each radiographic projection for definitively identifying a feature, and ability of the 4 evaluators to definitively identify a feature were analyzed. The craniolateral-caudomedial oblique (Cr15L-CdMO) projection had a significantly higher sensitivity for definitively identifying FCP, compared with the other 4 projections. Interevaluator and kappa agreement for the 5 projections did not differ significantly among the 7 degenerative changes evaluated. The radiographic projection with the highest sensitivity and specificity for detection of a particular degenerative change varied by feature. Of the 5 radiographic projections evaluated, the Cr15L-CdMO projection provided the highest sensitivity and was the best projection to use for definitively identifying FCP. The craniocaudal, Cr15L-CdMO, and mediolateral projections most reliably allowed for identification of secondary degenerative changes

  5. Assessment of Cerebrovascular Reserve before and after STA-MCA Bypass Surgery by SPECT and SPM Analysis

    International Nuclear Information System (INIS)

    The purpose of this study was to objectively assess the efficacy of superficial temporal artery to middle cerebral artery (STA-MCA) bypass surgery using Technetium (Tc)-99m-ethyl cysteinate dimer (ECD) single photon emission computed tomography (SPECT) in patients who underwent STA-MCA bypass surgery. Brain perfusion SPECT images obtained at baseline and after the administration of acetazolamide were reconstructed using statistical parametric mapping in 23 patients, both before and after STA-MCA bypass surgery. The clinical outcomes of the surgery were also recorded and compared with the hemodynamic changes. A voxel with an uncorrected p-value of less than 0.001 was considered to be statistically significant. SPECT images of the territory supplied by the bypass graft showed an increase in both cerebrovascular flow and reserve at baseline, and the increase was significantly higher following the administration of acetazolamide. All patients showed improvement of clinical symptoms and increased blood flow to the left temporal, parietal, and frontal cortices as well as the thalamus. Brain SPECT effectively and objectively demonstrated the improved outcomes of STA-MCA bypass surgery, and thus may be used in postoperative analyses

  6. Evaluation of physicians' knowledge about prevention of rheumatic fever and rheumatic heart disease before and after a teaching session.

    Science.gov (United States)

    Osman, Gehan M; Abdelrahman, Sirageldin M K; Ali, Sulafa K M

    2015-01-01

    Rheumatic fever (RF) and rheumatic heart disease RHD remain as one of the major cardiovascular problems in Sudanese children. The cornerstones for control of RF and RHD are primary and secondary preventions as adopted by Sudan's programme. This study aimed to describe and raise the paediatric doctors' awareness about prevention of RF and RHD using lectures. It was a prospective, cross-sectional, hospital based study, conducted in Khartoum. The study populations were paediatric doctors including house officers, medical officers and registrars. Data were collected through self-administered questionnaire, which was constructed to assess the doctor's awareness about RF and RHD prevention before and after attending lectures. Eighty seven doctors participated in the study. The results showed that the overall doctors' awareness about prevention of rheumatic fever and rheumatic heart disease was at average level. It was raised by intervention through lectures to good level. It is recommended to introduce training programs for physicians in order to improve doctors' awareness about prevention of RF and RHD. Such activities need to be conducted at regular intervals. PMID:27493434

  7. Bone-marrow MR imaging before and after autologous marrow transplantation in lymphoma patients without known bone-marrow involvement

    International Nuclear Information System (INIS)

    Purpose: To study lumbar bone marrow by means of MR imaging before and after bone-marrow transplantation in lymphoma patients. Particular emphasis was paid to heterogeneity and to focal manifestations, i.e. appearances that could simulate tumor. Material and Methods: Twenty-two patients who were disease-free for a minimum of 30 months after transplantation were studied in 107 MR examinations. Two radiologists visually evaluated coronal T1-weighted and short inversion time inversion-recovery (STIR) images. Results: T1-weighted images demonstrated a more heterogeneous marrow after transplantation than before it. Sharply defined focal low signal intensity areas appeared on this sequence in 5 (23%) of the 22 patients at between 21 and 60 weeks after transplantation. The mean age of these 5 patients was 48.4 years (range 42-54 years). The difference in age between these 5 patients and the remaining 17 patients, who had a mean age of 33.4 years (range 14-51 years), was statistically significant (p<0.01, Student's t-test, 2-sided test). Conclusion: Sharply defined focal low signal intensity areas may be seen on T1-weighted images of bone marrow in patients who are in complete remission after transplantation, particularly in those aged over 40-45 years. (orig.)

  8. HRCT-features of Pneumocystis jiroveci pneumonia and their evolution before and after treatment in non-HIV immunocompromised patients

    International Nuclear Information System (INIS)

    Objective: This study retrospectively analyzes the characteristics and kinetics of pulmonary changes in Pneumocystis jiroveci pneumonia (PJP) before and after treatment as depicted by thin-section-CT in HIV-negative patients. Materials and methods: Serial CT scans of 84 consecutive HIV-negative PJP patients were reviewed retrospectively encompassing a median follow-up of 76 (range, 37–506) days. Along with underlying disease and time span between the onset of symptoms and specific antimicrobial therapy, early and late pulmonary CT-findings were evaluated. Results: Imaging findings at initial diagnosis differed from those in the posttherapeutic setting. In the acute (initial) PJP-phase, most frequent finding was symmetric, apically distributed ground glass opacities (GGO) with peripheral sparing 43% (n = 36). These initial changes resolved up to 1st follow-up-examination in 57% (n = 48), and finally in all except for two patients after a median period of 13 (mean 26, range 1–58) days following application of specific therapy. In 42% (n = 35) architectural distortions occurred, but they resolved after a median period of 27 (mean 60, range 11–302) days. Only in 9 patients, complete resolution could not be documented. Significant correlations of the underlying disease or the time span between the onset of symptoms and specific antibiotic therapy and morphologic kinetic could not be found. Conclusion: Thin-section CT-findings of PJP usually resolve soon after onset of specific therapy. Postinfectious fibrosis rarely occurs following PJP in HIV-negative patients.

  9. General anaesthesia vs. conscious sedation for transfemoral aortic valve implantation: a single UK centre before-and-after study.

    Science.gov (United States)

    Miles, L F; Joshi, K R; Ogilvie, E H; Densem, C G; Klein, A A; O'Sullivan, M; Martinez, G; Sudarshan, C D; Abu-Omar, Y; Irons, J F

    2016-08-01

    Reported data suggest that 99% of transfemoral, transcatheter aortic valve implantations in the UK are performed under general anaesthesia. This before-and-after study is the first UK comparison of conscious sedation vs. general anaesthesia for this procedure. Patients who underwent general anaesthesia received tracheal intubation, positive pressure ventilation, radial arterial and central venous access and urinary catheterisation. Anaesthesia was maintained with propofol or sevoflurane. Patients who received conscious sedation had a fascia iliaca and ilioinguinal nerve block and low-dose remifentanil infusion, without invasive monitoring or urinary catheterisation. Recruitment took place between August 2012 and July 2015, with a 6-month crossover period between November 2013 and June 2014. A total of 88 patients were analysed, evenly divided between the two groups. Patients receiving conscious sedation had a shorter anaesthetic time (mean (SD) 121 (28) min vs. 145 (41) min; p < 0.001) and recovery room time (110 (50) min vs. 155 (48) min; p = 0.001), lower requirement for inotropes (4.6% vs 81.8%; OR (95% CI) 0.1 (0.002-0.050); p < 0.001) and a lower incidence of malignant dysrhythmia (0% vs 11.4%; p = 0.020). Conscious sedation appears a feasible alternative to general anaesthesia for this procedure and is associated with a reduced requirement for inotropic support and improved efficiency. PMID:27353456

  10. The individual and combined influence of ACE and ACTN3 genotypes on muscle phenotypes before and after strength training.

    Science.gov (United States)

    Erskine, R M; Williams, A G; Jones, D A; Stewart, C E; Degens, H

    2014-08-01

    Alternative measures of muscle size, strength, and power to those used in previous studies could help resolve the controversy surrounding associations between polymorphisms of the angiotensin-I converting enzyme (ACE) and α-actinin-3 (ACTN3) genes and skeletal muscle phenotypes, and the responses to resistance training (RT). To this end, we measured quadriceps femoris muscle volume (Vm), physiological cross-sectional area (PCSA), maximum isometric force (Ft), specific force (Ft per unit PCSA), maximum isoinertial strength (1-RM), and maximum power (Wmax ; n = 40) before and after 9-week knee extension RT in 51 previously untrained young men, who were genotyped for the ACE I/D and ACTN3 R577X polymorphisms. ACTN3 R-allele carriers had greater Vm, 1-RM, and Wmax than XX homozygotes at baseline (all P ACTN3 genotype (all P > 0.05). Muscle phenotypes were independent of ACE genotype before (all P > 0.05) and after RT (all P > 0.01). However, people with the "optimal" ACE+ACTN3 genotype combination had greater baseline 1-RM and Wmax compared to those with the "suboptimal" profile (both P ACTN3 R577X polymorphism is associated with human Vm and (independently and in combination with the ACE I/D polymorphism) influences 1-RM and Wmax. PMID:23384112

  11. Diagnostic accuracy of short-time inversion recovery sequence in Graves' ophthalmopathy before and after prednisone treatment

    Energy Technology Data Exchange (ETDEWEB)

    Tortora, Fabio; Belfiore, Maria Paola; Romano, Francesco; Cappabianca, Salvatore; Cirillo, Sossio [' ' F. Magrassi-A. Lanzara' ' Second University, Naples (Italy). Dept. of Clinical and Experimental Medicine and Surgery; Prudente, Mariaevelina [Second University, Naples (Italy). Medicine Dept.; Vita Salute San Raffaele Univ., Milan (Italy). Dept. of Neuroradiology; Cirillo, Mario [Second University, Naples (Italy). Neuroradiological Services; Elefante, Andrea [Federic II Univ., Naples (Italy). Neuroradilogical Dept.; Carella, Carlo [Polidiagnostic Center Check-Up, Salerno (Italy)

    2014-05-15

    In Graves' Ophthalmopathy, it is important to distinguish active inflammatory phase, responsive to immunosuppressive treatment, from fibrotic unresponsive inactive one. The purpose of this study is, first, to identify the relevant orbital magnetic resonance imaging signal intensities before treatment, so to classify patients according to their clinical activity score (CAS), discriminating inactive (CAS < 3) from active Graves' Ophthalmopathy (GO) (CAS > 3) subjects and, second, to follow post-steroid treatment disease. An observational study was executed on 32 GO consecutive patients in different phases of disease, based on clinical and orbital Magnetic Resonance Imaging parameters, compared to 32 healthy volunteers. Orbital Magnetic Resonance Imaging was performed on a 1.5 tesla Magnetic Resonance Unit by an experienced neuroradiologist blinded to the clinical examinations. In pre-therapy patients, compared to controls, a medial rectus muscle statistically significant signal intensity ratio (SIR) in short-time inversion recovery (STIR) (long TR/TE) sequence was found, as well as when comparing patients before and after treatment, both medial and inferior rectus muscle SIR resulted significantly statistically different in STIR. These increased outcomes explain the inflammation oedematous phase of disease, moreover after steroid administration, compared to controls; patients presented lack of that statistically significant difference, thus suggesting treatment effectiveness. In our study, we proved STIR signal intensities increase in inflammation oedematous phase, confirming STIR sequence to define active phase of disease with more sensibility and reproducibility than CAS alone and to evaluate post-therapy involvement. (orig.)

  12. Error-related brain activity in youth and young adults before and after treatment for generalized or social anxiety disorder.

    Science.gov (United States)

    Kujawa, Autumn; Weinberg, Anna; Bunford, Nora; Fitzgerald, Kate D; Hanna, Gregory L; Monk, Christopher S; Kennedy, Amy E; Klumpp, Heide; Hajcak, Greg; Phan, K Luan

    2016-11-01

    Increased error monitoring, as measured by the error-related negativity (ERN), has been shown to persist after treatment for obsessive-compulsive disorder in youth and adults; however, no previous studies have examined the ERN following treatment for related anxiety disorders. We used a flanker task to elicit the ERN in 28 youth and young adults (8-26years old) with primary diagnoses of generalized anxiety disorder (GAD) or social anxiety disorder (SAD) and 35 healthy controls. Patients were assessed before and after treatment with cognitive-behavioral therapy (CBT) or selective serotonin reuptake inhibitors (SSRI), and healthy controls were assessed at a comparable interval. The ERN increased across assessments in the combined sample. Patients with SAD exhibited an enhanced ERN relative to healthy controls prior to and following treatment, even when analyses were limited to SAD patients who responded to treatment. Patients with GAD did not significantly differ from healthy controls at either assessment. Results provide preliminary evidence that enhanced error monitoring persists following treatment for SAD in youth and young adults, and support conceptualizations of increased error monitoring as a trait-like vulnerability that may contribute to risk for recurrence and impaired functioning later in life. Future work is needed to further evaluate the ERN in GAD across development, including whether an enhanced ERN develops in adulthood or is most apparent when worries focus on internal sources of threat. PMID:27495356

  13. Probing the Structure and Chemistry of Perylenetetracarboxylic Dianhydride on Graphene Before and After Atomic Layer Deposition of Alumina.

    Science.gov (United States)

    Johns, James E; Karmel, Hunter J; Alaboson, Justice M P; Hersam, Mark C

    2012-07-11

    The superlative electronic properties of graphene suggest its use as the foundation of next generation integrated circuits. However, this application requires precise control of the interface between graphene and other materials, especially the metal oxides that are commonly used as gate dielectrics. Towards that end, organic seeding layers have been empirically shown to seed ultrathin dielectric growth on graphene via atomic layer deposition (ALD), although the underlying chemical mechanisms and structural details of the molecule/dielectric interface remain unknown. Here, confocal resonance Raman spectroscopy is employed to quantify the structure and chemistry of monolayers of 3,4,9,10-perylenetetracarboxylic dianhydride (PTCDA) on graphene before and after deposition of alumina with the ALD precursors trimethyl aluminum (TMA) and water. Photoluminescence measurements provide further insight into the details of the growth mechanism, including the transition between layer-by-layer growth and island formation. Overall, these results reveal that PTCDA is not consumed during ALD, thereby preserving a well-defined and passivating organic interface between graphene and deposited dielectric thin films. PMID:22905282

  14. Short-term Response and Long-term Financial Performance Before and After Announcement of Equity Incentive in China

    Directory of Open Access Journals (Sweden)

    Tuanye Yu

    2013-11-01

    Full Text Available Whether equity incentive has the ability to enhance the value of the company has been be widely noted by the capital market. This study took 19 listed companies which were in the first batch of the implementation of equity incentive in 2006 as samples, used the event study methodology to study the short-term response in the market after the announcement of equity incentives, used the descriptive statistical analysis to test financial performance differences between before and after the equity incentive announcement and compared the short-term response and long-term financial performance. The study results show that, during the period in this study, the announcement of the equity incentive doesn’t produce significant changes on stock market and there is synchronization between the performance of the company and management equity incentive level, the shareholding ratio of the top ten, company size, but there is no significant correlation between the equity incentive and performance of the company.

  15. Functional MRI of tongue motor tasks in patients with tongue cancer: observations before and after partial glossectomy

    Energy Technology Data Exchange (ETDEWEB)

    Haupage, Samantha; Branski, Ryan C.; Kraus, Dennis [Memorial Sloan-Kettering Cancer Center, Head and Neck Surgery, New York, NY (United States); Peck, Kyung K. [Memorial Sloan-Kettering Cancer Center, Department of Radiology, New York, NY (United States); Memorial Sloan-Kettering Cancer Center, Medical Physics, New York, NY (United States); Memorial Sloan-Kettering Cancer Center, Department of Medical Physics and Radiology, New York, NY (United States); Hsu, Meier [Memorial Sloan-Kettering Cancer Center, Department of Epidemiology and Biostatistics, New York, NY (United States); Holodny, Andrei [Memorial Sloan-Kettering Cancer Center, Department of Radiology, New York, NY (United States)

    2010-12-15

    The current study seeks to provide preliminary data regarding this central, adaptive response during tongue motor tasks utilizing functional magnetic resonance imaging (fMRI) before and after glossectomy. Six patients, with confirmed histological diagnoses of oral tongue cancer, underwent fMRI before and 6 months after partial glossectomy. These data were compared to nine healthy controls. All subjects performed three tongue motor tasks during fMRI: tongue tapping (TT), dry swallow (Dry), and wet swallow (Wet). Following surgery, increased activation was subjectively observed in the superior parietal lobule, supplementary motor area, and anterior cingulate. Region of interest (ROI) analysis of the precentral gyrus confirmed increased cortical activity following surgery. In addition, comparisons between pre-surgical scans and controls suggested the dry swallow task was sensitive to elicit tongue-related activation in the precentral gyrus (p {<=} 0.05). The adaptive changes in the cortex following partial glossectomy reflect recruitment of the parietal, frontal, and cingulate cortex during tongue motor tasks. In addition, post-operative activation patterns more closely approximated control levels than the pre-operative scans. Furthermore, the dry swallow task appears most specific to elicit tongue-related cortical activity. (orig.)

  16. Relating Pneumococcal Carriage Among Children to Disease Rates Among Adults Before and After the Introduction of Conjugate Vaccines.

    Science.gov (United States)

    Weinberger, Daniel M; Grant, Lindsay R; Weatherholtz, Robert C; Warren, Joshua L; O'Brien, Katherine L; Hammitt, Laura L

    2016-06-01

    The use of pneumococcal conjugate vaccines (PCVs) in children has a strong indirect effect on disease rates in adults. When children are vaccinated with PCVs, other serotypes that are not targeted by the vaccine can increase in frequency (serotype replacement) and reduce the direct and indirect benefits of the vaccine. To understand and predict the likely impacts of serotype replacement, it is important to know how patterns in the transmission of serotypes among children relate to disease rates in adults. We used data on pneumococcal carriage and disease from Navajo Nation children and adults collected before and after the routine use of PCVs (1998-2012). Using regression models within a Bayesian framework, we found that serotype-specific carriage and invasiveness (disease incidence divided by carriage prevalence) had similar patterns in children and adults. Moreover, carriage in children, invasiveness in children, and a serotype-specific random intercept (which captured additional variation associated with the serotypes) could predict the incidence serotype-specific pneumococcal disease in adults 18-39 years of age and those 40 years of age or older in the era of routine use of PCVs. These models could help us predict the effects of future pneumococcal vaccine use in children on disease rates in adults, and the modeling approach developed here could be used to test these findings in other settings. PMID:27188949

  17. Cine-MR imaging aqueductal CSF flow in normal pressure hydrocephalus syndrome before and after CSF shunt

    Energy Technology Data Exchange (ETDEWEB)

    Mascalchi, M. (Sezione di Radiodiagnostica, Dipt. di Fisiopatologia Clinica, and Dipt. di Scienze Neurologiche, Florence Univ. (Italy)); Arnetoli, G. (Sezione di Radiodiagnostica, Dipt. di Fisiopatologia Clinica, and Dipt. di Scienze Neurologiche, Florence Univ. (Italy)); Inzitari, D. (Sezione di Radiodiagnostica, Dipt. di Fisiopatologia Clinica, and Dipt. di Scienze Neurologiche, Florence Univ. (Italy)); Dal Pozzo, G. (Sezione di Radiodiagnostica, Dipt. di Fisiopatologia Clinica, and Dipt. di Scienze Neurologiche, Florence Univ. (Italy)); Lolli, F. (Sezione di Radiodiagnostica, Dipt. di Fisiopatologia Clinica, and Dipt. di Scienze Neurologiche, Florence Univ. (Italy)); Caramella, D. (Sezione di Radiodiagnostica, Dipt. di Fisiopatologia Clinica, and Dipt. di Scienze Neurologiche, Florence Univ. (Italy)); Bartolozzi, C. (Sezione di Radiodiagnostica, Dipt. di Fisiopatologia Clinica, and Dipt. di Scienze Neurologiche, Florence Univ. (Italy))

    1993-11-01

    Reproducibility of the aqueductal CSF signal intensity on a gradient echo cine-MR sequence exploiting through plane inflow enhancement was tested in 11 patients with normal or dilated ventricles. Seven patients with normal pressure hydrocephalus (NPH) syndrome were investigated with the sequence before and after CSF shunting. Two patients exhibiting central flow void within a hyperintense aqueductal CSF improved after surgery and the flow void disappeared after shunting. One patient with increased maximum and minimum aqueductal CSF signal as compared to 18 healthy controls also improved and the aqueductal CSF signal was considerably decreased after shunting. Three patients with aqueductal CSF values similar to those in the controls did not improve, notwithstanding their maximum aqueductal CSF signals decreasing slightly after shunting. No appreciable aqueductal CSF flow related enhancement consistent with non-communicating hydrocephalus was found in the last NPH patient who improved after surgery. Cine-MR with inflow technique yields a reproducible evaluation of flow-related aqueductal CSF signal changes which might help in identifying shunt responsive NPH patients. These are likely to be those with hyperdynamic aqueductal CSF or aqueductal obstruction. (orig.).

  18. COMPARISION OF ENERGY EXPENDITURE DURING WALKING AND RUNNING ON TRACK BEFORE AND AFTER TRAINING IN YOUNG HEALTHY ADULT WOMEN

    Directory of Open Access Journals (Sweden)

    Muni sekhar.K

    2013-10-01

    Full Text Available Aim:The purpose of this study was to evaluate the energy expenditure in healthy women before training andafter training during the walking and running.Materials and Methods:Forty healthy women were taken asthe subjects and energy expenditure was calculated before and after training during walking and running. Inthis study a 1600 metres (1 mile track measured using PVC reel tape was used for walking and running.Results:The examination of parameters, body mass index, heart rate, energy expenditure and statistical analysiswas estimated for all subjects. The data were analysed by using descriptive and inferential statistics.Discussion:The findings suggested a significance decrease in heart rate and blood pressure and energyexpenditure in women after training as compared to before training for both during walking and running.Conclusion:Study for the both during walking and running shows that energy expenditure was higher com-pared to walking for the same distance. The energy expenditure is high in before training group compared toafter training. The heart rate of the untrained subjects was also increased when compared with aftertraining

  19. On the delights of being an ex-cataract patient: Visual experiences before and after cataract operations; what they indicate

    Science.gov (United States)

    van Nes, Floris L.

    2014-02-01

    This paper is about changes in the author's visual perception over most of his lifetime, but in particular in the period before and after cataract operations. The author was myopic (-3D) until the operations, and emmetropic afterwards - with mild astigmatic aberrations that can be compensated with cylindrical spectacles, but in his case rarely are, because of the convenience of not needing to wear distance glasses in daily life anymore. The perceptual changes concern color vision, stereopsis and visual acuity. The post-cataract changes were partly expected, for example less yellow and more blue images, but partly wholly unexpected, and accompanied by feelings of excitement and pleasure; even delight. These unexpected changes were a sudden, strongly increased depth vision and the sensation of seeing suddenly sharper than ever before, mainly at intermediate viewing distances. The visual acuity changes occur after, exceptionally, his distance glasses are put on. All these sensations lasted or last only for a short time. Those concerning stereopsis were dubbed 'super depth', and were confined to the first two months after the second cataract operation. Those concerning acuity were termed 'super-sharpness impression'; SSI. These can be elicited more or less at will, by putting on the spectacles described; but will then disappear again, although the spectacles are kept on. Ten other ex-cataract patients have been interviewed on their post-operation experiences. The 'super-depth' and SSI experiences may be linked to assumed neurophysiological mechanisms such as the concept of Bayesian reweighting of perceptual criteria.

  20. THE ROLE OF LIPOTROPIC THERAPY IN PATIENTS WITH CHRONIC ISCHEMIC HEART DISEASE BEFORE AND AFTER CORONARY REVASCULARIZATION

    Directory of Open Access Journals (Sweden)

    R. N. Adzhiev

    2015-09-01

    Full Text Available Review of large of trials that prove the positive impact of high-dose lipid-lowering therapy on the prognosis in patients with ischemic heart disease (IHD are presented. The data on the efficacy of the lipid profile correction by lipid apheresis in patients with hypercholesterolemia that is refractory to optimal medical therapy are showed. The results of the large trials (LIPS, ARMYDA, NAPLES II, ARMYDA-RECAPTURE, Post-CABG, TNT and meta-analyzes on the role of statins, prescribed before and after coronary artery bypass surgery and stenting, in reducing the risk of early and late cardiac events and the need for repeat myocardial revascularization are analyzed. The issue of therapeutic apheresis should be considered in cases of refractory hypercholesterolemia according to ESC/EAS Guidelines for the management of dyslipidaemias (2011. The tendency to reduction in the risk of stent restenosis and vein graft lesions after lipid apheresis is found in very high risk patients with IHD and refractory hypercholesterolemia that underwent coronary stenting or bypass surgery.

  1. Income-related inequality in perceived oral health among adult Finns before and after a major dental subsidization reform.

    Science.gov (United States)

    Raittio, Eero; Aromaa, Arpo; Kiiskinen, Urpo; Helminen, Sari; Suominen, Anna Liisa

    2016-07-01

    Objectives In Finland, a dental subsidization reform, implemented in 2001-2002, abolished age restrictions on subsidized dental care. The aim of this study was to investigate income-related inequality in the perceived oral health and its determinants among adult Finns before and after the reform. Materials and methods Three identical cross-sectional nationally representative postal surveys, concerning perceived oral health and the use of dental services among people born before 1971, were conducted in 2001 (n = 2157), in 2004 (n = 1814) and in 2007 (n = 1671). Three measures of perceived oral health were used: toothache or oral discomfort during the past 12 months, current need for dental care and self-reported oral health status. Concentration index was used to analyse the income-related inequalities. Its decomposition was used to study factors related to the inequalities. Results The proportion of respondents reporting need for dental care decreased from 2001 to 2007, while no changes were seen in reports of toothache or self-reported oral health status. Income-related inequalities in reports of toothache and perceived need for care widened, while the inequality in self-reported oral health remained stable. Most of the inequalities were related to income itself, perceived general health and the time since the last visit to dental care. Conclusions It seems that the income-related inequalities in perceived oral health remained or even widened after the reform. PMID:26980421

  2. Cognitive functions in adults with β-thalassemia major: before and after blood transfusion and comparison with healthy controls.

    Science.gov (United States)

    Raz, Sivan; Koren, Ariel; Dan, Orrie; Levin, Carina

    2016-07-01

    While β-thalassemia major (β-TM)-related physiological complications have been well established, less is known about implications for neuropsychological and cognitive function. The few existing studies have focused almost exclusively on children. We evaluated cognitive function in adult β-TM patients compared to healthy controls (study 1) and in β-TM patients before and after blood transfusion (study 2). Performance intelligence quotient (IQ) was evaluated with four subtests from the Wechsler Adult Intelligence Scale (WAIS-III). Attention functions were evaluated using the online continuous performance test (OCPT). The results of study 1 revealed poorer performance of β-TM patients on three of the four intelligence subtests, with significantly lower total performance IQ scores compared with controls. The percentage of participants with abnormal performance IQ (<85) was almost five times higher in the β-TM group (58%) than in the control group (12%). In study 2, significant differences were found in OCPT performance as a function of blood transfusion. Before transfusion, patients had higher rates of omission and commission errors, slower response times (RTs), and lower RT consistency than after transfusion. As β-TM patients' life expectancy is increasing, assessment and treatment of neurocognitive functions should become an integral part of appropriate follow-up to improve patients' quality of life. PMID:27447535

  3. Characterization and photoluminescence studies of CdTe nanoparticles before and after transfer from liquid phase to polystyrene

    Indian Academy of Sciences (India)

    Shugang Wang; Yaoxian Li; Jie Bai; Qingbiao Yang; Yan Song; Chaoqun Zhang

    2009-10-01

    The major objective of this work was to detect the change of photoluminescence (PL) intensity of CdTe nanoparticles (NPs) before and after transfer from liquid phase to polystyrene (PS) matrix by electrospinning technique. Thio-stabilized CdTe NPs were first synthesized in aqueous, then enwrapped by cetyltrimethylammonium bromide (CTAB), and finally, transferred into PS matrix to form CdTe/PS nanofibres by electrospinning. Then, CdTe/PS nanofibres were characterized by scanning electron microscope (SEM) and transmission electron microscope (TEM) to observe their morphology and distribution, respectively. The selective area electronic diffraction (SAED) pattern proved that the CdTe NPs were cubic lattice. The PL spectrum indicated that CdTe NPs have been transferred into PS nanofibres, and the PL intensity of CdTe NPs in the nanofibres was even higher than that before CdTe NPs were introduced into PS nanofibres. Moreover, X-ray photoelectron spectra (XPS) revealed that thiol-stabilized CdTe NPs were enwrapped by CTAB, and PS acted as a dispersant in the process of electrospinning.

  4. Single photon emission computed tomography before and after treatment of anxiety using a selective serotonin reuptake inhibitor

    International Nuclear Information System (INIS)

    Background: The selective serotonin reuptake inhibitors (SSRIs) are currently recommended as first line medications for a number of different anxiety disorders, including obsessive-compulsive disorder (OCD), posttraumatic stress disorder (PTSD), and social anxiety disorder (social phobia) (SAD). This raises the question of what effects these agents have on the functional neuroanatomy of anxiety disorders. Methods: Single photon emission computed tomography (SPECT) brain scanning was undertaken in patients with OCD, PTSD, and SAD before and after treatment with citalopram, the most selective of the SSRIs. Statistical parametric mapping (SPM) was used to compare scans (pre- vs post-medication, and responders vs nonresponders) in the combined group of subjects. Results: Citalopram pharmacotherapy resulted in significant deactivation within anterior and superior cingulate and left hippocampus. Deactivation within the anterior cingulate, left paracingular cortex, and right inferior frontal cortex was more marked in treatment responders. Baseline activation did not, however, predict response to pharmacotherapy. Conclusion: Although each of the anxiety disorders may be mediated by different neurocircuits, there are some overlaps in the functional neuroanatomy of their response to SSRI treatment. The current data is consistent with previous work demonstrating the importance of limbic circuits in this spectrum of disorders. These play a crucial role in cognitive-affective processing, and are innervated by serotonergic neurons

  5. Cine-MR imaging aqueductal CSF flow in normal pressure hydrocephalus syndrome before and after CSF shunt

    International Nuclear Information System (INIS)

    Reproducibility of the aqueductal CSF signal intensity on a gradient echo cine-MR sequence exploiting through plane inflow enhancement was tested in 11 patients with normal or dilated ventricles. Seven patients with normal pressure hydrocephalus (NPH) syndrome were investigated with the sequence before and after CSF shunting. Two patients exhibiting central flow void within a hyperintense aqueductal CSF improved after surgery and the flow void disappeared after shunting. One patient with increased maximum and minimum aqueductal CSF signal as compared to 18 healthy controls also improved and the aqueductal CSF signal was considerably decreased after shunting. Three patients with aqueductal CSF values similar to those in the controls did not improve, notwithstanding their maximum aqueductal CSF signals decreasing slightly after shunting. No appreciable aqueductal CSF flow related enhancement consistent with non-communicating hydrocephalus was found in the last NPH patient who improved after surgery. Cine-MR with inflow technique yields a reproducible evaluation of flow-related aqueductal CSF signal changes which might help in identifying shunt responsive NPH patients. These are likely to be those with hyperdynamic aqueductal CSF or aqueductal obstruction. (orig.)

  6. Ventricular repolarization before and after treatment in patients with secondary hypertension due to renal-artery stenosis and primary aldosteronism.

    Science.gov (United States)

    Maule, Simona; Bertello, Chiara; Rabbia, Franco; Milan, Alberto; Mulatero, Paolo; Milazzo, Valeria; Papotti, Grazia; Veglio, Franco

    2011-10-01

    A prolonged QT interval is a risk factor for ischemic heart disease in hypertensive subjects. Patients with renal-artery stenosis and primary aldosteronism (PA) are at increased risk of cardiovascular events. The objective of the present study was to evaluate the QT interval in patients with renovascular hypertension (RV) and PA before and after treatment. A total of 24 patients with RV and 38 with PA were studied; 89 patients with essential hypertension (EH) served as control group. Corrected QT intervals (QTcH) were measured from a 12-lead ECG. Basal QTcH was longer in RV (429±30 ms) and PA (423±23 ms) compared with EH controls (407±18 ms; P440 ms was higher in RV (29%) and PA patients (29%) compared with EH controls (4%; P<0.001). QTcH interval was evaluated after treatment in 19 RV and 15 PA patients. QTcH was reduced after renal-artery angioplasty in RV patients (419±14 ms; P=0.02), and after spironolactone or adrenalectomy in PA (403±12 ms; P=0.01). In conclusion, QT interval was prolonged in patients with RV and PA compared with controls with EH. After angioplasty of renal-artery stenosis in RV, and treatment with spironolactone or adrenalectomy in PA, the cardiovascular risk of such patients may be reduced by concomitant blood pressure lowering and QT duration shortening. PMID:21677661

  7. Self-assessment of facial form oral function and psychosocial function before and after orthognathic surgery: A retrospective study

    Directory of Open Access Journals (Sweden)

    Narayanan Vinod

    2008-01-01

    Full Text Available Orthognathic surgery is a well-accepted treatment for patients with skeletal discrepancies. The primary motivation of many patients who seek orthognathic surgery is esthetics and not for correction of functional disability. The treatment is incomplete if the surgeon attempts to correct the physical deformity alone without adequate understanding and regard for the emotional framework. The purpose of this study is aimed at patient′s self-perceptions of facial form oral function and psychosocial function before and after orthognathic surgery. Fifty patients were included in the study, of which 21 were used as control. Twenty-two questions were asked to evaluate the problem in all four areas as mentioned earlier. Each question takes a score from one to five. In group I, the internal consistency of each scale indicates moderate to high internal reliability, ranging from α = 0.71 for general health to α = 0.88 for psychosocial problem. In group II, except for functional problems, the internal consistency of each scale has moderate to high reliability. The psychological wellbeing of an orthognathic surgery patient is enhanced by careful preoperative counseling regarding the expected surgical treatment objectives, the operative course, and the expected postoperative sequelae. Patients who undergo orthognathic surgery readily accept the changes in their postoperative appearance and are satisfied with achieved results.

  8. The Numerical Study of the Hemodynamic Characteristics in the Patient-Specific Intracranial Aneurysms before and after Surgery

    Science.gov (United States)

    Byun, Jun Soo; Choi, Sun-Young

    2016-01-01

    The patient-specific pre- and postsurgery cerebral arterial geometries in the study were reconstructed from computed tomography angiography (CTA). Three-dimensional computational fluid dynamics models were used to investigate the hemodynamic phenomena in the cerebral arteries before and after surgery of the aneurysm under realistic conditions. CFD simulations for laminar flow of incompressible Newtonian fluid were conducted by using commercial software, ANSYS v15, with the rigid vascular wall assumption. The study found that the flow patterns with the complex vortical structures inside the aneurysm were similar. We also found that the inflow jet streams were coming strongly in aneurysm sac in the presurgery models, while the flow patterns in postsurgery models were quite different from those in presurgery models. The average wall shear stress after surgery for model 1 was approximately three times greater than that before surgery, while it was about twenty times greater for model 2. The area of low WSS in the daughter saccular aneurysm region in model 2 is associated with aneurysm rupture. Thus the distribution of WSS in aneurysm region provides useful prediction for the risk of aneurysm rupture. PMID:27274764

  9. Microstructural morphology of the semi-solid high carbon steel T12 before and after rheo-rolling

    Institute of Scientific and Technical Information of China (English)

    Jiguang Li; Yonglin Kang; Aimin Zhao; Yi Sun; Man Cheng

    2005-01-01

    The semi-solid high carbon steel T12 was rolled in a closed box groove under a certain condition by the rheo-rolling equipment, and the microstructural morphology of the semi-solid T12 before and after deformation was investigated by optical microscope to analyze and summarize the microstructure evolution law of T12 deformed in semi-solid state. The experiment results show that the grain shape before deformation of the semi-solid T12 steel displays globule or ellipse by the electromagnetic stirring,the distribution of solid and liquid phases is homogeneous. But the microstructure of semi-solid product after rheo-rolling exhibits macrosegregation that the distribution of liquid and solid phases changes, the liquid phases divorce from the solid phases. In the transverse section, most of the solid phases get together in the center of the specimen, the liquid phases flow to the surface or the edge of the specimen, and the grains occur plastic deformation while reduction increased. In longitudinal section, the middle microstructure of the specimen is more homogeneous than that at the head or tail, the head microstructure is similar to the tail and the size of the grains is not homogeneous.

  10. Diagnostic accuracy of short-time inversion recovery sequence in Graves' ophthalmopathy before and after prednisone treatment

    International Nuclear Information System (INIS)

    In Graves' Ophthalmopathy, it is important to distinguish active inflammatory phase, responsive to immunosuppressive treatment, from fibrotic unresponsive inactive one. The purpose of this study is, first, to identify the relevant orbital magnetic resonance imaging signal intensities before treatment, so to classify patients according to their clinical activity score (CAS), discriminating inactive (CAS 3) subjects and, second, to follow post-steroid treatment disease. An observational study was executed on 32 GO consecutive patients in different phases of disease, based on clinical and orbital Magnetic Resonance Imaging parameters, compared to 32 healthy volunteers. Orbital Magnetic Resonance Imaging was performed on a 1.5 tesla Magnetic Resonance Unit by an experienced neuroradiologist blinded to the clinical examinations. In pre-therapy patients, compared to controls, a medial rectus muscle statistically significant signal intensity ratio (SIR) in short-time inversion recovery (STIR) (long TR/TE) sequence was found, as well as when comparing patients before and after treatment, both medial and inferior rectus muscle SIR resulted significantly statistically different in STIR. These increased outcomes explain the inflammation oedematous phase of disease, moreover after steroid administration, compared to controls; patients presented lack of that statistically significant difference, thus suggesting treatment effectiveness. In our study, we proved STIR signal intensities increase in inflammation oedematous phase, confirming STIR sequence to define active phase of disease with more sensibility and reproducibility than CAS alone and to evaluate post-therapy involvement. (orig.)

  11. Lipid peroxidation and nitric oxide metabolites in sedentary subjects and sportsmen before and after a cardiopulmonary test.

    Science.gov (United States)

    Lo Presti, Rosalia; Canino, Baldassare; Montana, Maria; Caimi, Gregorio

    2013-01-01

    Our aim was to investigate the effects of an exercise test on some indices of oxidative status and endothelial function, in trained and untrained subjects. We examined lipid peroxidation, nitric oxide metabolites (NOx) and their ratio before and after a cardiopulmonary test, using a cycloergometer. We enrolled 60 male subjects who practiced sport unprofessionally, subdivided in two groups (A and B) according to the values of VO2max. Group A included sportsmen with poor or fair aerobic fitness (VO2max 39 ml/Kg/min). The control group included 19 male sedentary subjects. Lipid peroxidation was evaluated by detection of the thiobarbituric acid-reactive substances (TBARS); the NOx were evaluated employing the Griess reagent. At rest, in comparison with sedentary controls, an increase in TBARS, NOx and TBARS/NOx ratio was found in all sportsmen and partially in the two groups. After the cardiopulmonary test, the increase of TBARS and TBARS/NOx ratio was significantly more evident in sedentary controls than in sportsmen. No variation was observed for NOx in any group. These data suggest that sportsmen are protected against the acute oxidative stress induced by an exercise test, and that protection is not strictly dependent on the aerobic fitness. PMID:22710809

  12. Basic life support skills of high school students before and after cardiopulmonary resuscitation training: a longitudinal investigation

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    Meissner Theresa M

    2012-04-01

    Full Text Available Abstract Background Immediate bystander cardiopulmonary resuscitation (CPR significantly improves survival after a sudden cardiopulmonary collapse. This study assessed the basic life support (BLS knowledge and performance of high school students before and after CPR training. Methods This study included 132 teenagers (mean age 14.6 ± 1.4 years. Students completed a two-hour training course that provided theoretical background on sudden cardiac death (SCD and a hands-on CPR tutorial. They were asked to perform BLS on a manikin to simulate an SCD scenario before the training. Afterwards, participants encountered the same scenario and completed a questionnaire for self-assessment of their pre- and post-training confidence. Four months later, we assessed the knowledge retention rate of the participants with a BLS performance score. Results Before the training, 29.5% of students performed chest compressions as compared to 99.2% post-training (P P Conclusions BLS training in high school seems highly effective considering the minimal amount of previous knowledge the students possess. We observed significant improvement and a good retention rate four months after training. Increasing the number of trained students may minimize the reluctance to conduct bystander CPR and increase the number of positive outcomes after sudden cardiopulmonary collapse.

  13. Iodine-129 concentration in seawater near Fukushima before and after the accident at the Fukushima Daiichi Nuclear Power Plant

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    T. Suzuki

    2013-06-01

    Full Text Available Anthropogenic radionuclides were released into the environment in large quantities by the Fukushima Daiichi Nuclear Power Plant (1FNPP accident. To evaluate accident-derived 129I, the 129I concentrations in seawater before and after the accident were compared. Before the accident (2008–2009, the 129I concentrations in the western margin of the North Pacific between 32° N and 44° N showed a latitudinal gradient that was expressed as a linear function of latitude. The highest and average 129I concentrations after the accident were 73 times and approximately 8 times, respectively, higher than those before the accident in this study area. Considering the distribution of 129I in surface seawater, the accident-derived 129I in the southern and northern stations of the 1FNPP was predominantly supplied by seawater advection and atmospheric deposition (including microbial volatilization, respectively. As of October 2011, depth profiles of 129I revealed that 129I originating from the 1FNPP existed mainly in the upper 100 m depth. From the depth profiles, the cumulative inventories of accident-derived 129I were estimated to be (1.6–9.6 × 1012 atoms m−2 in this study area. On the basis of the 129I data in the seawater near Fukushima, the effective dose of 129I from seafood ingestion was much smaller than the annual dose limit.

  14. Vortex motion noise in YBa2Cu3Ox films before and after heavy-ion irradiation

    International Nuclear Information System (INIS)

    We have studied vortex motion noise in epitaxial YBa2Cu3Ox films in magnetic fields before and after introducing columnar defects into the film by heavy-ion irradiation. Vortex motion exhibited a noise peak, which occurred at a field-dependent temperature. We found an increased noise peak magnitude after irradiation, and interpreted it as an increased bundle size, probably due to an increased length of vortex segments due to the interaction with pinned vortices in columnar defects. The magnetic field and the current dependence of the noise provided additional insights into the effects of columnar defects. After irradiation, the noise peak was almost independent of magnetic field, B, when it is less than about half of the matching field Bφ but dropped by a factor of 3 for B∼2Bφ. On the other hand, for Bφ, the bundle size was strongly current dependent at small current in the irradiated sample, but such a current dependence disappeared at higher currents or fields and was absent in the unirradiated sample. copyright 1999 The American Physical Society

  15. Parenting a child with autism in India: narratives before and after a parent-child intervention program.

    Science.gov (United States)

    Brezis, Rachel S; Weisner, Thomas S; Daley, Tamara C; Singhal, Nidhi; Barua, Merry; Chollera, Shreya P

    2015-06-01

    In many low and middle income countries where autism-related resources are scarce, interventions must rely on family and parents. A 3-month Parent-Child Training Program (PCTP) at Action For Autism, New Delhi, India is aimed at empowering and educating parents, encouraging acceptance of their child, and decreasing parent stress. Forty couples were asked to describe their child with autism using the Five Minute Speech Sample (FMSS), an open-ended narrative method, before and after the program. Parents described a wide range of child behaviors, primarily social and cognitive skills. While all families were of a relatively affluent strata compared to the general Indian population, there were nonetheless significant differences in parents' narratives based on their income levels. Coming into the program, parents with relatively less income focused on their child's immediate and material needs, while higher income parents discussed their parental roles and vision for society. After the PCTP, parents were more likely to reflect on their child beyond comparisons to 'normality,' and beyond the here-and-now. Mothers were more likely than fathers to reflect on themselves and their relationships with their child. Understanding parents' experiences and narratives is essential for the evaluation of interventions such as the PCTP, as Indian parents are incorporated into a growing global network of 'parents of children with autism.' PMID:25739529

  16. Heart rate variability in non-apneic snorers and controls before and after continuous positive airway pressure

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    Mateika Jason H

    2005-07-01

    Full Text Available Abstract Background We hypothesized that sympathetic nervous system activity (SNSA is increased and parasympathetic nervous system activity (PNSA is decreased during non-rapid eye movement (NREM sleep in non-apneic, otherwise healthy, snoring individuals compared to control. Moreover, we hypothesized that these alterations in snoring individuals would be more evident during non-snoring than snoring when compared to control. Methods To test these hypotheses, heart rate variability was used to measure PNSA and SNSA in 11 normotensive non-apneic snorers and 12 control subjects before and 7-days after adapting to nasal continuous positive airway pressure (nCPAP. Results Our results showed that SNSA was increased and PNSA was decreased in non-apneic snorers during NREM compared to control. However, these changes were only evident during the study in which snoring was eliminated with nCPAP. Conversely, during periods of snoring SNSA and PNSA were similar to measures obtained from the control group. Additionally, within the control group, SNSA and PNSA did not vary before and after nCPAP application. Conclusion Our findings suggest that long-lasting alterations in autonomic function may exist in snoring subjects that are otherwise healthy. Moreover, we speculate that because of competing inputs (i.e. inhibitory versus excitatory inputs to the autonomic nervous system during snoring, the full impact of snoring on autonomic function is most evident during non-snoring periods.

  17. Farfield Ion Current Density Measurements before and after the NASA HiVHAc EDU2 Vibration Test

    Science.gov (United States)

    Huang, Wensheng; Kamhawi, Hani; Shastry, Rohit

    2012-01-01

    There is an increasing need to characterize the plasma plume of the NASA HiVHAc thruster in order to better understand the plasma physics and to obtain data for spacecraft interaction studies. To address this need, the HiVHAc research team is in the process of developing a number of plume diagnostic systems. This paper presents the initial results of the farfield current density probe diagnostic system. Farfield current density measurements were carried out before and after a vibration test of the HiVHAc engineering development unit 2 that simulate typical launch conditions. The main purposes of the current density measurements were to evaluate the thruster plume divergence and to investigate any changes in the plasma plume that may occur as a result of the vibration test. Radial sweeps, as opposed to the traditional polar sweeps, were performed during these tests. The charged-weighted divergence angles were found to vary from 16 to 28 degrees. Charge density profiles measured pre- and post-vibration-test were found to be in excellent agreement. This result, alongside thrust measurements reported in a companion paper, confirm that the operation of the HiVHAc engineering development unit 2 were not altered by full-level/random vibration testing.

  18. Isotopic composition of atmospheric water vapor before and after the monsoon's end in the Nagqu River Basin

    Institute of Scientific and Technical Information of China (English)

    YU Wusheng; YAO Tandong; TIAN Lide; WANG Yu; YIN Changliang

    2005-01-01

    Atmospheric water vapor samples were collected in the Nagqu River Basin in the middle of Tibetan Plateau between August and October in 2004. Results show that there exist some fluctuations of the δ18O of atmospheric water vapor, especially before and after the monsoon's end. Moreover, the variety trend of the δ 18O of atmospheric water vapor inverse correlates with that of dew point. Precipitation events make an important effect upon the variation of δ18O of atmospheric water vapor. During the whole sampling period, the δ18O values of atmospheric water vapor are low while precipitation events occurred. The moisture origins also contribute to the variation of δ18O of atmospheric water vapor. The oceanic moisture transported by the southwest monsoon results in lower δ18O of atmospheric water vapor in the Nagqu River Basin. Compared with the influence of the oceanic moisture, the δ18O values, however, appear high resulting from the effect of the continental air mass in this region.

  19. Comparison of before and after CBCT image registration based on the lung cancer intensity-modulated planning

    International Nuclear Information System (INIS)

    Objective: To study the CBCT image registration of PTV enlarging distance and IMRT planning (CT-1) for patients with lung cancer,and evaluate their characters. Methods: Ten patients with lung cancer were included in the study. Two sets image, before and after radiotherapy, were acquired every week. Then delineated the targeted volume and made the planning (CT-2) according the enlarging distance data. To compare the parameters of DVH for lung and spinal cord, volumes and dose of PTV and NTCP with CT-1 and CT-2. The difference of two plan was analyzed by covariance analysis or Wilcoxson's z-test. Results: The max, min and mean dose of PTV, the lung V5, V10, V20, V30, V50 were similar in both plans (P =0.242-0.663). There was superiority in CT-2 of PTV and lung's mean dose (P =0.049, 0.035). The NTCP had the decent tendency followed by the increasing of lung V5, V10, V20 (P =0.146, 0.053, 0.000). Conclusions: CBCT based image registration can reduce PTV, the mean dose of lung, NTCP, and increase PTV dose. This provides a tool for exploring accurate radiotherapy strategies. (authors)

  20. PRELIMINARY RESULTS IN SYNCHROTRON X-RAY DIFFRACTION MEASUREMENTS OF RUBBER COMPOSITES STRUCTURE BEFORE AND AFTER EXPOSURE TO HYDROGEN

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    Francesca Cosmi

    2011-05-01

    Full Text Available In future years, fuel cells are expected to represent a promising technology as a source of heat and electricity in buildings and of electrical power for vehicles, since fossil fuels are exhausting and significantly degrade air quality. It is well known that, when exposed to a hydrogen environment, hydrogen embrittlerment may affect materials such as iron and steel. But these are not the only materials that are used for hydrogen equipment. In particular, the rubber materials used for O–rings that seal high pressure hydrogen gas equipment show problems of internal fracture, called blister fracture, when the gas is rapidly decompressed. As many different kinds of fillers can be used, in this work we started to investigate the influence of the type of filler on the rubber composites structure, by means of X-ray diffraction measurements performed at the Elettra synchrotron radiation facility in Trieste. In this preliminary study, three kinds of samples were analyzed before and after exposure to hydrogen: Sulphur vulcanized EPDM, Peroxide vulcanized EPDM and Sulphur vulcanized NBR. While Peroxide vulcanized samples did not show significant differences in the diffraction pattern, changes could be detected in the cristalline form of Sulfure vulcanized rubber.

  1. Impact of Endografting on the Thoracic Aortic Anatomy: Comparative Analysis of the Aortic Geometry before and after the Endograft Implantation

    Energy Technology Data Exchange (ETDEWEB)

    Midulla, Marco, E-mail: marco.midulla@chru-lille.fr [University Hospital of Lille, Cardiovascular and Interventional Radiology (France); Moreno, Ramiro, E-mail: ramoroa@gmail.com [Rangueil University Hospital, Department of Radiology (France); Negre-Salvayre, Anne, E-mail: anne.negre-salvayre@inserm.fr [INSERM, UMR 1048, I2MC (France); Nicoud, Franc, E-mail: franck.nicoud@univ-montp2.fr [CNRS, UMR 5149 I3M, CC 051, University Montpellier II (France); Pruvo, Jean Pierre, E-mail: jean-pierre.pruvo@chru-lille.fr [University Hospital of Lille, Cardiovascular and Interventional Radiology (France); Haulon, Stephan, E-mail: stephan.haulon@chru-lille.fr [University Hospital of Lille, Department of Vascular Surgery (France); Rousseau, Hervé, E-mail: rousseau.h@chu-toulouse.fr [Rangueil University Hospital, Department of Radiology (France)

    2013-03-13

    PurposeAlthough the widespread acceptance of thoracic endovascular aortic repair (TEVAR) as a first-line treatment option for a multitude of thoracic aortic diseases, little is known about the consequences of the device implantation on the native aortic anatomy. We propose a comparative analysis of the pre- and postoperative geometry on a clinical series of patients and discuss the potential clinical implicationsMethodsCT pre- and postoperative acquisitions of 30 consecutive patients treated by TEVAR for different pathologies (20 thoracic aortic aneurysms, 6 false aneurysms, 3 penetrating ulcers, 1 traumatic rupture) were used to model the vascular geometry. Pre- and postoperative geometries were compared for each patient by pairing and matching the 3D models. An implantation site was identified, and focal differences were detected and described.ResultsSegmentation of the data sets was successfully performed for all 30 subjects. Geometry differences between the pre- and postoperative meshes were depicted in 23 patients (76 %). Modifications at the upper implantation site were detected in 14 patients (47 %), and among them, the implantation site involved the arch (Z0–3) in 11 (78 %).ConclusionModeling the vascular geometry on the basis of imaging data offers an effective tool to perform patient-specific analysis of the vascular geometry before and after the treatment. Future studies will evaluate the consequences of these changes on the aortic function.

  2. Tracheomalacia before and after aortosternopexy: dynamic and quantitative assessment by electron-beam computed tomography with clinical correlation

    Energy Technology Data Exchange (ETDEWEB)

    Kao, S.C.S. [Dept. of Radiology, The Univ. of Iowa Coll. of Medicine, Iowa City, IA (United States); Kimura, K. [Dept. of Surgery, The Univ. of Iowa Coll. of Medinice, Iowa City, IA (United States); Smith, W.L. [Dept. of Radiology, The Univ. of Iowa Coll. of Medicine, Iowa City, IA (United States); Sato, Y. [Dept. of Radiology, The Univ. of Iowa Coll. of Medicine, Iowa City, IA (United States)

    1995-11-01

    To correlate the dynamics of tracheal collapse with clinical upper airway obstruction before and after aortosternopexy, seven boys and three girls (mean age, 10 months) underwent dynamic evaluation of the trachea by electron-beam computed tomography (EBCT). The site, extent, and severity of collapse were correlated with symptomatology and details of operative procedure. When >50% area collapse was used as the criterion for tracheomalacia, segmental involvement occurred above the aortic arch in all patients, extending to the aortic arch level in only four. Tracheomalacia involved two or fewer 8-mm levels in seven patients and more than two levels in three. Eight patients underwent one aortosternopexy procedure, resulting in clinical improvement in six and correlating well with EBCT findings. Of the remaining two patients who had single aortosternopexy and did not show clinical and radiographic improvement, one required operative repair of a vascular ring and the other continued to have recurrent respiratory tract infections. On the basis of EBCT findings, two patients required additional innominate arteriopexies: One improved, and the other remained symptomatic, requiring tracheostomy. EBCT is a noninvasive modality that allows preoperative diagnosis of tracheomalacia. More importantly, the operative decision and technique are guided by an objective and quantitative assessment of tracheal collapse. (orig.)

  3. De novo transcriptome analysis of Thitarodes jiachaensis before and after infection by the caterpillar fungus, Ophiocordyceps sinensis.

    Science.gov (United States)

    Li, Shaosong; Zhong, Xin; Kan, Xutian; Gu, Li; Sun, Hongxia; Zhang, Guren; Liu, Xin

    2016-04-15

    Thitarodes jiachaensis is a host species of the pathogenic caterpillar fungus Ophiocordyceps sinensis, which is a fungus with broad medical effects and great economic value. Curated genomic information on Thitarodes is still limited, and the interaction between host Thitarodes larvae and O. sinensis during infection is incompletely understood. In this study, we performed transcriptome sequencing for T. jiachaensis before and after O. sinensis infection using the Illumina sequencing platform, and we identified the transcripts associated with the defense response of T. jiachaensis upon O. sinensis infection. A total of 161,804 transcripts and 94,827 unigenes for T. jiachaensis were obtained from 26.62-Gb clean reads, and 35.03% of all the unigenes were annotated in current databases. The expression of 1581 genes was significantly altered following infection; among them, 928 (58.70%) were up-regulated and 653 (41.30%) were down-regulated. Genes encoding physical barriers such as cuticle proteins and peritrophic matrix proteins, antimicrobial peptides (AMPs), pattern recognition receptors (PRRs), and enzymes in the proteolytic cascade were predicted to be involved in the response of T. jiachaensis to O. sinensis infection. Together, these data provide a valuable genomic resource for further studies of Thitarodes and increase our understanding of the host-pathogen interaction that occurs between Thitarodes and O. sinensis. PMID:26778205

  4. Detection of YMDD mutation using mutant-specific primers in chronic hepatitis B patients before and after lamivudine treatment

    Institute of Scientific and Technical Information of China (English)

    Cha-Ze Lee; Hsuan-Shu Lee; Guan-Tarn Huang; Pei-Ming Yang; Jin-Chuan Sheu

    2006-01-01

    AIM: To develop a PCR assay using mutant-specific primers to detect mutation of tyrosine-methionineaspartate-aspartate (YMDD) motif of HBV to tyrosinevaline-aspartate-aspartate (YVDD) or tyrosine-isoleucineaspartate-aspartate (YIDD).METHODS: Cloned wild-type and mutant HBV sequences were used as templates to test the sensitivity and specificity of the assay. A variety of primer construction, primer concentration, dNTP concentration,and annealing temperature of primers were systematically examined. Pair primers specific to rtL180M and rtM204V were selected for YVDD detection. Primer specific to rtM204I with an additional 3'-penultimate base mismatched to both the mutant and wild-type sequence was selected for YIDD detection. We applied this assay to study YMDD mutants in 28 chronic hepatitis B patients before and after lamivudine treatment.RESULTS: We could detect as little as 0.001%-0.00001%of mutant viruses coexisting in 108-109 copies of wildtype HBV using this assay. YMDD mutants were detected in 8 of 12 HBeAg-positive patients and 8 of 16 HBeAgnegative patients before lamivudine treatment. After treatment, two more patients in HBeAg-positive patients and seven more patients in HBeAg-negative patients developed YMDD mutations.CONCLUSION: We developed a highly sensitive and specific assay for detecting YMDD mutants. This assay can be applied to monitor chronic hepatitis B patients before and during lamivudine treatment.

  5. Thin-section computed tomography findings before and after azithromycin treatment of neutrophilic reversible lung allograft dysfunction

    Energy Technology Data Exchange (ETDEWEB)

    Jong, Pim A. de [Department of Radiology, Katholieke Universiteit Leuven, Leuven (Belgium); Lung Transplantation Unit, Katholieke Universiteit Leuven, Leuven (Belgium); University Medical Center Utrecht, Department of Radiology, Utrecht (Netherlands); Vos, Robin; Verleden, Geert M.; Vanaudenaerde, Bart M. [Lung Transplantation Unit, Katholieke Universiteit Leuven, Leuven (Belgium); Verschakelen, Johny A. [Department of Radiology, Katholieke Universiteit Leuven, Leuven (Belgium)

    2011-12-15

    Recently a novel subgroup of bronchiolitis obliterans syndrome (BOS) has been described in patients after lung transplantation with high neutrophil counts in broncho-alveolar lavage and recovery of lung functional decline with azithromycin treatment. We aimed to describe the thin-section computed tomography (CT) findings of these neutrophilic reversible allograft dysfunction (NRAD) patients before and after azithromycin. A cohort of 100 lung transplant recipients with BOS were treated with azithromycin and underwent lung function testing, broncho-alveolar lavage and CT before azithromycin treatment and during follow-up. The 200 CT data sets were scored for bronchial dilatation, mucus plugging, centrilobular abnormalities, airway wall thickening, consolidation, ground glass and end-expiratory air trapping. NRAD was characterized by more centrilobular abnormalities on CT (p = 0.03 for prevalence and p = 0.06 for severity) compared to non-responders. At follow-up NRAD patients showed improvement in all CT abnormalities including air trapping, but the degree of improvement in all CT abnormalities was significantly different between responders and non-responders (who showed progression of bronchus dilatation, consolidation and air trapping). Within BOS patients those with NRAD differ from azithromycin non-responders by more centrilobular abnormalities on CT before azithromycin and improvement in bronchus dilatation, consolidation and air trapping during treatment. (orig.)

  6. Tobacco control policies in hospitals before and after the implementation of a national smoking ban in Catalonia, Spain

    Directory of Open Access Journals (Sweden)

    Puig Montse

    2009-05-01

    Full Text Available Abstract Background Diverse projects and guidelines to assist hospitals towards the attainment of comprehensive smoke-free policies have been developed. In 2006, Spain government passed a new smoking ban that reinforce tobacco control policies and banned completely smoking in hospitals. This study assesses the progression of tobacco control policies in the Catalan Network of Smoke-free Hospitals before and after a comprehensive national smoking ban. Methods We used the Self-Audit Questionnaire of the European Network for Smoke-free Hospitals to score the compliance of 9 policy standards (global score = 102. We used two cross-sectional surveys to evaluate tobacco control policies before (2005 and after the implementation of a national smoking ban (2007 in 32 hospitals of Catalonia, Spain. We compared the means of the overall score in 2005 and 2007 according to the type of hospital, the number of beds, the prevalence of tobacco consumption, and the number of years as a smoke-free hospital. Results The mean of the implementation score of tobacco control policies was 52.4 (95% CI: 45.4–59.5 in 2005 and 71.6 (95% CI: 67.0–76.2 in 2007 with an increase of 36.7% (p 300 beds (41.1% increase; p Conclusion The national smoking ban appears to increase tobacco control activities in hospitals combined with other non-bylaw initiatives such as the Smoke-free Hospital Network.

  7. Saliva and tongue coating pH before and after use of mouthwashes and relationship with parameters of halitosis

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    Elen de Souza Tolentino

    2011-04-01

    Full Text Available OBJECTIVES: The aim of this work was to evaluate saliva and tongue coating pH in oral healthy patients with morning bad breath before and after use of different oral mouthrinses. MATERIAL AND METHODS: Saliva and tongue coating pH of 50 patients allocated in 5 groups were measured respectively by a digital pHmeter and color pH indicators, before, immediately after and 30 min after rinsing 5 different mouthrinses: cetilpiridine chloride associated with sodium chloride, triclosan, enzymatic solution, essential oil and distilled water. RESULTS: Only triclosan and essential oil increased salivary pH immediately after rising. The enzymatic solution decreased salivary and tongue coating pH immediately after rinsing. CONCLUSIONS: Salivary pH tended to be acidic while tongue coating pH tended to be alkaline, even after rising. Triclosan and essential oil mouthrinses increased salivary pH immediately after rinsing. Enzymatic solution decreased saliva and tongue coating pH immediately after rising.

  8. Multiple colonization with S. pneumoniae before and after introduction of the seven-valent conjugated pneumococcal polysaccharide vaccine.

    Directory of Open Access Journals (Sweden)

    Silvio D Brugger

    Full Text Available BACKGROUND: Simultaneous carriage of more than one strain of Streptococcus pneumoniae promotes horizontal gene transfer events and may lead to capsule switch and acquisition of antibiotic resistance. We studied the epidemiology of cocolonization with S. pneumoniae before and after introduction of the seven-valent conjugated pneumococcal vaccine (PCV7. METHODOLOGY: Nasopharyngeal swabs (n 1120 were collected from outpatients between 2004 and 2009 within an ongoing nationwide surveillance program. Cocolonization was detected directly from swabs by restriction fragment length polymorphism (RFLP analysis. Serotypes were identified by agglutination, multiplex PCR and microarray. PRINCIPAL FINDINGS: Rate of multiple colonization remained stable up to three years after PCV7 introduction. Cocolonization was associated with serotypes of low carriage prevalence in the prevaccine era. Pneumococcal colonization density was higher in cocolonized samples and cocolonizing strains were present in a balanced ratio (median 1.38. Other characteristics of cocolonization were a higher frequency at young age, but no association with recurrent acute otitis media, recent antibiotic exposure, day care usage and PCV7 vaccination status. CONCLUSIONS: Pneumococcal cocolonization is dominated by serotypes of low carriage prevalence in the prevaccine era, which coexist in the nasopharynx. Emergence of such previously rare serotypes under vaccine selection pressure may promote cocolonization in the future.

  9. Impact of Endografting on the Thoracic Aortic Anatomy: Comparative Analysis of the Aortic Geometry before and after the Endograft Implantation

    International Nuclear Information System (INIS)

    PurposeAlthough the widespread acceptance of thoracic endovascular aortic repair (TEVAR) as a first-line treatment option for a multitude of thoracic aortic diseases, little is known about the consequences of the device implantation on the native aortic anatomy. We propose a comparative analysis of the pre- and postoperative geometry on a clinical series of patients and discuss the potential clinical implicationsMethodsCT pre- and postoperative acquisitions of 30 consecutive patients treated by TEVAR for different pathologies (20 thoracic aortic aneurysms, 6 false aneurysms, 3 penetrating ulcers, 1 traumatic rupture) were used to model the vascular geometry. Pre- and postoperative geometries were compared for each patient by pairing and matching the 3D models. An implantation site was identified, and focal differences were detected and described.ResultsSegmentation of the data sets was successfully performed for all 30 subjects. Geometry differences between the pre- and postoperative meshes were depicted in 23 patients (76 %). Modifications at the upper implantation site were detected in 14 patients (47 %), and among them, the implantation site involved the arch (Z0–3) in 11 (78 %).ConclusionModeling the vascular geometry on the basis of imaging data offers an effective tool to perform patient-specific analysis of the vascular geometry before and after the treatment. Future studies will evaluate the consequences of these changes on the aortic function

  10. Bacterial antigen induced release of soluble vascular endothelial growth factor (VEGF) and VEGFR1 before and after surgery

    DEFF Research Database (Denmark)

    Svendsen, Mads N; Lykke, J; Werther, Kim;

    2005-01-01

    -induced release of sVEGF and sVEGFR1 from whole blood in vitro. MATERIAL AND METHODS: Sixty-one patients with abdominal diseases undergoing five different surgical procedures were included in the study. Blood samples were drawn from patients before and after the operation. White blood cells and platelets were......OBJECTIVE: The influence of surgery on release of soluble vascular endothelial growth factor (sVEGF) and the soluble inhibitory receptor (sVEGFR1) is unknown. The effect of major and minor surgery on variations in sVEGF and sVEGFR1 concentrations in vivo was studied, and on bacterial antigen...... counted, and plasma sVEGF and sVEGFR1 were determined. Whole blood from each blood sample was stimulated in vitro with bacteria-derived antigens (lipopolysaccharides or protein A) and sVEGF and sVEGFR1 levels were subsequently determined in the supernatants. RESULTS: Neither sVEGF nor sVEGFR1...

  11. Comparative study of D2 receptors and content of DA in striatum before and after electro-acupuncture treatment

    International Nuclear Information System (INIS)

    Objective: To evaluate the change of D2 receptors and its relationship with DA content in experimental hemi-parkinsonism rats before and after electron-acupuncture treatment. Methods: 125I-IBZM D2 receptor cerebral autoradiographic analysis, HPLC-ECD DA and its metabolites, homovanillic acid (HVA), 3,4-di-hydroxyphenylacetic acid (DOPAC) content detection were used to study in striatum in before treatment, electro-acupuncture treatment and treatment control group. Results: 1) The DA, HVA and DOPAC level in striatum of lesioned side in electro-acupuncture group was increased comparing with the before treatment and treatment control group (P125I-IBZM uptake ratio was 8.04 +- 0.71, (29.34 +- 4.83)% more than that of the contralateral side, but no significant difference was observed as compared with that of the pretreatment group [(8.09 +- 0.52), P>0.05]; however it was much lower than that of the treatment control group (8.61 +- 0.63), P2 receptors' up regulation in rats with experimental hemi-parkinsonism

  12. Studying of some physical properties for natural polymers (hemoglobin) for cancer patients before and after exposure to gamma irradiation

    International Nuclear Information System (INIS)

    The effect of radiotherapy on hemoglobin (Hb) polymer, obtained from patients (cases) before and after two periods of local gamma irradiation was studied. The results were compared with healthy volunteer. The patients were classified into two main groups. The first group represents cases that suffer from breast cancer, while, the second group represents cases that suffer from pelvic cancer. The total doses for breast cancer were ranged from 45 to 50 Gy, divided into 25 fractions for 5 weeks. While the total doses for pelvic irradiation were ranged from 20 to 66 Gy; divided into 10-25 fraction for 2-5 weeks. The physical properties of Hb have been studied via several characterization techniques, such as X-ray diffraction, viscosity, Fourier Transform Infra-red spectroscopy (FTIR), Electron Spin Resonance (ESR) and UV-visible spectra. The resultant effects of radiotherapy can be summarized as follows: X-ray diffraction pattern of Hb polymer, for control and cancer breast before and after exposure to accumulated gamma irradiation, were characterized by halo consisting of two adjacent peaks with maximum intensity observed at 2θ = 9.549 and 21.222, respectively. By increasing the gamma doses, a decrease in crystalline phase (disordering character) were obtained. Also, the halos width at half of maximal intensity (δW) shows a decrease followed by an increase with increasing the accumulative gamma dose up to 50 Gy, but still below + ve and -ve control values. The viscosity were measured for Hb solutions of concentration 4.1x10-5 Mol on the base of heme-heme interaction and at different shear rates (10-400 sec-1). The plastic viscosity for every hemoglobin samples was calculated by Bingham equation using specific software of the viscometer. There was an increase in the plastic viscosity of Hb cancer patients compared to -ve control. On irradiation the viscosity shows an increase with increasing the accumulative gamma dose. Fourier transform infra-red spectra (FTIR

  13. Evaluation of slim-edge, multi-guard, and punch-through-protection structures before and after proton irradiation

    International Nuclear Information System (INIS)

    Planar geometry silicon pixel and strip sensors for the high luminosity upgrade of the LHC (HL-LHC) require a high bias voltage of 1000 V in order to withstand a radiation damage caused by particle fluences of 1×1016 1 MeV neq/cm2 and 1×1015 1 MeV neq/cm2 for pixel and strip detectors, respectively. In order to minimize the inactive edge space that can withstand a bias voltage of 1000 V, edge regions susceptible to microdischarge (MD) should be carefully optimized. We fabricated diodes with various edge distances (slim-edge diodes) and with 1–3 multiple guard rings (multi-guard diodes). AC coupling insulators of strip sensors are vulnerable to sudden heavy charge deposition, such as an accidental beam splash, which may destroy the readout AC capacitors. Thus various types of punch-through-protection (PTP) structures were implemented in order to find the most effective structure to protect against heavy charge deposition. These samples were irradiated with 70 MeV protons at fluences of 5×1012 1 MeV neq/cm2–1×1016 1 MeV neq/cm2. Their performances were evaluated before and after irradiation in terms of an onset voltage of the MD, a turn-on voltage of the PTP, and PTP saturation resistance. -- Highlights: ► We have evaluated radiation tolerance of n-in-p sensors up to 1×1016 1 MeV neq/cm2. ► Both n-bulk and p-bulk require a field width≥450 μm in order to withstand 1000 V. ► The MD onset voltage was found to be independent of the edge width. ► With increasing number of guard rings, bias voltage tolerance improved before irrad. ► BZ4D-5 (with full extension) performs the best among the samples.

  14. Emergy evaluation of agricultural sustainability of Northwest China before and after the grain-for-green policy

    International Nuclear Information System (INIS)

    China’s grain-for-green policy (GFGP) was implemented with the goal of improving ecological security. Consequently, agricultural energy and agrochemical inputs have been significantly increased to improve food security and to increase the income of farmers in the regions where the GFGP was implemented. In analysis of the sustainability of the agricultural system affected by the GFGP, it is essential to consider both economic profitability and environmental sustainability. Using Yanchi County as a case study area, this study used an emergy synthesis to examine the sustainability of the agricultural system before and after the GFGP in Northwest China. We found that the total emergy input and energy output of the agricultural system in the study area increased from 1991 to 2008; however, the sustainability of the system declined, and this decline was especially evident after the GFGP was launched in 2001. Increasing inputs of non-renewable purchased resources will not only reduce the effectiveness of the GFGP in Northwest China, but also hinder the implementation of the energy-saving and emission-reduction policy that China launched in 2005. We suggest that sustainable agricultural development in Northwest China should be based on effective use of renewable resources and development of a low-carbon agricultural economy. - Highlights: • The total emergy input and energy output of the study system increased from 1991 to 2008. • The change of each emergy index was more evident after the GFGP launched in 2001. • The increase in input of non-renewable purchased resources will gradually reduce the function of the GFGP in West China. • Agricultural development in West China should be based on organic agriculture

  15. Assessment of CAD-generated tumor volumes measured using MRI in breast cancers before and after neoadjuvant chemotherapy

    International Nuclear Information System (INIS)

    Objective: To evaluate inter-observer agreement and the predictive value of tumor size measurements using MRI for breast cancer under neoadjuvant chemotherapy (NAC) by comparing the measurements of the longest diameters (LD), total enhanced volumes (TEV) and washout volumes (WOV). Methods: Thirty-seven female breast cancer patients were prospectively enrolled from August 2008 to October 2010. Two of these patients had locally advanced disease. MRI examinations were acquired within 2 weeks before and after NAC. Interim scans were also conducted in 30 patients. Tumor resection was undertaken within 2 weeks after the cessation of NAC. MRI images were independently measured for LD, TEV and WOV by two experienced radiologists. Inter-observer agreement was evaluated using concordance correlation coefficients (CCCs). Tumor sizes after NAC were evaluated relative to their initial sizes for early prediction of a pathological complete response (pCR). Results: The CCCs were 0.93 (CI: 0.90–0.95) for LD, 0.98 (CI: 0.97–0.98) for TEV and 0.99 (CI: 0.991–0.996) for WOV. All measurements had high inter-observer agreement, but the CCCs were significantly increased in the aforementioned order (P < 0.0001). WOV measured after the completion of chemotherapy had significant discriminating ability (P = 0.0056) when evaluated using receiver operating characteristic analysis, and was found to be superior to LD (P = 0.045). The average WOV size was significantly smaller in pCR cases than in non-pCR cases (P = 0.016). Conclusion: Computer-aided detection-generated tumor volumes had significantly higher inter-observer concordance than conventional LD measurements. WOV measurements had the highest concordance, and WOV could better predict pCR after NAC at smaller tumor sizes

  16. Genome-Wide Evolutionary Analyses of G1P[8] Strains Isolated Before and After Rotavirus Vaccine Introduction

    Science.gov (United States)

    Zeller, Mark; Donato, Celeste; Trovão, Nídia Sequeira; Cowley, Daniel; Heylen, Elisabeth; Donker, Nicole C.; McAllen, John K.; Akopov, Asmik; Kirkness, Ewen F.; Lemey, Philippe; Van Ranst, Marc; Matthijnssens, Jelle; Kirkwood, Carl D.

    2015-01-01

    Rotaviruses are the most important etiological agent of acute gastroenteritis in young children worldwide. Among the first countries to introduce rotavirus vaccines into their national immunization programs were Belgium (November 2006) and Australia (July 2007). Surveillance programs in Belgium (since 1999) and Australia (since 1989) offer the opportunity to perform a detailed comparison of rotavirus strains circulating pre- and postvaccine introduction. G1P[8] rotaviruses are the most prominent genotype in humans, and a total of 157 G1P[8] rotaviruses isolated between 1999 and 2011 were selected from Belgium and Australia and their complete genomes were sequenced. Phylogenetic analysis showed evidence of frequent reassortment among Belgian and Australian G1P[8] rotaviruses. Although many different phylogenetic subclusters were present before and after vaccine introduction, some unique clusters were only identified after vaccine introduction, which could be due to natural fluctuation or the first signs of vaccine-driven evolution. The times to the most recent common ancestors for the Belgian and Australian G1P[8] rotaviruses ranged from 1846 to 1955 depending on the gene segment, with VP7 and NSP4 resulting in the most recent estimates. We found no evidence that rotavirus population size was affected after vaccine introduction and only six amino acid sites in VP2, VP3, VP7, and NSP1 were identified to be under positive selective pressure. Continued surveillance of G1P[8] strains is needed to determine long-term effects of vaccine introductions, particularly now rotavirus vaccines are implemented in the national immunization programs of an increasing number of countries worldwide. PMID:26254487

  17. Genome-Wide Evolutionary Analyses of G1P[8] Strains Isolated Before and After Rotavirus Vaccine Introduction.

    Science.gov (United States)

    Zeller, Mark; Donato, Celeste; Trovão, Nídia Sequeira; Cowley, Daniel; Heylen, Elisabeth; Donker, Nicole C; McAllen, John K; Akopov, Asmik; Kirkness, Ewen F; Lemey, Philippe; Van Ranst, Marc; Matthijnssens, Jelle; Kirkwood, Carl D

    2015-09-01

    Rotaviruses are the most important etiological agent of acute gastroenteritis in young children worldwide. Among the first countries to introduce rotavirus vaccines into their national immunization programs were Belgium (November 2006) and Australia (July 2007). Surveillance programs in Belgium (since 1999) and Australia (since 1989) offer the opportunity to perform a detailed comparison of rotavirus strains circulating pre- and postvaccine introduction. G1P[8] rotaviruses are the most prominent genotype in humans, and a total of 157 G1P[8] rotaviruses isolated between 1999 and 2011 were selected from Belgium and Australia and their complete genomes were sequenced. Phylogenetic analysis showed evidence of frequent reassortment among Belgian and Australian G1P[8] rotaviruses. Although many different phylogenetic subclusters were present before and after vaccine introduction, some unique clusters were only identified after vaccine introduction, which could be due to natural fluctuation or the first signs of vaccine-driven evolution. The times to the most recent common ancestors for the Belgian and Australian G1P[8] rotaviruses ranged from 1846 to 1955 depending on the gene segment, with VP7 and NSP4 resulting in the most recent estimates. We found no evidence that rotavirus population size was affected after vaccine introduction and only six amino acid sites in VP2, VP3, VP7, and NSP1 were identified to be under positive selective pressure. Continued surveillance of G1P[8] strains is needed to determine long-term effects of vaccine introductions, particularly now rotavirus vaccines are implemented in the national immunization programs of an increasing number of countries worldwide. PMID:26254487

  18. Aortic annulus eccentricity before and after transcatheter aortic valve implantation: Comparison of balloon-expandable and self-expanding prostheses

    Energy Technology Data Exchange (ETDEWEB)

    Schuhbaeck, Annika, E-mail: annika.schuhbaeck@uk-erlangen.de [Department of Cardiology, University of Erlangen, Erlangen (Germany); Weingartner, Christina [Department of Cardiology, University of Gießen, Giessen (Germany); Arnold, Martin; Schmid, Jasmin; Pflederer, Tobias; Marwan, Mohamed [Department of Cardiology, University of Erlangen, Erlangen (Germany); Rixe, Johannes; Nef, Holger [Department of Cardiology, University of Gießen, Giessen (Germany); Schneider, Christian [Department of Radiology, University of Gießen, Giessen (Germany); Lell, Michael; Uder, Michael [Department of Radiology, University of Erlangen, Erlangen (Germany); Ensminger, Stephan [Department of Thoracic and Cardiovascular Surgery, Heart and Diabetes Center NRW, Ruhr-University Bochum, Bad Oeynhausen (Germany); Feyrer, Richard; Weyand, Michael [Department of Cardiothoracic Surgery, University of Erlangen, Erlangen (Germany); Achenbach, Stephan [Department of Cardiology, University of Erlangen, Erlangen (Germany)

    2015-07-15

    Highlights: • Post-implant geometry of catheter-based aortic valve prostheses is influenced by aortic valve calcification. • Balloon-expandable prostheses are more circular as compared to self-expanding prostheses. • The impact of post-implant geometry on valve function needs to be investigated. - Abstract: Introduction: The geometry of the aortic annulus and implanted transcatheter aortic valve prosthesis might influence valve function. We investigated the influence of valve type and aortic valve calcification on post-implant geometry of catheter-based aortic valve prostheses. Methods: Eighty consecutive patients with severe aortic valve stenosis (mean age 82 ± 6 years) underwent computed tomography before and after TAVI. Aortic annulus diameters were determined. Influence of prosthesis type and degree of aortic valve calcification on post-implant eccentricity were analysed. Results: Aortic annulus eccentricity was reduced in patients after TAVI (0.21 ± 0.06 vs. 0.08 ± 0.06, p < 0.0001). Post-TAVI eccentricity was significantly lower in 65 patients following implantation of a balloon-expandable prosthesis as compared to 15 patients who received a self-expanding prosthesis (0.06 ± 0.05 vs. 0.15 ± 0.07, p < 0.0001), even though the extent of aortic valve calcification was not different. After TAVI, patients with a higher calcium amount retained a significantly higher eccentricity compared to patients with lower amounts of calcium. Conclusions: Patients undergoing TAVI with a balloon-expandable prosthesis show a more circular shape of the implanted prosthesis as compared to patients with a self-expanding prosthesis. Eccentricity of the deployed prosthesis is affected by the extent of aortic valve calcification.

  19. Iodine-129 concentration in seawater near Fukushima before and after the accident at the Fukushima Daiichi Nuclear Power Plant

    Directory of Open Access Journals (Sweden)

    T. Suzuki

    2013-01-01

    Full Text Available Anthropogenic radionuclides were released into the environment in large quantities by the Fukushima Daiichi Nuclear Power Plant (1FNPP accident. To evaluate accident-derived 129I, the 129I concentrations in seawater before and after the accident were compared.

    Before the accident (2009–2010, the 129I concentrations in the western margin of the North Pacific between 36° N and 44° N showed a atitudinal gradient that was expressed as a linear function of latitude. The highest and average 129I concentrations after the accident were 73 times and approximately 8 times, respectively, higher than those before the accident in this study area. Considering the distribution of 129I in surface seawater, the accident-derived 129I in the southern and northern stations of the 1FNPP was predominantly supplied by seawater advection and atmospheric deposition, respectively.

    As of October 2011, depth profiles of 129I revealed that 129I originating from the 1FNPP existed mainly in the upper 100 m depth. From the depth profiles, the cumulative inventories of accident-derived 129I were estimated to be (1.8–9.9 × 1012 atoms m−2 in this study area.

    On the basis of the 129I data in the seawater near Fukushima, the effective dose of 129I from seafood ingestion was much smaller than the annual dose limit.

  20. Coal lithotypes before and after saturation with CO2; insights from micro- and mesoporosity, fluidity, and functional group distribution

    Science.gov (United States)

    Mastalerz, Maria; Drobniak, A.; Walker, R.; Morse, D.

    2010-01-01

    Four lithotypes, vitrain, bright clarain, clarain, and fusain, were hand-picked from the core of the Pennsylvanian Springfield Coal Member (Petersburg Formation) in Illinois. These lithotypes were analyzed petrographically and for meso- and micropore characteristics, functional group distribution using FTIR techniques, and fluidity. High-pressure CO2 adsorption isotherm analyses of these lithotypes were performed and, subsequently, all samples were reanalyzed in order to investigate the effects of CO2. After the high-pressure adsorption isotherm analysis was conducted and the samples were reanalyzed, there was a decrease in BET surface area for vitrain from 31.5m2/g in the original sample to 28.5m2/g, as determined by low-pressure nitrogen adsorption. Bright clarain and clarain recorded a minimal decrease in BET surface area, whereas for fusain there was an increase from 6.6m2/g to 7.9m2/g. Using low-pressure CO2 adsorption techniques, a small decrease in the quantity of the adsorbed CO2 is recorded for vitrain and bright clarain, no difference is observed for clarain, and there is an increase in the quantity of the adsorbed CO2 for fusain. Comparison of the FTIR spectra before and after CO2 injection for all lithotypes showed no differences with respect to functional group distribution, testifying against chemical nature of CO2 adsorption. Gieseler plastometry shows that: 1) softening temperature is higher for the post-CO2 sample (389.5??C vs. 386??C); 2) solidification temperature is lower for the post-CO2 sample (443.5??C vs. 451??C); and 3) the maximum fluidity is significantly lower for the post-CO2 sample (4 ddpm vs. 14 ddpm). ?? 2010 Elsevier B.V.

  1. Public perceptions of climate change and energy futures before and after the Fukushima accident: A comparison between Britain and Japan

    International Nuclear Information System (INIS)

    The threats posed by climate change call for strong action from the international community to limit carbon emissions. Before the Fukushima accident that followed the Great East Japan earthquake and tsunami on 11 March 2011, both Britain and Japan were considering an ambitious expansion of nuclear power as part of their strategy to reduce carbon emissions. However, the accident may have thrown nuclear power as a publicly accep’ energy technology into doubt. This study uses several nationally representative surveys from before and after the Fukushima accident to examine how it may have changed public perceptions of climate change and energy futures in Britain and Japan. The study found that already before the accident the Japanese public were less supportive of nuclear power than the British. While British attitudes have remained remarkably stable over time, the Japanese public appear to have completely lost trust in nuclear safety and regulation, and have become less acceptive of nuclear power even if it would contribute to climate change mitigation or energy security. In Japan the public are now less likely to think that any specific energy source will contribute to a reliable and secure supply of energy. The implications for energy policy are discussed. - highlights: • We report data from 2005 to 2011 of British and Japanese attitudes towards nuclear power and climate change. • The Japanese are less supportive of nuclear power as a solution to climate change than the British. • Public support for and trust in nuclear power has collapsed in Japan after Fukushima. • British public attitudes to nuclear power are remarkably robust in the wake of Fukushima

  2. Blood gases and energy metabolites in mouse blood before and after cerebral ischemia: the effects of anesthetics.

    Science.gov (United States)

    Schwarzkopf, Tina M; Horn, Tobias; Lang, Dorothee; Klein, Jochen

    2013-01-01

    The levels of blood gases and energy metabolites strongly influence the outcome of animal experiments, for example in experimental stroke research. While mice have become prominent animal models for cerebral ischemia, little information is available on the effects of anesthetic drugs on blood parameters such as blood gases, glucose and lactate in this species. In this work, we collected arterial and venous blood samples from female CD-1 mice before and after cerebral ischemia induced by middle cerebral artery occlusion (MCAO), and we tested the influence of different anesthetic drugs. We found that all of the injectable anesthetics tested (ketamine/xylazine, chloral hydrate, propofol and pentobarbital) caused a decrease in blood pH and partial pressure of oxygen (pO2) and an increase of partial pressure of carbon dioxide (pCO2), indicating respiratory depression. This was not observed with inhalable anesthetics such as isoflurane, sevoflurane and halothane. Significant and up to two-fold increases of blood glucose concentration were observed under isoflurane, halothane, ketamine/xylazine, chloral hydrate, and propofol anesthesia. Lactate concentration rose significantly by 2-3-fold during inhalation of isoflurane and halothane treatment, but decreased by more than 50% after administration of pentobarbital. Permanent cerebral ischemia induced respiratory acidosis (low pH and pO2, high pCO2) which was most prominent after 24 h. Postsurgical treatment with Ringer-lactate solution (1 mL, intraperitoneal) caused a recovery of blood gases to basal levels after 24 h. Use of isoflurane for surgery caused a minor increase of blood glucose concentrations after one hour, but a strong increase of blood lactate. In contrast, anesthesia with pentobarbital did not affect glucose concentration but strongly reduced blood lactate concentrations one hour after surgery. All values recovered at three hours after MCAO. In conclusion, anesthetic drugs have a strong influence on murine

  3. Spectral analysis of the electromyograph of the erector spinae muscle before and after a dynamic manual load-lifting test

    Directory of Open Access Journals (Sweden)

    Cardozo A.C.

    2004-01-01

    Full Text Available The aim of the present study was to assess the spectral behavior of the erector spinae muscle during isometric contractions performed before and after a dynamic manual load-lifting test carried out by the trunk in order to determine the capacity of muscle to perform this task. Nine healthy female students participated in the experiment. Their average age, height, and body mass (± SD were 20 ± 1 years, 1.6 ± 0.03 m, and 53 ± 4 kg, respectively. The development of muscle fatigue was assessed by spectral analysis (median frequency and root mean square with time. The test consisted of repeated bending movements from the trunk, starting from a 45º angle of flexion, with the application of approximately 15, 25 and 50% of maximum individual load, to the stand up position. The protocol used proved to be more reliable with loads exceeding 50% of the maximum for the identification of muscle fatigue by electromyography as a function of time. Most of the volunteers showed an increase in root mean square versus time on both the right (N = 7 and the left (N = 6 side, indicating a tendency to become fatigued. With respect to the changes in median frequency of the electromyographic signal, the loads used in this study had no significant effect on either the right or the left side of the erector spinae muscle at this frequency, suggesting that a higher amount and percentage of loads would produce more substantial results in the study of isotonic contractions.

  4. Particle morphology and mineral structure of heavy metal-contaminated kaolin soil before and after electrokinetic remediation.

    Science.gov (United States)

    Roach, Nicole; Reddy, Krishna R; Al-Hamdan, Ashraf Z

    2009-06-15

    This study aims to characterize the physical distribution of heavy metals in kaolin soil and the chemical and structural changes in kaolinite minerals that result from electrokinetic remediation. Three bench-scale electrokinetic experiments were conducted on kaolin that was spiked with Cr(VI) alone, Ni (II) alone, and a combination of Cr(VI), Ni(II) and Cd(II) under a constant electric potential of 1VDC/cm for a total duration of 4 days. Transmission electron microscopy (TEM), energy dispersive X-ray spectroscopy (EDX), and X-ray diffraction (XRD) analyses were performed on the soil samples before and after electrokinetic remediation. Results showed that the heavy metal contaminant distribution in the soil samples was not observable using TEM and EDX. EDX detected nickel and chromium on some kaolinite particles and titanium-rich, high-contrast particles, but no separate phases containing the metal contaminants were detected. Small amounts of heavy metal contaminants that were detected by EDX in the absence of a visible phase suggest that ions are adsorbed to kaolinite particle surfaces as a thin coating. There was also no clear correlation between semiquantitative analysis of EDX spectra and measured total metal concentrations, which may be attributed to low heavy metal concentrations and small size of samples used. X-ray diffraction analyses were aimed to detect any structural changes in kaolinite minerals resulting from EK. The diffraction patterns showed a decrease in peak height with decreasing soil pH value, which indicates possible dissolution of kaolinite minerals during electrokinetic remediation. Overall this study showed that the changes in particle morphology were found to be insignificant, but a relationship was found between the crystallinity of kaolin and the pH changes induced by the applied electric potential. PMID:19013716

  5. Particle morphology and mineral structure of heavy metal-contaminated kaolin soil before and after electrokinetic remediation

    Energy Technology Data Exchange (ETDEWEB)

    Roach, Nicole; Reddy, Krishna R. [Department of Civil and Materials Engineering, University of Illinois at Chicago, 842 West Taylor Street, Chicago, IL 60607 (United States); Al-Hamdan, Ashraf Z., E-mail: alhamdan@eng.uah.edu [Department of Civil and Environmental Engineering, University of Alabama in Huntsville, 301 Sparkman Drive, Huntsville, AL 35899 (United States)

    2009-06-15

    This study aims to characterize the physical distribution of heavy metals in kaolin soil and the chemical and structural changes in kaolinite minerals that result from electrokinetic remediation. Three bench-scale electrokinetic experiments were conducted on kaolin that was spiked with Cr(VI) alone, Ni (II) alone, and a combination of Cr(VI), Ni(II) and Cd(II) under a constant electric potential of 1 VDC/cm for a total duration of 4 days. Transmission electron microscopy (TEM), energy dispersive X-ray spectroscopy (EDX), and X-ray diffraction (XRD) analyses were performed on the soil samples before and after electrokinetic remediation. Results showed that the heavy metal contaminant distribution in the soil samples was not observable using TEM and EDX. EDX detected nickel and chromium on some kaolinite particles and titanium-rich, high-contrast particles, but no separate phases containing the metal contaminants were detected. Small amounts of heavy metal contaminants that were detected by EDX in the absence of a visible phase suggest that ions are adsorbed to kaolinite particle surfaces as a thin coating. There was also no clear correlation between semiquantitative analysis of EDX spectra and measured total metal concentrations, which may be attributed to low heavy metal concentrations and small size of samples used. X-ray diffraction analyses were aimed to detect any structural changes in kaolinite minerals resulting from EK. The diffraction patterns showed a decrease in peak height with decreasing soil pH value, which indicates possible dissolution of kaolinite minerals during electrokinetic remediation. Overall this study showed that the changes in particle morphology were found to be insignificant, but a relationship was found between the crystallinity of kaolin and the pH changes induced by the applied electric potential.

  6. Optical coherence tomographic assessment of retinal nerve fiber layer thickness changes before and after glaucoma filtration surgery

    Science.gov (United States)

    Sarkar, Kumaresh Chandra; Das, Palash; Pal, Ranabir; Shaw, Chattaranjan

    2014-01-01

    Background: Glaucomatous Optic Neuropathy (GON) is very common in the glaucoma patients, and impaired effect of glaucoma is measured by the Retinal Nerve Fiber Layer (RNFL) thickness. Objective: The study was conducted to find out the mean RNFL thickness, RNFL thickness in different quadrants, Intra-Ocular Pressure (IOP) changes, and visual field changes after filtration surgery in different ages and genders using Optical Coherence Tomography (OCT). Materials and Methods: The study was an interventional case-series conducted at the Glaucoma Clinic at the Regional Institute of Ophthalmology at Kolkata from March 2009 to August 2010. Fifty-one eyes of 43 open angle glaucoma patients had been selected for clinical and ophthalmologic evaluation. All the eyes of glaucoma patients who fulfilled the inclusion criteria were registered in the study population. The glaucoma filtration surgery was done in these patients. The RNFL thickness, IOP, visual field changes were measured before and after intervention of filtration surgery. Pre-operative OCT images of RNFL were obtained 0 to 120 days before surgery, and post-operative images were obtained from 60 to 120 days after surgery. Data collected in a standard data collection form included schedule. Results: Paired t-test was used. RNFL thickness was (pre-operative: 52.56 ± 17.40, post-operative: 58.48 ± 20.20, P < 0.0001) significantly increased after filtration surgery measured by OCT with significant reduction of IOP (r = - 0.38, P = 0.005) irrespective of age and gender. Conclusions: An increase in RNFL thickness was observed after glaucoma filtration surgery that correlated with IOP reduction. PMID:24799793

  7. The Knowledge, Attitude and Behavior of HIV/AIDS Patients’ Family toward Their Patients before and after Counseling

    Directory of Open Access Journals (Sweden)

    Behnam Honarvar

    2010-12-01

    Full Text Available Background: Acquired immunodeficiency may impose considerableconsequences on patients’ family behaviors towardthem. The objective of the present study was to investigatewhether a counseling program at Behavioral Counseling Centerin the city of Shiraz, Iran could change the attitude, knowledgeand behavior of patients' family members.Methods: 125 HIV/AIDS patients’ family members were interviewed,using a valid and reliable questionnaire before andafter performing counseling sessions at Behavioral CounselingCenter. The findings were analyzed using nonparametric tests.Results: The age of the participants was 40±13 years. Sixty fivepercent were female, 63% married and 79% educated. Forty fourpercent of participants had spousal relationships with their patients.Their knowledge about the main routes of HIV transmissionwere 9.76 ± 2.59 and10.64±0.88 before and after counseling,respectively (P=0.028. Supportive behaviors of families towardtheir patients reached to 79% after counseling compared with 44% before that (P=0.004. Belief to isolate the patients and thepractice of this approach at home dropped from 71% to 15% andfrom 29% to 7% after counseling, respectively (P0.05.Conclusion: Ongoing counseling for HIV/AIDS patients’ familiesat Behavioral Counseling Center of Shiraz did advance theirknowledge about AIDS and improved their attitude and behaviortoward their patients However, the counseling program didnot show remarkable success in some aspects such as the removalof fear about HIV spread in the family or the change ofthe patients’ wives attitude to have protected sex with their HIVinfected husbands.Iran J Med Sci 2010; 35(4: 287-292.

  8. Aortic annulus eccentricity before and after transcatheter aortic valve implantation: Comparison of balloon-expandable and self-expanding prostheses

    International Nuclear Information System (INIS)

    Highlights: • Post-implant geometry of catheter-based aortic valve prostheses is influenced by aortic valve calcification. • Balloon-expandable prostheses are more circular as compared to self-expanding prostheses. • The impact of post-implant geometry on valve function needs to be investigated. - Abstract: Introduction: The geometry of the aortic annulus and implanted transcatheter aortic valve prosthesis might influence valve function. We investigated the influence of valve type and aortic valve calcification on post-implant geometry of catheter-based aortic valve prostheses. Methods: Eighty consecutive patients with severe aortic valve stenosis (mean age 82 ± 6 years) underwent computed tomography before and after TAVI. Aortic annulus diameters were determined. Influence of prosthesis type and degree of aortic valve calcification on post-implant eccentricity were analysed. Results: Aortic annulus eccentricity was reduced in patients after TAVI (0.21 ± 0.06 vs. 0.08 ± 0.06, p < 0.0001). Post-TAVI eccentricity was significantly lower in 65 patients following implantation of a balloon-expandable prosthesis as compared to 15 patients who received a self-expanding prosthesis (0.06 ± 0.05 vs. 0.15 ± 0.07, p < 0.0001), even though the extent of aortic valve calcification was not different. After TAVI, patients with a higher calcium amount retained a significantly higher eccentricity compared to patients with lower amounts of calcium. Conclusions: Patients undergoing TAVI with a balloon-expandable prosthesis show a more circular shape of the implanted prosthesis as compared to patients with a self-expanding prosthesis. Eccentricity of the deployed prosthesis is affected by the extent of aortic valve calcification

  9. Hypertrophic adenoids in patients with nasopharyngeal carcinoma:appearance at magnetic resonance imaging before and after treatment

    Institute of Scientific and Technical Information of China (English)

    Yao-Pan Wu; Pei-Qiang Cai; Li Tian; Jie-Hua Xu; Richard Alan Mitteer Jr; Yi Fan; Zhenfeng Zhang

    2015-01-01

    Introduction:Patients with nasopharyngeal carcinoma (NPC) sporadically develop abnormal adenoids. Nasopharyngeal adenoids are usually included in the gross tumor volume (GTV) but may have different therapeutic responses than tumor tissue. Therefore, distinguishing adenoids from tumor tissue may be required for precise and efficient chemoradiotherapy and radiotherapy. We characterized nasopharyngeal adenoids and investigated the therapeutic responses of NPC and nasopharyngeal adenoids using magnetic resonance imaging (MRI). Methods:MRI data from 40 NPC patients with a coexisting adenoid mass before and after treatment were analyzed. The features of the adenoid masses, including location, striped appearance, size, interface, symmetry/asymmetry, and cysts, were evaluated. Treatment response were scored according to the World Health Organization guidelines. Results:A striped appearance was observed in 36 cases before treatment and in all cases after treatment. In these 36 cases, the average GTVs including and excluding the uninvolved adenoids were 19.8 cm3 and 14.8 cm3, respectively. The average percentage change after excluding the uninvolved adenoids from the GTV was 31.0%. Stable disease in the adenoids was identified in 27 (96.4%) of 28 patients after neoadjuvant chemotherapy, while NPC clearly regressed. Partial adenoid responses were identified in 33 (82.5%) of 40 patients at 3 months after chemoradiotherapy or radiotherapy, whereas complete tumor responses were achieved in all patients. Six months after treatment, the adenoids continued to atrophy but did not disappear, and tumor recurrence was not found. Conclusions:Nasopharyngeal adenoids and carcinoma tissue in NPC patients can be distinguished by using MRI and have different responses to chemoradiotherapy and radiotherapy. These findings contribute to better delineating the GTV of NPC, based on which spatially optimized strategies can be developed to render precise and efficient chemoradiotherapy and

  10. Comparison of rates of referral and diagnosis of axial spondyloarthritis before and after an ankylosing spondylitis public awareness campaign.

    Science.gov (United States)

    Harrison, Andrew A; Badenhorst, Christoffel; Kirby, Sandra; White, Douglas; Athens, Josie; Stebbings, Simon

    2014-07-01

    The objective of this research is to measure the effect of a national ankylosing spondylitis (AS) public awareness campaign on numbers of referrals for suspected AS and numbers of cases diagnosed with axial spondyloarthritis (SpA). A television advertising campaign was conducted by Arthritis New Zealand in 2011 to raise public awareness of AS. A retrospective analysis was made of referrals received by the three rheumatology services 3 months before the campaign started and 3 months after the campaign ended. The age, gender, number of referrals for suspected AS and number of referrals resulting in a diagnosis of axial SpA were recorded. Independent analysis showed that the awareness campaign reached 82 % of the primary target audience. In the 3 months after the awareness campaign, there was a significant increase in referrals for suspected AS compared with the 3 months before the campaign (54 vs. 88, 63 %, p = 0.0056). Referrals for other conditions did not change. The number of referrals resulting in a diagnosis of axial SpA also increased (27 vs. 44, 63 %, p = 0.0576). The mean ages of the patients referred and of those diagnosed with axial SpA did not change. The male/female ratio was 1:1 among the referrals for suspected AS and 2:1 in referrals diagnosed with axial SpA, before and after the campaign. The Arthritis New Zealand AS public awareness campaign was associated with a significant increase in referrals to rheumatology services for suspected AS and an increase in the diagnosis of axial SpA in clinics. PMID:24609715

  11. Comparing Cystatin C Changes as a Measure of Renal Function Before and After Radiotherapy in Patients with Stomach Cancer

    Directory of Open Access Journals (Sweden)

    Ahmad Ameri

    2012-01-01

    Full Text Available The objective of this study was to determine and compare Cystatin C changes before and after radiotherapy in patients with stomach cancer who were candidate for radiotherapy. This study was conducted as a prospective cohort one. Eighteen patients with definite diagnosis of stomach cancer under treatment by radiotherapy who presented to Radiotherapy-Oncology Center of Imam Hossein Hospital, Tehran-Iran, and the treatment in all cases was simultaneous chemoradiation with Xeloda were included. In all patients before radiotherapy and after radiotherapy serum creatinine (Cr and Cystatin C were measured simultaneously. Mean cystatin level before treatment (1.2±0.4 was significantly lower than that of post-treatment (1.6±0.36, (P=0.001. Serum Cr level before treatment was 1.15±0.33 and after radiotherapy was 1.08±0.24 and did not show significant difference. Glomerular filtration rate (GFR of the patients before radiotherapy was -46.8 ± 21.0 and after radiotherapy was 43.8±15.8 that did not have significant difference (P=0.146 and also blood urea nitrogen (BUN before radiotherapy was 20.72±3.7 and 20 ± 6.38 after radiotherapy that did not have significant difference (P=0.6. Comparison of the Cystatin C difference with total radiation dose of the kidneys that are put in three dose groups in radiotherapy field had association that in dose of less that 18 gray (Gy the Cystatin C change showed significant and positive association (P=0.027; r=0.52 and about 18-24 Gy the Cystatin C difference showed significant and negative association (P=0.023, r=-0.53. It seems that for evaluating the renal function, serum Cystatin C measurement is preferable than serum Cr. level.

  12. Green tea catechins and their metabolites in human skin before and after exposure to ultraviolet radiation☆☆☆★

    Science.gov (United States)

    Clarke, Kayleigh A.; Dew, Tristan P.; Watson, Rachel E.B.; Farrar, Mark D.; Osman, Joanne E.; Nicolaou, Anna; Rhodes, Lesley E.; Williamson, Gary

    2016-01-01

    Dietary flavonoids may protect against sunburn inflammation in skin. Preliminary reports using less complete analysis suggest that certain catechins and their metabolites are found in skin biopsies and blister fluid after consumption of green tea; however, it is not known if they are affected by solar-simulated ultraviolet radiation (UVR) or whether conjugated forms, with consequently altered bioactivity, are present. The present study tested the hypothesis that UVR affects the catechin levels in the skin of healthy volunteers after consumption of green tea and how catechins in the plasma are related to their presence in skin tissue samples. In an open oral intervention study, 11 subjects consumed green tea and vitamin C supplements daily for 3 months. Presupplementation and postsupplementation plasma samples, suction blister fluid and skin biopsies were collected; the latter two samples were collected both before and after UVR. A sensitive high-performance liquid chromatography/mass spectrometric assay was used to measure the intact catechin metabolites, conjugates and free forms. Seven green tea catechins and their corresponding metabolites were identified postsupplementation in skin biopsies, 20 in blister fluid and 26 in plasma, with 15 green tea catechin metabolites present in both blister fluid and plasma. The valerolactone, O-methyl-M4-O-sulfate, a gut microbiota metabolite of catechins, was significantly increased 1.6-fold by UVR in blister fluid samples. In conclusion, there were some common catechin metabolites in the plasma and blister fluid, and the concentration was always higher in plasma. The results suggest that green tea catechins and metabolites are bioavailable in skin and provide a novel link between catechin metabolites derived from the skin and gut microbiota. PMID:26454512

  13. Therapy monitoring using dynamic MRI: Analysis of lung motion and intrathoracic tumor mobility before and after radiotherapy

    International Nuclear Information System (INIS)

    A frequent side effect after radiotherapy of lung tumors is a decrease of pulmonary function accompanied by dyspnea due to developing lung fibrosis. The aim of this study was to monitor lung motion as a correlate of pulmonary function and intrathoracic tumor mobility before and after radiotherapy (RT) using dynamic MRI (dMRI). Thirty-five patients with stage I non-small-cell lung carcinoma were examined using dMRI (trueFISP; three images/s). Tumors were divided into T1 and T2 tumors of the upper, middle and lower lung region (LR). Maximum craniocaudal (CC) lung dimensions and tumor mobility in three dimensions were monitored. Vital capacity (VC) was measured and correlated using spirometry. Before RT, the maximum CC motion of the tumor-bearing hemithorax was 5.2±0.9 cm if the tumor was located in the lower LR (middle LR: 5.5±0.8 cm; upper LR: 6.0±0.6 cm). After RT, lung motion was significantly reduced in the lower LR (P<0.05). Before RT, the maximum CC tumor mobility was significantly higher in tumors of the lower LR 2.5±0.6 vs. 2.0±0.3 cm (middle LR; P<0.05) vs. 0.7±0.2 cm (upper LR; P<0.01). After RT, tumor mobility was significantly reduced in the lower LR (P<0.01) and in T2 tumor patients (P<0.05). VC showed no significant changes. dMRI is capable of monitoring changes in lung motion that were not suspected from spirometry. This might make the treatment of side effects possible at a very early stage. Changes of lung motion and tumor mobility are highly dependent on the tumor localization and tumor diameter. (orig.)

  14. Therapy monitoring using dynamic MRI: Analysis of lung motion and intrathoracic tumor mobility before and after radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Plathow, Christian [Eberhard-Karls University Tuebingen, Department of Diagnostic Radiology, Tuebingen (Germany); German Cancer Research Center, Department of Radiology, Heidelberg (Germany); Hof, Holger; Kuhn, Sabine [University of Heidelberg, Department of Radiation Therapy, Clinic for Thoracic Diseases, Heidelberg (Germany); Puderbach, Michael; Ley, Sebastian; Biederer, Juergen; Kauczor, Hans-Ulrich [German Cancer Research Center, Department of Radiology, Heidelberg (Germany); Claussen, Claus D.; Schaefer, Juergen [Eberhard-Karls University Tuebingen, Department of Diagnostic Radiology, Tuebingen (Germany); Huber, Peter E. [University of Heidelberg, Department of Radiation Therapy, Clinic for Thoracic Diseases, Heidelberg (Germany); German Cancer Research Center, Department of Radiation Oncology, Heidelberg (Germany); Tuengerthal, Siegfried [University of Heidelberg, Department of Radiology, Heidelberg (Germany)

    2006-09-15

    A frequent side effect after radiotherapy of lung tumors is a decrease of pulmonary function accompanied by dyspnea due to developing lung fibrosis. The aim of this study was to monitor lung motion as a correlate of pulmonary function and intrathoracic tumor mobility before and after radiotherapy (RT) using dynamic MRI (dMRI). Thirty-five patients with stage I non-small-cell lung carcinoma were examined using dMRI (trueFISP; three images/s). Tumors were divided into T1 and T2 tumors of the upper, middle and lower lung region (LR). Maximum craniocaudal (CC) lung dimensions and tumor mobility in three dimensions were monitored. Vital capacity (VC) was measured and correlated using spirometry. Before RT, the maximum CC motion of the tumor-bearing hemithorax was 5.2{+-}0.9 cm if the tumor was located in the lower LR (middle LR: 5.5{+-}0.8 cm; upper LR: 6.0{+-}0.6 cm). After RT, lung motion was significantly reduced in the lower LR (P<0.05). Before RT, the maximum CC tumor mobility was significantly higher in tumors of the lower LR 2.5{+-}0.6 vs. 2.0{+-}0.3 cm (middle LR; P<0.05) vs. 0.7{+-}0.2 cm (upper LR; P<0.01). After RT, tumor mobility was significantly reduced in the lower LR (P<0.01) and in T2 tumor patients (P<0.05). VC showed no significant changes. dMRI is capable of monitoring changes in lung motion that were not suspected from spirometry. This might make the treatment of side effects possible at a very early stage. Changes of lung motion and tumor mobility are highly dependent on the tumor localization and tumor diameter. (orig.)

  15. Knee cartilage quality assessed with dGEMRIC in rheumatoid arthritis patients before and after treatment with a TNF inhibitor

    Energy Technology Data Exchange (ETDEWEB)

    Tiderius, Carl Johan; Dahlberg, Leif E. (Dept. of Orthopedics, Malmoe Univ. Hospital, Lund Univ., Malmoe (Sweden)), e-mail: carl-johan.tiderius@skane.se; Svensson, Jonas (Dept. of Radiation Physics, Malmoe Univ. Hospital, Lund Univ., Malmoe (Sweden)); Sandin, Joakim; Jacobsson, Lennart (Dept. of Rheumatology, Malmoe Univ. Hospital, Lund Univ., Malmoe (Sweden))

    2010-11-15

    Background: TNF-a inhibitors are potent anti-inflammatory drugs that have revolutionized the treatment of rheumatoid arthritis (RA). Delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) is a non-invasive method to study cartilage quality, in particular the glycosaminoglycan (GAG) content. Purpose: To evaluate knee cartilage quality before and after treatment with a TNF-a inhibitor (infliximab) in patients with RA using dGEMRIC and to study clinical parameters and serum cartilage oligomeric protein (COMP) after the same treatment. Material and Methods: Seven patients with chronic RA received infusions of 3 mg/kg infliximab at weeks 0, 2, 6, 14, and 22. Clinical examination, serum COMP level, and dGEMRIC scans (1.5 T) were performed at baseline and after 7 months. The dGEMRIC index (ms), reflecting cartilage GAG content, was calculated using an inversion recovery sequence in the femoral weight-bearing cartilage. Seven years after treatment, charts were reviewed regarding joint replacement surgery (T{sub k}A). Results: Clinical parameters showed an improvement for all patients after the 7-month treatment period. Serum COMP decreased from 13+-4.5 to 11+-3.4 (mug, mean +- SD) mug/ml (P<0.05). The dGEMRIC index was lower at follow-up than at baseline, 332+-85 and 382+-69 (ms, mean +- SD), respectively (P<0.05), indicating loss of GAG. The two patients with the lowest dGEMRIC index had received a T{sub k}A 7 years after treatment. Conclusion: This longitudinal study indicates a substantial GAG loss from the knee cartilage matrix in patients with chronic RA. Treatment with infliximab does not seem to protect the cartilage from further deterioration despite improvements in clinical parameters and decreased serum COMP

  16. Gait pattern of heifers before and after claw trimming: a high-speed cinematographic study on a treadmill.

    Science.gov (United States)

    Meyer, S W; Weishaupt, M A; Nuss, K A

    2007-02-01

    The manner in which the claws contacted the ground at the walk was evaluated in 18 healthy heifers. The animals were filmed before and after claw trimming while walking on a treadmill using high-speed cinematography (500 frames/s). For each limb, 4 consecutive steps were recorded from a side and a frontal plane. The objectives of the study were to evaluate 1) the order of claw contact with the treadmill surface, 2) the initial claw contact area, and 3) the effect of trimming on claw contact patterns. The heifers placed their front feet on the ground in a plane sagittal to the shoulders, whereas the hind feet were advanced more toward the median plane. Before trimming, the lateral claws contacted the ground before the medial in 83% of front and 100% of hind limbs. Trimming changed the percentage to 92% in the front and to 97% in the hind limbs. The percentage with which the heel of the lateral claws became the region of initial contact with the ground increased from 47 to 64% in the front feet and from 50 to 78% in the hind feet. In the medial claws of the forelimbs, claw trimming shifted the region of initial contact from the toe to the abaxial wall and heel. In the hind limbs, the main region of initial contact of the medial claws became the abaxial wall. Weight bearing by the medial claw became visibly apparent only during the midstance, propulsion, and push-off phases. "Heel first" contact of the lateral claws in the front and hind limbs may be the normal gait pattern in cattle. On hard surfaces, this pattern may lead to overload and predispose to disease, especially in the hind limbs. PMID:17235142

  17. Changes of plasma C-reactive protein in patients with craniocerebral injury before and after hyperbaric oxygenation: A randomly controlled study

    Institute of Scientific and Technical Information of China (English)

    Zeyu Xie; Minghua Zhuang; Lan Lin; Hongwu Xu; Linxing Chen; Lina Hu

    2007-01-01

    . Hyperbaric oxygenation took an hour for once a day and 10 times were regarded as a course. Venous blood was collected before treatment and on the next day of the first course end. Content of C-reactive protein in plasma was measured with immune turbidimetry in hyperbaric oxygenation group; in addition, content of C-reactive protein in plasma was directly measured with the same method at the corresponding time in the control group. If the content was less or equal to 8 mg/L, it was regarded as normal value. Effects of the two groups were evaluated based on Glasgow Coma Score before and after treatment. MAIN OUTCOME MEASURES: Content of plasma C-reactive protein and Glasgow Coma Score in the two groups before and after treatment.RESULTS: All 60 patients were involved in the final analysis. Protein: The two contents were obviously higher than normal value after craniocerebral injury. There was no significant difference in the two groups before treatment (P > 0.05), but both contents were decreased after treatment, and there was significant difference between HBOT group and control group after treatment (t =4.756, P < 0.01). In addition, there was significant difference in hyperbaric oxygen therapy group before and after treatment (t =5.236, P < 0.01). Glasgow Coma Score: There was no significant difference in the two groups before treatment (P > 0.05), but scores were increased in both groups after treatment (t =9.92, 2.51, P < 0.01, 0.05); on the other hand, therefore, there was significant difference between the two groups after treatment (t=9.21, P < 0.01).CONCLUSION: Hyperbaric oxygenation can remarkably decrease content of plasma C-reactive protein in patients with craniocerebral injury at the phase of stress.

  18. Changes in the latencies of visual-evoked potentials in people undergoing tennis training Dynamic comparison before and after 8 weeks training

    Institute of Scientific and Technical Information of China (English)

    Jingguo Zhao; Shujuan Pang

    2008-01-01

    BACKGROUND: Some previous studies have shown that exercise is an important factor that affects the latencies of visual-evoked potentials (VEPs).OBJECTIVE: To investigate the effects of spending a period of time undergoing tennis training on the latencies of VEPs by comparing the latencies of VEPs before tennis training with those after 8 weeks of tennis training.DESIGN, TIME AND SETTING: The non-randomly concurrent controlled experiment was performed in the Department of Human Movement Sciences, Physical Education College, Shandong Normal University from April to June 2007.PARTICIPANTS: In total, 45 healthy volunteers from Shandong Normal University were selected as subjects, including 31 students majoring in physical education (11 males and 5 females participated in the tennis training plan for 8 weeks), and 14 students from other subjects. Informed consent was obtained. According to whether they were majoring in physical education or not, and whether or not they took part in tennis training, the students were divided into 3 groups: a tennis group of physical education students (n =16), a non-tennis group of physical education students (n =15) and a non-tennis group of non-physical education students (n =14). METHODS: The subjects in the tennis group took part in a regular tennis training plan of 2 hours a day and 3 days per week, for 8 weeks, while the subjects in two non-tennis groups were not in the tennis training plan. The NDI-200 neural electricity tester (Shanghai Haishen Medical Electronic Instrument Co., Ltd.) was used to measure VEPs before and after the experiment in all three groups, and to compare the latencies of VEPs recorded before training with those recorded after training.MAIN OUTCOME MEASURES: Comparison of the changes in latencies of VEPs before and after 8 weeks of tennis training.RESULTS: All 45 subjects finished the test and datas from all were included in the statistical analysis. There were no significant differences among all the three

  19. An Evaluation of clinical, serologic, anatomopathologic and immunohistochemical findings for fifteen patients with mucosal leishmaniasis before and after treatment

    Directory of Open Access Journals (Sweden)

    Valdir S. AMATO

    1998-01-01

    Full Text Available Treatment of mucosal leishmaniasis (ML can be controlled by clinical examination and by serologic titers by the indirect immunofluorescence serologic reaction (IISR. We studied the correlation between the presence of antigen in tissue determined by immunohistochemistry, the IISR titers and the anatomopathologic findings in fifteen patients with ML before and after healing of the lesions as determined by otorhinolaryngologic evaluation, and evaluated these parameters to determine which of them could be useful during follow-up. Tissue antigens became negative in four patients (group A after treatment, with a statistically significant reduction or negativity of IISR titers (pO controle de tratamento da leishmaniose mucosa (LM pode ser realizado pelo exame clínico e o acompanhamento dos títulos sorológicos da reação de imunofluorescência indireta (RIFI. Estudamos a correlação entre a presença de antígeno no tecido através da reação de imuno-histoquímica, os títulos da reação de imunofluorescência indireta e os achados anatomopatológicos, em quinze pacientes com LM, antes e após as lesões estarem cicatrizadas pela avaliação otorrinolaringológica, e avaliamos qual destes parâmetros pode ter utilidade no seguimento. Após a terapêutica houve negativação do antígeno tecidual em quatro doentes (grupo A, sendo a redução ou negativação dos títulos da RIFI estatisticamente significante (p<0.05, o que não ocorreu nos doentes, em que houve permanência do antígeno posteriormente ao tratamento (grupo B, sugerindo que o acompanhamento sorológico deva ser realizado conjuntamente com a pesquisa do antígeno tecidual, associação que não conhecemos ter sido utilizada anteriormente em outro estudo. A negativação do antígeno tecidual e o comportamento dos títulos da RIFI nos doentes do grupo A, provavelmente indicam menor possibilidade de recidiva. Ao exame anatomo-patológico, o processo inflamatório persistiu após a

  20. Indoor air quality in a bar/restaurant before and after the smoking ban in Athens, Greece.

    Science.gov (United States)

    Konstantopoulou, Sophia S; Behrakis, Panagiotis K; Lazaris, Andreas C; Nicolopoulou-Stamati, Polyxeni

    2014-04-01

    In this study we compared indoor air pollutant concentrations in a bar/restaurant in Greece before and after the enactment of a smoking ban legislation of 2008. This was done to investigate whether the separation of the venue into smoking and non-smoking areas will have an impact on workers and customers from secondhand smoke (SHS) exposure (null hypothesis). The study was completed within an 8-month period beginning in March 2010 and ending on November 2010. We compared the average of the measured PM0.1 concentrations in the smoking zones between the pre-ban and post-ban periods. Overall reduction in the number of particles was 18% between pre-ban and post-ban periods. The mean of the 36 total CO2 measurements for the pre- and the post-ban period was 611ppm. We calculated the ventilation rates per occupant (Vo in l/s/occ) and found it to be higher in the post-ban period (19.4l/s/occ), thus complying with the ASHARAE standard for Vo of 15l/s/occ at maximum occupancy, than in the pre-ban period (10.7l/s/occ). The mean of the 36 total CO measurements for the pre-ban period was 2 ppm. CO measurements in the post-ban period were less than the detection limit of 1 ppm. Emissions of nitrogen dioxide and formaldehyde weren't detected in any of the zones. It was observed there was about 50% distribution of pollutants from the smoking zones to the smoke-free zones. The smoking ban effect on the occupancy levels was initially reduced by 16%, but based on other similar studies this transition period will be followed by an increase in the occupancy. Passive smoking and associated risks were significantly reduced but not totally eliminated, indicating the need for stronger enforcement or complete partition between smoking and non-smoking areas. PMID:24463032